目前社会的控烟形势依旧严峻，由于烟草危害知晓率低、戒烟意愿低、治疗有效率低、治疗依从性差、戒烟管理难度大等原因，当前控烟措施并不能很好地解决吸烟者烟草依赖的问题，因而无法限制烟草依赖对吸烟者乃至全社会的危害。物联网医学借助“四化”元素和“QSapp 5A”戒烟系统，建设强基层、广覆盖的戒烟医疗模式，在一定程度上改善这一现状。然而，物联网医学仍面临着难以解决的时空限制。在此基础上发展而来的元宇宙医学，则借助虚拟现实、增强现实等技术，运用BRM一体机等设备，通过全息构建、全息仿真、虚实融合和虚实联动4大过程，一定程度上突破控烟过程的时空限制，进一步赋能控烟运动，颠覆性改变目前的控烟管理效果

The situation of tobacco control remains grim. Tobacco dependence is still a problem difficult to solve because of factors including unawareness of tobacco harm and reluctance to quit smoking among the public, poor treatment effects and compliance, and unmanageable smoking population, which leads to increasing health risk of nicotine dependence to smokers and even the whole society. Internet of Medical Things (IoMT) purses the aim “complex problems are simplified, simple problems are digitized, digital problems are programmed, and program problems are systematized”. Using QSapp 5A system, it intends to build medical model of smoking cessation with a strong community base and wide coverage, providing solutions to current problems. However, IoMT still cannot get rid of time and space limitation. Such intractable limit gives rise to metaverse in medicine in which virtual reality and augmented reality are combined with medicine. BRM tries to break through time and space limit by holographic construction, holographic simulation, virtual-real integration and virtual-real linkage, promoting tobacco control to an unprecedented level.