中医治未病理论在慢性病针灸康复治疗中的应用——以血管性痴呆为例

Application of the Prevention of Disease Concent in Traditional Chinese Medicine in Acupuncture Rehabilitation Treatment of Chronic Diseases:Take Vascular Dementia as an Example

康复预防观是中医康复学基本理论之一,早期康复介入有助于防止或减少患者功能的丧失或者残疾的发生,这与中医学治未病理论、现代预防医学三级预防思想相似。针灸疗法治未病具有悠久的历史,在防治阿尔茨海默病(AD)、血管性痴呆(VD)等老年性疾病中具有重要作用。文章以VD为例,探讨针灸疗法在VD临床康复治疗中的应用及其可能的作用机制,阐释了针灸疗法对痴呆发展早期阶段具有防治作用,体现了“未病先防、既病防变”的中医治未病理念。中医康复技术的早期介入可使慢性疾病防治重心前移。基于治未病理论构建中医针灸智能康复新模式,在互联网和信息化建设辅助下发展规范化的中医针灸康复技术,有助于提高中医针灸康复服务有效性、安全性和患者依从性,助力健康中国建设。

The concept of rehabilitation prevention is one of the basic theories of rehabilitation medicine of traditional Chinese medicine(TCM),early rehabilitation intervention will help to prevent or reduce the loss of function or disability of patients.This is similar to the theory of preventive treatment of disease in TCM and three-level prevention in modern preventive medicine.Acupuncture and moxibustion has a long history and plays an important role in the preventive treatment of Alzheimer’s disease(AD),vascular dementia(VD)and other senile diseases.Taking VD as an example,this paper discussed the rehabilitation treatment of acupuncture and moxibustion of VD and its possible mechanism,which explained that acupuncture and moxibustion therapy played a preventive and therapeutic role in the early stage of dementia,and embodied the TCM concent of"prevent before the disease arises and prevent disease from exacerbating".The early intervention of TCM rehabilitation technology can transform forward the focus of prevention and control of chronic diseases.To construct a new model of intelligent rehabilitation of TCM based on the theory of preventive treatment of disease,and develop a standardized acupuncture and moxibustion rehabilitation technology with the assistance of internet and information construction,which will help to improve the effectiveness,safety and patient compliance of TCM acupuncture and moxibustion rehabilitation services,and will contribute to advancing the healthy China.