scholarly journals Utilization Pattern of Traditional Chinese Medicine among Fracture Patients: A Taiwan Hospital-Based Cross-Sectional Study

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Chu-Yao Tseng ◽  
Ching-Wen Huang ◽  
Hsin-Chia Huang ◽  
Wei-Chen Tseng
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Early Period ◽  
Clinic Visit ◽  
Research Database ◽  
Late Period ◽  
Utilization Pattern ◽  
Cross Sectional ◽  
Herbal Products ◽  
Tcm Theory

Traditional Chinese medicine (TCM) divides fracture treatment into three stages. Many TCM herbs and formulas have been used to treat fractures for thousands of years. However, research regarding the Chinese herbal products (CHPs) that should be used at different periods of treatment is still lacking. This study aims to identify the CHPs that should be used at different periods of treatment as well as confirm the TCM theory of fracture periods medicine. We used prescriptions of TCM outpatients with fracture diagnoses analyzed using the Chang Gung Research Database (CGRD) from 2000 to 2015. According to the number of days between the date of the fracture and the clinic visit date, all patients were assigned to one of three groups. Patients with a date gap of 0-13 days were assigned to the early period group; those with a date gap of 14-82 days were assigned to the middle period group; and those with a date gap of 83-182 days were assigned to the late period group. We observed the average number of herbal formulas prescribed by the TCM doctor at each visit was 2.78, and the average number of single herbs prescribed was 6.47. The top three prescriptions in the early fracture period were Zheng-gu-zi-jin-dang, Shu-jing-huo-xue-tang, and Wu-ling-san. In the middle fracture period, the top three formulas were Zheng-gu-zi-jin-dang, Shu-jing-huo-xue-tang, and Zhi-bai-di-huang-wan. In the late fracture period, the top three formulas were Shu-jing-huo-xue-tang, Gui-lu-er-xian-jiao, and Du-huo-ji-sheng-tang. The main single herbs used in the early fracture period were Yan-hu-suo, Gu-sui-bu, and Dan-shen. From the middle to the late period, the most prescribed single herbs were Xu-duan, Gu-sui-bu, and Yan-hu-suo. We concluded that the results showed that the CGRD utilization pattern roughly meets the TCM theory at different fracture periods.

scholarly journals Use of Traditional Chinese Medicine for Patients Diagnosed with Postpartum Depression: A Nationwide Population-Based Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Jung-Miao Li ◽  
Cheng-Li Lin ◽  
Ke-Ru Liao ◽  
Chung-Chih Liao
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Postpartum Depression ◽  
Health Care Providers ◽  
Multivariate Logistic Regression Analysis ◽  
Medical Expenditure ◽  
Research Database ◽  
Care Providers ◽  
Cross Sectional ◽  
Oral Infections

Postpartum depression (PPD) is one of most common postnatal complications, affecting approximately 10%–15% of women after childbirth annually. Traditional Chinese medicine (TCM) has been gaining popularity as the choice of treatment for PPD in Taiwan. Hence, our aim was to analyze the utilization of TCM among PPD patients in Taiwan. A cross-sectional study was conducted using a random sample of one million beneficiaries selected from the Taiwanese National Health Insurance Research Database. We identified patients with PPD who had received either TCM treatment or non-TCM treatment from the database during 2000–2012. Multivariate logistic regression analysis was used to identify the factors associated with the use of TCM. A total of 653 patients with PPD were enrolled. The majority of patients with PPD were 26–30 years old, lived in a highly urbanized area of Taipei, had a monthly income <20,000 NT$, and were private enterprise employees. Around 52.7% of PPD patients had the motivation to seek TCM services. Younger women, who resided in central and southern Taiwan and who had used TCM one year before PPD diagnosis, were more likely to use TCM services. PPD patients who underwent TCM treatment had a lower overall medical expenditure than non-TCM users. Most TCM users chose simple Chinese herbal medicine. The coexisting factors that made PPD patients to seek TCM services were respiratory or oral infections. We demonstrated the characteristics of those that seek TCM for PPD, which may provide useful insights to health care providers towards resource allocation.

scholarly journals The Traditional Chinese Medicine Prescription Pattern of Endometriosis Patients in Taiwan: A Population-Based Study

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Ruei-Chi Fang ◽  
Yueh-Ting Tsai ◽  
Jung-Nien Lai ◽  
Chia-Hao Yeh ◽  
Chien-Tung Wu
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Symptom Relief ◽  
Healthcare Providers ◽  
Population Based ◽  
Reproductive Age ◽  
Research Database ◽  
Herbal Products ◽  
Chinese Herbal ◽  
Medicine Prescription

Background. Traditional Chinese medicine (TCM), when given for symptom relief, has gained widespread popularity among women with endometriosis. The aim of this study was to analyze the utilization of TCM among women with endometriosis in Taiwan.Methods. The usage, frequency of service, and the Chinese herbal products prescribed for endometriosis, among endometriosis patients, were evaluated using a randomly sampled cohort of 1,000,000 beneficiaries recruited from the National Health Insurance Research Database.Results. Overall, 90.8% (N=12,788) of reproductive age women with endometriosis utilized TCM and 25.2% of them sought TCM with the intention of treating their endometriosis-related symptoms. Apart from the usage of either analgesics or more than one type of medical treatment, the odds of using TCM and Western medicine were similar in all types of conventional endometriosis treatment. However, endometriosis patients suffering from symptoms associated with endometriosis were more likely to seek TCM treatment than those with no symptoms. There were 21,056 TCM visits due to endometriosis and its related symptoms, of which more than 98% were treated with Chinese herbal products (CHPs).Conclusion.Gui-Zhi-Fu-Ling-Wan(Cinnamon Twig and Poria Pill) containing sedative and anti-inflammatory agents is the most commonly prescribed Chinese herbal formula mainly for the treatment of endometriosis-related symptomatic discomfort and the effects of these TCMs should be taken into account by healthcare providers.

scholarly journals Evidence of TCM Theory in Treating the Same Disease with Different Methods: Treatment of Pneumonia with Ephedra sinica and Scutellariae Radix as an Example

2020 ◽  
Vol 2020 ◽  
pp. 1-23
Author(s):  
Liping Sun ◽  
Dandan Wang ◽  
Yan Xu ◽  
Wenxiu Qi ◽  
Yanbo Wang
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Network Pharmacology ◽  
Ppi Network ◽  
Future Directions ◽  
Network Construction ◽  
Ephedra Sinica ◽  
Scutellariae Radix ◽  
Tcm Theory ◽  
Global Health Problem

Pneumonia is a serious global health problem and the leading cause of mortality in children. Antibiotics are the main treatment for bacterial pneumonia, but there are serious drug resistance problems. Traditional Chinese medicine (TCM) has been used to treat diseases for thousands of years and has a unique theory. This article takes the treatment of pneumonia with Ephedra sinica as a representative hot medicine and Scutellariae Radix as a representative cold medicine as an example. We explore and explain the theory of treating the same disease with different TCM treatments. Using transcriptomics and network pharmacology methods, GO, KEGG enrichment, and PPI network construction were carried out, demonstrating that Ephedra sinica plays a therapeutic role through the NF-κB and apoptosis signaling pathways targeting PLAU, CD40LG, BLC2L1, CASP7, and CXCL8. The targets of Scutellariae Radix through the IL-17 signaling pathway are MMP9, CXCL8, and MAPK14. Molecular docking technology was also used to verify the results. In short, our results provide evidence for the theory of treating the same disease with different treatments, and we also discuss future directions for traditional Chinese medicine.

scholarly journals Factors influencing communication of traditional Chinese medicine use between patients and doctors: A multisite cross-sectional study

2019 ◽  
Vol 17 (6) ◽  
pp. 396-403 ◽  
Author(s):  
Wen Qiang Lee ◽  
Jeremy Teoh ◽  
Pei Zheng Kenneth Lee ◽  
Zhi Xiong Gerard Low ◽  
Xueling Sim ◽  
...  
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Cross Sectional Study ◽  
Medicine Use ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing

scholarly journals Evaluating Traditional Chinese Medicine and Herbal Products for the Treatment of Gestational Diabetes Mellitus

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Yang Xin Zi Xu ◽  
Shengyan Xi ◽  
Xiaoyan Qian
Keyword(s):  
Diabetes Mellitus ◽  
Chinese Medicine ◽  
Herbal Medicine ◽  
Traditional Chinese Medicine ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Symptom Relief ◽  
Care Providers ◽  
Herbal Products ◽  
Health Maintenance

Gestational diabetes mellitus is the most common metabolic disorder during pregnancy with health consequences for both lives during and after pregnancy. Studies found that many pregnant women turn to complementary and alternative medicine for health maintenance or symptom relief, such as herbal medicine and acupuncture from traditional Chinese medicine. With the growing popularity of traditional Chinese medicine, we conducted a systemic search in PubMed, Web of Science, and Embase databases on research studies that investigated traditional Chinese medicine during pregnancy. The resultant hits were further searched in relation to all diabetes mellitus. In total, we found three major herbal medicine/herbal products that were associated with glycemic control in gestational diabetes, including Zuo Gui Wan, red raspberry leaves, and Orthosiphon stamineus. We further reviewed them and their relatives in relation to type 2 diabetes mellitus and found more evidence of metabolic benefits. None of the herbal medicine and products examined reported toxicity in the experimental models. Overall, treatments of gestational diabetes by western or alternative interventions are grossly understudied. It is critical to have a standardized protocol when evaluating efficacy of herbal medicine and produce quality results for women and their health-care providers to make informed treatment decisions.

scholarly journals The Quintessence of Traditional Chinese Medicine: Syndrome and Its Distribution among Advanced Cancer Patients with Constipation

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Chung-Wah Cheng ◽  
Annie O. L. Kwok ◽  
Zhao-Xiang Bian ◽  
Doris M. W. Tse
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Cross Sectional Study ◽  
Advanced Cancer Patients ◽  
Cross Sectional ◽  
Traditional Chinese Medicine Syndrome ◽  
Blood Haemoglobin ◽  
Tcm Syndrome

Constipation is a common problem in advanced cancer patients; however, specific clinical guidelines on traditional Chinese medicine (TCM) syndrome (Zhang) are not yet available. In this cross-sectional study, the TCM syndromes distribution and their common symptoms and signs among 225 constipated advanced cancer patients were determined. Results showed that 127 patients (56.4%) and 7 patients (3.1%) were in deficient and excessive patterns, respectively, while 91 patients (40.4%) were in deficiency-excess complex. The distributions of the five syndromes were:Qideficiency (93.3%),Qistagnation (40.0%), blood (Yin) deficiency (28.9%), Yang deficiency (22.2%), and excess heat (5.8%). Furthermore, age, functional status, and level of blood haemoglobin were factors related to the type of TCM syndrome. A TCM prescription with the functions on replenishing the Deficiency, redirecting the flow ofQistagnation and moistening the dryness caused by the blood (Yin) deficiency can be made for the treatment of advance cancer patients with constipation. Robust trials are urgently needed for further justifying its efficacy and safety in evidence-based approaches.

scholarly journals Application of Genetic Algorithm for Discovery of Core Effective Formulae in TCM Clinical Data

2013 ◽  
Vol 2013 ◽  
pp. 1-16 ◽  
Author(s):  
Ming Yang ◽  
Josiah Poon ◽  
Shaomo Wang ◽  
Lijing Jiao ◽  
Simon Poon ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Genetic Algorithm ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Clinical Data ◽  
Cancer Dataset ◽  
Synergy Index ◽  
Average Confidence ◽  
Group A ◽  
Tcm Theory

Research on core and effective formulae (CEF) does not only summarize traditional Chinese medicine (TCM) treatment experience, it also helps to reveal the underlying knowledge in the formulation of a TCM prescription. In this paper, CEF discovery from tumor clinical data is discussed. The concepts of confidence, support, and effectiveness of the CEF are defined. Genetic algorithm (GA) is applied to find the CEF from a lung cancer dataset with 595 records from 161 patients. The results had 9 CEF with positive fitness values with 15 distinct herbs. The CEF have all had relative high average confidence and support. A herb-herb network was constructed and it shows that all the herbs in CEF are core herbs. The dataset was divided into CEF group and non-CEF group. The effective proportions of former group are significantly greater than those of latter group. A Synergy index (SI) was defined to evaluate the interaction between two herbs. There were 4 pairs of herbs with high SI values to indicate the synergy between the herbs. All the results agreed with the TCM theory, which demonstrates the feasibility of our approach.

scholarly journals Utilization of Inpatient Ophthalmology Services In Taiwan—A Nationwide Population Study

2021 ◽  
Author(s):  
Chia-An Hsu ◽  
Min-Huei Hsu ◽  
Ju-Chuan Yen
Keyword(s):  
Average Length ◽  
Early Period ◽  
Length Of Hospital Stay ◽  
Scleral Buckling ◽  
Research Database ◽  
Late Period ◽  
Female Ratio ◽  
Corneal Ulcers ◽  
Care Services ◽  
Future Policy

Abstract Background and AimsThe goal of this study was to perform a nationwide investigation of ophthalmic admission services from 1997 to 2011 in Taiwan. MethodsTaiwan’s National Health Insurance Research Database (NHIRD) was utilized to conduct this study. Records of primary ophthalmic admissions from 1997 to 2011 were extracted. Admissions were categorized as operative and non-operative. The total study period was divided into an early period from 1997 to 2005 and a late period from 2006 to 2011. ResultsThe mean ages of patients were 56 and 44 years for operative and non-operative admissions, respectively. The male to female ratio was approximately 1.3 to 1, and the average length of hospital stay was approximately 4 days. The average cost was approximately 1000 United State Dollars per admission, with a slightly increasing trend over time. The number of ophthalmic admissions trended downward, from 3,248 in 1997 to 2,174 in 2011. Operative cases were primarily admitted for the purposes of cataract surgery, vitrectomy, and scleral buckling during both periods and included trabeculectomy during the late period. Non-operative cases were primarily admitted to treat corneal ulcer; glaucoma; infection, including orbital cellulitis and lid abscess; blunt eye injury; and optic neuritis. Non-operative cases in this study included a high proportion of corneal ulcers during both periods. ConclusionThe landscape of primary ophthalmic admissions in Taiwan were probed and analyzed in this study. Future policy makers and ophthalmologists could utilize the completed panorama of Taiwan’s eye care services to make informed decisions.

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