中医健康认知与健康管理

Health cognition and health management of traditional Chinese medicine

文章在前期工作基础上进一步阐明了健康概念及中医健康内涵,明确健康是个体处于"阴阳自和""形与神俱""天人合一"的最佳功能状态;指出状态是中医健康认知的逻辑起点,从"状态概念""状态要素""状态辨识"方面阐述中医健康认知的理论和方法;从"整体与局部""功能与结构""个性与共性""动态与固定"方面探讨中西医健康认知的异同;提出中医健康管理的特点是:人与自然的统一、时间与空间的统一和注重个性化。中医健康管理是以状态为核心,通过构建"'太医院’+全科医学+互联网"的越人健康管理服务模式,运用状态辨识、风险预警、调理干预、评价反馈等方法,实现"未病先防、既病防变和瘥后防复"的全程式健康管理,达到全面提升全民健康水平、降低医疗费用的目标。由于目前中医健康管理的思想共识、技术标准、服务规范尚未真正形成,因此,加强顶层设计,进一步完善中医健康管理的理论体系,构建中医健康管理技术平台,十分必要。

On the basis of the previous work, this paper further clarifies the concept and connotation of health in traditional Chinese medicine (TCM), and is clear about that health is the best functional state in which the individual is in the state of ‘self-harmony of yin and yang’, ‘unity of body and spirit’ and ‘corresponding nature and human beings’. Besides, it is pointed out that state is the logical starting point of TCM health cognition. This paper expounds the theories and methods of TCM health cognition from the aspects of ‘state concept’, ‘state element’ and ‘state identification’. Futhur more, this paper is probed into the similarities and differences of health cognition between TCM and western medicine from the aspects of ‘whole and part’, ‘function and structure’, ‘individuality and commonness’, ‘dynamic and fixed’. The characteristics of TCM health management are as follows: the unity of human and nature, the unity of time and space, and the emphasis on individuation. TCM health management takes the state as the core, using state identification, risk warning, conditioning intervention, evaluation feedback and other methods through the ‘‘‘Taiyi Hospital’ + General Practice + Internet’’ mode, Yueren health management service mode, to realize the whole course health management of ‘prevention before illness, prevention of disease and recovery after recuperation’ and achieve the goal of comprehensively improving the health level of the whole people and reducing medical expenses. Because the thought consensus, technical standard and service norm of TCM health management have not really formed yet, it is very necessary to strengthen the top-level design, further perfect the theoretical system of TCM health management, and construct the technical platform of TCM health management.