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中医对传染病的防治:一篇述评

Prevention and treatment of infectious diseases by traditional Chinese medicine: a commentary.

作者信息

Ma Yuexia, Chen Ming, Guo Yali, Liu Jian, Chen Weitao, Guan Mengyue, Wang Yue, Zhao Xuehui, Wang Xu, Li Haoyuan, Meng Lingxin, Wen Yulong, Wang Yuguang

机构信息

Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.

Beijing Institute of Traditional Chinese Medicine, Beijing, China.

出版信息

APMIS. 2019 May;127(5):372-384. doi: 10.1111/apm.12928.

Abstract

The present review aimed to summarize the effectiveness and features of traditional Chinese medicine (TCM) for the treatment of infectious diseases and to discuss the limitation of the development of TCM. The personalized medicine with TCM exerts a curative effect on viral and bacterial infectious diseases with unique advantages on the improvement of clinical manifestation, pathogen inhibition, and organ recovery during severe and drug-resistant infection. The deficiency of personalized medicine with TCM lies in that the current research design of TCM primarily focuses on the study of the effective components and material basis of Chinese herbs at the cellular, molecular, and genetic level, while ignoring the guidance of the TCM syndrome differentiation theory, which is the core concept of individualized treatment. Personalized medicine with TCM has a broad prospective for infectious diseases due to the specific efficacy and advantages. While the curative effect of individualized treatment with TCM cannot be excluded from the TCM syndrome differentiation theory, the study of personalized medicine with TCM for infectious diseases urgently requires a unified standardization of the clinical syndrome differentiation and the evolution rule of infectious diseases by TCM theory.

摘要

本综述旨在总结中医药治疗传染病的有效性和特点,并探讨中医药发展的局限性。中医药个体化医学对病毒和细菌感染性疾病具有疗效,在改善严重和耐药感染的临床表现、抑制病原体及促进器官恢复方面具有独特优势。中医药个体化医学的不足在于,目前中医药的研究设计主要集中在细胞、分子和基因水平对中药有效成分和物质基础的研究,而忽视了中医辨证论治理论的指导,该理论是个体化治疗的核心概念。由于其特定的疗效和优势,中医药个体化医学在传染病治疗方面具有广阔前景。虽然不能排除中医辨证论治理论在中医药个体化治疗中的疗效,但中医药传染病个体化医学研究迫切需要通过中医理论对临床辨证和传染病演变规律进行统一规范。

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