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个案报告是传统中医学经典文献的重要组成部分,也是现代中医学术期刊中常见的文体。中医个案报告能真实、生动地反映中医诊疗的实际情况与特色,在中医药领域的应用非常广泛,对中医学理论和临床经验的传承与发展有着重要意义。通过对中医个案报告的历史源流与现状的梳理,认为目前中医学术期刊个案报告类论文存在未充分认识中医个案报告的重要性、选题未体现中医特色与优势、诊疗方法记述不完整、临床疗效的判定缺少客观依据及准确描述、缺乏在病例记述基础上的理论总结与升华等主要问题,此外还存在书写文体混乱的问题。基于对目前中医个案报告中问题的分析,提出应结合中医药学科发展的内在需求与中医学术期刊论文的自身特点,制定中医个案报告标准,以提升中医个案报告质量、促进中医药学术发展。
The case report is an important part of the classic TCM literature and is also a common style in modern Chinese medicine journals. The case report of Chinese medicine can truly and vividly reflect the actual situation and characteristics of TCM diagnosis and treatment and is widely used in the field of Chinese medicine. It is of great significance to the inheritance and development of Chinese medicine theory and clinical experience. Through combing the historical origins and present conditions of cases reported in TCM, it is considered that there is a lack of full understanding of the reports of TCM cases in the current case reports of TCM journals. The topic selection does not reflect the characteristics and advantages of traditional Chinese medicine. The methods of diagnosis and treatment are not well documented and the clinical efficacy The lack of objective evidence and accurate description of the decision, the lack of case description based on the summary of the theory and sublimation and other major issues, in addition there are still writing style chaos. Based on the analysis of the current TCM case reports, this paper proposes that the reporting standards of individual cases of Chinese medicine should be formulated in light of the inherent needs of the development of TCM disciplines and the features of the articles of TCM journals so as to enhance the quality of TCM case reports and promote the academic development of TCM.