Kaptchuk T J, Eisenberg D M
Center for Alternative Medicine Research, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass 02215, USA.
Arch Intern Med. 1998 Nov 9;158(20):2215-24. doi: 10.1001/archinte.158.20.2215.
Chiropractic is an important component of the US health care system and the largest alternative medical profession. In this overview of chiropractic, we examine its history, theory, and development; its scientific evidence; and its approach to the art of medicine. Chiropractic's position in society is contradictory, and we reveal a complex dynamic of conflict and diversity. Internally, chiropractic has a dramatic legacy of strife and factionalism. Externally, it has defended itself from vigorous opposition by conventional medicine. Despite such tensions, chiropractors have maintained a unified profession with an uninterrupted commitment to clinical care. While the core chiropractic belief that the correction of spinal abnormality is a critical health care intervention is open to debate, chiropractic's most important contribution may have to do with the patient-physician relationship.
整脊疗法是美国医疗保健系统的重要组成部分，也是最大的替代医学专业。在这篇整脊疗法概述中，我们审视其历史、理论及发展；其科学证据；以及其医学艺术方法。整脊疗法在社会中的地位是矛盾的，我们揭示了冲突与多样性的复杂动态。在内部，整脊疗法有着激烈冲突和派系纷争的戏剧性历史。在外部，它抵御了传统医学的强烈反对。尽管存在这些紧张关系，整脊治疗师们仍维持着一个统一的专业，并始终致力于临床护理。虽然整脊疗法的核心信念——纠正脊柱异常是一项关键的医疗保健干预措施——有待商榷，但整脊疗法最重要的贡献可能与医患关系有关。
