从心肺复苏、心肺运动试验、心肺耦合到生理医学一体化新理论

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引用次数: 0

摘要

孙兴国自2011年在APS会议上首次提出的“生理医学整体一体化”是一个全新的人类生理医学概念。它起源于中西医药哲学和文化。它借鉴了王元畅和Kouwenhoven的心肺复苏(CPR)、Karlman-Wasserman的心肺运动测试(CPET)、心肺耦合(CPC)和综合生理学等系统的耦合思想。HIPM的概念总是不仅结合了“整体”,而且结合了“综合”(而不是综合),不仅结合了时间,还结合了空间,人类生理学与医学不仅是正常的(即生理学),而且是异常的(即病理生理学和医学):只有一个不可分割的整体,即人类所有的功能系统及其控制和调节都是内部一体化的,而不是系统生理学中两个或多个系统的一个接一个的一体化系统。HIPM通过整合人体内的所有系统来探讨神经体液控制和调节的机制。我们描述了HIPM理论的大致结构框架,并清楚地解释了慢性病患者在生理、医学和病理生理机制方面的许多独特问题。有了HIPM,我们可以在临床医学中广泛应用CPET、CPC和持续功能监测的方法进行准确诊断和鉴别诊断、评估、训练、治疗、康复、预后和预防。我们还可以准确、定量地管理CD,并在中国初步成功地将优化的传统治疗、康复、医疗保健和管理、饮食、锻炼、睡眠和生活方式改变相结合。HIPM的实施和推广具有良好的机遇和前景。HIPM是人类生理学和医学的未来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From Cardiopulmonary Resuscitation, Cardiopulmonary Exercise Test and Cardiopulmonary Coupling to NewTheory of Holistic Integrative Physiology and Medicine
The Holistic Integrative Physiology and Medicine (HIPM), which was firstly purposed by Xing-Guo Sun since 2011 at APS conference, is a brand-new concept of physiology and medicine for human being. It originated from the philosophy of traditional Chinese and Western medicine and culture. It steps upon the coupling ideas of systems, such as cardiopulmonary resuscitation (CPR) by Yuan-Chang Wang and Kouwenhoven, cardiopulmonary exercise testing (CPET) by Karlman Wasserman and cardiopulmonary coupling (CPC) and integrated physiology. HIPM’s concept is always combining not only “Holistic” but “Integrative” (rather than integrated), not only time but space, not only normal (i.e. physiology) but abnormal (i.e. pathophysiology and medicine) for human physiology and medicine: only one inseparable set in whole contenting the all functional systems and their control and regulation in human being are internally integrative altogether, rather than the integrated one-by-one system of two or more systems as integrative physiology in systemic physiology. HIPM approaches the mechanism of neurohumoral control and regulation with the integration of all systems in the human body. We described the rough constructural frame of HIPM theory and clearly explained many unique questions in physiological and medical and pathophysiological mechanism of patients with chronic diseases (CDs). With HIPM, we can widely apply the methods of CPET, CPC and continuous functional monitoring for accurate diagnosis and differential diagnosis, evaluation, training, treatment, rehabilitation, prognosis and prevention in clinical medicine. We also can accurately and quantitatively manage CDs and do initial successful practice of integration of optimized traditional therapy, rehabilitation, health care and management, eating, drinking, exercise, sleep and lifestyle modification in China. The implementation and popularization of HIPM has the excellent opportunity and prospect. HIPM is the future of human physiology and medicine.
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