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The Diagnosis Performance of the TCM Syndromes of Irritable Bowel Syndrome by Gastroenterologists Based on Modified Simple Criteria Compared to TCM Practitioners: A Prospective, Multicenter Preliminary Study

PURPOSE: Traditional Chinese medicine (TCM) including Chinese patent medicine has been widely used to treat irritable bowel syndrome (IBS). Syndrome differentiation is the essence of TCM. However, the diagnostic ability of gastroenterologists to detect TCM syndromes in IBS in China remains unknown....

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Autores principales: Song, Jun, Yang, Ling, Su, Shuai, Piao, Mei-Yu, Li, Bao-Li, Liang, Lie-Xin, Zuo, Guo-Wen, Tang, Zhi-Min, Long, Yan-qin, Chen, Xiao-Li, Dai, Ning, Mo, Jian-Ling, Yu, Yue, Yu, Wen-Yong, Zhang, Mei, Wang, Rong-Quan, Chen, Jing, Hou, Xiao-Hua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7368204/
https://www.ncbi.nlm.nih.gov/pubmed/32695213
http://dx.doi.org/10.1155/2020/9507674
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author Song, Jun
Yang, Ling
Su, Shuai
Piao, Mei-Yu
Li, Bao-Li
Liang, Lie-Xin
Zuo, Guo-Wen
Tang, Zhi-Min
Long, Yan-qin
Chen, Xiao-Li
Dai, Ning
Mo, Jian-Ling
Yu, Yue
Yu, Wen-Yong
Zhang, Mei
Wang, Rong-Quan
Chen, Jing
Hou, Xiao-Hua
author_facet Song, Jun
Yang, Ling
Su, Shuai
Piao, Mei-Yu
Li, Bao-Li
Liang, Lie-Xin
Zuo, Guo-Wen
Tang, Zhi-Min
Long, Yan-qin
Chen, Xiao-Li
Dai, Ning
Mo, Jian-Ling
Yu, Yue
Yu, Wen-Yong
Zhang, Mei
Wang, Rong-Quan
Chen, Jing
Hou, Xiao-Hua
author_sort Song, Jun
collection PubMed
description PURPOSE: Traditional Chinese medicine (TCM) including Chinese patent medicine has been widely used to treat irritable bowel syndrome (IBS). Syndrome differentiation is the essence of TCM. However, the diagnostic ability of gastroenterologists to detect TCM syndromes in IBS in China remains unknown. The aim of this study was to investigate the ability of gastroenterologists to diagnose the TCM syndromes of IBS based on modified simple criteria compared with TCM practitioners. METHODS: Patients meeting the Rome III criteria for IBS-D or IBS-C were recruited from six tertiary referral centers between January 2016 and December 2017. After learning the diagnosis criteria of the TCM syndromes in IBS, gastroenterologists first diagnosed the syndromes of the enrolled patients. Subsequently, the patients were diagnosed by TCM practitioners. The rate of agreement between the gastroenterologists and TCM practitioners was analyzed. In addition, demographic data and the distribution of TCM syndrome types in IBS were also analyzed. RESULTS: A total of 178 patients (93 males and 85 females), including 131 patients with IBS-D and 47 patients with IBS-C, were enrolled in this study. The rate of agreement of the syndrome diagnosis between the gastroenterologists and TCM practitioners was 84.3%. The diagnosis consistency rates among IBS-D patients and IBS-C patients were 87.0% and 76.5%, respectively. The most common TCM syndrome type in IBS-D patients was liver depression and spleen deficiency syndrome (27.5%), followed by spleen-yang deficiency syndrome (19.8%). Dryness and heat in intestine syndrome was the most common TCM syndrome in IBS-C patients (57.4%). CONCLUSIONS: Gastroenterologists had good diagnostic agreement with TCM practitioners for diagnosing TCM syndrome types in IBS after learning the diagnostic criteria. This knowledge can aid gastroenterologists in selecting suitable Chinese patent medicine to treat IBS.
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spelling pubmed-73682042020-07-20 The Diagnosis Performance of the TCM Syndromes of Irritable Bowel Syndrome by Gastroenterologists Based on Modified Simple Criteria Compared to TCM Practitioners: A Prospective, Multicenter Preliminary Study Song, Jun Yang, Ling Su, Shuai Piao, Mei-Yu Li, Bao-Li Liang, Lie-Xin Zuo, Guo-Wen Tang, Zhi-Min Long, Yan-qin Chen, Xiao-Li Dai, Ning Mo, Jian-Ling Yu, Yue Yu, Wen-Yong Zhang, Mei Wang, Rong-Quan Chen, Jing Hou, Xiao-Hua Evid Based Complement Alternat Med Research Article PURPOSE: Traditional Chinese medicine (TCM) including Chinese patent medicine has been widely used to treat irritable bowel syndrome (IBS). Syndrome differentiation is the essence of TCM. However, the diagnostic ability of gastroenterologists to detect TCM syndromes in IBS in China remains unknown. The aim of this study was to investigate the ability of gastroenterologists to diagnose the TCM syndromes of IBS based on modified simple criteria compared with TCM practitioners. METHODS: Patients meeting the Rome III criteria for IBS-D or IBS-C were recruited from six tertiary referral centers between January 2016 and December 2017. After learning the diagnosis criteria of the TCM syndromes in IBS, gastroenterologists first diagnosed the syndromes of the enrolled patients. Subsequently, the patients were diagnosed by TCM practitioners. The rate of agreement between the gastroenterologists and TCM practitioners was analyzed. In addition, demographic data and the distribution of TCM syndrome types in IBS were also analyzed. RESULTS: A total of 178 patients (93 males and 85 females), including 131 patients with IBS-D and 47 patients with IBS-C, were enrolled in this study. The rate of agreement of the syndrome diagnosis between the gastroenterologists and TCM practitioners was 84.3%. The diagnosis consistency rates among IBS-D patients and IBS-C patients were 87.0% and 76.5%, respectively. The most common TCM syndrome type in IBS-D patients was liver depression and spleen deficiency syndrome (27.5%), followed by spleen-yang deficiency syndrome (19.8%). Dryness and heat in intestine syndrome was the most common TCM syndrome in IBS-C patients (57.4%). CONCLUSIONS: Gastroenterologists had good diagnostic agreement with TCM practitioners for diagnosing TCM syndrome types in IBS after learning the diagnostic criteria. This knowledge can aid gastroenterologists in selecting suitable Chinese patent medicine to treat IBS. Hindawi 2020-07-09 /pmc/articles/PMC7368204/ /pubmed/32695213 http://dx.doi.org/10.1155/2020/9507674 Text en Copyright © 2020 Jun Song et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Song, Jun
Yang, Ling
Su, Shuai
Piao, Mei-Yu
Li, Bao-Li
Liang, Lie-Xin
Zuo, Guo-Wen
Tang, Zhi-Min
Long, Yan-qin
Chen, Xiao-Li
Dai, Ning
Mo, Jian-Ling
Yu, Yue
Yu, Wen-Yong
Zhang, Mei
Wang, Rong-Quan
Chen, Jing
Hou, Xiao-Hua
The Diagnosis Performance of the TCM Syndromes of Irritable Bowel Syndrome by Gastroenterologists Based on Modified Simple Criteria Compared to TCM Practitioners: A Prospective, Multicenter Preliminary Study
title The Diagnosis Performance of the TCM Syndromes of Irritable Bowel Syndrome by Gastroenterologists Based on Modified Simple Criteria Compared to TCM Practitioners: A Prospective, Multicenter Preliminary Study
title_full The Diagnosis Performance of the TCM Syndromes of Irritable Bowel Syndrome by Gastroenterologists Based on Modified Simple Criteria Compared to TCM Practitioners: A Prospective, Multicenter Preliminary Study
title_fullStr The Diagnosis Performance of the TCM Syndromes of Irritable Bowel Syndrome by Gastroenterologists Based on Modified Simple Criteria Compared to TCM Practitioners: A Prospective, Multicenter Preliminary Study
title_full_unstemmed The Diagnosis Performance of the TCM Syndromes of Irritable Bowel Syndrome by Gastroenterologists Based on Modified Simple Criteria Compared to TCM Practitioners: A Prospective, Multicenter Preliminary Study
title_short The Diagnosis Performance of the TCM Syndromes of Irritable Bowel Syndrome by Gastroenterologists Based on Modified Simple Criteria Compared to TCM Practitioners: A Prospective, Multicenter Preliminary Study
title_sort diagnosis performance of the tcm syndromes of irritable bowel syndrome by gastroenterologists based on modified simple criteria compared to tcm practitioners: a prospective, multicenter preliminary study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7368204/
https://www.ncbi.nlm.nih.gov/pubmed/32695213
http://dx.doi.org/10.1155/2020/9507674
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