中医教材在临床类标准制修订中的应用方法及建议OA
Application Methods and Suggestions for the Use of Traditional Chinese Medicine Textbooks in the Development and Revision of Clinical Standards
中医教材是中医药教育体系中的核心部分,能够为学习者构建一个全面、系统的中医药知识体系.而中医临床类标准(以下简称标准)作为规范指导临床实践的文件,相对于教材,诊疗要求更为深入而具体、内容更新灵活、有一定的约束力和行业指导力、形成过程更加科学严谨.由于多数教材的大部分内容在编写时缺少循证医学证据支撑及临床实践验证,内容未经广泛征求意见,且不同版本教材存在一定差异,因此标准不能直接采用教材的内容.但在标准制修订中,教材可作为重要参考资料之一.在系统梳理教材后,进一步开展相关研究,形成各项核心技术要素,并通过规范的专家共识,形成标准草案.随后开展临床验证、定向及公开征求意见,方可形成标准送审稿.本文以不寐病证候分类标准的研制过程为例,介绍中医教材的梳理及研究方法,并基于该结果设计及开展后续研究.
Traditional Chinese medicine(TCM)textbooks serve as the core component of the TCM education system,providing learners with a comprehensive and systematic knowledge framework of TCM.In contrast,clinical standards in TCM(hereinafter referred to as"standards")are documents that standardize and guide clinical practice.Compared to textbooks,they feature more in-depth and specific diagnostic and treatment requirements,flexible content updates,a certain degree of binding force and industry guidance,and a more scientific and rigorous formation process.Due to the lack of evidence-based medical evidence support,clinical practice and validation in most textbooks,the content not being widely consulted,and the existence of discrepancies among different textbook editions,the standards cannot directly adopt the content of textbooks.However,textbooks can be used as one of the important reference materials in the development and revision of standards.After systematically reviewing the textbooks,relevant research should be selectively conducted to form various core technical elements,and a standard draft should be formulated through a standardized expert consensus.Subsequent clinical validation,targeted and public consultations should then be carried out before a standard submission draft is formed.Taking the development process of syndrome classification standards for insomnia as an example,this paper introduces the methods for reviewing and researching TCM textbooks and designs and conducts subsequent research based on the results.
赵国桢;刘斌;郭敬;李婷;史楠楠;马博涵;宗星煜;李慧珍;赵学尧;林甲昊;张海力;梁宁;车前子
中国中医科学院中医临床基础医学研究所,北京 100700中国中医科学院中医临床基础医学研究所,北京 100700中国中医科学院中医临床基础医学研究所,北京 100700北京中医药大学针灸推拿学院,北京 100026中国中医科学院中医临床基础医学研究所,北京 100700北京中医药大学针灸推拿学院,北京 100026中国中医科学院中医临床基础医学研究所,北京 100700中国中医科学院中医临床基础医学研究所,北京 100700中国中医科学院中医临床基础医学研究所,北京 100700中国中医科学院中医临床基础医学研究所,北京 100700中国中医科学院中医临床基础医学研究所,北京 100700中国中医科学院中医临床基础医学研究所,北京 100700中国中医科学院中医临床基础医学研究所,北京 100700
医药卫生
教材标准应用方法不寐证候分类
TextbooksStandardsApplication methodsInsomniaSyndrome classification
《中国中医基础医学杂志》 2026 (2)
360-363,4
国家自然科学基金项目(82505374)中央级公益性科研院所基本科研业务费专项(ZC2025011)中医药创新团队及人才支持计划-国家中医药多学科交叉创新团队项目(ZYYCXTD-D-202401)
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