Li Zhen-ying, Zhang Xing-xian, Xu Zi-cheng
Gansu Hospital of Oncology, Lanzhou (730050).
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2005 Mar;25(3):259-62.
The clinical thinking modes of "integrative disease and Syndrome" and "integrative macroscopical Syndrome-differentiation and microscopical Syndrome-differentiation" formed in the past half century were merely the primary train of thought and methodology of integrative traditional Chinese and Western medicine. In order to develop them to a higher level, stress should be put on the unity and holism of disordered organism and unity of function, structure and metabolism. It has long been ignored that a parallel and correlated relationship exists between the TCM Syndrome and pathological process of Western medicine, which is a common, set-formed and regular pathophysiological changes with certain development phase, presented in various diseases. Both have common features as that the same pathological process can be seen in different diseases and several pathological progresses can present in one disease, the same Syndrome also can be seen in different diseases and several Syndromes can present in a disease. Moreover, they have the compatible connotation and denotation. The author deduced that pathophysiological basis of main Syndrome is indeed the basic pathological process. Essence of Syndrome is the related pathological processes including abnormal changes in function, metabolism and morphological structure.
过去半个世纪形成的“病证结合”及“宏观辨证与微观辨证相结合”的临床思维模式,只是中西医结合的初步思路与方法。要将其提升到更高水平,应注重机体病变的统一性与整体性以及功能、结构与代谢的统一性。长期以来被忽视的是,中医证候与西医病理过程之间存在着平行且相关的关系,这是一种在各种疾病中呈现的、具有一定发展阶段的、常见的、固定形式且规律的病理生理变化。二者具有共同特点,即不同疾病可见相同病理过程,一种疾病可呈现多种病理进程;同样,不同疾病可见相同证候,一种疾病可呈现多种证候。此外,它们具有兼容的内涵与外延。作者推断,主要证候的病理生理基础确实是基本病理过程。证候的本质是包括功能、代谢及形态结构异常变化在内的相关病理过程。