Analysis of diagnostic decision in acupuncture from the actual functional dyspepsia patient's clinical information
Background: Clinical research in acupuncture has been criticized for not reflecting real-world practice in terms of diagnosis and intervention. This study aimed to collect data on the principles of diagnosis and selection of acupoints from Korean medicine doctors (KMDs) and analyze the patterns and...
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doaj-935ca36233d24dedab845a3cb9d977df2020-11-25T02:49:22ZengElsevierIntegrative Medicine Research2213-42202020-12-0194Analysis of diagnostic decision in acupuncture from the actual functional dyspepsia patient's clinical informationSong-Yi Kim0San Hwa Hong1Jae-Woo Park2Hyangsook Lee3Jaeyoung Kim4Yangseok Kim5You-Sang Baik6Seok-Jae Ko7Seul-Ki Kim8In-Seon Lee9Younbyoung Chae10Hi-Joon Park11Department of Anatomy and Acupoint, College of Korean Medicine, Gachon University, Seongnam, South KoreaAcupuncture and Meridian Science Research Center, Kyung Hee University, Seoul, South KoreaDepartment of Gastroenterology, College of Korean Medicine, Kyung Hee University, Seoul, South KoreaAcupuncture and Meridian Science Research Center, Kyung Hee University, Seoul, South KoreaDaewoong Co Ltd., Seoul, South KoreaDepartment of Physiology, College of Korean Medicine, Kyung Hee University, Seoul, South KoreaDepartment of Korean Medicine Classics, College of Korean Medicine, Kyung Hee University, Seoul, South KoreaDepartment of Gastroenterology, College of Korean Medicine, Kyung Hee University, Seoul, South KoreaDepartment of Gastroenterology, College of Korean Medicine, Kyung Hee University, Seoul, South KoreaAcupuncture and Meridian Science Research Center, Kyung Hee University, Seoul, South KoreaAcupuncture and Meridian Science Research Center, Kyung Hee University, Seoul, South KoreaAcupuncture and Meridian Science Research Center, Kyung Hee University, Seoul, South Korea; Corresponding author at: Acupuncture and Meridian Science Research Center, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, South Korea.Background: Clinical research in acupuncture has been criticized for not reflecting real-world practice in terms of diagnosis and intervention. This study aimed to collect data on the principles of diagnosis and selection of acupoints from Korean medicine doctors (KMDs) and analyze the patterns and priorities in decision-making. Methods: The study design was based on the data of an actual patient with functional dyspepsia (FD) (according to Rome III criteria) to create simulated patients, and a KMD specialized in gastrointestinal disorders was allocated to collect the clinical information as objectively as possible. Sixty-nine KMDs were recruited to diagnose a simulated patient based on the actual patient's clinical information, in a manner similar to that performed in their clinics. Results: After the diagnostic procedures were completed, the pattern identification, selected acupoints, reasons for choosing them, and importance of symptoms for deciding their diagnoses were documented. The information needed was clearly distinguishable from those routinely asked in western medicine, and information regarding fecal status, abdominal examination, appetite status, pulse diagnosis, and tongue diagnosis were listed as vital. The doctors identified the patient's pattern as “spleen-stomach weakness”, “liver qi depression”, or “food accumulation or phlegm-fluid retention”. The most frequently selected acupoints were CV12, LI4, LR3, ST36, and PC6. Conclusion: There are common acupoints across different patterns, but pattern-specific acupoints were also recommended. These results can provide useful information to design clinical research and education for better clinical performance in acupuncture that reflects real-world practice.http://www.sciencedirect.com/science/article/pii/S2213422020300512AcupunctureFunctional dyspepsiaDiagnostic procedurePattern identificationAcupoint |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Song-Yi Kim San Hwa Hong Jae-Woo Park Hyangsook Lee Jaeyoung Kim Yangseok Kim You-Sang Baik Seok-Jae Ko Seul-Ki Kim In-Seon Lee Younbyoung Chae Hi-Joon Park |
spellingShingle |
Song-Yi Kim San Hwa Hong Jae-Woo Park Hyangsook Lee Jaeyoung Kim Yangseok Kim You-Sang Baik Seok-Jae Ko Seul-Ki Kim In-Seon Lee Younbyoung Chae Hi-Joon Park Analysis of diagnostic decision in acupuncture from the actual functional dyspepsia patient's clinical information Integrative Medicine Research Acupuncture Functional dyspepsia Diagnostic procedure Pattern identification Acupoint |
author_facet |
Song-Yi Kim San Hwa Hong Jae-Woo Park Hyangsook Lee Jaeyoung Kim Yangseok Kim You-Sang Baik Seok-Jae Ko Seul-Ki Kim In-Seon Lee Younbyoung Chae Hi-Joon Park |
author_sort |
Song-Yi Kim |
title |
Analysis of diagnostic decision in acupuncture from the actual functional dyspepsia patient's clinical information |
title_short |
Analysis of diagnostic decision in acupuncture from the actual functional dyspepsia patient's clinical information |
title_full |
Analysis of diagnostic decision in acupuncture from the actual functional dyspepsia patient's clinical information |
title_fullStr |
Analysis of diagnostic decision in acupuncture from the actual functional dyspepsia patient's clinical information |
title_full_unstemmed |
Analysis of diagnostic decision in acupuncture from the actual functional dyspepsia patient's clinical information |
title_sort |
analysis of diagnostic decision in acupuncture from the actual functional dyspepsia patient's clinical information |
publisher |
Elsevier |
series |
Integrative Medicine Research |
issn |
2213-4220 |
publishDate |
2020-12-01 |
description |
Background: Clinical research in acupuncture has been criticized for not reflecting real-world practice in terms of diagnosis and intervention. This study aimed to collect data on the principles of diagnosis and selection of acupoints from Korean medicine doctors (KMDs) and analyze the patterns and priorities in decision-making. Methods: The study design was based on the data of an actual patient with functional dyspepsia (FD) (according to Rome III criteria) to create simulated patients, and a KMD specialized in gastrointestinal disorders was allocated to collect the clinical information as objectively as possible. Sixty-nine KMDs were recruited to diagnose a simulated patient based on the actual patient's clinical information, in a manner similar to that performed in their clinics. Results: After the diagnostic procedures were completed, the pattern identification, selected acupoints, reasons for choosing them, and importance of symptoms for deciding their diagnoses were documented. The information needed was clearly distinguishable from those routinely asked in western medicine, and information regarding fecal status, abdominal examination, appetite status, pulse diagnosis, and tongue diagnosis were listed as vital. The doctors identified the patient's pattern as “spleen-stomach weakness”, “liver qi depression”, or “food accumulation or phlegm-fluid retention”. The most frequently selected acupoints were CV12, LI4, LR3, ST36, and PC6. Conclusion: There are common acupoints across different patterns, but pattern-specific acupoints were also recommended. These results can provide useful information to design clinical research and education for better clinical performance in acupuncture that reflects real-world practice. |
topic |
Acupuncture Functional dyspepsia Diagnostic procedure Pattern identification Acupoint |
url |
http://www.sciencedirect.com/science/article/pii/S2213422020300512 |
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