Application of Chinese Medicine in Acute and Critical Medical Conditions

2019 ◽  
Vol 47 (06) ◽  
pp. 1223-1235 ◽  
Author(s):  
Yun Luo ◽  
Chong-Zhi Wang ◽  
Julia Hesse-Fong ◽  
Jaung-Geng Lin ◽  
Chun-Su Yuan

Western medicine is routinely used in developed nations as well as in Eastern countries, where traditional medicine is frequently used by a selection of patients or family member as a complement to mainstream Western medicine. Chinese medicine plays an important role in the treatment of chronic diseases, especially when Western medicine is not very effective. Many published reports have shown that Chinese medicine could also be successfully used in the management of acute and critical illnesses. Chinese medicine has a holistic view of the human body, and emphasizes individualization based on body balance and mind–body interaction and employs herbal medicines and acupuncture. This review paper gives a brief overview of Chinese medicine theory and therapeutic modality and then addresses the application of Chinese medicine in the treatment of acute and critical medical conditions, including epidemics. Using this ancient therapy as a complementary medicine, the management of serious medical conditions, such as SARS, acute heart diseases, and ischemic cerebral stroke, are presented. In order to promote more widespread application of Chinese medicine, well-designed controlled clinical trials are urgently needed to prove its safety and effectiveness.

2001 ◽  
Vol 35 (01n02) ◽  
pp. 79-82
Author(s):  
兆文 吴

《内经》为中国现存最早的医学典藉,在多处内容论述发病学,并确立了中医学基础理论,有别於西方医学,自成学术体系。 本文尝试比较中西医学的病因学说,并讨论其对临床的意义和影响。二千多年前,《内经》已确立了中医学的 “整体观” 和 “双因致病学说”,多年来的临床实践已累积了丰富多层次、多样化的治疗和复康手段,当中有很多都可以作为临床社会工作者所借用,与西方理论和介入方法结合,向精神病患者提供更全面的综合治疗。 Inner Canon is the oldest Chinese medicine book in existence. It has detailed discussions on aetiology and established the theoretical foundation of Chinese medicine. Due to its huge difference from the Western medical model, Chinese medicine itself is a unique academic system. This article attempts to compare the aetiology models of Chinese and Western medicine, and discuss the implications for clinical practice. For over 2000 years, Inner Canon has established the holistic view and dual-factor aetiology as the foundation of Chinese medicine. Chinese medicine practitioners have accumulated much clinical experience in multi-level and multi-dimensional treatment and rehabilitation approaches. Many of these approaches can be borrowed by social workers. Incorporating these interventions with Western theories and skills can provide more comprehensive services to persons suffering from mental disorders.


2017 ◽  
Vol 4 (1-2) ◽  
pp. 46-51 ◽  
Author(s):  
Bin Liu

There is a general acknowledgement in almost all civilizations that the heart is the most important organ in the human body. Both Chinese medicine and Western traditional medicine have a long history of heart research, but they have developed different points of view based on the basic cognition. Traditional Chinese medicine is good at summarizing the correspondence and relationship between the heart and exterior things. The physiological functions of the heart are governing blood and vessels, controlling the mind, opening into the tongue, manifesting on the face, and so on, while modern Western medicine does well in exploring the anatomical structure, spacial connection, and micromechanical character of the organ. Chinese medicine and Western medicine have established the diagnosis and management system, respectively, from their own angles. Combining the knowledge of Chinese and Western medicine can take the advantages of either of the two, making it deeper and more comprehensive for studying and treating heart diseases.


Introduction: Diabetes and its complications were responsible for 8.8% of deaths worldwide in 2017. Although Western Medicine and Traditional Chinese Medicine (TCM) share the diabetes treatment goals of reducing symptoms and preventing complications, their approaches to conceptualizing, diagnosing, and treating the disease are very different. Purpose: The aim of this study is to demonstrate the different gaps in the Western Medicine treatment for diabetes that can be explained by Traditional Chinese Medicine, from an energy imbalance point of view. Methods: Through a case report of a 26-year-old male patient diagnosed with Type 2 diabetes in 2016, the author analyzes two approaches, Western and Traditional Chinese Medicine. The patient’s received analysis of all their: • eating habits, • use of high-concentrated medications, • use of microwave ovens, • quantity and temperature of water intake, and • Quantity of sleep. All these items were analyzed according to Traditional Chinese Medicine. Despite treatment with diet along with the use of antiglycemic medications and insulin, the patient’s glycemia was still high. Use of the Western Medicine approach achieved a 750 mg/dl reading after 2 years (in September 2018). Results: In January 2019, a month and a half after the beginning of the treatment with Traditional Chinese Medicine, the patient's glycemia dropped to 150 to 250 mg/dl. Conclusion: A more holistic view of the human body has major importance. A deeper comprehension of the energy’s behavior, including its relation to pathologies, creates different possibilities of treatment. The suspension of sugar and high-carbohydrate foods in the diabetic patient’s diet is not sufficient to control the patient glycemia alone. Still the use of high-concentrated medications can be a factor to maintain the hyperglycemic state. This shows that the integration of Western Medicine and Traditional Chinese Medicine is important to better control the glycemia in diabetes patients.


2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Yaxing Zhang ◽  
Xian-Ming Fang

There is a close relationship between the liver and heart based on “zang-xiang theory,” “five-element theory,” and “five-zang/five-viscus/five-organ correlation theory” in the theoretical system of Traditional Chinese Medicine (TCM). Moreover, with the development of molecular biology, genetics, immunology, and others, the Modern Medicine indicates the existence of the essential interorgan communication between the liver and heart (the heart and liver). Anatomically and physiologically, the liver and heart are connected with each other primarily via “blood circulation.” Pathologically, liver diseases can affect the heart; for example, patients with end-stage liver disease (liver failure/cirrhosis) may develop into “cirrhotic cardiomyopathy,” and nonalcoholic fatty liver disease (NAFLD) may promote the development of cardiovascular diseases via multiple molecular mechanisms. In contrast, heart diseases can affect the liver, heart failure may lead to cardiogenic hypoxic hepatitis and cardiac cirrhosis, and atrial fibrillation (AF) markedly alters the hepatic gene expression profile and induces AF-related hypercoagulation. The heart can also influence liver metabolism via certain nonsecretory cardiac gene-mediated multiple signals. Moreover, organokines are essential mediators of organ crosstalk, e.g., cardiomyokines link the heart to the liver, while hepatokines link the liver to the heart. Therefore, both TCM and Western Medicine, and both the basic research studies and the clinical practices, all indicate that there exist essential “heart-liver axes” and “liver-heart axes.” To investigate the organ interactions between the liver and heart (the heart and liver) will help us broaden and deepen our understanding of the pathogenesis of both liver and heart diseases, thus improving the strategies of prevention and treatment in the future.


Author(s):  
Hetao Huang ◽  
Jianke Pan ◽  
Yanhong Han ◽  
Lingfeng Zeng ◽  
Guihong Liang ◽  
...  

Aim and Objective: To evaluate the efficacy and safety of Chinese herbal medicines for promoting blood circulation and removing blood stasis (PBCRBSM) in preventing deep venous thrombosis (DVT) after total hip arthroplasty (THA). Materials and Methods: The Databases were searched for studies comparing the preventive abilities of PBCRBSM and Western medicine, such as low molecular weight heparin (LMWH), rivaroxaban, and aspirin, as well as for randomized controlled trials on DVT after THA. Data were analyzed using RevMan 5.3 software. Results: A total of 3254 randomized controlled trials were included, including 1630 cases in the experimental group and 1624 cases in the control group. Meta-analysis showed that compared with Western medicine, PBCRBSM reduced the incidence of DVT (OR=0.38, 95% CI [0.30, 0.48], P < 0.001); prolonged activated partial thromboplastin time (APTT) (SMD=0.44, 95% CI [0.35, 0.53], P < 0.001); reduced D-dimer (SMD=-0.75, 95% CI [-0.84,-0.65], P < 0.001), FIB (SMD=-0.61, 95% CI [-0.72, -0.50], P < 0.001), blood viscosity (P<0.01), circumference difference in lower extremities (P<0.01), venous blood flow velocity (SMD=0.97, 95% CI [0.77, 1.16], P < 0.001), and drainage volume (SMD=-1.53, 95% CI [-1.71, -1.35], P < 0.001); and reduced adverse reactions (OR = 0.32, 95% CI [0.19, 0.56], P < 0.001). There was no significant difference in prolonging prothrombin time (PT) between traditional Chinese medicine and Western medicine (SMD = 0.07, 95% CI [-0.0.01). 3, 0.16], P > 0.05. Conclusion: PBCRBSM is an effective method for preventing DVT after THA and has fewer adverse effects.


2016 ◽  
Vol 2 (2) ◽  
pp. 80-93
Author(s):  
Jieyu Zuo ◽  
Qin Zheng ◽  
Hui Jian ◽  
Tasha Porttin ◽  
Chanelle Willson ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-13 ◽  
Author(s):  
Jiao Xiao ◽  
Yunfeng Yang ◽  
Yuanrong Zhu ◽  
Yan Qin ◽  
Yifan Li ◽  
...  

Objectives. Traditional Chinese medicine (TCM) therapy for nonerosive reflux disease (NERD) remains controversial. The aim of this study was to evaluate the efficacy and safety of TCM regimens in NERD treatment. Methods. Randomized controlled trials (RCTs) of TCM treatment for NERD through September 31, 2017, were systematically identified in PubMed, Wanfang Data, CNKI, VIP, CBM, Ovid, Web of Science, and Cochrane Library databases. Quality assessment was performed by employing the Cochrane Risk of Bias assessment tool. Results. A total of 725 and 719 patients in 14 RCTs were randomly divided into TCM alone and conventional Western medicine groups, respectively. The clinical total effective rate of the TCM group was markedly higher than that of the single proton pump inhibitors (PPIs) or Prokinetics therapy group (RR = 1.19, 95% CI = 1.07–1.31, and P = 0.0008), while it was comparable to that of the combination of PPIs and Prokinetics therapy group (RR = 1.14, 95% CI = 1.00–1.29, and P = 0.05). Compared with Western medicine group, the TCM group showed improved symptom relief through a reduced RDQ score (SMD = −0.91; 95% CI = −1.68–−0.15; and P = 0.02). Additionally, TCM clearly decreased the recurrence rate (RR = 0.38, 95% CI = 0.28–0.52, and P < 0.00001). Adverse events, such as constipation, sickness, fever, abdominal distension, and stomach noise, were slight for both the TCM and Western medicine groups and disappeared after the easement of pharmacological intervention; in particular, TCM possessed fewer side effects. Conclusion. Compared with PPIs or Prokinetics therapy alone, TCM single therapy can better improve the clinical total effective rate and symptom relief and decrease the recurrence rate and adverse events in the treatment of NERD. Our results suggest that TCM will be a promising alternative therapy for NERD patients in the future.


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