Journal of acupuncture and meridian studies
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J Acupunct Meridian Stud · Aug 2012
ReviewAcupuncture and the emerging evidence base: contrived controversy and rational debate.
The rising incidence of chronic disease and stress-related illness in the West, coupled with an expanding awareness of the unwanted side effects of pharmaceutical treatment, has led to an increased utilization of acupuncture as a contemporary health care option. This increase in utilization, in turn, has paralleled a response to the call for evidence, with the result that acupuncture is now supported by a broad range of surveys of safety, clinical trials and basic science studies of physiologic action. ⋯ The present review takes a wide-angle look at these three major areas of acupuncture research, namely: safety and the risks of serious adverse events; clinical efficacy and effectiveness; and physiologic action. We identify advances in knowledge and present a point counterpoint approach to controversial issues, with the aim of offering clarification if not a measure of resolution.
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J Acupunct Meridian Stud · Aug 2012
Sweet bee venom pharmacopuncture for chemotherapy-induced peripheral neuropathy.
Chemotherapy-induced peripheral neuropathy (CIPN) is sensory and motor nerve damage to the peripheral nervous system caused by chemotherapeutic agents. It often causes pain and other varying degrees of neuropathic symptoms accompanied by functional limitations and reduced quality of life. Currently, there is no standard treatment protocol for the treatment of CIPN. ⋯ The positive result of the study supports the potential value of conducting a fully powered trial to explore further efficacy of SBVP for CIPN. However a single positive result within this pilot study must be interpreted with caution.
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J Acupunct Meridian Stud · Jun 2012
ReviewPlacebo-induced improvements: how therapeutic rituals affect the patient's brain.
The placebo effect has evolved from being thought of as a nuisance in clinical research to a biological phenomenon worthy of scientific investigation. The study of the placebo effect and of its evil twin, the nocebo effect, is basically the study of the therapeutic ritual around the patient, and it plays a crucial role in the therapeutic outcome. In recent years, different types of placebo responses have been analyzed with sophisticated biological tools that have uncovered specific mechanisms at the neuroanatomical, neurophysiological, biochemical, and cellular levels. ⋯ In the second case, dopaminergic activation in the striatum and neuronal changes in basal ganglia have been described. This recent research has revealed that these placebo-induced biochemical and cellular changes in a patient's brain are very similar to those induced by drugs. This new way of thinking may have profound implications in clinical trials and medical practice both for pharmacological interventions and for nonpharmacological treatments such as acupuncture.
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The aim of this study is to explore the correlations between fasciology and yin yang doctrine. Professor Yuan developed fasciology by three-dimensional reconstruction of connective tissue (fascia) in the trunk and limbs of the human body and tracing back to tissue origins in light of biological evolution and developmental biology. Fasciology states that the human body can be divided into two systems: the supporting-storing system and the functional system. ⋯ The functional system continuously maintains the various functional activities of the human body. Thus, the functional system could be classified as active, similar to yang. In interpreting the yin yang doctrine from the point of view of fasciology, yin can be compared with the supporting-storing system and yang can be compared with the functional system.
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J Acupunct Meridian Stud · Mar 2011
Randomized Controlled Trial Comparative StudyA clinical pilot study comparing traditional acupuncture to combined acupuncture for treating headache, trigeminal neuralgia and retro-auricular pain in facial palsy.
Traditional acupuncture (TA) and ear acupuncture (EA) are used for treatment of headache, trigeminal neuralgia, and retro-auricular pain. The purpose of this study is to develop effective treatment using combined acupuncture (CA) which consists of TA and EA and to set clinical protocols for future trials. Participants were divided into TA (n = 15) control and CA (n = 34) experimental groups. ⋯ EA could be selected from Nogier, Fossion and so forth. In conclusion, acupuncture treatment, whether TA or CA, showed pain alleviation in headache, trigeminal neuralgia, and retro-auricular pain, but no significant difference was seen between groups. Prospective, well-controlled, and relevant protocols using multimodal strategies to define the role of TA, EA, and CA are needed.