Remote photoplethysmography (rPPG) enables contactless physiological measurement from facial videos, yet its subtle pulse-related variations are easily affected by illumination variation, head motion, facial blur, and region-of-interest instability. Existing methods mainly suppress interference during feature learning, while whether the learned temporal features remain affected by interference and how to further suppress such interference before rPPG estimation are rarely examined. To address this limitation, we propose PhysVR, a vision-language model guided interference-aware temporal feature refinement framework for rPPG estimation. Specifically, a physiological backbone produces global temporal features and a coarse rPPG prediction, from which signal-derived physiological reliability evidence is constructed from local temporal characteristics. In parallel, a frozen vision-language model processes sampled facial frames under an interference-oriented prompt, and an evidence head extracts visual interference evidence from the VLM output. Temporal cross-attention integrates the physiological and visual evidence with the global temporal features to construct interference-aware temporal context. Guided by this context, a shared temporal correction unit performs general refinement, while four interference-specific experts selectively suppress different interference through adaptive routing. The refined temporal features are then used for final rPPG estimation. Extensive experiments on five public benchmarks demonstrate that PhysVR consistently outperforms representative methods under both intra-dataset and cross-dataset evaluation protocols.
Video-based remote physiological measurement (RPM) is highly accessible but remains fragile under varying illumination, skin tones, and motion. Radio frequency (RF) radar is largely invariant to illumination and appearance, providing complementary cardio-respiratory micro-motion cues; however, requiring radar at inference is often impractical due to its limited ubiquity and deployment overhead. We propose RPM-Distill, a physiology-guided cross-modal distillation framework that leverages synchronized radar only during training while retaining video-only inference. Our key observation is that although RGB and RF waveforms differ in sensing physics and time-domain morphology, they share similar latent periodic rhythm in the frequency domain. We thus distill physiology-structured spectral evidence to improve robustness, via losses that (i) anchor the fundamental peak, (ii) match the off-peak background distribution, and (iii) preserve spectral morphology and sharpness. To avoid negative transfer under sample-level teacher quality and alignment uncertainty, a spectral policy network predicts sample-level distillation gates and component weights from the student--teacher spectral relation map, learned with a meta bilevel objective on a small labeled validation split. Through extensive experiments in challenging conditions and cross-dataset settings, RPM-Distill brings 81\% MAE and 21\% correlation improvement over unimodal baselines. Code is at https://github.com/WJULYW/RPM-Distill.