重新认识疼痛——新解读、新分类和新治疗

Get to know about pain again:new interpretations,new classifications and new treatments

科学界对疼痛的认识多年来一直将传统的"疼痛通路"视为经典,但随着临床诊断方式的不断进步,这条通路显然无法解释所有疼痛现象,对疼痛的理解和解读还需更新。基于以哲学为背景的大医学的影响,以及躯体症状临床病例的不断总结和研究,该文以生物防御机制为基本出发点,通过分析疼痛在生物防御机制中的地位,以大医学新观点重新解读和定义了疼痛,还通过生物防御和心身机制的视角,按照发生机制对疼痛进行了新分类,提出了新的治疗原则和生物一切以"防御"为根本目的的观点,旨在为进行更多疾病的重新解读和生物行为本质相关的研究提供一定参考。

The scientific understanding of pain has stayed on a traditional classic“pain pathway”for many years.However,with the continuous progress of clinical diagnosis,this pathway obviously cannot explain all pain phenomena,and the understanding and interpretation of pain needs to be updated.Based on the influence of comprehensive medicine based on philosophy and the continuous summary and research of clinical cases of somatic symptoms,this paper takes the biological defense mechanism as the basic starting point,analyzes the position of pain in the biological defense mechanism,and reinterprets and defines pain from the new point of view of comprehensive medicine with the new perspective of biological defense mechanism.In addition,this paper also presents the new treatment principles of pain according to the occurrence mechanism through the perspective of biological defense and psychosomatic mechanism,and puts forward new principles of treatment and the view that“defense”is the fundamental purpose of all biology,aiming to provide a reference for the reinterpretation of more diseases and the research on the nature of biological behavior.