modernization of chinese medical practice - chang gung… · modernization of chinese medical...
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Modernization of Chinese Medical Practice
- Chang Gung's Experience
Hen-Hong ChangCenter for Traditional Chinese Medicine,
Chang Gung Memorial Hospital
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Modernized traditional Chinese medical practice
Collaboration between modern medicine should involve combining traditional knowledge and modern science to enhance the progress of medicine.
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Chang Gung Memorial Hospital
Established its Chinese medical department in 1996.Extending it throughout its facilities in Keelung, Taipei, Linkou, Taoyuan, Chiayi, and Kaohsiung.
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Center for TCMDedicate to pass on the precious knowledge, wisdom, and thousands of years of experience of the ancestors.Integrate TCM with modern medical science, TCM/Western medicine.Pursue the three objectives of health care, education, and research. Prevention, treatment, rehabilitation and life nurturing.
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Chang Gung Memorial Hospital Organization
Board of Trustees
Chang Gung Steering
CommitteeMedical Committees Administration
Taoyuan
AreaKaohsiung
Area
Keelung
Area
Linkou medical center
Chiavi
Area
Life nurturing culture village
NursingHome
Taoyuan KaohsiungKeelung
Children
Chiayi
Taipei TCM
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The organization of Center for TCM
Center for
TCMTCM Education Committee
TCM qualification Committee
TCM Pharmacy
Linkou Taipei KaohsiungKeelung
Department of TCM
Division of TCM
Department of TCM
Taoyuan
Division of TCM
Chiayi
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Chiayi
Kaohsiung
Taoyuan
Taipei
Keelung
Nursing home
Life nurturingculture village
Chang Gunguniversity
Chang GungInstitute oftechnology
Linkou
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Keelung(854 beds)
Taipei(340 beds)
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Taoyuan (1850 beds)
Linkou (3801 beds)
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Chiayi(1500 beds)
Kaohsiung(2482 beds)
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Chang Gung Memorial HospitalCenter for TCM
Internal medicine, gynecology, pediatrics, acupuncture, and traumatology departmentsChinese medical nursing and pharmacyDiagnostics research divisionTCM clinical trial centerThe pharmacovigilence for herbal medicineTCM clinical training center
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Internal medicine
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Clinical Pathology
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Department of traumatology
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Department of acupuncture
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WS Far Infrared Physiatric Unit
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Electrical acupuncture
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Laser acupuncture
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Center of Health Promotion
TCM
Tuina
Meridian
massage
Aromatic
therapy
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Education Program for Resident Doctors
There are two curricula for resident doctors in the center for TCM: 5-year program (2 years of TCM, 3 years of Western medicine) and 4-year program (3 years of TCM, 1 year of Western medicine). Assessment for residents: monthly, quarterly, and annual.Contemporary TCM and scientific concepts are thoroughly integrated into the training for resident doctors.Education in complementary TCM/Western medicine strives to produce the highest quality in health care services.
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TCM Clinical Trial Center
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The Pharmacovigilence for Herbal Medicine
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TCM Clinical Training Center
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Characteristics of the Education Program
A problem-based learning curriculum as part of theTCM education program.An educational and clinical exchange program withChina mainland. As of this year, more than 80 professionals have been invited to teach class and to lecture on special topics.
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Laboratory of TCM Diagnosis
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Laboratory of TCM Diagnosis
1. Pulse diagnosis
2. Tongue diagnosis
3. Auscultation diagnosis
4. Meridian ( ARDK)
diagnosis
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Pulse Diagnosis
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Tongue Diagnosis
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Auscultation Diagnosis
Qi-vacuity and control
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Auscultation Diagnosis
Zero-crossing rate Peak-valley variation
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Meridian Diagnosis (ARDK)
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Chang Gung Memorial Hospital
At present, Chang Gung's Chinese medicine facilities have 44 attending physicians and 27 resident doctors who work in close collaboration with the western medical departments.
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Center for TCM, CGMH
Out patient clinic In-patient facilitiesIntegrated in-patient careIntegrated out patient clinicCombined in-patient consultation
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TCM Hospitalization
Ankylosing spondylitisDegenerative arthritisCA radiotherapy and chemotherapy HIVDFractureStrokeBrain injury
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Ward Station
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Chinese Medical Nursing
Chinese medical nurses have to engage in training courses to gain 9 additional credits in seven subjects. They contribute to the previously mentioned services, as well as providing health education and counseling home nursing, and hospice care.
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TCM Consultation
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Traditional Chinese Pharmacy
The work of pharmacists includes :Dispensing traditional pills, powders, pastes, and elixirs463 concentrated powder medicinesPreparing decoctions for patients, making pillsProviding pharmaceutical counseling
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Decoction
External application-drugs
Medical paste
Automatic decoction machine
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TLC scannerHPLC
GC-MS Chemiluminescence Analyzer
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Decocting Pieces
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Concentrated TCM powder
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Conveyor Belt
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Health Promotion
Peripheral products and services contributing to health care include health-food products and health-care equipment.
With our nursing home and life nurturing culture village, we provide a diverse range of health-care services.
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Related Business
Biotechnology, health foodCosmetic, maintenance Medical apparatusNursing homeLife nurturing culture village
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Chang Gung Biotechnology
Health food
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Formosa Biomedical Technology Corp.
Cosmetic and maintenance
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Chang Gung Medical Supplies and Equipment Corp.
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Nursing Home Life Nurturing Culture Village
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Education Facility
Chang Gung University and Chang Gung Technical College are education facilities that provide the basic training and post-graduate education.
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International Communication
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Traumatic intracranial hemorrhagea case report
A 17y/o female suffered from traffic accidence Condition at Emergency room Feb-5
GCS: E2M2V1SBP: 99mmHg, heart rate: 150/min Pupil : 4/7mm, no light reflex bilateralGeneral convulsionEndotracheal intubationBrain CT: subarachnoid and subdural hemorrhagePelvic and left femoral fracture Hemodynamic unstable due to hemoperitoniumVaginal lacerationOtorrhea R/O skull base fracturePneumothorax on chest tube
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Clinical courseFeb-08 Operation:
External fixation for pelvic fractureInternal fixation for femoral fractureRepair vaginal lacerationTracheostomy
Feb-09 On tracheal maskFeb-13 Pneumothorax subsideFeb-18 Consult TCMFeb-19 Abdominal wound infection---ORSA
Wound debridement On antibiotics
Feb-23 Transfer to orthopedic wardMar-08 GCS: E4VTM6
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Physical examinationVital signs: BP 236/111mmHg; PR 182/min; RR 34/min
BT 36.5GCS: E1VTM2Condition: ventilator support, on Foley, on NG tubeHEENT
Sclera: anicteric Conjunctiva: not paleNeck supple, no palpable lymph node, no jugular vein engorgement
Chestregular heart beat without murmurbreathing sound: bilateral rale
Abdomen: soft, bowel sound hypoactive Extremity: no pitting edema
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Neurological examination
Cranial nerves:Pupil: 2.0mm/4.5mm, L/R: +/Ptosis left side Eye of movement: fullnessDysphagia
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Muscle Power DTR
1
1 33
O
O
Sensation
Neurological Examination
O
O
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Parenchymal hemorrhage Intraventricular hemorrhage
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Subdural hemorrhage Air fluid level in sphenoid sinus
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Left femoral shaft fracture Pneumothorax
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Acupuncture treatment
Arouse the brain and open orifices
Boost qi and move blood
3 times per week
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Lumbar HIVD case report
Emergency room treatmentMefenamic acid 250mg/cap Nalbuphine 10mg/ml/amp Magnesium oxide 250mg/tab Methocarbamol 500mg/tabRefuse surgical operationHospitalized in TCM ward,Department of orthopedic and traumatology
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Physical examinationTender points:
L5/S1 Rt+ Lt+L4/L5 Rt+ Lt+
Straight leg raising test:Rt(+) 25-30 Lt()
Knee reflex: Lt (++) Rt (++)Achilles' tendon reflex: Lt (++) Rt (+)Muscle power:
Ankle dorsiflexion NPBig toe extension NPAnkle Plantar flexion LtRt
Paresthesia: Rt leg, (L5, S1)Muscle atrophy()
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Herniation of L5/S1
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DiagnosisTCM:
(1) Damage to the lumbar sinew(2) Qi stagnation and blood stasis
Western medicine: (1) HIVD (2) Lumbago(3) Myalgia and myositis
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Electrical acupunctureBloodletting: , Paste: Medical bathing
1.5g 1.0g 1.0g 0.5g 0.5g 0.3g 0.2g 0.5 g
Electrical acupuncture
Blood letting: , Paste: Medical bathing
P
HIVDDamage to the lumbar sinew, Qi stagnation and blood stasis
HIVDDamage to the lumbar sinew, Qi stagnation and blood stasis
HIVDDamage to the lumbar sinew, Qi stagnation and blood stasis
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Red tongue, yellow and greasy fur, string slippery fast pulse
Red tongue, yellow and greasy fur, string slippery fast pulse
SLRT:Rt(+)25-30Tender points: Rt L4-L5(+); L5-S1(+)
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Rt low back pain improve, but Rt leg still aching and numbness
Rt low back pain improve, but Rt leg still aching and numbness
Rt low back pain, refer to Rt leg and foot
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Mar/01Feb/28Feb/27Date
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Daily Treatment ScheduleAM 09:00 Herbal extractionAM 10:00 Electrical acupuncture
Blood lettingAM 11:00 TCM manipulation
Dao-inHerbal paste
PM 01:00 Herbal extractionPM 03:00 Medical bathingPM 04:00 Rehabilitation
Herbal pastePM 06:00 Herbal extraction
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Electrical Acupuncture
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Blood Letting
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Medical Bathing
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TCM Manipulation
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The Curriculum for TCM DepartmentGeneral Education (32)..1st to 2nd yearBasic Education (42)..1st to 2nd yearBasic medical science...................3rd to 4th year
WM (82)TCM (49)
Clinical medicine .....5th to 6th yearWM (79)TCM (27)Integrated ( 5)
InternshipWM (48)..7th yearTCM (45)..8th year
Total credit .(409)
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The TCM Universities Collaborated with Chang Gung University
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