理论联系实际,基础结合临床,促进中西医结合肝脏病学科发展

突如其来的“SARS”进一步显示出中西医结合的临床优势及其生命力,从一个侧面显示了中、西医在认识疾病、治疗疾病思维方法上的结合有其一定的互补性。西医以实验医学为基础,着眼于组织形态学或物质基础的改变,探究疾病发生、发展的关键环节以求阻断之,“唯物”是其学术发展的核心;中医是针对每个患病的个体,通过对患病机体在疾病过程中的反应状态的综合分析,谋求机体功能的调整与回复,动态、“辨证”地对待每个患病的人是其科学特征。从理论上讲,两者具有较好的互补性,也是思维方式结合的基础。“唯物”与“辨证”的结合与统一是中西医结合的关键科学问题。重要的问题是提高临床疗效,这是本学科生存与发展的关键;同时要坚持“循证医学”的原则,加强中西医病证结合的规律研究,为学科发展奠定科学基础;坚持”唯物”,进一步加强中药复方作用机制的研究;积极开展临床难治性及常见肝脏疾病的研究与探索以显示学科优势的地位。

Development of the integrated TCM hepatology with western medicine

The treatment for severe acute respiratory syndrome (SARS) that happened epidemically this spring confirmed again that the integrated traditional Chinese and western medicine had its clinical advantage and vitality, and indicated that this integration could benefit the pathologic understanding and therapeutic strategies for the diseases. Based on the experimental research, western medicine focuses on the histological and structural changes of the diseases. In order to probe the key mechanisms of the disease's occurrence and development, it tries to develop the therapy targeting the mechanism. Materialism is the academic characteristic of western medicine. Based on the differentiation of individual patient and comprehensive analysis of all manifestations, with the academic characteristic of dynamics and dialectics, traditional Chinese medicine (TCM) focuses on the regulation and recovery of the body functions. Theoretically, materialism and dialectics are complementary to each other. Their combination and unity is the key point for the integration of TCM with western medicine in order to improve the clinical effectiveness and TCM development. Therefore, we must adhere to the principles of the evidence-based medicine, strengthen the integrated study on "disease" of western medicine and "syndrome" of TCM, insist on "materialism" and improve the understanding of the mechanism of Chinese herb formula, pay efforts on the clinical study of difficult and common hepatic diseases, in order to develop the integrated traditional and western medicine on liver diseases.