Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot272810.32687/0869-866X-2026-34-3-566-571Научная статьяTHE TRADITIONAL AND COMPLEMENTARY MEDICINE IN THE PUBLIC HEALTH SYSTEM OF THE RUSSIAN FEDERATION: ANALYSIS OF EVIDENCE BASE AND LEGAL ASPECTS OF INTEGRATIONZilovV. G.KosmodemyanskyL. V.The Scientific and Methodological Center for Traditional, Complementary and Integrative Medicine of the N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia0707202634356657107072026Copyright © 2026,2026The article considers placement of methods of traditional and complementary medicine in the public health system of the Russian Federation, focusing on prevention and management of chronic non-communicable diseases. The analysis of the evidence base on key methods of traditional and complementary medicine (acupuncture, phytotherapy, homeopathy, manual therapy, osteopathy) was carried out, including differentiated estimate of level of evidence for forms of homeopathy based on the latest systematic review of meta-analyses. The legal framework of its application in Russia are explored. The corresponding collisions and barriers are identified. The following proposals concerning integrative health care model are formulated: differentiated register of methods, clinical guidelines, pilot integration into compulsory health insurance system and enhancement of research.traditional medicinecomplementary medicineintegrative medicinepublic healthevidence baselegal regulationpreventionhomeopathy.традиционная медицинакомплементарная медицинаинтегративная медицинаобщественное здоровьедоказательная базаправовое регулированиепрофилактикагомеопатия.[GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990—2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:1204—22. doi: 10.1016/S0140-6736(20)30925-9][Clarke T. C. Trends in the use of complementary health approaches among adults: United States, 2002—2012. Natl Health Stat. Report. 2015;79:1—10.][WHO Global Traditional Medicine Strategy 2025—2034. Geneva: World Health Organization; 2025. Режим доступа: https://www.who.int/teams/who-global-traditional-medicine-centre/traditional-medicine-strategy-2025-2034 (дата обращения 15.12.2025).][Рабинович Е. В. Методология научных исследований: учебное пособие. Новосибирск: Изд-во НГТУ; 2021. 100 с.][International Journal of High Dilution Research. Режим доступа: https://www.highdilution.org/index.php/ijhdr/index (дата обращения 15.12.2025).][ВЦИОМ. Народная медицина: за и против. Аналитический обзор. 08.08.2023. Режим доступа: https://wciom.ru/analytical-reviews/analiticheskii-obzor/narodnaja-medicina-za-i-protiv (дата обращения 15.12.2025).][WHO global report on traditional, complementary and integrative medicine 2024. Geneva: World Health Organization; 2024. Режим доступа: https://www.who.int/publications/i/item/9789240111387 (дата обращения 15.12.2025).][Vickers A. J. Acupuncture for chronic pain: individual patient data meta-analysis. Arch. Intern. Med. 2012;172:1444—53. doi: 10.1001/archinternmed.2012.3654][National Health and Medical Research Council (NHMRC). NHMRC Information Paper: Evidence on the effectiveness of homeopathy for treating health conditions. Canberra: NHMRC; 2015.][Hamre H. J., Glockmann A., von Ammon K., Riley D. S., Kiene H. Efficacy of homoeopathic treatment: systematic review of meta-analyses of randomised placebo-controlled homoeopathy trials for any indication. Syst. Rev. 2023;12:191. doi: 10.1186/s13643-023-02313-2][Van Wijk R., Albrecht H. Proving and therapeutic experiments in the HomBRex basic homeopathy research database. Homeopathy. 2007;96(4):252—7. doi: 10.1016/j.homp.2007.08.007][Федеральный закон от 21.11.2011 №323-ФЗ (ред. от 31.10.2025 №1706) «Об основах охраны здоровья граждан в Российской Федерации». Режим доступа: http://government.ru/docs/all/100186/ (дата обращения 15.12.2025).][Приказ Минздрава России от 03.02.1999 №38 «О мерах по дальнейшему развитию рефлексотерапии в Российской Федерации» (вместе с «Положением о кабинете рефлексотерапии», «Положением об отделении рефлексотерапии», «Номенклатурой работ и услуг по рефлексотерапии»). Режим доступа: https://normativ.kontur.ru/document?moduleId=1&documentId=71698 (дата обращения 15.12.2025).]