“西学中用，病证结合”治疗内科疾病的思想发挥

The Applicationn of the Idea of “Applying Western Learning to Chinese Medicine, Integrating Pathology with Syndrome Differentiation” in the Treatment of Internal Medicine Diseases

摘要: 本文探讨了“西学中用，病证结合”思想在中医临床中的发展与具体应用。该思想由国医大师陈绍宏教授提出，强调将西医的生理病理机制与中医的象思维、整体观和辨证论治相结合，实现中西医在理论和实践层面的深度融合。卢云教授作为陈绍宏教授的学术继承人，进一步将这一思想应用于脑出血后脑积水、急性胰腺炎恢复期及慢性阻塞性肺疾病稳定期等内科杂病的诊治中，通过病证结合、病机转化、方证相应的诊疗模式，取得了显著的临床疗效，并得到部分临床研究的支持。文章通过具体病例分析，表明“西学中用、病证结合”不仅拓展了中医诊疗思路，也为中西医结合提供了可行的路径。

Abstract: This paper explores the development and practical application of the concept “Applying Western Learning to Chinese Medicine, Integrating Pathology with Syndrome Differentiation” in clinical TCM practice. Proposed by Professor Chen Shaohong, a Master of Traditional Chinese Medicine, this approach emphasizes integrating Western medicine’s physiological and pathological mechanisms with TCM’s image-based thinking, holistic perspective, and syndrome differentiation and treatment. It aims to achieve a deep integration of Chinese and Western medicine at both theoretical and practical levels. Professor Lu Yun, as Professor Chen Shaohong’s academic successor, has further applied this concept to the diagnosis and treatment of internal medicine conditions such as post-hemorrhagic hydrocephalus, the recovery phase of acute pancreatitis, and the stable phase of chronic obstructive pulmonary disease (COPD). Through a diagnostic and therapeutic model integrating disease patterns with syndrome differentiation, transforming pathogenic mechanisms, and matching formulas to syndromes, significant clinical efficacy has been achieved, supported by some clinical research. Through specific case analyses, this article demonstrates that “Applying Western Knowledge to Chinese Medicine and Integrating Disease with Syndrome” not only broadens the diagnostic and therapeutic approach of Chinese medicine but also provides a viable pathway for the integration of Chinese and Western medicine.