【作者】 谢仁明； 杜宝新； 周道友； 黄燕； 黄培新；

【Author】 XIE Ren-ming,DU Bao-xin,ZHOU Dao-you,et al (Guangdong Province Hospital of TCM,Guangzhou 510120,China)

【机构】 广东省中医院；

【摘要】 1)神经系统疾病干预中中医的生存空间主要是疑难病、多因素致病的老年性、慢性进展性疾病及亚健康状态、慢性疲劳状态。2)中医干预的起效模式主要有整体效应、自组织、自稳态模式、全息效应和蝴蝶效应。3)神经系统疾病中医临床疗效作用点主要在于终点指标和医学相关事件,此外临床症状及症状群以及生存质量的评价中医也具备优势。4)神经系统疾病中医临床疗效评价不能完全舍弃西医公认的一些关键指标,又要突出中医优势还可以考虑用多学科研究方法。中医治疗性评价临床证据可以来源于随机对照试验(RCT),也可以考虑采用其他类型的设计。更多还原

【Abstract】 The living space of TCM in neurological diseases intervention was suspicious diseases and aging,chronic diseases caused by multiple factors and sub-health state and chronic fatigue state.The effect model of Chinese Medicine mainly consisted of total effect,self-organization,self-stable model,total information effect and butterfly effect.The effect point of TCM in neurological diseases lied mainly in endpoints and health-related accidents.Moreover,TCM had an advantage on evaluation of symptoms and syndrome and quality of life.Some key indexes mustn’t be skipped while evaluating the effects of TCM in neurological diseases. And the advantages of TCM such as endpoints,health-related accidents and quality of life must be seen.Some multi-subject researching methods should be adopted to make synthetic evaluation of subjective indexes and objective indexes.The evidence of TCM treating research can comes from RCTs,and other types of clinical research can also be considered.更多还原