摘 要
中医“治未病”思想源于《黄帝内经》，强调预防为主，未病先防、既病防变，在慢性病预防中具有重要价值。本研究旨在探讨中医“治未病”思想在慢性病预防中的应用实践，通过文献研究与临床案例分析相结合的方法，系统梳理了该思想的理论基础及其在现代慢性病防治中的具体应用。研究表明，“治未病”理念不仅关注疾病本身，更重视人体整体状态的调理，从体质辨识入手，结合情志调摄、饮食起居指导、运动养生等多方面进行综合干预。创新性地构建了基于“治未病”的慢性病三级预防模式，涵盖健康人群的未病先防、亚健康状态的欲病救萌以及患病人群的已病防变三个层次。研究发现，该模式能够有效提高个体自我健康管理能力，改善生活方式，降低慢性病发病率及并发症风险。主要贡献在于将传统中医智慧与现代医学理念相融合，为慢性病防控提供了新思路和新方法，对推动我国公共卫生事业发展具有重要意义。
关键词：治未病；慢性病预防；中医理论；三级预防模式；体质辨识
Abstract
The concept of "preventing disease before it occurs" in Traditional Chinese Medicine (TCM) originates from the Huangdi Neijing, emphasizing prevention as the priority, with a focus on preventing disease before it occurs and preventing progression once disease has developed. This study aims to explore the application of TCM's "preventing disease before it occurs" philosophy in the prevention of chronic diseases. By integrating literature review and clinical case analysis, this research systematically examines the theoretical foundations of this philosophy and its specific applications in modern chronic disease prevention and control. The findings indicate that the "preventing disease before it occurs" approach not only focuses on the disease itself but also places significant emphasis on holistic body regulation. It begins with constitutional identification and integrates multiple aspects such as emotional regulation, dietary and lifestyle guidance, and exercise for comprehensive intervention. Innovatively, a three-tiered preventive model based on "preventing disease before it occurs" has been constructed, encompassing primary prevention for healthy individuals, secondary prevention for those in sub-health states, and tertiary prevention for patients to prevent disease progression. The study reveals that this model effectively enhances individual self-health management capabilities, improves lifestyle, and reduces the incidence of chronic diseases and associated complications. The main contribution lies in integrating traditional TCM wisdom with modern medical concepts, providing new perspectives and methods for chronic disease prevention, which holds significant implications for advancing public health development in China.
Keywords：Pre-Disease Treatment；Chronic Disease Prevention；Traditional Chinese Medicine Theory；Tertiary Prevention Model；Constitution Identification
目 录
摘 要 I
Abstract II
引 言 1
第一章 中医“治未病”思想概述 2
1.1 核心理念与内涵解析 2
1.2 现代医学背景下的意义 2
第二章 慢性病预防的中医视角 4
2.1 慢性病的中医认识 4
2.2 预防原则与方法论 4
2.3 个体化预防策略构建 5
第三章 “治未病”在慢性病早期干预的应用 7
3.1 体质辨识与健康评估 7
3.2 生活方式干预措施 7
3.3 心理调适与情志养生 8
第四章 “治未病”思想指导下的健康管理实践 9
4.1 健康监测体系建立 9
4.2 综合干预方案设计 9
4.3 效果评价与持续改进 10
结 论 11
参考文献 12
致 谢 13
