从精准医学与辨证论治初探类风湿关节炎的个体化诊疗

The individualized diagnosis and treatment of rheumatoid arthritis from precision medi⁃cine and treatment based on syndrome differentiation

类风湿关节炎(Rheumatoid Arthritis, RA)是一种慢性系统性自身免疫疾病。近年来精准医学和个体化诊疗RA成为探讨与研究的热点,而辨证论治是中医最具特色的诊断与治疗方法,突出个体化诊治疾病的中医思路。在一定程度上,精准医学提出的的疾病个体化诊疗,与中医辨证论治的思想有异曲同工之妙,精准医学背景下的辨证论治是RA未来中医个体化诊疗的发展前景和方向。文章从不同角度探讨辨证论治与精准医学,以期为RA的中医个体化诊疗提供新的思路。

Rheumatoid Arthritis(RA)is a chronic systemic autoimmune disease.Precision medicine and individualized diag⁃nosis and treatment of RA has become a hot topic of discussion and research in recent years.Treatment based on syndrome differ⁃entiation is the most distinctive diagnosis and treatment method in traditional Chinese medicine(TCM),highlighting the TCM idea of individual diagnosis and treatment of diseases.To a certain extent,the individualized diagnosis and treatment of diseases pro⁃posed by precision medicine has something in common with the thought of TCM syndrome differentiation.TCM syndrome differen⁃tiation and treatment under the background of precision medicine will be the future development prospect and direction of RA per⁃sonalized diagnosis and treatment.This article discusses differences between treatment based on syndrome differentiation and pre⁃cision medicine from different perspectives,in order to improve new ideas for the individual diagnosis and treatment of RA.