Nair Pradeep Mk, Silwal Karishma, Arankale Dhananjay, Sharma Hemanshu, Tewani Gulab Rai
PhD Scholar, Professor and Head, Research.
Assistant Professor, Obstetrics and Gynecology.
Integr Med (Encinitas). 2023 Jul;22(3):38-43.
One of the governing principles of naturopathic medicine is the concept of Unity of Disease and Unity of Cure (UDUC). Many naturopathic physicians and students find it challenging to provide a scientific basis for UDUC because conventionally every disease has varying etiologies.
The review intended to explore the basis of UDUC, examining the available theoretical evidence around this fundamental tenet of naturopathic medicine, to promote its effective use when consulting new patients and planning the subsequent treatment.
The research team performed a narrative review by searching PubMed, PubMed central, Scopus, Google scholar databases, textbooks on naturopathy and websites of professional bodies representing naturopathic medicine. The search used the keywords 'Naturopathic Medicine', 'Naturopathy', 'Holism', 'Self-healing', 'Pyschosocial determinants and health', 'unity of disease and unity of cure', 'health and disease', 'Multi-model approach', 'whole-system practice' and 'Global naturopathic practice'.
The review took place at Sant Hirdaram Medical College of Naturopathy and Yogic Sciences for women in Bhopal, Madhya Pradesh, India.
The present review provides a comprehensive overview of the scientific evidence behind UDUC under four layers: psychological factors, lifestyle factors, physiological alterations, and disease manifestation. The data presented in this review substantiate the presence of these four layers in the manifestation of various clinical conditions like musculoskeletal disorders, obstetric and gynecological disorders, cardiometabolic disorders, infectious disorders, and gastrointestinal disorders.
It's very evident that the global naturopathic profession embraces traditional philosophies as the core of their practices. However, the field needs measures, such as the formulation of international working groups and the organization of continuous medical-education programs, congresses, and exchange programs, to facilitate crosstalk among practitioners from different parts of the world, which may assert the importance of philosophical tenets such as UDUC in clinical practice.
自然疗法医学的一项指导原则是疾病统一与治愈统一的概念（UDUC）。许多自然疗法医生和学生发现，由于传统上每种疾病都有不同的病因，因此很难为UDUC提供科学依据。
本综述旨在探讨UDUC的基础，研究围绕自然疗法医学这一基本原则的现有理论证据，以促进在咨询新患者和规划后续治疗时有效运用该原则。
研究团队通过搜索PubMed、PubMed中心、Scopus、谷歌学术数据库、自然疗法教科书以及代表自然疗法医学的专业机构网站进行了叙述性综述。搜索使用了“自然疗法医学”“自然疗法”“整体论”“自我修复”“心理社会决定因素与健康”“疾病统一与治愈统一”“健康与疾病”“多模式方法”“全系统实践”和“全球自然疗法实践”等关键词。
该综述在印度中央邦博帕尔的圣希拉丹拉姆女子自然疗法与瑜伽科学医学院进行。
本综述在心理因素、生活方式因素、生理改变和疾病表现这四个层面下，对UDUC背后的科学证据进行了全面概述。本综述中呈现的数据证实了这四个层面在各种临床病症（如肌肉骨骼疾病、妇产科疾病、心脏代谢疾病、感染性疾病和胃肠道疾病）表现中的存在。
很明显，全球自然疗法行业将传统理念作为其实践的核心。然而，该领域需要采取一些措施，如组建国际工作组以及组织持续医学教育项目、大会和交流项目，以促进世界各地从业者之间的交流，这可能会彰显诸如UDUC等哲学原则在临床实践中的重要性。
