Adaptive Treatment Strategies and Prospective of Their Application in Traditional Chinese Medicine Research
10.3969/j.issn.1005-5304.2015.06.003
- VernacularTitle:适应性治疗策略及其在中医药领域应用前景
- Author:
Aixia BAO
;
Tiancai WEN
;
Limin GAO
- Publication Type:Journal Article
- Keywords:
adaptive treatment strategy;
treatment based on syndrome differentiation;
individualized treatment
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2015;(6):9-11
- CountryChina
- Language:Chinese
-
Abstract:
Traditional Chinese medicine (TCM) emphasizes treatment based on syndrome differentiation, which is the core technology that can embody the characteristics and advantages of TCM diagnosis and treatment. This is based on holistic view to illustrate individual diagnosis and treatment and dynamic treatment. However, RCT, which is frequently used in TCM clinical studies, can not reflect the concept of treatment based on syndrome differentiation. The use of adaptive treatment strategies in clinical researches can adjust therapy in patients according to the changes of diseases, so it can reflect individual diagnosis and treatment and dynamic treatment. From this perspective, the process of treatment based on syndrome differentiation is a process of decision-making of adaptive treatment. So the method for developing adaptive treatment strategies can effectively evaluate the efficacy of different treatment strategies in TCM clinical studies. Adaptive treatment strategies have been used in some clinical studies from some published foreign literatures. However, the use of adaptive treatment strategies in domestic clinical researches is seldom reported. This article discussed the concept of adaptive treatment strategies and their important components in detail. In addition, it presented three methods which can take the delayed effects of the current treatment action into consideration and can compare the overall effect of different adaptive treatment strategies, with a purpose to lay some foundation for future TCM researches in the development of optimal clinical pathway and provide new ideas and methods for researches.
