The Role of Chinese Medicine in the Treatment of Chronic Diseases in China

Jiang, Miao; Zhang, Chi; Cao, Hongxin; Chan, Kelvin; Lü, Aiping

doi:10.1055/s-0030-1270983

Cited by 55 publications

(30 citation statements)

References 27 publications

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“…Hospital Authority, non-governmental organisation, and university) public TCM outpatient services; however, more than 84% of patients pay for TCM services out-of-pocket, reflecting that the financial burden borne by the patients and the demand have been underestimated. Although the emerging evidences from systematic reviews or meta-analyses confirmed the role of TCM in chronic diseases management in cancers, cardiovascular disease or asthma 7, 32, 33 , TCM is still not incorporated into conventional medical systems in countries other than China. Reinforcement of regulation and training of CMPs in Asia has formally been upheld at the university level, thus ensuring the coordination and continuity of TCM in Chinese populations 32 .…”

Section: Discussionmentioning

confidence: 99%

“…Although the emerging evidences from systematic reviews or meta-analyses confirmed the role of TCM in chronic diseases management in cancers, cardiovascular disease or asthma 7, 32, 33 , TCM is still not incorporated into conventional medical systems in countries other than China. Reinforcement of regulation and training of CMPs in Asia has formally been upheld at the university level, thus ensuring the coordination and continuity of TCM in Chinese populations 32 . By providing equal access to primary care through either TCM or WM, the incorporation of TCM in conventional medicine should be increased to facilitate better quality of care of aging populations 7, 34 .…”

Section: Discussionmentioning

confidence: 99%

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Morbidity pattern of traditional Chinese medicine primary care in the Hong Kong population

Wong

Lam

Bian

et al. 2017

Sci Rep

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Primary care manages >90% of illnesses requiring medical services in Hong Kong, in which 9,513 registered Chinese medicine practitioners (CMPs) provide 8.2% of the consultations. This is the first study aimed to determine the morbidity pattern in different Traditional Chinese Medicine (TCM) primary care settings in Chinese population. 55,312 patients’ encounters were classified by the International Classification of Primary Care-2 (ICPC-2) from 260 of CMPs. Mean patient age was 50.5 years, with more females than males (67.0% vs 33.0%). Most patients consulted CMPs for chronic (64% vs 33.7%) rather than acute conditions. Among the 30% of patients, hypertension (49.5%) or diabetes (18.5%) were the most common co-morbidity. The most common problems presenting to CMP were respiratory (24.9%), musculoskeletal complaints (22.7%), cough (11.7%), and lower back pain (6.6%). To our knowledge, this was the first study permitting direct comparison with that presenting to Western medicine (WM) primary care by ICPC-2 systems. The results confirmed the role of CMP in primary care for musculoskeletal or chronic illnesses that they may have also received conventional WM treatment. We recommend greater effort and more resources should be invested to promote interdisciplinary communication to ensure safety and synergy of TCM and WM in primary care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Morbidity pattern of traditional Chinese medicine primary care in the Hong Kong population

Wong

Lam

Bian

et al. 2017

Sci Rep

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“…Chinese herbal medicines (HMs) have been worldwide applied [1], and the concern for their safety is increasing [2]. It is reported that Chinese HMs account for drug-induced liver injury in the second place in China [3].…”

Section: Introductionmentioning

confidence: 99%

To Set Up a Logistic Regression Prediction Model for Hepatotoxicity of Chinese Herbal Medicines Based on Traditional Chinese Medicine Theory

Liu

Chen

et al. 2016

Evidence-Based Complementary and Alternative Medicine

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Aims. To establish a logistic regression (LR) prediction model for hepatotoxicity of Chinese herbal medicines (HMs) based on traditional Chinese medicine (TCM) theory and to provide a statistical basis for predicting hepatotoxicity of HMs. Methods. The correlations of hepatotoxic and nonhepatotoxic Chinese HMs with four properties, five flavors, and channel tropism were analyzed with chi-square test for two-way unordered categorical data. LR prediction model was established and the accuracy of the prediction by this model was evaluated. Results. The hepatotoxic and nonhepatotoxic Chinese HMs were related with four properties (p < 0.05), and the coefficient was 0.178 (p < 0.05); also they were related with five flavors (p < 0.05), and the coefficient was 0.145 (p < 0.05); they were not related with channel tropism (p > 0.05). There were totally 12 variables from four properties and five flavors for the LR. Four variables, warm and neutral of the four properties and pungent and salty of five flavors, were selected to establish the LR prediction model, with the cutoff value being 0.204. Conclusions. Warm and neutral of the four properties and pungent and salty of five flavors were the variables to affect the hepatotoxicity. Based on such results, the established LR prediction model had some predictive power for hepatotoxicity of Chinese HMs.

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“…8,17 Most Chinese people believe that TCM is suitable for treating chronic conditions because of its focus on the causes of diseases. 17 In addition, TCM therapies facilitate relieving the discomfort of chronic diseases, because they enhance the physical energy of patients with chronic conditions and improve their strength. 18 People with more chronic conditions usually have poorer health.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Role of Multiple Chronic Conditions in Traditional Chinese Medicine Use and Three Types of Traditional Chinese Medicine Therapy Among Adults in Taiwan

Cheng

Chou²,

Huang

et al. 2015

The Journal of Alternative and Complementary Medicine

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The probability and frequency of TCM use increased as the number of chronic conditions increased. The probability of Chinese herbs use, traumatology manipulative therapy use, and, particularly, acupuncture-moxibustion use increased as the number of chronic conditions increased. We suggest that government policy makers emphasize administering integrated TCM and WM care to people with chronic conditions or MCC.

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The Role of Chinese Medicine in the Treatment of Chronic Diseases in China

Cited by 55 publications

References 27 publications

Morbidity pattern of traditional Chinese medicine primary care in the Hong Kong population

Morbidity pattern of traditional Chinese medicine primary care in the Hong Kong population

To Set Up a Logistic Regression Prediction Model for Hepatotoxicity of Chinese Herbal Medicines Based on Traditional Chinese Medicine Theory

Exploring the Role of Multiple Chronic Conditions in Traditional Chinese Medicine Use and Three Types of Traditional Chinese Medicine Therapy Among Adults in Taiwan

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