Abstract: Over more than three decades of evolution, the core concept of damage control (DC) has progressed from the primarily technical notion of damage control surgery (DCS) to the physiological management approach of damage control resuscitation (DCR). Vertically, the damage control strategy spans the entire continuum of care from point-of-injury first aid through to definitive treatment. Horizontally, it integrates multiple disciplines including pathophysiology, multisystem surgery, and interventional radiology, and is applicable in both civilian and military settings. The continuous expansion of its connotation and denotation has propelled the development of damage control medicine (DCM) as a systematic theoretical framework. This article systematically reviews the background, history, and advances in damage control. Using the critical timeframes for combat casualty care—the "Platinum Ten Minutes, " "Golden Hour, " and "Critical Three Hours"—as a structural framework, which correspond to damage control emergency (DCE), DCR, and DCS respectively, it explores the construction of a 3D-core DCM theoretical architecture and proposes pathways for building our military's relevant system.