"Prevention before illness" and "Prevention before illness"
What we talk about most today is the relationship between "preventing disease" and health and sub-health. At present, the World Health Organization defines health as: "Health is not only the absence of disease and weakness, but also a state of good physical, psychological and social adaptability." Compared with the definition of health, the definition of sub-health state is put forward: "Sub-health is a state without disease and unhealthy, and it is a state between health and disease."
The first meaning of "treatment before illness" is "prevention before illness", that is, health care and adjustment of the body that has not yet got sick, and nip in the bud.
This stage is mainly the relationship between "health preservation and conditioning". "Health preservation" includes a series of health preservation principles, such as nourishing body and mind, coordinating yin and yang, conforming to nature, nourishing diet, carefully living, regulating viscera, dredging meridians, abstaining from abstinence and nourishing essence, benefiting qi and regulating breath, and combining static and dynamic activities, among which coordination and balance are its core ideas. When a person's body reaches a balance point, it is the healthiest, that is, "not sick."
According to different constitutions, regulating the balance of Yin and Yang is the first factor, such as: the decline of viscera function, deficiency of vital qi, loss of viscera, deficiency of qi and blood, and loss of nutrition, so the physiological function is low, the organism is not as biochemical as it is, and the essence is insufficient, so the viscera function is fragile; or the viscera is not solid on the outside and the inside, and pathogenic factors take advantage of it, which can all lead to diseases. Deficiency of viscera, especially kidney-spleen deficiency, is the most prominent change. Traditional Chinese medicine says that spleen is the foundation of the day after tomorrow, and strengthening spleen and tonifying kidney has become an important means.
"Prevention of diseases" and "Prevention of changes after diseases"
At present, the concept of "prevention before illness" is mainly embodied in the process of clinical practice, grasping the occurrence law and transmission route of diseases, and taking effective measures to prevent their further evolution and spread, so as to prevent the disease from getting worse, which is the second meaning of "prevention of change"
There are both "sick" and "eager to get sick". The so-called "longing for illness" means that the incubation period of the disease is about to pass and the disease is imminent. In the early stage of the disease, early detection, early diagnosis and early treatment should be achieved.
In Qing Dynasty, Ye put forward the idea that "one place can prevent evil spirits" in the treatment of epidemic febrile diseases, which can effectively control the prognosis of epidemic febrile diseases and is a precautionary measure. "Xian 'an" is the protection of vaginal fluid for patients with yin deficiency constitution, which takes care of the worry of vaginal fluid consumption when there are signs of metaplasia, and should be taken first. Ye's exposition on the spread and location change of epidemic febrile diseases makes us see the application of the concept of "preventing diseases" in epidemic febrile diseases and improves our treatment level.
"Prevention of disease" and "Rehabilitation after illness"
Rehabilitation is conditioning after illness, that is, the third layer means "rehabilitation after illness", which is intended to achieve good treatment from beginning to end. "Not morbid after recovery" is the main indication of post-illness rehabilitation, and the main purpose of post-illness rehabilitation is to prevent its resurgence. When the healthy qi has not fully recovered after the initial recovery of the disease, it is necessary to adopt nursing methods suitable for patients at this time to promote the recovery of the body.
It will be easier and better for us to recover from common acute diseases. For some chronic diseases, we should grasp the favorable opportunity of "not happening", that is, in the initial stage of pathological formation, such as the remission of coronary heart disease, the formation of cerebrovascular disease, and the prevention of complications after diabetes has formed. We can take targeted drug treatment or adjustment (strengthening the body resistance and eliminating pathogenic factors, enhancing vitality), which is very important to control its recurrence.
Returning to nature is the rational choice of human beings. The concept of "prevention of disease" in TCM runs through the whole culture of TCM, highlighting the theme of "prevention of disease", embodying the scientific dialectical materialism view of "knowing what is constant and changing, starting with prevention" and the ideological concept of "prevention is better than treatment" in the medical field. This is an exploration of thinking and thinking that actively fights against diseases; This is an exploration of the laws of nature and a systematic way of thinking to guide the clinical practice of traditional Chinese medicine.
In fact, the so-called "incurable diseases of saints" in the classic theory of traditional Chinese medicine mainly embodies the idea that prevention is the priority and prevention is better than treatment. Chinese medicine believes that a good doctor should be familiar with the principles of keeping in good health and taking care of life, which can help people establish a healthy and reasonable lifestyle, so as to reduce and eliminate the chances of diseases, such as proper diet, regular daily life, internal defense of spirit and so on. In fact, this requires people to observe the way of keeping in good health, and these can be done completely, which is much easier and more important than the treatment after the disease occurs. After the occurrence of the disease, there is a certain spread and development law. A good doctor should be familiar with and master these laws in order to take active and effective measures to prevent the further spread and development of the disease and promote its benign reversal. For example, the synopsis of the golden chamber says, "when you see the disease of the liver, you should know that the liver transmits the spleen, and the spleen consolidates the source first." For example, Neijing said: "Evil wind is like wind and rain, so good people treat fur, skin, tendons, six internal organs and five internal organs. Those who cure the five internal organs are half dead and half alive. " This passage emphasizes that doctors should pay attention to early treatment to prevent diseases from spreading to internal organs. Common diseases are on the body surface and easy to cure. Injured tendons and bones and six fu organs can also be treated; If the five internal organs are invaded, the condition is serious and the cure rate is low. There are many vivid examples in the historical process of the development of traditional Chinese medicine. For example, the treatment of Prince He Guo vividly proves the spread law of diseases from the outside to the inside, from fu organs to dirty, from shallow to deep, from light to heavy, as well as the differences in the difficulty and results of treatment. All these explain the concept of "prevention first, health care first" advocated by Chinese medicine, which is the whole scientific connotation of preventing diseases in Chinese medicine. For the prevention of diseases, it is enough to do this.
In fact, Chinese medicine can not only "treat the disease before it happens", but also "treat the disease before it happens". The main task of traditional Chinese medicine is to treat diseases. As Zhu Danxi said, "It is the doctor's law to save lives, so it is the doctor's law to save lives, so the principle of taking care of life is very clear." The so-called TCM treatment mainly refers to two points: one is to follow the way of TCM health preservation, and the other is to treat diseases promptly, actively and correctly. Timely treatment is for early treatment, and early treatment is better than late treatment. Initiative is initiative, and initiative is better than passivity; Correctness means avoiding mistakes. Only in this way can we prevent the spread and development of diseases, achieve good therapeutic effects, and complete these two points, even if we basically complete the task of preventing diseases in traditional Chinese medicine.