传统针灸面临的循证医学挑战及转化机遇  

Challenges and Transformation Opportunities of Evidence-Based Medicine Faced by Traditional Acupuncture

作　　者：巩昌镇 GONG Changzhen(American Academy of Traditional Chinese Medicine,MN 55113,USA)

机构地区：[1]美国中医针灸研究院,美国明尼苏达州55113

出　　处：《中华中医药学刊》2024年第9期26-37,共12页Chinese Archives of Traditional Chinese Medicine

摘　　要：针灸研究领域近几十年来面临的挑战和机遇,特别是针对安慰剂效应带来的争议,提高到针灸危机的高度,探讨如何在现代科学的背景下理解和推进针灸的科学性和实用性。回顾针灸随机对照试验数量的强劲增加,反映出全球科学界和医学界对针灸越来越多的兴趣和认可。研究表明,尽管存在安慰剂效应,正是这些针灸临床试验研究展现出了在治疗多种疾病的实际生理效应以及非生理因素。探讨了针灸研究如何在面对挑战时寻找新的理论模型和研究方法,以更好地理解针灸的作用机制,并提升其在临床实践中的效果和精确度。通过对不同文化和研究背景下的研究成果进行比较,揭示了针灸研究的复杂性和多样性,以及未来研究中需要解决的关键问题。最终,强调在面对危机时,针灸学界需要采取行动,通过严谨的科学研究来克服挑战,将古老的针灸疗法与现代医学知识相结合,为患者提供更有效、更安全的治疗选择。This paper elevated the challenges and opportunities faced by the field of acupuncture research in recent decades,particularly the controversy surrounding the placebo effect,to the level of an acupuncture crisis.It explored how to understand and promote the scientific and practical aspects of acupuncture within the context of modern science.It reviewed the significant increase in the number of randomized controlled trials on acupuncture,reflecting growing interest and recognition from the global scientific and medical communities.Research has indicated that despite the existence of placebo effects,these acupuncture clini-cal trials demonstrate both physiological effects and non-physiological factors in treating various diseases.The paper also dis-cussed how acupuncture research can seek new theoretical models and research methods to better understand its mechanisms of action and enhance its effectiveness and precision in clinical practice.By comparing research results from different cultures and research backgrounds,the paper revealed the complexity and diversity of acupuncture research,as well as key issues that need to be addressed in future research.Ultimately,the paper emphasized the need for action within the acupuncture community to over-come challenges through rigorous scientific research,integrating ancient acupuncture techniques with modern medical knowledge to provide patients with more effective and safer treatment options.

关 键 词：针灸 随机对照试验 安慰剂效应 四大顶级医学期刊 

分 类 号：R245.31[医药卫生—针灸推拿学]