中西医结合脾胃证本质研究与营养支持疗法  

Integrative Medical Study on the Essence of Pi-Wei Syndrome and Nutritional Support Therapy

作　　者：危北海[1] 周滔[1] 

机构地区：[1]首都医科大学附属北京中医医院脾胃病科,北京100010

出　　处：《中国中西医结合杂志》2014年第1期5-8,共4页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：北京市优秀人才培养资助项目(No.2010D003034000044)

摘　　要：中西医结合医学发展已经取得了显著成就,本文就中西医结合医学发展的几个热点问题进行讨论。证候本质的认识是辨证论治与病证结合的关键,也是中西医融会贯通的核心因素。以脾虚证研究为例,脾虚证是一种以胃肠系统的吸收、消化、运动和营养代谢等功能低下和紊乱为特征的机体疾病反应状态,今后应该以系统生物学的观点出发,以各种疾病的确切证型为切入点,探索出证的形成规律和物质基础。国际上认为营养支持疗法是20世纪重大医学进展之一,它显著地改善各种疾病患者的临床结局。现代医学的营养支持疗法与中医的脾胃理论和调理脾胃法则存在相似之处,把两者有机结合起来,是值得深入研究的课题。在中西医结合医学领域,已经制定了10余种消化疾病的诊疗共识,但还需要逐步提高指南中中西医两者之间的有机结合度,在临床实践中去应用和接受检验,尽量获得更高、更多的证据,不断完善已制定的指南,以期更好指导临床应用。Great achievements have been made in the development of integrative medicine （IM） Some hot issues of IM are discussed in this article. The essence of syndrome is the key of syndrome differenti- ation and combination of disease identification and syndrome typing, and it is the core factor for assimilating Western medicine （VMM） and Chinese medicine （CM）. Take Pi deficiency syndrome （PDS） as an example PDS is a condition featured as dysfunction and disorder of absorbance, digestion, movement, nutrition and metabolism in the digestive system. The formation laws and material bases of PDS should be explored by tak- ing the viewpoint of systems biology as the starting point and taking confirmed syndrome types of various dis- eases as the breakthrough point in the future. Nutritional support therapy is a great advance in the medicine field in the 20th century. It can significantly improve clinical outcomes of patients suffering from various kinds of diseases. There are some similarities between Pi-Wei theory and the treatment principle of regulating Pi and Wei in CM and nutritional support therapy in modern medicine. The organic combination of them will be worthy of further research. In the IM field, the consensuses of diagnosing and treating more than 10 kinds of digestive diseases have been reached. But it is necessary to elevate the organic combination of WM and CM. These medical guidelines should be widely used and tested in clinical practice to get more evidence, thus continually completing established medical guidelines.

关 键 词：中西医结合 脾胃理论 证本质 营养支持疗法 临床指南 

分 类 号：R241[医药卫生—中医诊断学]