Construction and Prospect of a Distinctive Medical Intervention Model for Chronic Disease Management Integrating Lifestyle Medicine and Traditional Chinese Medicine

doi:10.12114/j.issn.1007-9572.2025.0286

Chinese General Practice ›› 2026, Vol. 29 ›› Issue (07): 830-838.DOI: 10.12114/j.issn.1007-9572.2025.0286

• Commentary • Previous Articles Next Articles

Construction and Prospect of a Distinctive Medical Intervention Model for Chronic Disease Management Integrating Lifestyle Medicine and Traditional Chinese Medicine

1. Guangdong Pharmaceutical University, Institute of Traditional Chinese Medicine (Guangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine), Guangzhou 510006, China
2. Key Laboratory of Glucolipid Metabolic Disorder, Ministry of Education of China, Guangzhou 510006, China
3. Beijing University of Chinese Medicine, Beijing 100029, China
4. Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China
5. Beixiaguan Community Health Service Center, Haidian District, Beijing 100082, China
6. Affiliated Hospital of Hubei University of Chinese Medicine/Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Shizhen Laboratory, Hubei Key Laboratory of Theory and Application Research of Liver and Kidney in Traditional Chinese Medicine, Wuhan 430061, China
7. NICM Health Research Institute, Western Sydney University, Penrith, NSW 2751, Australia

Received:2025-09-17 Revised:2025-11-27 Published:2026-03-05 Online:2026-02-13
Contact: LU Chunli

整合生活方式医学与中医学特色慢性病管理的医学干预模式构建与展望

1．510006　广东省广州市，广东药科大学中医药研究所（广东省代谢病中西医结合研究中心）
2．510006　广东省广州市，糖脂代谢病教育部重点实验室
3．100029　北京市，北京中医药大学
4．100078　北京市，北京中医药大学东方医院
5．100082　北京市海淀区北下关社区卫生服务中心
6．430061　湖北省武汉市，湖北中医药大学附属医院（湖北省中医院），湖北时珍实验室，中医肝肾研究及应用湖北省重点实验室
7．2751澳大利亚新南威尔士州彭里斯市，西悉尼大学国家辅助医学研究院

通讯作者: 鲁春丽
作者简介:
作者贡献：
留典淳负责资料收集，绘制图表，撰写文章；王润泽负责图表修改；王芊云、陈晓莹、韦雪寒、彭红叶、王莹、薛雪、杨国彦、肖炜负责文章修订；鲁春丽负责文章构思与设计、文章修订、文章的质量控制，对论文整体负责。
基金资助:
国家重点研发计划主动健康和人口老龄化科技应对专项(2023YFC3606202); 广东省卫健委青年拔尖人才项目(0820250232)

Abstract

Abstract:

Facing the increasing global burden of chronic diseases, lifestyle medicine (LM) provides an important means for the management and prevention of chronic diseases by scientifically adjusting individual diet, exercise, mental health and other factors. The holistic approach, syndrome differentiation, and individualized treatment philosophy of traditional Chinese medicine (TCM) highly coincide with lifestyle medicine, both aiming to improve the overall health of patients. This article integrates the principles of TCM with LM, exploring their potential advantages and practical applications in the management of chronic diseases. By analyzing the commonalities between LM and TCM in the management of chronic diseases, this study proposes and constructs a distinctive medical intervention model for chronic disease management integrating LM and TCM, which is summarized into five core elements: diet, physical activity, sleep, risk substance-tobacco and alcohol and emotional and mental health. Based on existing evidence from evidence-based medicine, this article analyzes the research status of the five core elements, and proposes the advantages of chronic disease management after integration and the directions for future research. Finally, based on the recommendations of chronic disease-related guideline literatures, this article proposes personalized intervention plans for different chronic disease patients, aiming to provide more scientific and individualized intervention strategies to reduce the medical burden and improve the quality of life of patients.

Key words: Lifestyle medicine, Traditional Chinese medicine, Chronic disease management, Medical intervention model, Core elements, Health management, Health promotion

摘要： 面对全球日益加重的慢性病负担，生活方式医学通过科学调整个体饮食、运动、心理健康等多维度因素，为慢性病的预防与管理提供了重要支撑。中医学秉持的整体观、辨证论治及个体化治疗理念，与生活方式医学的核心思想高度契合，二者融合有望进一步提升患者的整体健康状态。本文结合中医理念与生活方式医学，系统探讨其在慢性病管理中的潜在优势与实践路径。通过梳理二者在慢性病管理理念与实践中的共通点，提出并构建了整合生活方式医学与中医学的医学干预模式，明确其核心要素为饮食习惯优化、身体活动水平调控、睡眠质量改善、戒烟与限酒措施、情绪和精神健康管理五大维度。同时，基于现有循证医学证据分析五大核心要素的研究现状，明确其在慢性病管理中的整合优势及未来研究方向。最后，依据慢性病相关指南文献推荐，提出面向不同慢性病患者的个性化新模式干预建议，旨在提供更科学、个性化的干预策略，以减轻医疗负担，提高患者生活质量。

关键词: 生活方式医学, 中医学, 慢性病管理, 医学干预模式, 核心要素, 健康管理, 健康促进

LIU Dianchun,WANG Qianyun,CHEN Xiaoying, et al. Construction and Prospect of a Distinctive Medical Intervention Model for Chronic Disease Management Integrating Lifestyle Medicine and Traditional Chinese Medicine[J]. Chinese General Practice, 2026, 29(07): 830-838. DOI: 10.12114/j.issn.1007-9572.2025.0286.
留典淳,王芊云,陈晓莹等. 整合生活方式医学与中医学特色慢性病管理的医学干预模式构建与展望[J]. 中国全科医学, 2026, 29(07): 830-838. DOI: 10.12114/j.issn.1007-9572.2025.0286.

Figures/Tables 3

References 76

[1]	童玲，王慧珍，王秀娟，等. 我国慢性病防治健康教育研究及开展现状[J]. 中国健康教育, 2022, 38(1):72-75.
[2]	International Diabetes Federation. IDF diabetes atlas[M]. 11th ed. Brussels, Belgium: International Diabetes Federation, 2025.
[3]	中华人民共和国国务院. 中国防治慢性病中长期规划(2017—2025年)[J]. 中国实用乡村医生杂志, 2017, 24(11): 6-11.
[4]	彭红叶，荆雅楠，王莹，等. 生活方式医学国内外发展现况及其中国化的挑战[J]. 中国全科医学，2025, 28(7): 797-806. DOI: 10.12114/j.issn.1007-9572.2024.0232.
[5]	WYNDER E L. Listen to nature. The challenge of lifestyle medicine[J]. Sozial- und Praventivmedizin, 1991, 36(3): 137-146.
[6]	PARKINSON M D, STOUT R, DYSINGER W. Lifestyle medicine: prevention, treatment, and reversal of disease [J]. Med Clin North Am, 2023, 107(6): 1109-1120. DOI: 10.1016/j.mcna.2023.06.007.
[7]	LIANOV L S, ADAMSON K, KELLY J H, et al. Lifestyle medicine core competencies: 2022 update[J]. Am J Lifestyle Med, 2022, 16(6): 734-739. DOI: 10.1177/15598276221121580.
[8]	CHELLAPPA S L, QIAN J, VUJOVIC N, et al. Daytime eating prevents internal circadian misalignment and glucose intolerance in night work[J]. Science Advances, 2021, 7(49): eabg9910.
[9]	丁少玉，鞠昌萍. 进餐顺序在糖尿病病人饮食治疗中的研究进展[J]. 护理研究, 2020, 34(23): 4199-4202.
[10]	EVERT A B, DENNISON M, GARDNER C D, et al. Nutrition therapy for adults with diabetes or prediabetes: a consensus report[J]. Diabetes Care, 2019, 42(5): 731-754. DOI: 10.2337/dci19-0014.
[11]	DELGADO-LISTA J, ALCALA-DIAZ J F, TORRES-PEÑA J D, et al. Long-term secondary prevention of cardiovascular disease with a Mediterranean diet and a low-fat diet (CORDIOPREV): a randomised controlled trial[J]. Lancet, 2022, 399(10338): 1876-1885. DOI: 10.1016/S0140-6736(22)00122-2.
[12]	叶橙，陈江河，曲淼. 从中医"食饮有节"理论探析限食疗法的科学意义[J]. 中华中医药杂志, 2023, 38(12):6093-6095.
[13]	李瑶，张培莉，滕云. 不同饮食顺序对糖尿病前期病人血糖的影响[J]. 护理研究, 2019, 33(20):3493-3497. DOI: 10.12102/j.issn.1009-6493.2019.20.008.
[14]	许若玢，孙利华. 中药茶在常见慢性病中的应用研究进展[J]. 河北中医, 2017, 39(6):936-940.
[15]	SHEN W, PAN Y, JIN B, et al. Effects of tea consumption on anthropometric parameters, metabolic indexes and hormone levels of women with polycystic ovarian syndrome: a systematic review and meta-analysis of randomized controlled trials[J]. Front Endocrinol, 2021,12: 736867. DOI: 10.3389/fendo.2021.736867.
[16]	葛声，张片红，马爱勤，等. 《中国2型糖尿病膳食指南》及解读[J]. 营养学报, 2017, 39(6): 521-529.
[17]	CHEN Y C, ZHANG Y, YANG H X, et al. Association of coffee and tea consumption with cardiovascular disease, chronic respiratory disease, and their comorbidity[J]. Mol Nutr Food Res, 2022, 66(24): e2200419. DOI: 10.1002/mnfr.202200419.
[18]	毛一清，赵迎盼，胡蓝烁，等. 《胃食管反流病中医诊疗专家共识(2023)》解读[J]. 中国中西医结合消化杂志, 2024, 32(9): 764-770.
[19]	KOLB H, KEMPF K, MARTIN S. Health effects of coffee: mechanism unraveled?[J]. Nutrients, 2020, 12(6): 1842.
[20]	MOSTOFSKY E, SCHLAUG G, MUKAMAL K J, et al. Coffee and acute ischemic stroke onset: the Stroke Onset Study[J]. Neurology, 2010, 75(18): 1583-1588. DOI: 10.1212/WNL.0b013e3181fb443d.
[21]	ELSAYED N A, ALEPPO G, ARODA V R, et al. 5. facilitating positive health behaviors and well-being to improve health outcomes: standards of care in diabetes-2023[J]. Diabetes Care, 2023, 46(Supple 1): S68-S96. DOI: 10.2337/dc23-S005.
[22]	顾东风，翁建平，鲁向锋. 中国健康生活方式预防心血管代谢疾病指南[J]. 中国循环杂志, 2020, 35(3):209-230.
[23]	中国营养学会. 中国居民膳食指南2016[M]. 北京: 人民卫生出版社, 2016.
[24]	中国低钠盐推广应用指南[J]. 中国预防医学杂志, 2024, 25(8): 957-973. DOI: 10.16506/j.1009-6639.2024.08.001.
[25]	NEAL B, WU Y F, FENG X X, et al. Effect of salt substitution on cardiovascular events and death[J]. N Engl J Med, 2021, 385(12): 1067-1077. DOI: 10.1056/NEJMoa2105675.
[26]	BERNABE-ORTIZ A, SAL Y ROSAS V G, PONCE-LUCERO V, et al. Effect of salt substitution on community-wide blood pressure and hypertension incidence[J]. Nat Med, 2020, 26(3): 374-378.
[27]	CHANG A R, BAILEY-DAVIS L. Food is medicine, but are produce prescriptions?[J]. Diabetes Care, 2023, 46(6): 1140-1142.
[28]	孙万国. 中国药膳的类型和理论基础[J]. 食品科学, 1996, 17(1): 56-62.
[29]	ZHOU H M, NIE J, CAO Y M, et al. Association of daily sitting time and coffee consumption with the risk of all-cause and cardiovascular disease mortality among US adults[J]. BMC Public Health, 2024, 24(1): 1069. DOI: 10.1186/s12889-024-18515-9.
[30]	YANG G Y, HUNTER J, BU F L, et al. Determining the safety and effectiveness of Tai Chi: a critical overview of 210 systematic reviews of controlled clinical trials[J]. Syst Rev, 2022, 11(1): 260.
[31]	杨兰. 传统杨氏太极松鹤八法对2型糖尿病及其前期患者的干预评价研究[D]. 成都: 成都中医药大学, 2019.
[32]	苏中军，洪平. 太极拳运动对血糖异常患者糖代谢效果的Meta分析[J]. 陕西师范大学学报(自然科学版), 2019, 47(3): 38-47, 125. DOI: 10.15983/j.cnki.jsnu.2019.03.235.
[33]	孙志强，王智敏，龙苏兰. 穴位按摩联合耳穴压豆对社区老年糖尿病患者的影响[J]. 光明中医, 2022, 37(22): 4103-4106.
[34]	郑丽维，陈瑶，陈丰，等. 穴位指针疗法对中老年高血压患者血压及睡眠质量的影响研究[J]. 中华护理杂志, 2014, 49(12): 1511-1514. DOI: 10.3761/j.issn.0254-1769.2014.12.022.
[35]	中华医学会内分泌学分会，中华医学会糖尿病学分会. 中国成人2型糖尿病合并非酒精性脂肪性肝病管理专家共识[J]. 中华内分泌代谢杂志, 2021, 37(7):589-598.
[36]	国家卫生健康委员会. 成人高脂血症食养指南(2023年版)[J]. 全科医学临床与教育, 2023, 21(7):581-583.
[37]	中国医师协会中西医结合医师分会内分泌与代谢病学专业委员会，倪青. 代谢综合征病证结合诊疗指南[J]. 世界中医药, 2023, 18(22):3157-3166. DOI: 10.3969/j.issn.1673-7202.2023.22.001.
[38]	中华中医药学会《中医体重管理临床指南》专家组，广东省针灸学会肥胖专病联盟. 肥胖症中医诊疗方案专家共识[J]. 北京中医药大学学报, 2022, 45(8): 786-794.
[39]	OHAYON M, WICKWIRE E M, HIRSHKOWITZ M, et al. National Sleep Foundation's sleep quality recommendations: first report[J]. Sleep Health, 2017, 3(1): 6-19. DOI: 10.1016/j.sleh.2016.11.006.
[40]	HIRSHKOWITZ M, WHITON K, ALBERT S M, et al. National Sleep Foundation's updated sleep duration recommendations: final report[J]. Sleep Health, 2015, 1(4): 233-243. DOI: 10.1016/j.sleh.2015.10.004.
[41]	SHAN Z L, MA H F, XIE M L, et al. Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies[J]. Diabetes Care, 2015, 38(3): 529-537. DOI: 10.2337/dc14-2073.
[42]	SVENSSON T, SAITO E, SVENSSON A K, et al. Association of sleep duration with all- and major-cause mortality among adults in Japan, China, Singapore, and Korea[J]. JAMA Netw Open, 2021, 4(9): e2122837. DOI: 10.1001/jamanetworkopen.2021.22837.
[43]	HAN H, WANG Y, LI T T, et al. Sleep duration and risks of incident cardiovascular disease and mortality among people with type 2 diabetes[J]. Diabetes Care, 2023, 46(1): 101-110.
[44]	KATSUNUMA R, OBA K, KITAMURA S, et al. Unrecognized sleep loss accumulated in daily life can promote brain hyperreactivity to food cue[J]. Sleep, 2017, 40(10). DOI: 10.1093/sleep/zsx137.
[45]	World Health Organization. China country assessment report on ageing and health[R]. Geneva: World Health Organization, 2015.
[46]	CHRISTENSON S A, SMITH B M, BAFADHEL M, et al. Chronic obstructive pulmonary disease[J]. Lancet, 2022, 399(10342): 2227-2242. DOI: 10.1016/S0140-6736(22)00470-6.
[47]	国家心血管病中心国家基本公共卫生服务项目基层高血压管理办公室，国家基层高血压管理专家委员会. 国家基层高血压防治管理指南2020版[J]. 中国循环杂志, 2021, 36(3):209-220.
[48]	YE Z, LI J, GU P, et al. Early-life tobacco smoke exposure, genetic susceptibility and the risk of type 2 diabetes in adulthood: a large prospective cohort study[J]. Sci Total Environ, 2023, 893: 164698.
[49]	乔舒昱，鲁春丽，江月，等. 中医戒烟随机对照试验的研究特征分析和方法学质量评价[J]. 中医杂志, 2021, 62(23): 2055-2062.
[50]	LU C L, JIN X Y, WANG Q Y, et al. Traditional Chinese medicine for smoking cessation: an umbrella review of systematic reviews and meta-analysis of randomized controlled trials[J]. Tob Induc Dis, 2023, 21: 150. DOI: 10.18332/tid/174090.
[51]	LLAMOSAS-FALCÓN L, REHM J, BRIGHT S, et al. The relationship between alcohol consumption, BMI, and type 2 diabetes: a systematic review and dose-response meta-analysis[J]. Diabetes Care, 2023, 46(11): 2076-2083. DOI: 10.2337/dc23-1015.
[52]	KRITTANAWONG C, MAITRA N S, QADEER Y K, et al. Association of depression and cardiovascular disease[J]. Am J Med, 2023, 136(9): 881-895. DOI: 10.1016/j.amjmed.2023.04.036.
[53]	马龙，崔香玉，董雪梅，等. 中医情志护理在老年慢病患者中的应用进展[J]. 中国中医药现代远程教育, 2023, 21(19): 140-142.
[54]	中国代谢病防治协同创新平台制定，高彦彬，倪青，等. 糖尿病前期(脾瘅)中医诊疗优化方案(2023版)[J]. 世界中西医结合杂志, 2023, 18(5): 1046-1050. DOI: 10.13935/j.cnki.sjzx.230537.
[55]	王瑞华，闫镛. 中医情志护理对2型糖尿病患者血糖波动影响的临床分析[J]. 中国药物与临床, 2021, 21(20): 3482-3484.
[56]	彭思涵，谢子妍，谢菊，等. 中医五音疗法干预糖尿病前期40例临床观察[J]. 辽宁中医杂志, 2021, 48(1): 108-111.
[57]	杨筝，张春仁，李娟. 五音疗法联合中药辨证治疗对肾虚肝郁型多囊卵巢综合征患者负性情绪及生活质量的影响[J]. 湖南中医药大学学报, 2023, 43(8): 1450-1454.
[58]	陈霞，周仲瑜. 阴阳调理灸结合五音疗法治疗痰湿质腹型肥胖42例[J]. 中国针灸, 2022, 42(11): 1260-1262. DOI: 10.13703/j.0255-2930.20220108-k0004.
[59]	辛玉. 天麻钩藤饮结合五行音乐疗法干预-阴虚阳亢型1级高血压临床研究[D]. 北京: 北京中医药大学, 2021.
[60]	中国心血管病预防指南(2017)写作组，中华心血管病杂志编辑委员会. 中国心血管病预防指南(2017)[J]. 中华心血管病杂志, 2018, 46(1):10-25.
[61]	中华中医药学会糖尿病基层防治专家委员会，杨叔禹. 国家糖尿病基层中医防治管理指南(2022)[J]. 中华糖尿病杂志, 2023(2): 100-117. DOI: 10.13288/j.11-2166/r.2022.24.017.
[62]	中国血脂管理指南修订联合专家委员会，王增武，李建军，等. 中国血脂管理指南(基层版2024年)[J]. 中国全科医学, 2024, 27(20): 2429-2436.
[63]	中医药健康服务发展规划(2015—2020年)[N]. 中国中医药报, 2015-05-08(002).
[64]	中共中央、国务院印发《"健康中国2030"规划纲要》[EB/OL]. (2016-10-26)[2025-07-03].
[65]	中华人民共和国国家卫生健康委员会. 成人糖尿病食养指南(2023年版)[J]. 全科医学临床与教育, 2023, 21(5): 388-391.
[66]	中华预防医学会糖尿病预防与控制专业委员会. 中国糖尿病行为与生活方式干预指南（2024版）[J]. 中国全科医学, 2025, 28(7):777-796. DOI：10.12114/j.issn.1007-9572.2024.0548.
[67]	李杰. 成人高血压合并2型糖尿病和血脂异常基层防治中国专家共识（2024年版）[J]. 中国全科医学, 2024, 27(28): 3453-3475. DOI：10.12114/j.issn.1007-9572.2024.0116.
[68]	ROCK C L, DOYLE C, DEMARK-WAHNEFRIED W, et al. Nutrition and physical activity guidelines for cancer survivors[J]. CA Cancer J Clin, 2012, 62(4): 243-274. DOI: 10.3322/caac.21142.
[69]	中华人民共和国国家卫生健康委员会. 成人高血压食养指南(2023年版)[J]. 全科医学临床与教育, 2023, 21(6): 484-485, 507.
[70]	中国高血压防治指南修订委员会，高血压联盟(中国)，中国医疗保健国际交流促进会高血压病学分会，等. 中国高血压防治指南(2024年修订版)[J]. 中华高血压杂志, 2024, 32(7): 603-700. DOI: 10.16439/j.issn.1673-7245.2024.07.002.
[71]	MCEVOY J W, MCCARTHY C P, BRUNO R M, et al. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension[J]. Eur Heart J, 2024, 45(38): 3912-4018.
[72]	吴蕾，许银姬，林琳. 慢性阻塞性肺疾病中医肺康复临床应用指南[J]. 中医杂志, 2021, 62(22): 2018-2024.
[73]	魏莉莉，刘海. 慢性阻塞性肺疾病临床康复循证实践指南[J]. 中国康复理论与实践, 2021, 27(1): 15-26.
[74]	CARLSON L E, ISMAILA N, ADDINGTON E L, et al. Integrative oncology care of symptoms of anxiety and depression in adults with cancer: society for integrative oncology-ASCO guideline[J]. J Clin Oncol, 2023, 41(28): 4562-4591. DOI: 10.1200/JCO.23.00857.
[75]	TAN R, CHEW S, CLEANTHOUS X, et al. Assessment of artificial and natural sweeteners present in packaged non-alcoholic beverages (NABs) sold on the Singapore market[J]. BMC Public Health, 2021, 21(1): 1866. DOI: 10.1186/s12889-021-11924-0.
[76]	鲁春丽，徐东，刘建平. 实施科学在中医药与中西医结合领域应用的设计思路与方法[J]. 中国中西医结合杂志, 2021, 41(9): 1113-1119.

核心要素	生活方式医学	中医学	LM+TCM医学干预模式
饮食	饮食模式的改变、摄入物质的控制	体质调理与食疗药膳	中医理论指导饮食，提供理论依据与临床实践
身体活动	宜适当运动，如减脂运动、抗阻力训练	体育锻炼、功法（太极拳、八段锦等）、穴位按压	综合身体活动，包括体育锻炼、传统功法、穴位按压
睡眠	保证稳定的睡眠时间与质量	根据四时变化调整睡眠养生	基于四季更迭调整慢性病患者的睡眠时间与质量
危险物质（烟、酒）	吸烟增加慢性病发生风险，建议戒烟；饮酒与慢性病关系尚无定论，建议适量饮酒或戒酒	烟酒均不宜，针对不同体质患者制定相应指南	吸烟、饮酒对不同体质患者有不同要求，按总体建议戒烟限酒
情绪和精神健康	维持良好的心理与情志，如正念、认知行为疗法等提高慢性病的防治效果	基于中医理论采用五音疗法及特色情志治疗	调控情绪，基于中医理论进行情志调节与五音疗法

核心要素	生活方式医学	中医学	LM+TCM医学干预模式
饮食	饮食模式的改变、摄入物质的控制	体质调理与食疗药膳	中医理论指导饮食，提供理论依据与临床实践
身体活动	宜适当运动，如减脂运动、抗阻力训练	体育锻炼、功法（太极拳、八段锦等）、穴位按压	综合身体活动，包括体育锻炼、传统功法、穴位按压
睡眠	保证稳定的睡眠时间与质量	根据四时变化调整睡眠养生	基于四季更迭调整慢性病患者的睡眠时间与质量
危险物质（烟、酒）	吸烟增加慢性病发生风险，建议戒烟；饮酒与慢性病关系尚无定论，建议适量饮酒或戒酒	烟酒均不宜，针对不同体质患者制定相应指南	吸烟、饮酒对不同体质患者有不同要求，按总体建议戒烟限酒
情绪和精神健康	维持良好的心理与情志，如正念、认知行为疗法等提高慢性病的防治效果	基于中医理论采用五音疗法及特色情志治疗	调控情绪，基于中医理论进行情志调节与五音疗法

核心因素	基础干预	加强干预
饮食	所有糖尿病患者^[65,66]，所有高脂血症人群^[36]，所有"三高"患者^[67]，所有癌症患者^[36]，所有高血压患者^[69,70,71]，所有慢性阻塞性肺疾病患者^[72]	糖尿病中血糖控制不佳、消瘦、妊娠患者^[65]，癌症中食欲减退、营养不良患者^[68]，高血压中伴肾功能不全、更年期女性患者^[69]，高血压中盐敏感、肥胖患者^[70]
身体活动	所有糖尿病患者^[67,68]，所有高脂血症人群^[36]，所有"三高"患者^[69]，所有癌症患者^[68]，所有高血压患者^[69,70,71]，所有慢性阻塞性肺疾病患者^[72,73]	糖尿病中消瘦、老年患者^[65]，特定癌症患者^[68]，高血压中肥胖患者^[70]，高血压伴心力衰竭、糖尿病患者^[71]，高血压中老年患者^[71]
睡眠	所有"三高"患者^[67]，所有高血压患者^[69,70]	慢性阻塞性肺疾病伴焦虑、抑郁患者^[73]
危险物质（烟、酒）	所有糖尿病患者^[65,66]，所有"三高"患者^[67]，所有癌症患者^[68]，所有高血压患者^[69,70,71]，所有慢性阻塞性肺疾病患者^[73]	慢性阻塞性肺疾病高危患者^[73]
情绪和精神健康	所有"三高"患者^[67]，所有高血压患者^[70]，所有癌症患者^[74]	糖尿病中抑郁、糖尿病痛苦患者^[66]，"三高"中基础干预效果不佳或合并心理障碍患者^[67]，癌症中有心理障碍、行为依从性问题患者^[68,74]，高血压中抑郁、焦虑患者^[70]，慢性阻塞性肺疾病伴焦虑、抑郁患者^[73]

核心因素	基础干预	加强干预
饮食	所有糖尿病患者^[65,66]，所有高脂血症人群^[36]，所有"三高"患者^[67]，所有癌症患者^[36]，所有高血压患者^[69,70,71]，所有慢性阻塞性肺疾病患者^[72]	糖尿病中血糖控制不佳、消瘦、妊娠患者^[65]，癌症中食欲减退、营养不良患者^[68]，高血压中伴肾功能不全、更年期女性患者^[69]，高血压中盐敏感、肥胖患者^[70]
身体活动	所有糖尿病患者^[67,68]，所有高脂血症人群^[36]，所有"三高"患者^[69]，所有癌症患者^[68]，所有高血压患者^[69,70,71]，所有慢性阻塞性肺疾病患者^[72,73]	糖尿病中消瘦、老年患者^[65]，特定癌症患者^[68]，高血压中肥胖患者^[70]，高血压伴心力衰竭、糖尿病患者^[71]，高血压中老年患者^[71]
睡眠	所有"三高"患者^[67]，所有高血压患者^[69,70]	慢性阻塞性肺疾病伴焦虑、抑郁患者^[73]
危险物质（烟、酒）	所有糖尿病患者^[65,66]，所有"三高"患者^[67]，所有癌症患者^[68]，所有高血压患者^[69,70,71]，所有慢性阻塞性肺疾病患者^[73]	慢性阻塞性肺疾病高危患者^[73]
情绪和精神健康	所有"三高"患者^[67]，所有高血压患者^[70]，所有癌症患者^[74]	糖尿病中抑郁、糖尿病痛苦患者^[66]，"三高"中基础干预效果不佳或合并心理障碍患者^[67]，癌症中有心理障碍、行为依从性问题患者^[68,74]，高血压中抑郁、焦虑患者^[70]，慢性阻塞性肺疾病伴焦虑、抑郁患者^[73]

Construction and Prospect of a Distinctive Medical Intervention Model for Chronic Disease Management Integrating Lifestyle Medicine and Traditional Chinese Medicine

整合生活方式医学与中医学特色慢性病管理的医学干预模式构建与展望

RichHTML

PDF

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 76

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	GE Aoqi, GAO Xinyi, LI Jiawei, LI Juanjuan, YUAN Beibei. Education Training on Health Behaviors Management of Chronic Diseases among Primary Care Providers: a Systematic Review and Meta-analysis [J]. Chinese General Practice, 2026, 29(09): 1109-1120.
[2]	LI Ruifeng. The Modernization Path of Chinese Medicine Governance Based on the Revitalization and Development of Chinese Medicine [J]. Chinese General Practice, 2026, 29(07): 839-843.
[3]	Institute for Healthy China, Tsinghua University, School of Public Health, Peking University, College of General Practice, Southern University of Science and Technology, Public Health Security and Health Professional Committee, Public Safety Science and Technology Society. Expert Consensus on Health Promotion Strategies for Adult Vaccination in China [J]. Chinese General Practice, 2026, 29(06): 681-687.
[4]	TIAN Rong, LI Kaiyang, YANG Mei, HUANG Jing, ZHANG Fei, ZHAO Qi. Current Situation Analysis of Outcome Indexes of Randomized Controlled Trial on Treatment of Peptic Ulcer with Chinese Medicine [J]. Chinese General Practice, 2026, 29(05): 656-667.
[5]	Guideline Working Group of Integrated Traditional Chinese and Western Medicine Management for Chronic Obstructive Pulmonary Disease. Guidelines of Integrated Traditional Chinese and Western Medicine for Diagnosis and Treatment of Chronic Obstructive Pulmonary Disease (2025 Edition) [J]. Chinese General Practice, 2026, 29(04): 409-422.
[6]	ZHOU Rui, JIN Yue, LIU Tingting, CAI Kerun, CUI Yiyuan, LI Sicong, LIU Lixing, FENG Li, the Working Group for the Clinical Practice Guideline for the Secondary Bone Malignancy with Integrated Traditional Chinese and Western Medicine. Guidelines for Diagnosis and Treatment of Secondary Malignant Tumors of Bone Combined with Traditional Chinese and Western Medicine [J]. Chinese General Practice, 2026, 29(04): 423-435.
[7]	LI Xi, LIU Jue. Artificial Intelligence Empowers Primary Healthcare Services: Progress and Challenges [J]. Chinese General Practice, 2026, 29(04): 436-443.
[8]	LI Linghui, WEI Xu, QIN Xiaokuan, ZHANG Yili, XU Xilin, YANG Shaofeng, FENG Tianxiao, WANG Zhenyu, YANG Kexin, SUN Kai, ZHU Liguo. Construction of an Innovative Model for Driving Community Bone Health Management through Family Doctor Contracted Services [J]. Chinese General Practice, 2026, 29(03): 348-354.
[9]	LI Liqing, WAN Jiawen, ZENG Chuanmei, LIN Huiying. The Management Approach and Implementation Path for Major Chronic Diseases in Jiangxi Province: Focusing on the Integration of Medical Care and Prevention under the Framework of "Modernizing Health and Hygiene" [J]. Chinese General Practice, 2026, 29(03): 340-347.
[10]	JIANG Rui, CHANG Guangming, XU Lingling, ZHOU Yuhan, WEI Xinrui, YANG Min, YUE Lu, HUANG Lyuzhuang, WANG Yongchen. Intervention Strategies for Optimizing Chronic Disease Management in Primary Healthcare Services in China: a Perspective Based on Antifragility Development Theory [J]. Chinese General Practice, 2026, 29(01): 17-23.
[11]	XIAO Junjie, HE Jiawei, ZENG Xiao, XIANG Hongxia, LEI Mao, ZHENG Ruyi, ZHENG Chuan, REN Yifeng, YOU Fengming, FU Xi, MA Qiong. Exploring the Causal Relationship between Circadian Rhythm Disorders and Lung Cancer and Potential Interventional Traditional Chinese Medicine [J]. Chinese General Practice, 2025, 28(36): 4605-4618.
[12]	YANG Yingtian, LYU Qianyu, WU Qian, HOU Xinzheng, SONG Jianjun, YE Xuejiao, YANG Chenyan, WANG Shihan. Efficacy of Five-body Balance Exercise on Obesity-related Hypertension Based on the Rehabilitation Model of "Hospital-Gym-Community" : a Randomized Controlled Trial [J]. Chinese General Practice, 2025, 28(32): 4038-4046.
[13]	LI Zanmei, LI Jiao, YANG Lin, MA Liangkun, XUAN Lei, YAO Weiwei. Pregnant and Postpartum Women's Intention to Use Traditional Chinese Medicine and Its Influencing Factors [J]. Chinese General Practice, 2025, 28(32): 4082-4088.
[14]	YAN Xinfeng, YU Chuanning, CAO Sijing, YIN Daogen, SHAN Xiaotao, WANG Yijing, XIE Pei, ZHAO Jie, YANG Weiyi, LIU Gang, HAN Xinxin. Digitally Enabled Generalist-Specialist Collaborative Care on Chronic Care Management of Community under the National Basic Public Health Service: Practical Exploration and Early Achievement [J]. Chinese General Practice, 2025, 28(31): 3897-3903.
[15]	LI Hao, LI Peijin, LIU Tingting, CUI Yiyuan, LI Sicong, LIU Lixing, FENG Li, Working Group on Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment Guidelines for Cancer Pain. Guidelines on the Diagnosis and Treatment of Cancer Pain by Integrated Traditional Chinese and Western Medicine [J]. Chinese General Practice, 2025, 28(30): 3729-3740.