Pattern classification in traditional Chinese medicine and precision medicine: a narrative review

Yibai Xiong, Lan Yan, Xiaona Li, Na Duan, Lin Lin, Cheng Lu, Aiping Lyu
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引用次数: 1

Abstract

Objective: To supply an overview of Pattern Classification in TCM and the relationship with Precision Medicine. Background: Precision treatment is the core idea of Western medicine. According to the difference in diseases, physiology, physiques, and genes, doctors will apply different treatment protocols to achieve the best results. Pattern classification is a major methodological means of dialective treatment in Traditional Chinese medicine (TCM) and has a relationship with precision treatment according to the methods applied in the treatment. However, how to explain the material foundation for Traditional Chinese medicine remains scant. Methods: From the perspective of Traditional Chinese medicine, the treatment method given to patients with even a same disease is different, thereby achieving the best results. This article started from the cold pattern, hot pattern, deficiency pattern, blood stasis pattern, with modern agencies and drug metabolism, to explain the material foundation of pattern classification and treatment of drugs, and the consistency of the precision treatment concept both in traditional Chinese medicine and modern medicine. Conclusion: The classification of patterns in TCM can provide western medicine with a broader scope and more precise choices in the diagnosis and treatment of diseases, which can greatly help personalized medical treatment for patients and improve the efficacy of treatment. in corresponding with cold pattern, the common pathway of cold pattern and the of can be found. This is also one of the molecular biological mechanisms of “drug-pattern correspondence” of TCM in the treatment of diseases. A study identified the network-based gene expression biomarkers for cold pattern of RA (17) and may be applicable to further stratification of diseases for the decision on interventions or clinical trials. In another study,
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中医与精准医学模式分类述评
目的:综述中医辨证分型及其与精准医学的关系。背景:精准治疗是西医的核心理念。根据疾病、生理、体质和基因的不同,医生会采用不同的治疗方案,以达到最佳效果。辨证分型是中医辨证治疗的一种主要方法手段,它关系到辨证分型的准确性。然而,如何解释中医的物质基础仍然很少。方法:从中医的角度来看,即使是同一种疾病,对患者的治疗方法也是不同的,从而达到最佳效果。本文从寒热证、虚证证、血瘀证入手,结合现代经脉和药物代谢,说明药物分型治疗的物质基础,以及中西医精准治疗理念的一致性。结论:中医辨证分型可以为西医在疾病的诊断和治疗中提供更广泛、更精确的选择,有助于对患者进行个性化治疗,提高治疗效果。与冷型相对应,找到了冷型与热型的共同路径。这也是中医治疗疾病“药型对应”的分子生物学机制之一。一项研究确定了RA冷型的基于网络的基因表达生物标志物(17),可能适用于进一步的疾病分层,以决定干预措施或临床试验。在另一项研究中,
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