困惑与忧思:医学的边界在何处

Puzzle and Worries:Where Is the Boundary of the Medicine

现代医学将治未病的理想变成了现实。对疾病危险因素的控制,癌症前期病变的基因检测,ECT等高清晰度的影像技术对人体微细病变的勾画,以及生命的正常过程、个人和社交问题的医疗化,疾病诊断标准不停歇的放宽,使得健康与疾病的界线愈来愈模糊,医学进步到没有健康人了。区分生命正常过程与疾病的不同,明确医学的边界,避免医学对人体过度的破坏性的干预,杜绝对医疗资源的浪费,是当今医学迫需努力解决的课题。

Modern medicine makes the idea of treatment of pro-disease come true. The boundary between health and disease is increasingly blurred due to the control of disease risk factors, gene detection of precancerous lesions, ECT and other high-resolution imaging techniques outlined human body in micro-lesions, as well as the normal course of life, medicalization of personal and social problems and the broaden disease diagnostic criteria without a break. Hence, medicine has progressed in a stage of no one is healthy. Distinguishing the differences between normal life processes and disease, clearing the boundary of medicine, avoiding excessive damage intervention of medicine to human body and putting an end to the waste of medical resources are today＇s urgent efforts to address the issue of medicine.