Traditional Chinese Medicine diagnoses in persons with ketamine abuse

作     者：WaikwongTang Ming Lam Wingnang Leung Waizhu Sun Tszting Chan Gabor S Ungvari 

作者机构：Department of PsychiatryChinese University of Hong Kong Castle Peak Hospital School of Chinese MedicineChinese University of Hong Kong Department of SurgeryChinese University of Hong KongHong Kong SARChina School of Psychiatry and Clinical NeurosciencesUniversity ofWestern AustraliaPerthAustralia 

出 版 物：《Journal of Traditional Chinese Medicine》 (中医杂志（英文版）)

年 卷 期：2013年第33卷第2期

页      面：164-169页

核心收录：

学科分类：1006[医学-中西医结合] 100602[医学-中西医结合临床] 10[医学] 

基　　金：Supported by a Research Grant (No. 8011013315) from the Hospital Authority Hong Kong SAR 

主　　题：Ketamine deficiency SyndromeChinese MedicineAbuse Yin deficiency Yang differentiation Traditional 

摘      要：OBJECTIVES： To explore the distribution of TCM patterns in ketamine users and the inter-rater reli- ability of TCM diagnosis among TCM practitioners. METHODS： Eighty-four subjects recruited from sub- stance abuse clinics and non-governmental coun- seling services catering for ketamine abusers were examined by one or two TCM practitioners. The dis- tribution and inter-rater reliability of the TCM diag- noses between the two TCM practitioners were de- scribed and measured. RESULTS： Seven TCM patterns were differentiated. The four most common patterns were the Heart Yin deficiency （29.8%）, Kidney Yang deficiency （26.2%）, Kidney Yin deficiency （19.0%）, and Spleen Yang defi-ciency （14.3%）. The agreement between the two TCM practitioners was 59%, the kappa for the three most common patterns was 0.472 （P=O.O03）. The proportion of men was lower in the Kidney Yin defi- ciency group （18.8%）, in comparison to the Heart Yin deficiency （60.0%, P=0.009） and Kidney Yang de- ficiency group （59.1%, P=0.013）. CONCLUSION： The differences between the TCM groups in terms of the source of referral and num- ber of drug uses other than ketamine were of bor- derline significance. Further research should focus on validating diagnostic tools and improving in- ter-rater reliability in TCM to enhance the quality of clinical trials of TCM treatments for ketamine abuse.