涵盖科学观与人文观的循证医学发展: 兼谈循证中医药学科的未来前景

科学与人文是医学发展中的两种主要观念，贯穿于医学的理论及实践。在现代“生物-心理-社会”医学理念引领下，医学的科学观与人文观达到了空前的发展水平和融合状态，共同决定了当前医学的内涵和需求。作为目前主流的医学模式之一，循证医学在当前医学理论及实践的管理中发挥了重要作用，同时在自身发展中涵盖了科学与人文观念，成功塑造了循证知识方法体系。循证医学将继续洞察未来医学科学观与人文观的特征，尤应重视人文观理念与方法的发展，不断更新完善。循证中医药学作为循证医学的一个重要分支，有可能成为科学观与人文观完美结合的典范。

Scientism and humanism are two main views on the development of medicine, which run through both theory and practice. Under the guidance of the modern medical concept of “bio-psycho-social”, the views of scientism and humanism on medicine have reached an unprecedented level of development and integration, which jointly determine the connotations and demands of current medicine. As one of the current mainstream medical models, evidence-based medicine (EBM) has played an important role in the management of current medical theories and practices. Meanwhile, EBM has also encompassed views of scientism and humanism in its own development and has successfully shaped the knowledge and methodological system. EBM will continue to gain insight into the characteristics of views of scientism and humanism in the future of medicine to improve itself and should pay more attention to the development of humanism view. As an important branch discipline of EBM, evidence-based Chinese medicine may become a model of the perfect combination of scientism view and humanism view.