Tseui J J
West J Med. 1978 Jun;128(6):551-7.
An objective comparison of Eastern and Western approaches to medicine is necessary to further evaluate the validity of Oriental medical techniques such as acupuncture. The development of medicine in Western nations follows the way of hypothetical deduction and the Eastern approach uses the inductive method. The Western approach clearly divides the health from the disease, yet the Eastern approach considers health as a balanced state versus disease as an unbalanced state. The Western approach tends to change the environment and the Eastern way is to prefer to adapt to the environment. There are numerous difficulties in comparing these two approaches. The same terminology may apply to entirely different facts, the teaching and learning methods are quite different, and the evaluation of the treatment is almost not comparable. IN ORDER TO HELP UNDERSTAND THE EASTERN APPROACH BETTER, AN UNDERSTANDING IS NEEDED OF THE BASIC CHINESE CONCEPTS: the concept of a small universe living in a large universe; the duality concept of yin and yang; the concept of anatomy; the concept of physiology in Chinese medicine-the state of equilibrium expressed by the five elements; the concept of pathophysiology expressed by the external and internal insults; the concept of maintaining and promoting health expressed by the circulation of chi and hsieh; the therapeutic concept in Chinese medicine-the normalization or reestablishment of balance of the body function; the concept of preventive medicine.
有必要对东西方医学方法进行客观比较,以进一步评估针灸等东方医学技术的有效性。西方国家医学的发展遵循假设演绎的方式,而东方方法采用归纳法。西方方法将健康与疾病明确区分,而东方方法则认为健康是一种平衡状态,疾病是一种不平衡状态。西方方法倾向于改变环境,而东方方式则更倾向于适应环境。比较这两种方法存在许多困难。相同的术语可能适用于完全不同的事实,教学方法截然不同,治疗评估几乎无法比较。为了更好地理解东方方法,需要了解基本的中医概念:小宇宙存在于大宇宙中的概念;阴阳二元概念;解剖学概念;中医生理学概念——由五行表示的平衡状态;由外感和内伤表示的病理生理学概念;由气血循环表示的维持和促进健康的概念;中医治疗概念——身体功能平衡的正常化或重建;预防医学概念。