The role and model of general practice of traditional Chinese medicine in the prevention and treatment of cardiovascular diseases
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摘要: 目前中国基层医疗卫生服务机构在防治心血管疾病方面仍存在瓶颈,而中医全科医学作为社区基层卫生服务的主力,在其中发挥着关键性作用。在我国中医与西医并存的国情下,中医全科医学在保持传统中医学“全科”特色及优势的基础上,运用中医独特的理论体系、思维方法、临床经验,不断探索实践,融合现代医学的模式及经验技术,以满足社区卫生服务的需要,为社区居民解决身体健康问题。本文全面阐述了中医全科医学在中医“整体观念、辨证论治、治未病”理论指导下,提倡以“人”为中心,充分发挥中医药及全科医学优势及特色,通过中西医结合治疗方式防治心血管疾病;分析了中医全科医学在防治心血管疾病中的作用及模式,运用未病先防、既病防变、病后防复等中医“治未病”医疗措施,对心血管疾病进行诊疗、康复、预防及保健,减少心血管疾病给人体带来的危害,以缓解心血管疾病所带来的医疗压力。中医全科医生作为中医学的传承者、实践者及社区居民健康的服务者,为居民提供以预防为导向的、连续综合的、便捷有效的社区卫生医疗服务。在国家基层医疗建设的大力支持及中医全科医生的不懈努力下,中医全科医学将成为未来中国防治心血管疾病的中坚力量。Abstract: At present, there are still bottlenecks in the prevention and treatment of cardiovascular diseases in China ' s primary medical and health service institutions, and traditional Chinese medicine, as the main force of community primary health services, plays a key role. Under the national conditions of the coexistence of traditional Chinese medicine and western medicine, on the basis of maintaining the characteristics and advantages of "general practice" of traditional Chinese medicine, traditional Chinese medicine uses the unique theoretical system, modes of thinking and its clinical experience, and continuously explores and practices, integrating the model and experience technology of modern medicine to meet the needs of community health service and solve health problems for community residents. This paper comprehensively elucidates the prevention and treatment of cardiovascular diseases by combining traditional Chinese and western medicine under the guidance of the theory of "holistic concept, syndrome differentiation and treatment of non-disease" in traditional Chinese medicine, advocating "human" as the center, and giving full play to the advantages and characteristics of traditional Chinese medicine and general practice. This paper analyzes the function and mode of general practice of traditional Chinese medicine in the prevention and treatment of cardiovascular diseases, and uses the medical measures of "treating the disease before it occurs" in traditional Chinese medicine, such as prevention before disease, prevention of disease and recovery after disease, to diagnose, rehabilitate, prevent and care cardiovascular disease. So as to reduce the harm that cardiovascular disease brings to the human body, in order to alleviate the medical pressure caused by cardiovascular disease. As the inheritors, practitioners of traditional Chinese medicine and health service providers to the community, general practitioners of traditional Chinese medicine provide prevention-oriented, continuous, comprehensive, convenient and effective community health care services for residents. With the strong support of the national primary health care construction and the unremitting efforts of TCM general practitioners, traditional Chinese general practice will become the backbone of the prevention and treatment of cardiovascular diseases in China in the future.
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