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理解中医治疗学:基础与临床应用概述

Understanding Traditional Chinese Medicine Therapeutics: An Overview of the Basics and Clinical Applications.

作者信息

Matos Luís Carlos, Machado Jorge Pereira, Monteiro Fernando Jorge, Greten Henry Johannes

机构信息

Faculdade de Engenharia da Universidade do Porto, 4200-465 Porto, Portugal.

CBSIn-Centro de Biociências em Saúde Integrativa, Atlântico Business School, 4405-604 Vila Nova de Gaia, Portugal.

出版信息

Healthcare (Basel). 2021 Mar 1;9(3):257. doi: 10.3390/healthcare9030257.

Abstract

Traditional Chinese medicine (TCM) is a systematic healthcare system developed from clinical experience based on a scientific model of regulation. TCM relies on unique theories and practices to treat diseases and enhance health. These practices include Chinese herbal medicine and dietetics, acupuncture and moxibustion, and other non-medication therapies such as Chinese bodywork or manual therapy, known as "Tuina", and traditional biofeedback exercises, known as "Qigong" and "Taijiquan". The integration of TCM in Western health systems and research requires a rational communicable theory, scientific proof of efficacy and safety, and quality control measures. Understanding the structural concepts of the TCM language makes possible the parallelism to Western physiology, and the inherent rational use of the reflex therapeutic systems, anti-inflammatory mechanisms and mental training involved, for example, in acupuncture and "Qigong". The results of TCM clinical trials and fundamental research on its nature and mechanisms have encouraged the development and application of well-designed research strategies such as double blinding in acupucture to overcome limitations and resistances in integrating these practices into the existing biomedical paradigms of the West. This review aims to overview some TCM theoretical concepts and the evidence-based clinical application of TCM's leading practices to create an easy-to-consult and condensed source of information, available for the healthcare community, facilitating the understanding and communication between conventional health professionals and TCM practitioners and acupuncturists.

摘要

传统中医(TCM)是一种基于科学调节模型,从临床经验发展而来的系统医疗体系。中医依靠独特的理论和实践来治疗疾病和增进健康。这些实践包括中药和饮食疗法、针灸,以及其他非药物疗法,如被称为“推拿”的中医身体调理或手法治疗,和被称为“气功”和“太极拳”的传统生物反馈练习。中医融入西方医疗体系和研究需要一个合理的可传播理论、疗效和安全性的科学证明以及质量控制措施。理解中医语言的结构概念使得与西方生理学建立平行关系,以及合理运用例如针灸和气功中涉及的反射治疗系统、抗炎机制和心理训练成为可能。中医临床试验结果以及对其性质和机制的基础研究鼓励了精心设计的研究策略的发展和应用,如针灸双盲试验,以克服将这些实践融入西方现有生物医学范式中的限制和阻力。本综述旨在概述一些中医理论概念以及中医主要实践的循证临床应用,以创建一个便于查阅和浓缩的信息来源,供医疗界使用,促进传统健康专业人员与中医从业者及针灸师之间的理解和交流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8d1/8000828/481926f9eb8d/healthcare-09-00257-g001.jpg

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