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Wednesday, 20 April 2016

March 23


1743 Handel’s Messiah is performed for the first time in London.



1791 Etta Palm, a Dutch champion of woman’s rights, sets up a group of women’s clubs called the Confederation of the Friends of Truth.



1903 The Wright brothers obtain an airplane patent.
1909 British Lt. Ernest Shackleton finds the magnetic South Pole.
1909 Theodore Roosevelt begins an African safari sponsored by the Smithsonian Institution and National Geographic Society.



Born on March 23



1908 Joan Crawford, American actress.
1910 Akira Kurosawa, film director (Rashomon, The Seven Samurai).



1929 Sir Roger Bannister, the first man to run the mile in less than four minutes.


Clinical application of traditional herbal medicine in five countries and regions: Japan; South Korea; Mainland China; Hong Kong, China; Taiwan, China


Abstract

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.

Keywords

  • Traditional herbal medicine;
  • Dosage;
  • Classical formulae;
  • Mainland China;
  • Japan;
  • South Korea