传统哲学思想对寒地骨伤医养理念的借鉴

Reference of Traditional Philosophical Thoughts to the Medical and Nursing Concept of Orthopedics and Traumatology in Cold Regions

摘要: 我国北方寒地气候寒冷、冬季漫长、风寒湿邪偏盛，导致骨质疏松性骨折、颈肩腰腿痛、骨关节炎等骨伤疾病高发，且具有愈合缓慢、疼痛顽固、易反复发作的临床特点。当前寒地地区骨伤医养结合模式多以临床治疗与基础康复为主，缺乏传统哲学思想的理论支撑与系统化指导，存在重治疗、轻养护，重局部、轻整体，重被动、轻主动等问题。以儒、道、佛为代表的中国古代哲学，是中医养生与骨伤诊疗的重要理论源头。本文通过梳理古代主要哲学思想内涵，结合寒地地域特征、骨伤发病规律及现代医养结合需求，探讨古代哲学思想对寒地骨伤医养模式的理论借鉴。

Abstract: The northern coid regions of China feature frigid climate , long winters and predominant wind-cold-damp pathogenic factors, which lead to a high incidence of orthopedic and traumatological disease such as osteoporotic fractures, neck, shoulder, waist and leg pain, as well as osteoarthritis. These diseases are clinically characterized by slow healing, intractable pain and frequent recurrence. At present, the integrated medical-nursing model for orthopedic traumatology in cold regions mainly focuses on clinical treatment and basic rehabilitation, lacking theoretical support and systematic guidance from traditional philosophical thoughts. It also has prominent drawbacks: overemphasis on treatment while neglecting health maintenance, focus on local lesions rather than the whole body, and reliance on passive intervention instead of active recuperation. Ancient Chinese philosophies represented by Confucianism, Taoism and Buddhism serve as a crucial theoretical origin for traditional Chinese medicine health preservation and orthopedic traumatology diagnosis and treatment. By sorting out the connotations of major ancient philosophical thoughts, this paper combines the regional characteristics of cold areas, the onset rules of orthopedic disease and the demands of modern integrated medical-nursing care, so as to explore the theoretical references of ancient philosophies for the integrated medical-nursing model of orthopedics and traumatology in cold regions.