循证医学方法与中医疗效评价

Evidence-based Medicine Approach and TCM Therapeutic Evaluation

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。

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 doesnt comply with bio-psycho-social-environmental and spiritual model for modem medicine. To fairly evaluate TCM therapeutic, we need to combine both quantitative and qualitative methods together, so as to create medality and methodology for TCM differentiation of syndrome and treatment.