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中医临床案例报告现状、问题及前景展望

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中医临床案例规范是中医临床实践的主要承载形式,也是中医药理论、人用经验和临床试验的接洽点,然而,既往的中医临床案例报告多给读者以"主观感受"和"片段化的经验"的印象,不仅需要花费巨大的人力物力梳理,也容易产生与学术经验的体现形式不相适应的偏倚.文章根据当前中医临床案例报告现状,以当前中医临床案例与中医现代化发展存在的矛盾着眼,分析了当前中医临床案例存在规范性、兼容性、多样性之间的不能平衡以及中医临床案例报告临床证据应用与疗效评价体系不够完善等问题,指出中医临床案例规范性是突破这一瓶颈的重要关口并提出可行性方案,以期让中医临床案例为人类健康贡献出更多的智慧提供路径与参考.
Current status,problems and prospects of Chinese medicine clinical case reports
Clinical case specification in Chinese medicine is the main form of documentation of clinical practice in Chinese medicine,and is also the connecting point between theories of Chinese medicine,human experience and clinical trials.However,the medical records of traditional Chinese medicine practitioners in the past often give readers the impression of'subjective feelings'and'fragmented experiences',which not only require huge human and material resources to sort out,but also tend to produce biases that do not correspond to academic experiences.According to the current status of Chinese medicine clinical case report,this paper focuses on the contradiction between the current Chinese medicine clinical case and the modernization development of Chinese medicine,analyzes the current Chinese medicine clinical case that there is a failure to balance between normality,compatibility and diversity,and the application of clinical evidence of Chinese medicine case and the evaluation system of efficacy is not perfect,points out that the normality of the Chinese medicine clinical case is an important gateway to break through the bottleneck and puts forward feasible solutions,and expects this paper can provide paths and references for the Chinese medicine clinical case that contributes to the wisdom for the health of human beings.

Medical casesChinese medical casesProblem analysisCurrent status of research

姜晓晨、刘福栋、王桂彬、李奕、张传龙、张曦元、恩格尔、庞博、张霄潇

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中国中医科学院广安门医院,北京 100053

中华中医药学会,北京 100029

医案 中医医案 问题分析 研究现状

中华中医药学会求实项目

2022-QSDXWT-01

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(4)
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