Inflammatory Bowel Diseases Clinical Trial
Official title:
Herbal Medicine for Inflammatory Bowel Diseases: a Development of Pattern Identification Algorithm by Retrospective Analysis of Case Series Data
This study aimed to identify inflammatory bowel disease (IBD) patterns based on presenting symptoms and to suggest algorithms for determining pattern and herbal prescriptions for corresponding patterns. The investigators collected symptom data of 67 IBD patients who achieved and maintained clinical remissions after they had taken herbal medicine prescriptions. Prescriptions were categorised into 5 patterns, which were named after main features and symptoms of included patients. Associations between presenting symptoms and patterns were visualised using a term frequency inverse document frequency (TF-IDF) method. Determining IBD patterns from symptoms of patients was analysed and charted by decision tree modeling.
Herbal prescriptions are one of the most sought complementary and alternative medicine
treatment strategies for inflammatory bowel disease patients. However, variability in pattern
identification of Traditional Chinese Medicine (TCM)/Traditional East Asian Medicine (TEAM)
has been criticised. Using data of patients who achieved and maintained clinical remission
after TCM/TEAM herbal medicine prescription, the investigators aimed to develop treatment
algorithms refined by identified pattern and key symptoms which practitioners can easily
discriminate.
Based on herbal prescriptions which induced clinical remission, IBD patients were divided
into 5 patterns, i.e., Large intestine type, Water-dampness type, Respiratory type, Upper
gastrointestinal (GI) tract type, and Coldness type. By term frequency-inverse document
frequency (TF-IDF) method, the association between 22 symptoms that were described as
indications of the herbal medicine prescriptions and 5 patterns were analysed. Decision tree
modeling was used for prediction of relevant patterns from symptoms.
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