一项新的评估方法研究 - 整合"古代文献 - 临床研究 - 专家共识"首先提出了服用中药的八个元素
Feiyu Li1, Jing Shang1, Yixuan Li1
1Standardization Research Center of Traditional Chinese Medicine Dispensing, School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, China.
Frontiers in pharmacology
|August 27, 2025
概括
这项研究确定了合理使用中药的八个核心要素,解决了临床实践中的关键差距. 这些指导方针提高了安全性,有效性和患者对传统疗法的遵守.
科学领域:
- 药理学与传统医学
- 基于证据的医疗保健
背景情况:
- 缺乏国家最佳实践指导方针来管理中药.
- 需要标准化的协议来提高合规性,安全性和有效性.
- 在传统中医 (TCM) 实践中合理使用的重要性.
研究的目的:
- 建立一个全面和标准化的中医药的参考标准.
- 确定和定义TCM的合理使用的关键元素.
- 解决基于证据的TCM脱管理指南上的差距.
主要方法:
- 一个三阶段的方法:古代文献分析,临床研究和专家共识 (德尔菲方法).
- 从"Bijiqi Qianjin Yaofang"中对1019条记录进行了系统分析,以寻找与疗效相关的因素.
- 调查问卷分发给12个地区的87个医疗机构,随后与20名国际专家进行了两轮的德尔菲方法.
主要成果:
- 确定了八个影响中药功效的关键因素:温度,持续时间,频率,剂量,时间,储存条件,药物后护理和禁忌.
- 临床研究证实医生在药物指导方面存在困难,迫切需要标准化指导方针.
- 通过专家共识为八个核心元素制定了标准化定义.
结论:
- 国际指导方针为合理使用中药提供了基于证据的框架.
- 解决临床实践中的一个关键缺口,促进标准化和安全性.
- 未来的研究应专注于临床验证和针对场景的方案,以优化TCM脱管理.
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