中医的本质和科学化之路中医的本质和科学化之路.pdf

中医的本质和现代化之路 杨晓达 北京大学医学部药学院及中医药管理局中药复方解毒研究重点实验室， 北京市海淀区学院路38 号，邮编100191； 摘要：自20 世纪初以来，中医变革经历的“中西汇通”或 “中西医结合”、“中医科学化” 和“中医现代化”等运动的洗礼。然而，尚未发现一条成功的路线。从理论结构和逻辑上分 析，笔者认为，中医本质上是一种基于“自然自愈力the healing power of nature ”的唯象医 学体系。在疾病治疗策略的六种层次中，中医中药主要在高层次 （③~⑥）阶段发挥治疗作 用。中医的本质决定了中医现代化不可能是用现代科学的方法对中医进行解构和解析，而是 应当采取一种在中医先验 “假设”的指导下、从西医出发 “建构”创新的医学体系。目前， 研究建立科学性的脏腑关系、基于经络调节的新神经免疫学和基于细胞信号传导的中药活性 评价系统是可为之工作。本文提供了一个能够在坚持中医特色的基础上推进中医的现代化成 功的路线图。 关键词：中医本质，中医现代化，路线图 中图分类号：R2 文献标识码： A 文章编号： Chinese Traditional Medicine: the Nature and the Roadmap to Modernization YANG Xiaoda (School of Pharmaceutical Sciences and SATCM Key Laboratory of Compound Drug Detoxication, Peking University Health Science Center, Beijing, P. R. China 100191) th Abstract ：Since the beginning of 20 century, Chinese Traditional Medicine (TCM) has experienced efforts of changes including Combination/ Integration of TCM and Western Medicine, Scientifization of TCM and Modernization of TCM, etc. Unfortunately, all these efforts have proven to be invalid. In light of the logic structure of TCM theory, TCM is in nature a phenomenological therapeutic system by use of the healing power of nature. In the six levels of disease treatment strategies, TCM methods function at the high levels (Levels ③~ ⑥). Subsequently, TCM cannot be analyzed or rebuilt by deconstruction. Construction of an innovative medicine can be achieved starting from modern western medici