We described our understanding of EBM, the ‘three principles' and ‘five steps' to practice it. EBM is an embodiment of human moral rule and axiom in clinical medicine; it is an advanced clinical model and medical practical methodology; it results from a basis of developed and perfected clinical research methodology, best evidence database, information technology. We also discussed the relationship between EBM and traditional Chinese medicine (TCM) modernization. The definition of modernization of TCM was suggested as scientifical standardization and internationalization. TCM theory in fact is not a basic but a clinical practice theory. EBM model should become the standard model of TCM practice to accelarate the standardization of TCM diagnostic technique and therapy. The key is not try to explain TCM theories with modern medical theroies, but work out common effectiveness evaluation criteria. Only when the effectiveness is intemationally acknowledged, can TCM be internationalized.
Citation:
WU Taixiang,LIU Guanjian. Thoughts on Evidence-Based Medicine and Relation between Modernization of Traditional Chinese Medicine and Evidence-Based Medicine. Chinese Journal of Evidence-Based Medicine, 2005, 05(8): 636-640. doi:
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- 1. 张京春, 陈可冀. 国外学者关于植物药研发难点的思考[J]. 中国中西医结合杂志, 2003; 23(5): 324~326.
- 2. 刘力红. 思考中医--伤寒论导论[M]. 第2版. 桂林: 广西师范大学出版社; 2003.
- 3. 陈小野. 中医基础医学的阵痛与助娩--中医理论研究及动物模型研究的问题和展望(上) [J]. 中国中医基础医学杂志, 1997; 3(1): 10~12.
- 4. 何祚庥. 对易经文化的反思[J]. 中国高校科技与产业化, 2004; 12: 17~18.
- 5. The Oath By Hippocrates[EB/OL]. Available from: URL: http://www.kxwsl.com/ReadNews.asp?NewsID=457.希波克拉底誓言[EB/OL]. Available from: URL: http://www.kxwsl.com/ReadNews.asp?NewsID=457.
- 6. Sackett DL, Richardson WS, Rosenberg W, Haynes RB: Evidence-Based Medicine: How to Practice and Teach EBM[M]. 2nd ed. London: Churchill Livingstone. 2000.
- 7. Starr M, Chalmers I. The evolution of The Cochrane Library, 1988-2003[EB/OL]. Available from: URL: http://www.update-software.com/history/clibhist.htm.
- 8. De Smet PAGM. Drug therapy: herbal remedies[J]. N Engl J Med, 2002; 347(25): 2046-2056.
- 9. Zhang JC, Chen KJ. Foreign researcher’s consideration of difficulties in plant drug development[J]. Chinese Journal of Integrate Chinese Traditional and Western Medicine, 2003; 23(5): 324-326.
- 10. Liu LH. Thinking about Traditional Chinese Medicine-Introduction for Shanghanlun[M]. 2nd ed. Guilin: Guangxi Teacher’s University Publish House. 2003.
- 11. Chen XY. Labor and help for delivery of Traditional Chinese Basic Medicine-problems and expectation on both TCM theory and animal model research (1) [J]. Chinese Journal of TCM Basic Medicine, 1997; 3(1): 10-12.
- 12. He ZX. Reflect on "Yijin culture" [J]. Chinese University Science-Technique and Industrialization, 2004; 12: 17-18.