中西医结合诊疗模式思路探讨

Discussion on diagnosis and treatment mode of integrated traditional Chinese and Western medicine

中西医结合诊疗模式是在长期的理论、基础研究与临床实践中不断总结而逐渐形成的“辨证论治、病证结合”诊疗模式。通过西医以疾病为主的模式化诊疗和中医以个体为主的个性化诊疗相结合,发挥出各自的优势使治疗效果最大化,更好地服务于患者,但中西医结合并不是单纯地将中医与西医简单相加。如何将两者结合发挥出最大优势从而造福社会,走出中西医结合的瓶颈是现阶段应思考的问题。高永翔教授认为中西医结合的诊疗过程应该遵循:1)中医、西医取长补短。2)发挥中西医协同效应。3)中西药合用的减毒增效。4)中西药合用的君臣佐使。5)考虑患者的依从性。6)关注国家、患者的经济负担。最后,高永翔教授表示,应全力支持中西医结合医学学科的发展,大力扶持中西医结合科室的建立。

The diagnosis and treatment mode of integrated traditional Chinese and Western medicine is a diagnosis and treatment mode of“treatment based on syndrome differentiation and combination of disease and syndrome”gradually formed through the continuous summary in long-term theory,basic research,and clinical practice.Through the combination of disease oriented model diagnosis and treatment of Western medicine and individual oriented personalized diagnosis and treatment of traditional Chinese medicine,we can give full play to their respective advantages to maximize the treatment effect and better serve patients.However,the combination of traditional Chinese medicine and Western medicine is not a simple addition of traditional Chinese Medicine and Western medicine.How to combine the two to give full play to their maximum advantages to benefit society,getting out of the bottleneck of integrated traditional Chinese and Western medicine is a problem that should be considered at this stage.Professor GAO Yongxiang believes that the six carriages should be followed in the diagnosis and treatment of integrated traditional Chinese and Western medicine.1)Traditional Chinese medicine and Western medicine learn from each other.2)Give play to the synergistic effect of traditional Chinese and Western medicine.3)The combination of traditional Chinese medicine and Western medicine can reduce toxicity and increase efficiency.4)The emperor,minister,assistant and envoy of the combination of Chinese and Western medicine.5)Consider patient compliance.6)Pay attention to the economic burden of the country and patients.Finally,Professor GAO Yongxiang also said that relevant policies should fully support the development of integrated traditional Chinese and Western medicine and the establishment of integrated traditional Chinese and Western medicine departments.