中药,又是中药,不过这次是Nature杂志的讨论

来源:百度文库 编辑:超级军网 时间:2024/04/29 01:47:11
<br /><br />无论所谓中医粉还是中医黑,都去读一下,有好处
http://www.nature.com/nature/outlook/asian_medicine/

简单翻译第一篇Nature展望副主编写的评论,后面还有很多内容,有兴趣的自己去看吧。
Traditional Asian medicine
    Michelle Grayson (Associate Editor, Nature Outlooks)

    Nature
    480,
    S81
    (22 December 2011)
    doi:10.1038/480S81a

Published online
    21 December 2011

When the topic of traditional Asian medicine was first mooted, we were sceptical. To a magazine based in Europe and steeped in the history of science, there is much about traditional Asian medical practice that seems mystical and pseudoscientific. Other than well known success stories — artemisinin for malaria, and arsenic trioxide for leukaemia — there seemed to be a lack of scientifically proven remedies.

Yet a bit of probing revealed what a complex story this is. Not only are big efforts underway to modernize traditional medicine in China and Japan, but Western medicine is adopting some aspects of the Eastern point of view too. In particular, modern medical practitioners are coming around to the idea that certain illnesses cannot be reduced to one isolatable, treatable cause. Rather, a fall from good health often involves many small, subtle effects that create a system-wide imbalance.

But do traditional medicines actually work? Their personalized nature makes randomized controlled trials — the gold standard for testing drugs — extremely difficult. Rarely are two formulations identical. However, as modern medicine becomes more personalized, using biological and genetic markers, it is inadvertently developing the tools to better test traditional medicines.

Although artemisinin and arsenic trioxide are the archetypal examples of successful modern medicines mined from traditional Asian medicine, they do not represent the ideal convergence of the two systems. There are unique aspects to traditional Asian medicine that could hold great promise if they are artfully investigated. The goal of science should be to rigourously test each claim and sort the medical wheat from the pseudoscientific chaff.

We acknowledge the financial support of Saishunkan Pharmaceutical Co., ltd and Kitasato University Oriental Medicine Research Center in producing this Outlook. As always, Nature takes full responsibility for all editorial content.


最初接触亚洲传统医药的话题时,我们对此持怀疑态度。对于一本总部设在欧洲,在科学史上赫赫有名的杂志来说,很多关于亚洲传统医疗实践似乎是神秘和伪科学的。除了较知名的成功个例 - 治疗疟疾的青蒿素以及至治疗白血病的三氧化二砷 -  传统医药似乎没有啥可以科学证明的疗效。

然而,略微研究一下就发现这是一个很复杂的问题。一方面中国和日本正在大力进行传统医药在的现代化,另一方面,西医也在接纳某些东方同行的观点。特别是,现代很多医生都接受某些疾病不能归纳到一个被分离的,可治疗的原因的观点。健康状况的恶化,往往源于许多微小的,潜移默化的影响所引起的系统失衡。

但是,传统医药有用吗?千人千方的理念使得用随机对照试验(测试药物的黄金标准)来验证十分困难,因为很少有两个药方相同。然而,现代医学的个人化发展和生物和遗传标记的使用,使更好的测试传统药物成为可能。

虽然青蒿素和三氧化二砷是从传统的亚洲药品开发成功的现代药物的典型例子,他们并不代表两个系统的理想融合。如果巧妙的进行研究,传统的亚洲药品的一些特质是可以大有作为的。科学的目标应该是严格测试每一个假设,将有用的药物和治疗方法从伪科学的糟粕中挑选出来。

Saishunkan药业有限公司和Kitasato University Oriental Medicine Research Center为本期“展望”提供财政支持。Nature对所有的评论内容负全部责任。<br /><br />无论所谓中医粉还是中医黑,都去读一下,有好处
http://www.nature.com/nature/outlook/asian_medicine/

简单翻译第一篇Nature展望副主编写的评论,后面还有很多内容,有兴趣的自己去看吧。
Traditional Asian medicine
    Michelle Grayson (Associate Editor, Nature Outlooks)

    Nature
    480,
    S81
    (22 December 2011)
    doi:10.1038/480S81a

Published online
    21 December 2011

When the topic of traditional Asian medicine was first mooted, we were sceptical. To a magazine based in Europe and steeped in the history of science, there is much about traditional Asian medical practice that seems mystical and pseudoscientific. Other than well known success stories — artemisinin for malaria, and arsenic trioxide for leukaemia — there seemed to be a lack of scientifically proven remedies.

Yet a bit of probing revealed what a complex story this is. Not only are big efforts underway to modernize traditional medicine in China and Japan, but Western medicine is adopting some aspects of the Eastern point of view too. In particular, modern medical practitioners are coming around to the idea that certain illnesses cannot be reduced to one isolatable, treatable cause. Rather, a fall from good health often involves many small, subtle effects that create a system-wide imbalance.

But do traditional medicines actually work? Their personalized nature makes randomized controlled trials — the gold standard for testing drugs — extremely difficult. Rarely are two formulations identical. However, as modern medicine becomes more personalized, using biological and genetic markers, it is inadvertently developing the tools to better test traditional medicines.

Although artemisinin and arsenic trioxide are the archetypal examples of successful modern medicines mined from traditional Asian medicine, they do not represent the ideal convergence of the two systems. There are unique aspects to traditional Asian medicine that could hold great promise if they are artfully investigated. The goal of science should be to rigourously test each claim and sort the medical wheat from the pseudoscientific chaff.

We acknowledge the financial support of Saishunkan Pharmaceutical Co., ltd and Kitasato University Oriental Medicine Research Center in producing this Outlook. As always, Nature takes full responsibility for all editorial content.


最初接触亚洲传统医药的话题时,我们对此持怀疑态度。对于一本总部设在欧洲,在科学史上赫赫有名的杂志来说,很多关于亚洲传统医疗实践似乎是神秘和伪科学的。除了较知名的成功个例 - 治疗疟疾的青蒿素以及至治疗白血病的三氧化二砷 -  传统医药似乎没有啥可以科学证明的疗效。

然而,略微研究一下就发现这是一个很复杂的问题。一方面中国和日本正在大力进行传统医药在的现代化,另一方面,西医也在接纳某些东方同行的观点。特别是,现代很多医生都接受某些疾病不能归纳到一个被分离的,可治疗的原因的观点。健康状况的恶化,往往源于许多微小的,潜移默化的影响所引起的系统失衡。

但是,传统医药有用吗?千人千方的理念使得用随机对照试验(测试药物的黄金标准)来验证十分困难,因为很少有两个药方相同。然而,现代医学的个人化发展和生物和遗传标记的使用,使更好的测试传统药物成为可能。

虽然青蒿素和三氧化二砷是从传统的亚洲药品开发成功的现代药物的典型例子,他们并不代表两个系统的理想融合。如果巧妙的进行研究,传统的亚洲药品的一些特质是可以大有作为的。科学的目标应该是严格测试每一个假设,将有用的药物和治疗方法从伪科学的糟粕中挑选出来。

Saishunkan药业有限公司和Kitasato University Oriental Medicine Research Center为本期“展望”提供财政支持。Nature对所有的评论内容负全部责任。
科学的目标应该是严格测试每一个假设,将有用的药物和治疗方法从伪科学的糟粕中挑选出来。

这应该说的就是"验药废医"
无聊的家伙
ak1900 发表于 2011-12-22 11:39
科学的目标应该是严格测试每一个假设,将有用的药物和治疗方法从伪科学的糟粕中挑选出来。

这应该说的就 ...
小日本 搞这个搞了几十年了。
最后搞出不少事儿来。
像什么小柴胡导致间质性肺炎就是“废医验药”搞出来的好事。
为什么总有人怀疑中医药呢?
ak1900 发表于 2011-12-21 22:39
科学的目标应该是严格测试每一个假设,将有用的药物和治疗方法从伪科学的糟粕中挑选出来。

这应该说的就 ...
仔细去读一下文章,不要自以为是的把自己的观点往别人的话上套。

这一期中两片观点类文章指出类风湿关节炎中中医的诊断有效,一片是发现中医诊断的不同类别对药物的反应不同,因此用中医诊断可以更好的对症下药,另一片则指出了通过中医诊断得到的不同类别在细胞程序性死亡和代谢相关的基因表达有显著不同。
中医应该主动地融合到全球医学的大框架之中,不能搞封闭。
明镜亦无台 发表于 2011-12-23 03:30
仔细去读一下文章,不要自以为是的把自己的观点往别人的话上套。

这一期中两片观点类文章指出类风湿关 ...
然后我是不是可以说,中医的疾病分型为疾病机理研究提供了重要的线索?
我认为“辨证论治”是古代的个体化医学,可惜这种靠医生眼看手摸的方式在现代未免显得太原始了,不但难于学习和掌握,也无法精确和定量。或许6楼的“中医诊断得到的不同类别在细胞程序性死亡和代谢相关的基因表达有显著不同”是一个可以探讨的发展方向?
士族 发表于 2011-12-22 20:17
为什么总有人怀疑中医药呢?
因为国家对中医药研究投入的太少了,相对于西医来说,而且研究成果的宣传极端弱势,导致大量老鼠屎顶着中医的名号在外招摇撞骗。国家应该明确公布允许中医治疗的疾病名录及一般性治疗程序,凡不在名录上的及不符合一般性程序的一律禁止挂“中医”的名号,认为自己独特治疗手段确实有效的,可以向主管部门提出申请,经一系列国家级鉴定后增补到名录中去。
根本就是两个不同的体系与世界观,蜥蜴控狂批中医不过是屁股决定脑袋罢了。
中医是怎么形成的,想明白这个问题就好了。
西方科学家基本都是唯物主义者所以他们老是不相信中药能更好的治病
战略忽悠局二处 发表于 2012-1-2 23:22
根本就是两个不同的体系与世界观,蜥蜴控狂批中医不过是屁股决定脑袋罢了。
是的,在中医的体系和世界观里,天圆地方那可是真理。

T62 发表于 2012-1-12 23:14
是的,在中医的体系和世界观里,天圆地方那可是真理。


美国的西医用寄生虫、大便治那些蜥蜴控眼中的神器抗生素都治不了的病,恐怕国内的蜥蜴控听都没听说过吧。
T62 发表于 2012-1-12 23:14
是的,在中医的体系和世界观里,天圆地方那可是真理。


美国的西医用寄生虫、大便治那些蜥蜴控眼中的神器抗生素都治不了的病,恐怕国内的蜥蜴控听都没听说过吧。