The study followed the Strengthening the Reporting of Observational Studies in Epidemiology ( STROBE) reporting guideline. This study was approved by the Georgetown–MedStar Health Institutional Review Board and deemed exempt from informed consent due to the use of deidentified patient and physician data. Each visit was assigned a modality of in person or telemedicine, which included both telephone and video visits. Primary care visits were defined in the electronic health record and scheduling systems as completed outpatient visits with a primary care physician (internal, family, or geriatric medicine) who conducted at least 1000 visits between March 13, 2020, and December 31, 2021. This cross-sectional study analyzed adult primary care visits across MedStar Health, Stanford Health Care, and Intermountain Healthcare systems. We aimed to quantify physician variation in telemedicine provision and the extent to which telemedicine use is explainable by the individual physician, adjusting for temporal, patient, and visit factors known to be associated with demand. 4 As a result, physician preferences alter patient access to telemedicine, but variation across individual physicians has not been well documented, nor has the role these preferences play in patient access. In surveys, physicians have been found to vary in their prevalence and intentions to continue providing telemedicine services. However, observed telemedicine use is a function of both patient demand and physician supply. 1 Given that telemedicine is likely to remain a staple of the US health care system, several studies 1 - 3 have sought to profile the patient populations that use telemedicine most consistently. Increased use of telemedicine during the COVID-19 pandemic has been well documented, including recent evidence of lower but steady use.
Pei Lan is milder and more harmonious and less dispersing. Huo Xiang is better suited for expelling externally-contracted pathogenic Cold during hot summer weather. Eupatorii Pei Lan dispel Summerheat and transform Dampness and are often used together. Eupatorii Pei Lan which is most effective for excessive salivation and an unpleasant, sticky sensation in the mouth while Huo Xiang is more effective at releasing the exterior and stopping vomiting. Wind-Cold invasion with underlying internal Dampness. Agastache was traditionally used, but for the past century Pogostemonis has been cultivated and used instead.
Huo Xiang is better at transforming Dampness, Zi Su Ye is better at releasing the exterior, and Lu Gen is better at clearing Stomach Heat. It treats turbid stagnation, obstruction, tightness in the chest or abdomen, feelings of nausea, vomiting and morning sickness.This herb is used for decayed food in the Stomach causing bad breath.It is used primarily for Summer-Heat affecting the Spleen/Stomach.Treats Turbid Dampness obstructing the Middle Jiao and interfering with the Spleen’s transformative and transportive functions.Soaked in vinegar for one week and applied topically for fungal infection. Summerheat and Dampness Stagnation in the Middle Jiao. Releases the Exterior to treat Externally contracted pathogens such as Externally- contracted Cold during Hot, Damp summer weather, with fever, lethargy, a stifling sensation in the chest and nausea. Transforms Dampness, regulates Qi, harmonizes the Stomach, stops nausea and vomiting and treats turbid Dampness Obstructing the Spleen with lethargy, a stifling sensation in the chest, nausea, loss of appetite, diarrhea or loose stools and a thick tongue coat. Vomiting and diarrhea due to Spleen and Stomach Deficiency.
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