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The utilization of traditional Chinese medicine in patients with dysfunctional uterine bleeding in Taiwan: a nationwide population-based study.
BMC Complement Altern Med. 2017 Aug 29; 17(1):427.BC

Abstract

BACKGROUND

Many patients with gynecological disorders seek traditional medicine consultations in Asian countries. This study intended to investigate the utilization of traditional Chinese medicine (TCM) in patients with dysfunctional uterine bleeding (DUB) in Taiwan.

METHODS

We analyzed a cohort of one million individuals randomly selected from the National Health Insurance Research Database in Taiwan. We included 46,337 subjects with newly diagnosed DUB (ICD-9-CM codes 626.8) from January 1, 1997 to December 31, 2010. The patients were categorized into TCM seekers and non-TCM seekers according to their use of TCM.

RESULTS

Among the subjects, 41,558 (89.69%) were TCM seekers and 4,779 (10.31%) were non-TCM seekers. Patients who were younger tended to be TCM seekers. Most of the patients had also taken Western medicine, especially tranexamic acid and non-steroidal anti-inflammatory drugs (NSAIDs). More than half of TCM seekers (55.41%) received combined treatment with both Chinese herbal remedies and acupuncture. The most commonly used TCM formula and single herb were Jia-Wei-Xiao-Yao-San (Bupleurum and Peony Formula) and Yi-Mu-Cao (Herba Leonuri), respectively. The core pattern of Chinese herbal medicine for DUB patients consisted of Jia-Wei-Xiao-Yao-San, Xiang-Fu (Rhizoma Cyperi), and Yi-Mu-Cao (Herba Leonuri).

CONCLUSIONS

TCM use is popular among patients with DUB in Taiwan. Further pharmacological investigations and clinical trials are required to validate the efficacy and safety of these items.

Authors+Show Affiliations

Graduate Institute of Chinese Medicine, School of Chinese Medicine, College of Chinese Medicine, China Medical University, 91 Hsueh-Shih Rd. North District, Taichung, 404, Taiwan.Department of Chinese Medicine, China Medical University Hospital, 2 Yude Rd, North District, Taichung, 404, Taiwan.Management Office for Health Data, China Medical University Hospital, 2 Yude Rd, North District, Taichung, 404, Taiwan. College of Medicine, China Medical University, Taichung, 404, Taiwan.Graduate Institute of Chinese Medicine, School of Chinese Medicine, College of Chinese Medicine, China Medical University, 91 Hsueh-Shih Rd. North District, Taichung, 404, Taiwan. hungrongyen@gmail.com. Department of Chinese Medicine, China Medical University Hospital, 2 Yude Rd, North District, Taichung, 404, Taiwan. hungrongyen@gmail.com. Research Center for Chinese Herbal Medicine, China Medical University, Taichung, 404, Taiwan. hungrongyen@gmail.com. Department of Biotechnology, Asia University, Taichung, 41354, Taiwan. hungrongyen@gmail.com. Research Center for Traditional Chinese Medicine, Department of Medical Research, China Medical University Hospital, 2 Yude Rd, North District, Taichung, 404, Taiwan. hungrongyen@gmail.com.Graduate Institute of Chinese Medicine, School of Chinese Medicine, College of Chinese Medicine, China Medical University, 91 Hsueh-Shih Rd. North District, Taichung, 404, Taiwan. yangst@mail.cmu.edu.tw. Department of Radiology, China Medical University Hospital, 2 Yude Rd, North District, Taichung, 404, Taiwan. yangst@mail.cmu.edu.tw.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28851349

Citation

Lin, Yi-Rong, et al. "The Utilization of Traditional Chinese Medicine in Patients With Dysfunctional Uterine Bleeding in Taiwan: a Nationwide Population-based Study." BMC Complementary and Alternative Medicine, vol. 17, no. 1, 2017, p. 427.
Lin YR, Wu MY, Chiang JH, et al. The utilization of traditional Chinese medicine in patients with dysfunctional uterine bleeding in Taiwan: a nationwide population-based study. BMC Complement Altern Med. 2017;17(1):427.
Lin, Y. R., Wu, M. Y., Chiang, J. H., Yen, H. R., & Yang, S. T. (2017). The utilization of traditional Chinese medicine in patients with dysfunctional uterine bleeding in Taiwan: a nationwide population-based study. BMC Complementary and Alternative Medicine, 17(1), 427. https://doi.org/10.1186/s12906-017-1939-1
Lin YR, et al. The Utilization of Traditional Chinese Medicine in Patients With Dysfunctional Uterine Bleeding in Taiwan: a Nationwide Population-based Study. BMC Complement Altern Med. 2017 Aug 29;17(1):427. PubMed PMID: 28851349.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The utilization of traditional Chinese medicine in patients with dysfunctional uterine bleeding in Taiwan: a nationwide population-based study. AU - Lin,Yi-Rong, AU - Wu,Mei-Yao, AU - Chiang,Jen-Huai, AU - Yen,Hung-Rong, AU - Yang,Su-Tso, Y1 - 2017/08/29/ PY - 2017/05/24/received PY - 2017/08/18/accepted PY - 2017/8/31/entrez PY - 2017/8/31/pubmed PY - 2017/9/14/medline KW - Chinese herbal medicine KW - Complementary and alternative medicine KW - Dysfunctional uterine bleeding KW - National Health Insurance Research Database KW - Traditional Chinese medicine SP - 427 EP - 427 JF - BMC complementary and alternative medicine JO - BMC Complement Altern Med VL - 17 IS - 1 N2 - BACKGROUND: Many patients with gynecological disorders seek traditional medicine consultations in Asian countries. This study intended to investigate the utilization of traditional Chinese medicine (TCM) in patients with dysfunctional uterine bleeding (DUB) in Taiwan. METHODS: We analyzed a cohort of one million individuals randomly selected from the National Health Insurance Research Database in Taiwan. We included 46,337 subjects with newly diagnosed DUB (ICD-9-CM codes 626.8) from January 1, 1997 to December 31, 2010. The patients were categorized into TCM seekers and non-TCM seekers according to their use of TCM. RESULTS: Among the subjects, 41,558 (89.69%) were TCM seekers and 4,779 (10.31%) were non-TCM seekers. Patients who were younger tended to be TCM seekers. Most of the patients had also taken Western medicine, especially tranexamic acid and non-steroidal anti-inflammatory drugs (NSAIDs). More than half of TCM seekers (55.41%) received combined treatment with both Chinese herbal remedies and acupuncture. The most commonly used TCM formula and single herb were Jia-Wei-Xiao-Yao-San (Bupleurum and Peony Formula) and Yi-Mu-Cao (Herba Leonuri), respectively. The core pattern of Chinese herbal medicine for DUB patients consisted of Jia-Wei-Xiao-Yao-San, Xiang-Fu (Rhizoma Cyperi), and Yi-Mu-Cao (Herba Leonuri). CONCLUSIONS: TCM use is popular among patients with DUB in Taiwan. Further pharmacological investigations and clinical trials are required to validate the efficacy and safety of these items. SN - 1472-6882 UR - https://www.unboundmedicine.com/medline/citation/28851349/The_utilization_of_traditional_Chinese_medicine_in_patients_with_dysfunctional_uterine_bleeding_in_Taiwan:_a_nationwide_population_based_study_ L2 - https://bmccomplementalternmed.biomedcentral.com/articles/10.1186/s12906-017-1939-1 DB - PRIME DP - Unbound Medicine ER -