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Peer-reviewedCC BY-NC-NDJournal of ethnobiology and ethnomedicine

Temple prescription slips as living ethnomedicine: practitioner knowledge and exploratory bioinformatics mapping of Malaysian Chinese folk therapeutics.

9 affiliations
  1. 1The Second Affiliated Hospital of Henan Medical University (Henan Mental Hospital), Xinxiang City, 453002, Henan Province, China.
  2. 2School of Pharmaceutical Sciences, Universiti Sains Malaysia, Minden, 11800, Penang, Malaysia.
  3. 3Faculty of Business and Communications, INTI International University, Persiaran Perdana BBN, 71800, Nilai, Malaysia.
  4. 4The Second Affiliated Hospital of Henan Medical University (Henan Mental Hospital), Xinxiang City, 453002, Henan Province, China. [email protected].
  5. 5School of Pharmaceutical Sciences, Universiti Sains Malaysia, Minden, 11800, Penang, Malaysia. [email protected].
  6. 6The Second Affiliated Hospital of Henan Medical University (Henan Mental Hospital), Xinxiang City, 453002, Henan Province, China. [email protected].
  7. 7The Second Affiliated Hospital of Henan Medical University (Henan Mental Hospital), Xinxiang City, 453002, Henan Province, China. [email protected].
  8. 8School of Pharmaceutical Sciences, Universiti Sains Malaysia, Minden, 11800, Penang, Malaysia. [email protected].
  9. 9Faculty of Business and Communications, INTI International University, Persiaran Perdana BBN, 71800, Nilai, Malaysia. [email protected].

Abstract

Background

Temple prescription slips are Chinese religious-medical texts that combine divination practice, materia medica knowledge and household self-care. Malaysian Chinese temple slips remain poorly documented, particularly with respect to sampling, transcription, source identification, safety issues and reproducible informatics analysis.Methods

A complete on-site convenience census of 106 publicly accessible prescription slips from the Goddess of Mercy Temple, Penang, was photographed. One non-prescription slip and two illegible slips were excluded, leaving 103 prescriptions for practitioner-based analysis. Herb names were transcribed, standardised, interpreted with an experienced TCM practitioner and cross-checked against materia medica, pharmacopoeial and plant-name resources. Prescriptions were categorised into Formulary of Chinese Medicine categories, coded for safety/interpretation issues and mapped using BATMAN-TCM disease-domain enrichment (target score > = 0.84; adjusted p < 0.05). The workflow was designed for documentary standardisation and hypothesis generation rather than validation of clinical efficacy.Results

The most frequent categories were Tonifying (16/103, 15.53%), Heat-clearing (15/103, 14.56%), Phlegm-resolving (10/103, 9.71%) and Dampness-eliminating (9/103, 8.74%). Several entries required correction or remained low-confidence because of handwritten, vernacular or multi-source names. Practitioner-coded cautions were dominated by cold-digestion, yin-deficiency/heat-dry, dampness/phlegm/stagnation, pregnancy/reproductive and toxic/mineral safety issues. BATMAN-TCM generated broad enrichment outputs for 101 prescriptions, mainly cardiovascular, pain/inflammatory and neurodegenerative/neurological domains. These outputs were treated as exploratory database signals, not clinical claims.Conclusion

This single-site corpus shows recognisable TCM formula logic, diaspora adaptation and safety-relevant uncertainties. The findings are hypothesis-generating only; they do not validate temple medicine generally or demonstrate efficacy for specific diseases. The protocol provides a reproducible basis for future multi-site, multi-practitioner, pharmacognostic and experimental research.

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BibTeX
@article{chong2026temple,
  title = {{Temple prescription slips as living ethnomedicine: practitioner knowledge and exploratory bioinformatics mapping of Malaysian Chinese folk therapeutics.}},
  author = {Jia Yi Chong and Pin Jun Ooi and Xuan Jie Ang and Jing Hui Wong and Alvin Chin Ping Ang and Qiyue Qiu and Ruiling Zhang and Mun Fei Yam},
  journal = {Journal of ethnobiology and ethnomedicine},
  year = {2026},
  month = jul,
  doi = {10.1186/s13002-026-00914-4},
  url = {https://europepmc.org/article/MED/42958395},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Temple prescription slips as living ethnomedicine: practitioner knowledge and exploratory bioinformatics mapping of Malaysian Chinese folk therapeutics.
AU  - Jia Yi Chong
AU  - Pin Jun Ooi
AU  - Xuan Jie Ang
AU  - Jing Hui Wong
AU  - Alvin Chin Ping Ang
AU  - Qiyue Qiu
AU  - Ruiling Zhang
AU  - Mun Fei Yam
PY  - 2026
DA  - 2026/07/01
JO  - Journal of ethnobiology and ethnomedicine
DO  - 10.1186/s13002-026-00914-4
UR  - https://europepmc.org/article/MED/42958395
AB  - Background  Temple prescription slips are Chinese religious-medical texts that combine divination practice, materia medica knowledge and household self-care. Malaysian Chinese temple slips remain poorly documented, particularly with respect to sampling, transcription, source identification, safety issues and reproducible informatics analysis.Methods  A complete on-site convenience census of 106 publicly accessible prescription slips from the Goddess of Mercy Temple, Penang, was photographed. One non-prescription slip and two illegible slips were excluded, leaving 103 prescriptions for practitioner-based analysis. Herb names were transcribed, standardised, interpreted with an experienced TCM practitioner and cross-checked against materia medica, pharmacopoeial and plant-name resources. Prescriptions were categorised into Formulary of Chinese Medicine categories, coded for safety/interpretation issues and mapped using BATMAN-TCM disease-domain enrichment (target score > = 0.84; adjusted p < 0.05). The workflow was designed for documentary standardisation and hypothesis generation rather than validation of clinical efficacy.Results  The most frequent categories were Tonifying (16/103, 15.53%), Heat-clearing (15/103, 14.56%), Phlegm-resolving (10/103, 9.71%) and Dampness-eliminating (9/103, 8.74%). Several entries required correction or remained low-confidence because of handwritten, vernacular or multi-source names. Practitioner-coded cautions were dominated by cold-digestion, yin-deficiency/heat-dry, dampness/phlegm/stagnation, pregnancy/reproductive and toxic/mineral safety issues. BATMAN-TCM generated broad enrichment outputs for 101 prescriptions, mainly cardiovascular, pain/inflammatory and neurodegenerative/neurological domains. These outputs were treated as exploratory database signals, not clinical claims.Conclusion  This single-site corpus shows recognisable TCM formula logic, diaspora adaptation and safety-relevant uncertainties. The findings are hypothesis-generating only; they do not validate temple medicine generally or demonstrate efficacy for specific diseases. The protocol provides a reproducible basis for future multi-site, multi-practitioner, pharmacognostic and experimental research.
SN  - 1746-4269
ER  -