以老年肌少症、虚弱症及糖尿病为范例探讨中医“以证统病”实现共病管理的可行性

Explore the possibiliy of multi-morbidity management with TCM theory,taking sarcopenia,frailty and diabetes as an example

我国因逐步进入老龄化社会而面临巨大的挑战。老年人群往往多病共存、多重用药,共同导致不良预后。因此,共病管理成为老年疾病科研工作者的热门议题。西医思维模式预示其困境,而中医整体观念完全契合共病管理理念。本文以老年虚弱症、肌少症以及糖尿病为例,从中西医的角度分别论证其共同的病理环节,探讨"以证统病"进行共病管理的可能性。

China is confronted with great challenge as stepping into the aging society. Geriatric population suffer from multi-morbidity and poly-pharmacy,which lead to poor prognosis. Therefore,multi-morbidity management become the hot topic among geriatric researchers. The western medical thinking pattern come across plight. However,holism concept of Chinese traditional medicine adapt well to the principle of multi-morbidity management. This article takes frailty,sarcopenia,as well as diabetes mellitus as examples,to explore the common pathophysiologic mechanism of the diseases,discuss the possibility of managing multi-morbidity with TCM theory—— ＂ top priority is syndrome,not disease＂.