Application of evidence-based research in ancient books of traditional Chinese medicine (TCM) in the development of TCM clinical practice guideline_Chinese Journal of Evidence-Based Medicine

Authors：

LI Huanqin ¹ , ZOU Yihuai ² , YAO Yuning ² , WANG Fenglan ³ , DING Kan ³ ,  CAO Kegang ²

1. Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, 100010, P.R.China;
2. Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, P.R.China;
3. China Medicine Research China Academy of Traditional Chinese Medicine Institute, Beijing, 100700, P.R.China;

Corresponding author：

CAO Kegang, Email: kgdoctor@sina.com

Keywords：

TCM ancient book; Evidence-based medicine; Traditional Chinese medicine; Clinical practice guideline

DOI：

10.7507/1672-2531.201705066

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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.

Citation： LI Huanqin, ZOU Yihuai, YAO Yuning, WANG Fenglan, DING Kan, CAO Kegang. Application of evidence-based research in ancient books of traditional Chinese medicine (TCM) in the development of TCM clinical practice guideline. Chinese Journal of Evidence-Based Medicine, 2018, 18(2): 225-229. doi: 10.7507/1672-2531.201705066 Copy

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3.	World Health Organization. WHO Handbook of Guideline Development 2nd edition. Available at: http://www.who. int/kms/handbook.2nd_ed.pdf.
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5.	冯颖青, 祝烨, 郑友祥, 等. 循证医学时代的顶级证据之辩. 中华高血压杂志, 2011, 19(11): 1007-1011.
6.	汪受传, 虞舜, 赵霞, 等. 循证性中医临床诊疗指南研究的现状与策略. 中华中医药杂志, 2012, 27(11): 2759-2763.
7.	李洁. 关于制定中医药临床指南的思考. 上海中医药杂志, 2006, 40(5): 4-5.
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10.	汪受传, 陈争光, 徐珊, 等. 建立循证中医临床实践指南证据分级体系的构想. 世界科学技术-中医药现代化, 2013, 15(7): 1488-1492.
11.	刘清泉, 程发峰, 杨保林. 病证结合研究是中医循证医学实现的基础. 北京中医药, 2009, 28(2): 101-104.
12.	衷敬柏. 建立适合中医临床诊疗证据评价方法的建议. 中华中医药杂志, 2016, 31(4): 1146-1148.
13.	王思成, 刘建平, 李慧, 等. 循证中医临床路径的报告规范. 中西医结合学报, 2010, 8(9): 819-823.
14.	段碧芳, 刘建平. 中医人文特征与循证医学评价方法. 中医杂志, 2007, 48(4): 314-316.
15.	冯颖青, 祝烨, 郑友祥, 等. 循证医学时代的顶级证据之辩. 中华高血压杂志, 2011, 19(11): 1007-1011.
16.	赵静, 韩学杰, 王丽颖, 等. 中医临床实践指南制定过程中存在的问题及对策. 中医杂志, 2010, 51(2): 119-121, 141.
17.	刘建平, 王思成, 吴大嵘, 等. 循证中医临床路径的制定与实施. 中国中西医结合杂志, 2011, 31(1): 115-119.
18.	李建生, 余学庆. 中医临床治疗指南制定的现状与思考. 中华中医药杂志, 2010, 25(5): 647-650.
19.	胡晶, 詹思延. 中国临床实践指南制定的现状与建议. 中国循证心血管医学杂志, 2013, 5(3): 217-218.
20.	赵静, 韩学杰, 王丽颖, 等. 循证性临床实践指南的制定程序与方法研究. 中医杂志, 2009, 50(11): 983-987.

1. Sackett DL, Rosenberg WM, Gray JA, et al. Evidence based medicine: what it is and what it isn't. BMJ, 1996, 312(7023): 71-72.
2. 陈耀龙, 沈建通, 李琳, 等. 循证医学术语介绍Ⅳ. 中国循证医学杂志, 2009, 9(4): 376-383.
3. World Health Organization. WHO Handbook of Guideline Development 2nd edition. Available at: http://www.who. int/kms/handbook.2nd_ed.pdf.
4. 丁泓帆, 杨楠, 邓围, 等. WHO指南制定的基本原则和方法. 中国循证医学杂志, 2016, 16(4): 471-477.
5. 冯颖青, 祝烨, 郑友祥, 等. 循证医学时代的顶级证据之辩. 中华高血压杂志, 2011, 19(11): 1007-1011.
6. 汪受传, 虞舜, 赵霞, 等. 循证性中医临床诊疗指南研究的现状与策略. 中华中医药杂志, 2012, 27(11): 2759-2763.
7. 李洁. 关于制定中医药临床指南的思考. 上海中医药杂志, 2006, 40(5): 4-5.
8. 卫茂玲, 刘鸣. 中国临床指南循证制定的方法学现状分析. 中国循证医学杂志, 2013, 13(8): 927-932.
9. 刘保延, 刘波, 何丽云, 等. 基于临床实践的常用中成药临床实践指南制定方法的探讨. 中国中药杂志, 2013, 38(9): 1273-1276.
10. 汪受传, 陈争光, 徐珊, 等. 建立循证中医临床实践指南证据分级体系的构想. 世界科学技术-中医药现代化, 2013, 15(7): 1488-1492.
11. 刘清泉, 程发峰, 杨保林. 病证结合研究是中医循证医学实现的基础. 北京中医药, 2009, 28(2): 101-104.
12. 衷敬柏. 建立适合中医临床诊疗证据评价方法的建议. 中华中医药杂志, 2016, 31(4): 1146-1148.
13. 王思成, 刘建平, 李慧, 等. 循证中医临床路径的报告规范. 中西医结合学报, 2010, 8(9): 819-823.
14. 段碧芳, 刘建平. 中医人文特征与循证医学评价方法. 中医杂志, 2007, 48(4): 314-316.
15. 冯颖青, 祝烨, 郑友祥, 等. 循证医学时代的顶级证据之辩. 中华高血压杂志, 2011, 19(11): 1007-1011.
16. 赵静, 韩学杰, 王丽颖, 等. 中医临床实践指南制定过程中存在的问题及对策. 中医杂志, 2010, 51(2): 119-121, 141.
17. 刘建平, 王思成, 吴大嵘, 等. 循证中医临床路径的制定与实施. 中国中西医结合杂志, 2011, 31(1): 115-119.
18. 李建生, 余学庆. 中医临床治疗指南制定的现状与思考. 中华中医药杂志, 2010, 25(5): 647-650.
19. 胡晶, 詹思延. 中国临床实践指南制定的现状与建议. 中国循证心血管医学杂志, 2013, 5(3): 217-218.
20. 赵静, 韩学杰, 王丽颖, 等. 循证性临床实践指南的制定程序与方法研究. 中医杂志, 2009, 50(11): 983-987.

Chinese Journal of Evidence-Based Medicine

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

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