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医学范式转变:将自然疗法融入慢性病治疗:想遵循慢性病治疗的最佳实践吗?不妨看看自然疗法医生。

Paradigm Shift in Medicine: Integrating Naturopathic Care in the Treatment of Chronic Disease: Want to follow best practices in chronic disease treatment? Look to naturopathic physicians.

作者信息

Simon Michelle, Katz David L

机构信息

President and CEO, Institute for Natural Medicine, USA.

Founder, CEO, Diet ID, Founder, True Health Initiative, Past President, American College of Lifestyle Medicine, USA.

出版信息

Explore (NY). 2024 Jan-Feb;20(1):7-9. doi: 10.1016/j.explore.2023.07.002. Epub 2023 Jul 7.

DOI:10.1016/j.explore.2023.07.002
PMID:37507288
Abstract

The current healthcare system too often relies on prescription drugs, leading to increased opioid use and addiction, despite major medical organizations recommending non-drug approaches as the primary treatment in many conditions. The importance of lifestyle changes to achieving whole-person health is increasingly recognized. Nature-based medicine, as routinely practiced by naturopathic physicians provide a valuable and noteworthy alternative approach featuring lifestyle intervention to chronic pain and disease management. These physicians undergo extensive training in holistic models of care and apply a systematic approach called the Therapeutic Order, which focuses on addressing the underlying cause of symptoms and using the least force necessary for treatment. Improved outcomes are realized with multifactorial personalized treatment plans including lifestyle, nutrition, stress management, and physical activity. Integrative medicine is on the rise and we support the shift to the inclusion of a patient-centered approach in the management of chronic pain and disease. Nothing in the practice of natural, holistic medicine precludes respect for science, and the reliance on evidence. Rather, medicine is at its best when practice can draw from the best offerings of all pertinent fields.

摘要

当前的医疗保健系统过于依赖处方药,导致阿片类药物的使用和成瘾增加,尽管主要医学组织建议在许多情况下将非药物方法作为主要治疗手段。人们越来越认识到生活方式改变对实现整体健康的重要性。自然疗法医生常规施行的自然医学提供了一种有价值且值得注意的替代方法,其特点是对慢性疼痛和疾病管理进行生活方式干预。这些医生接受了全面护理模式的广泛培训,并应用一种称为“治疗顺序”的系统方法,该方法侧重于解决症状的根本原因,并使用治疗所需的最小力度。通过包括生活方式、营养、压力管理和体育活动在内的多因素个性化治疗计划,可以实现更好的治疗效果。整合医学正在兴起,我们支持在慢性疼痛和疾病管理中转向采用以患者为中心的方法。自然、整体医学的实践中没有任何东西排除对科学的尊重和对证据的依赖。相反,当实践能够借鉴所有相关领域的最佳成果时,医学才能发挥出最佳效果。

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