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填补中医与现代医学之间的空白,我们是否走在正确的方向上?

Filling the gap between traditional Chinese medicine and modern medicine, are we heading to the right direction?

出版信息

Complement Ther Med. 2013 Jun;21(3):272-5. doi: 10.1016/j.ctim.2013.01.001. Epub 2013 Jan 28.

Abstract

Traditional Chinese medicine (TCM), the ancient medicine popular in China and surrounding areas, has been recognized as a typical representative of complementary and alternative medicine. Over long period in clinical practice, especially the progress in basic research, data on the effectiveness and beneficial contribution of TCM herbs to public health and disease control have been accumulated while the quality of the evidence is generally poor. The most common clinical practice of TCM herbs is herb combination called formula which consists of several types of medicinal herbs or minerals, which is quite different from modern medicine. Definitely, tens of hundreds of compounds could be identified in even a small formula. With the regained enthusiasm on natural products based new drug R&D, the proposed multi-target drug discovery strategy, the booming of -omics technologies, and the implementation of ambitious plan of TCM modernization in China, attempts have been made to fill the gap between TCM herbs and modern drugs. However, are we heading to the right direction?

摘要

传统医学(TCM),在中国及周边地区流行的古老医学,被公认为补充和替代医学的典型代表。在长期的临床实践中,特别是在基础研究的进展中,积累了关于 TCM 草药对公众健康和疾病控制的有效性和有益贡献的数据,尽管证据质量普遍较差。TCM 草药最常见的临床应用是草药组合,称为方剂,它由几种类型的草药或矿物质组成,与现代医学有很大的不同。当然,即使是一个小配方也可以鉴定出数十种甚至数百种化合物。随着基于天然产物的新药研发重新受到关注,多靶点药物发现策略的提出,组学技术的蓬勃发展,以及中国实施的 TCM 现代化宏伟计划,人们试图填补 TCM 草药与现代药物之间的空白。然而,我们是否朝着正确的方向前进?

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