基于辨病-辨证-辨症-辨体四位一体诊疗模式防治胃癌前病变

Exploring the Prevention and Treatment of Gastric Precancerous Lesions Based on the Four in One Diagnosis and Treatment Model of Disease Differentiation-Syndrome Differentiation-Symptom Differentiation-Constitution Differentiation

治未病思想在传统医学诊疗体系中贯穿始终,在胃癌前病变的防治中占有重要地位。将辨病、辨证、辨症、辨体有机结合,形成四位一体的诊疗模式,辨病即辨明病名掌握疾病进展阶段;辨证即结合宏观与微观,准确把握病机;辨症即明确并发症及亟待解决的临床问题;辨体即预测证型偏颇和疾病发展。该模式不仅能够系统化诊治胃癌前病变,而且对于患者能提出有针对性的诊疗方案,具有全面化、全程化、个性化的特点。因此,将辨病-辨证-辨症-辨体四位一体的诊疗模式与治未病理论相结合,有利于及早发现胃癌前病变,及时跟踪病变进展,采取正确、全面、贯穿全程的干预手段逆转胃癌前病变,对胃癌前病变的诊疗以及防治能起到积极作用。

The idea of disease prevention runs through the traditional medical diagnosis and treatment system,and also plays an important role in the prevention and treatment of gastric precancerous lesions.This article organically combines disease differentiation,syndrome differentiation,symptom differentiation,and constitution differentiation to form a four in one diagnosis and treatment model.Disease differentiation means identifying the name of the disease and grasping the progression stage of the disease;syndrome differentiation means combining the macroscopic and microscopic aspects to accurately grasp the pathogenesis;symptom differentiation means identifying complications and clinical problems that need to be solved urgently;constitution differentiation means predicting syndrome type bias and disease development.This model not only enables systematic diagnosis and treatment of gastric precancerous lesions,but also provides targeted diagnosis and treatment plans for patients,with the characteristics of comprehensiveness,full process,and personalization.Therefore,combining the four in one diagnosis and treatment model of disease differentiation-syndrome differentiation-symptom differentiation-constitution identification with the disease prevention theory is conducive to the early detection of gastric precancerous lesions,timely tracking of the progress of the lesions,and the adoption of correct,comprehensive,and full-process intervention methods to reverse gastric precancerous lesions,which can play a positive role in the diagnosis,treatment,and prevention of gastric precancerous lesions.