中国中西医结合急救杂志2025，Vol.32Issue(5)：526-531,6.DOI:10.3969/j.issn.1008-9691.2025.05.003
姜良铎教授"中中求西,西中求中"的理论启示与临床实践
Professor Jiang Liangduo's theoretical insights and clinical practice:"within-framework integration:seeking Western medicine in traditional Chinese medicine and traditional Chinese medicine in Western medicine"
摘要
Abstract
This paper systematically investigates professor Jiang Liangduo's academic thinking of"within-framework integration:seeking western medicine in traditional Chinese medicine(TCM)and in Western Medicine,"and thoroughly analyzes the innovative development path of integrative medicine between Chinese and Western medicine.Through literature review and clinical mentorship practice,this paper elucidates the core essence of this dynamic,synergistic,integrative paradigm across 3 dimensions:theoretical cognition,practical realization,and future outlook.The integration of traditional Chinese and Western medicine has undergone evolutionary stages from"sino-Western convergence"and"sino-Western concurrent use"to"integrative medicine,"yet it has long faced core controversies regarding reductionism versus holism,standardization versus individualization,and the binary division of efficacy evaluation.Furthermore,the traditional concept of"prioritizing Chinese medicine,using Western medicine only when Chinese medicine fails"also presents limitations in adapting to contemporary clinical practice.Professor Jiang Liangduo's"within-framework integration"concept establishes a dynamic synergistic integrative framework centered on clinical efficacy:it embeds Western medical technology into the TCM diagnostic and therapeutic process to overcome traditional bottlenecks,integrates TCM's holistic regulation into Western medical intervention to optimize long-term prognosis,and achieves differentiated synergy by shifting from"technological superposition"to"systemic embedding"according to the distinct characteristics of each disease stages.Building on this foundation,the theory is further deepened into the"state-target"dual-dimension model,organically combining TCM's holistic state differentiation and treatment with Western medicine's precise target intervention,its the feasibility has been repeatedly verified by scientific evidence,clinical practice,and social demands.Taking critical and severe conditions such as post-cardiac arrest syndrome(PCAS)as typical cases,this paradigm demonstrates significant clinical value.The study suggests that young medical students should adopt an efficacy-oriented approach,preserve TCM's holistic perspective while assimilating modern medical technology,and cultivate patient-centered integrative medical thinking.In the future,it is necessary to further expand the application of this paradigm in fields such as refractory critical illnesses and geriatric diseases,promoting the integration of Chinese and Western medicine to achieve a synergistic effect of"1+1>2"and contribute Chinese wisdom to human health.关键词
中西医结合/动态协同/整合医学/状态-靶点模型/疗效导向Key words
Integration of traditional Chinese and Western medicine/Dynamic synergy/Integrative medicine/State-target model/Efficacy-oriented approach引用本文复制引用
龚雪,毕玮,陈昕玥,吴彩军,姜良铎..姜良铎教授"中中求西,西中求中"的理论启示与临床实践[J].中国中西医结合急救杂志,2025,32(5):526-531,6.基金项目
北京中医药大学东直门医院临床研究和成果转化能力提升试点项目(DZMG-QNZX-24011) （DZMG-QNZX-24011）
第七批全国老中医药专家学术经验继承工作项目(JX511) Pilot Project for Enhancing Clinical Research and Achievement Transformation Capabilities at Dongzhimen Hospital,Beijing University of Chinese Medicine(DZMG-QNZX-24011) （JX511）
The Seventh National Programme for Inheriting the Academic Experience of Senior Traditional Chinese Medicine Experts(JX511) （JX511）
