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When the east meet the west - Mapping of diagnoses between conventional and traditional Chinese medicine in clinical practice
6th International Conference and Exhibition on Traditional & Alternative Medicine
Wendy Wong
The Chinese University of Hong Kong, Hong Kong
Keynote: J Tradi Med Clin Natur
Abstract
Background: There is a global trend of Integrative Medicine (IM) to pursue the best interest of the patients by merging the conventional with the traditional Chinese medicine (TCM). However, the communication between the 2 disciplines had not been well explored. To bridge the medical practice from the east to the west, the mapping of diagnoses between the 2 disciplines in Hong Kong serves the ideal platform for investigation. Aims & Objectives: To determine the mapping of diagnoses between conventional and TCM in primary care of Hong Kong. Methods: A cross-sectional study of prospective recording of all clinical encounters that presented to 260 Chinese Medicine Practitioners (CMP) were collected in 2012. All health presenting problems were coded by International Classification of Primary care (ICPC) and the National Classification of disease (NCCD) and Zheng (NCCZ) of TCM. Results: 55,312 encounters were collected from 260 CMPs. Most subjects (64.0%) consulted for chronic problems. Respiratory (24.9%) and musculoskeletal (22.7%) problems were the most common, and specifically cough (11.7%) and low back symptom/ complaint (6.6%) being the commonest complaints. The most common TCM diagnoses in the form of NCCD was internal medicine (65.1%). By NCCZ (i.e. syndrome differentiation), Zang Fu & Meridian syndrome (40.5%) was the most common Zheng found by CMP. The top 3 categories of NCCD were tendon injury (9.4%), influenza (8.8%) and cough (6.2%). Tendon injury was mainly diagnosed as injury, Meridian syndrome (14.7%). Influenza was mostly diagnosed as wind-cold syndrome (31.5%). Cough was mainly diagnosed as wind-heat syndrome (25.9%). Conclusion: This was the first study to investigate the mapping between conventional and TCM by means of a morbidity patterns with the parallel coding from ICPC-2, NCCD and NCCZ (i.e. syndrome differentiation). To facilitate the goal of integrative medicine, this study allows a broad spectrum of understanding of terminology used between 2 disciplines.Biography
Wendy Wong has completed her PhD from the University of Hong Kong and Post-doctoral studies from the same University. She is working as an Assistant Professor of Hong Kong Institute of Integrative Medicine and School of Chinese Medicine. She has published more than 25 papers in international peer reviewed journals and has been serving as an Editorial Board Member of repute.
Email: wendy.wong@cuhk.edu.hk
