Department of Food Science and Nutrition, College of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, China.
Five Branches University, Santa Cruz, CA, USA.
Eur J Clin Nutr. 2021 Feb;75(2):267-273. doi: 10.1038/s41430-020-00737-w. Epub 2020 Sep 3.
Traditional Chinese medicine (TCM) is an entirely coherent system, with internal logic and consistency of thought and practice. Though TCM has a long history, it is not easily accepted by Western medicine due to its theoretical and conceptual complexity. TCM nutrition is an ancient but burgeoning discipline, and its main goal is to use food as a means to achieve balance and harmony within the body. Compared with modern nutrition, it has unique beneficial concepts, such as the holism, diet suggestions based on syndrome differentiation, the idea that the spleen-stomach is the "root" of post-heaven, and the homology of medicine and food. Until today, it is difficult to evaluate whether TCM nutrition could play a major role in the treatment of various diseases. The limitations mainly include: the scope of application is limited, lack of evidence-based research, and the constitution differentiation need the cooperation of clinicians of TCM. In contemporary China, the inheritance, innovation, and broadening the scope of applications of TCM nutrition is very important. The government should establish a system in which TCM nutrition and modern nutrition coexist, and perform higher specialist training for dietitians of TCM. Moreover, TCM nutrition should integrate the research methods of modern nutrition, and involve adjustment to target populations, the formulation of age-specific nutrition principles, and an emphasis on the research and development of nutritional food, thus fully demonstrating the advantages and characteristics of TCM nutrition.
中医(TCM)是一个完整的系统,具有内在的逻辑和思维与实践的一致性。尽管中医历史悠久,但由于其理论和概念的复杂性,不易被西医接受。中医营养学是一门古老而新兴的学科,其主要目的是以食物作为手段,达到身体的平衡与和谐。与现代营养学相比,它具有独特的有益理念,如整体观、基于辨证论治的饮食建议、后天之本在脾胃以及药食同源。直到今天,仍然很难评估中医营养学在各种疾病治疗中是否能发挥主要作用。其局限性主要包括:应用范围有限、缺乏循证研究以及体质辨证需要中医临床医生的配合。在当代中国,中医营养学的传承、创新和拓展应用范围非常重要。政府应建立一个中医营养与现代营养并存的体系,为中医营养师提供更高水平的专业培训。此外,中医营养学应融合现代营养学的研究方法,针对目标人群进行调整,制定特定年龄的营养原则,并重视营养食品的研发,从而充分展示中医营养学的优势和特色。