辨体-辨病-辨证诊疗模式在慢性病防治中的应用策略

Application strategy of constitution-disease-syndrome differentiation mode in the prevention and treatment of chronic diseases

关键词:  慢性病  辨体-辨病-辨证诊疗模式  体病相关  体质可调  辨体养生  中医体质

Key words:  chronic diseases  constitution-disease-syndrome differentiation mode  constitution-disease relation  adjustability of the constitution  health preservation based on constitution distinction  traditional Chinese medicine constitution

摘要:

依据中国防治慢性病中长期规划（2017-2025年），按照国医大师王琦教授倡导的"辨体-辨病-辨证诊疗模式"，提出慢性病"3+4+3"防治路向：面向三类人群（一般、高危、患病人群），朝向四种状态（无病、病前、病中、病后状态），指向三辨模式（辨体-辨病-辨证诊疗模式）。进而探讨其应用策略：对于一般人群无病状态——辨体养生，固本防病；对于高危人群病前状态——辨体干预，治本救萌；针对患病人群病中状态——"三辨"施治，标本兼顾；针对患病人群病后状态——辨体调理，固本防复。文中结合案例加以佐证，具有临床指导价值。

Abstract:

According to the medium-term and long-term plan for the prevention and treatment of chronic diseases in China (2017-2025) and according to the "constitution-disease-syndrome differentiation mode" advocated by WANG Qi,a master of Chinese medicine,the article puts forward the prevention and treatment direction of "3+4+3" for chronic diseases:for three groups of people (general,high-risk,sick),heading to four states (disease-free,pre-disease,disease,post-disease state),and pointing to three differentiation modes (constitution-disease-syndrome differentiation mode). Then discuss its application strategy:for the disease-free state of the general population:according to the constitution selection of health maintenance methods,solid foundation,prevent the occurrence of disease;for the pre-disease state of the high-risk population:choosing intervention measures based on constitution,prevent the development of diseases;for the disease status of the patients:using the "constitution-disease-syndrome differentiation model" to treat illness,both specimens;for the sick population in post-disease state:choose conditioning methods according to constitution to prevent disease recurrence. This article combines the case to prove,has the clinical guiding value.