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The quest for modernisation of traditional Chinese medicine

机译:对中医药现代化的追求

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摘要

Traditional Chinese medicine (TCM) is an integral part of mainstream medicine in China. Due to its worldwide use, potential impact on healthcare and opportunities for new drug development, TCM is also of great international interest. Recently, a new era for modernisation of TCM was launched with the successful completion of the Good Practice in Traditional Chinese Medicine Research in the Post-genomic Era (GP-TCM) project, the European Union’s Seventh Framework Programme (FP7) coordination action on TCM research. This 3.5-year project that involved inputs from over 200 scientists resulted in the production of 20 editorials and in-depth reviews on different aspects of TCM that were published in a special issue of Journal of Ethnopharmacology (2012; volume 140, issue 3). In this narrative review, we aim to summarise the findings of the FP7 GP-TCM project and highlight the relevance of TCM to modern medicine within a historical and international context. Advances in TCM research since the 1950s can be characterised into three phases: Phase I (1950s-1970s) was fundamental for developing TCM higher education, research and hospital networks in China; Phase II (1980s-2000s) was critical for developing legal, economic and scientific foundations and international networks for TCM; and Phase III (2011 onwards) is concentrating on consolidating the scientific basis and clinical practice of TCM through interdisciplinary, interregional and intersectoral collaborations. Taking into account the quality and safety requirements newly imposed by a globalised market, we especially highlight the scientific evidence behind TCM, update the most important milestones and pitfalls, and propose integrity, integration and innovation as key principles for further modernisation of TCM. These principles will serve as foundations for further research and development of TCM, and for its future integration into tomorrow’s medicine.
机译:中医(TCM)是中国主流医学不可或缺的一部分。由于其在世界范围内的使用,对医疗保健的潜在影响以及新药开发的机会,中药也引起了广泛的国际关注。最近,随着成功完成后基因组时代中医药研究的良好实践(GP-TCM)项目,欧盟第七框架计划(FP7)协调行动,中医药现代化的新时代开始了研究。这个历时3.5年的项目吸收了200多位科学家的意见,结果发表了20篇社论,并对中医药的不同方面进行了深入评论,并发表在特刊《民族药理学杂志》(2012年;第140卷,第3期)上。在这篇叙述性综述中,我们旨在总结FP7 GP-TCM项目的发现,并强调历史和国际背景下中医药与现代医学的相关性。 1950年代以来中医药研究的进展可以分为三个阶段:第一阶段(1950年代至1970年代)是发展中国中医药高等教育,研究和医院网络的基础;第二阶段(1980年代至2000年代)对于发展法律,经济和科学基础以及中医药国际网络至关重要;第三阶段(2011年起)则集中于通过跨学科,跨区域和跨部门的合作来巩固中医药的科学基础和临床实践。考虑到全球化市场新提出的质量和安全要求,我们特别强调中药背后的科学依据,更新最重要的里程碑和陷阱,并提出诚信,整合和创新作为中药进一步现代化的关键原则。这些原则将为进一步研究和开发中医以及将来将其纳入明天的医学奠定基础。

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