Interpretation of International Guideline for Clinical Practice of Chinese Medicine: Allergic Rhinitis

FU Qinwei, ZHANG Qinxiu

Abstract

On September 26, 2024, the World Federation of Chinese Medicine Societies (WFCMS) officially released the International Guideline for Clinical Practice of Chinese Medicine: Allergic Rhinitis (Standard No. SCM 80-2024). This guideline establishes a standardized framework of integrated Chinese and western medicine for the diagnosis and treatment of allergic rhinitis (AR). The guideline covers Chinese and western medicine diagnosis criteria for allergic rhinitis, and Chinese medicine internal treatment (prescription medicine and proprietary Chinese medicine), external treatment (acupuncture, acupressure, etc.), constitution identification and management strategy, preventive care program, clinical efficacy evaluation system, and core outcome sets (COS). The article outlines the background of this guideline and to explain the development of this guideline. This article outlines the background and development process of this guideline, provides a systematic academic interpretation of the core recommendations, and critically examines the advantages and limitations of this guideline. The goal is to support the clinical application and promotion of standardized Chinese medicine protocols for the management of AR around the world.

 

Keywords: Allergic rhinitis, International Guideline for Clinical Practice of Chinese Medicine, Standardized diagnosis and treatment, Interpretation

 

Full Text:

PDF


References


KAKLI H A, RILEY T D. Allergic rhinitis. Prim Care, 2016, 43(3): 465-475. doi: 10.1016/j.pop.2016.04.009.

World Federation of Chinese Medicine Societies. International guidelines for clinical practice of Chinese medicine: Allergic rhinitis: SCM 0080-2024. Beijing: World Federation of Chinese Medicine Societies Issued, 2024.

China Association of Chinese Medicine. General Principles for the Development of Traditional Chinese Medicine Clinical Guidel: ZYYXHT-473-2015. Beijing: China press of Chinese Medicine, 2015.

World Federation of Chinese Medicine Societies. Norms of development and revision of clinical practice guideline of Chinese medicine (and integrated Chinese and western medicine) General Rules: SCM 0022-2018. Beijing: World Federation of Chinese Medicine Societies Issued, 2018.

World Federation of Chinese Medicine Societies. Directives for standardization part 1: procedures for standard development, revision and publication, SCM1.1-2021. Beijing: World Federation of Chinese Medicine Societies Issued, 2021.

GUYATT G, OXMAN A D, AKL E A, et al. GRADE guidelines: 1. introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol, 2011, 64(4): 383-394. doi: 10.1016/j.jclinepi.2010.04.026.

FU Q W, LIU Y, CHEN S C, et al. Extending the grading of recommendations assessment, development and evaluation (grade) in traditional chinese medicine (TCM): the GRADE-TCM. Phytomedicine, 2024, 127: 155487. doi: 10.1016/j.phymed.2024.155487.

FAN M R, SHEN Q, WANG D Q, et al. Methodology for clinical practice guidelines-consensus methods for building recommendations. Chinese Journal of Evidence-Based Cardiovascular Medicine, 2019, 11(6): 647-653.

BOUSQUET J, KHALTAEV N, CRUZ A A, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy, 2008, 63 Suppl 86: 8-160. doi: 10.1111/j.1398-9995.2007.01620.x.

WISE S K, LIN S Y, TOSKALA E, et al. International consensus statement on allergy and rhinology: allergic rhinitis. Int Forum Allergy Rhinol, 2018, 8(2): 108-352. doi: 10.1002/alr.22073.

SEIDMAN M D, GURGEL R K, LIN S Y, et al. Clinical practice guideline: allergic rhinitis. Otolaryngol Head Neck Surg, 2015, 152(1 Suppl): S1-S43. doi: 10.1177/0194599814561600.

OKUBO K, KURONO Y, ICHIMURA K, et al. Japanese guidelines for allergic rhinitis 2020. Allergol Int, 2020, 69(3): 331-345. doi: 10.1016/j.alit. 2020.04.001.

SCADDING G K, KARIYAWASAM H H, SCADDING G, et al. BSACI guideline for the diagnosis and management of allergic and non-allergic rhinitis (Revised Edition 2017; First edition 2007). Clin Exp Allergy, 2017, 47(7): 856-889. doi: 10.1111/cea.12953.

CHENG L, CHEN J, FU Q, et al. Chinese society of allergy guidelines for diagnosis and treatment of allergic rhinitis. Allergy Asthma Immunol Res, 2018, 10(4): 300-353. doi: 10.4168/aair.2018.10.4.300.

Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery, Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery. Chinese guideline for diagnosis and treatment of allergic rhinitis (2022, revision). Chin J Otorhinolaryngol Head Neck Surg, 2022, 57(2): 106-129. doi: 10.3760/cma.j.cn115330-20211228-00828.

YAN Y M, SU X F, ZHAO C X, et al. Investigation, analysis and suggestions on the preparation and revision of clinical diagnosis and treatment guidelines of traditional Chinese medicine. Chinese General Practice, 2023, 26(11): 1299-1304. doi: 10.12114/j.issn.1007-9572.2022.0610.


Refbacks

  • There are currently no refbacks.