余茜教授中西医结合康复学术思想探析

An Exploration of Professor Yu Qian’s Academic Thoughts on Integrated Traditional Chinese-Western Rehabilitation Medicine

摘要: 余茜教授长期从事中西医结合临床、康复医学及神经系统疾病康复相关研究，在脑卒中及其他神经系统疾病功能障碍的防治方面积累了较丰富的理论认识与临床经验，并逐步形成了较具特色的中西医结合康复学术思想。其以中医整体观、辨证论治观和经络脏腑理论为基础，强调神经系统疾病“脑病与脏腑相关”、“功能障碍与气血经络失调并见”的病机特点，主张从调神通络、形神共治、病证结合、中西协同等方面开展康复干预。同时，余茜教授重视现代康复医学、神经影像学、电生理及信息化技术在中医康复中的应用，注重以现代研究手段揭示中医康复疗法的作用机制，推动中医康复理论与临床实践的结合。文章结合余茜教授的临床实践与研究方向，对其学术思想进行总结，以期为中西医结合防治神经系统疾病及康复学科建设提供参考。

Abstract: Professor Yu Qian has long been engaged in clinical practice and research in integrated traditional Chinese and Western medicine, rehabilitation medicine, and the rehabilitation of neurological diseases. She has accumulated rich theoretical understanding and clinical experience in the prevention, treatment, and rehabilitation of dysfunction after stroke and other neurological diseases, and has gradually formed a distinctive academic system in integrated rehabilitation. Her academic thoughts are grounded in the holistic view of traditional Chinese medicine, syndrome differentiation and treatment, and the theory of meridians and Zang-Fu organs. She emphasizes the pathogenesis characteristics of neurological diseases, namely that “brain disorders are closely related to Zang-Fu dysfunction” and that “functional impairment is often accompanied by disorders of qi, blood, and meridians”. She advocates rehabilitation strategies based on regulating the mind and dredging the channels, treating both form and spirit, integrating disease differentiation with syndrome differentiation, and promoting coordinated intervention between traditional Chinese medicine and Western medicine. At the same time, Professor Yu attaches great importance to the application of modern rehabilitation medicine, neuroimaging, electrophysiology, and information technology in traditional Chinese medicine rehabilitation. She also stresses the use of modern research methods to explain the mechanisms of traditional Chinese medicine rehabilitation therapies, thereby promoting the integration of traditional Chinese medicine rehabilitation theory with clinical practice. Based on her clinical experience and research directions, this article summarizes her academic thoughts in order to provide a reference for the integrated prevention, treatment, and rehabilitation of neurological diseases, as well as for the development of rehabilitation disciplines.