从“经验”到“证据”: 循证医学促进中医药传承创新发展

循证医学被引入中国并传播推广已有20余年, 在中医药研究领域取得了阶段性的成绩, 该文通过对循证中医药学内涵的分析, 简要梳理了循证中医药研究发展的现状、面临的挑战, 总结了目前循证中医药学发展面临着的“四多”“四少”现象。该文结合对循证医学方法学体系(包括方法论和基本研究方法)的重新认识, 提出基于循证实践的中医临床相关研究实施建议, 以期促进中医药从“经验”到“证据”的转化, 发挥中医药原创优势, 助力中医药传承与创新发展。 

From "Experience" to "Evidence": Evidence-Based Medicine Facilitates the Inheritance and Innovation of Traditional Chinese Medicine

Evidence-based medicine (EBM) has been introduced and disseminated in China for over two decades, with milestone achievements made in traditional Chinese medicine (TCM) research. Based on the analysis of the connotation of evidence-based Chinese medicine, this paper briefly combs the current situation and challenges of the development of evidence-based Chinese medicine, and summarizes that evidence-based Chinese medicine is beset with "four surpluses" and "four shortages". According to a new understanding of the EBM methodological system (including methodology and basic research approaches), this paper also puts forward suggestions on conducting clinical TCM research based on evidence-based practice, with a view to promoting TCM's transformation from "experience" to "evidence", exerting TCM's original advantages, and driving TCM's inheritance, innovation, and development.