首都医科大学学报 ›› 2007, Vol. 28 ›› Issue (2): 212-215.

• 中医药学研究 • 上一篇    下一篇

循证医学方法与中医疗效评价

刘建平   

  1. 北京中医药大学循证中医药临床研究与评价中心
  • 收稿日期:2007-01-16 修回日期:1900-01-01 出版日期:2007-04-24 发布日期:2007-04-24

Evidence-based Medicine Approach and TCM Therapeutic Evaluation

Liu Jianping   

  1. Centre for Evidence-Based Chinese Medicine, School of Preclinical Medicine, Beijing University of Chinese Medicine
  • Received:2007-01-16 Revised:1900-01-01 Online:2007-04-24 Published:2007-04-24

摘要:

世界卫生组织倡导循证的传统医学。方法学制约着中医疗效评价。现有评价方法未能反映中医的人文属性和整体观以及辨证论治特点。中医辨证论治作为一种复杂性干预,仅用随机双盲安慰剂对照临床试验进行评价存在方法学的局限性,未能体现"生物-心理-社会-环境-精神"的现代医学模式。针对中医个体化复杂干预及其社会学属性,需要采用综合定量研究和社会学定性研究的评价方法,创建适用于中医辨证论治的评价模式和方法学。

Abstract:

WHO promotes evidence-based traditional medicine. Methodological issues limit evaluation of therapeutic effect of TCM. Current methods for evaluation do not properly reflect the humanity characteristics and holistic approach and differentiation of syndrome and prescription. TCM therapeutics is a complex intervention, and there is a limitation of methodology by only randomized, double-blind, placebo-controlled trials as it doesn't comply with bio-psycho-social-environmental and spiritual model for modern medicine. To fairly evaluate TCM therapeutic, we need to combine both quantitative and qualitative methods together, so as to create modality and methodology for TCM differentiation of syndrome and treatment.

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