A Preliminary Study on Legitimacy Identification Standards for Unconventional Treatment Technologies in Traditional Chinese Medicine

中医超常规诊疗技术正当性评判标准初探

Compared with western medicine with objective and standardized theories,traditional Chinese medicine(TCM)places more emphasis on subjective thinking.Moreover,there are several academic schools under TCM,and ancient secret prescriptions and proven prescriptions play important roles in TCM treatments.However,the drugs used by some academic schools and some ancient secret prescriptions and proven prescriptions often contradict mainstream theories,and some TCM treatment methods do not significantly conform to the methods that are considered safe by the Chinese Pharmacopoeia(2015 edition),medical textbooks and other canonical books.Despite the long history and abundant successful experiences of TCM treatments,controversies regarding these unconventional treatment technologies,specifically when these breach the safety standards of treatment,exist considering that several medical adverse effects are observed when performing these unconventional treatments.In view of this,distinguishing“welldefined technological breakthrough”from“medical fault”is considered necessary.This study discusses the issue and raises constructive suggestions on the corresponding identification standards for unconventional treatment strategies in TCM.

中医与西医的客观化、标准化理论体系不同,中医更强调主观的思辨性,且学术流派繁多,古传秘方、验方在中医诊疗中也占据有相当重要的地位。而某些学术流派、某些秘方、验方的遣方用药经常偏离主流理论,某些诊疗手段已超出了《中国药典》(2015版)、教科书等标准范围。虽然此类超常规诊疗技术的存在,既有悠久的历史传承,也有丰富的成功经验,但因其有违主流或推荐的标准用量,一旦发生医疗损害纠纷,则其行为的正当性必将引起争议。本文就如何区分“有效的技术突破”与“医疗过错”展开讨论,并针对相应的评判标准提出建议。