Patient-Based Evaluation of Kampo Therapy-Introduction of a Clinical Information Database for Patient-Based Assessment-
10.3937/kampomed.55.337
- VernacularTitle:患者自身による自覚症状評価システムの臨床応用―診療情報のデータベース化―
- Author:
Yoko KIMURA
;
Hiroshi SATO
;
Makoto ARAI
;
Kazuro IIYAMA
;
Akemi TANAKA
- Publication Type:Journal Article
- Keywords:
subjective symptom;
Kampo treatment;
clinical information database;
Tokyo Women's Medical University Oriental Medicine Research Active Support System;
TOMRASS
- From:Kampo Medicine
2004;55(3):337-342
- CountryJapan
- Language:Japanese
-
Abstract:
Patients often complaint about their health, even if nothing is wrong with them upon concise objective examination. The complaints often imply the symptoms reflect more than one organ. Kampo treatment has the advantage of curing several symptoms at the same time, with only one or a few medicines. Kampo medicines comprise Chinese herbal formulations individually tailored to the patient. Therefore, symptom reduction is one of the most essential outcome parameters in Kampo treatment. However, how these subjective symptoms should be quantified, is controversial. The purpose of the current paper is to introduce an evaluation system for subjective symptoms. The system is referred to as Tokyo Women's Medical University Oriental Medicine Research Active Support System (TOMRASS). Apart from subjective symptoms, this database contains physical examination, laboratory data, clinical diagnosis and prescribed medicines, etc. In this study, 2 cases are shown as examples of practical use with TOMRASS use. One is a case with many complaints, which is effective with one medicine, Toki-shigyaku-ka-goshuyu-shokyo-to. The other is a case, which reveals unexpected outcomes with Sho-seiryu-to.
The new approach enables us not only to give more consideration to the patient's perspective, but also to differentiate therapeutic implications. The investigation between the subjective quality of life and therapeutic relationship may contribute to further understanding of Kampo treatment.
