试论中医临床科研中引入定性研究的必要性

Discussion on necessity of introduction of qualitative research into clinical research of tradictional Chinese medicine

目前中医学领域的研究评估体系模式是参照了经典的西医学的研究模式建立的,定量研究方法的引入确实对中医现代化的进程起到了巨大的推动作用,把中医学中可以量化的部分以现代科研方式开发出来。但是中医是具有深刻哲学、文化背景的医学,纯粹用定量研究的方法不能把中医的优势领域表现出来,相反,相当部分的中医学的内容更适用定性研究的方法。在中医临床科研中,应充分发掘中医治疗的优势,采用定性研究的方法对中医诊断标准、治疗结果进行研究,并将定性研究和定量研究相结合,制定出具有中医特色的疗效评估体系。

Currently, the model of the research evaluation system of traditional Chinese medicine (TCM) is set up through imitating that of western medicine. The application of quantitative research to TCM does promote the advance of modernization of TCM, which explore the part of TCM that can be measured in quantitative method. However, TCM has a background of profound philosophy and culture. The priority of TCM can not be expressed through quantitative research alone. On the contrary, qualitative research is more suitable to most research area of TCM. In TCM clinical research, the priority of TCM should be fully explored. It is very significant to set up the effectiveness evaluation system of TCM, especially by applying qualitative research to the diagnosis and the evaluation of treatment results and combining quantitative research.