An innovative method to accommodate chinese medicine pattern diagnosis within the framework of evidence-based medical research

Christine Berle; Deirdre Cobbin; Narelle Smith; Christopher Zaslawski

doi:10.1007/s11655-011-0893-x

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An innovative method to accommodate chinese medicine pattern diagnosis within the framework of evidence-based medical research

Updated：2021-08-27

- An innovative method to accommodate chinese medicine pattern diagnosis within the framework of evidence-based medical research
- Chinese Journal of Integrative Medicine Vol. 17, Issue 11, Pages: 824-833(2011)
- Affiliations：
  
  1. College of Traditional Chinese Medicine, Department of Medical and Molecular Biosciences, Faculty of Science,Sydney,Australia
  2. Mathematical Sciences, University of Technology,Sydney,Australia
- Author bio：
- Funds：
- DOI：10.1007/s11655-011-0893-x
  CLC：
- Published：2011，
  
  Published Online：6 November 2011，
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Berle, C., Cobbin, D., Smith, N. et al. An innovative method to accommodate chinese medicine pattern diagnosis within the framework of evidence-based medical research., Chin. J. Integr. Med. 17, 824–833 (2011). https://doi.org/10.1007/s11655-011-0893-x

Christine Berle, Deirdre Cobbin, Narelle Smith, et al. An innovative method to accommodate chinese medicine pattern diagnosis within the framework of evidence-based medical research. [J]. Chinese Journal of Integrative Medicine 17(11):824-833(2011)
Berle, C., Cobbin, D., Smith, N. et al. An innovative method to accommodate chinese medicine pattern diagnosis within the framework of evidence-based medical research., Chin. J. Integr. Med. 17, 824–833 (2011). https://doi.org/10.1007/s11655-011-0893-x DOI：

Christine Berle, Deirdre Cobbin, Narelle Smith, et al. An innovative method to accommodate chinese medicine pattern diagnosis within the framework of evidence-based medical research. [J]. Chinese Journal of Integrative Medicine 17(11):824-833(2011) DOI： 10.1007/s11655-011-0893-x.

摘要

Pattern diagnosis is an integral aspect of Chinese medicine (CM). CM differentiates biomedical diseases into patterns

based upon the patient’s symptoms and signs. Pattern identification (PI) is used to diagnose

direct the treatment principle and determine the treatment protocol. Most CM research has used fixed formula treatments for Western-defined diseases with outcomes measured using objective biomedical markers. This article presents an innovative method used in a randomised controlled pilot study using acupuncture for participants with hepatitis C virus. Each participant’s CM patterns were identified and quantified at baseline which directed the treatment protocol for the treatment group. Data identified that while each participant expressed different patterns at baseline all participants displayed multiple patterns. Six patterns showed some expression by all 16 participants; Liver (Gan) yin vacuity expressing a group aggregate mean percentage of 47.2

binding depression of Liver qi 46.9

and Liver Kidney (Shen) yin vacuity 45.1. Further sub category gender grouping revealed that pattern ranking changed with gender; Liver yin vacuity (male 53.4%

female 51.93%)

binding depression of Liver qi (male 50.0%

female 42.86%) and Liver Kidney yin vacuity (male 42.9%

female 47.96%). The quantification of CM patterns described in this article permitted statistical evaluation of presenting CM patterns. Although this methodology is in its infancy it may have potential use in the integration of PI with rigorous evidence based clinical research. Biomedical markers often do not relate to symptom/signs and therefore this innovative measure may offer an additional CM evaluation methodology and further CM PI understanding.

Abstract

Pattern diagnosis is an integral aspect of Chinese medicine (CM). CM differentiates biomedical diseases into patterns

based upon the patient’s symptoms and signs. Pattern identification (PI) is used to diagnose

binding depression of Liver qi 46.9

and Liver Kidney (Shen) yin vacuity 45.1. Further sub category gender grouping revealed that pattern ranking changed with gender; Liver yin vacuity (male 53.4%

female 51.93%)

binding depression of Liver qi (male 50.0%

female 42.86%) and Liver Kidney yin vacuity (male 42.9%

关键词

Chinese Medicinepattern identificationacupuncturehepatitis C virus

Keywords

Chinese Medicinepattern identificationacupuncturehepatitis C virus

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