Traditional Chinese Medicine discussion

October 30, 2009

Some terminologies for alternative health

Some terminologies for alternative health:

Acupuncture: Traditional Chinese medicine that uses the placement of needles at specific points of the body to balance the flow of “qi,” or life energy, which Western doctors believe is actually the body’s electrical pathways. The treatments promote relaxation and relieve stress, pain and symptoms caused by a wide array of diseases, from the common cold to AIDS. An estimated 3.1 million American adults and 150,000 children used acupuncture in 2006.

Aromatherapy: A branch of herbal medicine that uses the essential oils extracted from plants and herbs to treat conditions ranging from infections and skin disorders to immune deficiencies and stress. Practitioners believe that the scents of the oils can calm emotions and release stress. The therapy is widely used in Europe and is gaining ground in the United States.

Chiropractic medicine: Chiropractors perform adjustments to the spine in an attempt to correct alignment problems that typically accompany chronic conditions like lower back pain and to support the body’s natural ability to heal itself. About 8 percent of American adults and 3 percent of children, or 20 million Americans, used the therapy in 2006.

Herbal and dietary supplements: Natural supplements can be effective in preventing some diseases. Research is ongoing, but there is evidence that folic acid can prevent birth defects, calcium and Vitamin D can prevent bone loss, and zinc can slow the deterioration of vision. Around 17.7 million Americans in 2006 used natural products, including fish oil, Echinacea, flaxseed oil or pills, and ginseng.

Massage therapy: This ancient healing technique has been practiced in various forms around the world, including in India, China, Japan and Greece, where Hippocrates defined medicine as “the art of rubbing.” Today, massage therapy is used to treat sports injuries, reduce stress and pain, and to ease the symptoms of many diseases and the side effects of their treatments. About 18 million adults and 700,000 children used some sort of massage in 2006.

Meditation, tai chi and yoga: Western doctors are now realizing that the mind and the body are interconnected and that these diverse therapies can prevent falls, enhance balance and aid the body’s immune system. Meditation and other mind-body practices relieve the symptoms of many conditions, including headaches, hypertension and irritable bowel syndrome. About 20 million American adults and 725,000 children practiced some sort of meditation in 2006.

Reiki: A Japanese practice in which providers place their hands lightly on or just above the patient, with the goal of facilitating the patient’s own healing response. Used by people seeking relief from the symptoms and side effects of conventional medical treatment. About 1.2 million adults and 161,000 children tried the therapy in 2006.

SOURCES: The National Institutes of Health National Center for Complementary and Alternative Medicine

Arthritis, Acupuncture and Chinese Medicine

Filed under: Common Disease — Tags: , , — tcmpage @ 8:37 PM

Arthritis is not just 1 disease is a complex disease that includes more than 100 different conditions and can affect people at any stage of life. Two of the most common forms are osteoarthritis and rheumatoid arthritis. During these 2 very different forms of arthritis, causes, risk factors and their effects on the body, often share a symptom persistent joint pain.

Osteoarthritis (OA) is the most common form of arthritis in the United States and is estimated to affect 21 million adults. OA begins with the degradation of articular cartilage, causing pain and stiffness.

)Rheumatoid arthritis (RA can affect many different joints, and some people in other parts of the body, including blood, lungs and heart. Arthritis, diet, such as the synovium, can cause pain, stiffness, swelling, heat and redness. The public may also be affected lose their shape, resulting in the loss of normal movement. RA can last a long time and is a disease of flares (active symptoms) and remissions (few) have no symptoms.

The acupuncture points for treatment of arthritis in the whole body, not only directly affected by the region. During the acupuncture treatment may in small needles for the legs, arms, shoulders, and maybe even a little leg!

There seems little sensitivity to the integration of acupuncture needles. It is so thin that acupuncture needles can go more in the middle of a hypodermic needle. Sometimes there is a brief moment of discomfort when the needle penetrates the skin, but when the needles are there to relax and fall asleep, most people, even during treatment.

The length, number and frequency of treatment may vary. Typical applications last five to 30 minutes, with patients who received one or two times a week. Some signs of relief after the first treatment, while more serious or chronic illnesses require more frequent treatments.
There are many Chinese herbal medicine prescribed for arthritis. Acupuncturist will examine you, take a look at the start of their illness and learn the signs and symptoms to determine what herbs are best for you.

Remove dejection SSI (John Tang BI) - For joint pain increases with the cold and weight and may be accompanied by numbness in the extremities. Cinnamon Twig, Peony, and the dejection Anamerrhena (GUI Zhi Zhi Tang that SHOA mu) - For the swelling and joint pain, hot to the touch and worse at night.
Angelica pubescent and Sangjisheng dejection (Du Huo Ji Sheng Tang), together with - in serious and painful sensations at fixed locations in the middle and lower extremities due to weakness and stiffness.

Several studies have shown that acupuncture can help people with arthritis and autoimmune diseases.

In a Scandinavian study, 25 per cent of patients with rheumatoid arthritis, it canceled plans for the activity of knee surgery after an acupuncture treatment. In the study, researchers compared acupuncture with advice and exercise for the treatment of osteoarthritis of the hip. Thirty-two patients awaiting total hip replacement were divided into 2 groups. One group received 10 minutes and 25 minutes and five sessions of acupuncture and the other group received counseling and hip exercises for 6 weeks.

Patients were evaluated for pain and functional ability: Patients in the acupuncture group showed significant improvement, whereas no significant changes in the group, opinions and exercise therapy have been reported. The results of this study indicate that acupuncture is more effective than exercise and advice on the treatment of osteoarthritis of the hip.

Another study at the University of Maryland showed that the improvement of elderly patients with rheumatoid arthritis with pain in knee arthritis due to significant when acupuncture treatment recorded.

The randomized clinical trial conducted at the University of Maryland School of Medicine, to determine whether acupuncture is clinically safe and effective adjuvant therapy for older patients with knee osteoarthritis.

Acupuncture is added to conventional therapy produced an additional measure of pain relief;
It will be the effect of acupuncture for the past 4 weeks after treatment;
We acupuncture and side effects?

To increase even though no studies to continue the popularity of acupuncture for arthritis, because most people have significant relief of Oriental medicine without adverse side effects have been found by Western medicine.

Your diet plays a key role to prevent or manage arthritis. The first objective of a healthy diet to help lose weight if overweight. Obesity can lead to additional load on the joints.

The second form is a varied and balanced diet can help relieve arthritis pain by providing vitamins and minerals to keep your joints and prevent liquid foods such as dairy products and fatty or spicy foods.

If you have arthritis or knee pain or hip, vitamin C and vitamin D may help prevent bone and cartilage destruction. And a multivitamin can ensure that you always have the nutrition it needs.

Here are some other healthy (and tasty) choices in their diet.

Ginger - A natural anti-inflammatory, as a powder in capsules, extracts, alcohol-based extracts. Follow dosage instructions on the label. A bit of tea or a combination of half a teaspoon of grated ginger with eight ounces of boiling water. Drain cover and let stand for 10 to 15 minutes, and season to taste with honey.
Fresh pineapple - bromelain, an enzyme, pineapple, reduces inflammation. Make sure the pineapple is fresh, not canned or frozen.
Cherries - Recent research has shown that tart cherries are an excellent source of nutrients that can contribute to joint pain and inflammation, reduce the association of arthritis.
Fish - Cold water fish like salmon and mackerel contain omega-3 fatty acids that help healthy joints and reduce pain and swelling. If we consider a value for the fish to your diet with fish oil capsules as a supplement.
Turmeric - Another natural anti-inflammatory. For a piece of turmeric as a whole, the health food store, follow the dosage instructions on the label.

What are signs of swine flu?

Filed under: Common Disease — Tags: , , — tcmpage @ 8:25 PM

According to the CDC:
“The symptoms of 2009 H1N1 flu virus in people include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Some people may have vomiting and diarrhea. People may be infected with the flu, including 2009 H1N1 and have respiratory symptoms without a fever. Severe illnesses and deaths have occurred as a result of illness associated with this virus.”

Longer than that of regular seasonal influenza, the incubation period for swine flu is usually about 1-7 days. Try to seek medical treatment if you have symptoms like the following:

1. Clinical swine flu symptoms
Part of the patients’ condition can rapidly progress, with a sudden high fever of over 39 °C, and even secondary onset to severe pneumonia, acute respiratory distress syndrome, pulmonary hemorrhage, pleural effusion, pancytopenia, renal failure, sepsis, shock and Reye syndrome, respiratory failure and multiple organ damage, leading to death.

2. Swine flu signs
Pulmonary signs often are not so obvious, and some patients can be heard moist rales or present pulmonary consolidation and so on.

3. The prognosis of swine flu
The prognosis of human infection with swine flu subtype virus are favorable; while poor prognosis for those infected with H1N1 virus, case-fatality rate of about 6%.

4. Chest radiograph for swine flu
When combined with pneumonia lung, slice images can be seen. In serious cases, a wide range of slice images can be seen.

Swine Flu and Meditation

Filed under: H1N1, Swine Flu, meditation — Tags: , , , — tcmpage @ 8:16 PM

The mainstream media are now reporting the onset of a swine flu “emergency.” Yet controversy is raging over the safety and efficacy of the government-approved vaccine.

The strain known as H1N1 supposedly hits children and young people the hardest. The elderly are said to be similarly at risk. Deaths are being reported, as are shortages of vaccine at some locations.

Government officials are making the TV rounds, including Secretary of Health and Human Services Kathleen Sebelius, who says the vaccine is “safe and secure” and “right on target with an immune response.”

Yet Americans are deeply skeptical. According to a poll by AOL news, 61 percent say they do not plan to get the vaccine. Only 21 percent are “very worried” about the flu outbreak.

In fact the alliance between the federal government and the big pharmaceutical companies to push the H1N1 vaccine has ignited a populist revolt. The debate that is raging on Capitol Hill over national health care insurance had already exposed the health care industry as being far more concerned with profits than they are with people. H1N1 came along just in time to carry the revolt a step further.

An example of how the pharmaceutical industry is obsessed with the bottom line is shown by the difference in prices between proprietary medicines and their generic equivalents. A report by Life Extension magazine found that such well-known drugs as Celebrex, Lipitor, and Prozac had enormous mark-ups, topped by Xanaz, marked-up from 2.4 cents to $136.79 per 100 tablets!

No wonder many people are turning to alternative remedies, including improved nutrition or use of supplements such as vitamin C. To combat this, the government has gone on the attack, with the Food and Drug Administration and the Federal Trade Commission sending warning letters to over 140 product vendors. On the list is famed alternative healer Dr. Andrew Weil for statements on his website about his Immune Support Formula containing astragalus, an herbal mainstay of traditional Chinese medicine that is said to increase the body’s immune response.

Another natural preventive for flu and many other illnesses is simply to drink plenty of clean, filtered water, preferably fresh spring or well water, or water that has been ionized through an alkanization process. Recently the Natural News website published an interview done several years ago with a Dr. Batmanghelidj, who published extensive research that demonstrates how many illnesses for which doctors prescribe expensive and dangerous drugs are really caused by dehydration, including many diseases affecting the elderly. Click Here

One result of dehydration, for instance, is deterioration of the walls of blood vessels. In order to repair the damage, the body produces more cholesterol, which Dr. Barmanghelidj calls “a waterproof bandage” for the cardio-vascular system. Then, when this extra cholesterol shows up in blood tests, doctors prescribe powerful drugs like Lipitor which can have devastating side-effects. It would most likely be better simply to tell people to drink more water.

Finally, the enormous pressure being brought to bear on the population to take the H1N1 vaccine has added to a huge and growing controversy over whether vaccines are safe at all. An increasing number of commentators are linking the growing use of vaccines to what some call an epidemic of childhood autism and other neurological disorders. Recall that the swine flu scare of 1976 led to discontinuation of the vaccine back then when it caused a number of deaths and a surge in paralysis from Guillan-Barre syndrome.

See for instance, the work of Dr. Andrew Moulden of Canada, whose work has linked vaccines to a “sludging” effect in the tiniest blood vessels in the brain which may be related to onset of such diseases as dementia, multiple sclerosis, autism, and even schizophrenia, along with many childhood learning disabilities. Dr. Moulen has even suggested a possible link between the frequent administration of flu vaccines to the elderly and the onset of alzheimer’s. Click Here

But there is an even deeper problem with modern medicine, which is that it is almost completely materialistic in its assumptions and approach.

Modern medicine views disease as a mechanistic process, caused either by “germs,” chemical imbalances, or genetics. This leads to the assumption that for every illness, there is a physical cure, either by killing the offending micro-organism, restoring chemical balance through a pill, or cutting out the failed or offending body part by surgery.

The materialistic outlook has even taken over the practice of psychiatric medicine. If a person is depressed, disturbed, anxious, or unhappy, don’t look at the possible causes in that person’s outlook, environment, diet, habits, addictions, or value system. Just give them an anti-depressent or even an anti-psychotic. Never mind that these drugs may just suppress symptoms or even reduce the person to almost a vegetative state. On the surface, at least, they seem to be “getting better” or at least causing less trouble!

But in some circles, an entirely different world-view is emerging. We know, for instance, about the holistic approach to medicine that sees a person as not just a bundle of chemical reflexes but a complete human being with a mind, heart, body, and spirit, all of which need to work more or less in harmony for optimum health to result.

But how often is this knowledge really practiced by people day-in and day-out?

A whole new industry of holistic health practitioners has come into existence, including those who practice acupuntrure, acupressure, reiki, hypnosis, massage, and body-work, including yoga, tai-chi, qi-gong, etc.There is also a growing awareness that a regular practice of prayer and spiritual devotion also benefits the whole person, including the physical body.

The deepest of these holistic practices may in fact be meditation. Meditative or contemplative prayer is a central component of religious practice within both the Catholic and Orthodox faiths, and meditation is the central discipline of all lines of Buddhism. Yoga also includes meditation, and in some types of yogic practice is the core discipline.

Are people who meditate more healthy? I am not aware of any scientific studies, but based on my own experience with many different types of meditation which includes association with various groups, schools, and teachers of meditation, I would have to say they appear to be. Or at least they worry less about their physical health, take illness more in stride, and are able to recover faster when it occurs.

One thing is sure: long-term practice of meditation on a daily basis seems to raise the energy level of the body. This makes a difference because the body is like an energy-filled vessel. If this energy leaks through negative emotions, unnecessary physical tension, and the constant churning of the mind, the body will suffer a general state of depletion, which is bound to make it more susceptible to disease. It also makes a difference if one avoids much of the jarring imagery churned out by the mass media through violent and disturbing films, TV programming, video games, etc.

These health-related factors which have been understood by traditional societies for millennia are also starting to be realized by millions of ordinary people in every walk of life. Combined with a nutritious diet, physical exercise, positive relationships, and productive work, a rich inner life of prayer and meditation produces a multitude of benefits, not the least of which seems to be improved physical health and greater resistance to infections such as swine flu.

By Richard C. Cook, Global Research 10/25/2009

October 19, 2009

Chinese Herbal and Swine Flu

Filed under: H1N1, Herbal, News, Swine Flu — Tags: , , , , — tcmpage @ 1:07 PM

Yahoo Malaysia news reported that doctors at Ditan Hospital in Beijing claimed that a combination of various Chinese herbs had a 75 percent cure rate in the 117 patients treated there for swine flu.
http://malaysia.news.yahoo.com/bnm/20090723/tts-flu-herbs-993ba14.html

The government had allocated 10 million yuan (about $1.5 milliom US) to research treatment of swine flu using traditional Chinese medicine, including one study comparing results with Tamiflu treatment.

Doctors at Ditan Hospital first stared treating all patients with the antiviral drug, Tamiflu plus the herbal combination, but discontinued the Tamiflu for the non-critical patients within a month after determining that the herbal medication was effective by itself.

In the article, hospital spokesman Dr. Wang Yuguang, deputy dean of the Centre of Integrated Traditional and Western Medicine was quoted: “From our clinical tests and observation, the traditional method of treatment left no after effects and it is safe.” He added that the recovery period was shorter than in patients who received Tamiflu and the daily cost of the herbal remedy at about 12 yuan ($1.76 US) was lower as compared to Tamiflu treatment at 56 yuan ($8.20 US),

Wang would not reveal the actual herbs used, stating that the advantage of traditional Chinese medicine is that doctors can gear their herbal prescriptions to the specific patient’s condition. In his news briefing, he claimed that doctors at the hospital had recently used this approach with high-risk patients with good results. Given these findings, the Chinese government has apparently advised hospitals to use traditional treatment as a first line approach and resort to Western medicine only after Chinese medicine fails.

In the meantime, while 11 Chinese companies work on developing a swine flu vaccine to prevent the disease, Beijing Traditional Chinese Medicine Hospital has introduced an A/H1N1 swine flu prevention herbal medicine pack which, according to Jin Wei, Deputy Director of the hospital, contains seven small packs of four types of herbs in combination and taken mixed with hot water as a tea or used as mouthwash. Jin Wei said the pack could even cure mild cases of swine flu, but that if patients did not recover after taking the herbs for seven days, they were advised to go to the hospital for further treatment.

According to the news article, the combination of the herbs is as follows:

Lonicera Japonica Thund (honeysuckle flower)-3 grams,
Isatis Indigodica- 3 gms,
Mentha Haplocalyx Brip (mint).-3 gms
Glycyrrhiza Glabra(licorice)-3 gms.

These herbs are available in Chinese herbal medicine shops. It should be noted that a search of the scientific literature, the web and discussions with infectious disease colleagues did not produce a primary source for these claims, so the herbs and their doses reported in the news article may or may not be accurate.

What are these herbs and what do they purport to do?

Lonicera
Laboratory investigations of lonicera have mainly focused on demonstrating anti-inflammatory actions. In vitro and animal studies indicate antibacterial and antiviral activity (mainly tested for seasonal influenza). In traditional Chinese medicine it is used almost exclusively for prevention and treatment of the common cold and upper respiratory tract infections, sore throats and general flu-like symptoms

Isatis
Also known as Woad root, this herb is thought to have very broad anti-infection properties, which partly explains its repeated use in these formulas. It contains the dye indigo (a crude form is used as the Chinese medicinal substance qingdai), which has been used worldwide as an antimicrobial medicine.

Mentha
These are Chinese peppermints and were described by the Chinese as early as 470 AD in the Oriental Materia Medica as a treatment for fever, headaches, excessive tearing, sore throat, oral and skin lesions, rash, and toothache. The principal active constituents of mentha are the essential oils, which comprise about 1% of the herb. They dilate peripheral blood vessels, inducing perspiration and alleviating aching.

Glycyrrhiza Glabra (European licorice)
Therapeutic use of licorice dates back to the Roman Empire. Hippocrates (460BC) extolled its use as an expectorant and gas reliever. It is one of the most commonly used herbs in the Chinese Materia Medica and is traditionally said to “harmonize” a formula in Chinese medicine, acting as a guide drug to enhance the activity of other ingredients, reducing toxicity, as well as improving flavor. In Western medicine it is commonly found in cough medicines. Recognized side effects of prolonged use includes hypertension, water retention, sodium retention and loss of potassium.

The theory in traditional Chinese medicine is that rather than using a single herb or a single formulation to treat an infection like flu, a collection of herbs and formulas working together will produce a better response in the patient. Many of these formulations evaluated in large scale studies in China from the 1950s through the 1970s claimed to demonstrate preventive properties. These findings, which appeared in Chinese medical journals and books, were reviewed at the Institute for Traditional Medicine (ITM) in Oregon. In a 2006 report, Subhuti Dharmananda, PhD, Director of ITM, explained that “while there is insufficient proof from these studies that Chinese herbal therapies can cure or impede influenza because of problems in methodology and reporting, practitioners of Chinese medicine and their patients are convinced of the efficacy of this approach.”

Routine prescription of Chinese herbs for seasonal flu or other therapeutic applications continues to be limited primarily to those countries like China, Japan and Korea where traditional herbal medicine is officially recognized. In other countries, including the US, herbs are available mainly through the work of licensed acupuncturists, naturopaths, and other non-M.D. practitioners, as well as through direct marketing of products to consumers.

Although Chinese research has recently been tainted by allegations of widespread fraud,
there is clearly much to be learned from the potential use of herbs to treat various diseases including swine flu. As Americans turn more and more to alternative medicine, it will be critical to have good scientific data to document the safety and efficacy of herbal formulations. It is important to remember that herbs, though “natural” often have strong medicinal properties that may include dangerous side effects.
- Deborah Shlian Miami Health Care Examiner

October 15, 2009

Acupuncture and Arthritis _ Recent Research Findings

Filed under: Common Disease, Research, acupuncture — Tags: , , , — tcmpage @ 7:51 PM

ACUPUNCTURE FOR HIP AND KNEE ARTHRITIS
A large German trial has found that acupuncture is of significant benefit in controlling the pain of osteoarthritis of the hip and knee. Of 3633 patients, 357 were randomised to receive acupuncture (15 treatments over three months), 355 were randomised to a non-acupuncture control group, and 2921 did not accept randomisation and opted for acupuncture treatment. All patients received usual medical care in addition to acupuncture. The randomised acupuncture group showed significant improvement over controls at both three and six months in osteoarthritis severity (WOMAC scale) and quality of life. Improvements were comparable to those in the non randomised acupuncture group. The authors report that ” P h y s i c i a n c h a r a c t e r i s t i c s , s u c h a s t h e l e v e l o f f o r m a l a c u p u n c t u r e t r a i n i n g o r c e r t i f i c a t i o n , d i d n o t i n f l u e n c e t r e a t m e n t o u t c o m e s ” , although only 140 hours of certified training was a minimum requirement of participating physicians. Partly as a result of this trial, the German Ministry of Health is considering a recommendation from a federal committee of doctors and health insurers that acupuncture should be covered by medical insurance. (Acupuncture in patients with osteoarthritis of the knee or hip: A randomized, controlled trial with an additional nonrandomized arm. Arthritis & Rheumatism, 54; 11: 3485 – 3493).

ACUPUNCTURE & RHEUMATOID ARTHRITIS
A small study has demonstrated that acupuncture, and particularly electro-acupuncture, appears to be effective in reducing joint pain, stiffness and swelling in rheumatoid arthritis (RA). 36 patients, average age 58, suffering from RA that was unresponsive to other therapies, were assigned to three groups and received either electro-acupuncture, traditional acupuncture or ‘placebo acupuncture’. All received twenty treatments over ten weeks. The points used in the first two groups were Yangchi SJ-4, Waiguan SJ-5, Yangxi L.I.-5, Wangu SI-4, Dazhui DU-14 and Quchi L.I.-11. A total of 29 patients completed the study and most of the drop-outs (because of inefficacy) were in the placebo group. In both the acupuncture groups the number of tender joints and physician’s global scores were significantly reduced. (Efficacy of Traditional Chinese Acupuncture in the Treatment of Rheumatoid Arthritis (RA): A Double-blind Controlled Pilot Study. American College of Rheumatology Annual Scientific Meeting, November 2006).

ACUPUNCTURE & KNEE OSTEOARTHRITIS
Another German trial has shown a significant benefit for acupuncture treatment (in this case in the treatment of osteoarthritis of the knee), yet with no significant difference between true and sham acupuncture. In this large trial of 1007 patients (treated by 320 different practitioners in 315 primary care practices), who had had chronic pain from knee arthritis for over six months, a minimum 36% improvement was seen at 26 weeks (after ten acupuncture treatments) in 53.1% of true acupuncture patients, 51.0% of sham acupuncture patients and 29.1% for patients receiving conservative therapy (standard physician visits). This batch of German studies raises important questions for acupuncturists. While some attention has been focused on what might be the physiological effects of sham needling (usually very superficial insertion at non-points with no deqi), it is also necessary to examine the true acupuncture, and specifically how effectively practitioners succeeded in obtaining deqi, which was a necessary part of the true acupuncture protocol. (Acupuncture and Knee Osteoarthritis: A Three-Armed Randomized Trial, Annals of Internal Medicine, 4 July 2006).

ACUPUNCTURE EFFECTIVE FOR KNEE ARTHRITIS
In a study of the treatment of chronic arthritis of the knee, 150 patients were assigned to receive ‘true’ acupuncture, 76 to minimal acupuncture (superficial needling at non-acupuncture points) and 76 to a waiting list control. Both acupuncture groups received 12 treatment sessions over 8 weeks at 28 different outpatient centres. Patients completed standard questionnaires at 8, 26 and 52 weeks after onset of treatment. The study found that patients in both acupuncture groups improved compared to a waiting list group, but that those receiving true acupuncture suffered significantly less pain and joint dysfunction at 8 weeks than the sham acupuncture group. The difference was no longer significant, however, at 52 weeks. (The Lancet 2005; 366:136-143).

ACUPUNCTURE & KNEE ARTHRITIS
The longest and largest randomised, controlled phase III clinical trial of acupuncture ever conducted has found that acupuncture can significantly improve the symptoms of arthritis of the knee. The study of 570 patients was carried out at the University of Maryland School of Medicine. The patients were randomly assigned to receive 23 treatments of either true or sham (no actual insertion of needles) acupuncture or a 12-week knee osteoarthritis education course. At the end of the study, the true acupuncture group had the greatest reduction (40%) in knee pain and the greatest improvement (nearly 40%) in knee function. The study was funded by the National Center for Complementary and Alternative Medicine (NCCAM) and the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), both components of the US National Institutes of Health. “For the first time, a clinical trial with sufficient rigour, size, and duration has shown that acupuncture reduces the pain and functional impairment of osteoarthritis of the knee,” said Stephen E. Straus, NCCAM Director. “These results also indicate that acupuncture can serve as an effective addition to a standard regimen of care and improve quality of life for knee osteoarthritis sufferers. (Ann Intern Med, Dec 2004; 141: 901-910.)

ACUPUNCTURE & KNEE ARTHRITIS
In a separate Spanish study of the potential benefits of acupuncture in the treatment of knee osteoarthritis, 97 patients were randomly assigned to receive either acupuncture plus diclofenac, or placebo acupuncture plus diclofenac. The true acupuncture consisted of needling (followed by electroacupuncture at the local points) at Yanglingquan GB-34, Yinlingquan SP-9, Xiyan (MN-LE-16), Zusanli ST-36, Taixi KID-3, Sanyinjiao SP-6, Hegu L.I.-4 and Fenglong ST-40 (all with deqi). The placebo acupuncture was administered using retractable needles (with adhesive cylinders) at the same points, and sham electroacupuncture was also given. Both groups received twelve weekly treatments. At the end of the study, the true acupuncture group had a greater reduction in pain and stiffness, improved physical functioning, and an improved quality of life. (BMJ 2004;329:1216).ACUPUNCTURE FOR NECK PAIN
This very large German study compared the effects of fifteen acupuncture treatments over three months with no acupuncture in the treatment of chronic neck pain (longer than six months). 1753 patients were randomly allocated to receive acupuncture and 1698 to the non-acupuncture control group, and a further 10,395 patients rejected randomisation and elected to receive acupuncture. At the end of the three-month treatment period, chronic pain and disability scores and quality of life scores improved significantly in both acupuncture groups compared to controls, with no significant differences between the randomised and non-randomised acupuncture groups. (11th Annual Symposium on Complementary Health Care 2004).

ACUPUNCTURE FOR OSTEOARTHRITIS OF THE KNEE
30 patients with osteoarthritis of the knee were randomised to one of three groups: 1. acupuncture alone at Hegu L.I.-4, Xuehai SP-10, Xiyan (MN-LE-16), Yinlingquan SP-9, Yanglingquan GB-34, Zusanli ST-36, Taichong LIV-3, Weizhong BL-40 and Chengshan BL-57 (twice weekly treatment, obtaining of deqi, 10 treatments in total, using electro-acupuncture at most points); 2. identical acupuncture plus continuation of their symptomatic Western medication; 3. symptomatic medication alone for five weeks, followed by a course of acupuncture as above. Outcome measures (visual analogue pain scale/VAS and Western Ontario McMaster questionnaire/WOMAC) were administered by a blinded observer. Highly significant improvements in both measures were observed in the first two groups, and there was no change in the third group until they received acupuncture, when significant changes were observed. The benefits were maintained one month after the end of the course of acupuncture. (Acupuncture in Medicine 2004;22(1):14-22). In another study, 563 patients with arthritis of the knee (54% of 5-10 year duration; 23% more than 10 years) were treated with acupuncture for a maximum of 15 sessions, with treatment cessation if no improvement was noted after three treatments (these patients were included in the study results). Of the 85% of patients who completed treatment (standard points and additional points according to TCM pattern, with deqi, average 8.9 sessions per patient), 75% experienced a greater than 45% relief in pain scores. There was a significant difference in quantity of analgesics taken at completion of treatment (most of the 45% pain-relief responders ceased medication entirely). Cost analysis showed a reduction from a mean of .91 euros a day before treatment, to .18 euros a day after treatment, representing a daily saving of 349.50 euros a day for the 478 patients who stayed in the study. (Acupuncture in Medicine 2004;22(1):23-28).

LEI GONG TENG & RA
A root extract of Lei Gong Teng (Tripterygium Wilfordii Hook) has been shown to safely and effectively reduce pain and inflammation in a randomised, double-blind, placebo-controlled trial of a small group of people with treatment-resistant rheumatoid arthritis (RA). In the 20-week clinical trial, 21 RA patients were randomly assigned to one of three treatment groups: placebo, low-dose extract, or high-dose extract. After four weeks, 80% of patients in the high-dose group and 40% in the low-dose group showed rapid improvement in symptoms compared with no improvement in the placebo group. Side effects were minor for all three treatment groups. According to the researchers Lei Gong Teng is unique, because it slows down the overactive immune system, reduces inflammation by turning off inflammatory genes such as tumour necrosis factor alpha, and reduces the activity of B and T cells. It has the potential to treat other immune diseases such as lupus, and further studies are planned. The extraction process used in the trial transforms the otherwise toxic Lei Gong Teng. (Arthritis & Rheumatism 2002;46(7):1735-43). Meanwhile Fujisawa Pharmaceutical, the Japanese company who manufacture Prograf, a prescription medicine used to prevent the immune system from rejecting transplants, has entered into collaboration with Pharmagenesis, the US company which develops pharmaceuticals derived from Chinese herbal medicines, to explore triptolide derivatives, novel and potent immunosuppressants created by Pharmagenesis from Lei Gong Teng. Triptolide and its derivatives inhibit cytokine production in T cells through a different mechanism of action from Prograf and are expected to be effective in prevention of acute and chronic rejection for patients undergoing organ transplants.

ACUPUNCTURE & KNEE OSTEOARTHRITIS
60 patients on a waiting list for total knee replacement were randomly divided into two groups. 30 received “medical acupuncture” using one inch needles inserted “deeply” at Yinlingquan SP-9, Xuehai SP-10, Liangqiu ST 34, Zusanli ST-36 and Hegu L.I.-4. The needles were manipulated manually 4 times during a 15 minute retention and patients received a total of 6 weekly treatments. The 30 patients in the control group received no treatment. At a 2-month follow up, scores for the time to walk 50 metres and the time to climb 20 steps fell significantly in the acupuncture group compared to the control, as did pain scores, whilst HSS knee scores - which gives marks for pain, functional ability, range of motion, muscle strength, flexion deformity and knee stability - improved significantly in the acupuncture group. Scores for all measures deteriorated in the non-treatment group. 3 patients in the acupuncture group requested suspension from the waiting list due to the improvement in their symptoms. (Acupunct Med 2002; 20(1): 19-21).

ACUPUNCTURE & OSTEOARTHRITIS OF THE KNEE
44 patents with advanced osteoarthritis of the knee who were awaiting total knee joint replacements were given acupuncture either on the most affected knee only, or on both knees. Points needled were Yinlingquan SP-9, Xuehai SP-10, Liangqiu ST-34, Zusanli ST-36 and Hegu L.I.-4. Results showed a significant reduction in symptoms in both groups with no signficant dfference between the two groups, suggesting hat unilateral acupuncture is as effective as bilateral acupuncture for this condition. (Acupuncture in Medicine 2001;19(1):15-18).

OSTEOARTHRITIC HYPEROSTOSIS
It is estimated that the majority of the over-50’s in the USA have osteoarthritic bony hypertrophy (osteophytes), with the disease present in 90% of 80-year olds. In a study carried out at Guangzhou Hospital of TCM, 183 patients were treated by warm needling (Shenshu BL-23, Pangguangshu BL-28, Yaoyangguan DU-3 plus Weizhong BL-40 for cold-damp type and Taixi KID-3 for Kidney deficient type) followed by cupping to the lumbo-sacral area. After treatment, although x-rays showed no change to the degree of bony malformation, the symptoms of 48% of patients were cured and 50% were improved (American Journal of Acupuncture Vol.24, No.1).

Researches about Acupuncture and Osteoarthritis

ACUPUNCTURE IMPROVES SYMPTOMS OF KNEE OSTEOARTHRITIS
A blinded randomised trial of acupuncture has compared the effect of acupuncture with that of a non-penetrating sham in patients with osteoarthritic knee pain. Sixty-eight acupuncture naïve patients with symptomatic and radiological evidence of osteoarthritis of the knee were randomly allocated to a course of either acupuncture or non-penetrating sham acupuncture using a sheathed ‘placebo’ needle. Acupuncture points for pain and stiffness were selected according to TCM acupuncture theory for treating Bi syndrome. Both manual and electrical stimulation were used. Response was assessed using the WOMAC index for osteoarthritis of the knee. Comparison between the two treatment groups found a significantly greater improvement with acupuncture than with sham. Within the acupuncture group there was a significant improvement in pain, which was not seen by those who had sham acupuncture. One month after treatment, the between-group pain difference had been lost, although the acupuncture group still experienced benefit compared with baseline. (A blinded randomised trial of acupuncture (manual and electroacupuncture) compared with a non-penetrating sham for the symptoms of osteoarthritis of the knee. Acupunct Med. 2008 Jun;26(2):69-78.)

ACUPUNCTURE EFFECTIVE FOR KNEE OSTEOARTHRITIS
A review, carried out by American researchers, of ten randomised, controlled trials (1456 participants) of acupuncture for osteoarthritis of the knee have concluded that it is an effective treatment for the pain and physical dysfunction caused by the condition. (Acupuncture and osteoarthritis of the knee: a review of randomized, controlled trials. Fam Community Health. 2008 Jul-Sep;31(3):247-54).

ACUPUNCTURE FOR OSTEOARTHRITIS OF THE KNEE
A meta-analysis by American researchers has evaluated the effects of acupuncture in the treatment of knee osteoarthritis (OA). Biomedical databases were searched for randomised controlled trials (RCTs), longer than six weeks in duration, which compared needle acupuncture with sham, usual care, or a waiting list control group. Eleven trials met the selection criteria and nine reported sufficient data for pooling. Compared with patients in waiting list control groups, patients who received acupuncture reported clinically relevant short-term improvements in pain and function. They also reported clinically relevant short- and long-term improvements in pain and function, when compared with patients in usual care control groups. Compared with sham control, acupuncture was found to provide clinically irrelevant short-term improvements in pain and function and clinically irrelevant long-term improvements in pain and function. The authors blame the variability of acupuncture and sham protocols, patient samples and settings for the heterogeneity displayed by the results of sham controlled trials. They also suggest that some of the clinically relevant benefits of acupuncture may be due to placebo or expectation effects. (Meta-analysis: acupuncture for osteoarthritis of the knee. Ann Intern Med. 2007 Jun 19;146(12):868-77.)

OPTIMAL ACUPUNCTURE FOR KNEE OSTEOARTHRITIS
A review of recent research into acupuncture treatment for osteoarthritis (OA) of the knee explores whether any aspects of treatment are more likely to be associated with good outcomes. Based on their evaluation of four recent randomised controlled trials (RCTs) and a systematic review (which included 13 RCTs), the authors speculate that optimal results from acupuncture treatment for OA of the knee may involve: climatic factors (particularly high temperature); high patient expectation; use of a minimum of four needles; use of electroacupuncture (rather than manual acupuncture), in particular, use of strong electrical stimulation to needles placed in muscle; and a course of at least 10 treatments. (Evidence from RCTs on optimal acupuncture treatment for knee osteoarthritis-an exploratory review. Acupunct Med. 2007 Jun;25(1-2):29-35).

ACUPUNCTURE COST-EFFECTIVE FOR OSTEOARTHRITIS
Analysis of the results of a large German randomised, controlled trial (RCT) has led to the conclusion that acupuncture can be a cost-effective adjunctive treatment for chronic osteoarthritis pain. Acupuncture treatment plus routine care was evaluated against routine care alone in 418 cases of chronic pain due to osteoarthritis of the knee or hip, using health insurance providers’ data and standardised questionnaires. Patients receiving acupuncture had an improved QoL associated with significantly higher costs over the three-month treatment period, compared with routine care alone. However, having performed a cost-effectiveness calculation, based on calculating quality-life adjusted years (QALYs) the authors concluded that acupuncture was a cost-effective treatment strategy in this patient group, with female patients achieving a better cost-effectiveness ratio than men. (Quality of life and cost-effectiveness of acupuncture treatment in patients with osteoarthritis pain. Eur J Health Econ. 2007 Jul 19; [Epub ahead of print]).

Research Findings about Tai Chi and Arthritis

Filed under: Qi-Gong, Research, Tai Chi — Tags: , , , — tcmpage @ 7:44 PM

TAI CHI FOR RHEUMATOID ARTHRITIS
Tai chi appears to be safe and may be beneficial for rheumatoid arthritis (RA). Twenty patients with RA were randomly assigned to tai chi or attention control in twice-weekly sessions for 12 weeks. At 12 weeks, 50% of patients randomized to tai chi achieved a 20% response measured on the American College of Rheumatology (ACR) 20 response criterion, compared with 0% in the control. Those practicing tai chi also showed greater improvement in disability index, vitality and depression index. Similar trends in improvement were also observed for disease activity, functional capacity and health-related quality of life. (Tai Chi improves pain and functional status in adults with rheumatoid arthritis: results of a pilot single-blinded randomized controlled trial. Med Sport Sci. 2008;52:218-29).

TAI CHI AND OSTEOARTHRITIS
South Korean research has shown that (Sun-style) tai chi is effective in alleviating several symptoms of osteoarthritis. 43 middle-aged women who had been diagnosed with osteoarthritis were randomised to participate in 20-minute tai chi sessions at least 3 times a week for a 12-week period, or to serve as controls. At the end of the study, the women in the tai chi group reported significantly less pain and stiffness in their joints and improved overall physical functioning. No changes were observed in the control group. Women in the tai chi group also showed significant improvement in balance and abdominal muscle strength. (J Rheumatol 2003;30:2039-44).

Some Researches about Acupuncture and Fibromyalgia

Filed under: Common Disease, Research — Tags: , , — tcmpage @ 7:39 PM

ACUPUNCTURE EFFECTIVE FOR FIBROMYALGIA
Two studies have demonstrated benefit from acupuncture in the treatment of fibromyalgia. In the first, published in Alternative Therapies in Health and Medicine, 21 patients completed the study. All received 16 treatments over eight weeks, alternating points on the back with points on the front of the body. The Fibromyalgia Impact Scores (twenty questions designed to assess how fibromyalgia affects physical and emotional functioning and quality of life) fell from a mean of 53.6 prior to treatment to 38.9 after the first month and to 30.5 at the end of the second month of treatment. (Effectiveness of acupuncture in the treatment of fibromyalgia. Alternative Therapies in Health and Medicine 2006;12(2):34-41). In the second, a Mayo Clinic prospective, partially blinded, controlled, randomised clinical trial found acupuncture to be more effective than sham acupuncture in the treatment of fibromyalgia symptoms. Total fibromyalgia symptoms were significantly improved in the true acupuncture compared to the sham controls, with the greatest improvements in symptoms of fatigue and anxiety. (Mayo Clin Proc. 2006;81(6):749-757).

ACUPUNCTURE PASSES THE FIBROMYALGIA TEST
Fibromyalgia patients treated with six sessions of acupuncture experienced significant symptomatic improvement compared to a group given sham acupuncture. 50 patients with moderate to severe, recalcitrant fibromyalgia, for whom other symptom-relief treatments were ineffective, were randomly assigned to receive acupuncture or sham acupuncture (neither group knew which), administered in six sessions over two to three weeks. Patients receiving true acupuncture experienced significantly greater relief of pain, fatigue and anxiety than the sham acupuncture patients, with the greatest improvement showing one month after the end of treatment but reverting to baseline levels at a seven-month follow-up. (The International Association for the Study of Pain 11th World Congress on Pain, Sydney, Australia).

ACUPUNCTURE & FIBROMYALGIA
Fibromyalgia is a chronic painful musculoskeletal syndrome of unknown aetiology, characterised by generalised pains in the connective tissues of the body and specific area of knotted muscle fibre - called “trigger points” – which are especially painful. It is generally treated with a combination of analgesics and vigorous massage. A recent review of the literature on the treatment of fibromyalgia using acupuncture showed improvements in the myalgic index, in the number of trigger points, and in quality of life for the patients. (Current Pain Headache Report 2002;6(5):379-83)

October 14, 2009

Traditional Chinese Herbs May Help People at High Risk of Diabetes

Filed under: General TCM, Herbal — Tags: , , — tcmpage @ 8:48 PM

A number of traditional Chinese herbs may help control blood sugar levels in people at high risk of diabetes, a new research review suggests.

The review, which examined 16 clinical trials of 15 different herbal formulations, found that the herbs generally helped lower blood sugar levels in people with “pre-diabetes” — those with impaired blood-sugar control that can progress to full-blown type 2 diabetes.

When the researchers pooled data from eight of the studies, they found that adding an herbal remedy to lifestyle changes doubled the likelihood of participants’ blood sugar levels returning to normal.

What’s more, people using the remedies were two-thirds less likely to progress to diabetes during the studies, which ran for an average of nine months.

The findings appear in the Cochrane Library, which is published by the Cochrane Collaboration, an international organization that evaluates medical research.

The results, say the researchers, are “quite promising.” However, they also stress that the studies had shortcomings in their methods that make it hard to draw firm conclusions.

There are a lot of herbal medicine products on the shelves, but few have been subjected to a rigorous trial,” lead researcher Suzanne J. Grant, of the Center for Complementary Medicine Research at the University of Western Sydney, in Australia, told Reuters Health in an email.

Many of the trials her team examined, she explained, had a “high risk of bias” that can overestimate the effects of the treatments.

The gold standard for proving a treatment’s efficacy is a clinical trial where participants are randomly assigned to receive either the real treatment or a placebo, with both the researchers and participants unaware of who is taking the real drug.

Grant’s team found that those processes were often absent or not clearly detailed in the trials they reviewed.

Older Posts »

Powered by WordPress