中医药循证医学的发展思路

The Developing idea of Evidence-based Traditional Chinese Medicine

阐述了西医临床随机对照试验(RCT)的特征和中医临床随机对照试验的困境,以及中医药"证"和"辨证论治"的哲学基础,提出了中医药循证医学的发展思路和哲学原则:树立整体检验思想,建立以临床疗效为先导的中医临床评价体系,通过临床随机对照试验,检验病程中理法方药的整体;"以病人和医生为中心",重视医患之间的沟通互动,尊重病人的感受和医生在遵循最好证据前提下的主动权和创造权;进而通过疗效检验医生和医疗团队。

This paper introduced the feature of randomized controlled trial （RCT） of Western medicine, the dilemma of Traditional Chinese Medicine （TCM） in developing RCT, and the philosophical basis of TCM＇s ＂ Zheng＂ and Differential Treatment, and put forward the developing idea and philosophical principles of Evidence - based TCM ： to establish the idea of whole - test and the clinical evaluation system of TCM as guide with clinical curative effect to examine entirely the TCM theory of principle, method, prescription, medicine in the course of the disease through RCT; the patient and doctor as the center, the communication and interaction between patients and doctors should be highly emphasized. The patients＇feeling should be respected, and the initiative and creativity of doctors based on the best evidence. We should also test the level of doctor or medical teams through curative effects.