论毛泽东“西医学中医”批示的认识论基础及其当代启示

“西医学中医”是毛泽东提出的有中国特色的医学学科改革方式,是毛泽东哲学思想在医学领域的运用和实践。“西医学中医”的认识基础首先是毛泽东个人对中华传统文化的肯定,并将之推广到中国传统医学的中医领域。同时,新中国成立后马列主义毛泽东思想的普及,使医学工作者能够在辩证唯物主义的统一哲学基础之上改造中、西医学各自的基础理论,并走向融合统一。唯物主义一元论和唯物辩证法是毛泽东关于西医学中医思想的认识基点和认识方法,是“新医学”的理论基础。毛泽东西医学中医的思想开启了中国共产党人坚持和发展中医以维护人民健康的先河,为新时代中国特色哲学社会科学的应用探索了先路。

“西医学中医”培训模式运行存在的问题与对策

从"西医学中医"的培训情况、政策认可度以及培训效果进行调查、分析,梳理此项培训方式存在的问题,并对今后进一步提高培训效果提出了对策。

试论文化自信的根源与基础——以毛泽东“西医学中医”批示为例的探讨

作为一种"更基础、更广泛、更深厚的自信"和"更基本、更深沉、更持久的力量",文化自信并不是脱离具体历史和社会实践而存在的。我们需要从历史事实中汲取经验,深入了解文化自信的历史与文化根源,也需要从社会实践角度来认识文化自信的基础。毛泽东在1950年代关于"西医学中医"批示这一具体的历史事件,就很好地展现了坚定文化自信深层次的根源与基础,主要体现在:了解熟悉传统文化、坚守人民立场并切实关注民众需求、基于实事求是具有主体性的文化自信心、通过实际工作来夯实文化自信基础。

Evidence-based Clinical Chinese Medicine:What Has Changed Over the Past 20 Years

Chinese medicine has been used for centuries to treat a range of health conditions.This history has produced a wealth of classical literature,case studies and clinical research data detailing its use and effectiveness.However,high-quality and conclusive evidence that meets modern requirements for clinical decision support is lacking.This evidence gap limits the integration of Chinese medicine with contemporary medicine,which in turn limits global access and acceptance of Chinese medicine as a form of safe and effective health care.Over the past 20 years,researchers and organisations around the world,including the World Health Organization(WHO)and United Nations,have worked to support the integration of traditional medicines,such as Chinese medicine,with conventional medicines to improve global health care.This paper provides an overview of Chinese medicine studies published in the top four general medical journals(BMJ,JAMA,Lancet and New England Journal of Medicine)from February 2005 to February 2024 in the past 20 years to highlight the progress in the development of this evidence base.It also highlights key actions taken to promote evidence-based clinical Chinese medicine,including product and practitioner regulation,formalising education standards,and international collaborations.Research conducted at the China-Australia International Research Centre for Chinese Medicine demonstrates the benefits of such a collaboration.Through development of its unique and inclusive‘whole-evidence’approach,plus clinical studies and systematic reviews,the Centre has significantly contributed to the evidence base for clinical Chinese medicine.In addition,its high-impact papers and groundbreaking monographs have been cited in international conventional medicine guidelines.While progress has certainly been made during the past 20 years to build a stronger evidence base for clinical Chinese medicine,there is still a considerable gap that limits its integration with conventional medicine.Future funding and research are needed to continue this work and achieve to safe,effective and accessible traditional medicine as part of the WHO’s Universal Health Coverage strategy.

Good Medicine Tastes Bitter

Feeling peaky？Let＇s learn some words on medicine in Chinese.Compared to西医（xi yi）,Western medicine,中医（zhong yi）,traditional Chinese medicine（TCM）,and Chinese herbs seem a little bit mysterious.The character for＂medicine＂in Chinese has a radical which means herb,probably because药草（yao cao）,Chinese medicinal herbs,are the fundamental elements of中药学（zhong yao xue）.

The Cheng Acupuncture Legacy

ACUPUNCTURE, practiced in China for over 2,500 years, continues to baffle Western medics. This ancient remedial technique cures ills that do not respond to modern medicine. It is based on the principle of puncturing points along meridians - paths along which the body＇s vital energy, or qi, circulates.

Clinical efficacy and safety of Traditional Chinese Medicine combined with Western Medicine in patients with diabetic acute ischemic stroke

OBJECTIVE： To observe the clinical efficacy and safety of Traditional Chinese Medicine （TCM） com- bined with Western Medicine （WM） in patients with diabetic acute ischemic stroke. METHODS： Ninety patients with diabetic acute ischemic stroke were randomly divided into a treat- ment group and a control group. The 45 patients in the treatment group were given standardized treat- ment with TCM combined with WM. They received corresponding oral Chinese decoctions three times daily, according to their TCM syndromes, along with basic western medical treatment. The 45 patients in the control group were given non-stan- dardized treatment with TCM combined with WM. They received an oral Chinese decoction for promo- tion of blood circulation to inhibit hemostasis, regardless of their TCM syndromes, along with ba- sic western medical treatment. The treatments lasted for 4 weeks. Scores were evaluated on the National Institutes of Health Stroke Scale （NIHSS） score, activity of daily life （ADL） scores, and TCM symptoms before treatment and 2 and 4 weeks after treatment. RESULTS： Analysis of variance for repeated mea- surements showed that there were significant dif- ferences in NIHSS and ADL score before and after treatment in both groups （P〈0.05）. There were also significant differences between the scores at 2 and 4 weeks after treatment. There were signifi- cant differences in TCM syndrome scores before and after treatment in both groups （P〈0.05）. There were also significant differences between the scores at 2 and 4 weeks after treatment. The X2 test showed no statistically significant difference in the incidence of adverse reactions between the two groups （P〉0.05）. CONCLUSION： Standardized treatment was supe- rior to non-standardized treatment for clinical efficacy of TCM combined with WM in patients with diabetic acute ischemic stroke, and the superiority was more obvious in improving neural dysfunction, ADL score, and TCM symptoms. The adverse reactions were similar in the two treatment groups.

Modern quantum theories and experimental achievements motivate new exploration of acupuncture in traditional Chinese medicine

Traditional Chinese medicine （TCM）, a theoretical medical system founded about three thousand years ago, originated from the richness of Chinese culture with the support and development of ancient astronomy and philosophy. It has illuminated many mysteries of nature and the human body. This has not always been easy for the layperson to understand. In modern times, some of these processes have been gradually discovered or confirmed by frontier science. The experiments of quantum physics have shaken the fundamental concepts of conventional science, refuting criticism of Chinese culture and TCM theories. The new discoveries have triggered a new understanding of TCM theories. For example, the theory of quantum mechanics interfering with certain human functions helps explain a series of phenomena that were previously difficult to understand. The veil of many wonderful phenomena of Chinese culture and TCM acupuncture has not yet been fully pierced. For example, the body＇s energy system, the invisible qi, and the phenomenon of consciousness and subconscious function remain mysterious. However, quantum theory and numerous scientific experiments can lead to the explanations of difficult problems which were not understood in the past. For example, the nature of the changes in yin and yang, and associated principles; the five-element principles; consciousness and sub-consciousness which might affect scientific experiments and treatment outcomes; the objective existence of qi and qi field; and the essence of the meridian system in the human body and the principles of acupuncture. This article explores the scientific principles of TCM and acupuncture. The unique characteristics of TCM and acupuncture position themselves as Eastern cultural treasures. The authors endeavor to strengthen readers＇ confidence in theoretical TCM and believe that it is a major step in integrating TCM acupuncture into modern science and medicine.

Optimization model research on efficacy in treatment of chronic urticaria by Chinese and Western Medicine based on a genetic algorithm

OBJECTIVE： To investigate the potential rules and knowledge of Traditional Chinese Medicine （TCM） and Western Medicine （WM） treatment on chronic urticaria （CU） based on data-mining methods. METHODS： Sixty patients with chronic urticaria, treated with TCM and WM, were selected. Gray correlation analyses were adopted to determine therapeutic efficacy. Association algorithms were utilized to ascertain the correlation between the disease course and treatment results. A genetic algorithm was applied to discover the optimization model in theTCM and WM treatment on CU. RESULTS： The total symptom scores after 4 weeks and 8 weeks of treatment in the TCM spleen-strengthening group correlated highly with the pretreatment total symptom score. The duration of treatment showed the greatest impact on the total symptom score. A quartic equation was established （y= - 1.6403x 10 - 6x4＋0.00025576x3＋0.0012819 x2 - 1.024x＋79.5879, and x=106.9518, y=83.0036） using the genetic algorithm. CONCLUSION： TCM treatment had a better effect in the later stage, whereas WM was better in the early stage. The duration of disease course had an impact on the effects of treatment. If the average total symptom score before treatment was 〈 83.0036, TCM or WM treatment could achieve better efficacy.

Frontier science promotes exploration of principles and methodologies of acupuncture in traditional Chinese medicine

Traditional Chinese Medicine (TCM), a theoretical medical system founded about three thousand years ago, originated from the richness of Chinese culture with the support and development of ancient astronomy and the Taoist philosophy of heaven and man. It has revealed many mysteries and illuminated interactions between nature and human beings. Those mysteries have not been easily understood by the public because TCM's conceptual system differs in form and essence from modern sciences. In modern times, some of the mysterious processes have been gradually discovered or confirmed by an advanced science: quantum physics. Quantum science is considered to break through basic concepts of mechanistic science, thus providing an entry to understanding of Chinese culture and TCM theories. Some experimental results of contemporary quantum physics shake the foundations of conventional scientific concepts. For example, quantum mechanics theory helps expand the limits of three-dimensional observations. It helps explain the phenomena that the consciousness with certain human functions interfere some experimental results. Viewing new things in a high-dimensional time-space framework helps people understand the real and virtual characteristics and their interaction;this leads to understanding the function of advanced human wisdom and intelligence in dealing with more complex objects (systems) such as the universe, the human body, life itself and consciousness. It may help people in developing simple models of the complex world and is believed more conducive to grasping the essence of human life and gradually removing the veil over many wonderful phenomena of Chinese culture and TCM. For example, TCM's 'Imagery Analogism' is attained in the quiet state of well-trained meditation practitioners. Their intuition and inspiration have significant advantages in understanding complexity of objects such as the universe, human body, life, and consciousness. The methodology of thinking helps to derive simple models so as to better grasp the essence of complex objects. Many phenomena of Chinese culture and TCM acupuncture remain incompletely understood. This paper selects a few examples to discuss, including human consciousness and sub-consciousness, human body's energy system, invisible qi, functional phenomena as well as special functions of the heart and Triple Energizer (Three Jiao) in six Fu organs. The 'new finding of an unrecognized interstitium in human tissues' as declared by a group of Western scholars is actually referring to Triple Energizer that had already been revealed and written in Huang Di Nei Jing (Yellow Emperor's Classic of Internal Medicine) three thousand years ago. Both the concept and functions of Triple Energizer have been utilized throughout TCM clinical practices. Through the discussion, the authors attempt to explain the superiority of TCM theories, to strengthen the confidence for TCM innovation and Chinese culture because they believe that offering an integration of TCM practice into the public health and life science would advance human wellbeing and pave a right path for TCM mission and development.

Visual Translations： Medicine, Art, China and the West

In the history of medicine, relatively little attention has been paid to the way medical illustration circulated globally---or to the issues raised by the cultural ＂translation＂ of such images. My goal here is to flesh out some of the history of this circulation and translation by exploring the aesthetic and medical connections be- tween two specific anatomical collections, both housed at the Gordon Pathology Museum at Guy＇s Hospital, London. The Joseph Towne collection of anatomical waxes and the Lam Qua paintings of the patients of medical missionary Peter Parker were both produced in the nineteenth century. Significantly, the two collections were part of related but culturally specific shifts in the way bodies （and diseased bodies） were viewed, represented, understood and treated. I explore some of the convergences and divergences between Western and Chinese medical and artistic priorities and will address some of the issues raised by them. These two collections are important, I argue, because they demonstrate how aesthetic considerations shape medical knowledge and wider attitudes about the human body.

Key elements required to publish a good article:consensus among executive editors of Traditional Chinese Medicine and integrative medicine journals——a Delphi study

OBJECTIVE:To explore consensus among Traditional Chinese Medicine(TCM)/ integrative medicine(IM) journal executive editors in China regarding:(a)Their perceptions about the differences between papers published in Chinese/English journals;(b)the key elements required for publishing a good quality paper;(c) how editors manage and decide on the manuscripts submitted to their journals.METHODS:A three classic round Delphi was conducted with a purposive sample of TCIWIM Chinese journal executive editors.The key themes and items generated from six open ended questions in the first round were redistributed to the editors in two subsequent questionnaire rounds and scored on a five-point Likert scale.Consensus,reliability and stability of responses were assessed between the editors in the same round and between rounds.RESULTS:All ten editors initially agreeing to participate completed the three rounds,provided 60 comments in the first round,relating to 6 themes on:elements of publishing good quality article;differences between Chinese and English published articles;reasons for low quality of Chinese studies;maintaining the journal's good reputation;initiatives and strategies;and differences between Chinese and English versions of the same journal.High levels of consensus were reached for 97%items.Intra-class correlation(ICC) coefficient for agreement among editors was high in both second and third round and there was a good stability between the two rounds.CONCLUSION:High inter/intra-editor agreement was identified in the differences between TCM/IM research papers published in English and Chinese.Publishing standards and probity are keys in elevating the reputation of research.Editors' perspectives in maintaining and improving quality journal can be viewed as fundamental for editors and researchers in publishing any articles.