南京中医药大学学报
南京中醫藥大學學報
남경중의약대학학보
JOURNAL OF NANJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2010年
2期
85-88
,共4页
华浩明%范欣生%姚映芷%段金廒
華浩明%範訢生%姚映芷%段金廒
화호명%범흔생%요영지%단금오
十八反%临床应用%循证医学
十八反%臨床應用%循證醫學
십팔반%림상응용%순증의학
Eighteen Incompatible Medicaments%clinical application%evidence-based medicine
十八反虽是中药配伍禁忌,但古今临床应用颇多.对十八反临床应用的同方配伍、医案和临床报道等文献进行了整理,发现内容丰富,情况复杂.认为有关十八反临床应用的观察,依据循证医学的证据强度分类,强度较低.因此设计并实施十八反的多中心双盲随机分组对照临床试验,意义重大.
十八反雖是中藥配伍禁忌,但古今臨床應用頗多.對十八反臨床應用的同方配伍、醫案和臨床報道等文獻進行瞭整理,髮現內容豐富,情況複雜.認為有關十八反臨床應用的觀察,依據循證醫學的證據彊度分類,彊度較低.因此設計併實施十八反的多中心雙盲隨機分組對照臨床試驗,意義重大.
십팔반수시중약배오금기,단고금림상응용파다.대십팔반림상응용적동방배오、의안화림상보도등문헌진행료정리,발현내용봉부,정황복잡.인위유관십팔반림상응용적관찰,의거순증의학적증거강도분류,강도교저.인차설계병실시십팔반적다중심쌍맹수궤분조대조림상시험,의의중대.
Eighteen Incompatible Medicaments are 18 pairs of medicinal herbs contradicted and prohibited in theory but have -undergone extensive clinical applications. Relevant literature were collected and studied, including formulae, medical records and clinical reports. We found the literature is rich in content and complex in conditions. We found that if the clinical applications of the Eighteen Incompatible Medicaments were classified in the same way as evidence-based medicine, their evidence would not be so convincing.Therefore, it is indispensible to design and implement its own multicenter double- blind randomized control clinical trials for Eighteen Incompatible Medicaments.