循证中医药学的现在和未来

Evidence-based traditional Chinese medicine: present and future

循证中医药学是循证医学中国化发展的创新成果之一。目前循证中医药学发展已取得了阶段性成绩:基于证据的科学决策模式深入人心;创建了系列中医药循证评价研究关键技术;制定了与国际接轨的技术规范;建立了中医药临床研究证据库;在国际知名期刊发表了一批高质量临床研究;循证中医药学国际论坛成为品牌。循证中医药学发展的困难主要包括:证据基础薄弱、证据产出困难和研究力量分散。基于中医药学发展的机遇和挑战,本文提出了未来循证中医药学发展的近期和远期目标、实施路径、五大重点方向,并提出了三条推进循证中医药深化发展的建议。

Evidence-based Chinese medicine(EBCM) is one of the innovative achievements in the development of evidence-based medicine(EBM) in China. The EBCM has made initial progress: the evidence-based scientific decisionmaking model has become popular;a series of key technologies for evidence-based evaluation and research of traditional Chinese medicine(TCM) have been established;several technical specifications have been formulated in line with international standards;clinical evidence database of TCM has been established;a number of high quality clinical trials have been published in internationally renowned journals;and the International Forum on Evidence based Chinese Medicine(EBCM) has become a brand conference. Difficulties in EBCM development mainly involve: lack of high quality clinical evidence, difficulty in producing evidence, and decentralization of research team. Based on opportunities and challenges of the development of TCM, this article proposed the short-term and long-term goals, implementation paths and five key directions for the development of EBCM in the future, and puts forward three suggestions for further development of EBCM.