Solution Proposal for 5 Challenges to be Resolved in Formalizing the Logical Format of Kampo-Based Diagnosis by Building Consensus Among 6 Medical Institutions Specialized in Kampo Herbal Medicine

Hiroshi Odaguchi; Tatsuya Ishige; Yuichi Ito; Akino Wakasugi; Mariko Sekine; Toshihiko Hanawa; Takao Namiki; Shinichi Muramatsu; Makoto Arai; Tadamichi Mitsuma; Yutaka Shimada; Naotoshi Shibahara; Hideki Origasa

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Solution Proposal for 5 Challenges to be Resolved in Formalizing the Logical Format of Kampo-Based Diagnosis by Building Consensus Among 6 Medical Institutions Specialized in Kampo Herbal Medicine

VernacularTitle:漢方診断ロジック形式知化に向けて解決すべき5つの課題と漢方診療専門医療機関6施設の合意形成による解決案の提示
Author: Hiroshi ODAGUCHI ¹ ; Tatsuya ISHIGE ¹ ; Yuichi ITO ¹ ; Akino WAKASUGI ¹ ; Mariko SEKINE ¹ ; Toshihiko HANAWA ¹ ; Takao NAMIKI ² ; Shinichi MURAMATSU ³ ; Makoto ARAI ⁴ ; Tadamichi MITSUMA ⁵ ; Yutaka SHIMADA ⁶ ; Naotoshi SHIBAHARA ⁷ ; Hideki ORIGASA ⁸
Author Information

1. Oriental Medicine Research Center, Kitasato University
2. Department of Japanese-Oriental (Kampo) Medicine, Graduate School of Medicine, Chiba University
3. Division of Oriental Medicine, Center for Community Medicine Jichi Medical University
4. Department of Kampo Medicine, Tokai University School of Medicine
5. Department of Kampo Medicine, Aizu Medical Center, Fukushima Medical University
6. Department of Japanese Oriental Medicine, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
7. Department of Kampo Diagnostics, Institute of Natural Medicine, University of Toyama
8. Department of Biostatistics and Clinical Epidemiology, University of Toyama Graduate School of Medicine and Pharmaceutical Sciences
Keywords: evaluation criteria of Kampo clinical findings; criteria for evaluating the validity of Kampo medicine; method of Kampo research
From:Kampo Medicine 2020;71(3):284-295
CountryJapan
Language:Japanese
Abstract: We are planning a study focused on the gathering of clinical data for the purpose of formalizing diagnostic logic at 6 institutions specialized in Kampo-based medical examinations. However, during the planning stage, it has been recognized that there are a large number of Kampo formulas to be studied, and differences among faculties and individuals exist regarding how to identify each Kampo formula, methods of gathering findings, and the evaluation of efficacy. Here we report the solution proposal reached after building consensus among all participating faculties on these issues. After raising the issues, conferences were held for each of them, until a unanimous consensus was obtained. As a result, the following conclusions were reached. Thirty-three Kampo formulas were selected as targets for the formalization of diagnostic logic. In addition, the range of dosage forms, crude drug ingredients, and permissible dosages for each Kampo formula were determined. Regarding clinical findings for these Kampo medicines, the items to be collected and evaluation criteria were also established. The criteria for evaluating the validity and safety of each Kampo medicine were decided, together with the grading and timing of evaluation. We hope that our solution proposal reached after building consensus becomes the basis for Kampo research in the future.