《管子》古代医学思想与现代中西医眼科

《管子》初步揭示了眼的生理功能及其与全身脏腑器官特别是与肝脏及其疾病的密切关系,指出忧乐喜怒欲利所导致的精气丧失是眼病的病因,提出节制七情六欲、心平气和可预防眼病的发生。分析比较表明,以上《管子》古代医学思想大多被现代中西医眼科学所证实,为现代眼科学的发展奠定了一定的基础。

Evidence-based Clinical Chinese Medicine:What Has Changed Over the Past 20 Years

Chinese medicine has been used for centuries to treat a range of health conditions.This history has produced a wealth of classical literature,case studies and clinical research data detailing its use and effectiveness.However,high-quality and conclusive evidence that meets modern requirements for clinical decision support is lacking.This evidence gap limits the integration of Chinese medicine with contemporary medicine,which in turn limits global access and acceptance of Chinese medicine as a form of safe and effective health care.Over the past 20 years,researchers and organisations around the world,including the World Health Organization(WHO)and United Nations,have worked to support the integration of traditional medicines,such as Chinese medicine,with conventional medicines to improve global health care.This paper provides an overview of Chinese medicine studies published in the top four general medical journals(BMJ,JAMA,Lancet and New England Journal of Medicine)from February 2005 to February 2024 in the past 20 years to highlight the progress in the development of this evidence base.It also highlights key actions taken to promote evidence-based clinical Chinese medicine,including product and practitioner regulation,formalising education standards,and international collaborations.Research conducted at the China-Australia International Research Centre for Chinese Medicine demonstrates the benefits of such a collaboration.Through development of its unique and inclusive‘whole-evidence’approach,plus clinical studies and systematic reviews,the Centre has significantly contributed to the evidence base for clinical Chinese medicine.In addition,its high-impact papers and groundbreaking monographs have been cited in international conventional medicine guidelines.While progress has certainly been made during the past 20 years to build a stronger evidence base for clinical Chinese medicine,there is still a considerable gap that limits its integration with conventional medicine.Future funding and research are needed to continue this work and achieve to safe,effective and accessible traditional medicine as part of the WHO’s Universal Health Coverage strategy.

Therapeutic effect of traditional Chinese medicine on coagulation disorder and accompanying intractable jaundice in hepatitis B virus-related liver cirrhosis patients

AIM： TO observe the therapeutic effects of new traditional Chinese medicine （TClVl） therapy on coagulation disorder and accompanying intractable jaundice in HBV-related liver cirrhosis patients. METHODS： Using stratified random sampling according to fibrinogen （Fib） levels, 145 liver cirrhosis patients due to hepatitis B complicated by coagulation disorder were treated. Of them, 70 in research group were treated with TCM by ＂nourishing yin, cooling blood and invigorating blood circulation＂ and Western medicine, 75 in control group were treated with conventional Western medicine. The indexes of liver function, coagulation function and bleeding events were observed and compared. RESULTS： The prothrombin time （PT） was shorter and the fibrinogen （Fib） level was higher in the research group than in the control group （Fib = 1.6-2.0 g/L, 1.1-1.5 g/L, and ≤ 1.0 g/L）. The total bilirubin （TBIL） level was significantly lower in the research group than in the control group, except for the subgroup of FIB ≤ 1.0 g/L. CONCLUSION： TCM therapy can improve coagulation fuction and decrease TBIL.

meta-analysis of randomized controlled trials of combined treatment with DGSN and western medicine on diabetic peripheral neuropathy

Objective:To systematically study the clinical effects of combined treatment with Dang gui si ni tang(DGSN)and western medicine(WM)on diabetic peripheral neuropathy.Methods:Seven databases,including Chinese National Knowledge Infrastructure(CNKI),Chinese Biomedical Database(CBM),Wanfang full-text database,VIP Database for Chinese Technical Periodicals,MEDLINE,PubMed,Embase,were retrieved.Related references about randomized controlled trials on the combination of DGSN and WM on diabetic peripheral neuropathy published during January 2012 up to now(recent 5 years)were reviewed.Related grey literatures were also reviewed according to the selected articles.RevMan5.3 software was used to analyze the publish bias,and to compare the total clinical effects of the combination of DGSN and WM with WM alone.Results:Ultimately,19 randomized controlled trials with 1690 patients were incorporated.The results of meta-analysis showed that combined treatment of diabetic peripheral neuropathy with DGSN and WM showed better general efficacy compared with control group,with a statistically significant difference(P<0.05).The results of study showed homogeneity(P=0.94>0.05).The general efficacy of combined treatment with DGSN and WM was significantly higher than that of control group(P<0.00001,OR=3.98,95%CI:3.01~5.27).Conclusion:Compared with treatment with WM alone,combined treatment of diabetic peripheral neuropathy with DGSN and WM is more effective.Meanwhile,due to the limited literature samples and low quality of literatures,large samples and high quality of multi-center randomized controlled double-blind trials are needed to verify these results.

TREATMENT OF COMPLICATIONS DUE TO PERITONEAL DIALYSIS FOR CHRONIC RENAL FAILURE WITH TRADITIONAL CHINESE MEDICINE

In this paper,the experience in the treatment of complications due to continuousambulatory peritoneal dialysis for chronic renal failure with traditional Chinese medicine(TCM)is reported.Modified Renshen Yangrong Tang(Ginseng Nutrition Decoction)wasused for anorexia and hypoproteinemia;modified Xiangsha Liujunzi Tang(Decoction ofCyperus and Amomum with Six Noble Ingredients)for abdominal pain and distension;modified Da Chaihu Tang(Major Bupleurum Decoction)for peritonitis;modifiedShenling Baizhu San(Powder of Ginseng,Poria and Atractylodes)for diarrhea due toinsufficiency of the spleen with abundance of dampness;Lizhong Tang(Decoction forRegulating the Function of Middle-jiao)and modified Sishen Wan(Pills of FourMiraculous Drugs)for insufficiency of both the spleen and the kidney;Siwu Tang(Decoction of Four Ingredients)added with other drugs for cutaneous pruritus,andGuishao Sijunzi Tang(Decoction of Four Noble Drugs added with Chinese Angelica Rootand white Peony Root)for renal anemia.The therapeutic principles of invigorating theliver and kidney,strengthening the bones and muscles,and promoting blood circulation toeliminate blood stasis were adopted in the treatment of renal osteopathy,and thetherapeutic principles of invigorating the liver and kidney,expelling phlegm and resolvingdampness,and promoting blood circulation to eliminate blood stasis in the treatment ofhyperlipemia.Shen Tekang capsules(capsules for improving the renal function)wasadministered to patients for strengthening the viability and improving the nutrition state,and the recipe for treating renal function failure(both formulated by the authors)forimproving the renal function so as to decrease the frequency and duration of dialysis.

Multidisciplinary integration to enhance the overall level of Chinese and Westernmedicine consensus efficacy

In recent years,Chinese and Western medicine clinical guidelines have attracted attention.But for the existing Chinese and Western medicine experts consensus or guidelines,Chinese medicine and Western medicine were split,out of touch from the form and content.How to lay equal stress on traditional Chinese medicine and Western medicine?How to form the organic unity of Chinese medicine and Western medicine in the clinical practice?they need to reach a consensus.This article explains how to improve the efficacy of Chinese and Western medicine from different aspects.

Ancient Respected and Modern Absorbed,Chinese Essence and Western Utility-Thoughts of the Integrated Chinese Medicine and Western Medicine

Traditional Chinese medicine(TCM)and Western medicine are two medical systems formed in different cultural backgrounds.The differences between them are that TCM focuses on the study of the invisible state while Western medicine focuses more on the study of the visible state of the human body;TCM pays attention to systematicity and integrity,while Western medicine pays attention to local evidence;TCM attaches importance to dialectical thinking,while Western medicine attaches importance to materialistic thinking.For the development of TCM.it is necessary to take the initiative to learm from and absorb all the advanced scientific and technological achievements in the world today.To innovate TCM,it is necessary to need to adhere to(1)the integration of"research on TCM with the thought of TCM"and"research on TCM based on the thought of Western medicine";(2)the integration of scientization of TCM and scientization for TCM;(3)the integration of mobilization therapy and allopathic therapy;(4)the integration of treating patients and treating diseases;(5)the integration of preventive treatment and existent disease treatment;(6)the integration of individuality and commonality;and(7)the integration of the macro and the micro.

Good Medicine Tastes Bitter

Feeling peaky？Let＇s learn some words on medicine in Chinese.Compared to西医（xi yi）,Western medicine,中医（zhong yi）,traditional Chinese medicine（TCM）,and Chinese herbs seem a little bit mysterious.The character for＂medicine＂in Chinese has a radical which means herb,probably because药草（yao cao）,Chinese medicinal herbs,are the fundamental elements of中药学（zhong yao xue）.

The Cheng Acupuncture Legacy

ACUPUNCTURE, practiced in China for over 2,500 years, continues to baffle Western medics. This ancient remedial technique cures ills that do not respond to modern medicine. It is based on the principle of puncturing points along meridians - paths along which the body＇s vital energy, or qi, circulates.

An introduction of the Yiti Siyuan therapy and clinical application

Traditional Chinese medicine tumor theory was inherited, and clinical experience in Chinese and Western medicine was referenced. The chief physician Zhang Linjun is the director of Beijing traditional Chinese medicine and Western medicine for preventing from chronic disease and the main expert committee of R ＆ D team. The team aims at promoting the national traditional Chinese medicine and Western medicine for preventing from cancer. They put forward the ~deficiency, stagnation＂, and ~evil poison poison knot Ke capsule＂ as the etiology and pathogenesis of tumors, and combined with the %ombination of three and two, a result＂ of traditional Chinese medicine and Western medicine clinical work, according to the Chinese medicine ~Yin Pingyang Peru, overall and Channel affinity with channel tropism on the traditional theory of the Yiti Siyuan therapy. The integrated four element therapy is based on one disease. One disease must have one main syndrome. There must be a main prescription. One side must have a main drug. After clinical validation, they hope to improve the quality of life of cancer patients and prolong the survival time of patients and obtain satisfactory of clinical effect.

PROGRESS IN THE TREATMENT OF NERVE-ROOT-TYPE CERVICAL SPONDYLOSIS WITH CHINESE HERBAL DRUGS

With the highest morbidity rate, cervicalspondylosis of the nerve root type is mostcommon among various other types. It is fromthis type of cervical spondylosis that peoplebegan to know the disease. In recent years,conservative treatment for this type of cervicalspondylosis has been adopted by modernmedicine for most patients, while surgicaltreatment has also been used for a smallnumber of patients who were

Clinical efficacy and safety of Traditional Chinese Medicine combined with Western Medicine in patients with diabetic acute ischemic stroke

OBJECTIVE： To observe the clinical efficacy and safety of Traditional Chinese Medicine （TCM） com- bined with Western Medicine （WM） in patients with diabetic acute ischemic stroke. METHODS： Ninety patients with diabetic acute ischemic stroke were randomly divided into a treat- ment group and a control group. The 45 patients in the treatment group were given standardized treat- ment with TCM combined with WM. They received corresponding oral Chinese decoctions three times daily, according to their TCM syndromes, along with basic western medical treatment. The 45 patients in the control group were given non-stan- dardized treatment with TCM combined with WM. They received an oral Chinese decoction for promo- tion of blood circulation to inhibit hemostasis, regardless of their TCM syndromes, along with ba- sic western medical treatment. The treatments lasted for 4 weeks. Scores were evaluated on the National Institutes of Health Stroke Scale （NIHSS） score, activity of daily life （ADL） scores, and TCM symptoms before treatment and 2 and 4 weeks after treatment. RESULTS： Analysis of variance for repeated mea- surements showed that there were significant dif- ferences in NIHSS and ADL score before and after treatment in both groups （P〈0.05）. There were also significant differences between the scores at 2 and 4 weeks after treatment. There were signifi- cant differences in TCM syndrome scores before and after treatment in both groups （P〈0.05）. There were also significant differences between the scores at 2 and 4 weeks after treatment. The X2 test showed no statistically significant difference in the incidence of adverse reactions between the two groups （P〉0.05）. CONCLUSION： Standardized treatment was supe- rior to non-standardized treatment for clinical efficacy of TCM combined with WM in patients with diabetic acute ischemic stroke, and the superiority was more obvious in improving neural dysfunction, ADL score, and TCM symptoms. The adverse reactions were similar in the two treatment groups.

Modern quantum theories and experimental achievements motivate new exploration of acupuncture in traditional Chinese medicine

Traditional Chinese medicine （TCM）, a theoretical medical system founded about three thousand years ago, originated from the richness of Chinese culture with the support and development of ancient astronomy and philosophy. It has illuminated many mysteries of nature and the human body. This has not always been easy for the layperson to understand. In modern times, some of these processes have been gradually discovered or confirmed by frontier science. The experiments of quantum physics have shaken the fundamental concepts of conventional science, refuting criticism of Chinese culture and TCM theories. The new discoveries have triggered a new understanding of TCM theories. For example, the theory of quantum mechanics interfering with certain human functions helps explain a series of phenomena that were previously difficult to understand. The veil of many wonderful phenomena of Chinese culture and TCM acupuncture has not yet been fully pierced. For example, the body＇s energy system, the invisible qi, and the phenomenon of consciousness and subconscious function remain mysterious. However, quantum theory and numerous scientific experiments can lead to the explanations of difficult problems which were not understood in the past. For example, the nature of the changes in yin and yang, and associated principles; the five-element principles; consciousness and sub-consciousness which might affect scientific experiments and treatment outcomes; the objective existence of qi and qi field; and the essence of the meridian system in the human body and the principles of acupuncture. This article explores the scientific principles of TCM and acupuncture. The unique characteristics of TCM and acupuncture position themselves as Eastern cultural treasures. The authors endeavor to strengthen readers＇ confidence in theoretical TCM and believe that it is a major step in integrating TCM acupuncture into modern science and medicine.

Characteristics and Advantages of Traditional Chinese Medicine in the Treatment of Acute Myocardial Infarction

Objective: To obtain epidemiological data on Traditional Chinese Medicine (TCM) therapeutic status of acute myocardial infarction (AMI) and to determine TCM characteristics and advantages to improve the level of TCM prevention and treatment of AMI. Methods: Clinical epidemiology methods were used to register and survey the TCM therapeutic status of hospitalized AMI patients. In 2001, the Chinese Association of Integrative Medicine surveyed the therapeutic status of 3308 AMI patients hospitalized in 30 hospitals in Beijing and Shanghai from 2000-2001. The Beijing Collaborative Study Group on Therapeutic Status of Acute Myocardial Infarction (the Study Group) then conducted a 10-year-long register survey on hospitalized AMI patients in Third-grade A-Level TCM hospitals in Beijing. After 2002, the Study Group further surveyed the treatment conditions of AMI-hospitalized patients in 10 Second-grade A-Level TCM hospitals. The therapeutic status in 8 Third-grade A-Level Western medicine hospitals was surveyed in 2001 and 2005 as a control. In 2008, in cooperation with the China Association of Chinese Medicine, the Study Group further performed a survey at 26 Third-grade A-Level TCM hospitals nation-wide. Approximately 5000 cases were investigated to obtain authoritative data on the therapeutic status of AMI patients in TCM hospitals in China. Results: We found that Chinese herbal intravenous preparations may be beneficial in reducing the mortality of AMI. Major complications of AMI, such as heart failure and arrhythmia, were significantly less during the 10-year survey period. The mortality of hospitalized AMI patients showed a decline. TCM treatment was helpful for AMI patients in improving their quality of life. Ten-year dynamic monitoring showed that the ability to perform reperfusion and to use drugs appropriately, as well as an effort to carry out the Clinical Guidelines has made great progress in TCM hospitals. However, TCM hospitals still have some problems in treating AMI, including a lack of standardized TCM syndrome diagnosis, the need for syndrome differentiation and treatment standardization, and clinical skills in reperfusion and standardized drug treatment still need to be further improved. Compared with AMI patients in Western medicine hospitals during the same period, those in TCM hospitals had the following characteristics: they were admitted to hospital later; they were older when they had a heart attack; there were more females, they had more problems in their medical history, and they had more concomitant illnesses and complications. Therefore, the demographic baseline data were significantly different between AMI patients in TCM hospitals and those in Western medicine hospitals. This indicated that patients in TCM hospitals were more critical than those in Western medicine hospitals. Conclusions: TCM has special advantages in treating AMI. TCM hospitals are making continuous progress in standardized treatment of AMI, but further improvement is still required. AMI patients in TCM hospitals have some special characteristics, and their condition may be more critical. Further clinical research on TCM treatment of AMI is required.

Multi-disciplinary Research in Traditional Chinese Medicine——An Exploration

This paper discusses the present state of Tra- ditional Chinese Medicine being divided into three leading lines of thought, namely, the Clinical line, the Integration of Western and Chinese Medicine line and the Development of Traditional Chinese Medicine line. It also describes the position of Tra- ditional Chinese Medicine being a medical science rich in philosophy and wisdom and a culture centred upon medical science and technology. It outlines the basic characteristic of Traditional Chinese Medicine being rooted in the ’ Holistic Theory’ and ’ Syndrome Differentiation and Treatment ’ and pointed out various flaws in methodology in Integra- tion of Western and Chinese Medicine research. It also stresses that in order to make fruitful progress in the development of Traditional Chinese Medicine, multi-discipline research in Traditional Chinese Medicine should be made on a thoroughly under- standing of the basic methodology of Traditional Chi- nese Medicine and follow its established principles.

Effect of Jianpi therapy in treatment of chronic obstructive pulmonary disease:a systematic review

OBJECTIVE： To evaluate the efficacy of Jianpi thera- py in Traditional Chinese Medicine （TCM） for treat- ment of chronic obstructive pulmonary disease （COPD） in stable phase by performing a systematic review and meta-analysis. METHODS： The literatures concerning randomized controlled trials （RCTs） and quasi-RCTs comparing TCM treatment plus Western Medicine （WM） treat- ment with TCM alone, orTCM treatment vs no treatment, placebo for stable phase of COPD were searched in PubMed （1990-December 2010）, in Eng- lish and using Chinese National Knowledge Infra- structure （CNKI, 1990-December 2010）, Chinese Bio- medical Database （1990-December 2010）, Wang- fang Database （1990-December 2010）, and Weipu （VlP） Database in Chinese. The quality assessment and data extraction for RCTs were conducted by two reviewers independently. Jadad scale and allo-cation concealment were used to assess the quality of the included studies, and meta-analyses were conducted with the Collaboration＇s Revman 5.0 software. RESULTS： Seventeen RCTs or quasi-RCTs involving 1269 patients were included. The methodological quality was poor in all trials except one trial （Jadad score=4）. In the meta-analysis, TCM-WM treatment was significantly superior to WM treatment in cure rate [0R=3.82, 95%C/（2.45, 5.95）], and the effective rate between TCM treatment and placebo also had significant difference [0R=4.31, 95%C/（2.35, 7.91）]. Moreover, pulmonary function of the patients in TCM-WM group and TCM group was significantly improved [forced vital capacity （FVC）, P=O.01, quali- ty of life, P〈O.O01 ]. CONCLUSION： The experience in TCM-WM treat- ment of COPD in stable phase was encouraging. The current evidence shows that TCM-WM treat- ment might be more efficient in effective rate, qual- ity of life, and FVC than WM treatment alone. But for forced expiratory volume in one second （FEVl） and FEV1/FVC, no matter TCM-WM treatment com- pared with WM treatment alone or TCM treatment compared with placebo, there was no significant difference, with no obvious adverse reactions. Due to the low methodological quality of trials includ- ed, more RCTs of high quality in large scale are re- quired.

The Short-term Therapeutic Effects of TCM for IgA Nephropathy In Children

Objective: To evaluate the short-term therapeutic effects of TCM for IgA nephropathy in children. Methods: Sixty-two children with primary IgA nephropathy diagnosed for the first time by renal biopsy in the authors’ hospital were randomly divided into a group of 34 cases treated with both TCM and Western medicine and a group of 28 cases treated with Western medicine for six months. The improvements in urinary protein and red blood cell (RBC) were observed and the scores for TCM symptoms and signs were evaluated after 3 months and 6months of treatment. Results: There was no significant difference in the total effective rate between the two groups (χ2=4.743, P>0.05 after treatment for 3 months; and χ2=1.953, P>0.05 after treatment for 6 months). However, the cure plus marked effect rate in the group treated with both TCM and Western medicine was higher than that in the group treated with Western medicine (71.9% vs 45.5%, P<0.05 after treatment for 3 months). At the end of treatment, significant difference were found in the effective rate (9.3% vs 10.5%, χ2=9.653, P<0.01) and in the total score (0.81+1.18 vs 3.42+2.52,t=4.19, P<0.001) between the two groups. Conclusion: Treatment with both TCM and Western medicine can effectively improve the TCM symptoms and signs in child patients with IgA nephropathy, and alleviate hematuria and albuminuria.

Frontier science promotes exploration of principles and methodologies of acupuncture in traditional Chinese medicine

Traditional Chinese Medicine (TCM), a theoretical medical system founded about three thousand years ago, originated from the richness of Chinese culture with the support and development of ancient astronomy and the Taoist philosophy of heaven and man. It has revealed many mysteries and illuminated interactions between nature and human beings. Those mysteries have not been easily understood by the public because TCM's conceptual system differs in form and essence from modern sciences. In modern times, some of the mysterious processes have been gradually discovered or confirmed by an advanced science: quantum physics. Quantum science is considered to break through basic concepts of mechanistic science, thus providing an entry to understanding of Chinese culture and TCM theories. Some experimental results of contemporary quantum physics shake the foundations of conventional scientific concepts. For example, quantum mechanics theory helps expand the limits of three-dimensional observations. It helps explain the phenomena that the consciousness with certain human functions interfere some experimental results. Viewing new things in a high-dimensional time-space framework helps people understand the real and virtual characteristics and their interaction;this leads to understanding the function of advanced human wisdom and intelligence in dealing with more complex objects (systems) such as the universe, the human body, life itself and consciousness. It may help people in developing simple models of the complex world and is believed more conducive to grasping the essence of human life and gradually removing the veil over many wonderful phenomena of Chinese culture and TCM. For example, TCM's 'Imagery Analogism' is attained in the quiet state of well-trained meditation practitioners. Their intuition and inspiration have significant advantages in understanding complexity of objects such as the universe, human body, life, and consciousness. The methodology of thinking helps to derive simple models so as to better grasp the essence of complex objects. Many phenomena of Chinese culture and TCM acupuncture remain incompletely understood. This paper selects a few examples to discuss, including human consciousness and sub-consciousness, human body's energy system, invisible qi, functional phenomena as well as special functions of the heart and Triple Energizer (Three Jiao) in six Fu organs. The 'new finding of an unrecognized interstitium in human tissues' as declared by a group of Western scholars is actually referring to Triple Energizer that had already been revealed and written in Huang Di Nei Jing (Yellow Emperor's Classic of Internal Medicine) three thousand years ago. Both the concept and functions of Triple Energizer have been utilized throughout TCM clinical practices. Through the discussion, the authors attempt to explain the superiority of TCM theories, to strengthen the confidence for TCM innovation and Chinese culture because they believe that offering an integration of TCM practice into the public health and life science would advance human wellbeing and pave a right path for TCM mission and development.

Optimization model research on efficacy in treatment of chronic urticaria by Chinese and Western Medicine based on a genetic algorithm

OBJECTIVE： To investigate the potential rules and knowledge of Traditional Chinese Medicine （TCM） and Western Medicine （WM） treatment on chronic urticaria （CU） based on data-mining methods. METHODS： Sixty patients with chronic urticaria, treated with TCM and WM, were selected. Gray correlation analyses were adopted to determine therapeutic efficacy. Association algorithms were utilized to ascertain the correlation between the disease course and treatment results. A genetic algorithm was applied to discover the optimization model in theTCM and WM treatment on CU. RESULTS： The total symptom scores after 4 weeks and 8 weeks of treatment in the TCM spleen-strengthening group correlated highly with the pretreatment total symptom score. The duration of treatment showed the greatest impact on the total symptom score. A quartic equation was established （y= - 1.6403x 10 - 6x4＋0.00025576x3＋0.0012819 x2 - 1.024x＋79.5879, and x=106.9518, y=83.0036） using the genetic algorithm. CONCLUSION： TCM treatment had a better effect in the later stage, whereas WM was better in the early stage. The duration of disease course had an impact on the effects of treatment. If the average total symptom score before treatment was 〈 83.0036, TCM or WM treatment could achieve better efficacy.

Key elements required to publish a good article:consensus among executive editors of Traditional Chinese Medicine and integrative medicine journals——a Delphi study

OBJECTIVE:To explore consensus among Traditional Chinese Medicine(TCM)/ integrative medicine(IM) journal executive editors in China regarding:(a)Their perceptions about the differences between papers published in Chinese/English journals;(b)the key elements required for publishing a good quality paper;(c) how editors manage and decide on the manuscripts submitted to their journals.METHODS:A three classic round Delphi was conducted with a purposive sample of TCIWIM Chinese journal executive editors.The key themes and items generated from six open ended questions in the first round were redistributed to the editors in two subsequent questionnaire rounds and scored on a five-point Likert scale.Consensus,reliability and stability of responses were assessed between the editors in the same round and between rounds.RESULTS:All ten editors initially agreeing to participate completed the three rounds,provided 60 comments in the first round,relating to 6 themes on:elements of publishing good quality article;differences between Chinese and English published articles;reasons for low quality of Chinese studies;maintaining the journal's good reputation;initiatives and strategies;and differences between Chinese and English versions of the same journal.High levels of consensus were reached for 97%items.Intra-class correlation(ICC) coefficient for agreement among editors was high in both second and third round and there was a good stability between the two rounds.CONCLUSION:High inter/intra-editor agreement was identified in the differences between TCM/IM research papers published in English and Chinese.Publishing standards and probity are keys in elevating the reputation of research.Editors' perspectives in maintaining and improving quality journal can be viewed as fundamental for editors and researchers in publishing any articles.