Traditional Chinese medicine diagnoses in a sample of women with fi bromyalgia

Scott Mist, Cheryl L. Wright, Kim Jones, James Carson

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background Traditional Chinese medicine (TCM) offers various treatment modalities guided by TCM diagnoses. In the United States, acupuncture is a commonly employed TCM method for treating a variety of chronic illnesses. Three systematic reviews have been reported recently, reaching differing conclusions about the effi cacy of acupuncture for the treatment of fi bromyalgia (FM). Among the FM acupuncture studies considered in these reviews, none used TCM diagnosis as an inclusion/exclusion criterion or adjusted treatment based on TCM diagnosis. Overlooking TCM diagnosis may be a reason for such disparate results. Primary study objective To obtain TCM diagnoses in a sample of women meeting 1990 American College of Rheumatology criteria for FM who were recruited for a yoga study and to investigate whether there is signifi cant variability. Methods/design Two TCM practitioners conducted baseline TCM diagnostic examinations on 56 women with FM. A consensus diagnosis was reached based on standardised history, palpation and examination. Canonical discriminate analysis identifi ed two baseline items which predicted TCM diagnosis. Setting School of Nursing, Oregon Health & Science University. Participants Women, ages 23-75, with FM recruited to a yoga intervention study Results Three primary TCM diagnoses were found in the population: Qi and Blood Defi ciency (46.4%, CI 33.0% to 60.36%), Qi and Blood Stagnation (26.8%, CI 15.8% to 40.3%), and Liver Qi Stagnation (19.6%, CI 10.2% to 32.4%). Conclusion It is likely that previous studies of FM were treating a heterogeneous study population where variable results might be expected. Future acupuncture studies should either control for TCM diagnosis or consider its usefulness as an inclusion/ exclusion criterion.

Original languageEnglish (US)
Pages (from-to)266-269
Number of pages4
JournalAcupuncture in Medicine
Volume29
Issue number4
DOIs
StatePublished - Dec 2011

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Chinese Traditional Medicine
Qi
Acupuncture
Yoga
Acupuncture Therapy
School Nursing
Palpation
Population
Chronic Disease
History

ASJC Scopus subject areas

  • Clinical Neurology
  • Complementary and alternative medicine
  • Medicine(all)

Cite this

Traditional Chinese medicine diagnoses in a sample of women with fi bromyalgia. / Mist, Scott; Wright, Cheryl L.; Jones, Kim; Carson, James.

In: Acupuncture in Medicine, Vol. 29, No. 4, 12.2011, p. 266-269.

Research output: Contribution to journalArticle

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abstract = "Background Traditional Chinese medicine (TCM) offers various treatment modalities guided by TCM diagnoses. In the United States, acupuncture is a commonly employed TCM method for treating a variety of chronic illnesses. Three systematic reviews have been reported recently, reaching differing conclusions about the effi cacy of acupuncture for the treatment of fi bromyalgia (FM). Among the FM acupuncture studies considered in these reviews, none used TCM diagnosis as an inclusion/exclusion criterion or adjusted treatment based on TCM diagnosis. Overlooking TCM diagnosis may be a reason for such disparate results. Primary study objective To obtain TCM diagnoses in a sample of women meeting 1990 American College of Rheumatology criteria for FM who were recruited for a yoga study and to investigate whether there is signifi cant variability. Methods/design Two TCM practitioners conducted baseline TCM diagnostic examinations on 56 women with FM. A consensus diagnosis was reached based on standardised history, palpation and examination. Canonical discriminate analysis identifi ed two baseline items which predicted TCM diagnosis. Setting School of Nursing, Oregon Health & Science University. Participants Women, ages 23-75, with FM recruited to a yoga intervention study Results Three primary TCM diagnoses were found in the population: Qi and Blood Defi ciency (46.4{\%}, CI 33.0{\%} to 60.36{\%}), Qi and Blood Stagnation (26.8{\%}, CI 15.8{\%} to 40.3{\%}), and Liver Qi Stagnation (19.6{\%}, CI 10.2{\%} to 32.4{\%}). Conclusion It is likely that previous studies of FM were treating a heterogeneous study population where variable results might be expected. Future acupuncture studies should either control for TCM diagnosis or consider its usefulness as an inclusion/ exclusion criterion.",
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