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99657 Disease States for Traditional Chinese Medicine 2

Warning: The information on this page is indicative. The subject outline for a particular session, location and mode of offering is the authoritative source of all information about the subject for that offering. Required texts, recommended texts and references in particular are likely to change. Students will be provided with a subject outline once they enrol in the subject.

Subject handbook information prior to 2020 is available in the Archives.

UTS: Science: Life Sciences
Credit points: 6 cp
Result type: Grade and marks

Requisite(s): 99652 Chinese Herbal Formula 2 AND 99584 Clinical Features of Disease

Description

This clinical subject provides students with traditional Chinese medicine (TCM) knowledge for female and male reproductive disorders, general surgical diseases and skin diseases. The subject also enables students to understand the key clinical features and current therapy for these diseases in western medicine. After determining that TCM is appropriate for the patient's condition, students differentiate the patterns of disharmony as identified in TCM, decide on the treatment principles and devise a course of treatment.

Students learn to integrate their knowledge of western and Chinese medicine for some common gynaecological, surgical and dermatological diseases. The subject focuses on current therapies in both western and Chinese medicine approaches to these three areas, as well as diagnostic knowledge and skills, and TCM pattern differentiation. In tutorial sessions, clinical case studies, including interviewing patients with relevant diseases and role-play, form an important component of the subject.

Subject learning objectives (SLOs)

Upon successful completion of this subject students should be able to:

1. Understand, relate and reflect on disease mechanisms (aetiology and pathology) in both TCM and western medicine for gynaecological diseases, male reproductive disorders, some surgical diseases and common dermatological diseases.
2. Understand and apply knowledge and skills relating to the diagnosis, differential diagnosis and treatment from the Chinese medicine perspective for the above diseases.
3. Understand and apply key points of diagnosis, differential diagnosis and current therapy in western medicine for above diseases.
4. Develop communication skills that are both generic and specific to TCM clinical practice.

Course intended learning outcomes (CILOs)

This subject also contributes specifically to the development of following course intended learning outcomes:

  • An understanding of the nature, practice and application of the chosen science discipline. (1.0)
  • Encompasses problem solving, critical thinking and analysis attributes and an understanding of the scientific method knowledge acquisition. (2.0)
  • The ability to acquire, develop, employ and integrate a range of technical, practical and professional skills, in appropriate and ethical ways within a professional context, autonomously and collaboratively and across a range of disciplinary and professional areas, e.g. time management skills, personal organisation skills, teamwork skills, computing skills, laboratory skills, data handling, quantitative and graphical literacy skills. (3.0)
  • An understanding of the different forms of communication - writing, reading, speaking, listening -, including visual and graphical, within science and beyond and the ability to apply these appropriately and effectively for different audiences. (6.0)

Contribution to the development of graduate attributes

1. Disciplinary knowledge and its application
This subject provides an interdisciplinary approach by combining a basic biomedical review of the human body systems with a TCM model for differential diagnostics by pattern recognition. This process brings together the two medical paradigms, highlights their commonalities and disparities, and focuses on TCM therapies for disease treatment and prevention. The process also facilitates identification of diseases which can be treated by the integrative approaches of Western medicine and Chinese medicine. An integrative approach is reinforced consistently throughout all the assessment processes and tutorials.

2. inquiry-orientated approach
Case presentations are found throughout the tutorial and formal assessment processes. The classical TCM differential diagnostic process of pattern recognition is addressed by means of an evolving mastery of critical thinking and analysis. This attribute is reinforced consistently throughout all the assessment processes and tutorials.

3. Professional skills and their application
Medical ethics is addressed within the requirements for patient privacy issues as they pertain to the delivery of case presentations. Time management must be exercised within the mandatory time frame allotted to the case oral presentation and of course. TCM diagnosis and treatment is the primary focus of professional skill development.

4. Communication skills
Mastery of generic skills linked to audio/visual communication is introduced via mandatory use of PowerPoint for the oral case presentations. In addition, students develop the art of public speaking in their first assessment. Ability to follow directions is incorporated into the PowerPoint presentation and forms part of the marking criteria.

Teaching and learning strategies

A flexible approach to teaching and learning is maintained. The teaching strategies include:

Lectures: 2hs/PW x 11 weeks. The lectures provide clinical knowledge relevant to various disease states from both western biomedical and TCM perspectives. The lectures are divided into seven weeks of gynaecology, two weeks of surgical disease and two weeks of dermatology. In this subject, students will engage in active learning with their peers during lectures, tutorials and workshops. For that purpose, lecture materials will be available on UTSonline, and you must prepare using these resources before class so that interaction can be emphasized during the class.

Tutorials and workshops, supervised by the lecturer and tutors, consist of discussion forums to review clinical knowledge presented in the lectures and provide case analysis for diseases pertinent to gynaecology, surgical diseases and dermatological disorders. In tutorials, you will receive feedback from your lecturer and tutors that you will be able to apply to your assignment.

The subject coordinator, lecturer and tutors make every endeavour to introduce patients for student learning, to properly interview and obtain a good case history for diagnosis and treatment. Generic and clinical communication skills are further developed during practical class using ungraded “role-playing”: practitioner-patient authentic clinic scenarios provide you with the opportunity to work collaboratively with your peers.

A Clinical case presentation will also be conducted in tutorial sessions. Two students work together to prepare and present A REAL CASE selected from the student clinic which relates to any of the follows gynaecology and male reproductive disorders, external disorders (surgical diseases) and dermatology. This will be achieved through group work with the mandatory use of PowerPoint for the case presentation.

The students will have the opportunity to get early feedback through short quiz questions in the workshop. This quiz will not be graded, but the answers will be discussed in the class.

Content (topics)

This subject will introduce student clinical knowledge and skills relating to common gynaecological, surgical and dermatological disorders in CM as well as the procedure of case history taking and recording. The subject covers information and knowledge on CM syndromes or disease conditions in relation to:

  • CM classification/s
  • biomedical classification/s
  • aetiology
  • pathology
  • diagnosis
  • differential diagnosis
  • current therapy from a biomedical perspective
  • herbal formula modification (and treatment) to be appropriately expanded for all disease and syndromes
  • CM treatment therapy to cover herbal formulae, acupuncture, massage, exercise methods, lifestyle and dietary advice
  • integrate laboratory and radiological findings where appropriate

The clinical areas of study each cover the following topics:

1. Common Diseases of Gynaecology

  • Overview:
    • Physiological characteristics of women in CM,
    • Pathological characteristics of gynaecological conditions/disease,
    • Diagnostic methods for gynaecological diseases
    • Therapeutic principles, prevention and hygiene
    • Maternal anatomy and physiology
  • Menstrual disorders:
    • early menstruation, delayed menstruation, irregular menstruation, dysfunctional uterine bleeding (PUD), dysmenorhoea, endometriosis, amenorrhoea, poly-cystic ovary syndrome (PCOS);
  • Leukorrhea disorder and pelvic inflammatory disease (PID):
    • leukorrhagia, scanty leukorrhoea, pelvic inflammatory disease, vaginitis;
  • Disorders in pregnancy and puerperium:
    • morning sickness, miscarriage, pregnancy-induced hypertensive syndrome (Pre-eclampsia), lochiorrhea in the puerperium;
  • Miscellaneous gynaecological disease:
    • menopausal syndrome, female Infertility and male Infertility


2. Common External Diseases

  • Thyroid swelling:
    • physiological goitre, common nodular goiter, endemic goiter,
    • Hashimoto's thyroiditis, hypothyroidism, primary hyperthyroidism (Graves' disease) and secondary hyperthyroidism (nodular toxic goiter);
  • Breast disease:
    • peri-ductal mastitis and acute bacterial mastitis, hyperplasia of the mammary glands;
  • Common disease of the male urogenital and reproductive system:
    • benign prostatic hyperplasia, impotence and spontaneous seminal emission (male infertility above)

3. Common Diseases of Dermatology

  • Eczema, dermatitis (exogenous, allergic and endogenous), psoriasis, acne vulgaris,
  • Bacterial infections (boil and impetigo),
  • Viral infections (Herpes simplex and Herpes zoster),
  • Fungal skin infections (including tinea),
  • Miscellaneous dermatology diseases (pruritus, urticaria, alopecia areata and vitiligo).

To ensure the subject (Disease States 2) is beneficial to clinical practice, disease classification system in western medicine is integrated. Students will also obtain knowledge and clinical skills for diagnosis (physical examinations, pathological tests and radiological investigations) and current therapies for relevant disease states in western medicine.

Assessment

Assessment task 1: In class test

Intent:

The following graduate attributes are addressed:

1. Disciplinary knowledge and its application
2. An inquiry-oriented approach
3. Professional skills and their appropriate application

Objective(s):

This assessment task addresses subject learning objective(s):

1, 2 and 3

This assessment task contributes to the development of course intended learning outcome(s):

1.0, 2.0 and 3.0

Weight: 30%
Length:

1 hour

Criteria:
  • Correctness of responses
  • Demonstration of appropriate diagnosis and pattern differentiation
  • Treatment approaches consistent with the case analysis procedure

Assessment task 2: Student presentation- case study

Intent:

The following graduate attributes are addressed:


1. Disciplinary knowledge and its appropriate application
2. An Inquiry-oriented approach
3. Professional skills and their appropriate application
6. Communication skills

Objective(s):

This assessment task addresses subject learning objective(s):

1, 2, 3 and 4

This assessment task contributes to the development of course intended learning outcome(s):

1.0, 2.0, 3.0 and 6.0

Weight: 20%
Length: The duration of presentation is 15 min followed by a 5 min question time, 20 min total.
Criteria:
  • The type of presentation is appropriate for the topic and audience.
  • Information is presented in a logical sequence.
  • The introduction is attention-getting, lays out the problem well, and establishes a framework for the rest of the presentation.
  • Technical terms are well-defined in language appropriate for the target audience.
  • The presentation contains accurate information.
  • Material included is relevant to the overall message/purpose.
  • An appropriate amount of material is prepared, and points made reflect well their relative importance.
  • Speaker maintains good eye contact with the audience and is appropriately animated (e.g., gestures, moving around, etc.).
  • Speaker uses a clear, audible voice. Delivery is poised, controlled, and smooth.
  • Good language skills and pronunciation are used.
  • Visual aids are well prepared, informative, effective, and not distracting.
  • Length of presentation is within the assigned time limits.
  • information was well communicated.

Assessment task 3: End of semester exam

Intent:

The following graduate attributes are addressed:

1. Disciplinary knowledge and its application
2. inquiry-oriented approach
3. Professional skills and their application

Objective(s):

This assessment task addresses subject learning objective(s):

1, 2 and 3

This assessment task contributes to the development of course intended learning outcome(s):

1.0, 2.0 and 3.0

Weight: 50%
Length: 2 hours
Criteria:
  • Correctness of responses
  • Demonstration of appropriate diagnosis and pattern differentiation
  • Treatment approaches consistent with the case analysis procedure

Minimum requirements

In order to pass the subject, you must
• attempt, complete, and submit each all assessment tasks; and
• earn an overall total of 50 marks or more for the subject.

Any assessment task worth 40% or more requires the student to gain at least 40% of the mark for that task. If 40% is not reached, an X grade fail may be awarded for the subject, irrespective of an overall mark greater than 50.

Required texts

X. Qu (2019) Lecture Notes for Disease States 2 (UTS Printing Service)

Recommended texts

1. Zuo Y (Ed) (2002). A newly Compiled Practical English-Chinese Library of Traditional Chinese Medicine:
Gynaecology of Traditional Chinese Medicine
• Surgery of Traditional Chinese Medicine (Dermatology included)

2. Tan Y (Ed) (2007) Chinese-English Bilinggual Texbooks for Internatioal Students of Chinese Institutions: Gnecology of Traditional Chinese Medicine

References

  1. Drs. Bope and Kellerman (Ed) (2018).Conn's Current Therapy 2018. Elsevier Inc.
  2. Lyttleton J. (2004) Treatment of Infertility with Chinese medicine. Churchill Livingstone.
  3. Xu Y. (Ed) (2004) Dermatology in Traditional Chinese Medicine. Donica Publishing
  4. ABC of Dermatology. 4th Edition (2005). BMJ Publishing Group
  5. Lecture Notes on Gynaecology of Chinese Medicine (??????in Chinese), 2011, China Chinese medicine Publisher
  6. Lecture Notes on General Surgery of Chinese Medicine??????: in Chinese, 2011, China Chinese medicine Publisher