Classification of patients with cold sensation by a review of systems database: A single-centre observational study

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Publisher: Elsevier B.V.
Document Type: Report
Length: 493 words

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Keywords Traditional medicine; Pattern; Review of systems; Subjective symptoms; Accompanying symptoms; Blood stasis; Qi stagnation Highlights * Appropriate herbal formula is determined on the basis of the patient's traditional medicine pattern (TM1). * Importance of accompanying symptoms in diagnosing a traditional medicine pattern(TM1) has not been well demonstrated. * Evaluation of the patients' subjective symptoms recorded on e-questionnaire. * Patients with a qi stagnation pattern had higher rates of depression and insomnia. * Patients with a blood stasis pattern, had higher rates of acne, body stiffness, and menstrual abnormality. Abstract Objectives In Kampo medicine, a traditional medicine pattern.sup.(TM1) refers to the complete clinical presentation of the patient at a given moment in time. Candidate herbal formulas are chosen for a chief complaint, and an appropriate formula is determined on the basis of the pattern.sup.(TM1) diagnosis. In this study, we demonstrated the importance of accompanying symptoms in diagnosing traditional medicine patterns.sup.(TM1). Design Single centre observational study. Setting We analysed data from 524 new patients with a hypersensitivity to cold sensation as their primary diagnosis (mean age 51.6 [plus or minus] 17.8 years; female ratio 82.1%) who visited the Keio University Hospital Kampo Clinic between 2008 and 2013. Main outcome measures Accompanying symptoms were recorded on the browser-based e-questionnaire system, which contained 128 items. The Japan Society for Oriental Medicine's board certified Kampo specialists diagnosed the traditional medicine patterns.sup.(TM1). Results When participants were classified according to the origin of their cold sensation, there were no differences in their traditional medicine patterns. In contrast, when patients were classified based on the number of accompanying symptoms, a significant difference in the patterns was identified. An increasing number of accompanying symptoms was associated with more frequent qi stagnation and blood stasis pattern.sup.(TM1). Patients with a qi stagnation pattern had higher rates of depression and insomnia. In contrast, patients with a blood stasis pattern.sup.(TM1), had higher rates of acne, body stiffness, and menstrual abnormality. Conclusions Qi stagnation and blood stasis patterns.sup.(TM1) are related to a number of different accompanying symptoms in the patients with hypersensitivity to cold sensation. Author Affiliation: (a) Center for Kampo Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan (b) Human Genome Center, The Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo, 108-8639, Japan (c) Division of Health Medical Data Science, Health Intelligence Center, The Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo, 108-8639, Japan (d) Center for Research and Development of Higher Education, University of Tokyo, 7-3-1 Hongou, Bunkyo-ku, Tokyo, 113-0033, Japan (e) Faculty of Environmental and Information Study, Keio University, 5322 Endo, Fujisawa, Kanagawa, 252-0882, Japan * Corresponding author at: Center for Kampo Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. Article History: Received 31 January 2019; Revised 31 March 2019; Accepted 8 May 2019 Byline: Tetsuhiro Yoshino (a), Kotoe Katayama (b), Rui Yamaguchi (b), Seiya Imoto (c), Satoru Miyano (b), Hideki Mima (d), Kenji Watanabe [watanabekenji@keio.jp] (a,e,*)

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Gale Document Number: GALE|A593922324