RESUMO
The origin of precision medicine was discussed in this article,as well as its advantages and deficiencies at this stage.Tangshen formula was taken as an example to explain a rational and ideal mode of traditional Chinese medical (TCM) precision medicine research under the guidance of TCM theory.In view of the two major problems existing in the TCM modernization research,including the separated strategy among formula-disease-syndrome and independent research approach using genomics,proteomics and metabonomics,critical scientific issues on developing the drug system to biological system research mode and solutions for integrating formula-disease-syndrome were proposed here,and the roadmap and total framework of top design were also provided.The specific methods and the corresponding research results on Tangshen formula at the three stages concluded as formula-disease related,disease-syndrome combinated and formula-disease-syndrome integrated were introduced and summarized.At this time for the innovative breakthrough development of TCM,precision medicine will promote the TCM modernization research,and also will provide a powerful driving force for the establishment of holistic systems medicine.
RESUMO
Major breakthrough and challenge that encountered by modern western medicine were described in this article. Some standpoints about the necessity of innovative revolution for the development of traditional Chinese medicine, together with the key points should be bring to the attention during ideological emancipation have been put forward here. Chinese scientists agreed that it is the most appropriate timing for us to establish a new medicine system, which we named Holistic Systems Medicine (HSM). The concept and research contents of Holistic Systems Medicine were also introduced in this article. Finally, a proposal for setting up“China Holistic Systems Medicine development project” was proposed.
RESUMO
Los proyectos fisioma están siendo desarrollados por diversa organizaciones y comunidades internacionales. Proponen innovadores enfoques investigativos, formas de organización y utilización de recursos para comprender integralmente, como sistemas, al ser humano y otros eucariotas, desde la concepción hasta la muerte, desde los genes hasta los organismos, a través de multiples escalas de espacio (rango: 10 elevado a 9 en la escala métrica), tiempo (rango: 3 x 10 elevado a 15 en segundos) y organización (moléculas, células, tejidos, organos, organismos). Se pone gran énfasis en el uso de modelos matemáticos/computacionales como herramientas para la integración del conocimiento, la experimentación virtual in sílico, el trabajo colaborativo de numerosos grupos multidisciplinarios internacionales, la creación de grandes bases de datos, ontologías, lenguajes estandarizados, metodologías, infraestructura, repositorios de instrumentos de trabajo; el entrenamiento de nuevos investigadores interdisciplinarios, el desarrollo de organizaciones y comunidades para obtener apoyo financiero, considerar aspectos éticos y legales, validar los modelos, facilitar la aplicación de resultados en la clínica, en la industria, en la enseñanza de los profesionales y en la educación del público, con el fin de maximizar los beneficios sociales. Presentamos el proyecto Fisioma de la Union Internacional de Ciencias Fisiológicas (UICF), y el "Humano Fisiológico Virtual", Eurofisioma, apoyado por la Union Europea. Mencionamos otros proyectos relacionados.
Physiome projects are being developed by several international organizations and communities. They propose innovative approaches to research, organization and resourse allocation aiming to fully understand, as systems, the human being and other eukaryotes, from conception to death, from genes to organisms, through multiple scales of space, time and organization (molecules, cells, tissues, organs, organisms). Great emphasis is placed in the of mathematical/computational modeling, in silico experimentation, international collaborative multidisciplinary work; the creation and share of large data bases, antologies standard languages, methodologies. infrastructures, tools; the training of new interdisciplinary investigators. New organizations are being developed to get funding, to consider ethical and legal aspects, to validate models, to facilitate the application of results from basic research to clinical practice, industry and education of professionals and the general public, in order to maximize social benefits. We will consider the Physiome Projects of the International Union Physiological Sciences (IUPS) and the Virtual Physiological Human (VPH), Europhysiome, supported by the European Union. Other related projects are mentioned.