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Survey of Clinical Practice Patterns of Korean Medicine Doctors for Anorexia in Children: A Preliminary Study for

Jihong Lee1, Sun Haeng Lee2, Jae Hyun Kim3

  • 1Department of Korean Pediatrics, College of Korean Medicine, Daegu Haany University, 136 Sincheondong-ro, Suseong-gu, Daegu 42158, Korea.

Children (Basel, Switzerland)
|September 23, 2022
PubMed

Insights

Korean medicine doctors primarily diagnose childhood anorexia using clinical features and pattern identification theories. Herbal medicine, particularly specific decoctions like Sogunjung-tang, is the main treatment approach.

Area of Science:

  • Integrative Medicine
  • Pediatric Health
  • Traditional Korean Medicine

Background:

  • Childhood anorexia is a significant concern for parents, often leading them to seek medical interventions.
  • Understanding current clinical practices in Korean Medicine (KM) for pediatric anorexia is crucial for developing standardized care.

Purpose of the Study:

  • To investigate the clinical practice patterns of Korean medicine doctors (KMDs) concerning the diagnosis and treatment of anorexia in children.
  • To gather data on diagnostic methods, treatment modalities, and perceived safety and effectiveness of KM interventions for pediatric anorexia.

Main Methods:

  • A web-based survey was distributed to Korean medicine doctors affiliated with the Association of Korean Medicine.
  • The questionnaire collected data on sociodemographic characteristics, diagnostic approaches (clinical features, pattern identification), and treatments used for childhood anorexia.
  • A total of 384 KMDs completed the survey out of 23,910.

Main Results:

  • Diagnosis of childhood anorexia by KMDs predominantly relied on clinical features (36.4%) and pattern identification (PI) theories (32.8%).
  • The most common PI was 'spleen-stomach qi deficiency' (38.6%), followed by 'spleen failure in transportation' (23.3%).
  • Herbal medicine (38.1%) was the primary KM treatment, with Sogunjung-tang (16.5%), Hyangsayukgunja-tang (15.9%), and Bojungikgi-tang (13.9%) being the most frequently prescribed.

Conclusions:

  • This study elucidates current clinical practices among KMDs for pediatric anorexia, highlighting the importance of PI and herbal medicine.
  • Findings provide a foundation for the development of evidence-based clinical practice guidelines for managing childhood anorexia in Korean Medicine.

Keywords:
anorexiaappetitechildrenhealth surveystraditional Korean medicine

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