Clinical Patterns of Traditional Chinese Medicine for Ischemic Heart Disease Treatment: A Population-Based Cohort Study
<i>Background and objectives:</i> Traditional Chinese medicines (TCMs) are widely prescribed to relieve ischemic heart disease (IHD); however, no cohort studies have been conducted on the use of TCMs for patients with IHD. The aim of the study was to analyze TCM prescription patterns for...
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MDPI AG
2022-06-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/7/879 |
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| author | Lung-Shuo Wang Pei-Tzu Yen Shih-Feng Weng Jong-Hau Hsu Jwu-Lai Yeh |
| author_facet | Lung-Shuo Wang Pei-Tzu Yen Shih-Feng Weng Jong-Hau Hsu Jwu-Lai Yeh |
| author_sort | Lung-Shuo Wang |
| collection | DOAJ |
| description | <i>Background and objectives:</i> Traditional Chinese medicines (TCMs) are widely prescribed to relieve ischemic heart disease (IHD); however, no cohort studies have been conducted on the use of TCMs for patients with IHD. The aim of the study was to analyze TCM prescription patterns for patients with IHD. <i>Materials and Methods:</i> The retrospective population-based study employed a randomly sampled cohort of 4317 subjects who visited TCM clinics. Data were obtained from the National Health Insurance Research Database (NHIRD) of Taiwan for the period covering 2000 to 2017. Data analysis focused on the top ten most commonly prescribed formulae and single TCMs. We also examined the most common two- and three-drug combinations of TCM in single prescriptions. Demographic characteristics included age and sex distributions. Analysis was performed on 22,441 prescriptions. <i>Results:</i> The majority of TCM patients were male (53.6%) and over 50 years of age (65.1%). Zhi-Gan-Cao-Tang (24.76%) was the most frequently prescribed formulae, and Danshen (28.89%) was the most frequently prescribed single TCM for the treatment of IHD. The most common two- and three-drug TCM combinations were Xue-Fu-Zhu-Yu-Tang and Danshen” (7.51%) and “Zhi-Gan-Cao-Tang, Yang-Xin-Tang, and Gua-Lou-Xie-Bai-Ban-Xia-Tang” (2.79%). <i>Conclusions:</i> Our results suggest that most of the frequently prescribed TCMs for IHD were Qi toning agents that deal with cardiovascular disease through the promotion of blood circulation. The widespread use of these drugs warrants large-scale, randomized clinical trials to investigate their effectiveness and safety. |
| first_indexed | 2024-03-09T06:15:05Z |
| format | Article |
| id | doaj.art-c0df83bc06ed4f7c8ad6c76a40cca16a |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T06:15:05Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-c0df83bc06ed4f7c8ad6c76a40cca16a2023-12-03T11:54:30ZengMDPI AGMedicina1010-660X1648-91442022-06-0158787910.3390/medicina58070879Clinical Patterns of Traditional Chinese Medicine for Ischemic Heart Disease Treatment: A Population-Based Cohort StudyLung-Shuo Wang0Pei-Tzu Yen1Shih-Feng Weng2Jong-Hau Hsu3Jwu-Lai Yeh4Department of Chinese Medicine, Sin-Lau Hospital, Tainan 70142, TaiwanDepartment of Chinese Medicine, Sin-Lau Hospital, Tainan 70142, TaiwanDepartment of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung 80708, TaiwanGraduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, TaiwanGraduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan<i>Background and objectives:</i> Traditional Chinese medicines (TCMs) are widely prescribed to relieve ischemic heart disease (IHD); however, no cohort studies have been conducted on the use of TCMs for patients with IHD. The aim of the study was to analyze TCM prescription patterns for patients with IHD. <i>Materials and Methods:</i> The retrospective population-based study employed a randomly sampled cohort of 4317 subjects who visited TCM clinics. Data were obtained from the National Health Insurance Research Database (NHIRD) of Taiwan for the period covering 2000 to 2017. Data analysis focused on the top ten most commonly prescribed formulae and single TCMs. We also examined the most common two- and three-drug combinations of TCM in single prescriptions. Demographic characteristics included age and sex distributions. Analysis was performed on 22,441 prescriptions. <i>Results:</i> The majority of TCM patients were male (53.6%) and over 50 years of age (65.1%). Zhi-Gan-Cao-Tang (24.76%) was the most frequently prescribed formulae, and Danshen (28.89%) was the most frequently prescribed single TCM for the treatment of IHD. The most common two- and three-drug TCM combinations were Xue-Fu-Zhu-Yu-Tang and Danshen” (7.51%) and “Zhi-Gan-Cao-Tang, Yang-Xin-Tang, and Gua-Lou-Xie-Bai-Ban-Xia-Tang” (2.79%). <i>Conclusions:</i> Our results suggest that most of the frequently prescribed TCMs for IHD were Qi toning agents that deal with cardiovascular disease through the promotion of blood circulation. The widespread use of these drugs warrants large-scale, randomized clinical trials to investigate their effectiveness and safety.https://www.mdpi.com/1648-9144/58/7/879traditional Chinese medicineischemic heart diseaseprescribing patternsnational health insurance databaseTaiwan |
| spellingShingle | Lung-Shuo Wang Pei-Tzu Yen Shih-Feng Weng Jong-Hau Hsu Jwu-Lai Yeh Clinical Patterns of Traditional Chinese Medicine for Ischemic Heart Disease Treatment: A Population-Based Cohort Study Medicina traditional Chinese medicine ischemic heart disease prescribing patterns national health insurance database Taiwan |
| title | Clinical Patterns of Traditional Chinese Medicine for Ischemic Heart Disease Treatment: A Population-Based Cohort Study |
| title_full | Clinical Patterns of Traditional Chinese Medicine for Ischemic Heart Disease Treatment: A Population-Based Cohort Study |
| title_fullStr | Clinical Patterns of Traditional Chinese Medicine for Ischemic Heart Disease Treatment: A Population-Based Cohort Study |
| title_full_unstemmed | Clinical Patterns of Traditional Chinese Medicine for Ischemic Heart Disease Treatment: A Population-Based Cohort Study |
| title_short | Clinical Patterns of Traditional Chinese Medicine for Ischemic Heart Disease Treatment: A Population-Based Cohort Study |
| title_sort | clinical patterns of traditional chinese medicine for ischemic heart disease treatment a population based cohort study |
| topic | traditional Chinese medicine ischemic heart disease prescribing patterns national health insurance database Taiwan |
| url | https://www.mdpi.com/1648-9144/58/7/879 |
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