Evidence-based Clinical Chinese Medicine:What Has Changed Over the Past 20 Years
10.13359/j.cnki.gzxbtcm.2024.10.007
- VernacularTitle:循证中医20年的发展和思考
- Author:
Xue Changli CHARLIE
1
;
Zhang Lin ANTHONY
;
May H BRIAN
;
Pobjoy LOUISE
;
Zhou Wenyu IRIS
Author Information
1. 澳大利亚皇家墨尔本理工大学
- Keywords:
evidence-based medicine;
traditional Chinese medicine;
whole-evidence approach;
integrated traditional Chinese and western medicine;
integrative medicine;
China-Australia International Research Centre for Chinese Medicine
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(10):2555-2567
- CountryChina
- Language:Chinese
-
Abstract:
Chinese medicine has been used for centuries to treat a range of health conditions.This history has produced a wealth of classical literature,case studies and clinical research data detailing its use and effectiveness.However,high-quality and conclusive evidence that meets modern requirements for clinical decision support is lacking.This evidence gap limits the integration of Chinese medicine with contemporary medicine,which in turn limits global access and acceptance of Chinese medicine as a form of safe and effective health care.Over the past 20 years,researchers and organisations around the world,including the World Health Organization(WHO)and United Nations,have worked to support the integration of traditional medicines,such as Chinese medicine,with conventional medicines to improve global health care.This paper provides an overview of Chinese medicine studies published in the top four general medical journals(BMJ,JAMA,Lancet and New England Journal of Medicine)from February 2005 to February 2024 in the past 20 years to highlight the progress in the development of this evidence base.It also highlights key actions taken to promote evidence-based clinical Chinese medicine,including product and practitioner regulation,formalising education standards,and international collaborations.Research conducted at the China-Australia International Research Centre for Chinese Medicine demonstrates the benefits of such a collaboration.Through development of its unique and inclusive'whole-evidence'approach,plus clinical studies and systematic reviews,the Centre has significantly contributed to the evidence base for clinical Chinese medicine.In addition,its high-impact papers and groundbreaking monographs have been cited in international conventional medicine guidelines.While progress has certainly been made during the past 20 years to build a stronger evidence base for clinical Chinese medicine,there is still a considerable gap that limits its integration with conventional medicine.Future funding and research are needed to continue this work and achieve to safe,effective and accessible traditional medicine as part of the WHO's Universal Health Coverage strategy.
