摘 要
中医时间医学在慢性病管理中的应用探索旨在探讨中医时间医学理论在慢性病防治中的价值。随着现代社会节奏加快，人们生活方式改变，慢性病发病率逐年上升，给医疗体系带来巨大压力。传统中医强调人体与自然环境的统一性，认为人体生理病理变化具有昼夜节律、季节节律等时间特征，这为慢性病管理提供了独特视角。本研究以中医时间医学理论为基础，选取高血压、糖尿病两种典型慢性病为研究对象，通过文献研究法梳理相关理论基础，结合临床案例分析法探究具体应用路径。结果表明，在遵循中医时间医学规律下调整用药时间、治疗方案能提高疗效，如依据时辰药理学原理优化降压药物服用时间可增强药效并减少不良反应；根据四季气候变化特点制定个性化养生方案有助于稳定血糖水平。该研究创新性地将中医时间医学融入现代慢性病管理体系，不仅丰富了中医时间医学的应用场景，还为慢性病患者提供了一种新的健康管理思路，对推动中西医结合防治慢性病具有重要意义。
关键词：中医时间医学；慢性病管理；高血压；糖尿病；时辰药理学
Abstract
The exploration of Traditional Chinese Medicine (TCM) time medicine in chronic disease management aims to investigate the value of TCM time medicine theory in the prevention and treatment of chronic diseases. With the accelerating pace of modern society and changes in lifestyle, the incidence of chronic diseases has been increasing annually, imposing significant pressure on healthcare systems. Traditional Chinese Medicine emphasizes the unity of the human body with the natural environment, asserting that physiological and pathological changes in the human body exhibit temporal characteristics such as circadian and seasonal rhythms, providing a unique perspective for chronic disease management. This study, grounded in TCM time medicine theory, focuses on hypertension and diabetes as typical chronic diseases. By employing literature review to and combining clinical case analysis to explore specific application pathways, the findings indicate that adjusting medication timing and treatment protocols in accordance with TCM time medicine principles can enhance therapeutic efficacy. For instance, optimizing antihypertensive medication timing based on chronopharmacological principles can potentiate drug effects while reducing adverse reactions; formulating personalized health maintenance plans according to seasonal climate changes can help stabilize blood glucose levels. This research innovatively integrates TCM time medicine into modern chronic disease management systems, not only expanding the application scenarios of TCM time medicine but also offering a new health management approach for patients with chronic diseases, which is of great significance for promoting the integration of traditional Chinese and Western medicine in the prevention and treatment of chronic diseases.
Keywords：Traditional Chinese Medicine Chronopharmacology；Chronic Disease Management；Hypertension；Diabetes；Chronopharmacology
目 录
摘 要 I
Abstract II
引 言 1
第一章 中医时间医学理论基础 2
1.1 时间医学概念溯源 2
1.2 中医时间观的形成 2
1.3 慢性病与时间的关系 3
第二章 时间医学在慢性病诊断中的应用 5
2.1 四时气候变化与病症 5
2.2 昼夜节律对症状的影响 5
2.3 时辰脉象特征分析 6
第三章 时间医学指导下的治疗方案 7
3.1 时辰用药原则探讨 7
3.2 季节调养方法研究 7
3.3 不同时段针灸疗效 8
第四章 时间医学在慢性病预防中的作用 9
4.1 日常作息规律调整 9
4.2 四季养生要点解析 9
4.3 长期健康管理策略 10
结 论 11
参考文献 12
致 谢 13
