Mills Paul J, Patel Sheila, Barsotti Tiffany, Peterson Christine Tara, Chopra Deepak
1 University of California, San Diego, La Jolla, CA, USA.
2 Mind-Body Medical Group, The Chopra Center for Wellbeing, Carlsbad, CA, USA.
J Evid Based Complementary Altern Med. 2017 Oct;22(4):527-530. doi: 10.1177/2156587217745408. Epub 2017 Dec 17.
While the intention of Integrative Medicine (IM) is whole person medicine, it has for the most part remained driven by individual modalities. Like the practice of IM itself, IM research too has been driven primarily by studies on individual modalities. There are significant challenges to moving research on whole systems medicine forward, with funding being at the top of the list. Historically, NIH has not been receptive to supporting research on whole systems, preferring instead to support studies that are more individual modality driven so that mechanisms can be identified. Purely mechanistic research, however, assumes unidirectional causality and linear responses yet clinical responses to whole systems approaches are more often multidirectional and dynamically unpredictable. The concept of emergence is applicable here. Whole systems approaches suggest that by incorporating therapies into holistic treatment programs we not only treat symptoms but accomplish more by activating the body's inherent self-organizing healing mechanisms and treat the root cause of illnesses as well as associated symptoms. Given that interest in integrative therapies with the general public and medical community is steadily increasing, there is need for more research that explores intact whole systems approaches to elucidate the relevant system-wide effects and dynamic interactions related to these practices.
虽然整合医学(IM)的目标是实现全人医疗,但在很大程度上它仍然由各个治疗方法驱动。与IM本身的实践一样,IM研究也主要由针对各个治疗方法的研究驱动。推进全系统医学研究面临重大挑战,资金问题首当其冲。从历史上看,美国国立卫生研究院(NIH)一直不太愿意支持全系统研究,而是更倾向于支持那些更多由个别治疗方法驱动的研究,以便能够确定其机制。然而,纯粹的机制性研究假定存在单向因果关系和线性反应,而全系统方法的临床反应往往是多向的且动态不可预测的。涌现概念在此适用。全系统方法表明,通过将各种疗法纳入整体治疗方案,我们不仅可以治疗症状,还能通过激活人体固有的自组织愈合机制取得更多成效,从而治疗疾病的根本原因以及相关症状。鉴于公众和医学界对整合疗法的兴趣在稳步增加,需要开展更多研究来探索完整的全系统方法,以阐明与这些疗法相关的全系统效应和动态相互作用。