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态靶辨治理论指导下的中医个体化诊疗模式创新OA

Innovative Model of Personalized Diagnosis and Treatment in Traditional Chinese Medicine Under the Guidance of State-Target Differentiation and Treatment Theory

中文摘要英文摘要

以辨证论治为核心的个体化诊疗是中医临床的鲜明特点.为适应疾病谱变化与现代临床需求,学界先后形成病证结合、宏观与微观辨证结合等诊疗模式,难以从根本上破解传统个体化诊疗"个强群弱、刻强轴弱、态强靶弱"的核心瓶颈.仝小林教授提出的态靶辨治理论,以重构现代中医诊疗体系、重构现代中医本草体系("两个重构")为核心,通过搭建"病-类-期-态-证-靶"一体化理论框架、规范诊断-干预-调治-评价全链条实践模式,依托临床和基础研究在提炼群体共性规律基础上指导靶药筛选,系统完成了对中医个体化诊疗模式的路径重构.该模式实现了调态与打靶兼顾、群体共性与个体精准统一,为中医药全周期疾病防控和中医现代化阐释夯实了理论基础与实践根基.

Individualized treatment based on syndrome differentiation is a defining feature of clinical traditional Chinese medicine(TCM).To adapt to shifts in the disease spectrum and meet modern clinical demands,successive exploratory models—such as disease-syndrome combination and integrated macro-micro syndrome differentiation—could not to fundamentally resolve the core bottleneck in‑herent in traditional individualized treatment,characterized as"strength in individual cases but weakness in population-level patterns;strength in cross-sectional assessment but weakness in longitudinal insight;and strength in state regulation but weakness in targeted in‑tervention".The"state-target differentiation and treatment"theory proposed by Professor Tong Xiaolin centers on a dual reconstruc‑tion:of the modern TCM diagnostic framework and the modern TCM materia medica system.Through establishing an integrated theo‑retical framework of"disease–category–stage–state–syndrome–target",standardizing the full-process clinical pathway of diagnosis–intervention–management–evaluation,and leveraging clinical and basic research to guide targeted drug selection based on extracted population commonalities,the theory systematically accomplishes the pathway reconstruction of the TCM individualized treatment model.This model achieves simultaneous consideration of state regulation and targeted intervention,and harmonizes population com‑monalities with individual precision,thereby consolidating the theoretical and practical foundation for full-cycle disease prevention and control with TCM and for the explication of TCM modernization.

薛崇祥;谢伟楠;王思成;王亚运;仝小林;王涵

北京中医药大学北京中医药研究院,北京 100029||浙江大学医学院附属第二医院,浙江 杭州 310009||浙江省代谢内分泌疾病研究中医药重点实验室,浙江 杭州 310009北京中医药大学北京中医药研究院,北京 100029||中国中医科学院广安门医院代谢病研究所,北京 100035中国中医科学院广安门医院代谢病研究所,北京 100035长春中医药大学东北亚中医药研究院,吉林 长春 130117北京中医药大学北京中医药研究院,北京 100029||中国中医科学院广安门医院代谢病研究所,北京 100035北京中医药大学中药学院,北京 100029

医药卫生

个体化诊疗态靶辨治模式创新全周期管理仝小林病证结合宏观辨证微观辨证

individualized diagnosis and treatmentstate-target differentiation and treatmentmodel innovationfull-cycle manage‑mentTong Xiaolindisease-syndrome combinationmacroscopic syndrome differentiationmicroscopic syndrome differentiation

《南京中医药大学学报》 2026 (3)

323-329,7

国家自然基金委-中国科学院联合项目资助中西医结合创新范式战略研究(XK2023SMC003)中国科协青年人才托举工程项目[CACM-(2024-QNRC1-01)]中国中医科学院研究生教育教学改革研究项目(JG24-01)北京中医药大学壶天客座教授科研启动经费资助项目(2023-XJ-KYQD-006)长春中医药大学附属医院医学中心建设基金项目(DXZX-02-01)

10.14148/j.issn.1672-0482.2026.0323

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