不确定性、中西医融通、创造性转化——再谈中医药学研究的复杂性

Uncertainty,Integration of Traditional Chinese Medicine and Western Medicine,Creative Transformation:Revisiting the Complexity of Traditional Chinese Medicine Research

现代医学受经典科学范式的影响,在研究中常倾向于简化研究对象的复杂性,也就难以避免对某些潜在规律性内容的忽略。近些年日益深入的中医药现代化研究,使学界关注到既往研究范式下被忽视的内容,渐渐深化着现代医学对生命与疾病的认识。中医药学实践优位的知识构建模式对研究对象的复杂性、不确定性、条件制约性更具包容性,因此,其长期积累的临床效验背后还有丰富的内容尚待现代医学揭示。正在发生的经典科学范式向复杂性科学范式的转向为中医药学研究提供了更为适合的条件,在中西医学从互补走向融通的创造性转化过程中,现代医学也可能实现某种程度的自我革命,开辟新的境界。

Modern medicine is influenced by the classical scientific paradigm,which makes it easy to simplify the complexity of research object and overlooks certain underlying regularities.The modernisation of Traditional Chinese Medicine(TCM)in recent years has drawn attention of the medical community to the neglected contents under the previous research paradigm and deepened modern medicine's understanding of life and disease.The knowledge construction model prevalent in TCM practice is more inclusive of the complexity,uncertainty,and conditional constraints of research objects,so there is still a wealth of contents behind its long-accumulated clinical efficacy that has yet to be revealed by modern medicine.The ongoing shift from classical scientific paradigm to complexity scientific paradigm provides more suitable conditions for TCM research.In the process of creative transformation of Chinese and Western medicine from complementarity to integration,modern medicine may also achieve a certain degree of self-revolution and explore new frontiers.