Jung Jeeyoun, Ko Mi Mi, Lee Ju Ah, Lee Myeong Soo
Korean Medicine Fundamental Research Division, Korea Institute of Oriental Medicine, Daejeon, 305-811, Republic of Korea.
Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon, 305-811, Republic of Korea.
Chin J Integr Med. 2018 Apr;24(4):254-259. doi: 10.1007/s11655-017-2788-y. Epub 2018 Jan 9.
To investigate the diagnostic indicators and herbal treatments for blood stasis syndrome (BSS) patients with traumatic injuries and to identify the association between BSS and traumatic injury in Korea.
Two-hundred and four patients with traumatic injury were recruited from the Gangnam and Daejeon branches of Jaseng Hospital of Oriental Medicine between June 2014 and December 2014. Two independent doctors of Korean medicine (DKMs) determined the diagnosis of BSS or non-BSS based on the subjects signs and symptoms. The scores assigned to BSS symptoms and DKMs' reasons for diagnosing BSS in patients with traumatic injury were investigated. Both medication and herbal prescription records from a 3-month period were collected for all patients diagnosed with BSS by both DKMs.
A total of 169 of 204 (82.8%) patients received consistent diagnosis related to BSS by two DKMs. Among them, 54.4% (92 cases) were diagnosed with BSS, and 45.6% (77 cases) were not diagnosed with BSS. DKMs most frequently cited symptoms of recent traumatic injury as justifications for BSS diagnoses, and also selected pain-related indicators such as abdominal pain, sharp pain and nocturnal pain as important reasons in diagnosing BSS. In addition, an inconsistency in the pattern identification theory with respect to traumatic injury was observed. Although only 92 cases (54.4%) of patients were diagnosed with BSS, 77.6% of them were prescribed decoctions for BSS.
DKMs considered traumatic injury could cause BSS, and utilized decoction for BSS in patients with traumatic injury without confirming a diagnosis of BSS because they assumed the main symptoms or pathologies of traumatic injury to be closely related to BSS.
探讨创伤性损伤血瘀证（BSS）患者的诊断指标及中药治疗方法，并确定韩国BSS与创伤性损伤之间的关联。
2014年6月至2014年12月期间，从加生韩医院江南分院和大田分院招募了204例创伤性损伤患者。两名独立的韩医（DKMs）根据受试者的体征和症状确定BSS或非BSS的诊断。调查了BSS症状的评分以及DKMs对创伤性损伤患者诊断BSS的原因。收集了两名DKMs诊断为BSS的所有患者3个月期间的用药和中药处方记录。
204例患者中有169例（82.8%）接受了两名DKMs与BSS相关的一致诊断。其中，54.4%（92例）被诊断为BSS，45.6%（77例）未被诊断为BSS。DKMs最常将近期创伤性损伤的症状作为BSS诊断的依据，还选择腹痛、刺痛和夜间疼痛等与疼痛相关的指标作为诊断BSS的重要原因。此外，观察到在创伤性损伤的辨证理论方面存在不一致。虽然只有92例（54.4%）患者被诊断为BSS，但其中77.6%的患者被开了治疗BSS的汤剂。
DKMs认为创伤性损伤可导致BSS，并在未确诊BSS的创伤性损伤患者中使用治疗BSS的汤剂，因为他们认为创伤性损伤的主要症状或病理与BSS密切相关。
