陈皮
[个人文集]
警告次数: 1
加入时间: 2007/12/01
文章: 3235
经验值: 118330
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作者：陈皮 在 驴鸣镇 发贴, 来自 http://www.hjclub.org
50年过来了，中医的状态总结起来就是：
1。疾病预防：补。凡是被认为可以进补的中药总有人用。
2。疾病诊断：空。日益以西医诊断代替。
3。疾病治疗：信。针灸仍然在国内使用，并扩展到国际上；中药在国内仍然被很多人服用，但国际化的努力不过是把曾列为中药的植物作为新药开发的潜在药源，其成果就是一个青蒿素。
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1，中医的疾病预防，并非吃补药一项。中医说的“不治已病治未病”，包括了体育锻炼、情绪的调节、日常一般常见食品的调补，等等，内容极为丰富。而且，中医在预防疾病的经验方面，要超过西医。
在医学临床，理论有时不得不让位于经验。
西医近十年来提出“亚健康”概念，但对其预防和治疗方面仍然没有好的对策。而中医，可以说已经有了数千年对付亚健康的经验和方法了。
一个好的中医，从来不会建议别人经常“吃补药”。
2，关于疾病的诊断，中医有自己传统的诊断体系和方法，已经“烂熟”而不需要发展和更新。这是因为我在前几天已经提到过，中医的理论体系和西医完全不同。我说过：中医（至少中医内科），不需要详细了解人体的现代解剖学。
一个不十分了解人体解剖的医学体系，它凭什么要来按照建立在现代人体解剖、生理和病理学等等基础上的西医的方法来诊断疾病？
可以说，具有数千年经验积累的中医学，它可以不依赖西医，独立对付大部分临床常见疾病了。
3，中医治疗疾病，并不是靠“迷信”。例如您在下面谈到常见的“感冒”。
一般说，普通感冒不用任何药，通过喝水和休息，一个星期便自愈。
中医对于感冒怎样算有效？3天。就是说，一个中医来治疗感冒，3天一定基本消除感冒症状。否则说明该中医存在问题。
如果您不相信，我再举1例：生姜茶治疗风寒感冒。很多人都有这个姜茶的体验8。初期感冒，一碗姜茶，即刻见效。这是不是不符合西医关于感冒一个星期才能治愈的断言呢？
既然姜茶有效，我告诉您，比姜茶有效的中药汤剂是存在的。
关于针灸的有效性，请参考下列文章。
CAM at the NIH，Volume XII, Number 1: Winter 2005
Acupuncture Found To Be of Benefit in Knee Osteoarthritis
On December 21, 2004, the Annals of Internal Medicine published the results of an NCCAM-funded study of acupuncture for osteoarthritis of the knee. The study team was led by Brian M. Berman, M.D., Director of the Center for Integrative Medicine and Professor of Family Medicine at the University of Maryland School of Medicine in Baltimore.
Acupuncture is one of the oldest, most commonly used medical procedures, having originated in China more than 2,000 years ago. The term acupuncture describes a family of procedures involving stimulation of anatomical points on the body by a variety of techniques. American practices of acupuncture incorporate medical traditions from China, Japan, Korea, and other countries. The acupuncture technique that has been most studied scientifically involves penetrating the skin with thin, solid, metallic needles that are manipulated by the hands or by electrical stimulation.
The randomized clinical trial at the University of Maryland followed 570 participants for 6 months, making it the longest and largest study of acupuncture to date. In the study, 190 of the participants received acupuncture treatment and 191 received a "sham" acupuncture procedure that the team had developed and tested in earlier research. A third group (189) attended an educational program developed by the Arthritis Foundation. All participants could continue to use some conventional care for osteoarthritis, such as certain anti-inflammatory medicines, if they so chose.
By week 8, the acupuncture group had better function than either the sham or the education group. By the 14th week, the acupuncture group also reported significantly less pain than the two other groups.
CAM at the NIH spoke to Dr. Berman about this study.
NCCAM: Why did you choose to study acupuncture for knee osteoarthritis?
Dr. Berman: Arthritis costs about $86 billion each year in direct and indirect costs in the United States. Osteoarthritis is the most common form of arthritis, affecting 20 million Americans a year. The knee is a common site. Osteoarthritis is also a problem for which we don't have all the answers in conventional medicine. And the available drugs have side effects, particularly in the elderly. We wanted to see if acupuncture could make a difference.
NCCAM: How do your findings add to our knowledge about the use of acupuncture for osteoarthritis?
Dr. Berman: In this study, we developed a model of a progression for acupuncture trials [from phase I to phase II and III studies]. Also, the outcomes are important. We found that traditional Chinese acupuncture is effective for reducing pain and improving physical function in patients with symptomatic knee osteoarthritis who were having moderate pain despite conventional medical therapy. The patients receiving true acupuncture had a 40 percent decrease in pain from baseline and a 40 percent increase in function--which was significantly better than those receiving the sham procedure. We also found that the acupuncture was well tolerated. Our conclusion is that acupuncture may have an important role as adjunctive [i.e., added] therapy in a multidisciplinary, integrative approach to patients with osteoarthritis of the knee.
NCCAM: How common is the use of acupuncture for different types of arthritis? Have you seen any trends in its use?
Dr. Berman: Surveys say 2.1 million Americans use acupuncture, accounting for around 5 million visits a year to practitioners, and most visits are for pain and musculoskeletal problems. When we started our center in 1991, acupuncture was very much outside the realm of conventional medicine. Now we're seeing pain clinics, primary care doctors, orthopedic surgeons, and rheumatologists making more referrals for this type of procedure. In an article we published in the journal Pain in 2000, we surveyed pain specialists to see what they thought of different nonpharmacological therapies. Acupuncture had more acceptance than we realized.
There is no cure for arthritis; the goals of the American College of Rheumatology's treatment guidelines are to improve function and to decrease pain. Now acupuncture is one of the methods that can be used for first-line treatment for osteoarthritis along with some of the nondrug treatments. Also, acupuncture doesn't have a lot of side effects.
NCCAM: Do you have any advice for people who may have arthritis and wonder whether acupuncture could help them?
Dr. Berman: I think they ought to talk to their physicians. It's worth giving acupuncture consideration as part of a multidisciplinary approach--not necessarily to forgo other treatments that have been recommended, but as part of a whole approach to osteoarthritis. Also, in acupuncture treatment, it's important to find a good, licensed practitioner.
Annals of Internal Medicine 是美国医学界的顶级杂志之一。
作者：陈皮 在 驴鸣镇 发贴, 来自 http://www.hjclub.org |
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中医万万年（续）
