Scarzella R, Ronchi D, De Michelis V, Scarzella L, Trebini F
Minerva Med. 1983 Apr 14;74(16):893-9.
After a definition of the condition and a discussion of its physiopathological significance, the need to examine the patient as a whole and provide total therapy is emphasised with reference to both the literature and personal cases. It is concluded: 1) that the mesodiencephalic structures, especially the hypothalamus, are of primary importance in human physiological and pathological processes. The hypothalamus is the real brain of the viscera, the functional bridge between the hypophysis, the limbic structures and the upper cortical centres; 2) that doctors should consider the role of the hypothalamus in the diagnosis and therapy of the total person: a) in evaluating the patient's real emotional and psychological situation; b) in realising that the simple administration of a drug to cure the organic symptom really means only partial treatment of the patient himself.
在对该疾病进行定义并讨论其生理病理意义之后，结合文献和个人病例强调了对患者进行全面检查并提供整体治疗的必要性。得出以下结论：1）中脑结构，尤其是下丘脑，在人类生理和病理过程中具有首要重要性。下丘脑是内脏的真正大脑，是垂体、边缘系统结构和上层皮质中枢之间的功能桥梁；2）医生应考虑下丘脑在对患者整体的诊断和治疗中的作用：a）在评估患者真实的情感和心理状况时；b）在认识到单纯使用药物治疗器质性症状实际上仅意味着对患者本人进行部分治疗时。
