Ferreira Arthur de Sá, de Moura Nathalia Gomes Ribeiro
Arthur de Sá Ferreira, Nathalia Gomes Ribeiro de Moura, Laboratory of Computation Simulation and Modeling in Rehabilitation, Postgraduate Program of Rehabilitation Science, Centro Universitário Augusto Motta/UNISUAM, CEP 21041-010, Rio de Janeiro, Brazil.
World J Cardiol. 2014 May 26;6(5):295-303. doi: 10.4330/wjc.v6.i5.295.
High blood pressure is among the most prevalent chronic disease in adults that impacts on the quality of life of patients, which are often subjected to physical rehabilitation. Chinese medicine intervention in patients with hypertension presents promising albeit inconclusive results, mostly due to methodological issues. This paper discusses asserted and neglected issues linking evidence-based and Chinese medicines as related to systemic arterial hypertension, as well as their impact on the physical rehabilitation of those patients. On the one hand, natural history of hypertension, pulse palpation, and herbal therapy are among the asserted issues because of the scientific evidence collected about them, either in favor or against its integration to the current medical practice. On the other hand, anatomical variations of vessels and comparative physiology are among the most commonly neglected issues because previous researches on integrative medicine ignored the possible effects of these issues as related to the study's outcome. The asserted issues highlighted in this paper stimulate the increasing use of Chinese medicine for health care and the continuity of research on integrative medicine in the cardiovascular field for rehabilitation. The neglected issues poses additional challenges that must not be overlooked in future research on this topic so that the integration of both traditional and current knowledge may be of benefit to the population with cardiovascular disease.
高血压是成年人中最普遍的慢性病之一，会影响患者的生活质量，这些患者常需接受身体康复治疗。中医对高血压患者的干预虽有前景但结果尚无定论，主要是由于方法学问题。本文讨论了与系统性动脉高血压相关的循证医学和中医之间既已明确和被忽视的问题，以及它们对这些患者身体康复的影响。一方面，高血压的自然病史、脉象触诊和草药疗法属于既已明确的问题，因为已收集到关于它们的科学证据，无论是支持还是反对将其纳入当前医疗实践。另一方面，血管的解剖变异和比较生理学是最常被忽视的问题，因为以往的中西医结合研究忽略了这些问题可能对研究结果产生的影响。本文强调的既已明确的问题促进了中医在医疗保健中的更多应用，以及心血管领域中西医结合康复研究的持续开展。被忽视的问题带来了额外挑战，在未来关于该主题的研究中绝不能忽视，以便传统知识与现有知识的整合可能造福心血管疾病患者群体。
