Sino-Dutch Centre for Preventive and Personalized Medicine, Zeist, The Netherlands.
Planta Med. 2010 Dec;76(17):2036-47. doi: 10.1055/s-0030-1250450. Epub 2010 Oct 26.
Innovative systems approaches to develop medicine and health care are emerging from the integration of Chinese and Western medicine strategies, philosophies and practices. The two medical systems are highly complementary as the reductionist aspects of Western medicine are favourable in acute disease situations and the holistic aspects of Chinese medicine offer more opportunities in chronic conditions and for prevention. In this article we argue that diagnosis plays a key role in building the bridge between Chinese and Western medicine. Recent advances in the study of health, healing, placebo effects and patient-physician interactions will be discussed pointing out the development of a system-based diagnosis. Especially, a system biology-based diagnosis can be used to capture phenotype information, leading towards a scientific basis for a more refined patient characterization, new diagnostic tools and personalized heath strategies. Subtyping of rheumatoid arthritis patients based on Chinese diagnostic principles is discussed as an example. New insights from this process of integrating Western and Chinese medicine will pave the way for a patient-centred health care ecosystem.
创新性的医学和医疗保健系统方法正在从中西医结合的策略、理念和实践中涌现。这两种医学体系高度互补,因为西医的还原论方面在急性疾病情况下是有利的,而中医的整体论方面在慢性病和预防方面提供了更多的机会。在本文中,我们认为诊断在中西医结合中起着关键作用。本文将讨论健康、治疗、安慰剂效应和医患互动研究的最新进展,指出基于系统的诊断的发展。特别是,基于系统生物学的诊断可以用于捕获表型信息,为更精细的患者特征描述、新的诊断工具和个性化健康策略提供科学基础。类风湿关节炎患者基于中医诊断原则的亚型分类就是一个例子。从这个整合西医和中医的过程中获得的新见解将为以患者为中心的医疗保健生态系统铺平道路。