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Article: Variability in the Traditional Chinese Medicine (TCM) diagnoses and herbal prescriptions provided by three TCM practitioners for 40 patients with rheumatoid arthritis

TitleVariability in the Traditional Chinese Medicine (TCM) diagnoses and herbal prescriptions provided by three TCM practitioners for 40 patients with rheumatoid arthritis
Authors
Issue Date2005
PublisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/acm
Citation
Journal Of Alternative And Complementary Medicine, 2005, v. 11 n. 3, p. 415-421 How to Cite?
AbstractObjective: To ascertain if previous findings of low levels of agreement of Traditional Chinese Medicine (TCM) pattern diagnoses made by TCM practitioners in patients with rheumatoid arthritis (RA) were a function of practitioner differences or would be replicated with a different sample of clinicians, and to examine the relationship between TCM diagnosis and herbal treatment plans. Design: A prospective survey. Setting: General clinical research center, University of Maryland Hospital System, Baltimore, MD. Subjects: Forty (40) patients with RA. Practitioners: Licensed acupuncturists with at least 5 years' experience and education in Chinese herbs. Methods: Three (3) TCM practitioners examined the same 40 RA patients separately, following the traditional Four Diagnostic Methods. Patients filled out questionnaires and physical examinations, including observations of the tongue and palpation of radial pulse, were conducted by the 3 practitioners. Each practitioner then provided both a TCM diagnosis and an herbal prescription. These diagnoses/prescriptions were examined with respect to the rate of agreement among the 3 practitioners. Results: The average agreement with respect to the TCM diagnoses among the 3 TCM practitioners was 31.7% (range, 27.5-35%). The degree to which the herbal prescriptions agreed with textbook recommended practice for each TCM diagnosis was 91.7% (range, 85-100%). The most commonly used TCM assessments in arriving at these diagnoses were inquiry about factors affecting pain and pulse diagnosis. No statistically significant differences were found between this study and our previous study regarding the level of agreement on TCM diagnosis. Conclusion: The average agreement of the diagnoses provided by 3 TCM practitioners was at the same low level as previously reported. No association was found between the diagnostic methods used and the consistency of diagnosis. Both studies, however, found a high degree of consistency between the TCM pattern diagnoses provided and the herbal treatment plans made as a result of those diagnoses. © Mary Ann Liebert, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/188573
ISSN
2015 Impact Factor: 1.395
2015 SCImago Journal Rankings: 0.475
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorZhang, GGen_US
dc.contributor.authorLee, Wen_US
dc.contributor.authorBausell, Ben_US
dc.contributor.authorLao, Len_US
dc.contributor.authorHandwerger, Ben_US
dc.contributor.authorBerman, Ben_US
dc.date.accessioned2013-09-03T04:10:21Z-
dc.date.available2013-09-03T04:10:21Z-
dc.date.issued2005en_US
dc.identifier.citationJournal Of Alternative And Complementary Medicine, 2005, v. 11 n. 3, p. 415-421en_US
dc.identifier.issn1075-5535en_US
dc.identifier.urihttp://hdl.handle.net/10722/188573-
dc.description.abstractObjective: To ascertain if previous findings of low levels of agreement of Traditional Chinese Medicine (TCM) pattern diagnoses made by TCM practitioners in patients with rheumatoid arthritis (RA) were a function of practitioner differences or would be replicated with a different sample of clinicians, and to examine the relationship between TCM diagnosis and herbal treatment plans. Design: A prospective survey. Setting: General clinical research center, University of Maryland Hospital System, Baltimore, MD. Subjects: Forty (40) patients with RA. Practitioners: Licensed acupuncturists with at least 5 years' experience and education in Chinese herbs. Methods: Three (3) TCM practitioners examined the same 40 RA patients separately, following the traditional Four Diagnostic Methods. Patients filled out questionnaires and physical examinations, including observations of the tongue and palpation of radial pulse, were conducted by the 3 practitioners. Each practitioner then provided both a TCM diagnosis and an herbal prescription. These diagnoses/prescriptions were examined with respect to the rate of agreement among the 3 practitioners. Results: The average agreement with respect to the TCM diagnoses among the 3 TCM practitioners was 31.7% (range, 27.5-35%). The degree to which the herbal prescriptions agreed with textbook recommended practice for each TCM diagnosis was 91.7% (range, 85-100%). The most commonly used TCM assessments in arriving at these diagnoses were inquiry about factors affecting pain and pulse diagnosis. No statistically significant differences were found between this study and our previous study regarding the level of agreement on TCM diagnosis. Conclusion: The average agreement of the diagnoses provided by 3 TCM practitioners was at the same low level as previously reported. No association was found between the diagnostic methods used and the consistency of diagnosis. Both studies, however, found a high degree of consistency between the TCM pattern diagnoses provided and the herbal treatment plans made as a result of those diagnoses. © Mary Ann Liebert, Inc.en_US
dc.languageengen_US
dc.publisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/acmen_US
dc.relation.ispartofJournal of Alternative and Complementary Medicineen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshArthritis, Rheumatoid - Diagnosis - Therapyen_US
dc.subject.meshClinical Competenceen_US
dc.subject.meshDiagnosis, Differentialen_US
dc.subject.meshDrugs, Chinese Herbal - Therapeutic Useen_US
dc.subject.meshHumansen_US
dc.subject.meshMarylanden_US
dc.subject.meshMedicine, Chinese Traditional - Utilizationen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPhysical Examination - Standardsen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshQuality Assurance, Health Careen_US
dc.subject.meshReproducibility Of Resultsen_US
dc.subject.meshResearch Designen_US
dc.titleVariability in the Traditional Chinese Medicine (TCM) diagnoses and herbal prescriptions provided by three TCM practitioners for 40 patients with rheumatoid arthritisen_US
dc.typeArticleen_US
dc.identifier.emailLao, L: lxlao1@hku.hken_US
dc.identifier.authorityLao, L=rp01784en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1089/acm.2005.11.415en_US
dc.identifier.pmid15992224-
dc.identifier.scopuseid_2-s2.0-22344454814en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-22344454814&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume11en_US
dc.identifier.issue3en_US
dc.identifier.spage415en_US
dc.identifier.epage421en_US
dc.identifier.isiWOS:000230284100009-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridZhang, GG=7405272323en_US
dc.identifier.scopusauthoridLee, W=7407085578en_US
dc.identifier.scopusauthoridBausell, B=6506485731en_US
dc.identifier.scopusauthoridLao, L=7005681883en_US
dc.identifier.scopusauthoridHandwerger, B=7003457500en_US
dc.identifier.scopusauthoridBerman, B=35458606800en_US

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