老年慢性病治疗与自疗的辩证思考

Dialectical Thinking on the Treatment and Self-management of Senile Chronic Diseases

老年慢性病的治疗应该抓住老年慢性病的疾病特点,有的放矢可避免误诊失治。从认识论上来说,医疗工作者应秉持“老年无小病”的观点,对老年人健康的小问题要高度重视,切不可心存侥幸;从本质上来说,老年慢性病的反应模型是“耐受力变差”,身体平衡易被破坏,小病慢病突变为大病急病。在“阴阳俱虚”的基础上,老年慢性病人的状态可有强(阳)与弱(阴)两种,并且“强”是“相对的强”,“弱”是“绝对的弱”;在治疗上,应遵循和贯彻“维护身体平衡”的原则,唤醒身体自然力,以达治疗之目的。

The therapy of chronic diseases in the elderly should focus on the disease characteristics to avoid misdiagnosis.With the theory of epistemology,no disease is minor disease for elderly.We should attach great importance to any small problems of the elder's health and never take any chances.Essentially,the reaction model in senile chronic diseases is poor tolerance,easily damages balance,and abrupt changes from minor problem to major problem.On the basis of"deficiency of both Yin and Yang",the two different states are strong(Yang)and weak(Yin),and the"strong"is"relatively strong",the"weak"is"absolutely weak".Physicians should keep the principle of"maintaining body balance",to awaken the natural forces of the body for therapeutic purposes.