Lao Ying-rong
The 2nd Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510120.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010 Mar;30(3):237-40.
The author offered in this paper that in developing the guidelines for Chinese and integrated medical clinical therapy, the specialties of Chinese medicine and clinical needs should be considered, and put stress on the following key points: (1) give priorities to the diseases on which plentiful evidences and practical experiences have been achieved in researches; (2) set up the clinical issues of diseases from an integral view, with Chinese medicine syndromes subordinated to diseases; (3) in making choice of clinical questions, problems that clinicians and researchers concerned should be taken in to consideration; (4) adopt the concepts and methods of complex intervention and reflect prominently the preponderant holistic thinking of Chinese medicine; (5) intensify the cognition-centered basic research of Chinese medicine through combining "disease diagnosis" and "syndrome differentiation" to acquaint the rules of disease/syndrome transformation from the integral dynamic views; (6) use the guidance establishing process of Western medicine as reference to collect, identify, review and classify the evidences from modern literature, while for those from ancient literature, the content analyzing method should be followed; (7) make the contents of design methods perfect and put emphasis on the control and guarantee of quality.
作者在本文中提出,在制定中医与中西医结合临床诊疗指南时,应考虑中医特色与临床需求,并强调以下要点:(1)优先选择在研究中已取得丰富证据和实践经验的疾病;(2)从整体观出发确立疾病的临床问题,中医证候从属于疾病;(3)在选择临床问题时,应考虑临床医生和相关研究者关注的问题;(4)采用复合干预的理念和方法,突出体现中医的整体优势思维;(5)通过“辨病”与“辨证”相结合,加强以认知为中心的中医基础研究,从整体动态观认识疾病/证候演变规律;(6)借鉴西医指南制定过程,收集、识别、评价和分级现代文献证据,对古代文献证据采用内容分析法;(7)完善设计方法内容,注重质量控制与保证。