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1.北京中医药大学东直门医院 北京 100700
2.南京中医药大学
3.清华大学
4.河北医科大学
5.天津中医药大学
倪敬年,男,博士,副主任医师
#田金洲,男,博士,教授,主任医师,中国工程院院士,主要研究方向:神经变性病的中医药防治,E-mail:jztian@hotmail.com
纸质出版日期:2025-01-30,
网络出版日期:2024-12-12,
收稿日期:2024-08-17,
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倪敬年, 魏明清, 李婷, 等. 中医药精准诊疗新范式的发展构想[J]. 北京中医药大学学报, 2025,48(1):43-47.
NI JINGNIAN, WEI MINGQING, LI TING, et al. Development of a new paradigm for precision diagnosis and treatment in traditional Chinese medicine. [J]. Journal of beijing university of traditional chinese medicine, 2025, 48(1): 43-47.
倪敬年, 魏明清, 李婷, 等. 中医药精准诊疗新范式的发展构想[J]. 北京中医药大学学报, 2025,48(1):43-47. DOI: 10.3969/j.issn.1006-2157.2025.01.006.
NI JINGNIAN, WEI MINGQING, LI TING, et al. Development of a new paradigm for precision diagnosis and treatment in traditional Chinese medicine. [J]. Journal of beijing university of traditional chinese medicine, 2025, 48(1): 43-47. DOI: 10.3969/j.issn.1006-2157.2025.01.006.
中医药诊疗发展经历了从零星经验、辨证论治再到病证结合的多种范式阶段,目前是我国中西医并重医学体系的重要组成部分。辨证论治既体现了个性化治疗又体现了整体性思维,但是辨证的一致性问题影响了临床疗效。当前的病证结合存在中医药和西医药简单合用问题,中西医协同优势体现不充分。近年来,在诊疗理念发展和分析技术进步的推动下,西医学正从传统生物模式快速向精准医学模式转变,中医药学也面临从传统辨证论治和病证结合模式向精准诊疗范式发展的问题。与西医微观精准趋向不同,中医药精准诊疗主要体现在数据驱动的全信息应用,包括辨证精准化、用药精准化、疾病管理精准化和疗效评价精准化等不同层面。当前发展的重点任务是加快中医药精准诊疗技术平台开发和学科建设。
The development of traditional Chinese medicine (TCM) diagnosis and treatment has undergone multiple paradigms
evolving from sporadic experiential practices to systematic approaches in syndrome differentiation and treatment and further integration of disease and syndrome frameworks. TCM is a vital component of the medical system
valued alongside Western medicine. Treatment based on syndrome differentiation embodies both personalized treatment and holistic approaches; however
the inconsistency and lack of stability in syndrome differentiation limit clinical efficacy. The existing integration of diseases and syndromes primarily relies on patchwork and embedded systems
where the full advantages of synergy between Chinese and Western medicine are not fully realized. Recently
driven by the development of diagnosis and treatment concepts and advances in analytical technology
Western medicine has been rapidly transforming from a traditional biological model to a precision medicine model. TCM faces a similar need to progress beyond traditional syndrome differentiation and disease-syndrome integration toward a more precise diagnosis and treatment paradigm. Unlike the micro-level precision trend of Western medicine
precision diagnosis and treatment in TCM is primarily reflected in data-driven applications that incorporate information at various levels
including precise syndrome differentiation
medication
disease management
and efficacy evaluation. The current priority is to accelerate the development of TCM precision diagnosis and treatment technology platforms and advance discipline construction in this area.
中医药辨证论治病证结合精准诊疗范式
traditional Chinese medicinesyndrome differentiation and treatmentcombination of diseases and syndromesprecision diagnosis and treatmentparadigm
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