Clinical application of traditional herbal medicine in five countries and regions: Japan; South Korea; Mainland China; Hong Kong, China; Taiwan, China
Objective: To study the characteristics of the clinical application of traditional herbal medicine in five countries and regions where traditional medicine (TM) is widely used: Japan; South Korea; mainland China; Hong Kong, China; Taiwan, China. And to analyze, from multiple angles, the variations i...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015-07-01
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| Series: | Journal of Traditional Chinese Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2095754816000053 |
| _version_ | 1827841203216842752 |
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| author | Liming Chen Yanling Fu Lin Zhang Sijia Zhao Qing Feng Yihua Cheng Tosha Yanai Daji Xu Mingyu Luo Sang Woo An Woong Seok Lee Seong Hoon Cho Byung Wook Lee |
| author_facet | Liming Chen Yanling Fu Lin Zhang Sijia Zhao Qing Feng Yihua Cheng Tosha Yanai Daji Xu Mingyu Luo Sang Woo An Woong Seok Lee Seong Hoon Cho Byung Wook Lee |
| author_sort | Liming Chen |
| collection | DOAJ |
| description | Objective: To study the characteristics of the clinical application of traditional herbal medicine in five countries and regions where traditional medicine (TM) is widely used: Japan; South Korea; mainland China; Hong Kong, China; Taiwan, China. And to analyze, from multiple angles, the variations in the methods of TM used in each countries and regions.
Methods: Fifty commonly used traditional herbs (TOP50) from classical formulae were selected, and descriptive statistics, correlation analyses, and Friedman test were used to compare methods of clinical application and dosages in the countries and regions of interest based on a retrospective review of randomly-selected medical records.
Results: There were significant differences in sequencing TOP50 among the five countries and regions (P < .01). The adherence to the classical formulae, from strong to weak was Japan; mainland China; Taiwan, China; Hong Kong, China; South Korea. There were also significant differences in TOP50 dosing regimens (P < .01). Overall dosages of TOP50 from high to low were: mainland China; Hong Kong, China; Taiwan, China; South Korea; Japan. Finally, there were significant differences in the dosage intervals (P < .01), with dosage intervals from maximum to minimum as follows: mainland China; Taiwan, China; Hong Kong, China; South Korea; Japan.
Conclusions: The clinical dosages of traditional herbal medicine used in the mainland China are relatively large compared with those prescribed in the other four countries and regions, and the range of dosages in mainland China is more flexible. On the other hand, clinical dosages of TOP50 are the lowest in Japan, where the dosage range is also the narrowest, supporting the idea that Doctors of Kampo medicine are highly cautious and are likely to adhere strictly to classical formulae, while Hong Kong, China and Taiwan, China are in the middle. The dosage of TOP50 in South Korea is significantly lower than that used in the mainland China; Hong Kong, China and Taiwan, China where the adherence to the classical formulae was the lowest, albeit slightly higher than that in Japan. The methods of clinical application of traditional herbal medicine in the five countries and regions were affected by multiple factors, including history, geography, climate, and culture. |
| first_indexed | 2024-03-12T07:48:38Z |
| format | Article |
| id | doaj.art-a5aafbc38e394991a4b20f479daa6d01 |
| institution | Directory Open Access Journal |
| issn | 2095-7548 |
| language | English |
| last_indexed | 2024-03-12T07:48:38Z |
| publishDate | 2015-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Traditional Chinese Medical Sciences |
| spelling | doaj.art-a5aafbc38e394991a4b20f479daa6d012023-09-02T20:48:02ZengElsevierJournal of Traditional Chinese Medical Sciences2095-75482015-07-012314014910.1016/j.jtcms.2016.01.004Clinical application of traditional herbal medicine in five countries and regions: Japan; South Korea; Mainland China; Hong Kong, China; Taiwan, ChinaLiming Chen0Yanling Fu1Lin Zhang2Sijia Zhao3Qing Feng4Yihua Cheng5Tosha Yanai6Daji Xu7Mingyu Luo8Sang Woo An9Woong Seok Lee10Seong Hoon Cho11Byung Wook Lee12Beijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100029, ChinaSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR 999077, ChinaChia-Ho Chinese Medicine Clinic, Taipei 11271, Taiwan, ROCKorean Institute of Oriental Medicine, Seoul, Republic of KoreaCollege of Oriental Medicine, Kyung Hee University, Seoul, Republic of KoreaCollege of Oriental Medicine, Kyung Hee University, Seoul, Republic of KoreaSchool of Korean Medicine, Pusan National University, Yangsan, Republic of KoreaObjective: To study the characteristics of the clinical application of traditional herbal medicine in five countries and regions where traditional medicine (TM) is widely used: Japan; South Korea; mainland China; Hong Kong, China; Taiwan, China. And to analyze, from multiple angles, the variations in the methods of TM used in each countries and regions. Methods: Fifty commonly used traditional herbs (TOP50) from classical formulae were selected, and descriptive statistics, correlation analyses, and Friedman test were used to compare methods of clinical application and dosages in the countries and regions of interest based on a retrospective review of randomly-selected medical records. Results: There were significant differences in sequencing TOP50 among the five countries and regions (P < .01). The adherence to the classical formulae, from strong to weak was Japan; mainland China; Taiwan, China; Hong Kong, China; South Korea. There were also significant differences in TOP50 dosing regimens (P < .01). Overall dosages of TOP50 from high to low were: mainland China; Hong Kong, China; Taiwan, China; South Korea; Japan. Finally, there were significant differences in the dosage intervals (P < .01), with dosage intervals from maximum to minimum as follows: mainland China; Taiwan, China; Hong Kong, China; South Korea; Japan. Conclusions: The clinical dosages of traditional herbal medicine used in the mainland China are relatively large compared with those prescribed in the other four countries and regions, and the range of dosages in mainland China is more flexible. On the other hand, clinical dosages of TOP50 are the lowest in Japan, where the dosage range is also the narrowest, supporting the idea that Doctors of Kampo medicine are highly cautious and are likely to adhere strictly to classical formulae, while Hong Kong, China and Taiwan, China are in the middle. The dosage of TOP50 in South Korea is significantly lower than that used in the mainland China; Hong Kong, China and Taiwan, China where the adherence to the classical formulae was the lowest, albeit slightly higher than that in Japan. The methods of clinical application of traditional herbal medicine in the five countries and regions were affected by multiple factors, including history, geography, climate, and culture.http://www.sciencedirect.com/science/article/pii/S2095754816000053Traditional herbal medicineDosageClassical formulaeMainland ChinaJapanSouth Korea |
| spellingShingle | Liming Chen Yanling Fu Lin Zhang Sijia Zhao Qing Feng Yihua Cheng Tosha Yanai Daji Xu Mingyu Luo Sang Woo An Woong Seok Lee Seong Hoon Cho Byung Wook Lee Clinical application of traditional herbal medicine in five countries and regions: Japan; South Korea; Mainland China; Hong Kong, China; Taiwan, China Journal of Traditional Chinese Medical Sciences Traditional herbal medicine Dosage Classical formulae Mainland China Japan South Korea |
| title | Clinical application of traditional herbal medicine in five countries and regions: Japan; South Korea; Mainland China; Hong Kong, China; Taiwan, China |
| title_full | Clinical application of traditional herbal medicine in five countries and regions: Japan; South Korea; Mainland China; Hong Kong, China; Taiwan, China |
| title_fullStr | Clinical application of traditional herbal medicine in five countries and regions: Japan; South Korea; Mainland China; Hong Kong, China; Taiwan, China |
| title_full_unstemmed | Clinical application of traditional herbal medicine in five countries and regions: Japan; South Korea; Mainland China; Hong Kong, China; Taiwan, China |
| title_short | Clinical application of traditional herbal medicine in five countries and regions: Japan; South Korea; Mainland China; Hong Kong, China; Taiwan, China |
| title_sort | clinical application of traditional herbal medicine in five countries and regions japan south korea mainland china hong kong china taiwan china |
| topic | Traditional herbal medicine Dosage Classical formulae Mainland China Japan South Korea |
| url | http://www.sciencedirect.com/science/article/pii/S2095754816000053 |
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