[Disease-syndrome combination in integrated traditional Chinese and Western medicine in andrology: Confusions and countermeasures in studies]

Zhonghua Nan Ke Xue. 2017 Jul;23(7):579-582.
[Article in Chinese]

Abstract

Researches on the mechanisms underlying the therapeutic effects of the disease-syndrome combination approach in integrated traditional Chinese and Western medicine are becoming a hot spot in andrology, but many recent studies of this kind have failed to explain the connotation of integrated traditional Chinese and Western medicine in andrology. Related existing problems include repeated researches into the same indexes of action mechanisms of different therapeutic principles of traditional Chinese medicine (TCM), Chinese herbal compound and special prescriptions, studies focusing on individual diseases but ignoring symptoms, immature syndrome models for studies of mechanisms, and too much attention to uncertain or immature target mechanisms. The stress should be placed on the action mechanisms of Chinese herbal compound and special prescriptions on male diseases and, what is more important, on the clarification of the essential principles of differentiation and treatment of TCM syndromes. In the recent years, proteomics, genomics, transcriptomics and metabolomics have shed some light upon researches into the mechanisms underlying the therapeutic effects of the disease-syndrome combination approach in integrated traditional Chinese and Western medicine in andrology. An insight into the TCM syndrome, a macroscopic inductive analysis, and a comprehension of such microcosmic aspects as the gene, protein, metabolism and metagenome may contribute to some breakthroughs and new ideas in the studies of disease-syndrome combination in integrated traditional Chinese and Western medicine in andrology.

中西医结合男科疗效机制的研究越来越成为行业的热点。然而,目前许多中西医结合男科疗效机制的研究难以诠释中西医结合男科的内涵,主要体现在不同中医治则、中药复方专方正在进行着作用于同一机制效应指标的重复研究,重病轻证的研究普遍存在,不成熟的证候模型仍成为机制研究的手段,不确定的、不成熟的靶点机制仍成为研究的热点,如此耗费人力物力仍无法诠释男科中医辨证论治的精华及中西医结合辨病辨证取效的机制所在。中西医结合男科疗效机制研究的着眼点要求我们不仅要说明中药复方专方对男科疾病的疗效机制,更重要的是能阐明中医辨证论治的本质。近些年来蛋白质组学、基因组学、转录组学和代谢组学为中西医结合男科病证结合疗效机制研究提供了重要线索,通过对“证”的把握,从宏观整体归纳分析,发展到微观基因、蛋白、代谢、元基因组等角度分析,从而寻求中西医男科病证结合研究的突破口,创新中国特色男科。.

Keywords: basic research; countermeasure; disease-syndrome combination; integrated traditional Chinese and Western medicine; therapeutic effect; andrology.

Publication types

  • Review

MeSH terms

  • Andrology / methods*
  • Andrology / organization & administration
  • Biomedical Research
  • Combined Modality Therapy / methods*
  • Drugs, Chinese Herbal / therapeutic use
  • Genomics
  • Humans
  • Male
  • Medicine, Chinese Traditional / methods*
  • Metabolomics
  • Proteomics
  • Syndrome*
  • Transcriptome

Substances

  • Drugs, Chinese Herbal