{"id":4391,"date":"2017-06-19T00:00:00","date_gmt":"2017-06-18T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=d05dec27a59f146815ccc5f83e3742ee"},"modified":"2018-08-21T12:15:53","modified_gmt":"2018-08-21T04:15:53","slug":"%e9%86%ab%e5%be%b9%e4%b8%ad%e8%a5%bf%ef%bc%9a%e6%b2%bb%e7%99%82%e8%b7%af%e5%be%91-%e9%9d%9e%e4%b8%ad%e5%8d%b3%e8%a5%bf%ef%bc%9f","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e9%86%ab%e5%be%b9%e4%b8%ad%e8%a5%bf%ef%bc%9a%e6%b2%bb%e7%99%82%e8%b7%af%e5%be%91-%e9%9d%9e%e4%b8%ad%e5%8d%b3%e8%a5%bf%ef%bc%9f\/","title":{"rendered":"\u91ab\u5fb9\u4e2d\u897f\uff1a\u6cbb\u7642\u8def\u5f91 \u975e\u4e2d\u5373\u897f\uff1f"},"content":{"rendered":"

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\/\/www.afterroberto.com\/wp-content\/uploads\/2017\/07\/M70515l-1.jpg;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】多日忙在寫報告，為剛完成的中西醫醫學平台及中西醫協作路向調查（IJOP）兩年的工程做綜合結果。發覺中西醫結合比以往多了很多空間，更多西醫和中醫認同，中西醫協作對市民有利。<\/p>\n

病人利益為前提下加強合作<\/p>\n

在香港，若中醫西醫持續地競爭以求超越對方，並不是一個好現象。現階段，雖然中西醫學在很多細處存在不相容的地方，但在某些程度上有合作空間，尤其是以病人利益為前提的情况下。<\/p>\n

西醫學依據邏輯智慧，在歷史的長河上結構出紮實的根基，贏得社會的認同支持。相反，中醫學講述的「陰、陽、表、裏、寒、熱、虛、實」，講究各力量間的平衡與協調，雖然給人一種不實在的感覺，但得到民眾的支持；同時亦經歷了長遠發展，形成一套完整的學術語言，表達出整套醫學理念。<\/p>\n

病人普遍對病情只是一知半解，要對病人闡述病情的全部並不容易，人往往受部分事實和認知而有所影響。若中、西醫學以對立形式去推廣本身的醫學，市民大眾只可憑自己的判斷，選擇其中一個較符合自己意思的方法，亦會從親朋好友的意見中，對有關信息給予好評或負評。但這如同瞎子一樣，只能相信中、西醫學各自發表的事實推演解釋。<\/p>\n

病人經歷疾病，從中醫或西醫的治療得到痊癒後，見證他們認知的事實；可是，對於不是他們選擇的治療方式，或改用其他方式是否會得出更好療效，他們無從比較。最終，病人雖然從西醫、中醫或親朋友好獲得大量病情相關資訊，但只能選擇一個疑似最快復元的治療途徑。因此，本港中醫和西醫處於不協調的狀態下，許多病人未能及時得到最妥善的處理。<\/p>\n

有見於此，有需要研究中西醫協作政策及各方的看法。其實中醫西醫可由微量至緊密的協作。這兩年接觸醫療界各方人士，希望得出一些結果可以用於臨牀醫療上，作為規劃中西醫協作的藍圖；另一方面，在專訪面談及一系列學術活動間，建立及深化人際網絡，促進中西醫協作交流團結力。過程雖然吃力但幸好有不少好的回報。<\/p>\n

中醫西醫不求競爭以超越對方。以病人利益為前提，中醫和西醫協調會使病人得到最妥善的處理。<\/p>\n

文：余秋良（香港醫學專科學院院士、浸會大學中醫藥學院榮譽教授）<\/p>\n

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