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SUBJECT OUTLINE

99657 Disease States for Traditional Chinese Medicine 2


Course area UTS: Science
Delivery Autumn 2017; City
Credit points 6cp
Requisite(s) 99652 Chinese Herbal Formula 2 AND 99584 Clinical Features of Disease
Result type Grade and marks

Attendance: 5hpw

Subject coordinator
Name: A/Prof. Xianqin Qu
Phone: 95147852
Room: Building 4, Level 7 Room 309
Email: Xianqin.Qu@uts.edu.au

Teaching staff
Lecturer:Xianqin Qu Email: Xianqin.Qu@uts.edu.au

Tutor: Weiguo Lao Email: Weiguo.Lao@uts.edu.au

Tutor: Madeleine Ong Email: Madeleine.L.Ong@student.uts.edu.au

Tutor: Dr Yi Tan Email: yi.tan@uts.edu.au

Subject 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 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.

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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

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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)

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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.

Program
Week/Session Dates Description

1 21/3/17 Gynaecology 1: TCM pathphysiology and diagnostic approaches

Menstrual disorder 1

Notes:

Maternal anatomy and Physiology

Case study 1: Female hormone assessment

2 28/3/17 Gynaecology 2: Menstrual Disorder 2

Notes:

Case study 2: Menstrual Disorders

3 4/4/17 Gynaecology 3: Amenorrhoea, PCOS, Uterus bleeding

Notes:

Case study 3: POCS & DUB

4 11/4/17 Gynaecology 4: Leucorrhea disorders

Pelvic Inflammatory Disease

Notes:

Case study 4: PID disease, Video:acupuncture for gynaecological disease

5 18/4/17 Gynaecology 5: Menopause syndrome, pregnant physiology, miscarriage

Notes:

Mid Exam

Case study 5: Menopause syndrome,

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6 2/5/17 Gynaecology 6: Disorders during pregnancy; disorders in Puerperium

Notes:

Case Study 6: miscarriage, Disorders during pregnancy

STUVAC

7 9/5/17 Gynaecology 7: Female and male infertility

Notes:

Case study 6: Infertility

8 16/5/17 Surgical disease

Notes:

Clinical case presentation and discussion 1: gynaecological case

9 23/5/17 Surgical disease

Notes:

Case study 7: sugical disease

10 31/5/16 TCM dermatology

Notes:

Clinical case presentation and discussion 2

11 6/6/17 TCM dermatology

Notes:

Clinical case presentation and discussion 3

In the above program, the Description column gives the lecture content and the Notes column gives the Tutorial and
Assignment content.

Additional information
All submitted papers and where applicable, all Online contributions making use of published materials, should be
properly referenced and with a properly completed bibliography.

Assessment
Assessment task 1: In class test
Intent: The following graduate attributes are addressed:

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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%

Task: This is an informal written exam comprised of:

1. Multiple choice questions,


2. Short answer questions and
3. Case analysis for gynecological disorders

Students will have the opportunity to receive early feedback from the lecturer and tutors during the
classroom prior to the exam to prepare for this assessment tasks.

Length: 1 hour

Due: See Further information.

Criteria: Correctness of responses


Demonstration of appropriate diagnosis and pattern differentiation
Treatment approaches consistent with the case analysis procedure

Further Due Date:19 April 2016 during the tutorial session.


information:

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 application
4. 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%

Task: Clinical case presentation will be conducted in tutorial sessions. Students will work together to

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Task: Clinical case presentation will be conducted in tutorial sessions. Students will work together to
prepare and present A REAL CASE related to any of the following topics: gynaecology and male
reproductive disorders, dermatological diseases, external disorders (surgical diseases). Students will
receive advice and feedback about this task from week 1 tutorial towards the semester. During in
class presentations, feedback will also be provided by tutors and peers.

The case is to be extracted from the student clinic. The information should include the following:

Patient age, gender & occupation


Main complaint
Current history and treatment if applicable
Diagnosis with evidence in Western medicine, including differential diagnosis
Diagnosis and pattern differentiation with analysis in TCM
Description of TCM treatment and outcome of the treatment
The benefits and interaction (if any) of combined treatments of TCM and WM
Follow-up and further treatment plan
Questions raised from the case to discuss with the class
Students are also encouraged to present patients laboratory and relevant medical exam reports
Introduction/background should be brief and the case presentation should be mainly focused on
the patients condition. Repeating information of lecture should be avoided.
Case study should be presented using Microsoft PowerPoint. The duration of presentation is about
15 min followed by a 5 min question time, 20 min total.

Please note: There are confidentiality issues associated with this assignment.
The UTS policy regarding confidentiality issues attached to exposure of patient records must be
rigorously addressed. Absolutely no identifying information can be displayed such as name, address,
contact numbers, etc.

Length: The duration of presentation is 15 min followed by a 5 min question time, 20 min total.

Due: See further information

Criteria: Subject must be chosen exclusively from topics listed


Must address all required criteria as listed under the TASK heading
Strictly adhere to time: 15 minutes presentation plus 5 minutes question time
Mandatory use of Microsoft Power Point
Facilitation of group discussion
Submission of e-version of PowerPoint file to Tutor: Madeleine.L.Ong@student.uts.edu.au day
before presentation.

Further Due Dates: 17th, 31st May, 7th June


information:

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

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Weight: 50%

Task: The end of semester exam is an informal written exam consisting of:

1. multiple choice questions,


2. short answers and
3. case studies of gynaecological disease, dermatological disease and surgical disease.

Length: 2 hours

Due: See further information

Criteria: Correctness of responses


Demonstration of appropriate diagnosis and pattern differentiation
Treatment approaches consistent with the case analysis procedure

Further Due Date: Date and Venue will be advised.


information:

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 (2016) Lecture Notes for Disease States 2 (UTS Printing Service)

Recommended texts
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)

References
1. Bope & Kelleman. (Ed) (2014).Conn's Current Therapy 2015. 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

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