殚心竭力半世纪 中西合璧一目标

Using up all energies and doing best for half a century for integrating Chinese medicine and western medicine

关键词:  中西医结合  急腹症  主要贡献

Key words:  combination of TCM with western medicine  acute abdomen  main contribution

摘要:

在中西医结合研究领域,吴咸中院士主要贡献包括:一是通过长期实践,逐步形成和不断完善了中西医结合治疗急腹症的新体系。吴咸中教授以"肯定疗效,探索规律,改革剂型,研究机制"为中西医结合临床研究的总思路及基本内容,形成了辨病与辨证相结合的中西医结合诊断体系,世界卫生组织曾认定中西医结合急腹症为中国5个世界领先的医学项目之一,确立了中国中西医结合急腹症治疗学的完整体系和学术地位。二是在中西医结合治疗腹部疑难急性疾病上取得重要突破。特别是治疗急性重症胆管炎、重症急性胰腺炎、肠源性内毒素血症和多脏器功能不全综合征/多脏器衰竭(MODS/MOF)等腹部疑难危重症疾病,大大降低了病死率。三是首倡"以‘法’为突破口,抓‘法’求‘理’"的研究思路,促进了中西医结合理论研究的发展。在这一思路的指导下,吴咸中教授对通里攻下法、活血化瘀法、清热解毒法及理气开郁法等代表方剂进行了长期的实验研究,并且从单个治则研究转向不同治则之间的协同或增效作用的研究,预计在"十一五"及"十二五"期间能取得重大进展。四是形成药物疗法、手术疗法与微创技术三者完美结合的中西医结合治疗模式。在开展中西医结合研究中,吴咸中教授始终把继承、创新有机地结合在一起,指出中医和西医的结合、医学和药学的结合、传统方法与现代技术结合是学科创新发展的根本。五是创建国家级重点学科,造就创新型学术团队。在吴咸中院士的直接领导下,长期形成了老、中、青三代中西医结合专家共同奋斗、和谐交替、持续发展的局面。吴咸中教授先后培养硕、博士近百名,他所领导的中西医结合临床(外科)先后入选国家"211工程"建设项目和天津市"重中之重"学科建设项目,成为全国中西医结合学界最富活力且最有影响的学科之一。

Abstract:

The main contribution of academician WU Xian-zhong in the field of integrating Chinese and Western medicine research was here introduced.First,a new system of integrating Chinese and Westernmedicine for treating acute abdomen was summed up and improved gradually.The total thoughts in clinical research and the basic content of integrating Chinese and Western medicine were confirmed effective,the regularity was explored,dosage form transformed and the mechanism studied.The diagnostic system integrated TCM and Western medicine with combined differentiating diseases and symptoms and signs.WHO confirmed that combination of TCM with Western medicine for treating acute abdomen is one of the five advanced methods in the world,having a completed system and the academic position. Second,the treatment method of combination of TCM with Western medicine achieved an important breakthrough and obviously decreased the mortality rate in treating acute abdomen,especially acute severe cholangitis,acute severe pancreatitis,intestines endoxemia,MODS/MOF,etc.Third,academician WU Xian-zhong firstly advocated a study and research thoughts that emphasized the important role of exploring the mechanism based on therapeutic principles.WU carried out a long-term experimental study on the prescription of Tongligongxia,promoting blood flow and eliminating stasis,heat-clearing and detoxicating and regulating qi to alleviate mental depression method,etc.Fourth,a treatment mode of combining TCM and Western medicine was established that perfectly combined the drug treatment, operative treatment and micro-invasive technique.He emphasized the combination of inheritance and innovation and indicated that the combination of TCM and Western medicine,medical science and pharmaceutical sciences,traditional method and modern technique was the basic work of scientific innovation and development.Fifth,the national key discipline and innovation academic team were established.He cultivated one-hundred masters and doctors and established a academic team that included old,middle and young specialists of combination of TCM with Western medicine.The integrated clinical surgery guided by WU became one of the branch of knowledge with the most vigour and influence and be selected in National 211 Engineering construction item and Tianjin focal point subjects construction item.