基于“病证结合”模式的中医药临床疗效评价方法初探

病证结合模式是通过西医的病理学、诊断学确定病名，再运用中医的辨证论治确定证型、治则及治法，也是“中西医结合”诊疗模式。以中医临床医生经验为主的疗效评价难以得到国际公认，不利于中医学的发展，而沿用西医的标准则难以显现中医药的优势。病证结合模式下中医药临床疗效评价需重视疾病结局指标的综合评价，将客观与主观结合、近期与远期结合，以期更好地体现中医药疗效的有效性和真实性。

Priorities of Clinical Effect Assessment of Traditional Chinese Medicine based on the Model of Combination of Diseases with Differentiation of Syndromes

The model of combination of diseases with differentiation of syndromes has a disease name in modern medicine, and adopts treatment principles and methods from traditional Chinese medicine (TCM). It is a new model of combination of TCM and modern medicine. The clinical effect assessment with doctors' experiences of TCM is unable to be accepted internationally. Therefore, it hinders TCM development. However, to adopt standards of modern medicine is unable to reflect advantages of TCM. TCM effect assessment is based on the model of combination of diseases with differentiation of syndromes. It is an integrated method of combining objective effect with subjective effect. This model also combines short term effect with long-term effect. Hence, this model will better reflect the effectiveness and authenticity of TCM.