Application of Ancient Books in Clinical Practice Guidelines and Expert Consensus of Traditional Chinese Medicine： Current Status and Methodological Recommendations
10.13288/j.11-2166/r.2024.08.007
- VernacularTitle:中医药临床实践指南和专家共识中古籍证据应用情况分析及建议
- Author:
Changhao LIANG
1
;
Dingran YIN
2
;
Jing CUI
2
;
Xinshuai YAO
2
;
Xinyi GU
3
;
Yifei YAN
4
;
Wanting LIU
5
;
Yingqiao WANG
5
;
Yingqi CHANG
6
;
Haoyu DONG
2
;
Mengqi LI
5
;
Yuanyuan LI
7
;
Yutong FEI
1
Author Information
1. Center for Evidence-Based Medicine， Beijing University of Chinese Medicine， Beijing， 100029
2. School of Qihuang， Beijing University of Chinese Medicine
3. Department of Traditional Chinese Medicine for Taiwan， Hong Kong， and Macao， Beijing University of Chinese Medicine
4. Beijing Hospital of Traditional Chinese Medicine， Capital Medical University
5. School of Traditional Chinese Medicine， Beijing University of Chinese Medicine
6. School of Acupuncture and Tuina， Beijing University of Chinese Medicine
7. School of Public Health， Xinjiang Medical University
- Publication Type:Journal Article
- Keywords:
evidence of ancient books;
clinical practice guidelines of traditional Chinese medicine;
expert consensus of traditional Chinese medicine;
evidence evaluation
- From:
Journal of Traditional Chinese Medicine
2024;65(8):801-809
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the current status and issues regarding the application of ancient books in clinical practice guidelines and expert consensus of traditional Chinese medicine （TCM） published in China， and to provide methodological recommendations for the incorporation of ancient books in the development of TCM guidelines. MethodsWe searched China National Knowledge Infrastructure （CNKI）， WanFang Data， VIP， SinoMed， PubMed， Embase， as well as six industry websites including China Association of Chinese Medicine， National Group Standards Information Platform， and Chinese Association of the Integration of Traditional and Western Medicine，etc. TCM clinical practice guidelines or expert consensus issued during January 1st， 2017， to November 26th， 2022 were searched. Clinical practice guidelines or expert consensus that explicitly referred to ancient books were included， and the content regarding the searching for ancient books， sources of access to ancient books， methods of evaluating the level of evidence， methods of evaluating the level of recommendation， and methods of evaluating the evidence for the ancient books were analysed. ResultsA total of 1,215 TCM clinical practice guidelines or expert consensus were retrieved， with 442 articles explicitly mentioning the application of ancient books， including 300 （67.87%） clinical practice guidelines and 142 （32.13%） expert consensus. Sixty of the 442 publications explicitly reported that ancient books searching had been conducted （13.57%）； among these 60 publications 27 （45.00%） explicitly reported ancient books searching strategies， and the most frequent method was manual searching with a total of 24 articles （40.00%）. The most popular search source was Chinese Medical Dictionary， a TCM classics database， with a total of 18 articles. 197 articles （44.57%） explicitly reported the evaluation criteria for the level of evidence， of which 141 articles （71.57%） involved the evaluation criteria for the ancient books； 413 articles （93.44%） mentioned ancient books in the recommendations， and only the source of formula name was mentioned in 409 （99.03%） of the publications. ConclusionThe current application of ancient books in TCM clinical practice guidelines and expert consensus is limited， with issues of non-standard searching and evaluation methods. Standar-dization and uniformity are needed in evidence grading and recommendation standards. Future research should clarify the scope and methods of applying ancient book， emphasize their integration with modern research evidence， and enhance their value and quality in the development of TCM clinical practice guidelines.
