融西入中提高疼痛疗效的思考

Reflection on improving the curative effect of pain by blending Western medicine into Chinese medicine

疼痛作为一种复杂的主观感受,可发生于患者机体的多个部位,且常作为其求医的主要原因。中医药对于疼痛的治疗已有数千年历史,早在《黄帝内经》中就已系统地阐述了疼痛的病因、病机、证候、预后等,并在后世诸多医家的不断补充完善下形成了其独特的治疗体系。但迄今为止中医在疼痛治疗方面存在主观因素影响大、难以规范化、临床推广难度高等不利于其发展的短板。故本文运用中医思维将现代医学理论及方法融入传统中医疼痛治疗与研究中,基于疼痛信号传导探讨中医病机的分子生物学内涵,可能会对中医疼痛的研究起积极作用,以期提高疼痛的治疗效果。

As a complex subjective experience,pain can occur in many parts of the patient’s body and is often the main reason for them to seek medical attention.Traditional Chinese medicine has a history of thousands of years in the treatment of pain,as early as in Huangdi Neijing has systematically elaborated the cause of pain,pathogenesis,syndrome,prognosis and so on.It has formed its unique treatment system under the continuous supplement and improvement of many doctors in the later generations.But up to now,there are many disadvantages in pain treatment of traditional Chinese medicine,such as the great influence of subjective factors,difficulty in standardization and high difficulty in clinical promotion,which are not conducive to the development of pain theory of traditional Chinese medicine.Therefore,this paper applies traditional Chinese medicine thinking to integrate modern medical theories and methods into traditional Chinese medicine pain treatment and research,and probes into the molecular biological connotation of traditional Chinese medicine pathogenesis based on pain signal transmission,which may play a positive role in the study of traditional Chinese medicine pain,in order to improve the treatment effect of pain.