古籍循证在中医临床实践指南制定中的应用

Application of evidence-based research in ancient books of traditional Chinese medicine(TCM) in the development of TCM clinical practice guideline

中医学不同于现代医学,在临床决策中具有其独特的思维模式和决策方法,所以在中医临床指南的制定过程中,不应只局限于现代临床研究,而应将证据来源扩大至影响中医数千年的中医古籍。而中医古籍作为中医传承的重要载体,具有不同于现代临床研究的特点。本文分析当下指南制定的现状并说明中医古籍在循证思想指导下应用于临床指南制定的意义。以头痛指南的制定为例说明如何应用中医古籍作为指南制定的证据来源,探讨古籍循证在指南制定中的实际应用,以促进中医临床循证指南的发展。

Different from modern medicine, traditional Chinese medicine （TCM） has its unique thought patterns and decision methods. In the process of developing TCM clinical practice guidelines, not only the modern clinical researches should be included, but also the TCM ancient books which had influenced TCM for thousands of years should be included. As an important carrier of TCM, the characteristics of researches in TCM ancient books are different from modern clinical researches. In this paper, we introduced the present situation of the TCM guidelines and how to use TCM ancient books for developing TCM clinical guideline with the guidance of evidence-based method. We used the example of developing of headache TCM guideline to explain how to use TCM ancient books as evidence source for guideline development and explored the application of evidence-based research of TCM ancient books to promote TCM clinical guidelines development.