Department of Urology, Mount Sinai Icahn School of Medicine, New York, NY, USA.
Wellpoints, New York, NY, USA.
Sex Med Rev. 2018 Jul;6(3):410-418. doi: 10.1016/j.sxmr.2017.11.007. Epub 2018 Jan 19.
Despite the growing popularity of traditional Chinese medicine (TCM) in the Western world, biomedical students and practitioners struggle to understand TCM and how it relates to their standard diagnosis and treatment practices.
To describe the fundamentals of TCM theory and practice relevant to sexual dysfunction; to review and critique the current state of TCM research within Western biomedical literature; and to identify sites for improvement of future research and for collaborative integration of TCM and biomedicine in practice.
Information about TCM from an insider perspective was obtained from English-language textbooks and lectures intended to teach Western students its theory and practice. PubMed search using Medical Subject Heading terms for Western sexual diagnoses and TCM treatments was performed in April and October 2017 to represent the evidence for TCM in Western biomedical literature. Articles in non-English languages and without human subjects were excluded.
27 studies were included in this review. The most commonly studied intervention was acupuncture. An equal number of studies addressed sexual dysfunction in men and women, but only women were included in studies of physically passive mindfulness meditation.
Compared with Western biomedicine, TCM offers a more interdisciplinary and individualized approach to disease and its treatment. This embrace of individual idiosyncrasy in diagnosis and treatment presents a challenge to Western biomedical research norms that rely almost exclusively on quantitative methods that compare large and homogeneous groups with a fixed diagnosis and treatment regimen.
TCM offers a very different understanding of the human body, health, and disease from Western biomedicine. There is value in the study and application of these 2 medical systems, particularly for biopsychosocial problems of sexual dysfunction. However, this must be done cautiously, with attention to appropriate study design, to avoid shallow and unscientific cultural appropriation of TCM practices. Chubak B, Doctor A. Traditional Chinese Medicine for Sexual Dysfunction: Review of the Evidence. Sex Med Rev 2018;6:410-418.
尽管传统中医(TCM)在西方世界越来越受欢迎,但生物医学学生和从业者仍难以理解 TCM 及其与他们的标准诊断和治疗实践的关系。
描述与性功能障碍相关的 TCM 理论和实践的基础知识;回顾和批判西方生物医学文献中 TCM 研究的现状;并确定未来研究和 TCM 与生物医学在实践中的整合的改进点。
从西方学生学习 TCM 理论和实践的英语教材和讲座中获取关于 TCM 的内部信息。2017 年 4 月和 10 月,使用医学主题词(MeSH)在 PubMed 上搜索西方性诊断和 TCM 治疗的相关信息,以代表 TCM 在西方生物医学文献中的证据。排除非英语语言和没有人体研究的文章。
本综述共纳入 27 项研究。最常研究的干预措施是针灸。同等数量的研究涉及男性和女性的性功能障碍,但只有女性被纳入躯体被动正念冥想的研究中。
与西方生物医学相比,TCM 提供了一种更具跨学科和个体化的疾病及其治疗方法。这种在诊断和治疗中对个体特质的接受,对西方生物医学研究规范提出了挑战,后者几乎完全依赖于定量方法,这些方法将大型和同质的群体与固定的诊断和治疗方案进行比较。
TCM 对人体、健康和疾病的理解与西方生物医学有很大的不同。研究和应用这两种医学体系具有价值,特别是对于性功能障碍的生物心理社会问题。然而,这必须谨慎进行,注意适当的研究设计,以避免对 TCM 实践进行肤浅和不科学的文化挪用。Chubak B, Doctor A. 传统中医治疗性功能障碍:证据回顾。性医学评论 2018;6:410-418.