中医药临床疗效评价的关键在于中医药临床疗效评判标准的广泛认可和接受以及推广实施。建立完整公认的疗效评价体系和规范化的随机对照实验要求,可以大幅提高中医药临床疗效评价的质量与水平。本文就有关中医名词术语规范化、症状表述规范化、证候诊断规范化等基础性工作进行了分析,并针对加强临床研究方法学培训,防止在实施过程中可能出现的评价偏差,以及如何在条件成熟的情况下开展系统评估提出了相应对策。

Evaluation of TCM clinical therapeutic effects is to review the acceptance of the standards for such evaluation,and associated diffusions and implementation. The establishment of a well-functioned and widely recognized evaluation system, and well regulated random and control experimental requirements, can greatly raise the quality and level of evaluation of TCM clinical therapeutic effects. This paper analyzes an array of aspects of standardization, including clinical TCM nomenclatures,symptom expressions, diagnosis, and evaluation of therapeutic effects. In the meantime, author proposes to strengthen methodology training for clinical study, in an attempt to avoid possible bias, along with the strategies for systematic evaluations.