Beijing University of Chinese medicine, Beijing 100029, China.
2 Department of Traditional Chinese Medicine for Pulmonary Diseases, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing 100029.
J Tradit Chin Med. 2024 Apr;44(2):396-402. doi: 10.19852/j.cnki.jtcm.20231016.001.
To formulate the first clinical practice guideline for the treatment of cough using Chinese medicine based on the grading of recommendations assessment, development, and evaluation (GRADE) systematic approach, including clinical evidence, evaluation of ancient literature, and expert consensus.
In the process of development, the regulation of "evidence-based, consensus-assisted, and empirical" was followed, and a comprehensive systematic approach of recommendation assessment, GRADE, evidence-based evaluation, expert consensus, and the Delphi method was used. In the process of guideline development, evidence-based evaluation of ancient literature was included for the first time, and clinical evidence was fully integrated with clinical expert consensus.
The clinical practice guidelines for the treatment of cough with Chinese herbal medicine were developed after a comprehensive consideration of evidence-based evaluation and expert opinions. The guideline recommendations focused on recommending herbal compound decoctions and Chinese patent medicines for cough in different conditions. Based on the GRADE systematic approach, we conducted an evidence-based evaluation of the recommended Chinese patent medicines one by one; meanwhile, the expert consensus method was used to unify the recommendations of both.
Based on clinical evidence, ancient literature evaluation, and expert consensus, a clinical practice guideline for Traditional Chinese Medicine (TCM) in the treatment of cough was developed, providing the first current clinical practice guideline for domestic and foreign TCM and Western medicine practitioners, especially respiratory professionals at home and abroad.
基于推荐评估、制定和评估（GRADE）系统方法，包括临床证据、古代文献评估和专家共识，制定首个中医药治疗咳嗽的临床实践指南。
在制定过程中，遵循“循证、共识辅助、经验”的原则，采用推荐评估、GRADE、循证评估、专家共识和德尔菲法的综合系统方法。在指南制定过程中，首次纳入了古代文献的循证评估，并充分整合了临床证据与临床专家共识。
综合考虑循证评估和专家意见，制定了中医药治疗咳嗽的临床实践指南。指南建议侧重于推荐不同情况下的中草药复方汤剂和中药成药治疗咳嗽。基于 GRADE 系统方法，我们对推荐的中药成药逐一进行了循证评估；同时，采用专家共识法对两者的建议进行了统一。
基于临床证据、古代文献评估和专家共识，制定了中医药治疗咳嗽的临床实践指南，为国内外中医和西医从业者，特别是国内外呼吸专业人员提供了首个当前的中医和西医临床实践指南。
