Prospects for the future of clinical efficacy evaluation of traditional Chinese medicine——Emphasis on original theory and clinical practice

摘要

Traditional Chinese medicine (TCM) clinical efficacy evaluation runs through the development of TCM and has been progressing so far. With the introduction of evidence-based medicine (EBM) in recent 20 years, TCM clinical efficacy evaluation has developed rapidly, accumulated research and experience, improved the quality and standardization of research, but also gradually found deep-seated deficiencies. In 2019, the China Center for Evidence-based Traditional Chinese Medicine (CCEBTCM) was established, and TCM was included in the 11th revision of the International Statistical Classification of Diseases (ICD-11). In above?opportunities?for TCM clinical efficacy evaluation, it is necessary to face up to the previous deficiencies,?so that the TCM clinical efficacy evaluation can truly reflect the actual clinical practice characteristics, including TCM clinical problems, TCM thinking and TCM diagnosis & treatment mode. Based on the summary and analysis of past research, development concepts are proposed in this article. On the one hand, original concepts?of TCM should be confidently paid more attention to?the design and implementation of TCM clinical efficacy evaluation to be close to TCM clinical practice. On the other hand, it is necessary to consolidate the foundation of TCM clinical practice before evaluating efficacy. Evaluated object built?on TCM ontology knowledge?should be?demonstrated based on clinical practice, and unknown evaluated object combined with new methods, technologies and concepts should be maturely?integrated in clinical practice firstly.