Lu Ai-ping, Li Shao
Institute of Clinical Basic Theory, China Academy of Chinese Medical Sciences, Beijing 100700.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010 Jan;30(1):84-6.
Taxonomy of diseases is usable in Western medicine and also in Chinese medicine, but with different measures of sorting, i.e. disease classification in Western medicine and the syndrome differentiation in Chinese medicine. Actually, an integrative mode of the above two measures is already the chief mode of sorting applied in clinical practice of Chinese medicine and integrative medicine. The two measures are introduced in this paper, and the integrative mode is deeply analyzed as well. Its biomedical interpretation and protocol are operational explained, and its important values, involving clinical practice for assessments of therapeutic efficacy, drug action and safety; new drug research and development; medical innovation; and research on internal relation among diseases, are discussed with illustration. The authors indicated that the integrative taxonomic mode of disease classification and syndrome differentiation is an important theoretical representation for mutual-supplementing of Chinese medicine and Western medicine in integrative medicine, also the important measure and approach for developing Chinese medicine and innovating biomedicine, and it is meaningful in both theoretical guidance and actual clinical practice.
疾病分类法在西医和中医中都适用,但分类方法不同,即西医的疾病分类和中医的辨证论治。实际上,上述两种方法的整合模式已经是中医和中西医结合临床实践中应用的主要分类模式。本文介绍了这两种方法,并对整合模式进行了深入分析。对其生物医学解释和方案进行了操作性说明,并举例讨论了其重要价值,包括用于评估治疗效果、药物作用和安全性的临床实践;新药研发;医学创新;以及疾病之间内在关系的研究。作者指出,疾病分类与辨证论治的整合分类模式是中西医在中西医结合中相互补充的重要理论体现,也是发展中医和创新生物医学的重要措施和途径,在理论指导和实际临床实践中都具有重要意义。