仝小林“慢病十态”之调态方略简析
Professor TONG Xiaolin's State-modulation Strategy towards "Ten States of Chronic Diseases"
DOI:10.13288/j.11-2166/r.2021.11.003
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1.中国中医科学院广安门医院,北京市西城区北线阁5号,100053
2.山东省淄博岜山万杰医院
3.复旦大学人类表型组研究院
4.东北国际医院
5.陕西中医药大学第二附属医院
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张莉莉, 王蕾, 周毅徳, 等. 仝小林“慢病十态”之调态方略简析[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2021.11.003
ZHANG Lili, WANG Lei, ZHOU Yide, et al. Professor TONG Xiaolin's State-modulation Strategy towards "Ten States of Chronic Diseases"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2021.11.003
张莉莉, 王蕾, 周毅徳, 等. 仝小林“慢病十态”之调态方略简析[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2021.11.003 DOI:
ZHANG Lili, WANG Lei, ZHOU Yide, et al. Professor TONG Xiaolin's State-modulation Strategy towards "Ten States of Chronic Diseases"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2021.11.003 DOI:
不明病因或多重病因的慢性非传染性疾病(慢病)占据现代疾病的主流,造成沉重的社会经济负担。仝小林院士提倡将慢病防治回归天人合一最基本、最纯朴的状态,从根本上执简驭繁论治。以大自然赋予人类生存的四大基本要素即阳光、水分、空气和营养为基础,加之人生的自然规律老、虚,提纲挈领地提出“慢病十态”,即寒态、热态、燥态、湿态、郁态、瘀态、瘠态、壅态、老态、虚态。基于临床实践,总结“慢病十态”的辨治方略,即识“态”、辨“态”后,在调态方的基础上,直接加打靶(症靶、标靶)药治疗。这一调态方略是宏观“调态”和微观“打靶”的有机结合,是慢病诊疗思维的有益探索,可为现代医学背景下中医药防治慢病提供辨治思路。
Chronic non-communicable diseases (chronic diseases) of unknown etiology or multiple causes are the majority of the modern diseases, which bring a heavy social and economic burden. Academician TONG Xiaolin advocates that the prevention and treatment of chronic diseases should return to the most basic and simplest state of the unity of heaven and humankind, and fundamentally adhere to the principle of "treating complexity with simplicity" . Based on the four basic elements that nature has endowed human beings with, namely sunshine, water, air and nutrition, together with the natural laws of life being old and deficient, he outlines "ten states of chronic diseases" , which include cold state, hot state, dry state, wet state, constraint state, stasis state, barren state, congestion state, old state, and deficiency state. Based on clinical practice, the prevention and treatment strategy in relation to "ten states of chronic diseases" is summarized, that is, after the "state" is recognized and differentiated, corresponding statemodulating formula is prescribed, and symptom-target and indicator-target drugs are supplemented. This strategy combines the macro-level "state modulation" and micro-level "target treatment" in diagnosing and treating chronic diseases, which is a provoke-thinking exploration and can provide references for prevention and treatment of chronic diseases with traditional Chinese medicine in the context of modern medicine.
慢性非传染性疾病调态名医经验仝小林
chronic non-communicable diseasesstate-modulationexperience of famous doctorsTONG Xiaolin
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