如何认识国外针灸临床研究结果之阴阳两面性

Understanding the dual character of negative and positive results in acupuncture-moxibustion clinical trials in foreign countries

梳理国内外针灸临床研究之目的与出发点、疾病谱、干预手段的差异,并以JAMA收录的两篇国外针灸临床研究文献为例,对国外针灸临床研究结果得出阴阳两面性结论的原因进行分析。国外针灸临床研究的治疗方案普遍缺乏中医思维,其操作过程未体现中医治病的基本原理,脱离中医、针灸治病的理论与实践,针灸治病的优势疗效未能得到真实反映。国外针灸临床研究结果之阴阳两面性,反映了当前国外对于针灸认识不够深入、理解不够透彻、研究内容不够"正宗"的现状。

The differences in the objective, starting point, disease spectrum and interventions of acupuncture-moxibustion clinical trials at home and abroad are collected. By taking two articles of acupuncture-moxibustion clinical trials in foreign countries accepted by JAMA as example, the reasons are analyzed on the dual character of negative and positive results obtained in acupuncture-moxibustion trials of foreign countries. The therapeutic regimens in acupuncture-moxibustion clinical trials in foreign countries are lack of TCM thinking, the manipulation of interventions have not displayed the basic principle of TCM in treatment of diseases, which is separated the theory from the practice in treatment with Chinese herbal medicine and acupuncture-moxibustion. Besides, the advantages in therapeutic effect of acupuncture-moxibustion have not been truly reflected. Regarding the dual character of negative and positive results in acupuncture-moxibustion clinical trials of foreign countries, it is suggested that acupuncture-moxibustion has not been thoroughly understood in foreign countries and its research content have not been in compliance with the theory of traditional acupuncture-moxibustion.