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After TCM was included in the type 2 diabetes guidelines

2018年12月07日

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After TCM was included in the type 2 diabetes guidelines



The 2018-11-30 health






"For the first time, this edition of the guidelines includes evidence level requirements for diabetes and traditional Chinese medicine treatment." This sentence is concise and comprehensive, but it is of landmark significance in the compilation statement of the "guidelines for the prevention and treatment of type 2 diabetes in China (2017 edition)" in the first issue of the Chinese journal of diabetes in 2018. Now, more than half a year has passed since the publication of the guidelines for the prevention and treatment of type 2 diabetes in China (2017 edition). What is the academic and clinical impact of the guidelines on the prevention and treatment of type 2 diabetes in China? What are the stories behind "the first time"? The reporter interviewed relevant expert recently.



A new milestone



Write traditional Chinese medicine into the guide to western medicine



China is the first country in the world to know diabetes mellitus, and there is a record of "quenching thirst" in huangdi neijing, zhang zhongjing used "shenqi pills" to treat the disease in synopsis of the golden chamber. The guideline points out that in the past 10 years, TCM has gradually standardized and systematized the research on diabetes. Researchers have conducted a series of evidence-based studies on pre-diabetes, diabetes stage and diabetes complications, and obtained some clinical evidence, providing more options for the prevention and treatment of type 2 diabetes.



"This is a very important milestone with Chinese characteristics and Chinese marks!" Said yan dewen, chief physician of endocrinology department of the first affiliated hospital of shenzhen university. In fact, both the industry's top experts and grass-roots doctors have affirmed the inclusion of diabetes guidelines into the treatment of traditional Chinese medicine.



The guidelines provide four treatment recommendations and detailed treatment options. These treatment recommendations are supported by evidence-based medical evidence. Song guangyao, member of the standing committee of the eighth session of the diabetes branch of the Chinese medical association and director of the metabolic disease diagnosis and treatment center of hebei people's hospital, said that the Chinese traditional medicine currently included in the guidelines is supported by clinical evidence-based medical evidence internationally. In the compilation of the guidelines, the author first referred to the relevant guidelines of diabetes branch of the Chinese society of traditional Chinese medicine, and then looked for internationally influential evidence of the treatment of diabetes by traditional Chinese medicine in line with the requirements of the compilation of the guidelines, and tried to make the evidence of traditional Chinese medicine reach the level of evidence in other chapters.



Diabetes treatment



Exchanges between Chinese and western medicine have become more frequent



In the early 1990s, Yang shuyu, a diabetes researcher at yingkou hospital of traditional Chinese medicine in liaoning province, received a special patient. The patient, from Taiwan, had diabetes, high blood sugar, poor sleep and erectile dysfunction. Yang shuyu gave the patient a prescription of traditional Chinese medicine. Patients in insulin hypoglycemic at the same time, adhere to the use of traditional Chinese medicine water decoction. After taking traditional Chinese medicine, the patient's symptoms were significantly improved, and he returned to Taiwan, where Yang shuyu has been conducting follow-up treatment.



When Yang shuyu felt more and more the important role of traditional Chinese medicine in the treatment of diabetes, other western medical colleagues also realized that diabetes patients with hypoglycemia combined with traditional Chinese medicine therapy have unexpected curative effect. Yang shuyu was born of traditional Chinese medicine and studied western medicine. He is a member of the diabetes society of the Chinese medical association and the Chinese society of traditional Chinese medicine. As an amphibian, he felt even more deeply. He has found that Chinese and western medicine have become increasingly interested in each other's treatment of diabetes. Many western doctors are very interested in traditional Chinese medicine. They would like to know what treatment methods traditional Chinese medicine has for diabetes, and they are willing to explore and study together. In addition, doctors in traditional Chinese medicine also hope to communicate with western medicine frequently, which can improve the clinical level and benefit more patients.



Everything is so logical. In 2014, the diabetes branch of the Chinese academy of traditional Chinese medicine held an annual meeting and set up a branch meeting of traditional Chinese medicine for the first time. Since then, experts spent two or three hours to share the experience and experience of treating diabetes with traditional Chinese medicine, has become the annual convention.



The country's big policy is an effective booster. On December 25, 2016, the standing committee of the National People's Congress promulgated the law of the People's Republic of China on traditional Chinese medicine. It was in this year that traditional Chinese medicine group of diabetes branch of Chinese medical association was founded. As a participant of this idea, the Chinese medical association of the eighth complications committee director committee member, the sixth people's hospital affiliated to Shanghai jiaotong university, dean of wei-ping jia said: "countries have the method of traditional Chinese medicine, and clinical research of TCM methodology is adopted the international general method to judge the results, there should be a platform to expand international and domestic exchanges." After the establishment of the group, academic conferences are often held with the participation of traditional Chinese and western medicine.



"With more and more exchanges and mutual understanding between TCM and western medicine, it makes sense to include TCM as a chapter in the guide." "Yang shuyu said. Jia weiping has also paid attention to the fact that more and more TCM research has been in line with international standards in terms of science and standardization, and the research results have been published in internationally renowned journals. Therefore, she proposed to include traditional Chinese medicine in the framework of the guideline, which was unanimously approved by the standing committee and the whole committee of the diabetes branch of the Chinese medical association.



The research of traditional Chinese medicine



Chinese people should take the lead in the world



"It seems that adding TCM treatment content to the guidelines is still effective," jia said. This shows that as long as traditional medicine is well done, scientific and recognized by international and domestic counterparts, it can still have the same communication opportunities as western medicine. According to song guangyao, the significance of this event is to establish the important position of traditional Chinese medicine in the prevention and treatment of chronic diseases, and let more western doctors realize that traditional Chinese medicine plays a certain role in the prevention and treatment of chronic diseases. At the same time, it also guides TCM to do more standardized clinical research in line with the world. "What's more important is that patients benefit and have more and better treatments." Yang shuyu stressed.



Although the move eventually took place, six months later, discussions and expectations continue. The first is the expectation of more evidence-based medical evidence. "At present, the evidence of evidence-based medicine is still insufficient" "the mechanism of traditional Chinese medicine to reduce blood glucose is not very clear, only for type 2 diabetes, then type 1 diabetes? These wishes and hopes must be placed in time.



It is worth noting that in recent years, traditional Chinese medicine has been more and more recognized by doctors and people. Many foreign experts and research institutions have begun to study TCM, and many research papers have been published. Song guangyao thought: "since the world is recognizing TCM, why don't we go ahead ourselves? We can't wait for TCM to be included in the international guidelines before we recognize and say yes. This is exactly the significance of this case for other disciplines.