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Journal of Chinese Integrative Medicine ›› 2008, Vol. 6 ›› Issue (1): 1-4.doi: 10.3736/jcim20080101

• Editorial •     Next Articles

Problems-solving strategies in clinical treatment guideline for traditional Chinese medicine and integrative medicine

Wei-xiong Liang()   

  1. DME Center, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510405, China
  • Received:2007-07-26 Online:2008-01-20 Published:2008-01-15
  • Contact: LIANG Wei-xiong E-mail:liangwx@pub.guangzhou.gd.cn

The members of guideline development of traditional Chinese medicine and integrative medicine were not chosen according to strict standards at present. The major problems in clinical guideline development include the insufficiency of evidence and the missing recommendation according to evidence reliability. In order to establish a clinical guideline for the treatment, we should abide by the principle for guideline development in this field. Firstly, a guideline development group must be set up and the evidences are needed to be classified correctly. To facilitate the clinical practice, the recommendations in the treatment guideline should be divided into different classes and the referring recommendation reasons should be given at the same time. Only when the guideline development principles and procedures are strictly followed can a clinical guideline for the treatment suitable to the situation in China be established.

Key words: guidebooks, traditional Chinese medicine, evidence-based medicine

CLC Number: 

  • R-056
1 Song J , . Set clinical therapeutic guideline in traditional medicine urgently. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2006; 26(7):581-584. Chinese with abstract in English.
doi: 10.3321/j.issn:1003-5370.2006.07.001
宋军, 陈可冀 . 尽早制定传统医学临床治疗指南.中国中西医结合杂志. 2006; 26(7):581-584.
doi: 10.3321/j.issn:1003-5370.2006.07.001
2 Zeng L, Chen WP . Guideline for integrative Chinese and Western medicine in diagnosis and treatment of difficult diseases. Nanjing: Southeast University Press. 2004: 12. Chinese.
曾莉, 陈卫平 . 疑难病中西医诊疗指南.南京: 东南大学出版社. 2004: 12.
3 Zhang HX . Practical guideline for prevention and treatment of cervical vertebra disease. Wuhan: Hubei Science and Technology Press. 2005: 96-99. Chinese.
张红星 . 实用颈椎病防治指南.武汉: 湖北科学技术出版社. 2005: 96-99.
4 Yang J , Liu M. Evidence-based guidelines for migrane headache : overview of program description and methodology. Zhongguo Xun Zheng Yi Xue Za Zhi. 2003 ; 3(8):50-53. Chinese with abstract in English.
doi: 10.3969/j.issn.1672-2531.2003.01.011
杨杰, 刘鸣 . 偏头痛循证指南制定方法.中国循证医学杂志. 2003; 3(8):50-53.
doi: 10.3969/j.issn.1672-2531.2003.01.011
5 Li J. Considerations on the establishment of clinical guide to traditional Chinese medicine. Shanghai Zhong Yi Yao Za Zhi. 2006; 40(5):4-5. Chinese with abstract in English.
李洁 . 关于制定中医药临床治疗指南的思考.上海中医药杂志. 2006; 40(5):4-5.
6 Wang JL . Evidence based medicine. Beijing: Peopie's Medical Publishing House. 2005: 8, 103-104. Chinese.
王家良.循证医学.北京:人民卫生出版社. 2005: 8, 103-104.
7 Chinese Association of Integrative Medicine, Liver Disease Committee. Guideline for the diagnosis and treatment of liver fibrosis with integrative medicine. Zhong Xi Yi Jie He Xue Bao. 2006; 4(6):551-555. Chinese with abstract in English.
doi: 10.7661/CJIM.2006.11.1052
中国中西医结合学会肝病专业委员会. 肝纤维化中西医结合诊疗指南.中西医结合学报. 2006; 4(6):551-555.
doi: 10.7661/CJIM.2006.11.1052
8 Dong BR, Yue JR , Xu Y. The principles of developing evidence-based guideline. Zhongguo Xun Zheng Yi Xue Za Zhi. 2006 ; 6(2):80-83. Chinese with abstract in English.
董碧蓉, 岳冀蓉, 徐英 . 制定循证指南的原则. 中国循证医学杂志. 2006; 6(2):80-83
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