CAJ | 학술논문

本文对陈可冀院士在老年医学、心血管病防治、清宫医案整理等多方面取得的成果进行总结。陈老师基于全球人口老龄化的现状和我国丰富的老年医学理论和经验，形成了自己老年医学的研究特色和体系。陈老师建议对长寿老人进行社会性的调查研究，观察总结长寿的经验；并提出在长寿社会调查的研究思路和方法学上，需要进一步完善的问题，包括：明确调查对象和长寿的标准；结合中医老年病学理论和经验，应用多元分析方法，进行社会性考察，探索长寿规律，注意准确性。与临床治疗治疗相比，预防疾病和提高健康水平是有效控制衰老的更有效手段。对老年失能者，要建立多学科合作，社会、家庭、医疗机构共同参与的“大康复”机制。介绍了其通过对清代宫廷医案进行整理挖掘，优选出的一批清宫最为常用的方剂（包括食疗方），并证实了其在老年病的防治中具有很好的应用价值。阐述了陈院士对血栓性疾病病机的认识和治疗观念，并介绍了其在中西医结合治疗血管老化、冠心病及支架植入术后再狭窄、心衰等方面的经验。
본문대진가기원사재노년의학、심혈관병방치、청궁의안정리등다방면취득적성과진행총결。진로사기우전구인구노령화적현상화아국봉부적노년의학이론화경험，형성료자기노년의학적연구특색화체계。진로사건의대장수노인진행사회성적조사연구，관찰총결장수적경험；병제출재장수사회조사적연구사로화방법학상，수요진일보완선적문제，포괄：명학조사대상화장수적표준；결합중의노년병학이론화경험，응용다원분석방법，진행사회성고찰，탐색장수규률，주의준학성。여림상치료치료상비，예방질병화제고건강수평시유효공제쇠로적경유효수단。대노년실능자，요건립다학과합작，사회、가정、의료궤구공동삼여적“대강복”궤제。개소료기통과대청대궁정의안진행정리알굴，우선출적일비청궁최위상용적방제（포괄식료방），병증실료기재노년병적방치중구유흔호적응용개치。천술료진원사대혈전성질병병궤적인식화치료관념，병개소료기재중서의결합치료혈관노화、관심병급지가식입술후재협착、심쇠등방면적경험。
This article summarized the various achievements that Academician Chen Keji had acquired in geriatrics,prophylaxis and treatment of cardiovascular disease,and research on the Qing court clinical records.He had put forward with his own research system in geriatrics with unique feature based on the global aging situation and Chinese various theories and rich experiences in geriatrics.He suggested conducting social researches towards the longevous to summarize the experiences of prolonging life and also came up with the points needed further improvements in terms of thought and methodology of the social investigation.It included defining the respondents and the standard of longevity,exploring rules of longevity by employing multiple analyzing methods combi-ning theories and experiences of TCMin geriatrics,and paying more attention to the accuracy.He said that compared with medical treatments,disease prevention and improvement of health conditions were more effective to slow the aging process.As to the disa-bled elders,he thought we should establish a “Perfect Rehabilitation”mechanism which was based on interdisciplinary cooperation and also participation of various society,family and medical institutions.This article introduced the most practical prescriptions ac-quired by Chen Keji’s research on the Qing court clinical records and verified the value of application on prophylaxis and treatment of senile disease.It also stated Chen Keji’s understanding of pathogenesis of thrombotic diseases as well as the treating conception, and his experiences on treating vascular aging by combination of TCM and western medicine,and on treating coronary heart dis-ease,coronary restenosis after stent placement and congestive heart failure.