中医形神观融入国际功能、残疾和健康分类康复组合的康复模式构建  

Construction of rehabilitation model of international classification of functioning,disability and health rehabilitation set combined with traditional Chinese medicine theory of form and spirit

作　　者：许琦 阮诗玮[2] 张芸 李泰标 黄继义 燕铁斌[3,4] XU Qi;RUAN Shiwei;ZHANG Yun;LI Taibiao;HUANG Jiyi;YAN Tiebin(Fifth Hospital of Xiamen,Xiamen 361101,China;Affliated People's Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China;Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China;The Engineering Technology Research Center of Rehabilitation and Elderly Care of Guangdong Province,Guangdong 510120,China)

机构地区：[1]厦门市第五医院,厦门361101 [2]福建中医药大学附属人民医院,福州350004 [3]中山大学孙逸仙纪念医院,广州510120 [4]广东省康复与养老工程技术研究中心,广州510120

出　　处：《中华中医药杂志》2024年第9期4576-4580,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.82272614)。

摘　　要：中医学的形神观主要有情志、神之用、神之别用以及“形神合一”的学说,但缺乏对身体结构损害和功能状态的系统描述。世界卫生组织研制的国际功能、残疾和健康分类康复组合(ICF-RS)主要用以评定功能状况、指导康复诊疗,但缺乏对个人因素即形神观的描述。文章基于中医形神观及现代计划行为学理论,构建中西医结合“形神之ICF-RS模型”诊疗肢体失能者的康复模式,旨在指导肢体失能者的规范化中西医结合康复诊疗,并预测肢体失能者的社会参与行为。The theory of form and spirit in traditional Chinese medicine(TCM)maninly includes emotions,application of spirit,special application of spirit,and unity of form and spirit.These lack a systematic description of the structural damage and functional states of the body.The World Health Organization developed the international classification of functioning,disability and health rehabilitation set(ICF-RS),which was mainly used to assess functional status and guide rehabilitation diagnosis and treatment.But ICF-RS lacks a description of the personal factors,that is,the form and spirit.Based on the TCM theory of form and spirit and the theory of planned behavior,this paper constructs a rehabilitation model of ‘ICF-RS combined with form and spirit'for the diagnosis and treatment of people with physical disability(PWPD).The purpose is to guide the standardized rehabilitation diagnosis and treatment with integrative Chinese and Western medicine for PWPD,and to guide the prediction of their social participation behavior.

关 键 词：中西医结合 形神观 国际功能、残疾和健康分类康复组合 肢体失能者 计划行为学理论 新模式 

分 类 号：R247.9[医药卫生—中医临床基础]