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世界各地传统医学和补充医学体系的研究现状。

Research status of traditional & complementary medicine systems across the world.

作者信息

Bhapkar Vedvati, Nisargand Vallari, Godatwar Pawankumar, Bhalerao Supriya

机构信息

Department of Rasashastra and Bhaishajya Kalpana, D. Y. Patil deemed to be University School of Ayurveda, Nerul, Navi Mumbai, Maharashtra, India.

Obesity-Diabetes Lab, Interactive Research School for Health Affairs, Bharati Vidyapeeth (Deemed to be) University, Pune, Maharashtra, India.

出版信息

J Ayurveda Integr Med. 2025 Mar-Apr;16(2):101078. doi: 10.1016/j.jaim.2024.101078. Epub 2025 Feb 8.

DOI:10.1016/j.jaim.2024.101078
PMID:39923705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12169296/
Abstract

BACKGROUND

Despite strong presence of biomedicine, traditional and complementary medicine (T & CM) systems have sustained with their multidimensional connect with people. However, their scientific acceptance and mainstreaming falls short due to inadequacies in research. Also, available reports in this regard scarcely focus on their individuality and present them as a consolidated entity.

OBJECTIVES

The present study was carried out to elucidate individual research status of certain WHO- acknowledged T & CM systems in a customized framework of indirect indicators.

MATERIAL AND METHODS

The research status of selected systems was assessed on basis of quantitative indicators viz., research dissemination outcomes concerned with scientific documents and researchers, contribution in COVID-19 prevention and management, and patents profile.

RESULTS

Systems such as Traditional Chinese Medicine and Acupuncture fare better than most others. The number of documents in multidisciplinary SCOPUS database was larger than those in PubMed, a healthcare database for almost all systems. Out of 28 lead authors, half belonged to developed countries, viz., USA and Germany. Highest citation count was recorded for TCM (n = 2238). Of the 105 journals analyzed, 40 were not dedicated to specific T & CM system. Most number of discretely dedicated journals (n = 20) mentioned TCM as primary scope. Cochrane systematic reviews (n = 142) and protocols (n = 33) were highest for Acupuncture, while many systems had zero presence. Maximum COVID-19 related clinical studies were registered for TCM (n = 335), followed by Ayurveda (n = 112). TCM related patents were also highest among all.

CONCLUSION

There is a huge variation in the research status of different T & CM systems. The stakeholders of these systems need to establish a strong evidence base at par with biomedicine. United efforts at global level through organizations such as WHO-Global Traditional Medicine Centre (GTMC) might be helpful in this regard.

摘要

背景

尽管生物医学占据主导地位,但传统医学和补充医学(T&CM)体系凭借其与人们的多维度联系得以存续。然而,由于研究不足,它们在科学认可度和主流化方面仍存在欠缺。此外,这方面现有的报告很少关注其独特性,而是将它们作为一个统一的整体呈现。

目的

本研究旨在通过一个定制的间接指标框架,阐明世界卫生组织认可的某些传统医学和补充医学体系的个体研究状况。

材料与方法

根据定量指标评估所选体系的研究状况,这些指标包括与科学文献和研究人员相关的研究传播成果、在新冠肺炎预防和管理方面的贡献以及专利情况。

结果

诸如中医和针灸等体系的表现优于大多数其他体系。多学科的Scopus数据库中的文献数量多于PubMed(一个几乎涵盖所有体系的医疗数据库)中的文献数量。在28位主要作者中,有一半来自发达国家,即美国和德国。中医的被引次数最高(n = 2238)。在分析的105种期刊中,有40种并非专门针对特定的传统医学和补充医学体系。专门提及中医为主要范畴的期刊数量最多(n = 20)。针灸的Cochrane系统评价(n = 142)和方案(n = 33)数量最多,而许多体系的此类评价和方案数量为零。注册的与新冠肺炎相关的临床研究中,中医最多(n = 335),其次是阿育吠陀医学(n = 112)。中医相关专利在所有体系中也最多。

结论

不同传统医学和补充医学体系的研究状况存在巨大差异。这些体系的利益相关者需要建立与生物医学相当的强有力的证据基础。通过世界卫生组织全球传统医学中心(GTMC)等组织在全球层面的共同努力,在这方面可能会有所帮助。

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本文引用的文献

1
Clinical studies in Ayurveda: A bibliometric analysis of articles indexed in AYUSH research portal.阿育吠陀的临床研究:对阿育吠陀、瑜伽与顺势疗法部(AYUSH)研究门户网站收录文章的文献计量分析
Ayu. 2022 Jul-Sep;43(3):75-81. doi: 10.4103/ayu.ayu_144_21. Epub 2023 Oct 9.
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WHO Traditional Medicine Global Summit 2023 meeting report: Gujarat Declaration.世界卫生组织2023年传统医学全球峰会会议报告:古吉拉特宣言
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Ayurveda research: Emerging trends and mapping to sustainable development goals.阿育吠陀研究:新兴趋势及与可持续发展目标的映射
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Remdesivir and three other drugs for hospitalised patients with COVID-19: final results of the WHO Solidarity randomised trial and updated meta-analyses.瑞德西韦和其他三种药物治疗 COVID-19 住院患者:世卫组织团结随机试验的最终结果和更新的荟萃分析。
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Dissemination of COVID-19 research: Time to walk the talk.新冠病毒研究的传播:是时候付诸行动了。
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A critical analysis of CTRI registered AYUSH studies for COVID- 19.对注册于CTRI的针对新冠肺炎的阿育吠陀医学研究的批判性分析。
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Barriers to the conduct and application of research in complementary and alternative medicine: a systematic review.补充和替代医学研究开展与应用的障碍:一项系统综述
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