Lee JaeChul, Dong Sang Oak, Lee Youngseop, Kim Sang-Hyuk, Lee Siwoo
Korean Medicine Health Technology Group, Korea Institute of Oriental Medicine, Daejeon, Korea.
Integr Med Res. 2014 Jun;3(2):60-66. doi: 10.1016/j.imr.2013.09.001. Epub 2013 Sep 20.
Medically unexplained symptoms (MUSs) are common in primary care. At present, there are no proven, comprehensive treatments available in primary care for patients with MUSs. However, MUS has parallels with "subhealth" or from traditional East-Asian medicine, and thus, interventions could be effective in treating MUS. Unfortunately, studies on and its intervention methods are relatively rare.
We administered a web-based survey to 17,279 Korean medicine (KM) practitioners registered with the Association of Korean Medicine. The response rate was 4.9% ( = 849). Based on the responses received, we assessed how much they agreed with concepts related to on a 7-point scale from "do not agree" to "strongly agree." Respondents were also asked to indicate how frequently they encountered various subtypes and patterns of , and how frequently they use listed intervention methods.
Data from 818 respondents were analyzed after excluding those with no clinical experience. On average, respondents were male general practitioners aged between 30 years and 49 years, working or living in metropolitan areas such as Seoul, Incheon, and Gyeonggi-do. Responses did not differ by demographics. Respondents generally thought that referred to subjective or borderline findings without certain disease, and that has various subtypes and patterns. Subtypes included fatigue, pain, and digestion problems; patterns were either deficiencies (e.g., , blood, and yin deficiency) or stagnations (e.g., liver depression and stagnation). Decoction was the most frequently used type of intervention for of all items listed, followed by acupuncture and moxibustion. Patient education was also recommended, suggesting healthy eating, promoting healthy environment, and exercise.
We were able to provide preliminary results on KM practitioners' recognition of and interventions for , but further research is needed to develop a detailed definition of and its myriad subtypes and patterns, and evaluations of the efficacy of interventions.
医学上无法解释的症状（MUSs）在初级保健中很常见。目前，初级保健中没有经过验证的针对患有MUSs患者的综合治疗方法。然而，MUS与“亚健康”或传统东亚医学中的某些概念有相似之处，因此，相关干预措施可能对治疗MUS有效。不幸的是，关于MUS及其干预方法的研究相对较少。
我们对在韩国医学协会注册的17279名韩医从业者进行了一项基于网络的调查。回复率为4.9%（n = 849）。根据收到的回复，我们在从“不同意”到“强烈同意”的7分制量表上评估他们对与MUS相关概念的认同程度。还要求受访者指出他们遇到各种MUS亚型和模式的频率，以及他们使用所列干预方法的频率。
在排除没有临床经验的受访者后，对818名受访者的数据进行了分析。受访者平均为年龄在30岁至49岁之间的男性全科医生，工作或生活在首尔、仁川和京畿道等大都市地区。回复在人口统计学方面没有差异。受访者普遍认为MUS是指没有特定疾病的主观或临界发现，并且MUS有各种亚型和模式。亚型包括疲劳、疼痛和消化问题；模式要么是虚证（如气虚、血虚和阴虚），要么是实证（如肝郁气滞）。在所列出的所有项目中，汤剂是治疗MUS最常用的干预类型，其次是针灸和艾灸。还建议进行患者教育，包括健康饮食、促进健康环境和锻炼。
我们能够提供关于韩医从业者对MUS的认识和干预的初步结果，但需要进一步研究来制定MUS及其众多亚型和模式的详细定义，以及对MUS干预措施疗效的评估。
