[論文發表] Prescription Patterns of Traditional Chinese Medicine for Peptic Ulcer Disease in Taiwan: A NationwidePopulation-based Study，胃潰瘍疾病之中醫藥處方研究

J Ethnopharmacol. 2015 Nov 5. pii: S0378-8741(15)30205-1. doi: 10.1016/j.jep.2015.11.002. [Epub ahead of print]

Prescription Patterns of Traditional Chinese Medicine for Peptic Ulcer Disease in Taiwan: A NationwidePopulation-based Study.

胃潰瘍疾病之中醫藥處方研究

Huang CY1, Lai WY2, Sun MF3, Lin CC4, Chen BC5, Lin HJ6, Chang CM7, Yang CH6, Huang KC8, Yen HR9.

Author information

Abstract

ETHNOPHARMACOLOGICAL RELEVANCE:

Peptic ulcer disease is a common digestive disease. There is a lack of large-scale survey on the use of traditional Chinese medicine (TCM) for the treatment of peptic ulcer disease. This study aimed to investigate the utilization of TCM for the treatment of peptic ulcer disease in Taiwan.

MATERIALS AND METHODS:

We analyzed a random sample comprised of one million individuals with newly diagnosed peptic ulcer diseasebetween 2001 to 2010 from the National Health Insurance Research Database in Taiwan. Demographic characteristics and TCM usage, includingChinese herbal formulas and the single herbs prescribed for patients with peptic ulcer disease, were analyzed.

RESULTS:

A total of 96,624 newly diagnosed subjects with peptic ulcer disease were included. 14,983 (15.5%) patients were TCM users. People residing in highly urbanized areas, younger people and female (compared with male) were more likely to use TCM. With regard to the comorbidities, TCM users had a lower prevalence of coronary artery disease, chronic obstructive lung disease, diabetes mellitus and liver cirrhosis and stroke. The average time between onset of peptic ulcer disease and the first visit to a TCM clinic was 4.7 months. Majority of the patients (n=14,449; 96.4%) received only Chinese herbal remedies. The most frequently prescribed Chinese herbal formula and single herb was Ban-Xia-Xie-Xin-Tang (Pinelliae Decoction to Drain the Epigastrium) and Hai-Piao-Xiao (Os Sepiae), respectivley. The core pattern analysis showed that combination of Ban-Xia-Xie-Xin-Tang, Hai-Piao-Xiao (Os Sepiae), Yan-Hu-Suo (Rhizoma Corydalis), Bei-Mu (Bulbus Fritillariae Thunbergii) and Chuan-Lian-Zi (Fructus Toosendan) was most frequently used for peptic ulcer disease.

CONCLUSIONS:

Our study identified the core prescription patterns of TCM for patients with peptic ulcer disease in Taiwan. Further basic and clinical studies are necessary to elucidate the efficacy and mechanisms.

Copyright © 2015. Published by Elsevier Ireland Ltd.

KEYWORDS:

Ban-Xia-Xie-Xin-Tang; Complementary and alternative medicine; National health insurance research database; Os Sepiae; Peptic ulcer disease;Traditional Chinese medicine

[榮譽獲獎] 張清貿醫師榮獲104年度退輔會臺北榮民總醫院「臨床教學績優醫師獎」

[榮譽獲獎] 

臺北榮民總醫院傳統醫學部 張清貿醫師

榮獲104年度退輔會臺北榮民總醫院「臨床教學績優醫師獎」

]]」

[論文發表] Characteristics of Traditional Chinese Medicine Use in Patients with Rheumatoid Arthritis in Taiwan: A Nationwide Population-Based Study，類風濕關節炎之特性與中醫藥處方研究

J Ethnopharmacol. 2015 Oct 16. pii: S0378-8741(15)30182-3. doi: 10.1016/j.jep.2015.10.024. [Epub ahead of print]

Characteristics of Traditional Chinese Medicine Use in Patients with Rheumatoid Arthritis in Taiwan: A Nationwide Population-Based Study.

類風濕關節炎之特性與中醫藥處方研究

Huang MC1, Pai FT2, Lin CC3, Chang CM4, Chang HH5, Lee YC6, Sun MF7, Yen HR8.

Author information

Abstract

ETHNOPHARMACOLOGICAL RELEVANCE:

Large-scale study of traditional Chinese medicine (TCM) usage among patients with rheumatoidarthritis (RA) is lacking. The aim of this study is to evaluate the TCM usage among RA patients in Taiwan.

MATERIALS AND METHODS:

We examined the "registry for catastrophic illness patient dataset" of the National Health Insurance Research Database (NHIRD; n=23 million people) in Taiwan. Patients (n=25,263) newly diagnosed as RA in 2001-2009 were included and then followed-up until the end of 2011. Based on the medical utilization, they were further categorized into TCM users (n=6,891; 27.3%) and non-TCM users (n=18,372; 72.7%). The demographic data and core prescription patterns of the TCM users were analyzed.

RESULTS:

Compared to non-TCM user, TCM users were younger (mean age: 49.6 versus 54.0 years), had a higher female/male ratio (82.7%/17.3% versus 74.1%/25.9%), resided in more urbanized area. Herbal remedies were the most commonly used therapeutic approach (76.4%), followed by combining acupuncture (21.1%). The frequency of outpatient visits in TCM users was higher across all disease categories except circulatory system. The most commonly prescribed formula and herb was Shang-Jong-Shiah-Tong-Yong-Tong-Feng-Wan and Rhizoma Corydalis, respectively. The analysis of core pattern revealed that Dang-Gui-Nian-Tong-Tang, Shu-Jing-Huo-Xie-Tang, Gui-Zhi-Shao-Yao-Zhi-Mu-Tang, Myrrha and Olibanum, were among the most frequently used combinations. RA patients who had anxiety and depression, allergic rhinitis, osteoporosis, menstrual disorder, and menopausal syndrome were prone to have more TCM visits compared to non-TCM users.

CONCLUSIONS:

Our population-based study revealed the high prevalence and specific usage patterns of TCM in the RA patients in Taiwan. The information could be used for further pharmacological investigation and clinical trials.

Copyright © 2015. Published by Elsevier Ireland Ltd.

KEYWORDS:

Rhizoma Corydalis; Shang-Jong-Shiah-Tong-Yong-Tong-Feng-Wan; complementary and alternative medicine; national health insurance research database; rheumatoid arthritis; traditional Chinese medicine

[心得] 肚子餓就會買很多東西來吃，結果高估自己戰力

[心得] 肚子餓就會買很多東西來吃，結果高估自己戰力

剛剛從宜蘭支援回來，本來要去買滷味當晚餐，

結果經過新開的雞排店，味道好香就決定改吃雞排，所以我點了：

厚切雞排*1+轟炸大魷魚*1+豆乾*1+米血*1+炸湯圓*1，總共205元，再買一杯烏龍茶手搖杯來喝。

然後雞排真的滿好吃的，只是他的胡椒粉帶一點甜，

吃完後........我剩下就吃不下了

轟炸大魷魚還好好的躺在那邊

每次都高估自己戰力

[會議] 代表臺北榮總傳統醫學部，至北市聯合醫院昆明院區進行中醫負責醫師訓練計畫期末報告

[會議] 代表臺北榮總傳統醫學部，

至北市聯合醫院昆明院區進行中醫負責醫師訓練計畫期末報告