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肌肉骨骼疼痛的整合医学——基于临床经验的一种提议模型

Integrative medicine for musculoskeletal pains - A proposed model based on clinical experience.

作者信息

Shete Kiran, Potdar Shraddha

机构信息

Spinalogy Clinic, Pune, India.

Spinalogy Clinic, Pune, India.

出版信息

J Ayurveda Integr Med. 2024 Jan-Feb;15(1):100858. doi: 10.1016/j.jaim.2023.100858. Epub 2024 Jan 12.

DOI:10.1016/j.jaim.2023.100858
PMID:38217982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10825606/
Abstract

With an increasing number of chronic diseases and related disabilities, modern medicine is falling short of offering definitive, cost-effective, long-term solutions. As we realize contemporary medicine's limitations and side effects, we are gravitating towards whole-person care. Taking learnings from integrative medicine treatment of musculoskeletal pains, I comprehended that a paradigm shift is needed in thinking about etiopathogenesis and diagnosing disease. Different healing possibilities can be identified in humans if we shift our focus from reductionist science to whole-person care. Each health condition is an outcome of disturbed homeostasis involving multiple body systems. Based on homeostatic balancing principles and clinical experience, five interrelated and interdependent pathways are discussed. Based on these pathways, a working model of integrative medicine is presented. It can act as a template for medical practitioners to start integrative medicine practice for the benefit of patients. To make integrative medicine mainstream, there is a need to standardize care, frame regulations, train and educate the practitioners. At the same, it shall be put to rigorous scientific experimentation, research, and scrutiny.

摘要

随着慢性病及相关残疾数量的不断增加,现代医学在提供明确、经济高效的长期解决方案方面存在不足。当我们意识到当代医学的局限性和副作用时,我们正趋向于全人护理。从整合医学治疗肌肉骨骼疼痛中汲取经验教训后,我认识到在病因发病机制的思考和疾病诊断方面需要范式转变。如果我们将关注点从还原论科学转向全人护理,就能在人类身上发现不同的治愈可能性。每种健康状况都是涉及多个身体系统的内稳态失衡的结果。基于内稳态平衡原则和临床经验,讨论了五条相互关联且相互依存的途径。基于这些途径,提出了一个整合医学的工作模型。它可以作为医疗从业者开展整合医学实践以造福患者的模板。为使整合医学成为主流,需要规范护理、制定法规、培训和教育从业者。与此同时,它应接受严格的科学实验、研究和审查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f09/10825606/4e3fcc758bde/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f09/10825606/17a3ae102cda/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f09/10825606/4e3fcc758bde/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f09/10825606/17a3ae102cda/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f09/10825606/4e3fcc758bde/gr2.jpg

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