The Second Clinical School of Guangzhou University of Chinese Medicine, Guangzhou, China.
Guangdong Provincial Hospital of Chinese Medicine/Guangdong Provincial Engineering and Technology Research Center of Chinese Medicine Standardization, Guangzhou, China.
J Evid Based Med. 2020 Feb;13(1):70-80. doi: 10.1111/jebm.12378. Epub 2020 Feb 19.
Headache is one of the most common clinical complaints and is listed as one of the top 10 disability disorders by the World Health Organization (WHO). For standardizing the diagnosis and treatment of headache and improve the level of clinical diagnosis and treatment of traditional Chinese medicine (TCM), on 30 January 2019, China Association of Chinese Medicine officially issued the Guidelines for Diagnosis and Treatment of Common Internal Diseases in Chinese Medicine-Headache (T/CACM 1271-2019). The Guidelines were developed following the method process recommended by Technical Requirements for the Revision of TCM Clinical Diagnosis and Treatment Guidelines (pilot edition), and also referring to WHO Handbook for Guideline Development. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework was also followed. The protocol was formulated by the guideline project team, which comprised of specialists of TCM encephalopathy, guideline methodologist, patient representative, etc. Question regarding the treatment of headaches in TCM were formulated and 18 most important ones were chosen as PICOs (population, intervention, comparison, outcomes). Comprehensive search and review of the literature were performed and the quality of the evidence was assessed and rated based on certain criteria. Twenty-five recommendations were put forward in the Guidelines through three rounds of expert consensus based on their quality of evidence, in addition to the balance of pros and cons of these interventions, patient preferences and values, and economic factors. It is the first and the only clinical practice guide for Chinese medicine accepted by National Guidelines Clearinghouse in the world.
头痛是最常见的临床主诉之一，被世界卫生组织（WHO）列为 10 大残疾疾病之一。为规范头痛的诊断和治疗，提高中医临床诊疗水平，2019 年 1 月 30 日，中华中医药学会正式发布《中医内科常见病诊疗指南·头痛》（T/CACM 1271—2019）。本指南按照《中医临床诊疗指南修订技术要求（试行）》推荐的方法学流程，参考世界卫生组织《指南制定手册》进行编写，采用推荐意见的形成、评估、传播（GRADE）分级方法。指南项目组由中医脑病专家、指南方法学专家、患者代表等共同组成，制定了工作方案，围绕中医治疗头痛的相关问题，形成临床问题并通过德尔菲法遴选 18 个重要问题作为 PICO（population，intervention，comparison，outcomes）要素。对相关文献进行全面检索和评价，依据纳入标准筛选文献，并按照一定标准对文献质量进行评价和分级。经过 3 轮专家共识会议，基于证据质量、干预措施的利弊权衡、患者偏好和价值观以及经济因素，提出 25 条推荐意见。本指南是全球首部被国家卫健委医政医管局中国医药卫生科技发展研究中心认可的中医药临床实践指南。
