自早些年关于中医药是否属于科学范畴的争论，也就是中医中药被黑以来，传统医学有别于循证医学，于是有人把他划归为 非科学，而非科学的号称科学，就是伪科学了，中医中药有被指为伪科学的嫌疑！当然，这只是一家之言，属于科学争论的范畴。而在美国，据2012年NCHS的最新数据统计：17.9%的美国成年人却在使用非维他命、非矿物质的膳食补充剂，且主要分布在太平洋沿岸、高山地区和中西部地区。太平洋沿岸相对离同处太平洋的中国较近！ 关于医学其中就有专家学者提出： “实践的医学，那多了去了，西方传统医学，印度传统医学，埃及传统医学，每个民族都有自己的传统医学，都实践一下？看看哪个有效，用哪个。”但说实话，以前对其他国家的传统医学还真的了解甚少，于是乎，开始更多关注美国 、加拿大、英国、澳大利亚和欧洲 ，这些国家主要采用所谓西方主流医学，即 医药生物医学方法以及基于科学的循证医学。 虽然 18 世纪早期医学实践中不能有效解决疼痛等这一类的应激反应。各种替代医学方法，比如顺势疗法、水疗、催眠术，在 18 世纪晚期和 19 世纪早期得到了普及；这也反应了当时的政治趋势，包括医学知识的民主化以及浪漫主义时期艺术和文学的认同；在这个时期，替代医学自然具有高度的价值。虽然替代医学得到了普及，但是从业者和各种思想流派并没有得到有序的组织，到 19 世纪早期，替代医学不再广受欢迎，那个时候的替代医学的科学发现也失去了公众的兴趣。 但即使这样，在 20 世纪 60 年代到 70 年代补充和替代医学又再度兴起，解释一下，补充医学是指和主流疗法共同使用的疗法，替代医学是指超出主流西方医学医学实践的方法，而常规医学（传统医学）是指早于西方医学并且在世界上很多传统社会中仍然采用的实践。【 1 】 再一种解释， 补充替代医学 ,NIH 所做出的定义是美国主流医学 ( 常规医学 ) 之外的医疗保健实践。其中传统医学指的是从古老、传统的医学体系中衍生出的医疗实践；补充医学是指与常规医学同时使用的医疗保健手段；替代医学则指的是代替常规医学的方法而用于临床诊疗的内容。针灸、草药、推拿等传统中医治疗手段是补充替代医学的主要内容和常用方法。 英文的解释是： Complementary health approaches are medical and health care systems,practices, and products that originated outside of mainstream medicine. They include techniques performed by a practitioner (such as acupuncture, spinal manipulation, and massage therapy) and natural products (such as herbs,probiotics, and fish oil). Some approaches, including acupuncture and yoga,originated in Eastern countries such as China or India but are now used in Western countries as well. “Complementary” refers to use of a non-mainstream approach together with conventional medicine. “Alternative” refers to use of a non-mainstream approach in place of conventional medicine .【3】 Complementary health approaches: Include acupuncture, Ayurveda, biofeedback, chelation therapy, chiropractic or osteopathic manipulation, craniosacral therapy, energy healing therapy, guided imagery, herbs and other nonvitamin supplements, hypnosis, homeopathy, massage, meditation (mantra, mindfulness, and spiritual), Alexander technique, Feldenkreis, Pilates, Trager psychophysical integration, naturopathy, progressive relaxation, special diets, traditional healers, and yoga (with meditation or deep breathing), tai chi, and qi gong exercises. 【 4 】 补充保健疗法包括 补充健康的方法 : 包括针灸 , 阿育吠陀、生物反馈、螯合疗法 , 按摩推拿或整骨疗法 , 颅骶的治疗法 , 能量治愈疗法 , 音乐引导想象疗法 , 草药和其他非维生素补充剂、催眠、顺势疗法、按摩 , 冥想 ( 咒语、意念和精神法 ), 太极 , 气功锻炼。 还有很多疗法中国人不太熟悉，如 亚历山大技术 , Feldenkrei s 疗法、普拉提疗法、特拉格心身疗法、物理疗法 , 逐步放松疗法 , 特殊饮食疗法 , 南部非州的传统治疗法和瑜伽（冥想或深呼吸 ) 。 值得关注的是，最近就有 全球著名的非营利医疗机构克利夫兰诊所（ ClevelandClinic ）开设中医诊所的报道。 此篇博文只是提及了一些概念解释，补充疗法具体的区域分布统计数据待下篇博文再详叙。
http://www.gopubmed.org/web/gopubmed/ 2,929 documents semantically analyzed top author statistics 1 2 3 Top Years Publications 2009 329 2008 294 2006 266 2005 237 2007 236 2004 207 2003 200 2002 162 2000 126 2001 126 2010 110 1999 77 1998 72 1997 70 1994 49 1995 47 1996 45 1992 41 1990 33 1991 31 1 2 3 1 2 3 4 5 Top Countries Publications China 743 Japan 397 USA 371 United Kingdom 143 Taiwan 113 Australia 98 Hong Kong 89 South Korea 85 Canada 78 India 72 Germany 42 Italy 37 Singapore 28 South Africa 24 Netherlands 14 Iran 14 Malaysia 14 France 13 Turkey 12 Nigeria 12 1 2 3 4 5 1 2 3 ... 30 Top Cities Publications Beijing 171 Shanghai 87 Nanjing 84 Tokyo 79 Hong Kong 61 Taipei 59 Toyama 55 London 42 Changsha 38 Sydney 37 Seoul 36 Guangzhou 34 Chengdu 34 Exeter 33 Kowloon 28 Singapur 28 New York 27 Osaka 26 Hangzhou 26 Dalian 26 1 2 3 ... 30 1 2 3 ... 48 Top Journals Publications Zhongguo Zhong Yao Za Zhi 130 J Ethnopharmacol 112 Biol Pharm Bull 77 Am J Chinese Med 57 J Chromatogr A 55 Planta Med 49 Zhongguo Zhong Xi Yi Jie He Za Zhi 46 Yakugaku Zasshi 43 Phytother Res 42 Spectrosc Spect Anal 39 J Pharmaceut Biomed 37 J Sep Sci 36 Cochrane Database Syst Rev 30 J Altern Complem Med 30 Phytomedicine 28 Zhong Yao Cai 26 Chem Pharm Bull 23 Se Pu 22 Yao Xue Xue Bao 22 Biomed Chromatogr 19 1 2 3 ... 48 1 2 3 ... 414 Top Terms Publications Medicine 2,748 Medicine, Herbal 2,133 Humans 1,598 Drugs, Chinese Herbal 1,281 Asian Continental Ancestry Group 1,242 Medicine, Traditional 875 Pharmaceutical Preparations 845 Animals 838 Phytotherapy 741 Patients 732 Plants, Medicinal 678 Medicine, Chinese Traditional 648 Evaluation Studies as Topic 472 Plant Extracts 448 Adult 426 Nature 361 Plant Preparations 352 Complementary Therapies 340 Middle Aged 316 Safety 315 1 2 3 ... 414 1 2 3 ... 501 Top Authors Publications Ernst E 29 Liang Y 22 Chan T 21 Roufogalis B 20 Li P 20 Namba T 18 Terasawa K 15 Critchley J 13 Wang Z 12 Huang T 11 Shimada Y 11 Kadota S 11 Ang H 10 Yuan C 10 Yoshikawa M 10 Dasgupta A 10 Yamahara J 10 Li Y 9 Mills E 9 Li S 9 1 2 3 ... 501 最新研究报道 Drug Ther Bull. 2010 Apr;48(4):46-7. Herbal medicines--what do clinicians know? Abstract In 1986, DTB published an article called Herbal medicines - safe and effective?, which discussed some of the issues around the availability, safety and efficacy of such treatments.1 We highlighted how the failure of orthodox medicines to cure, and anxiety about their potentially serious unwanted effects, had led some people to turn to herbal medicines for treatment for chronic and disabling conditions often in the belief, that natural medicines must be intrinsically safe. The article concluded by discussing the potential problems associated with herbal medicines and the role that doctors should play in asking about patients' use of such products. Revisiting these themes, here we present an overview of the results of an online survey conducted among DTB readers to explore four key issues: What do healthcare professionals know about herbal medicines? What challenges (if any) does patients' use of herbal medicines raise for healthcare professionals? What awareness do healthcare professionals have about the regulatory arrangements for herbal medicines? What sources of information (if any) do healthcare professionals use to inform themselves about herbal medicines? PMID: 20392781 MeSH Terms MeSH Terms: Clinical Competence/standards* Health Personnel/standards* Herbal Medicine* Humans Medical Informatics LinkOut - more resources Full Text Sources: HighWire Press EBSCO
标签: 草药
