Developing diagnostic criteria of illness of traditional medicine on patients with carpal tunnel syndrome by a descriptive cross-sectional survey

Original Research

Abstract

Background and Objective: Carpal tunnel syndrome (CTS) is one of the most common neurodegenerative conditions. However, studies on the classifications and symptoms of CTS from the perspective of traditional medicine are still limited. Our study aims to identify traditional medicine disease nomenclature and symptoms of CTS by the survey form.

Methods: A descriptive cross-sectional study was conducted at The 3rd branch of University Medical Center HCMC, Thong Nhat Hospital from March 2021 to June 2021. We conducted a study survey on patients diagnosed with primary CTS and agreed to participate in the study with survey questionnaires, data were processed by using Excel 2016 and Lantern 5.0 software.

Results: 48 symptoms collected from 94 patients with CTS based on questionnaires were included in the Latent Tree Model. Compared with the medical literature review, there were 40/48 symptoms and 5 patterns appearing in the collected sample. These 5 main patterns: Blood stasis has 4 symptoms, yin deficiency has 6 symptoms, damp heat has 3 symptoms, blood deficiency has 3 symptoms and invasion of meridians of wind cold has 3 symptoms to diagnose. The results of the study have shown that the results of the algorithms are statistically significant when comparing clusters of latent variables with traditional medicine descriptions. Therefore, the use of the results of the machine has a scientific basis in terms of statistics.

Conclusion: After analyzing clinical data from 94 patients with Latent Tree Model, it was found that 5 disease patterns appeared with symptoms helping diagnose those disease patterns.

Graphical abstract

Survey the proportions of TCM symptoms and patterns in stable COPD patients at University Medical Center HCMC

Original Research

Abstract

Introduction: COPD affects the quality of a patient’s life and leads to death. Identifying TCM symptoms and clinical patterns proportions in the community will make diagnosis and treatment more effective. In Vietnam, there were no epidemiological documents about COPD in TCM. Therefore, this study wished to survey stable COPD patients to find out the proportions of symptoms and patterns in TCM to create a basis for further practice.

Methods: The survey was conducted as a descriptive cross-sectional study. Participants were stable COPD outpatients at the Clinic and respiratory function test of the University Medical Center HCMC from September to December 2018. According to the survey form based on the TCM diagnostic criteria, the proportions of symptoms and patterns were recorded.

Results: After three months, 116 patients were recruited. The proportions of 30 TCM symptoms and signs were recorded. The proportions of patients were as follows: 80.17% met Lung qi deficiency, 76.72% for Lung-kidney qi deficiency, 53.45% for Lung-kidney qi and yin deficiency, 47.41% for Lung-spleen qi deficiency, and 2.59% for not meeting any of the diagnostic criteria. Patterns were overlapping in the same patients.

Conclusions: All TCM symptoms and patterns in the diagnostic criteria appeared in COPD patients. The deficiency of the Lung and Kidney was the most common. Most patients were classified into many different patterns with multi organs damage. More multicenter studies with bigger participants numbers are suggested. 

Graphical abstract

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