中国更需要传统中医核心理念指引下中西医结合的现代化新医学——关于中西医结合构建新医学体系的理论思考与初步实践  

A modernized new medicine that integrates Chinese and western medicine under the guidance of the core concepts of traditional:theoretical reflections and preliminary practices in constructing a hybrid medical system

作　　者：王强[1] 秦宇宁 Wang Qiang;Qin Yuning(Department of Critical Care Medicine,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]首都医科大学附属北京天坛医院重症医学科,北京100050 [2]中国中医科学院中医临床基础医学研究所,北京100070

出　　处：《中国中西医结合急救杂志》2024年第4期385-395,共11页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：北京市中医药科技发展资金项目(BJZYYB-2023-39)。

摘　　要：多年来,在我国中医西医并重,合作共存,无论是在现实中还是政策层面,都已经是一个基本事实,当前党和国家更是在大力提倡并弘扬传统中医.既然中西医结合已经是事实,那么更重要的是我们到底需要什么样的中西医结合.现从临床医师的角度出发,根据自身实践经验结合理论思考,提出中国更需要的是以中医为体的"拿来主义",是传统中医学核心理念指引下的中西医结合,或许也可以表述为传统中医核心理念指引下的中医现代化和中医的与时俱进——是经过扬弃的新医学.中西医拥有各自的行医逻辑与技术特点,应理解其长短,争取优势互补.中医要有坚定的文化自信,但同时也必须要实现现代化和与时俱进.实现中西医结合是分阶段、分层次的长期过程,同时需要国家扶持和制度保障.作为医生个体可从自己临床出发开始认识与实践中西医结合.就医学整体发展而言,则建议通过中西医结合实现所谓"中医现代化",包括用中医核心理念指导各种现代医疗手段的应用,更应包括行医制度、传承方式、交流方式、疗效评价方式、科研方式、公共卫生等医疗社会责任履行方式,以及医疗产业发展模式的借鉴融合.未来中医与西医的真正融合必然也同时是传统中医和西方医学,乃至科学的涅槃重生.In China,the coexistence and collaboration of Chinese and western medicine has long been a fundamental reality,reflected in both practice and policy.Currently,the Communist Party of China(CPC)and the Chinese government are actively promoting traditional Chinese medicine(TCM).Then,it is particularly important to explore what kind of combination of Chinese and western medicine is needed in China.In this paper,the author,as a clinician,based on his practical experience and theoretical reflection,proposes that the combination of Chinese and western medicine in China should be guided by the core concepts of Chinese medicine,under which the modernization of Chinese medicine should be carried out to keep pace with the times,and ultimately presented as a kind of medicine that abandons the old and seeks the new.Chinese and western medical practitioners have their logic of practice and technical characteristics and should understand their strengths and weaknesses and strive to complement each other's strengths.Chinese medicine should have firm cultural confidence,but at the same time,it must be modernized and keep up with the times.Realizing the integration of Chinese and western medicine is a long-term process with stages and levels,and requires national support and institutional guarantee.Individual clinicians can begin to recognize and practice the integration of Chinese and western medicine on their own.In terms of the overall development of medicine,it is recommended to realize the so-called"modernization of Chinese medicine"through the integration of Chinese and western medicine,which includes the use of the core concepts of Chinese medicine to guide the application of various modern medical tools in the ways of fulfilling medical social responsibilities(e.g.,the system of medical practice,the way of passing on knowledge,the way of communication,the way of evaluating the efficacy of treatments,the way of scientific research and public health,etc.),as well as the borrowing and integrating of the development model of t

关 键 词：中西医结合 中医现代化 产业发展模式 文化自信 医疗手段 传统中医 医学体系 公共卫生 

分 类 号：R2-03[医药卫生—中医学]