1.Study on path of transforming traditional Chinese medicine research achievement into guideline.
Wen ZHANG ; Yan-Ming XIE ; Ya YUWEN
China Journal of Chinese Materia Medica 2014;39(18):3621-3625
At present, a number of scientific research achievements has been formed. Scientific achievement is the crystallization of great efforts from scientific workers, and it's also the valuable treasure of human civilization. Standardization is an important way to promote the international communication of Chinese medicine, and it's significant in boosting China's scientific and technological progress, improving market competitiveness and promoting international trade. Transformation of scientific research to the guideline is not only beneficial to improving the technology content of the standard, but also to the conversion from scientific research achievements into productivity. Therefore, only by absorbing the advanced scientific and technological achievements, reproducing the theory of traditional Chinese medicine (TCM) and medical technology in standard form, can make TCM keep pace with the times. This study preliminarily explores for the method to transform scientific research achievements into guideline, in order to provide reference for the future technical specifications, thus to further the development of TCM.
Achievement
;
Medicine, Chinese Traditional
;
standards
2.Recognition of Similarities and Differences--a New Thinking Paradigm of Critically Care Integrative Medicine.
Quan-fu CHEN ; Rong-yuan YANG ; Shuai MAO ; Zhong-de ZHANG ; Li-heng GUO ; Min-zhou ZHANG
Chinese Journal of Integrated Traditional and Western Medicine 2015;35(11):1381-1383
"Wise men could recognize similarities, but the fool only recognizes differences" in Su-wen, which expounded clinical thinking methods of Chinese medicine (CM). "To recognize similarities and differences simultaneously" is of important clinical significance in understanding the laws of diseases. CM pays much attention to recognize similarities, while modern medicine emphasizes the differences observed. In order to develop integrative medicine (IM), similarities recognition and differences identification must be combined together to innovate new thinking methods of IM.
Humans
;
Integrative Medicine
;
standards
;
Medicine, Chinese Traditional
3.Urgency of clinical evaluation of traditional Chinese medicine decoction pieces.
Wen-Ke ZHENG ; Li ZHANG ; Shu-Jie ZAN
China Journal of Chinese Materia Medica 2019;44(3):624-628
Decoction piece is the basic unit of traditional Chinese medicine(TCM) prescriptions, and it is also the main material basis for clinical efficacy of TCM. The clinical efficacy of TCM decoction pieces is very important for the overall efficacy of TCM prescriptions. However, the current quality evaluation of TCM decoction pieces mainly focuses on the amount of intrinsic substances and compositions. The basic researches such as toxicology and pharmacology are deeply, but lacking with the evidences from clinical evaluation. Therefore, the current decoction pieces quality evaluation system is difficult to objectively reflect the clinical effect of traditional Chinese medicine, forming the only componential theory or blindly pursuing the large volume and heavy weight of medicine materials. The quality standard of Chinese decoction pieces is biased,with concerns that "TCM will die from Chinese medicine". Therefore, this paper proposes that it is urgent to clinically evaluate the TCM decoction pieces,and regard the clinical evaluation as a starting point and a foothold for the quality evaluation of TCM decoction pieces, based on the origin identification, origin evaluation, product evaluation, content evaluation, and harmful substance detection as an auxiliary support. Finally a new quality evaluation system for TCM decoction pieces with a clinical evaluation as the core is formed, which is composed of six steps, aiming to promote the quality improvement of TCM decoction pieces. Of course, because there is no mature experience in the clinical evaluation of TCM decoction pieces, the quality evaluation system has some challenges such as complex processes and high cost, but it is essential for maintaining the quality of medicinal materials and life safety. Therefore, it is of importance and urgency to construct and implement the quality evaluation system.
Drugs, Chinese Herbal
;
standards
;
Medicine, Chinese Traditional
4.Exploring in integrated quality evaluation of Chinese herbal medicines: the integrated quality index (IQI) for aconite.
Ding-kun ZHANG ; Jia-bo WANG ; Ming YANG ; Cheng PENG ; Xiao-he XIAO
China Journal of Chinese Materia Medica 2015;40(13):2582-2588
Good medicinal herbs, good drugs. Good evaluation method and indices are the prerequisite of good medicinal herbs. However, there exist numerous indices for quality evaluation and control in Chinese medicinal materials. However, most of these indices are non-interrelated each other, as well as having little relationship with efficiency and safety. The results of different evaluatior methods may not be consistent, even contradictory. Considering the complex material properties of Chinese medicinal materials, single method and index is difficult to objectively and comprehensively reflect the quality. Therefore, it is essential to explore the integrated evaluation methods. In this paper, oriented by the integrated evaluation strategies for traditional Chinese medicine quality, a new method called integrated quality index (IQI) by the integration of empirical evaluation, chemical evaluation, and biological evaluation was proposed. In addition, a study case of hypertoxic herb Aconitum carmichaelii Debx. was provided to explain this method in detail. The results suggested that in the view of specifications, the average weight of Jiangyou aconite was the greatest, followed by Weishan aconite, Butuo aconite, Hanzhong aconite, and Anxian aconite; from the point of chemical components, Jiangyou aconite had the characteristic with strong efficacy and weak toxicity, next was Hanzhong aconite, Butuo aconite, Weishan aconite, and Anxian aconite; taking toxicity price as the index, Hanzhong aconite and Jiangyou aconite have the lower toxicity, while Butuo aconite, Weishan aconite, and Anxian aconite have the relatively higher one. After the normalization and integration of evaluation results, we calculated the IQI value of Jiangyou aconite, Hanzhong aconite, Butuo aconite, Weishan aconite, and Anxian aconite were 0.842 +/- 0.091, 0.597 +/- 0.047, 0.442 +/- 0.033, 0.454 +/- 0.038, 0.170 +/- 0.021, respectively. The quality of Jiangyou aconite is significantly better than the others (P < 0.05) followed by Hanzhong aconite, which is consistent with the traditional understanding of genuineness. It can be concluded that IQI achieves the integrated control and evaluation for the quality of Chinese medicinal materials, and it is an exploration for building the good medicinal herbs standards. In addition, IQI provides technical supports for the geoherbalism evaluation, selective breeding, the development of precision decoction pieces, high quality and favourable price in market circulation, and rational drug use.
Aconitum
;
chemistry
;
Drugs, Chinese Herbal
;
standards
;
Medicine, Chinese Traditional
;
standards
5.Investigation on production process quality control of traditional Chinese medicine--Banlangen granule as an example.
Manrong TAN ; Dan YAN ; Lingling QIU ; Longhu CHEN ; Yan YAN ; Cheng JIN ; Hanbing LI ; Xiaohe XIAO
China Journal of Chinese Materia Medica 2012;37(8):1122-1126
For the quality management system of herbal medicines, intermediate and finished products it exists the " short board" effect of methodologies. Based on the concept of process control, new strategies and new methods of the production process quality control had been established with the consideration of the actual production of traditional Chinese medicine an the characteristics of Chinese medicine. Taking Banlangen granule as a practice example, which was effective and widespread application, character identification, determination of index components, chemical fingerprint and biometrics technology were sequentially used respectively to assess the quality of Banlangen herbal medicines, intermediate (water extraction and alcohol precipitation) and finished product. With the transfer rate of chemical information and biological potency as indicators, the effectiveness and transmission of the above different assessments and control methods had been researched. And ultimately, the process quality control methods of Banlangen granule, which were based on chemical composition analysis-biometric analysis, had been set up. It can not only validly solute the current status that there were many manufacturers varying quality of Banlangen granule, but also ensure and enhance its clinical efficacy. Furthermore it provided a foundation for the construction of the quality control of traditional Chinese medicine production process.
Drugs, Chinese Herbal
;
standards
;
Medicine, Chinese Traditional
;
standards
;
Quality Control
6.Current quality research situation of precious Chinese patent medicine.
Li LIN ; Xiao-Qiu LIU ; Hui XU
China Journal of Chinese Materia Medica 2008;33(3):329-333
Along with the development of modern medicinal manufacture and pharmaceutical analysis technology, the precious Chinese patent medicine is also growing quickly. However, after the investigation of the dosage-forms and relative government standards, we find that the precious Chinese patent medicine needs more variety in administration and more precise and full-scale analysis standards based on the chemical materials because of the contradiction between the "global thoughts" logic in traditional Chinese medicine (TCM) theory and the "local study" of modern pharmaceutical analysis technology. Currently rising theories, metabonomics and coordination chemistry of TCM, with the superiority of entirety, can not only fulfill the requirement for " local study" but also accord with the "global thoughts" logic in TCM theory. They will be the reasonable guide for the development of the precious Chinese patent medicine.
Drugs, Chinese Herbal
;
standards
;
Medicine, Chinese Traditional
;
standards
;
Patents as Topic
7.Discussion on the methods for English translation of traditional Chinese medicine.
Chinese Journal of Integrated Traditional and Western Medicine 2008;28(8):750-752
To discuss the principles, methods and laws for English translation of terminologies in traditional Chinese medicine (TCM) basic theories. The author suggested that the word-formation laws of medical English should be explored in referring to the historical experience of medical word-formation by way of retrieving Chinese and foreign literature concerning TCM English translation, and applied in the English translation of TCM terms. The program for English translation of TCM should be multiple method, the principle for word chosen should be concise and chastening, thus to gradually make the English translation of TCM terms standardized.
Medicine, Chinese Traditional
;
standards
;
Terminology as Topic
;
Translating
8.Scientific Positioning of Traditional Chinese Medicine.
Chinese Journal of Integrated Traditional and Western Medicine 2016;36(3):266-268
Whether traditional Chinese medicine (TCM) could be categorized as a kind of science or not has been a controversial issue over last century. Part of the confusion is caused by the indistinguishable usage of Chinese words "science" and "scientific" during discussion. According to western academic standards, TCM cannot be considered as pure or conventional science. However, in author's view, the foundation of a majority part of TCM practice is probably scientific, while many TCM theories remain unproved. In this article, medical theories and practices are classified based on scientific content into eight levels: medical science, scientific medicine, medical system, medical theory, medical opinion, medical belief, medical cultism, and medical fraud. Both Western medicine and TCM are positioned in this system accordingly. Currently, the scientific level of TCM is much lower than that of Western medicine, and more research is needed for its improvement.
Biomedical Research
;
Humans
;
Medicine, Chinese Traditional
;
standards
9.Viewpoint regarding "concise" of "classical formula" from case.
China Journal of Chinese Materia Medica 2019;44(18):3899-3902
"Classical formula" are praised for their exact clinical efficacy,but many scholars of " classical formula" still remain in the simple symptoms and the superficial form of formula matching,failing to explore the connotation of " classical formula" in a subtle and in-depth way. The clinical curative effect and charm of " classical formula" mainly lie in " concise". " Concise" can be divided into many aspects,including " correspondence of formula and syndrome" infers pointing accuracy, " Classic formula" infers structure refining,and " pattern differentiation" infers process elaborating,ect. " Correspondence of formula and syndrome" requires doctors to take into account multiple factors such as physical characteristics,symptom features,diet taste and emotional preference of patients,so as to grasp its essence more accurately. " Classic formula" implies paying special attention to its composition and various methods of addition and subtraction. Not following Zhang Zhongjing's method and gilding the lily will affect the clinical efficacy. " Pattern differentiation" indicates doctors should separate Yin and Yang,examine syndrome features and distinguish the categories following the method of traditional Chinese medicine with comprehensive observation and comprehensive consideration in-depth so as to accurately select the appropriate prescription and improve the clinical efficacy.
Medicine, Chinese Traditional/standards*
;
Syndrome
;
Treatment Outcome
10.Discussion and research progress in standard decoction of medicinal slices.
Zhe DENG ; Wen-Guang JING ; Shu-Hui WANG ; Meng-Jiao JIAO ; Quan ZHANG ; Hai-Yan ZHOU ; Jun ZHANG ; An LIU
China Journal of Chinese Materia Medica 2019;44(2):242-248
Standard decoction of medicinal slices has gradually acquired the height of researcher,government and enterprise for approval. And much consensus are increasingly reached. But there are lots of problem needing further discussing.This article summaries the published literature about standard decoction of medicinal slices in recent 3 years. And clarifies the origin of standard decoction of medicinal slices,explain the definition. The study status of standard decoction was reviewed and further analyzed in detail. And then the application fields of standard decoction of medicinal slices are listed. Combined with the research examples of groups,the problem in the study of standard decoction of medicinal slices was discussed. And relevant suggestions are put forward. All this is expected to provide reference in standard decoction research,the quality criterion o of formula granule and study of classical traditional Chinese medicine( TCM) excellent prescriptions.
Medicine, Chinese Traditional
;
Pharmaceutical Preparations
;
standards
;
Research