摘要
中医古籍是中医药临床实践智慧的结晶,是指导中医药临床诊疗活动的重要依据,中医教材和现代专著往往是在传承中医古籍思想的基础上编写的。中医古籍知识记录在中医古籍中,经过评价可形成中医古籍证据,作为中医临床实践指南的制订的依据。因此,团队提出了《中医古籍证据级别标准》,来评价中医古籍及中医古籍知识,形成中医古籍证据。标准内容发表后被多个指南编制团队采纳使用,但使用者也反馈了操作中的疑问,故本研究旨在对其进行内容解读与实践验证。本研究以回答“选奇汤能否治疗头痛”临床问题为例,应用《中医古籍证据级别标准》检索并评价相关中医古籍证据,对选奇汤方源古籍《兰室秘藏》的引用量、作者及出处因素两个纬度及其细目进行评分,得出《兰室秘藏》古籍评分为10分,对“选奇汤治疗头痛”的证据背景和证据评价两个维度及其细目进行评分,得出中医古籍证据评分为9.5分,属于Ⅰ级证据。经专家综合评价,认为该证据在临床应用中利远大于弊,强推荐使用选奇汤治疗头痛,中医古籍评分及分级结果与专家共识一致。本研究表明《中医古籍证据级别标准》可操作性强,应用较为简便,可广泛应用于中医古籍及中医古籍证据的评价。
Ancient books of traditional Chinese medicine(TCM)are the crystallization of the wisdom of TCM clinical practice and an important basis for guiding clinical diagnosis and treatment activities.Teaching materials and modern monographs of TCM are often written on the basis of inheriting the ideas of ancient books.The knowledge of ancient books of Chinese medicine is recorded in ancient books,and the evidence of ancient books is formed after evaluation,which can be used as the basis for the formulation of clinical practice guidelines.In order to evaluate TCM ancient books and the TCM ancient book knowledge and form the evidence of ancient books,we put forward the Classification Standard of Evidence in Ancient Books of Traditional Chinese Medicine.After the publication of the standard content,it was adopted by several guideline compilation teams,but users also gave feedback on the questions in the operation,so this study aims to interpret its content and verify it in practice.This study takes the clinical question of whether‘Xuanqi Decoction can treat headache’as an example,applies the Classification Standard of Evidence in Ancient Books of Traditional Chinese Medicine to retrieve and evaluate the relevant evidence of ancient Chinese medicine,and evaluates the citation,author and source factors of the ancient book Lanshi Micang of Xuanqi Decoction.The two latitudes and their details are scored,and the ancient book score of Lanshi Micang is 10 points.The two dimensions and their details of the evidence background and evidence evaluation of‘Xuanqi Decoction in the treatment of headache’are scored,and the evidence score of ancient Chinese medicine is 9.5 points,which belongs to grade I evidence.After comprehensive evaluation by experts,it is believed that the advantages of this evidence are far greater than the disadvantages in clinical application.It is strongly recommended to use Xuanqi Decoction to treat headache.The scores and grading results of ancient Chinese medicine books are consistent with the expert consensus.This study indicates that the Classification Standard of Evidence in Ancient Books of Traditional Chinese Medicine is operable and easy to apply,and can be widely used in the evaluation of TCM ancient books and evidence of TCM ancient books.
作者
姚钰宁
托托
王凤兰
丁侃
曹克刚
YAO Yuning;TUO Tuo;WANG Fenglan;DING Kan;CAO Kegang(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;China Academy of Chinese Medical Sciences,Beijing 100700,China;Institute for Brain Disorders,Beijing University of Chinese Medicine,Beijing 100027,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2024年第4期2045-2049,共5页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家重点研发计划(No.2019YFC1712000)。
关键词
中医古籍证据
证据分级
证据推荐
选奇汤
头痛
TCM ancient book evidence
Evidence classification
Evidence recommendation
Xuanqi Decoction
Headache
