Current Status of Kampo Medicine in Community Health Care
Current Status of Kampo Medicine in Community Health Care
复制标题
DOI：
10.14442/general.13.37
复制
发表时间：
2012-07-01
影响因子：
1.6
通讯作者：
Kajii, Eiji
中科院分区：
文献类型：
--
作者：
Muramatsu, Shin-ichi;Aihara, Masakazu;Kajii, Eiji
背景：汉方医学是日本传统的医学形式，以古代中国医学为基础。汉方医学包括针灸和艾灸，以及草药。允许医生处方各种配方中使用的民族汉方提取物颗粒，并作为针灸师和针灸师进行针灸。然而，医学院不提供很多传统医学课程。本研究的目的是分析汉方在现代社区卫生保健中的应用和针灸实践。2010年10月以邮寄问卷的方式，对1978年及以后毕业于日本医科大学，2010年7月隶属于300张床位以下的诊所或医院的1538名临床医生进行调查。日本的有效缓解率为44%（n=679）。在这些应答者中，30%、45%和22%的人在日常临床护理中分别定期、偶尔和很少开汉方处方。常用的处方包括shakuyakukanzoto，daikenchuto，kakkonto，rikkunshito和hochuekito。61%和58%的受访者使用汉方的原因分别是适用于常见疾病和易于使用的不明投诉和心身疾病。在不太可能使用的原因中，34%的应答者选择了不清楚的适用性; 33%的应答者选择了难以储存许多制剂; 30%的应答者选择了疗效证据不足。针灸从业者占应答者的4%。针灸的主要适应症包括腰痛和肩关节僵硬。结论：大量的初级保健医生使用汉方，这意味着他们的实用性。然而，三分之一的医生抱怨汉方的适用性不明确，疗效证据不足。今后，将需要进行适当的教育和研究，以澄清这些问题。
Background: Kampo medicine is the traditional form of medicine practiced in Japan, based on ancient Chinese medicine. Kampo medicine includes acupuncture and moxibustion, as well as herbal medicine. Physicians are allowed to prescribe ethical Kampo extract granules used in various formulae and practice acupuncture and moxibustion as acupuncturists and moxibustionists. However, medical schools do not offer many classes in traditional medicine. This study aims to analyze the use of Kampo formulae and practice of acupuncture and moxibustion in contemporary community health care.Methods: The subjects(1538 clinicians) were graduates of Jichi Medical University on or after 1978, affiliated with a clinic or hospital with 300 beds or less on July 2010, and surveyed by postal questionnaire in October 2010.Results: The effective response rate across Japan was 44%( n=679). Of these responders, 30%, 45%, and 22% were found to prescribe Kampo formulae regularly, occasionally, and rarely, respectively, in daily clinical care. Frequently prescribed formulae included shakuyakukanzoto, daikenchuto, kakkonto, rikkunshito, and hochuekkito. The reasons for using Kampo formulae given by 61% and 58% of the responders were, respectively, applicability for common diseases and ease of use for unidentified complaints and psychosomatic disease. Among the reasons for unlikely use, unclear applicability was chosen by 34% of the responders; difficulty stocking many formulations by 33%; and insufficient evidence of efficacy by 30%. Practitioners of acupuncture and moxibustion accounted for 4% of the responders. The main indications for acupuncture and moxibustion included low back pain and shoulder stiffness.Conclusions: A large number of primary care physicians use Kampo formulae, implying their usefulness. However, one out of three physicians complains of unclear applicability and insufficient evidence of efficacy for Kampo formulae. In the future, appropriate education and research will be needed to clarify these issues.