中西醫藥途徑上的不同
( The Differences between Chinese and Western Medicine)


中西醫學的長短之處 (The Strength and Weakness of East and West Medicine)
診斷方法(Diagnostic Method)
治療方法( Method of Treatment)
給藥途徑 (Route of Administration)
結論 Summery



中西醫學的長短之處
(The Strength and Weakness of East and West Medicine)
西醫學方面(Western Medicine):

1.根據解剖、生理、病理、生化、微生物等基礎理論,進行實驗性研究( Based on the anatomy, physiology, pathology, biochemistry, microbiology to conduct experimental research)

2.充分應用現代科學發展與儀器進行微觀研究( Use of modern scientific findings and advanced technology for a microscopic investigation)

3.重視局部病因、病變部位、程度范圍 (Pinpoint the causes of diseases, pathological change and severity of diseases)
        4.治療上"徹底清除"觀念強如抗腫瘤,主張化瘀,低估毒副及作用。抗感染,恃大量抗菌素,不注意反作用與正氣功能 (Use an "elimination" approach, like cancer therapy, emphasis on removal of blood clot, underestimated the adverse and side effects. Use massive dose of antibiotics against infection, undermined the opposite effect and the strengthening effect of the body)
 

中醫學方面 (Chinese medicine):
1.根據傳統天人合一,陰陽、五行、臟腑、六經、氣血 及外邪等學說為 基礎理論,進行辨証性研究 ( Based on the tradition ideology of Unity of heaven and mankind, Yin &Yang, Five Xing, Organs & Systems, Six "pulses",  Air & Blood, and External Negative Factors, for the argumentative investigation of therapy.)

2.習慣應用四診、八綱,以經驗為指導,進行宏觀的臨床觀察 "黑箱學說"研究 (Used to apply "Four Diagnosis" , "Eight Principles", based on mainly experience and macroscopic clinical observational  "Black Box" investigation)
                 3.臨床觀察邪、正動態,歸納整體與局部病症性質,提出辨証的性質,作為防治依據
(Clinical Observation of negative and positive dynamic of the body, classify the disease into a whole body or regional diseases; Based on the ideological theories to have the argumentative conclusion; Emphasis on the preventive measure)

4.重視整體的綜合治療  ( Emphasis on the Whole body approach 's combined therapy)
        如抗感染?(For infection):
a.除應用清熱解毒(直接殺菌)外 (Using the principle of "removal of heatness and detoxification [i.e. antimicrobial therapy])
b.還結合汗法、下法、托法排泄毒素(And also use the Sweating, Lowering, Uploading methods to eliminate the toxic materials)
c.以及扶正、涼血、化瘀法等 (Also use the method of Strengthening, Blood Cooling , Clot Removal )

         增強微循環及全身免疫功能, 綜合性消除感染灶,可減少抗藥性發生 (To enhance the microscopic circulation and the immune system, removal of origin of infection and reduces the drug resistance)



診斷方法: (Diagnostic Method)
中醫 (Chinese Medicine)
明確整體邪正性質、層次、深淺 (According to both positive and negative factors, and treat the body as a whole unit, categories the diseases according the the severity and types)

1.四診(4 Diagnosis):望(look)問(ask)聞(hear)切(palpation)
2.八綱(8 Sections):陰陽( negative & positive i.e.Yin & Yang)、寒熱 (cool & hot)、表里( outside & inside)、虛實 (true or virtual)
3.六邪 (Six Evils)
4.三焦、六經 (Three Heat), (Six Pulses)
5.五臟 (5 hubs)、六腑 (6 organs)

西醫(Western Medicine)
明確病因、病理、病位受累范圍 ( With well defined causes of disease, pathology & affected region)
1.病史 (Patient history)
2.體格檢查(Body check)
3.物理檢查:X線、超聲波、CT、MRI (Instrumental diagnostic method, x-ray, ultra sound, Computerised Tomography ,  Magnetic Resonance Imaging)
4.實驗室檢測細菌、生化、免疫、DNA 等 ( Laboratory examination: pathological, biochemical, immunological, DNA testing)
5.病理組織學( Pathological analysis)

中西醫藥結合 (Combination of Chinese and Western Medicine)
1辨病與辨証結合(Comibination of diagnostic of disease and causes)
2現代檢測指標探索辨証意義(Use of modern technological markers to investigate the cause of disease) 



 
 

治療方法:( Method of Treatment)

中醫 (Chinese Medicine)
1.中藥:專病專方、辨証分型方、民間單方 (Chinese medicine: combined prescription for special type of diseases, for particular internal situation, folk remedy with single ingredient)
2.針灸療法( Acupuncture)
3.推拿療法 ( Messaging)
4.各種外治法 (Other external therapies)
5.氣功、太極等 (The practise of internal "air", Taigie, etc.)

西醫 (Western Medicine)
1.內科藥物治療 (Internal medical treatment)
2.外科手術治療( External operational treatment)
3.疫苗預防( Vaccination)
4.物理療法 (Physiotherapy)
5.營養療法( Nutritional therapy)
6.體育療法( Exercise therapy)

中西醫藥結合(Combination of Chinese and Western Medicine)
選擇西醫有難點與空白進行中醫藥研究 (Develop the TCM in the area that Western method are insufficient) 


給藥途徑(Route of administration):

中醫  (Chinese Medicine)

1.內服煎劑、沖劑、丸、片 (Internal boiled medication, drink, pills, tablets)
2.外敷(洗)   (Paste or Wash)

西醫  (Western Medicine)
1.內服(片、丸、液)(Internal: tablets, capsules & solution)
2.灌胃(三、二、一類藥)(Irrigation)
3.注射(皮、肌、靜)(Injection: intradermal, intermuscular and intravenous)
4.外用(External preparations)

中西醫藥結合  (Combined Therapy)
1.改進中藥劑型 (Improve the dosage form of TCM)
2.改進給約途徑 (Redesign the Route of administration of TCM)
 
 

Summery結論

Western Medicine
TCM
Diagnosis
Rely on laboratory examination lengthy interview*, visual examination, and pulse measurement
The Body
Detailed anatomical structure, specific 'target site' Holistic approach*
Objective
Removal of pathogen and /or relief of symptoms( targets orientated) by external "forces" Restoring homeostasis of body and soul by internal mechanism*
Action
fast ,acute, measurable, known mechanism of action Gradual and chronic action*; mechanism of action unknown
Drug
Single chemical, high purity, mostly synthetic or semi-synthetic Mixture of herbs, plus special pre-treatment, natural, batch to batch variation
Adverse Effects
Common Rare*
Dosage Form
Covered all routes of administration Mainly external and oral preparations,such as tonics
Patient
Mainly according to the pharmacokinetic parameters. Given standard therapy. Individualized therapy*
Development
By scientific research, with proven effectiveness By experience and according to the Chinese philosophical principles and traditional formularies
Manufacturing
Need GMP (Good Manufacturing Standard) No specifical quality checking mechanism available in tradition practise
Protection
Patentable Mostly non-patentable
Average Cost
High  Low *

* Major therapeutic advantages
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