Traditional Medical Treatment Research Articles

A Case Report on Sojaganggi-tang Treatment for a Patient with Asthma

Objectives: This study aimed to describe the effects of traditional Korean medical treatment on a patient with asthma.Methods: The patient (female, 88) was treated with herbal medicine (<i>Sojaganggi-tang</i>), acupuncture, and moxibustion. The effects of these treatments were evaluated using the Modified Borg Scale (MBS) and Quality of Life Questionnaire for Adult Korean Asthmatics (QLQAKA).Results: Following treatment, the MBS score decreased from 7 to 4, and the QLQAKA score increased from 45 to 57.Conclusion: The results suggest that traditional Korean medicine can effectively treat patients with asthma.

CORR® International - Asia-Pacific: Wise Move-Implementing a 30-minute "Wisdom Session" for Patients after TKA.

CORR® International - Asia-Pacific: Wise Move-Implementing a 30-minute "Wisdom Session" for Patients after TKA.

The Knowledge of Traditional Medical Treatment (Namalo) in Batak Toba Community (at Tambunan Lumban Gaol Village, Balige District, Toba Samosir Regency)

This study examines the knowledge of Traditional Medical treatment (Namalo) in Toba Batak community at Tambunan Lumban Gaol Village. The purpose of this study was to determine the process of traditional medical treatment by Namalo and to know the perception of the community regarding traditional medical treatment performed by Namalo. In this research, the method used is ethnographic method and uses a qualitative approach to see the phenomenon of traditional medical treatment, especially Namalo, with data collection techniques through in-depth interviews and observations, where the authors go directly to the field to obtain accurate information from the community. The results of the study show that the traditional treatment carried out by Namalo is still visited by many people today because it does not conflict with religious teachings and traditional medical treatment is more affordable than medical treatment. Traditional medical treatment is a health effort in a different way from medical science, rooted in traditions derived from habits by previous ancestors. We need to preserve traditional medical treatment and continue to develop it because it is beneficial for society.

A Case Report of Add-On Traditional Korean Medical Treatments in a Patient with Uncontrolled Type 2 Diabetes Mellitus with Conventional Oral Hypoglycemic Agents

This study presents a case of add-on traditional Korean medical treatments in a 77-year-old male patient with uncontrolled type 2 diabetes mellitus with conventional oral hypoglycemic agents. Chief complaints were uncontrolled glucose level and weight loss. The patient was treated with electroacupuncture (on ST36, CV4, and CV12), herbal medication, and lifestyle advice. The conventional oral hypoglycemic medications were maintained. After 12 weeks, the glycated hemoglobin A1c (HbA1c) decreased from 11.0% to 8.4%. There were significant abnormalities in the liver function and renal function tests, but no adverse event was reported. Further studies are needed to confirm the findings of this case.

The Significance of Tu Gelu Traditional Medical Treatment: Sociological Case of the Lio People at Ngalukoja Village, Ende Regency, East Nusa Tenggara, Indonesia

This study aims to describe the meaning of tu gelu in the traditional medical treatment of Lio people in Ngalukoja Village, Ende Regency, East Nusa Tenggara Province, Indonesia. Tu gelu is a traditional healing method carried out by the Lio people by exchanging items that symbolize cattle such as bulls or pigs, to heal a person who is sick from supernatural disturbances or from fever. This method is mediated by a shaman, who carries out several stages in the healing process. It includes paga (where the shaman measures his chest to his right hand using the span of his left hand) to know the cause of the sickness. This is a descriptive qualitative research with the phenomenological paradigm. It uses the snowball technique to acquire information from informants. It uses symbolic interactionism and semiotics to analyze the research objects. The results show that from the symbolic interactionism analysis, material symbols are exchanged with the patient’s health. The semiotic theory shows that the figures serve as icons; kitchen ash, chicken feather, and spells serve as indexes; finally, the items prepared as the offerings to the genie serve as symbols. The Ngalukoja villagers of East Nusa Tenggara believe that using the tu gelu healing method that contains various signs, the patient will fully revive from the illness.

A TRADITIONAL MEDICINE PRACTICE IN SNAKEBITE

Snakebite is one of the main causes of morbidity and mortality in Turkey, especially in rural areas. There are 41 snake species living in Turkey, 28 of which are non-poisonous and 13 are venomous. Of these 13 venomous snakes, 10 species are from the Viperidae family, 2 species from the Colubridae and 1 species from the Elapidae (Cobras) family and can be lethal with the venom they inject when they bite. The venom has mostly hematotoxic rarely neurotoxic effects. In addition to these effects, it also has cardiotoxic, myotoxic and nephrotoxic properties. A 50-year-old female patient was admitted to the emergency department 30-40 minutes after her left hand was bitten by a snake bite from the second finger. The patient, who was conscious, agitated and restless, had ecchymosis, widespread edema, pain and tenderness at the wound site. The wound area was cleaned with an antiseptic solution, 80 mg Prednisolone, 20 snake antiserum, 100 mg ulcer and tetanus prophylaxis were administered in the emergency room. The patient was absorbed 80-90 cc of fluid and blood absorption from three different areas on the left hand using the cupping vacuum method, then a splint was taken and elevation was performed. In the examination of the patient 20 hours after the application, edema in the hand decreased, swelling decreased, limitation of movement disappeared and the patient had minimal pain. The blood parameters of the patient were checked and evaluated as normal. The patient was discharged in a healthy way after 40 hours of admission to the hospital, following control and follow-up. As in our case, it should not be forgotten that besides all modern medical practices, cupping absorption therapy, which is a traditional medical treatment, is also very important in terms of supportive treatment and local tissue.

Вакуум-терапія діабетичних ран м’яких тканин: вплив на активність матриксних металопротеїназ

Метою роботи було вивчити вплив вакуум-терапії на основні стадії загоєння гнійних ран м’яких тканин у пацієнтів із цукровим діабетом, ступінь мікробної контамінації ран та активність матричних металопротеїназ (ММП) тканин ранової поверхні. Проаналізовано результати лікування та обстеження 48 пацієнтів із хронічними діабетичними ранами м’яких тканин. У 26 хворих (основна група) у лікувальному комплексі застосовували вакуум-терапію ран. Під час лікувального періоду проводили визначення мікробіологічних та цитологічних показників. Активність ММП у тканинах ранової поверхні пацієнтів контрольної та основної груп визначали методом желатинової зимографії на різних етапах загоєння. Установлено, що в пацієнтів основної групи очищення ран від гнійного субстрату та мікроорганізмів відбувалося на 5,2 ± 1,5 доби раніше порівняно з пацієнтами контрольної групи. Разом із тим у тканинах ранової поверхні пацієнтів основної групи відбувається статистично вірогідне (р < 0,05) зниження активності ММП, величина якої на 5-ту та 10-ту добу лікування становила відповідно 68 і 45 % від початкового рівня. У ранах пацієнтів із діабетом, які проходили курс традиційного медикаментозного лікування, колагеназна активність залишалася стабільно високою протягом усього періоду спостереження. Отже, разом з антимікробними та протизапальними ефектами нормалізація протеолітичних процесів у рановому ложі може бути одним із ключових механізмів високої лікувальної ефективності VAC-терапії.

A randomised controlled study: the effects of internal sphincterotomy of the anus on defecation disorders in patients with outlet obstructive and mixed constipation.

This study sought to investigate the effects of internal sphincterotomy of the anus in the treatment of defecation disorders in patients with outlet obstructive and mixed constipation. This study included 250 patients, who met the Rome III criteria for functional defecation disorder-associated constipation and were admitted to the Proctology Department in the People's Hospital of Dazu District between July 2014 and June 2016. The patients were randomly divided into the traditional medical treatment group (n=125) and the surgical treatment group (n=125), and received traditional treatment and internal anal sphincterotomy, respectively. All patient clinical data were retrospectively analyzed. Indices relating to anorectal pressure, electromyographic indices of abdominal muscles, sleep quality, anxiety and depression, defecography and anal healing before and after treatment were measured, and the effects of the different treatment modalities on defecation disorders were analyzed. The total treatment effective rate was significantly higher in the surgical treatment group than in the traditional treatment group (P<0.05). The Constipation Scoring System scores at time points 1, 2 and 3 were significantly lower in the surgical treatment group than in the traditional treatment group (P<0.001). After treatment, the Hospital Anxiety and Depression Scale and Pittsburg Sleep Quality Index scores were significantly lower in the surgical treatment group than in the traditional treatment group (P<0.001). After treatment, the rectal resting pressure and 10SR were significantly lower in the surgical treatment group than in the traditional treatment group (P<0.001). After treatment, the negative conversion rate of the balloon expulsion test was significantly higher in the surgical treatment group than in the traditional treatment group (P<0.05), while the rectocele, perineum descending distance, and anorectal angle of the efforts phase were significantly lower in the surgical treatment group than in the traditional treatment group (P<0.001). Internal anal sphincterotomy can significantly relieve defecation disorders and clinical symptoms, improve sleep quality, eliminate psychological disorders, and promote patient recovery. Chinese Clinical Trial Registry ChiCTR2100048818.

New Design of Revivent TC System

Left ventricular aneurysm (LVA) is a common complication of myocardial infarction. Traditional medical and surgical treatments are not effective or require high doctors' operational skills and patients' physical fitness. With the development of minimally invasive medical devices, it becomes possible for revivent TC system to treat LVA and reconstruct the left ventricle. This study introduces an existing product and its defect when used. From the perspective of clinical needs, we propose a new design of revivent TC system which realizes accurate force measurement and simplifies surgery.

The use of E-health during the COVID-19 pandemic: a case study in China’s Hubei province

ABSTRACT Globally, the use of e-health has accelerated dramatically during the coronavirus pandemic. Based on both quantitative and qualitative data collected in China’s Hubei province (i.e. the first epicentre of COVID-19), this research explores how the pandemic influences the practices of e-health from the perspective of users. Through analysis of 1,033 surveys and 14 in-depth interviews, we find that e-health has played a crucial role in residents’ healthcare during the COVID-19 pandemic. Certain external factors influence the choice of digital health, including the high risk of infection outdoors, the shutting down of transport systems, and dysfunctional healthcare facilities that neglect non-COVID-19 patients’ clinical demands. Against this backdrop, we argue digital health acts as a functional equivalent to traditional medical treatment and has largely satisfied patients and users in the crisis period. Additionally, the COVID-19 pandemic has unintentionally sped up the diffusion of digital medicine over the long term as respondents expressed their willingness to continue use of e-health in the post-COVID-19 phase. However, we assert that despite the increasing use of e-health, it cannot fully substitute traditional offline treatment. Thus, we suggest a combination of online and offline healthcare will be more commonly practiced in the future.

Effect of Negative Pressure Therapy versus Polarized Light Therapy on Chronic Wound Healing

Abstract Background: Chronic wounds are wounds that have failed to proceed through the normal process of healing. There are varying etiologies of chronic wounds, which all create a burden upon the health care system. Aim of Study: The aim of this study was to investigate the difference in the effect between negative pressure therapy and polarized light therapy on chronic wound healing. Patients and Methods: Thirty patients were diagnosed by a physician as chronic wound patients (grade 2 and 3). Their age ranged from 45 to 65 years. Patientswere selected from Cairo University Hospitals. They were distributed randomly into two groups (A, B) equal in numbers. Group A received negative pressure therapy daily with dressings changes 3 times a week with the traditional medical treatment for 6 weeks. Group B received polarized light therapy for 10min 3 times aweek with the traditional medical treatment for 6 weeks. Wound surface area and wound volume were assessed by tracing method and saline respectively pretreatment, 3 weeks and 6 weeks after treatment.The study was carried out from July 2020 to October 2020. Results: There were no significant difference in wound surface area and wound volume between groups pre-treatment (p>0.05). Comparison between both groups post-treatment revealed a non-significant difference in wound surface area and wound volume at post I (p>0.05); however, there were a significant decrease in wound surface area (p=0.02) and wound volume (p=0.01) of group A compared with that of group B at post II. Conclusion: These results suggested that negative pressure therapy was more effective than polarized light therapy in reducing surface area and wound volume of chronic wound.

Characterization of the complete chloroplast genome of Toddalia asiatica (L.) Lam.

Toddalia asiatica (L.) Lam. belongs to family Rutaceae and mainly distributes in dry areas of bushes in tropical Africa, Asia, and Swaziland. Sometimes it can be used as fodder for goats, but it has been used as herbs in traditional medical treatment for 1000 years. In this study, we sequenced the sample of T. asiatica and determined its complete chloroplast genome. The length of CP genome is 158,434 bp, includes two invert repeats (IR) regions of 27,008 bp, a large single-copy (LSC) region of 86,132 bp, and a short single-copy (SSC) region of 18,286 bp. There are 133 genes, which includes 88 protein-coding genes, 8 rRNA and 37 tRNA, and 38.5% overall GC content. Each of trnK-UUU, rps16, trnG-UCC, atpF, rpoC1, trnL-UAA, trnV-UAC, petB, petD, rpl16, rpl2, ndhB, trnI-GAU, trnA-UGC, and ndhA genes contains a intron, clpP and ycf3 contains 2 intron. The phylogenetic analysis result shows that T. asiatica has the closest relationship with Zanthoxylum armatum (MT990984) and Zanthoxylum nitidum (MN508801).

Using Phylogeny Approach on Ethnobotanical Bioprospecting for Leading Antimalarial Plant-Based Drug Discovery

Ethnobotanical-directed bioprospecting has made a significant contribution to modern drug discoveries. However, merely relying on this approach may spend more expenditure, time-consuming, and lead exhaustive laboratory testing due to the tremendous data of medicinal plants used and the occurrence of placebo effect during traditional medical treatment. Combining the phylogeny approach with ethnobotanical bioprospecting may become new prospective tools to lead the plant-based drug discovery, including antimalaria. This study aimed to map the ethnomedicinal plants used by various indigenous cultures to investigate the clustered pattern of its antimalarial properties for future bioprospecting. The Internal Transcribed Spacer (ITS) region sequences of selected 280 medicinal plants taxa obtained from NCBI (National Center for Biotechnology Information) were aligned by MUSCLE multiple sequences alignments. They were further analyzed using the Maximum Likelihood Phylogenetic Test by MEGA X software to construct the phylogenetic tree. Our research revealed that the medicinal plant taxa for malaria treatment was clumped in several families, including Apocynaceae, Euphorbiaceae, Rubiaceae, Rutaceae, Fabaceae were strongly clumped along with plants used for fever in the Asteraceae family. Interestingly, our finding showed that these plants were clumped in the sub-family of antimalarial producing species, the Asteroidea. Furthermore, the strongly clumping pattern was also shown in the tribe Heliantheae alliance of this sub-family. This finding supports the predictive power of phylogeny for future bioprospecting to select the candidate taxa to lead the drug discovery.

Provider perspectives on Asram in Ghana.

Neonatal mortality is one of the leading causes of under-five mortality globally, with the majority of these deaths occurring in low- and middle-income countries. In Ghana, there is a belief in an array of newborn conditions, called Asram, that are thought to have a spiritual, rather than physical, cause. These conditions are predominantly managed by traditional healers as they are considered unable to be treated by allopathic medical providers. Through a series of semi-structured qualitative interviews of medical providers in Kumasi, Ghana, conducted in July-August 2018, this study sought to elucidate perspectives of allopathic medical providers about Asram, including the perceived implications of traditional newborn care patterns on newborn health and higher-level neonatal care. Twenty health care providers participated and represented a tertiary care hospital and a district hospital. Medical providers were universally aware of Asram but varied on the latitude they gave this belief system within the arena of newborn care. Some providers rationalized the existence of Asram in the backdrop of high neonatal mortality rates and long-standing belief systems. Others highlighted their frustration with Asram, citing delays in care and complications due to traditional medical treatments. Providers utilized varying approaches to bridge culture gaps with families in their care and emphasized the importance of open communication with the shared goal of improved newborn health and survival. This study describes the importance of providers being aware of socio-cultural constructs within which pregnant women operate and suggests a focus on the shared goal of timely and effective newborn care in Ghana.

Acupuncture and Moxibustion Treatment of Mild Cognitive Impairment Based on Data Mining

Acupuncture and moxibustion therapy, as a traditional medical treatment method of the motherland, is widely used in the treatment of mild cognitive dysfunction, with remarkable curative effect, and is increasingly recognized by the medical community. However, so far, there is no acupuncture prescription and acupoint usage rules for acupuncture treatment of mild cognitive impairment. Therefore, it is of great significance to collect, organize and data mining related data in order to summarize the relationship between acupuncture points and mild cognitive dysfunction, and to provide references for clinical treatment. This article standardizes the acupuncture points in the database. This paper uses Excel and SPS software to carry out frequency analysis, cluster analysis and association rules, and draws the rules of acupoints, meridians, positions, frequency of specific acupoints, clustering of acupoints and compatibility. In this paper, the number of cases in the treatment group and the control group, the main acupoints and matching points of the acupuncture prescription, the treatment methods, the efficacy evaluation indicators, and the total effective rate of the treatment group and the control group are extracted into the Excel table to form a mild cognition of acupuncture treatment Prescription database for dysfunction. This article studies the rules and characteristics of acupuncture points derived from data mining, takes the general rules and characteristics of clinical acupuncture and moxibustion treatment as a reference for clinical acupuncture and moxibustion, and verifies it with the results obtained. The experimental results show that in the analysis of association rules, taking Baihui and Shenting as examples, the support degree indicates that the probability that the two acupoints appear in the 126 heads at the same time is 51.83%, and the confidence and support for the occurrence of Baihui and Shenting are relatively high. High, it is considered to be a common compatible point pair for acupuncture treatment of mild cognitive dysfunction.

Radioprotective natural products as alternative complements in oncological radiotherapy

Humans when exposed to harmful ionising radiations suffer from various pathophysiological disorders including cancer. Radiotherapy is a treatment where these cancerous cells within a tumor are targeted and killed by means of high energy waves. This therapy is very expensive and involves highly sophisticated instruments. In addition to this, most synthetic radioprotectors including Amifostine have been found to possess toxicity. This led researchers to develop a novel, economically viable, and efficient therapeutic alternative to radiation therapy. The last two decades have observed a major shift towards investigating natural products as radioprotectors, as these are immensely effective in terms of their potential bioequivalence relative to many of the established synthetic compounds available. Taking into account the limitations of radiation therapy, an approach ‘Integrative Oncology’ that involves a combination of both traditional and conventional medical treatment are used nowadays to treat patients suffering from cancer and associated mental and psychological disorders.

\u201cGuboow\u201d\u2014child abuse or traditional medical treatment? a case report

The examination of children suspected of being abused poses a great challenge for forensic pathologists. The risk of misjudgment is high and can have serious consequences for the child and the family. In unclear cases, an assessment should always be carried out on an interdisciplinary basis with the involvement of the relevant disciplines such as pediatrics, dermatology, or radiology. We present the case of a 2.5-year-old boy who was presented by his parents at the Pediatric Emergency Department of a Swiss University Hospital due to fever and weight loss. During the physical examination, conspicuous findings on the abdomen were present, and the responsible emergency physicians informed the child protective services. A clinical forensic examination occurred on behalf of the child protection services. The abdomen of the child showed several symmetrical scars. The initial questioning of the parents did not provide clear information about the origin of the injuries. Further professional questioning of the family by the child protective services concluded that the injuries were the result of a traditional medical treatment in Somalia, which occurred several weeks before.

The Use of Regional Catheters in Children Undergoing Repair of Aortic Coarctation

The objective was to assess the effectiveness and safety of peripheral regional anesthesia in congenital cardiac surgical patients undergoing thoracotomy for aortic coarctation. A retrospective chart review of pediatric patients (<18 years) who underwent surgical repair of congenital heart diseases via thoracotomy between September 2013 and July 2018 was done. Among patients who underwent coarctation repair, a propensity score was used to match patients who received a regional catheter (C) versus traditional medical treatment only (M). A single center children's hospital. The median age was 172 days (IQR 64-1315) in group C and 176 days (IQR 71-1146) in group M (SMD = 0.07). The median weight was 6.8 kg (IQR 4.8-13.6) in group C and 7.7 kg (4.6-17.4) in group M (SMD = 0.003). Outcomes assessed were postoperative hospital length of stay, median pain scores in the first 24 and 48 hours, and total morphine equivalent use in the first 24 and 48 hours. Complications related to the catheters were reviewed. The median oral morphine equivalent dose administered in the first 24 hours was lower in group C than group M (0.8 mg/kg, IQR 0.5-1.1 vs. 1.4 mg/kg, IQR 0.9-1.7, p = 0.019). There were no major complications related to the catheters, including hematoma. Peripheral regional catheters may be used to reduce opioid requirements in patients after CoA repair. Due to the low risk of these catheters, they should be considered as part of a pain management strategy for pediatric patients undergoing thoracotomy and should be incorporated into strategies to improve outcomes.

Effects of Low-Frequency Repetitive Transcranial Magnetic Stimulation of the Bilateral Parietal Cortex in Patients With Tourette Syndrome.

Background: Traditional medical treatments are not effective for some patients with Tourette syndrome (TS). According to the literature, repetitive transcranial magnetic stimulation (rTMS) may be effective for the treatment of TS; however, different targets show different results.Objective: To assess the efficacy and safety of low-frequency rTMS in patients with TS, with the bilateral parietal cortex as the target.Methods: Thirty patients with TS were divided into two groups: active and sham groups. The active group was subjected to 0.5-Hz rTMS at 90% of resting motor threshold (RMT) with 1,200 stimuli/day/side, whereas the sham group was subjected to 0.5-Hz rTMS at 10% of RMT with 1,200 stimuli/day/side with changes in the coil direction. Both groups were bilaterally stimulated over the parietal cortex (P3 and P4 electrode sites) for 10 consecutive days. The symptoms of tics and premonitory urges were evaluated using the Yale Global Tic Severity Scale (YGTSS), Modified Scoring Method for the Rush Video-based Tic Rating Scale (MRVBTS), and Premonitory Urge for Tics Scale (PUTS) scores at baseline, the end of the 10-day treatment, 1 week after treatment, and 1 month after treatment.Results: At the end of the 10-day treatment, the YGTSS total, YGTSS motor tic, YGTSS phonic tic, MRVBTS, and PUTS scores in the active group significantly improved and improvements were maintained for at least 1 month.Conclusions: Low-frequency bilateral rTMS of the parietal cortex can markedly alleviate motor tics, phonic tics, and premonitory urges in patients with TS.

Evaluation of the effectiveness of neuroprotective therapy on retinal morphometric parameters in primary open-angle glaucoma

Neuroprotective therapy refers to measures preventing damage to neurons in the retina and optic nerve. It should be carried out when the damage to the nervous tissue has not yet become irreversible [2, 3, 7, 8]. We examined 60 patients (120 eyes) with POAG I, II and III stages with the duration of glaucoma from 5 to 15 years. IOP was compensated by selective laser trabeculoplasty (SLT) surgery or local hypotensive therapy treated at the Central Polyclinic of JSC " UZBEKISTON TEMIR YULLARI", Tashkent. The patients were divided into 2 groups: group 1 (control)-30 patients (60 eyes), who received only traditional medication therapy for glaucoma. Group 2 (main) consisted of 30 patients (60 eyes) who received OMK 2 in 1 drop 3 times a day for 1 month along with traditional medical treatment. All patients underwent the w following ophthalmic examination methods with OCT, which was carried out on the device "3D OCT-1" by "Maestro 2 ". In this study, structural and functional progression in the control group was accompanied by a decrease in the thickness of the RNFL, GCC and the volume of the NRR. In the main group, these parameters were stable during the observation period or had a positive trend, which indicates the neuroretinoprotective effect of OMK 2. Thus, the use of OMK 2 allows improving the functional characteristics in patients with POAG. The positive effect is presumably associated with IOP control and neuroprotective properties of the medicine.