Evaluation of Dominant Diseases of Traditional Chinese Medicine: A Case Study of Ischemic Stroke
10.13422/j.cnki.syfjx.20221238
- VernacularTitle:中医药治疗缺血性脑卒中优势定位评价情况概述
- Author:
Wen-ran QIU
1
;
Zhen-min XU
1
;
Wei SHEN
1
;
Guo-jing FU
1
;
Liu-ding WANG
1
;
Shao-jiao LIU
2
;
Hong-xi LIU
2
;
Yue LIU
1
;
Ye-fei WANG
2
;
Ling-ling DAI
2
;
Chun-yan GUO
2
;
Wei-wei JIAO
1
;
Xing LIAO
3
;
Yu LIU
3
;
Xiao LIANG
1
;
Yun-ling ZHANG
1
Author Information
1. Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China
2. Beijing University of Chinese Medicine, Beijing 100029, China
3. China Academy of Chinese Medical Sciences, Beijing 100700, China
- Publication Type:Journal Article
- Keywords:
dominant disease of traditional Chinese medicine;
ischemic stroke;
positioning of advantage;
rapid review;
evidence-based evidence
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2022;28(12):225-232
- CountryChina
- Language:Chinese
-
Abstract:
The present study explored the effective approaches to realize the leading role of traditional Chinese medicine (TCM) in preventing diseases, the synergistic role in treating serious diseases, the core role in the rehabilitation of diseases and summarized the experience to provide feasible plans for the evaluation of other dominant diseases of TCM. To evaluate the effectiveness, safety, and economy of TCM in the treatment of ischemic stroke, encephalopathy project team of the China Center for Evidence-based Traditional Chinese Medicine(CCEBTCM) established an evaluation group to determine the work plan and complete the evaluation work. The concepts of the evaluation involved high-quality evidence, expert opinion survey, expert interview, and drug catalog. Under the guidance of clinical experts and methodologists, the evaluation work was completed in accordance with four steps, i.e., plan making, data collection and data extraction, evidence synthesis and evaluation, and report writing with the rapid review method. Through the review of TCM and western medicine experts, the advantage of TCM in the treatment of ischemic stroke was positioned in the convalescence period with the predominant effects of improving the neurological function defect and improving the daily living ability. In the convalescence period of stroke, TCM treatment could improve post-stroke motor dysfunction, post-stroke cognitive impairment, consciousness disorder, swallowing disorder, aphasia, constipation, urinary function, diplopia, etc., and the advantages of acupuncture, Chinese medicine, and traditional exercise were more prominent. In terms of safety, TCM treatment of ischemic stroke showed lower incidence of adverse reactions, fewer adverse events, and a milder degree of related symptoms. In terms of economic performance, the combined treatment of TCM and western medicine played a synergistic role and made the treatment cost more reasonable. Compared with conventional intervention, the integrated TCM and western medicine rehabilitation program showed more economic and social benefits.