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Traditional Chinese Medicine diagnoses in persons with ketamine abuse

Journal of Traditional Chinese Medicine 2013年第2期33卷 164-169页

作者： waikwongtang Ming Lam Wingnang Leung Waizhu Sun Tszting Chan Gabor S Ungvari Department of Psychiatry Chinese University of Hong Kong Castle Peak Hospital School of Chinese Medicine Chinese University of Hong Kong Department of Surgery Chinese University of Hong KongHong Kong SARChina School of Psychiatry and Clinical Neurosciences University ofWestern AustraliaPerthAustralia

OBJECTIVES:To explore the distribution of TCM patterns in ketamine users and the inter-rater reliability ofTCM diagnosis amongTCM ***:Eighty-four subjects recruited from substance abuse clinics and non-governmental counseling services catering for ketamine abusers were examined by one or two TCM *** distribution and inter-rater reliability of the TCM diagnoses between the two TCM practitioners were described and ***:Seven TCM patterns were *** four most common patterns were the Heart Yin deficiency(29.8%),Kidney Yang deficiency(26.2%),KidneyYin deficiency(19.0%),and SpleenYang 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=0.003).The proportion of men was lower in the KidneyYin deficiency group(18.8%),in comparison to the Heart Yin deficiency(60.0%,P=0.009) and KidneyYang deficiency group(59.1%,P=0.013).CONCLUSION:The differences between the TCM groups in terms of the source of referral and number of drug uses other than ketamine were of borderline *** research should focus on validating diagnostic tools and improving inter-rater reliability in TCM to enhance the quality of clinical trials ofTCM treatments for ketamine abuse.

关键词：诊断能力氯胺酮中国传统医学中医诊断肾阳虚临床试验中医治疗诊断工具

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