Current Situation, Problems and Countermeasures of Clinical Diagnosis and Treatment of Modern Traditional Chinese Medicine
1. Department of Genetics and Reproduction, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China
2. Yunnan Science and Technology Publishing House, Yunnan Publishing Group, Kunming 650034, China
| Abstract: | Traditional Chinese medicine (TCM) was a complete and systematic diagnosis and treatment system, but inheritance and innovation were also needed for TCM for adapting to the continuous development and change of modern society, as well as people's pursuit for high quality healthy life. Yin-yang theory, five elements theory and visceral manifestation theory were the precondition for the diagnosis and treatment of TCM, which were used to perform the systematic and comprehensive syndrome differentiation of disease, thus formulate the treatment principles. However, several severe problems which restricted the application and treatment of disease for TCM. At the theory aspect, the basic knowledge of traditional Chinese medicine was not enough, the overall concept of thinking was lacking or weak, and lacking the mastery of the principal theory of TCM, which limited the diagnosis of disease; the professional division was too meticulous, which caused the doctor of TCM only mastered one subject, which caused the non-precise diagnosis of disease. At the syndrome differentiation aspect, traditional disease information collecting with observation, auscultation and olfaction, inquiry, and pulse feeling and palpation, this process was sloppy or omitted severely, which was also limited to the diagnosis of disease for doctor of TCM with the principal theories; parts of the doctor of TCM performed their diagnosis basing on the checking results of western medicine, but ignored the essence of diagnosis and treatment of TCM. At the aspect of treatment, decoction was commonly used in the treatment of diseases, however, bian, needle, moxibustion and the resting strategy of TCM for treating disease were ignored. The aforementioned factors limited the diagnosis, treatment of TCM, as well as the culture of TCM talents, which restricted the development of TCM. Thus, in this study, we anlyzed the current situation and problems of clinical diagnosis and treatment of TCM, and proposed the appropriate suggestion for the disease diagnose and talent culture of TCM by cooperating the principal theory of TCM. In addition, the usage of syndrome differentiation of disease of TCM with the corporation of checking technology of western medicine for the diagnosis of disease, then chose the suitable treating strategy. This work would provide the referential suggestions for the development of TCM and talent training. |
| Keywords: | TCM; Diagnosis and Treatment Status; Syndrome Differentiation and Treatment; Problems; Countermeasures; Preventive Treatment of Disease |
| DOI: | 10.57237/j.cmrd.2023.01.001 |
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Received: 12 September 2022
Accepted: 10 October 2022
Published Online: 3 February 2023
Funding
| 1. | 上海市胚胎源性疾病重点实验室开放课题 (She2020006) |
| 2. | 云南省科技厅面上项目(2019FB096) |
| 3. | 昆明医科大学教改项目 (2019-JY-Y-053) |
| 4. | 云南省卫生健康委员会高层次医学学科带头人 (D-2017007) |
References
| [1] | 高远, 陈凌琦, 罗莉苹, 等. 中医医院内科门诊分科过细易致误诊原因探析 [J]. 中华中医药杂志, 2017, 32 (09): 3948-3950. |
| [2] | 李甲民, 王小菊, 吴彬才, 等. 论“病脉证治”为中医学基本诊疗模式——全国名中医王行宽学术思想与临床经验研究(二) [J]. 湖南中医药大学学报, 2022, 42 (1): 5-8. |
| [3] | 刘玥, 周胜元, 齐新, 等.中西医思维模式及临床诊疗过程的相通之处 [J]. 中华中医药杂志, 2020, 35 (1): 50-53. |
| [4] | 李爽姿, 王勤明. 辨证论治理论体系叙述方法探析 [J]. 中华中医药杂志, 2022, 37 (8): 4345-4347. |
| [5] | 赵鸣芳. 辨病辨证并治与辨证论治的比较研究 [J]. 南京中医药大学学报, 2022, 38 (8): 655-665. |
| [6] | 白彦铭, 梁爽, 周波. 浅谈自然之气对人体先后天之气的作用 [J]. 光明中医, 2022, 37 (15): 2709-2712. |
| [7] | 夏淑洁, 李灿东. 基于整体观念的五辨论治思维探析 [J]. 天津中医药, 2020, 37 (2): 158-161. |
| [8] | 茅凯盈. 中医六辨方法诊治疾病的新思维模式探讨 [J].中医药管理杂志, 2022, 30 (2):243-244. |
| [9] | 刘签兴, 路志正. “读经典, 跟名师, 做临床”谈中医传承与创新的理性回归 [J]. 中华中医药杂志, 2019, 34 (5): 2230-2232. |
| [10] | 陈卫衡, 赵岩. 从病证结合到证症结合, 探讨突出疗效优势环节的诊疗模式[J]. 环球中医药, 2021, 14 (5): 917-919. |
| [11] | 夏淑洁, 林雪娟, 赖新梅,等. 中医思维方式与特征的文献研究[J]. 中华中医药杂志, 2020, 35 (4): 2034-2037. |
| [12] | 李金霞, 周小青, 郑彩杏, 等. 中医四诊精细化特征与方法[J]. 中华中医药杂志, 2021, 36 (11): 6557-6559. |
| [13] | 赖年红, 李雪纯, 乔晨曦, 等. 文化为基，疗效为要，开创中西医结合新时代——访谈国医大师张大宁教授[J]. 天津中医药大学学报, 2021, 40 (2): 148-151. |
| [14] | 冷玉琳, 高泓, 富晓旭, 等. 中医证候临床研究方法研究进展[J]. 中华中医药杂志, 2021, 36 (10): 6002-6005. |
| [15] | 侯天舒, 符雪丹, 黄茜. 基于“辨体-辨病-辨证”探析治未病理论用于亚健康失眠的防治思路 [J]. 四川中医, 2021, 39 (10): 33-36. |
| [16] | 蒋守森, 孙冬梅. 中医“治未病”在疾病预防控制中的作用分析 [J]. 中医临床研究, 2022, 3 (14): 126-128. |
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