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美国原住民医学在慢性病治疗中的应用:制定综合方案并评估其有效性。

Native American medicine in the treatment of chronic illness: developing an integrated program and evaluating its effectiveness.

作者信息

Mehl-Madrona L E

机构信息

Center for Complementary Medicine, University of Pittsburgh Medical Center, USA.

出版信息

Altern Ther Health Med. 1999 Jan;5(1):36-44.

PMID:9893314
Abstract

Traditional Native American healing practices are increasingly sought after by Native Americans as well as non-Natives. A series of meetings between traditional Native American healers and the author resulted in dialogues on the Native American worldview and biomedicine. Recommendations arose for how Native American treatment should proceed in the modern world and how to effectively introduce interested non-Natives to Native American healing practices. An approach for bridging cultures to facilitate the interaction of non-Natives with traditional healers was developed. A total of 116 patients were treated by the author in conjunction with traditional Native American healers. More than 80% of patients showed significant, persistent benefits from a time-intensive treatment program. A comparison group consisting of patients from the author's emergency room practice had significantly lower rates of improvement. An intensive program inspired by Native American practices lasting 7 to 10 days can achieve both health benefits and improved cost-effectiveness in the treatment of chronic physical illness. The treatment philosophy underlying this approach is best described as a dynamic energy system. Within this theoretical framework, physical illness, which is viewed as simultaneously spiritual, mental, and physical, can be treated by counseling and ceremony. Due to the interaction and hierarchical nature of these levels, intervention at any one level affects the others.

摘要

美国原住民的传统治疗方法越来越受到美国原住民以及非原住民的追捧。美国原住民传统治疗师与作者之间进行了一系列会面,引发了关于美国原住民世界观和生物医学的对话。针对美国原住民治疗在现代社会应如何开展,以及如何有效地向感兴趣的非原住民介绍美国原住民治疗方法,提出了建议。开发了一种跨文化的方法,以促进非原住民与传统治疗师的互动。作者与美国原住民传统治疗师共同治疗了116名患者。超过80%的患者从一个耗时较长的治疗方案中获得了显著且持久的益处。由作者急诊室的患者组成的对照组改善率明显较低。受美国原住民治疗方法启发、为期7至10天的强化治疗方案,在治疗慢性身体疾病方面既能带来健康益处,又能提高成本效益。这种治疗方法背后的治疗理念最好被描述为一个动态能量系统。在这个理论框架内,身体疾病被视为同时具有精神、心理和身体层面,可通过咨询和仪式进行治疗。由于这些层面相互作用且具有层级性,在任何一个层面进行干预都会影响其他层面。

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