北臺灣某矯正機關中醫門診常見疾病與處方探討—以103-104年為例

The Study of Common Diseases and Prescriptions at the Traditional Chinese Medicine Outpatient Department of the Correctional Organization at the Northern Taiwan in 2014-2015

目的：探討某矯正機關健保中醫門診就醫常見之疾病型態與處方用藥分佈。方法：本研究之目標乃是回溯103-104 年該矯正機關健保門診資料，對於其中醫就醫特性、相關疾病及處方的狀況進行分析。結果：此103-104 年資料中，共有930 名男性收容人就診，共有2,982 人次。以31 歲到40 歲的患者為多佔總人次46%，21 歲到30 歲次之，佔26%。41 歲到50 歲佔23%。矯正機關內中醫科門診常見十大疾病依次為特定非器質性之睡眠障礙、接觸性皮膚炎及其他濕疹、痔瘡、筋膜炎、過敏性鼻炎、腰痛、局部骨關節病、其他痤瘡、腸功能性疾患、功能性消化道疾患。矯正機關內中醫科門診常見三大系統疾病依序為肌肉骨骼系統及結締組織疾病、精神疾患與皮膚及皮下組織疾病。單味藥使用之頻次前三名分別為 厚朴、地膚子、延胡索。複方使用之頻次前三名分別為龍膽瀉肝湯、疏經活血湯、芍藥甘草湯。結論：本研究可提供未來中醫師於類似矯正機關看診及處方的參考。

 

Objective: To explore the distribution of common diseases and prescriptions under National Health Insurance (NHI) at the traditional Chinese medicine (TCM) department in the correctional organization. Methods: We employed the complete datasets of Chinese herbal remedies in 2014-2015 from the TCM outpatient reimbursement claims in the correctional organization to analyze characteristics of TCM users, the disease categories, and the pattern of prescriptions. Results: Among 2014 and 2015, 930 subjects had used TCM in the correctional organization with a total of 2,982 visits. The age distribution displayed a peak at around the 30s (46%), followed by the 20s (26%) and 40s (23%). The top major diseases for TCM visits were diseases of specific disorders of sleep of nonorganic origin, contact dermatitis and other eczema, unspecified hemorrhoids with other complication, fasciitis, allergic rhinitis, lumbago, osteoarthrosis, localized, other acne, unspecified functional disorder of intestine, functional digestive disorders not elsewhere classified. The top three major disease categories for TCM visits were diseases of the musculoskeletal system and connective tissue, mental disorders, skin and subcutaneous tissue. The most frequently used three individual traditional Chinese medications are Cortex Magnoliae, Kochia Scoparia and Corydalis Rhizoma. The most frequently used three traditional Chinese medicine formulas are Long-Dan Sie-Gan-Tang, Shu-Jing-Huo-Sie-Tang and Shao-Yao-Gan-Cao-Tang. Conclusions: This study shows the most common diseases encountered in traditional Chinese medical practice and the most common prescriptions in the correctional organization. It would be served as a reference and enable information-sharing to traditional Chinese Medicine doctors.