Clinical research of acupuncture has been criticized for not reflecting the real world practice in terms of diagnosis, intervention, and outcome assessment. In this regard, a new method is required for practice-based clinical research. So we tried to collect data on principles of diagnosis and selec...
Clinical research of acupuncture has been criticized for not reflecting the real world practice in terms of diagnosis, intervention, and outcome assessment. In this regard, a new method is required for practice-based clinical research. So we tried to collect data on principles of diagnosis and selection of acupoints from Korean medicine doctors (KMDs) using plot patients, and analyzed patterns and priorities in decision-making.
A total of 69 KMDs participated in this study. Through a Powerpoint presentation, the participating KMDs were given a range of information on two patients diagnosed with functional dyspepsia (FD) according to Rome III criteria, and questioning the researchers who are well aware of the patients’ information and visited their clinics was allowed as if the researcher is a real patient, to determine the pattern diagnosis and acupoint selection. The researcher recorded the questions in order secretly. When decisions were complete, the KMDs described pattern, acupoints, and the reason why they did so. Lastly, they were asked to determine the ranking of symptoms which mostly affected their decision. The symptoms considered important on making a diagnosis were compared to the rank of questions. We analyzed which diagnosis and acupoints were mainly used to each patient and both. Furthermore, we tried to find common factors among reasons in same the diagnosis and acupoint. The data from the KMDs who mainly see patients with FD or who participated actively in this survey were sampled, analyzed, and compared to the all participating KMDs.
Most KMDs inquired indice which were considered important such as fecal state, abdominal examination, appetite, pulse diagnosis, and facial complexion in advance. Various diagnoses were given for each patient, and there were no significant differences between the two patients. CV12, LI4, LR3, ST36 and PC6 were selected most frequently regardless of diagnosis. HT8 and GB41 were selected specifically compared with the previous studies, which seem unique for Korean Medicine. Further studies are needed to help standardized pattern diagnoses and acupuncture treatments in Korean Medicine.
Clinical research of acupuncture has been criticized for not reflecting the real world practice in terms of diagnosis, intervention, and outcome assessment. In this regard, a new method is required for practice-based clinical research. So we tried to collect data on principles of diagnosis and selection of acupoints from Korean medicine doctors (KMDs) using plot patients, and analyzed patterns and priorities in decision-making.
A total of 69 KMDs participated in this study. Through a Powerpoint presentation, the participating KMDs were given a range of information on two patients diagnosed with functional dyspepsia (FD) according to Rome III criteria, and questioning the researchers who are well aware of the patients’ information and visited their clinics was allowed as if the researcher is a real patient, to determine the pattern diagnosis and acupoint selection. The researcher recorded the questions in order secretly. When decisions were complete, the KMDs described pattern, acupoints, and the reason why they did so. Lastly, they were asked to determine the ranking of symptoms which mostly affected their decision. The symptoms considered important on making a diagnosis were compared to the rank of questions. We analyzed which diagnosis and acupoints were mainly used to each patient and both. Furthermore, we tried to find common factors among reasons in same the diagnosis and acupoint. The data from the KMDs who mainly see patients with FD or who participated actively in this survey were sampled, analyzed, and compared to the all participating KMDs.
Most KMDs inquired indice which were considered important such as fecal state, abdominal examination, appetite, pulse diagnosis, and facial complexion in advance. Various diagnoses were given for each patient, and there were no significant differences between the two patients. CV12, LI4, LR3, ST36 and PC6 were selected most frequently regardless of diagnosis. HT8 and GB41 were selected specifically compared with the previous studies, which seem unique for Korean Medicine. Further studies are needed to help standardized pattern diagnoses and acupuncture treatments in Korean Medicine.
주제어
#Pattern diagnosis Acupoint Functional dyspepsia Korean Medicine
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