首页|系统科学视域下的中医现代化——新冠肺炎疫情下中医药的循证验药之思

系统科学视域下的中医现代化——新冠肺炎疫情下中医药的循证验药之思

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中医药是中国在新冠肺炎的特效药和疫苗产出之前对抗病毒的重要力量.然而,从"废医存药""告别中医中药"再到"废医验药",近代以来围绕着中医药的争议一直不断;其中,对中医药的一个关键指责在于它不是循证的.系统科学视域下的现代中医学以"可实证"为基本特征,而循证医学主张对临床研究中的证据进行检验,强调证据质量与推荐强度在等级上的系统匹配,尽管证据质量并非决定推荐强度的唯一因素.传统中医实践虽有经验归纳作为依据,但通常缺乏实验验证,相关证据质量一般相比于临床试验而言较低,而对其推荐强度又时有相对夸大之嫌.面对当前遭受的非议,不少中医药正通过走循证的道路来提升相关证据质量的等级,以更系统地验证自身的有效性和安全性.与此同时,为推动中医药的健康、有序、可持续发展,具有中医药特色的临床证据分级和推荐系统也应争取尽早获得统一规范与国际认可.
Reflections on Traditional Chinese Medicine's Evidence-based Practice and Efficacy Verification During the CO VID-19 Pandemic——The Modernization of Traditional Chinese Medicine from the Perspective of Systems Science
Traditional Chinese Medicine(TCM)has become an important force to fight against the COVID-19 pandemic in China before the specific drugs and vaccines are produced.However,since mod-ern times,there have been many controversies around TCM.One of the key accusations against TCM is that it is not evidence-based.Modern TCM from the perspective of systems science is characterized by"verifiability",while evidence-based medicine(EBM)emphasizes the systematic matching between the levels of evidence and strength of recommendations.Although the TCM practice is based on the induction of experience,it is usually lack of experimental verification,thus the quality of relevant evidence is gen-erally worse than clinical trials,while the strength of recommendation is sometimes relatively exaggerated.In the face of the current criticisms,many TCMs are taking the evidence-based approach to improve the quality of relevant evidence,in order to verify their efficacy and safety more systematically.For the sake of the healthy,orderly and sustainable development of TCM,the levels of evidence and strength of rec-ommendations system with specific TCM characteristics should also strive to obtain unified norms and in-ternational recognition.

COVID-19traditional Chinese medicineevidence-based medicinequality of evi-dencestrength of recommendation

丁晓军、喻丰、赵靓

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西安交通大学人文社会科学学院,陕西西安 710049

武汉大学哲学学院,湖北武汉 430072

武汉大学信息管理学院,湖北武汉 430072

新冠肺炎 中医药 循证医学 证据质量 推荐强度

国家自然科学基金青年项目国家社会科学基金青年项目国家社会科学基金后期资助一般项目教育部人文社会科学研究青年基金项目西安交通大学基本科研业务费新型冠状病毒肺炎应急科研项目陕西省社会科学基金年度项目

62007072C003669820CZX05920FZXB04719YJC720006xzy0320200342020C002

2024

系统科学学报
太原理工大学

系统科学学报

北大核心
影响因子：0.478
ISSN：1005-6408
年,卷(期)：2024.32(3)
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