Applying evidence-based medicine to traditional chinese medicine: debate and strategy

The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy
Jeanne L Shea

Abstract

Drawing on recent paper published literature in both English and Chinese, this explores reactions to the evaluation of Chinese medicine using randomized controlled trials (RCTs) and the standards of evidence-based medicine (EBM). The literature review revealed a few sources which contend that Chinese medicine should not be evaluated on the basis of RCTs, but a far greater number which advocate for applying RCT and EBM standards to Chinese medicine. This paper describes the position of the detractors and points out ways in which their arguments contain oversimplified representations of Chinese medicine, biomedicine, EBM, and RCTs. In describing the position of the proponents, the analysis outlines some of the numerous innovative techniques they are developing for dealing with issues of control and standardization in efficacy research. Overall, the analysis indicates that important refinements are being generated in Chinese medicine research and clinical trial design in response to the challenges posed by the forced encounter of these two paradigms.

References

Jan 13, 1996·BMJ : British Medical Journal·D L SackettW S Richardson
Jun 17, 1998·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·R Hammerschlag
Jul 16, 1999·BMJ : British Medical Journal·J L TangE Ernst
May 12, 2000·Journal of Clinical Pharmacology·B TomlinsonP P But
Jul 7, 2001·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·A Gould, H MacPherson
Sep 18, 2001·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·J S Varner
Oct 20, 2001·Osiris·T J Hinrichs
Nov 22, 2001·Journal of Applied Physiology·H M LangevinM H Krag
Dec 12, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·M R Tonelli, T C Callahan
Feb 2, 2002·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·K J ShermanC J Hogeboom
Feb 2, 2002·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·B M Berman
Feb 2, 2002·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·J Shen
Feb 2, 2002·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·B M Berman
Mar 5, 2002·Annals of Internal Medicine·Ted J Kaptchuk
Mar 14, 2002·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Hugh MacPhersonUNKNOWN STRICTA Group
Jun 18, 2002·The American Journal of Chinese Medicine·P C Leun, M W N Wong
Aug 8, 2002·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Marja J VerhoefRobert J Hilsden
Dec 6, 2002·The Anatomical Record·Helene M Langevin, Jason A Yandow
Dec 10, 2002·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Rosa N Schnyer, John J B Allen
Feb 22, 2003·Complementary Therapies in Medicine·A J Norheim, V Fønnebø
Mar 5, 2003·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Kumanan Wilson, Edward Mills
Sep 11, 2003·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Ruiping Fan
Mar 17, 2004·BMJ : British Medical Journal·Andrew J VickersRobbert Van Haselen
May 29, 2004·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Helene M LangevinTed J Kaptchuk
Oct 23, 2004·Human Brain Mapping·Vitaly NapadowKathleen K S Hui
Nov 13, 2004·Zhong xi yi jie he xue bao = Journal of Chinese integrative medicine·Lixing Lao

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Citations

Apr 22, 2011·Chinese Journal of Integrative Medicine·Jie Li, Hong-Sheng Lin
Apr 9, 2013·Complementary Therapies in Clinical Practice·William Spence, Na Li
May 26, 2006·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Richard Hammerschlag, Heather Zwickey
Nov 18, 2006·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Alex Hankey, Sarah McCrum
May 2, 2008·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Richard HammerschlagSusan Fleishman
Jul 3, 2007·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Vincent ChungSian Griffiths
Mar 19, 2009·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Michele MaiersMark McKenzie
Oct 16, 2012·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Brian H MayCharlie C L Xue
Dec 18, 2012·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Benjamin L MarxDeborah L Ackerman
Jan 1, 2012·Forschende Komplementärmedizin = Research in Complementary Medicine·H Felix FischerBenno Brinkhaus
Oct 11, 2011·BMC Complementary and Alternative Medicine·Nicola RobinsonXing Liao
Sep 5, 2012·Chinese Medicine·Emily Yen WongSum Ping Lee
Feb 19, 2013·Chinese Medicine·Johannah L ShergisCharlie C Xue
Aug 3, 2012·Journal of the American Veterinary Medical Association·Brennen A McKenzie
Jun 19, 2014·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Quan ZhangXin-Ping Zhang
Jun 18, 2014·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Cynthia R LongRoni L Evans
May 7, 2013·Complementary Therapies in Medicine·Jiang LiKehu Yang
Jun 14, 2013·Evidence-based Complementary and Alternative Medicine : ECAM·Suzanne J GrantAlan Bensoussan
May 8, 2015·Evidence-based Complementary and Alternative Medicine : ECAM·Foon Yin Fung, Yeh Ching Linn
Nov 16, 2011·The American Journal of Chinese Medicine·Xiao-Xi ZengWong Taam Chi Woon
Apr 1, 2014·Chinese Journal of Integrative Medicine·Yihyun Kwon

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