日本汉方医学领域循证医学研究现状及其启示.pdfVIP

实  践  与  交  流 2010, 10(5): 625 628 中国循证医学杂志 ～ 日本汉方医学领域循证医学研究现状及其启示 郭新峰  赖世隆 广州中医药大学DME 中心（广州 510405 ） 摘要  目的 对日本汉方医学的循证医学研究现状进行总结。方法 系统评价日本东洋医学会（JSOM ）循证 医学工作组对日本汉方医学的循证医学评价和总结报告。结果 JSOM 的循证医学特别委员会成立较早，并在全日 本范围内进行了三次汉方治疗的系统总结与评价，其制剂质量规范可靠。2009 版汉方诊疗指南对日本汉方临床的 诊疗可望有较好的推动作用。结论 为促进我国中医药循证医学的发展，我们需要借鉴JSOM 的循证医学研究计划， 重视研究数据的真实性、重视非随机试验的科学分析和报告；根据中医学的特点，由简到繁、系统地开展循证医学研 究。 关键词  循证医学；汉方医学；东洋医学；中医学 Current Status of Evidence-Based Medicine Research on Traditional Medicine in Japan and Its Inspiration GUO Xin-feng, LAI Shi-long National DME Training Center, Guangzhou University of Chinese Medicine, Guangzhou 510405, China Abstract Objective To review the current status of evidence-base medicine (EBM) research on traditional medicine in Japan. Methods Serial reports of EBM special committee of Japan Society for Oriental Medicine (JSOM) were reviewed. Results EBM special committee of JSOM was established earlier and carried out systematic reviews of Kampo treatment throughout Japan. The quality of preparations was standardized and reliable. Evidence Reports of Kampo Treatment 2009 (EKAT 2009) may be a promising promotion for Kampo treatment in Japan. Conclusion For the promotion and development of evidence-based Chinese medicine in China, we need to learn from EBM research projects of JSOM. Based on the current status of EBM research in China, special efforts should be made in validity of research data and scientific analysis and reports of non-randomized trials. According to the characteristics of traditional Chinese medicine, EBM research should be systematically carried out from simple to complex. Key words Evidence-based medicine; Kampo medicine; Oriental medicine; Traditional Chinese medicine 日本的东洋医学是以具有现代医学知识基础的医生们 的津谷喜一郎教授，他在上述两个项目的基础上又增加了临 研究、应用的汉方医学（汉方医学是在日本发展起来并已经 床诊疗指南（CPG ），并于2007 年6 月在网上发布了日本国内 日本化了的中