PDF(Pubmed)
Abstract：
This paper explores the impact of osteopathic medicine\'s principles and philosophy on dermatology conditions, focusing specifically on atopic dermatitis (AD), bullous pemphigoid (BP), and acne scars. The aim is to investigate how integrating osteopathic principles into dermatology can improve patient outcomes by addressing visible and internal health factors. The review was conducted through a literature search utilizing PubMed and Journal Storage. By focusing on the interconnectedness of mind, body, and spirit, osteopathic medicine could contribute to the effective treatment of AD. Stress management techniques have been found to significantly aid in the treatment of AD, as stress levels and social stress have a significant impact on the exacerbation of AD symptoms. Micro-needling is a promising treatment for atrophic acne scars, reducing scar severity scores by up to 68.3%. Combining micro-needling with trichloroacetic acid or non-ablative fractional laser technology further enhances treatment efficacy. The development of BP has been linked to alterations in the epidermis. Granzyme B has been identified as a contributing factor in dermal-epidermal junction separation and autoantibody formation, leading to BP. However, the specific link between osteopathic manipulation and Granzyme B levels in BP is not yet firmly established. Although osteopathic manipulation may impact the immune system and inflammation, further investigation is required to determine its precise effects on granzyme B and BP. Nonetheless, integrating osteopathic principles and philosophy into dermatology can improve patient outcomes by addressing visible and internal health factors. The benefits of such integration include improved patient-provider relationships, innovative treatments, better stress management, and individualized care plans. Practitioners should be educated on the significance of complete skin examinations for all patients, and future research should focus on exploring the benefits of osteopathic manipulation for dermatologic conditions. Further investigations into new dermatological treatment methods rooted in osteopathic principles are encouraged. The foundation of dermatology and osteopathic medicine share the importance of physical touch for diagnosis and treatment. An osteopathic approach to dermatology considers the link between cutaneous diseases and systemic health. This approach aligns with the four fundamental osteopathic beliefs: the body functions as a whole unit; a person is an integration of body, mind, and spirit that cannot be separated. The body can regulate itself, heal itself, and maintain its health. The body\'s structure and function are interdependent and work together. Rational treatment is based upon an understanding of the basic principles of body unity, self-regulation, and the interrelationship of structure and function.
摘要：
本文探讨了骨科医学的原理和哲学对皮肤病学的影响，特别关注特应性皮炎（AD），大疱性类天疱疮（BP），和痤疮疤痕。目的是研究如何将整骨疗法原则整合到皮肤病学中，通过解决可见和内部健康因素来改善患者的预后。该综述是通过利用PubMed和JournalStorage进行的文献检索进行的。通过关注心灵的相互联系，身体,和精神，整骨疗法有助于AD的有效治疗。已经发现压力管理技术显著有助于AD的治疗,由于压力水平和社会压力对AD症状的恶化有显著影响。微针刺治疗萎缩性痤疮疤痕是一种有前途的治疗方法，将疤痕严重程度评分降低高达68.3%。微针刺结合三氯乙酸或非烧蚀点阵激光技术可进一步提高治疗效果。BP的发展与表皮的改变有关。颗粒酶B已被确定为真皮-表皮连接分离和自身抗体形成的促成因素，导致BP。然而,整骨疗法与BP中颗粒酶B水平之间的特定联系尚未确定。虽然整骨疗法可能会影响免疫系统和炎症，需要进一步研究以确定其对颗粒酶B和BP的确切影响。尽管如此，将整骨原理和哲学整合到皮肤病学中可以通过解决可见和内部健康因素来改善患者的预后。这种整合的好处包括改善患者与提供者的关系，创新的治疗方法,更好的压力管理，和个性化护理计划。应教育从业人员对所有患者进行全面皮肤检查的重要性，未来的研究应该集中在探索整骨疗法对皮肤病的益处。鼓励对植根于整骨疗法原理的新皮肤病学治疗方法进行进一步研究。皮肤病学和整骨医学的基础共享物理触摸对诊断和治疗的重要性。皮肤病学的整骨方法考虑了皮肤病与全身健康之间的联系。这种方法符合四种基本的整骨信念：身体作为一个整体;一个人是身体的整合，mind,和无法分离的精神。身体可以自我调节，自愈,保持它的健康。身体的结构和功能是相互依赖和共同工作的。合理的治疗是基于对身体统一的基本原则的理解，自我调节,以及结构和功能的相互关系。
