关于JAMA杂志“针灸治疗慢性膝痛”一文的几点思考

Comments on“Acupuncture for chronic knee pain:a randomized clinical trial”fromJournal of the American Medical Association

中医针灸的发展呈现国际化与现代化趋势。而2014年10月1日在JAMA杂志发表的"针灸治疗慢性膝痛"一文对针灸疗效和传统手法、经穴理论提出质疑,对于针灸发展形成一定的冲击和挑战。笔者立足于针灸未来发展的角度,提出了该研究对于针灸发展的潜在影响,同时结合针灸理论对研究设计和结果解读进行了讨论并提出疑问。此外,还总结了该研究对未来临床研究的启发。

The development of TCM acupuncture represents a internationalized and modern trend. A recent study with the title of “Acupuncture for chronic knee pain： a randomized clinical” trial published in Journal of the American Medical Association on October 1st, 2014, which raised doubts on acupuncture efficacy as well as tradi- tional manipulation and acupoint theory, makes some negative impact and challenges on the development of acu- puncture. From the view of future development of acupuncture, the potential influence of this research on acupunc- ture development is proposed, and by combining acupuncture theory, some discussions and doubts on the research design and outcome explanations are made. Additionally, enlightenments of this research on further clinical re- search are summarized.