基于“多维证据体”的中医团体标准修订操作流程

目的]以团体标准《中医治未病技术操作规范穴位贴敷》（T/CACM 1090-2018）修订为例，介绍基于“多维证据体”的中医团体标准修订操作流程，以期指导其他同类标准的修订，同时帮助养生保健（非医疗）机构从业者正确使用穴位贴敷疗法，更好地为广大民众的健康服务。方法]根据中医养生保健服务范围，采用“多维证据体”模式贯穿团体标准修订的全过程，以文献研究为基础，以专家经验为依据，以测试应用为参考，从以上3个维度广泛收集证据，对相关技术内容进行修订，形成标准送审稿。结果]项目组通过梳理整合修订意见，共形成13条主要修订内容，涉及穴位贴敷的术语定义、时间选择、药物选取等。结论]研究采用“多维证据体”模式整合各类证据，从文献、调研、应用3个维度寻找修订证据，确保标准修订过程的科学性与严谨性，可为同类标准的修订提供一定参考。未来亦将针对性地开展标准的宣传与解读，推动穴位贴敷在养生保健（非医疗）机构的使用，促进“健康中国”建设。

Process of revising traditional Chinese medicine group standards based on "multidimensional evidence body"

Objective] Taking the revision of the group standard Chinese Medical Treatment and Prevention of Disease Technical Operation Specification Acupoint Patch(T/CACM 1090-2018) as an example,this paper introduces a group standard revision method and tool based on "multidimensional evidence body",in order to guide the revision of other similar standards and help healthcare(non medical) institutions practitioners correctly use acupoint patch therapy,better serving the health of the general public. Methods] Based on the scope of traditional Chinese medicine(TCM) health care services,a "multidimensional evidence body" model was adopted throughout the entire process of revising group standards. Based on literature research,expert experience,and testing applications,evidence was widely collected from the above three dimensions,and relevant technical content was revised to form a standard submission for review. Results] The project team formed a total of 13 main revision contents through sorting and integrating revision opinions,involving the definition of acupoint application terms,time selection,drug selection,etc. Conclusion] The study adopts a "multidimensional evidence body" model to integrate various types of evidence,searching for revision evidence from the three dimensions of literature,research,and application,ensuring the scientific rigor of the standard revision process,and providing certain reference for the revision of similar standards. In the future,targeted promotion and interpretation of standards will also be carried out to promote the use of acupoint patches in healthcare(non medical) institutions and promote the construction of a "Healthy China".