Centre for Complementary Medicine Research, University of Western Sydney, NSW 2560, Australia.
J Ethnopharmacol. 2012 Apr 10;140(3):469-75. doi: 10.1016/j.jep.2012.01.038. Epub 2012 Feb 11.
Studies on traditional Chinese medicine (TCM), like those of other systems of traditional medicine (TM), are very variable in their quality, content and focus, resulting in issues around their acceptability to the global scientific community. In an attempt to address these issues, an European Union funded FP7 consortium, composed of both Chinese and European scientists and named "Good practice in traditional Chinese medicine" (GP-TCM), has devised a series of guidelines and technical notes to facilitate good practice in collecting, assessing and publishing TCM literature as well as highlighting the scope of information that should be in future publications on TMs. This paper summarises these guidelines, together with what has been learned through GP-TCM collaborations, focusing on some common problems and proposing solutions. The recommendations also provide a template for the evaluation of other types of traditional medicine such as Ayurveda, Kampo and Unani.
GP-TCM provided a means by which experts in different areas relating to TCM were able to collaborate in forming a literature review good practice panel which operated through e-mail exchanges, teleconferences and focused discussions at annual meetings. The panel involved coordinators and representatives of each GP-TCM work package (WP) with the latter managing the testing and refining of such guidelines within the context of their respective WPs and providing feedback.
A Good Practice Handbook for Scientific Publications on TCM was drafted during the three years of the consortium, showing the value of such networks. A "deliverable - central questions - labour division" model had been established to guide the literature evaluation studies of each WP. The model investigated various scoring systems and their ability to provide consistent and reliable semi-quantitative assessments of the literature, notably in respect of the botanical ingredients involved and the scientific quality of the work described. This resulted in the compilation of (i) a robust scoring system and (ii) a set of minimum standards for publishing in the herbal medicines field, based on an analysis of the main problems identified in published TCM literature.
Good quality, peer-reviewed literature is crucial in maintaining the integrity and the reputation of the herbal scientific community and promoting good research in TCM. These guidelines provide a clear starting point for this important endeavour. They also provide a platform for adaptation, as appropriate, to other systems of traditional medicine.
像其他传统医学(TM)系统一样,对中药(TCM)的研究在质量、内容和重点方面非常多样化,导致其在全球科学界的可接受性方面存在问题。为了解决这些问题,一个由中国和欧洲科学家组成的欧盟资助的 FP7 联盟,名为“中药良好实践”(GP-TCM),制定了一系列指南和技术说明,以促进收集、评估和发表 TCM 文献的良好实践,并强调未来关于 TM 的出版物中应包含的信息范围。本文总结了这些指南,以及通过 GP-TCM 合作学到的知识,重点介绍了一些常见问题并提出了解决方案。这些建议还为评估其他类型的传统医学(如阿育吠陀、汉方和顺势疗法)提供了模板。
GP-TCM 为不同领域的 TCM 专家提供了一个合作的途径,形成了一个文献综述良好实践小组,通过电子邮件交流、电话会议和年度会议上的重点讨论来运作。该小组涉及每个 GP-TCM 工作包(WP)的协调员和代表,后者在各自的 WP 范围内管理这些指南的测试和完善,并提供反馈。
在联盟的三年中,起草了一份中药科学出版物良好实践手册,展示了这种网络的价值。建立了一个“可交付成果-核心问题-分工”模型,指导每个 WP 的文献评估研究。该模型研究了各种评分系统及其为文献提供一致和可靠的半定量评估的能力,特别是在涉及的植物成分和描述的工作的科学质量方面。这导致了(i)一个强大的评分系统和(ii)一套在草药领域出版的最低标准的制定,这是基于对已发表的 TCM 文献中发现的主要问题的分析。
高质量、同行评审的文献对于维护草药科学界的完整性和声誉以及促进 TCM 的良好研究至关重要。这些指南为这一重要努力提供了一个明确的起点。它们还为适应其他传统医学系统提供了一个平台。