消化系统疾病中医诊疗共识制定的回顾与思考——以溃疡性结肠炎为例  

A review and reflection on the consensus develpment of Traditional Chinese Medicine diagnosis and treatment for gastrointestinal disorder——A case study of ulcerative colitis

作　　者：沈洪 胡静怡 朱磊 刘亚军 SHEN Hong;HU Jingyi;ZHU Lei;LIU Yajun(Department of Gastroenterology,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing,210023,China)

机构地区：[1]南京中医药大学附属医院消化科,南京210023

出　　处：《中国中西医结合消化杂志》2024年第8期665-669,共5页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：国家中医药管理局高水平中医药重点学科项目(中医脾胃病学)[No:国中医药人教函(2023)85号];国家自然科学基金(No:82274483);江苏省中医药管理局重点项目(No:ZD202212)。

摘　　要：中医诊疗共识可为临床医生提供规范的指导,促进临床疗效的提高,并能推动中医药的标准化和国际化。因此,中医诊疗共识的制定至关重要。本文对已公布的3版消化系统疾病中医诊疗共识的制定进行系统回顾,并结合笔者制定过程中的体会,以溃疡性结肠炎为例,分别从病名、诊断、病机、治疗目标与原则、治法、病证结合、疗效评价、预防调摄和如何利用证据等方面提出建议,为今后共识的优化、修订提供参考。The establishment of Traditional Chinese Medicine(TCM)diagnosis and treatment consensus is crucial as it provides standardized guidance for clinicians,facilitates the enhancement of clinical efficacy,and contributes to the standardization and internationalization of TCM.This paper systematically reviewed the three published versions of TCM diagnosis and treatment consensus for digestive system diseases.Drawing from my own experience,using ulcerative colitis as an example,suggestions are proposed regarding disease nomenclature,diagnosis,pathogenesis,treatment goals and principles,therapeutic approaches,integration of disease and syndrome differentiation,efficacy evaluation,prognosis adjustment,and evidence-based utilization.These recommendations offer valuable insights for optimizing and revising the consensus.

关 键 词：消化系统疾病 中医诊疗 共识 溃疡性结肠炎 

分 类 号：R256.3[医药卫生—中医内科学]