Traditional Chinese medicine theory eight relations (two)

YinChangJian Shandong university of traditional Chinese medicine hospital

China's traditional Chinese medicine reported

        "Already disease" and "is not ill"

        From the standpoint of preventive medicine, effective disease prevention and of course than after illness and rule is much more important, Chinese medicine two thousand years ago in the medical classic "classic" in pointed out "saints medicine has disease to is not ill", forming the scientific concept of prevention, and fully display the traditional Chinese medicine scientific thought brilliance.

        The so-called Chinese medicine "cure is not ill" is in fact a prevention macro concept, the so-called "cure" is in fact "and", the real scientific connotation is to require a good doctor should be proficient knowledge, habits of all things, be able to guide people choose the health reasonable way of life, to build you up and resist disease affects ability, reduce the chance of disease, such as abstemious, daily life have often keep spirit, etc. Of course there are many traditional Chinese medicine and health care methods and drugs such as taijiquan, eight period of jin, wuqinxi, dipping, nourishing cream party and so on, in appropriate crowd with the proper, also can play more health body, prevent a role.

        Gerda creek said: "is it already, so as to disease and traditional methods". Traditional Chinese medicine as a medical science, the main task of course or treatment had "disease", the ancients left us a lot of medical classics, the main content and the experience of diagnosis and treatment or disease including card to rule, the method of treatment, clinical use records and discussed, become the science of traditional Chinese medicine (TCM) precious wealth. The ancients believed that a disease has certain after the change and the law of development, a good doctor more familiar with and master these rules and take effective measures to prevent disease of transmission of change and development further, and urges the benign reversal occurred. Such as "the gold, want not", says: "see liver disease of the liver, spleen, know the real spleen yourselves." "Classic" about: "XieFeng to disease such as wind and rain, good governance, so the fur, next to the skin, next to cure, second to completely of the channels for the five zang-organs. Half, half also." After that the disease youbiaojili, from setting into the dirty, from shallow and deep, from light to heavy the change rule and treatment of difficult and results of the different. Emphasize the doctor have to pay attention to the early treatment, and pay attention to internal organs to prevent disease the change, but this is not "cure is not ill" but in "governance has disease".

        In a word, we should correctly understand Chinese medicine "cure is not ill" scientific connotation, really clear traditional medicine has disease to is not ill "of" not to "not" no cure, "" to" the "cure", the "governance" here "prevent" actually, both in concept is a principle distinction, we should adhere to the prevention of scientific concept, and to be aware of traditional Chinese medicine (TCM) to the current main missions and tasks or should undertake "already" disease diagnosis and treatment of disease prevention and control of western medicine tasks including task, we should actively prevent is not ill, carefully cure has disease, prevention and control and to play in disease prevention and cure of traditional Chinese medicine (TCM) the huge role. If not proper, too much emphasis on "cure is not ill" not only easy to make people confuse the concept of harness and prevention and result in academic circles on western medicine of traditional Chinese medicine, especially the "cure is not ill" misunderstandings.

        Characteristic and the standard

        The so-called characteristics is the difference between things in reference to the essential characteristics of the object or reference, traditional Chinese medicine is different from western medicine to features and particular theory system, diagnosis and treatment methods, management mode, etc.

        The so-called standard, it is to point to to a project or conduct qualitative information regulation, to thinking and behavior of the constraint force; The so-called standard, it is to point to in a certain range of in order to get the best order, consensus through consultation by recognized institution formulated and approval, the common use and reuse files. Standard to science, technology comprehensive results as the foundation, to provide the best common benefit for the purpose.

        Emphasis on traditional Chinese medicine is the correct outstanding features, strengthen the standardized construction is the necessary, both for Chinese medicine academic construction is indispensable, but from the concept and connotation of speaking, characteristics and the standard is a pair of contradictory entity, the target is consistent, nature and connotation of contradictory.

        Characteristic is to emphasize and reflect qualities, specifications and standards, requirements to constraints and uniform, so, how to keep the premise of TCM characteristic for normalization, standardization construction, how in the norms of scientific basis on the outstanding characteristic of traditional Chinese medicine as an important theoretical and methodological problems we have before us.

        To maintain and develop the characteristics and advantages of traditional Chinese medicine is concerned, we should perform three tasks: one is the inheritance, is to keep the good tradition and the advantages of traditional Chinese medicine features, and make to carry forward; Two is to strengthen the, is according to the transformation of the goal of treatment and JiBingPu change and strengthen existing characteristics of traditional Chinese medicine, theory and methodology of continuous improvement and added to make these special advantage for ever; Three is to promote change, in the process of continuously strengthen, and encourage their characteristics change for real advantage. In this "protect the special promote optimal" in the process, we should also understand clearly that the features and advantages of traditional Chinese medicine (TCM) is relative, can change, even a phased, we should firmly establish the concept of keeping pace with The Times, at any time according to medical science progress and development and adjust the thought, update the method. If we form of traditional Chinese medicine to make up water frying service reform may be met inconvenience; We "card" of the study on the nature of biology, to make a scientific evaluation system of unified curative effect of traditional Chinese medicine diagnosis and treatment and to overcome the intuitive general sex and subjective optional sex etc all is to strengthen the characteristics and advantages of the strong measures.

        Strengthen the standardized construction standardization, basically should do two meet, the first to comply with Chinese medicine theory system of their own standard. Traditional Chinese medicine in 2000 years of development process, set up and formed a set of traditional Chinese medicine academic norms such as their listening, asking and diagnosis method, the duan fujin's understandings the compatibility of the principle and so on, these standards and requirements are ancient medical medical practice in long-term continuously explore and concluded, accord with human body is of practical and Chinese medicine diagnosis and treatment and learn to learn law, we should firmly follow; Second, want to accord with western medicine disease prevention standards and requirements. The current in Chinese medicine hospital management, professional division, its setup and so on all large reference and follows the industry standard of western medicine, Chinese medicine diagnosis and treatment is of course to keep these standard constraints, such as medical quality examination, medical accident identification, more is based on the specifications and standards as basis. Therefore, the contemporary Chinese medicine from the academic consciousness must be contemporary and social needs, establish new scientific standard, unilateral emphasis on characteristics and from modern medicine specifications and standards requirements and constraint is stuck.

        Scientific research and clinical

        After new China was founded, especially in the past twenty years, traditional Chinese medicine scientific research in China vigorously, was born a large number of scientific research, especially in the s more than higher colleges of TCM teaching material compilation and publishing, Chinese scientists YouYou slaughter and the research team artesunate and lanotte, Chen academicians Outlines of arsenic compounds leukemia experimental research and application results astonished the world. But for a variety of reasons, generally speaking, the current research of traditional Chinese medicine using other subjects power relatively weak, and the difficulties and more big, the existing problems as most.

        At present, the biggest problem in traditional Chinese medicine scientific research direction is not clear, target is not focused, method error. The present situation and cause the fundamental reason is, scientific research and clinical apart seriously. If we for some of the implementation of the scientific research subject all process analysis seriously, you often will find at least one most of the subject in the subject of before, in and after the three time bands of the existence of the more common scientific research and clinical practice phenomenon.

        The former, it is to point to a scientific research subject in the selected topic no focus first on scientific research and before clinical closely combining traditional Chinese medicine theory, no will improve improve diagnosis and treatment, improve the clinical effect as a scientific research direction and purpose, no theory and the innovation of traditional Chinese medicine scientific research methodology as the basic goals.

        The so-called, is mainly refers to in the implementation of the scientific research subject in the process of technical route design show the methodology of the erroneous zone. Major such as waking "pull lang match", it is to cause some far-fetched pathogenesis, syndrome treatment of traditional Chinese medicine and western medicine such as the concept of macro some objective elements such as molecular biology micro indicators for "pull lang match", "strong correspondence", such as some will be Chinese medicine "epidemic poison", "blood stasis" so some macro mechanism of traditional Chinese medicine and the concept of western medicine of liver fibrosis HSC activation, ECM accumulation par, and remove blood stasis such as some macro Chinese medicine treatment for some microscopic index intervention idea too far-fetched, design is too casual, fixed a single mode, the conclusion of the often makes no sense.

        In fact, to the traditional Chinese medicine for scientific research, the most important is the most basic, the most common and most need to solve problems of theory and practice. Such as Chinese medicine treatment of certain diseases is how to determine the clinical treatment, the party is how to determine the indications, sick and unlicensed discernable traditional Chinese medicine for how to intervention, when the Chinese clinical the basic and the most important question should through the system in-depth research is resolved, but never rare person make inquires, long-term didn't get solved, which seriously restrict the development of traditional Chinese medicine clinical research.

        After the so-called, it is to point to finish through the identification of the subject even after that on the shelf, not for clinical practice produce any guidance and leading role, causing the theoretical significance and practical value of the absence of both. Scientific research as a driving force of traditional Chinese medicine academic progress, must be closely combined with clinical, tightly around improve the diagnosis and treatment and the clinical curative effect on the center, if deviation from the center and the objective, lost to clinical practice guidance, also lost the true meaning of scientific research.

        We must adhere to the scientific research of the traditional Chinese medicine source in the clinical, card in the experiment (or validation), return to the clinical namely clinical-the experiment (or validation)-the correct path clinical, and constantly update their concepts, scientific research ideas to any adjustment and methodology is perfect, continuous innovation research paradigm, the real through the system in-depth research development Chinese medicine theory, the effective clinical guidance, the solution actual problem, and for the construction of new Chinese medicine theory system lays the foundation, traditional Chinese medicine scientific research to really become traditional Chinese medicine academic progress and driving force for the development of the career. (to be continued)