Ryan Terence J
Department of Dermatology, Churchill Hospital, Old Road, Headington, Oxford OX3 7LJ, UK.
Indian J Dermatol. 2013 Mar;58(2):132-41. doi: 10.4103/0019-5154.108049.
The meaning of terms Integrated and Integrative are described variously by an amalgam of latest scientific advances with ancient healing systems, of complementary medicine and biomedicine, and sexually transmitted infections and HIV/AIDS. It means seamless good quality care between hospital and primary care. They provoke approval mostly from patients and disapproval mostly from advocates of science and evidence-based medicine. The Institute of Applied Dermatology in Kasaragod, Kerala, India has championed a mix of Biomedicine, Yoga and herbals from Ayurvedic medicine, partly based on publications from the Department of Dermatology of the University of Oxford. In Oxford dermatology, acceptance of value of integrative medicine (IM) is demonstrated, especially in wound healing and the skin's blood supply. This has long featured in the university's research program. A variety of approaches to the practice of medicine are illustrated with reference to Osler, Garrod, and Doll. IM is believed to underlie contemporarily best practice. Particular emphasis is given to the control of heat, pain, redness, and swelling, all manifestations of inflammation, and the importance of emotion as a stimulus or inhibitor carried by neural pathways. These may explain some unbelievable Asian practices and one of the many roles of Yoga. The concept of Integrative is expanded to include care of the earth and nutrition, the hazards of climate change, Gardens for Health, do (k) no (w) harm as a key to good practice.
“综合”和“整合”这两个术语的含义,在最新科学进展与古代治疗体系、补充医学与生物医学、性传播感染与艾滋病毒/艾滋病的融合中有着不同的描述。它意味着医院和初级保健之间无缝的优质护理。它们大多得到患者的认可,却大多遭到科学及循证医学倡导者的反对。印度喀拉拉邦卡萨戈德的应用皮肤病学研究所倡导将生物医学、瑜伽以及阿育吠陀医学中的草药相结合,部分依据牛津大学皮肤科的出版物。在牛津皮肤科,整合医学(IM)的价值得到认可,尤其在伤口愈合和皮肤血液供应方面。这在该大学的研究项目中早已有所体现。文中参照奥斯勒、加罗德和多尔的观点阐述了多种医学实践方法。整合医学被认为是当代最佳实践的基础。特别强调了对热、疼痛、红肿和肿胀(炎症的所有表现)的控制,以及情绪作为神经通路所携带的刺激或抑制因素的重要性。这些或许可以解释一些令人难以置信的亚洲疗法以及瑜伽的诸多作用之一。“整合”的概念被扩展到包括对地球的关爱和营养、气候变化的危害、健康花园,“不造成伤害”是良好实践的关键。