22/08/2009

Prof Mei's recent Paper


Diagnostic Thoughts in Medicine - A Chinese-Western Comparative Study
中西医比较学中的诊断思维

To be delivered at the 6th World Congress of Chinese Medicine
5th – 6th December 2009, Melbourne, Australia

Abstract
......
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Diagnostic Thoughts in Medicine - A Chinese-Western Comparative Study

中西医比较学中的诊断思维
To be delivered at the 6th World Congress of Chinese Medicine
5th – 6th December 2009, Melbourne, Australia

Professor M F Mei


Abstract

By examining the concept of “Change” in philosophical terms contrasting with the latest scientific discoveries in new physics on the dynamics of change in our universe, we can compare, the diagnostic concept of pathological changes and disease development in both Chinese and western medicine. Diagnostic thoughts in medicine guide our treatment principle. The development of disease and return to health with medical treatment is a process of change. In diagnosis, Chinese medicine differentiates patterns and syndromes holistically, whereas western medicine categorizes symptoms as diseases and classifies them by their bio-chemical structures. This comparative study is to explore their differences and similarities in order to find ways to organically integrate the two systems of medicine.

Western medicine develops from physical and symptomatic examination to modern laboratory analysis, MRI and other technological apparatus with the advances in medical physics as diagnostic tools. Chinese medicine relies on the clinical experience of a thinking physician according to the Four Diagnosis Methods and Eight Principles of Differentiation ( 四诊八纲 ). The two systems need to develop towards each others to create an integrative system of medicine that embraces both modern science and philosophical holism. This research studies the modernisation of Chinese diagnosis and analyses how western disease differentiations can be transformed into a more holistic approach of syndrome differentiations. The dialectical logic of distinguishing objectivity and subjectivity in medical diagnosis is also discussed here.

Keywords: Chinese medicine, western medicine, integrative medicine, Evidence-Based-Medicine, new physics, Daoism (Taoism), yin and yang, change, syndrome differentiation, disease classification, dialectical differentiation.







中西医比较学中的诊断思维

Diagnostic Thoughts in Medicine - A Chinese-Western Comparative Study
即将发表于第六届世界中医药大会,澳大利亚,墨尔本,2009年12月5日~6日

梅万方教授,英国伦敦中医学院院长

摘要

通过对哲学术语“变易”的剖析并对照物理学中关于影响宇宙变化力量的最新发现,提出医学领域“疾病”和“健康”概念的对比。医学中的诊断思维是指导临床治疗的准则。疾病的发展和健康的回归都是一个变化的过程。在诊断方法上,中医学强调整体观和辨证观,而西医学则通过理化指标等检测手段将症状归类为不同的疾病。本文通过对比研究试图揭示它们之间的异同,从而为有机的将两者结合提供思路。

西医学对躯体的检查和症状的判定多依赖于现代实验室技术、核磁共振以及其他一些仪器设备,这些仪器设备作为医学诊断工具是将先进的医学物理学成果应用于诊断学的结果。中医学则是根据四诊八纲以及个人的临床经验进行诊断。这两种医学体系需要相互补充完善从而创造出一种新的结合医学体系,它既包含了现代科学的诊断手段,又融入了整体的哲学观。本文将论述中医诊断的现代化以及探讨如何将西医学辨病与中医学辨证相结合,同时也将讨论在医学诊断中如何辨别辩证逻辑中主体和客体的问题。

关键词: 中医学,西医学,结合医学,循证医学,新物理学,道教,阴阳,变化,辨证,疾病分类,辩证逻辑的辨证思维


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