BOOK
Evidence-based Clinical Chinese Medicine - Volume 1: Chronic Obstructive Pulmonary Disease
Xue Charlie Changli | Lu Chuanjian | Shergis Johannah
(2016)
Additional Information
Book Details
Abstract
Evidence-based Clinical Chinese Medicine: Vol. 1 Chronic Obstructive Pulmonary Disease provides a 'whole evidence' analysis of the Chinese medicine management of chronic obstructive pulmonary disease (COPD). Evidence from the classical Chinese medicine literature, contemporary clinical literature, and the outcomes of clinical trials and experimental studies are reviewed, analysed and synthesised. The data from all these sources are condensed to provide evidence-based statements which will inform clinical practice and guide future research.This book has been designed to be an easy reference at the point of care. During a patient consultation, Chinese medicine practitioners can refer to this book for guidance on which Chinese herbal medicine formulas, specific herbs, or acupuncture points, can best treat their patient, and be confident there is evidence which supports its use.Currently, Chinese medicine practitioners who develop a special interest in a particular health condition such as COPD have to consult a variety of sources to further their knowledge. Typically, they use the contemporary clinical literature to understand the theory, aetiology, pathogenesis and obtain expert opinions on the Chinese medicine management of COPD. They search the electronic literature to identify systematic reviews of clinical trials, if any exists, to obtain assessments of the current state of the clinical evidence for particular interventions. If they have the skills and resources, they may search the classical Chinese medicine literature for an historical perspective on treatments that have stood the test of time.This book provides all of this information for practitioners in one handy, easy to use reference. This allows practitioners to focus on their job of providing high quality healthcare, with the knowledge it is based on the best available evidence.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Contents | xxiii | ||
Disclaimer | v | ||
Foreword | vii | ||
Related Publications | x | ||
Authors and Contributors | xiii | ||
Members of Advisory Committee and Panel | xv | ||
Acknowledgments | xxi | ||
List of Figures | xxxiii | ||
List of Tables | xxxv | ||
1. Introduction to Chronic Obstructive Pulmonary Disease | 1 | ||
Risk Factors | 2 | ||
Pathological Processes | 3 | ||
Diagnosis | 4 | ||
Symptoms | 4 | ||
Testing | 4 | ||
Differential Diagnosis | 6 | ||
Acute Exacerbations of COPD | 6 | ||
Management | 8 | ||
Pharmacological Interventions | 8 | ||
Non-Pharmacological Interventions | 9 | ||
Management of Acute Exacerbations of COPD | 9 | ||
Therapeutic Outcomes | 10 | ||
References | 11 | ||
2. COPD in Chinese Medicine | 13 | ||
Aetiology and Pathogenesis | 15 | ||
Syndrome Differentiation and Treatments | 16 | ||
Stable COPD | 17 | ||
Lung qi deficiency | 17 | ||
Lung and Spleen qi deficiency | 17 | ||
Lung and Kidney qi deficiency | 18 | ||
Lung and Kidney qi and Yin deficiency | 19 | ||
Acute Exacerbations of COPD | 19 | ||
External cold and internal phlegm-yin | 19 | ||
Phlegm-heat obstructing the Lung | 20 | ||
Turbid phlegm obstructing the Lung | 20 | ||
Phlegm and blood stasis in the Lung | 21 | ||
Yang deficiency with excess fluid | 21 | ||
Phlegm clouding the Heart orifice | 22 | ||
Single-Herb Formulae | 22 | ||
Acupuncture and Related Therapies | 23 | ||
Other Therapies | 24 | ||
Other Strategies | 24 | ||
References | 25 | ||
3. Classical Chinese Medicine Literature | 27 | ||
Classical Literature Search | 28 | ||
Classical Literature Citations | 29 | ||
Results | 30 | ||
Common Formulae | 31 | ||
Common Herbs | 31 | ||
Common Acupuncture Points | 33 | ||
Selected Quotations | 35 | ||
Classical Literature in Perspective | 36 | ||
References | 37 | ||
4. Methods for Evaluating Clinical Evidence | 39 | ||
Search Strategy | 40 | ||
Inclusion Criteria | 42 | ||
Exclusion Criteria | 42 | ||
Methodological Quality Assessment | 42 | ||
Statistical Analyses | 43 | ||
Summary of Findings | 43 | ||
References | 44 | ||
5. Clinical Evidence for Chinese Herbal Medicine | 47 | ||
Previous Systematic Reviews | 47 | ||
Stable COPD | 48 | ||
Acute Exacerbations of COPD | 48 | ||
Clinical Evidence: Characteristics | 49 | ||
Clinical Evidence from Randomised Controlled Trials | 50 | ||
Methodological Quality | 53 | ||
Stable COPD | 56 | ||
Oral CHM | 56 | ||
Lung function | 56 | ||
Health-related quality of life | 56 | ||
Dyspnoea scales | 58 | ||
Exercise capacity | 58 | ||
COPD exacerbations | 60 | ||
BODE index | 60 | ||
Effective rate | 60 | ||
Intravenous CHM | 62 | ||
6. Pharmacological Actions of Common Herbs | 109 | ||
Experimental Studies of huang qi | 109 | ||
Experimental Studies of dang shen and ren shen | 110 | ||
Experimental Studies of bai zhu | 110 | ||
Experimental Studies of xing ren | 110 | ||
Experimental Studies of ban xia | 111 | ||
Experimental Studies of huang qin | 111 | ||
Experimental Studies of chen pi | 112 | ||
Experimental Studies of dan shen | 112 | ||
Experimental Studies of gan cao | 112 | ||
Experimental Studies of fu ling | 113 | ||
Experimental Studies of Herbal Formulae | 113 | ||
Summary of Pharmacological Actions of Common Herbs | 114 | ||
References | 114 | ||
7. Clinical Evidence for Acupuncture and Related Therapies | 119 | ||
Previous Systematic Reviews | 120 | ||
Clinical Evidence: Characteristics | 121 | ||
Clinical Evidence from Randomised Controlled Trials | 123 | ||
Methodological Quality | 125 | ||
Acupuncture | 125 | ||
Effects of Intervention: Acupuncture | 126 | ||
Acupuncture alone | 126 | ||
Stable COPD | 126 | ||
Acute exacerbations of COPD | 127 | ||
Acupuncture plus Pulmonary Rehabilitation | 127 | ||
Acupuncture plus Other Acupuncture Therapies | 127 | ||
Acupuncture plus Moxibustion | 127 | ||
Acupuncture plus Point Application Therapy | 128 | ||
Summary of Findings for Main Comparisons | 128 | ||
Acupressure | 128 | ||
Effects of Intervention: Acupressure | 131 | ||
Acupressure alone | 131 | ||
8. Clinical Evidence for Other Chinese Medicine Therapies | 155 | ||
Previous Systematic Reviews | 156 | ||
Clinical Evidence: Other Chinese Medicine Therapies | 157 | ||
Clinical Evidence from Randomised Controlled Trials | 158 | ||
Characteristics | 158 | ||
Methodological Quality | 159 | ||
Effects of Intervention: Qigong | 159 | ||
Qigong alone | 159 | ||
Qigong plus pharmacotherapy, health education and/or breathing exercises | 160 | ||
Effects of Intervention: Taichi | 161 | ||
Taichi alone | 161 | ||
Taichi plus pulmonary rehabilitation and respiratory exercise | 162 | ||
Summary of Findings for Main Comparisons | 163 | ||
Effects of Intervention: Chinese Pulmonary Rehabilitation | 163 | ||
Chinese Pulmonary Rehabilitation Alone | 163 | ||
Chinese Pulmonary Rehabilitation plus Pharmacotherapy | 163 | ||
Effects of Intervention: Tuina | 166 | ||
Tuina Alone | 166 | ||
Tuina plus Pharmacotherapy | 166 | ||
Effects of the Intervention: Cupping | 166 | ||
Clinical Evidence from Non-Randomised Controlled Trials | 166 | ||
Clinical Evidence from Non-Controlled Studies | 167 | ||
Summary of Main Findings: Other Chinese Medicine Therapies for COPD | 167 | ||
Overall Evidence | 168 | ||
Implications for Practice | 168 | ||
References | 169 | ||
9. Clinical Evidence for Combination Therapies | 171 | ||
Methodological Quality | 173 | ||
Clinical Evidence from Randomised Controlled Trials | 173 | ||
Stable COPD | 173 | ||
Acute Exacerbations of COPD | 176 | ||
Combination Therapies for Stable COPD | 176 | ||
Summary of Main Findings: Combination Therapies for COPD | 178 | ||
Overall Evidence | 178 | ||
Implications for Practice | 178 | ||
10. Summary of All Evidence | 179 | ||
Chinese Herbal Medicine | 179 | ||
Stable COPD | 180 | ||
Acute Exacerbations of COPD | 183 | ||
Acupuncture and Related Therapies | 183 | ||
Summary of Acupuncture Therapies Across Evidence Types | 184 | ||
Other Chinese Medicine Therapies | 185 | ||
Implications for Practice | 185 | ||
Implications for Research | 188 | ||
Methods | 188 | ||
Intervention | 189 | ||
Appendix 1: All Included Clinical Studies | 191 | ||
Appendix 2: List of Formulae Cited in the Monograph | 265 | ||
Appendix 3: List of Herbs Cited in the Monograph | 267 | ||
Glossary | 271 | ||
Index | 285 |