Issues in acupuncture research: the failure of quantitative methodologies and the possibilities for viable, alternative solutions.

American journal of acupuncture Pub Date : 1999-01-01
A Moroz
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Abstract

Thirty years of active acupuncture research have failed to unequivocally demonstrate its clinical efficacy. Certain characteristics of acupuncture are difficult to fit into an experimental study. Many researchers mention selection of appropriate controls, single- or double-blind research design, and application of relevant outcome measures as areas causing most difficulties. Also cited are the variability of acupuncture techniques, difficulty of standardizing acupuncture treatments, inadequate population size, significant variability of response to treatments, the use of a distinctive terminology, and importance of practitioner's experience. Acupuncture and Chinese traditional medicine are based on a unique philosophical model, and the instruments of biomedical research may be inadequate and inappropriate. In contrast to the quantitative experimental method, introspective self-observation and qualitative observation are offered as a means of studying the effectiveness of acupuncture.

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针灸研究中的问题:定量方法的失败和可行的替代解决方案的可能性。
三十年的积极针灸研究未能明确证明其临床疗效。针灸的某些特点很难用实验研究来解释。许多研究者提到选择合适的对照、单盲或双盲研究设计以及相关结果测量的应用是造成最大困难的领域。此外,针灸技术的可变性,针灸治疗标准化的困难,人口规模不足,治疗反应的显著可变性,使用独特的术语,以及从业者经验的重要性。针灸和中医是基于一种独特的哲学模式,生物医学研究的工具可能不足和不合适。在定量实验方法的基础上,提供了内省自我观察和定性观察作为研究针灸疗效的手段。
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