从典型案例分析临床心身症状问题

Clinical Analysis of Psychosomatic Symptoms from Typical Case

基于长期的肿瘤科临床见闻,笔者提出许多慢性病复杂的临床症状背后,可能存在心身互动机制;且研究已经明确,心身存在着共轭关系。因此,临床应具备心身相关思想,对慢性病及其症状,从人心身整体性做出考量;心身相关性症状的表现是错综且多样化的;对临床难以解释症状,主张从心身相关角度切入,常可帮助解开谜团;同时,处置时还应心身兼顾地进行干预;这样,既可反证诊断正确与否,又可帮助改善症状。

Based on clinical long-term knowledge in oncology, the author proposed there may be psychosomatic interaction mechanisms for many complex chronic conditions behind the clinical symptoms; in addition, study has made it clear that there is conjugate relationship between body and mind. Therefore, clinicians should have psychosomatic thoughts, made considerations from human psychosomatic wholeness in chronic diseases and their symptoms. Psychosomatic symptoms are intricate and diverse; advocates from psychosomatic angle cut can often help solve the mystery to those clinical symptoms difficult to interpret; also psychosomatic medicine should take into account the intervention and management, which can correct the diagnosis, also help improve the symptoms.