A Novel Approach to Evaluate Traditional Chinese Medicine Treatment Outcomes Using Pattern Identification

Berle, Christine; Cobbin, Deirdre M.; Smith, Narelle; Zaslawski, Chris

doi:10.1089/acm.2009.0367

Cited by 46 publications

(32 citation statements)

References 18 publications

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“…The TCM patterns of disharmony that have been suggested as representing eating disorders are often listed generally under the umbrella term of ''eating disorders,'' and only a few authors separate the patterns according to AN or BN, while none address BED or EDNOS specifically. Recently, Berle et al 16 have developed a TCM methodology that has the capacity, in part, to answer how TCM conceives of, and treats, eating disorders in terms of pattern identification in diagnosis and treatment prescription.…”

Section: Introductionmentioning

confidence: 99%

Development of a Chinese Medicine Pattern Severity Index for Understanding Eating Disorders

Fogarty

Harris

Zaslawski

et al. 2012

The Journal of Alternative and Complementary Medicine

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Introduction: Eating disorders commonly affect young girls and women. Four eating disorders are analyzed in this study: anorexia nervosa (AN), bulimia nervosa (BN), eating disorders not otherwise specified (EDNOS), and binge eating disorder (BED). Eating disorders are a modern concept and as such there is no critically appraised research on how Traditional Chinese Medicine (TCM) conceptualizes of or treats eating disorders. The purpose of this study is to identify and quantify the TCM patterns relevant to eating disorders based on a systematic evaluation of the results of a self-reported questionnaire. Methods: One hundred and ninety-six (196) female participants (142 with a self-reported eating disorder and 54 with no eating disorder) completed an online survey, designed to collect data on their current general health and, where relevant, their eating disorder. The Berle methodology was used to identify TCM patterns involved in eating disorders to tabulate and score the number of signs and symptoms experienced by the participants. Results: For many of the TCM patterns, statistically significant differences were found between presentation severity across the four eating disorders. Conclusions: For the first time, there is evidence-based research to classify the TCM patterns involved in AN, BN, EDNOS, and BED. Evidence is given to support the anecdotal theories of TCM patterns involved in eating disorder presentation. These results have relevance on how eating disorders are treated and viewed by TCM practitioners.

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Section: Introductionmentioning

confidence: 99%

Development of a Chinese Medicine Pattern Severity Index for Understanding Eating Disorders

Fogarty

Harris

Zaslawski

et al. 2012

The Journal of Alternative and Complementary Medicine

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“…[17][18][19][20] Options for prospective control groups include standard/usual care, wait-list, comparison between two active treatment protocols, or use of a placebo/sham acupuncture method. 21 To separate potential sources of therapeutic effects fully, it might be necessary to use multiple controls, for example, using a wait-list control to assess effects related to measurement and natural history; a sham treatment control to assess ''nonspecific'' acupuncture procedure effects; and a verum treatment group to assess acupuncture-specific effects.…”

Section: Control and Randomizationmentioning

confidence: 99%

Acupuncture for Symptomatic Treatment of Fatigue in Parkinson's Disease: Trial Design and Implementation

Corbin

Childs

Dilli

et al. 2016

Medical Acupuncture

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Background: Acupuncture use is increasing worldwide for many conditions, including movement disorders. Clinical research in acupuncture has also increased to test anecdotal reports of clinical benefits empirically and investigate potential mechanisms. Method: This article describes considerations for designing a double-blinded, randomized, placebo-controlled clinical trial of acupuncture for fatigue in Parkinson's disease (PD) and describes the current authors' experience in the implementation and early conduct of this trial. Relevant literature is also reviewed to provide guidance for other researchers seeking to perform clinical research relevant to PD and related disorders. Results: Trial design should be driven by a well-defined research question and sufficient detail to meet Standards for Reporting Interventions in Clinical Trials of Acupuncture criteria when a trial is complete. Important items for review include: randomization and blinding; recruitment and participant selection; sham methodology choice; staff training; and practical implementation of study procedures. Sample forms used for the current authors' trial are shared. Conclusions: High-quality clinical trials of acupuncture can provide valuable information for clinicians, patients, and policymakers. Acupuncture trials differ in critical ways from pharmaceutical trials and might require additional considerations regarding design and implementation. Adequate preparation for the unique challenges of acupuncture studies can improve trial implementation, design, efficiency, and impact.

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“…14,15,19,20 However, most studies of AD using herbal medicine still use fixed herbal formulas, which means that they have not considered pattern identification.…”

Section: Tj-15 Tj-17 For Ad and Pattern Identificationmentioning

confidence: 99%

“…Biomedical testing may not relate to the patients' quality of life or the presence and severity of symptoms and therefore may not be the best method to evaluate TCM/TKM disciplines that primarily focus on patients' health, patterns, and symptom clusters. 14 In this present study, Dampness-Heat-pattern-related symptom scores were used as an outcome measurement.…”

Section: Choi Et Almentioning

confidence: 99%

“…Currently, there are some attempts to align Traditional Chinese Medicine (TCM) or Traditional Korean Medicine (TKM) research with clinical practice by using pattern identification. 14,15 However, there is no previous research on the treatment of patients with AD based on pattern identification. Hwang-Yeon-Hae-DokSan (TJ-15, Tsumura Co. Ltd., Japan) is known to eliminate Heat toxicity from the interior, 16 and Ou-Ryung-San (TJ-17, Tsumura Co. Ltd., Japan) is known to control body fluids and help reduce the excess Dampness of the body.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of TJ-15 Plus TJ-17 on Atopic Dermatitis: A Pilot Study Based on the Principle of Pattern Identification

Choi

Kim

et al. 2012

The Journal of Alternative and Complementary Medicine

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Aim: Hwang-Yeon-Hae-Dok-San (TJ-15) and Ou-Ryung-San (TJ-17) are two common herbal formulas that have been used to treat atopic dermatitis (AD), especially the Dampness-Heat pattern of AD. The aim of this study was to determine the safety and efficacy of TJ-15 plus TJ-17 for patients with the Dampness-Heat pattern of AD based on pattern identification. Methods: This study was a parallel, randomized, active-controlled, double-blind trial. A total of 24 patients were enrolled. Either a combination of TJ-15 plus TJ-17, or TJ-15 alone was orally administered 3 times daily for 4 weeks. Of the patients enrolled, 19 patients completed the 4-week treatment course (TJ-15 plus TJ-17: n = 8, TJ-15: n = 11). Efficacy was assessed using the scoring atopic dermatitis (SCORAD) index; area of eczema and severity index (EASI); as well as the symptoms related to the Dampness-Heat by pattern identification. Efficacy measures were evaluated at the baseline and at 4 weeks. Safety was assessed throughout the study using ongoing laboratory tests. Results: Both the SCORAD and EASI showed more improvement in the TJ-15 plus TJ-17 group than in the TJ-15 group; however, the differences were not statistically significant. The symptoms related to the Dampness-Heat pattern were reduced in both groups, and the changes were similar. There were no reported adverse events during this study, or abnormalities observed on aspartate aminotransferase, alanine aminotransferase, blood urea nitrogen, and creatinine testing. Conclusions:The results of this study suggest that both the TJ-15 plus TJ-17 and the TJ-15 provided safe and effective treatment for patients with the Dampness-Heat pattern type of AD.

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A Novel Approach to Evaluate Traditional Chinese Medicine Treatment Outcomes Using Pattern Identification

Cited by 46 publications

References 18 publications

Development of a Chinese Medicine Pattern Severity Index for Understanding Eating Disorders

Development of a Chinese Medicine Pattern Severity Index for Understanding Eating Disorders

Acupuncture for Symptomatic Treatment of Fatigue in Parkinson's Disease: Trial Design and Implementation

The Effect of TJ-15 Plus TJ-17 on Atopic Dermatitis: A Pilot Study Based on the Principle of Pattern Identification

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