In those years, you and I were trapped by [sub-health]

Recently, the author accidentally saw a report that acupuncture was used to treat [sub-health], and also gave statistical analysis to prove effective. At that time, it was difficult to restrain the idea of spitting out.

When I was a medical student more than 10 years ago, I often heard the saying of sub-health. In an instant, I was in my 30s and had become a father.

I want to say to the sub-health that almost hurt us when I was young: [don’t want to hurt us any more]

It is generally believed that this concept originated from Soviet scholar Buchman in the mid-1980s. After studying the definition of health by the World Health Organization, he believed that there was an intermediate state between [health] and [disease]. By the mid-1990s, some people in China suggested that this intermediate state was [sub-health].

The World Health Organization defines health as:

In fact, few people in the world can meet this ideal health standard. According to the previous statement, as long as they do not get sick, almost all people are in a [sub-health] state.

We said that a disease should have its own unique clinical manifestations and diagnostic criteria, such as community-acquired pneumonia with pulmonary exudation on chest radiographs.

But is there a standard for sub-health? No. No matter in the domestic and foreign literatures, there is no exact definition and diagnostic criteria for [sub-health].

Some people regard fatigue, insomnia, low back pain, etc. as [sub-health], but they do not know that there are many reasons for these symptoms. For example, fatigue may be caused by anemia or heart failure, insomnia may be caused by drinking irritant liquid before going to bed, and low back pain may be caused by osteoporosis.

If there is no detailed etiological analysis, it is said to be [sub-health], which is also untenable from the rigorous perspective of medicine. How to carry out research on a health problem without clear definition and where to start the research object?

Why do I feel uncomfortable even if I am not ill?

Some people may ask: There are indeed quite a number of people who have not been found sick after systematic examination in quite high-level medical institutions, but they just feel unwell. How do you explain this?

There are several reasons for this:

1. Unknown fields: there are areas that have not been recognized by modern medicine;

2. Precursors of diseases: These people may already have some risk factors for diseases, but they cannot be classified into any kind of diseases.

3. Psychosocial problems: Medicine is not only a biological model, but also a [biological-psychological-social] model. If analyzed in many aspects, some people still have psychological and social problems, which may be reflected in physical symptoms, such as [somatization symptoms] in psychiatry.

I was once corrected by a professor, who pointed out that [sub-health] does not exist. There is no such concept in medicine, only the concept of [sub-clinical], and [sub-health] belongs to cheat people.

The accepted concept in medicine is [subclinical]. [subclinical] is different from [sub-health], emphasizing that it is already the early stage of the disease and belongs to [the disease that will be diseased]. Attention should be paid to it, otherwise obvious clinical diseases may occur. [subclinical] has serious and clear medical standards, requiring doctors to comprehensively judge, carefully handle and actively monitor.

Therefore, the next time someone uses [sub-health] to fool you or sells products to treat [sub-health] in the name of [sub-health], you can boldly tell him: [don’t want to pit me again! ]