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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 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.

关键词： Ketamine deficiency syndromechinese medicineabuse Yin deficiency Yang differentiation Traditional

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