Traditional Chinese Medicine

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  • Created by: LBCW0502
  • Created on: 29-11-19 19:55
What is Chinese medicine?
Use of complementary medicines and herbs. Pharmacists (most trusted profession regarding medicines and herbs). Chinese medicine has been around for 2500 years. Any therapy not considered Western medicine, 10 modalities of treatment
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What are the type of Chinese medicine? (1)
Acupuncture (insertion of needles into locations in the body). Acupressure (apply pressure instead of needles). Cupping (create vacuum to release toxins out of the body)
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What are the type of Chinese medicine? (2)
Functional foods to maintain health (additional function to alter physiology e.g. black sesame use for anti-ageing). Herbs, massage, burning mug wort, apply oil to skin/scrape skin with sharp tool to remove toxins, tai chi, Qi gong, feng shui
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Describe the theory behind Chinese medicine
Qi - vital energy flows through body, strict regimen/diet/exercise, become resilient. Yin and Yang - symbolises dualism, balance between forces. Five elements - wood, fore, metal , earth, water, linked together, vital to daily living
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What are the organs in Chinese medicine?
Lung, heart, spleen, liver, kidney, LI, SI, stomach, gall bladder, bladder. Organs have similar physiological functions e.g. heart and brain. Organs have properties of the elements, organs connected through Qi. Body seen as representing outside world
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Who uses Chinese medicine? (1)
Females more likely to use Chinese medicine. Women more open to using medicines regardless of the type. Middle aged people more likely to use TCM. People with higher education more likely to use TCM
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Who uses Chinese medicine? (2)
More education exposure to non-conventional forms of healthcare, want to know more about conditions and treatment options. Tendency to question authority of healthcare. Openness, agreement traits, consult with TCM
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Who uses Chinese medicine? (3)
Beliefs - open to active role, more likely to use TCM, incorporate natural treatments
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Why do people use Chinese medicine?
Dissatisfaction with conventional medicine. Desire to avoid taking drugs. Experience of S/E. Preference for natural treatments. Better relationship with their practitioner. Individualised care. Advice from family or friends. Maintenance of wellbeing
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Why continue with use of Chinese medicine? (1)
Attitudes - greater motivation, agreement towards therapy, positive towards treatment, appreciation of training). Beliefs- holistic health, therapy too expensive, positive perceptions of therapy, not too much effort to see therapist
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Why continue with use of Chinese medicine? (2)
Treatment highly effective, understanding of treatment, philosophy indirectly through illness perceptions such as poor past care a cause of ill health
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Describe features of a consultation involving Chinese medicine (1)
Opening – practitioners welcome patient, short waiting times, nice environment (plants, vibe). Assessing. Some practitioners amble, some straight to the point. Diagnostic tests – pulse, smell, stick tongue out. First consultation would last 1 hour
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Describe features of a consultation involving Chinese medicine (2)
Chinese medical diagnosis. Most use acupuncture, others use herbs. Treatment tailored each appointment. Closing – patients leave at their own pace, not rushed out, payment, see off every patient
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Describe features of a consultation involving Chinese medicine (3)
Adherence – feeling cared for, feel comfortable, build relationship, feel valued, feeling supported. Practitioner remembering patient preferences. Assessing and treating holistically, checking treatments. Adherence model
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Describe features of the TCM prescription (1)
Herbs – different sources have different compositions, different outcomes. Each prescription should be 4 types of herbs (treat co-morbidity, reduce adverse effects of herbs, etc). Typical prescription contains 10 herbs
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Describe features of the TCM prescription (2)
Most contain 3-30 herbs, 8 processing methods, 10 dosage forms. Procedures to remove toxic compounds. Boil herbs, oral use mainly. 4000 herbs in the Chinese Pharmacopoeia.
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What are the commonly prescribed herbs?
Angelica sinensis. Glycyrrhiza uralensis. Paeonia lactiflora. Wolfiporia extensa. Astragalus membranaceus. Ginkgo biloba. Panax ginseng
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Describe features of angelica sinensis
Chinese angelica root. Treatment of menopause, women’s health, S/E – skin irritation, interaction with warfarin
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Describe features of glycyrrhiza uralensis (1)
Liquorice root. Treatment of coughs, sore throats, ulcers, guide herb (enhance effects of other herbs, reduce toxicity, improve flavour in formulations). S/E – water retention, high BP, interacts with aspirin, steroids, anti-hypertensives, digoxin
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Describe features of glycyrrhiza uralensis (2)
Interacts with immunosuppressants/decrease drug clearance
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Describe features of paeonia lactiflora
White paeony root. No S/E or interactions
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Describe features of wolfiporia extensa
Help with urination problems, use for calming the mind/anxiety/insomnia, no known ADRs/interactions
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Describe features of astragalus membranaceus
Used to immune system effects, anti-tumour, reduces S/E of chemotherapy, S/E – mild GI upset, interactions – diuretics, diabetic medications, metal ion containing drugs, digoxin, immunosuppressants
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Describe features of ginkgo biloba
Interact with warfarin, aspirin, thiazide diuretics
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Describe features of panax ginseng
Induces enzymes, interaction with warfarin, alcohol
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Which drugs interact with herbs?
Digoxin, insulin, anti-coagulants – interact with herbs. Most herbs not associated with drugs interactions with serious conditions. Drug interactions – space timings of drug and herbs. Recommending herbs in pharmacy – trial for 3 months/regimen
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Why is Chinese medicine important to understand?
Pharmacists should be aware of a patient's CAM use. Pharmacist seen to be a useful source of information. Pharmacist would be the preferred source information if the pharmacist was more knowledgeable about CAM
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Other cards in this set

Card 2

Front

What are the type of Chinese medicine? (1)

Back

Acupuncture (insertion of needles into locations in the body). Acupressure (apply pressure instead of needles). Cupping (create vacuum to release toxins out of the body)

Card 3

Front

What are the type of Chinese medicine? (2)

Back

Preview of the front of card 3

Card 4

Front

Describe the theory behind Chinese medicine

Back

Preview of the front of card 4

Card 5

Front

What are the organs in Chinese medicine?

Back

Preview of the front of card 5
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