Traditional Chinese Medicine and heart disease: what does Western medicine and nursing science know about it?
BACKGROUND
Interest in Traditional Chinese Medicine (TCM) is growing rapidly beyond China. This interest is driven by a combination of factors including recognition of potential benefits of TCM; dissatisfaction with the traditional Western medical model; an increasing commitment to holistic care and increasing evidence for the interaction of psychological factors and outcomes of disease and treatment and health consumer demand.


OBJECTIVE
This review article was prompted by the need to understand and interpret the increasing trend towards the use of TCM in heart disease. In particular, this article defines and describes TCM, and analyses implications and challenges for Western health care delivery models.


METHODS
This article provides a review of accessible evidence, to English speaking health care professionals. The CINAHL, MEDLINE, HealthSTAR, Academic ASAP and Cochrane databases were searched, identifying literature published from 1982. Search engines on the Internet were also used. Examples of keywords used were "Traditional Chinese Medicine" and "heart".


CONCLUSIONS
Difficulties in accessing information regarding TCM have implications for health education in coronary heart disease and patient safety. The rapid uptake of TCM in both Western and Chinese societies mandates an understanding of the principles and potential interactions when TCM is complemented with Western medical treatment for heart disease. Development of this knowledge and understanding is essential in order to provide safe and effective health care to patients who use combination therapies.
Davidson
Patricia
P
School of Nursing, Family and Community Health (SNFCH), College of Social and Health Sciences (CSHS), University of Western Sydney, Sydney, NSW, Australia.
Hancock
Karen
K
Leung
Dominic
D
Ang
Esther
E
Chang
Esther
E
Thompson
David R
DR
Daly
John
J
D015670:Acupuncture Therapy / Q000592:standards / Q000706:statistics & numerical data; D001945:Breathing Exercises; D004365:Drugs, Chinese Herbal / Q000627:therapeutic use; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006331:Heart Diseases / Q000628:therapy*; D006694:Holistic Health; D006801:Humans; D019359:Knowledge; D008516:Medicine, Chinese Traditional / Q000592:standards* / Q000706:statistics & numerical data; D015399:Nursing Research / Q000458:organization & administration*; D012449:Safety; D016896:Treatment Outcome; D019366:Western World
D004365:Drugs, Chinese Herbal