Current and future perspectives on integrative traditional Chinese and Western medical management of gastroenterological diseases
-
摘要:
近年来,中西医结合治疗消化疾病取得了显著进展,主要体现在发现中西医之间的结合点,如西医"肠肝轴"学说与中医"肝病传脾"理论的相同点等;通过建立肝硬化腹水、非酒精性脂肪性肝病、肝纤维化、急慢性胰腺炎等疾病辨病和辨证结合的诊断标准,逐步形成了中西医结合消化疾病的新诊断模式;把中医学理论的研究、创新与消化疾病的防治结合起来,如肝硬化的"虚损生积"理论创新、通里攻下与活血化瘀在重症急性胰腺炎中的治法研究,为提高中西医结合治疗消化疾病的证治水平和临床疗效奠定了理论和实践基础。中西医结合明显提高了慢性肝炎、肝纤维化与肝硬化、消化系肿瘤、胆道结石等疾病的治疗效果,显示出中西医结合的特色和优势。中西医结合消化病学虽然取得了不少进展,但距离人们的要求仍相差很远。因此,把中西医有机地结合起来,逐步发展成为成熟的中西医结合消化病学,是现阶段从事中西医结合消化疾病研究的主要任务。
Abstract:In recent years, significant progress has been made in the systematic investigation and application of integrative traditional Chinese and western medical management of digestive system diseases.Evidence-based modern investigations of the pathogenic processes and related etiologies are confirming the systemic nature of disease and the need for a comprehensive approach to clinical management.For example, the conditions of acute pancreatitis and hepatitis caused by pathogenic agents are intimately associated with inflammation signaling and circulatory function.In traditional Chinese medicine (TCM) , the individual's systemic condition is addressed, complementing the targeted approach of Western medicines and therapies.Here, we review the theoretical and biological aspects of the integrative treatment modality for the various pancreatic and hepatobilliarly diseases that have been reported.In particular, the outcomes and mechanisms of integrative management of chronic hepatitis, liver fibrosis and cirrhosis, severe acute pancreatitis, gallstones, and malignancies of the digestive system are discussed in the context of specific TCM herbs and decoctions.
-
Key words:
- TCM WM THERAPY /
- liver diseases /
- biliary tract diseases /
- pancreatic diseases
-
[1]Wei BH, Chen J, Chen ZS, et al.Standardizing clinical prac-tice and enhancing theoretical study of integrated traditionalChinese and Western medicine[J].Chin J Integr TraditWest Med Dig, 2011, 19 (5) :347-349. (in Chinese) 危北海, 陈誩, 陈治水, 等.规范临床实践强化中西医结合理论研究[J].中国中西医结合消化杂志, 2011, 19 (5) :347-349. [2]Wei BH, Zhang WD, Chen ZS, et al.Research progress andprospect of integrated traditional Chinese and Western medi-cine in gastroenterology[J].Chin J Integr Tradit West Medon Gastro-Spleen, 1999, 7 (3) :129-132. (in Chinese) 危北海, 张万岱, 陈治水, 等.中西医结合消化病学的研究进展和展望[J].中国中西医结合脾胃杂志, 1999, 7 (3) :129-132. [3]Speciality Committee of Digestive Diseases, Chinese Associa-tion of Integrative Medicine.Consensus on integrative medicaldiagnosis and treatment of liver cirrhosis[J].Chin J Integr Tra-dit West Med Dig, 2011, 19 (4) :277-279. (in Chinese) 中国中西医结合学会消化系统疾病专业委员会.肝硬化中西医结合诊疗共识[J].中国中西医结合消化杂志, 2011, 19 (4) :277-279. [4]Speciality Committee of Digestive Diseases, Chinese Associ-ation of Integrative Medicine.Consensus on integrative med-ical diagnosis and treatment of ascites due to cirrhosis[J].Chin J Integr Tradit West Med (Chin) , 2011, 31 (9) :1171-1174. (in Chinese) 中国中西医结合学会消化系统疾病专业委员会.肝硬化腹水的中西医结合诊疗共识意见[J].中国中西医结合杂志, 2011, 31 (9) :1171-1174. [5]Li JX, Chen ZS, Wei BH.Consensus on integrative medicaldiagnosis and treatment of non-alcoholic fatty liver disease[J].Chin J Integr Tradit West Med (Chin) , 2011, 31 (2) :155-158. (in Chinese) 李军祥, 陈治水, 危北海.非酒精性脂肪性肝病的中西医结合诊疗共识意见[J].中国中西医结合杂志, 2011, 31 (2) :155-158. [6]Liu CH, Liu P, Hu YY, et al.Progress of clinical and basic re-search on liver fibrosis with traditional Chinese medicine[J].Modern Traditi Chin Med Mater Mater-World Sci Technol, 2007, 9 (2) :112-119. (in Chinese) 刘成海, 刘平, 胡义扬, 等.中医药抗肝纤维化临床与基础研究进展[J].世界科学技术-中医药现代化, 2007, 9 (2) :112-119. [7]Mu YP, Hu YY, Liu P.Making efforts to providing scientificevidence of therapeutic advantages of the combination of theTraditional Chinese and Western medicine in chronic hepatitisand cirrhosis[J].J Clin Hepatol, 2012, 28 (3) :161-163. (in Chinese) 慕永平, 胡义扬, 刘平.努力为中西医结合治疗慢性肝炎肝硬化的优势提供临床科学证据[J].临床肝胆病杂志, 2012, 28 (3) :161-163. [8]Wu XZ, Cui NQ.Evolution, current situation, and prospectof integrated traditional Chinese and Western medicine treat-ment of severe acute pancreatitis[J].Chin J Surg IntegrTradit West Med, 2012, 18 (6) :543-546. (in Chinese) 吴咸中, 崔乃强.中西医结合治疗重症急性胰腺炎的沿革、现况与展望[J].中国中西医结合外科杂志, 2012, 18 (6) :543-546. [9]Zhang DP, Cui NQ, Li Y, et al.Observation of disease processof severe acute pancreatitis treated by integrated traditional Chi-nese and Western Medicine[J].Chin J Surg Integr Tradit WestMed, 2011, 17 (3) :235-239. (in Chinese) 张大鹏, 崔乃强, 李岩, 等.重症急性胰腺炎中西医结合治疗自然病程观察[J].中西医结合外科杂志, 2011, 17 (3) :235-239. [10]Hu SF, Chen L, Cui NQ.A meta-analysis of integration ofTraditional and Western Medicine treatment versus Westerntreatment in patients with severe acute pancreatitis[J].Chin JCurr Adv Gen Surg, 2008, 11 (1) :24-28. (in Chinese) 胡石甫, 陈凌, 崔乃强.重症急性胰腺炎中西医结合与西医治疗效果荟萃分析[J].中国现代普通外科进展, 2008, 11 (1) :24-28. [11]Yang LM, Xu KC, Zhao YL, et al.Clinical significance of liver bi-opsy for chronic hepatitis B with persistently normal transamina-ses[J].Chin J Dig, 2001, 21 (10) :590-592. (in Chinese) 杨柳明, 徐克成, 赵延龙, 等.肝活检对转氨酶正常的慢性乙型肝炎感染的临床意义[J].中华消化杂志, 2001, 21 (10) :590-592. [12]Wei BH, Chen ZS, Liang J, et al.Challenges and opportuni-ties of integrative medicine on digestion in 2011[J].Chin JIntegr Tradit West Med (Chin) , 2011, 31 (2) :149-154. (in Chinese) 危北海, 陈治水, 梁健, 等.跨入2011年中西医结合消化病学面临挑战与机遇[J].中国中西医结合杂志, 2011, 31 (2) :149-154. [13]Chen ZS, Wei BH, Zhang WD, et al.A brief summary ofintegrative medicine on digestion in the“10th Five-YearPlan”and prospect of disciplinary development in the“11thFive-Year Plan”[J].Chin J Integr Tradit West Med Dig, 2007, 15 (2) :136-139. (in Chinese) 陈治水, 危北海, 张万岱, 等.“十五”中西医结合消化病学的发展概况与“十一五”学科发展的展望[J].中国中西医结合消化杂志, 2007, 15 (2) :136-139. [14]Liu P, Mu YP, Liu CH.Clinical and basic progress of tradi-tional Chinese medicine in chronic liver disease[J].J ClinHepatol, 2011, 27 (5) :451-457. (in Chinese) 刘平, 慕永平, 刘成海.中医药治疗慢性肝病的临床与基础研究进展[J].临床肝胆病杂志, 2011, 27 (5) :451-457. [15]Gu H, Zhang ZM, Wang MY, et al.Exploration of integratedtraditional Chinese and Western medicine from the treatmentof tumor[J].Modern Oncology, 2011, 19 (9) :1872-1874. (in Chinese) 顾海, 张宗明, 王明艳, 等.从肿瘤的治疗看中西医结合之路[J].现代肿瘤医学, 2011, 19 (9) :1872-1874. [16]Wu WY, Yang XB.Conment on the progress of cancer treat-ment with integrative Chinese and Western medicine[J].DrugEvaluation, 2012, 9 (33) :16-21. (in Chinese) 吴万垠, 杨小兵.恶性肿瘤的中西医结合治疗现状与思考[J].药品评价, 2012, 9 (33) :16-21. [17]Zhang Y, Luo YX, Cai XP, et al.Integrated traditional Chineseand Western medicine treatment of malignant tumor[J].TraditChin Med Res, 2012, 25 (10) :38-40. (in Chinese) 张影, 罗银星, 蔡小平, 等.恶性肿瘤的中西医结合治疗[J].中医研究, 2012, 25 (10) :38-40. [18]Wang CH, Yang Z, Ma SR.Effect of endoscopic sphinctero-papillotomy combined with Chinese herbs on choledocholithi-asis[J].Chin J Integr Trad West Med Dig, 2006, 14 (1) :20-22. (in Chinese) 王长洪, 杨卓, 麻树人.乳头小切开合利胆排石中药治疗胆总管结石疗效观察[J].中国中西医结合消化杂志, 2006, 14 (1) :20-22.
计量
- 文章访问数: 323
- HTML全文浏览量: 21
- PDF下载量: 324
- 被引次数: 0