Pham Duong Duc, Cha Seongwon, Kim Jong Yeol
Korea Institute of Oriental Medicine, Daejeon, Korea.
National Hospital of Traditional Medicine, Hanoi, Viet Nam.
Integr Med Res. 2013 Mar;2(1):1-6. doi: 10.1016/j.imr.2013.01.001. Epub 2013 Jan 25.
There has been a rapid increase in tailored medicine that emphasizes the complex inter-individual interactions, and this increase has paralleled recent significant achievements in genomics and Systems Biology. However, attempts to create a virtual human have been limited to low-levels of organization, such as gene-protein networks, due to the lack of systematic concepts at the higher levels of organisms (organ, individual, and environment). Constitutional perspective of various forms of traditional Asian medicine through the ancient, middle, and modern eras, particularly the holistic approach of Sasang constitutional medicine (SCM), may provide a novel framework for creating tailored medicine. This article aims to review the theoretical development of traditional Chinese medicine and the initiation of SCM in addition to summarizing current evidence on the genetic basis, bio-physiological features, and risk of disease of different SCM phenotypes. We also suggest that the patho-physiological principle and scientific evidence underlying SCM, particularly for the TaeEum type, can be effective in dealing with obesity-linked disease, which is a predominant disease in today's society.
强调个体间复杂相互作用的精准医学发展迅速,这一发展与基因组学和系统生物学领域近期的重大成就同步。然而,由于在生物体的更高层次(器官、个体和环境)缺乏系统的概念,创建虚拟人类的尝试仅限于较低层次的组织,如基因 - 蛋白质网络。纵观古代、中世纪和现代不同形式的亚洲传统医学,尤其是四象体质医学(SCM)的整体方法,可能为创建精准医学提供一个新的框架。本文旨在回顾中医的理论发展以及SCM的起源,此外还将总结当前关于不同SCM表型的遗传基础、生物生理特征和疾病风险的证据。我们还认为,SCM的病理生理原理和科学证据,特别是太阴人类型的,对于应对肥胖相关疾病可能是有效的,而肥胖相关疾病是当今社会的主要疾病。