Traditional medicine

传统医学
  • 文章类型: Journal Article
    这篇综述旨在总结和分析模式识别(PI),草药配方,和最近的儿科COVID-19治疗指南提供的草药成分。在2020年3月25日之前,对七个数据来源进行了审查。我们分析了指南中包含的草药配方,并进行了网络分析,以确定草药配方中推荐草药的频率。所有3个指南都是来自中国的省级指南。我们的结果显示有4个阶段,12个PI,和省级指南推荐的13种草药配方。这些草药配方包括总共56种草药。根据我们的网络分析,黄芩与黄芩成簇。在另一个集群中,亚美尼亚精液与Coicis精液配对,以麻草与石膏纤维配对。该综述可为传统药物治疗小儿COVID-19提供参考。
    This review aimed to summarize and analyze the pattern identification (PI), herbal formulae, and composition of herbs provided by recent guidelines for the treatment of pediatric COVID-19. Seven data sources were reviewed until March 25, 2020. We analyzed the herbal formulae included in the guidelines and performed a network analysis to identify the frequency of herbs recommended in the herbal formulae. All 3 guidelines were provincial guidelines from China. Our results showed that there were 4 stages, 12 PIs, and 13 herbal formulae recommended by the provincial guidelines. These herbal formulae included a total of 56 herbs. Based on our network analysis, Scutellariae Radix was paired with Artemisiae Annuae Herba in one cluster. In another cluster, Armeniacae Semen was paired with Coicis Semen and Ephedrae Herba was paired with Gypsum Fibrosum. This review serves as a reference for the use of traditional medicine in the treatment of pediatric COVID-19.
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  • 文章类型: Journal Article
    The World Health Organization (WHO) has called for the increased statutory regulation of traditional and complementary medicine practitioners and practices, currently implemented in about half of nations surveyed. According to recent WHO data, however, the absence of policy guidelines in this area represents a significant barrier to implementation of such professional regulations. This commentary reviews several key challenges that distinguish the statutory regulation of traditional medicine practitioners and practices from biomedical professional regulation, providing a foundation for the development of policy making parameters in this area. Foremost in this regard are the ongoing impacts of the European colonial encounter, which reinforce biomedicine\'s disproportionate political dominance across the globe despite traditional medicine\'s ongoing widespread use (particularly in the global South). In this light, the authors discuss the conceptual and historical underpinnings of contemporary professional regulatory structures, the tensions between institutional and informal traditional medicine training pathways, and the policy challenges presented by the prospect of standardizing internally diverse indigenous healing approaches. Epistemic and evidentiary tensions, as well as the policy complexities surrounding the intersection of cultural and clinical considerations, present additional challenges to regulators. Conceptualizing professional regulation as an intellectual property claim under the law, the authors further consider what it means to protect traditional knowledge and prevent misappropriation in this context. Overall, the authors propose that innovative professional regulatory approaches are needed in this area to address safety, quality of care, and accessibility as key public interest concerns, while prioritizing the redress of historical inequities, protection of diverse indigenous knowledges, and delivery of care to underserved populations.
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  • 文章类型: Journal Article
    背景:民族药理学研究旨在收集有关植物和其他天然物质的本地和传统用途的信息。然而,使用的方法和采用的方法各不相同,虽然这种可变性在科学多样性方面是可取的,研究必须遵守明确的质量标准和可重复的方法目标:通过ConSEFS(民族药理学领域研究的共识声明),我们希望定义开发中的最佳实践,开展和报告侧重于药用和食品植物的当地和传统用途的实地研究,包括使用历史方法的研究。
    方法:在首次制定初稿之后,核心小组通过基于网络的咨询和2017年会议上的一系列研讨会邀请了研究人员的社区反馈。
    结果:咨询产生了大量的响应。反馈是通过“民族药理学杂志”网站上的网络链接收到的(大约。100个回复),其他口头和书面答复(约50)并在四个会议上与利益相关者进行讨论。主要结果是一份清单,涵盖设计的最佳实践,实施和记录民族药理学领域研究和历史研究。
    结论:在开始民族药理学领域研究之前,作者必须充分了解该领域的最佳实践。在民族药理学领域,一份全社区文件首次定义了如何进行和报告此类研究的最佳实践指南。它将需要更新和进一步发展。虽然反馈是基于许多有经验的研究人员的回应,有必要通过在实施和报告实地研究(或历史研究)中使用它来在实践中测试它,和同行评审。
    BACKGROUND: Ethnopharmacological research aims at gathering information on local and traditional uses of plants and other natural substances. However, the approaches used and the methods employed vary, and while such a variability is desirable in terms of scientific diversity, research must adhere to well defined quality standards and reproducible methods OBJECTIVES: With ConSEFS (the Consensus Statement on Ethnopharmacological Field Studies) we want to define best-practice in developing, conducting and reporting field studies focusing on local and traditional uses of medicinal and food plants, including studies using a historical approach.
    METHODS: After first developing an initial draft the core group invited community-wide feedback from researchers both through a web-based consultation and a series of workshops at conferences during 2017.
    RESULTS: The consultation resulted in a large number of responses. Feedback was received via a weblink on the Journal of Ethnopharmacology\'s website (ca. 100 responses), other oral and written responses (ca. 50) and discussions with stakeholders at four conferences. The main outcome is a checklist, covering best practice for designing, implementing and recording ethnopharmacological field studies and historical studies.
    CONCLUSIONS: Prior to starting ethnopharmacological field research, it is essential that the authors are fully aware of the best practice in the field. For the first time in the field of ethnopharmacology a community-wide document defines guidelines for best practice on how to conduct and report such studies. It will need to be updated and further developed. While the feedback has been based on responses by many experienced researchers, there is a need to test it in practice by using it both in implementing and reporting field studies (or historical studies), and peer-review.
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  • 文章类型: Journal Article
    OBJECTIVE: To evaluate/assess the quality of the clinical practice guidelines (CPGs) of traditional medicine in China.
    METHODS: We systematically searched the literature databases WanFang Data, VIP, CNKI, and CBM for studies published between 1978 and 2012 to identify and select CPGs of traditional medicine. We used the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument to evaluate these guidelines.
    RESULTS: A total of 75 guidelines were included, of which 46 guidelines (62%) were on Traditional Chinese Medicine, 19 (25%) on Chinese Integrated Medicine, and 10 (13%) on Uyghur Medicine. Most traditional medicine CPGs published in domestic journals scored <20% (range: 0% to 63%). Eleven (14%) CPGs were developed following the methodology of evidence-based medicine. In each domain of AGREE II, traditional medicine CPGs performed clearly better than international CPGs. The same trend was seen in guidelines of modern medicine.
    CONCLUSIONS: An increasing amount of CPGs are being published, but their quality is low. Referring to the key points of international guidelines development, supervision through AGREE II, cooperating with international groups and exploring the strategy of guideline development could improve the quality of CPGs on traditional medicine.
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