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| “兵家思想”重审肿瘤性疾病的中西医结合治疗策略 |
| Revisiting the Integrated Traditional Chinese and Western Medicine Treatment Strategy for Tumor Diseases with the |
| 投稿时间：2026-07-16 修订日期：2026-07-21 |
| DOI： |
| 中文关键词: 兵家思想 肿瘤性疾病 中西医结合 治疗策略 辨证论治 |
| 英文关键词: Military ideology Tumor related diseases Integrated Traditional Chinese and Western Medicine Treatment strategy treatment based on syndrome differentiation |
| 基金项目:国家自然科学基金项目（面上项目，重点项目，重大项目） |
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| 中文摘要: |
| 随着现代医学对肿瘤性疾病发病机制研究的不断深入,化疗、放疗、靶向治疗及免疫治疗等疗法持续革新,而中医学虽以伏邪、正虚、癌毒等病因病机学说阐释肿瘤发生发展,却尚未形成中西医深层次融合的原创理论。先秦兵家思想与中医理论同源于中国传统文化,共享“整体观”与“辨证观”思维范式,且对中医理论构建及治则治法形成具有深刻影响。本文以兵家思维为切入点,首先剖析兵家思想与中医理论的内在关联,明确二者在哲学基础、实践应用及预防理念上的相通性；继而总结肿瘤性疾病内生性、病理决定性、自主性行为、致命性并发症及共生性结局五大核心特征；进一步对比中西医对肿瘤认知的差异,挖掘二者在微观与宏观互补、诊断模式构建及疗效评价共识方面的融合基础；最终构建“定性-策略-预测”研究框架,将肿瘤定性为“内奸”,从早期干预“上兵伐谋”、扶正策略“养兵蓄锐”、祛邪策略“出奇制胜”、并发症处理“因敌应变”及“持久战”纲领下扶正固本五大维度,提出中西医结合治疗策略,并展望现代医学“基因导向个体化”、中医肿瘤学“微观机制客观化”及中西医“深度协同”的发展方向,为中西医结合治疗肿瘤提供新的理论视角与实践路径。 |
| 英文摘要: |
| With the continuous deepening of modern medicine"s research on the pathogenesis of tumor diseases, therapies such as chemotherapy, radiotherapy, targeted therapy, and immunotherapy continue to innovate. However, although traditional Chinese medicine explains the occurrence and development of tumors based on the theory of hidden evil, deficiency of positive energy, and cancer toxicity, it has not yet formed an original innovative theory of deep integration between Chinese and Western medicine. The pre Qin military thought and traditional Chinese medicine theory share the same origin in Chinese traditional culture, sharing the thinking paradigms of "holistic view" and "dialectical view", and have a profound influence on the construction of traditional Chinese medicine theory and the formation of treatment principles and methods. This article takes military thinking as the starting point, first analyzing the inherent relationship between military thinking and traditional Chinese medicine theory, clarifying the similarities between the two in terms of philosophical foundation, practical application, and prevention concepts; Then summarize the five core characteristics of endogeneity, pathological determinacy, autonomous behavior, fatal complications, and symbiotic outcomes in tumor diseases; Further compare the differences in the understanding of tumors between traditional Chinese and Western medicine, and explore the fusion basis between the two in terms of micro and macro complementarity, diagnostic model construction, and consensus on efficacy evaluation; Finally, a research framework of "qualitative strategy prediction" was constructed to classify tumors as "traitors". From five dimensions of early intervention "attacking and strategizing", supporting the body strategy "nurturing troops and accumulating strength", dispelling evil strategy "winning by surprise", dealing with complications "adapting to the enemy", and strengthening the foundation under the "protracted war" program, a combination of traditional Chinese and Western medicine treatment strategy was proposed. The development direction of modern medicine "gene oriented individualization", traditional Chinese medicine oncology "micro mechanism objectification", and "deep collaboration" between traditional Chinese and Western medicine were also discussed, providing new theoretical perspectives and practical paths for the combination of traditional Chinese and Western medicine in the treatment of tumors. |
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