中医药融入主流医学的挑战与机遇:现状述评

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Kelvin Chan , Xiao-Yang Hu , Valentina Razmovski-Naumovski , Nicola Robinson
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引用次数: 31

摘要

虽然中医(TCM)已经实践了几个世纪,但它在一个综合框架内的接受受到传统科学研究方法的阻碍。我们如何优化研究以支持中医融入主流医学?本文的目的是通过描述三年项目“后基因组时代中医药研究的良好实践(FP7 GP-TCM)”中发表的文章的文献,提出未来中医药研究的优先领域。方法所有参考文献均摘自GP-TCM项目直接发表的20篇论文。对论文的主题进行分类,并计算涉及每个研究主题的文章分布。结果确定的9个主题包括:中药材质量、中药材毒性/安全性、体内、体外、临床试验、针灸临床试验、监管和未来发展方向。此外,还确定了三个额外的研究主题(授权、研究方法和其他)。其中,最常报道的主题是CMM的毒性/安全性、质量和体内研究。结论在此框架下,中药产品的质量控制、网络药理学、系统生物学的生物医学研究和西方临床研究方法的适应得到了研究和技术进步的支持。与国际合作相结合,这些为中医药研究和发展提供了重要方向,以验证未来主流医学和卫生保健模式的综合方法。本文属于特刊:全球卫生的传统和综合方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenges and opportunities of integrating traditional Chinese medicine into mainstream medicine: A review of the current situation

Introduction

Although Traditional Chinese medicine (TCM) has been practiced for centuries, its acceptance within an integrative framework is hindered by conventional scientific research methodology. How can we optimize research to support the integration of TCM into mainstream medicine? The aim of this paper was to propose priority areas for future TCM research by characterizing the literature contributing to published articles resulting from the three year project “Good Practice in TCM Research (FP7 GP-TCM) in the Post-genomic Era”.

Methods

All references were extracted from the 20 papers published as a direct result of the GP-TCM project. The main themes of the papers were categorized and the distribution of articles referring to each research topic calculated.

Results

The nine main themes that were identified included: Chinese materia medica (CMM) quality, CMM toxicity/safety, in silico, in vivo, in vitro, clinical trials (CMM), clinical trials (acupuncture), regulation and future direction. In addition, three extra research topics (authorization, research methodology and others) were identified. Of these, the most frequently reported themes were CMM toxicity/safety, quality and in vivo research.

Conclusion

Within this framework, the quality control of CMM products, network pharmacology, biomedical studies using systems biology and the adaptation of Western clinical research methods were supported by advances in research and technology. Combined with international collaboration, these provide vital directions for research and development in TCM to validate integrative approaches for mainstream medicine and health care models for the future.

This article belongs to the Special Issue: Traditional and Integrative Approaches for Global Health.

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来源期刊
European Journal of Integrative Medicine
European Journal of Integrative Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
4.70
自引率
4.00%
发文量
102
审稿时长
33 days
期刊介绍: The European Journal of Integrative Medicine (EuJIM) considers manuscripts from a wide range of complementary and integrative health care disciplines, with a particular focus on whole systems approaches, public health, self management and traditional medical systems. The journal strives to connect conventional medicine and evidence based complementary medicine. We encourage submissions reporting research with relevance for integrative clinical practice and interprofessional education. EuJIM aims to be of interest to both conventional and integrative audiences, including healthcare practitioners, researchers, health care organisations, educationalists, and all those who seek objective and critical information on integrative medicine. To achieve this aim EuJIM provides an innovative international and interdisciplinary platform linking researchers and clinicians. The journal focuses primarily on original research articles including systematic reviews, randomized controlled trials, other clinical studies, qualitative, observational and epidemiological studies. In addition we welcome short reviews, opinion articles and contributions relating to health services and policy, health economics and psychology.
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