Research
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Author: Jorge Intal, Ph.D.
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Objective: To describe the design of a study to gather quantitative data and qualitative observations regarding the effect of an integrative oncology intervention of individualized Chinese medical formulas in conjunction with adjuvant chemotherapy on measures of quality of life (QoL) in women with stage II breast cancer. To integrate distinct forms of research methodology to cultivate a deeper understanding of this disease and patterns thereof, individualized interventions, and the process of healing. To merge objective conventional methods into the traditional, subjective clinical foundations of Chinese medicine (CM) rather than attempting to apply Western approaches to understand/evaluate the scientific merits of Chinese medicine. To propose an integrated research model that allows for pathophysiologic pattern-based differentiation and individualized interventions, and that may represent the complexities of clinical practice within the context of Chinese medicine and healing. Methods: A randomized, cross-over trial is described using the CM intervention with chemotherapy of eligible female subjects reporting outcomes on: 1) the FACT-B (Functional Assessment of Cancer Therapy); 2) the MOS SF-36 (Medical Outcomes Study 36-item Short Form Health Status Survey); and 3) a qualitative Chinese medical case study of each participant. Eligible women with stage II breast cancer according to the TNM Classification of Malignant Tumors cancer staging system, beginning adjuvant chemotherapy will be randomly assigned to four groups. After randomization, each group will undergo the 32-week observational study: sixteen weeks of individualized CM therapy with chemotherapy; and sixteen weeks without the CM therapy (chemotherapy only). Results: (1) The therapeutic intervention of utilizing individually modified formulas of Chinese medicine based on the pathophysiologic pattern-based clinical practice of Chinese medicine is a viable, critically important approach to clinical research. Utilizing individualized treatment strategies based upon Chinese medical patterns and treatment principles (rather than standardized interventions) are of tremendous value within the context of integrative clinical investigation emphasizing holistic perspectives of medicine and healing. (2) If constructed effectively, multi-method research designs merging diverse aspects (e.g., of quantitative and qualitative, objective and subjective, biomedical and holistic, and modern and traditional methods) offer highly innovative, groundbreaking approaches for the field of integrative medicine. Such multi-method approaches should not comprise the rigors of scientific investigation or the integrity of holism. On the contrary, multi-method research may become the means to enhance scientific rigor and to encompass a breadth and depth of human experience that includes the body, mind and spirit. Accordingly, combinations of appropriate methodologies may provide comprehensive knowledge and understanding toward a more integrative, humanistic medicine. (3) This project illuminates further the significance of the prevention and early treatment of various Chinese medical patterns associated with early-stage breast carcinoma. Therefore, it is imperative that women be presented with appropriate treatment options according to their pathophysiologic patterns as early as possible (rather than to await further disease progression and consequently decide among more limited possibilities). (4) As an investigative endeavor that is closely tied to the clinical practice of humanism in Chinese medicine, this project serves to enhance fundamental qualities of life experienced by the individuals of this population. Conclusion: There are infinite possibilities in pursing integrative research within traditional frameworks. Accordingly, within integrative investigation, holism need not be lost or diluted in order to co-exist with or be evaluated by Western approaches. Despite serious limitations to this study, future studies may further expand upon the use of multi-method approaches within traditional frameworks. Even though the case study or clinical narrative may remain as among the most meaningful means for inquiry within the field of Chinese medicine, there are various methodologies (and combinations thereof) that may well serve investigations of holistic approaches to Chinese medicine. Therefore, it is not necessary to choose Western methodologic approaches to the exclusion of more traditional ones or vice versa. Moreover, the use of multiple diverse methods shall become the future of integrative medical research as it equips researchers of integrative medicine with powerful tools and methods to continue to explore and uncover the mysteries of the world of medicine and the human experience.
Author: Seiff-Mendelson, Eleonor (L.Ac)
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Objective: To review, summarize and analyze literature in relation to the effects of acupuncture and its affiliated modalities (moxibustion and acupressure/massage) on glucose metabolism and type 2 diabetes complications and to point for future research directions. Methods: A systemic literature review of acupuncture modalities which were translated to English or originally published in English since 2000 to date, were retrieved from English-Language databases and Chinese medical journals. Only studies related to human subjects were included in this review. Results: 45 studies were located. Of these, only 25 met the inclusion criteria. All studies reported of statistically significant effect on lowering glucose levels of participants but the there was no follow up to indicate how long these effects lasted. All studies also reported of improvement in patients symptoms. There was no evidence of any adverse effect of acupuncture on glucose metabolism or the treatment of type 2 diabetes complications. Most of the studies were of short duration, but had adequate sample size. Almost all studies included a control group. Conclusion: The findings presented here provided grounds for cautious optimism in considering the potential role of acupuncture for diabetes management. Acupuncture was demonstrated to have beneficial effects on some of the metabolic risk factors for type II diabetes as well as its complications. However, the overall poor quality of reporting in the controlled trials requires further investigation of well designed trials.
Author: So, Calvin (LAc.)
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Author: Fu, Heidi (RN, LAc. MBA)
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Author: Tran, Loanne (L.Ac)
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Objective: This literature review aspire to bring into light the potential benefits of acupuncture treatments in cancer-related symptoms; improving quality of life and enhance routine oncology care. It aims to familiarize physicians the workings of acupuncture as a part of a larger ancient art of healing, Traditional Chinese Medicine. Methods: Review of over 50 research papers existing from late 1990’s to present employing PUBMED, JEJM, JAMA, and researches conducted by government organizations. Quantitative studies include mainly randomized controlled trials to increase level of evidence. Results: Acupuncture reduces cancer pain, boosts immune system, reduces nausea/emesis, potentiates conventional medicine, and benefits many other cancer-related symptoms. Conclusion: Acupuncture’s role in cancer care is effective and beneficial.
Author: Lan, Sheng-wei (L.Ac)
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Objective: This study design aims to gather preliminary data pertaining to the efficacy of an integrative intervention using Tai Ji Fan exercise and individualized TCM formulations with conventional western medicine of type 2 diabetes. As a research effort that is closely linked to the clinical TCM practice, this study serves to improve basic qualities of life experienced by the type 2 diabetic patients. Methods: This study was designed and conducted with a complimentary TCM consultations and prescription of Tai Ji Fan exercise along with TCM formulations and conventional western medicine for research purpose. Study was conducted at Great Compassion Healing Center in Berkeley, California with total of 120 participants divided in two groups spanning over 12 weeks. Study investigated the changes in the blood glucose levels and major TCM symptoms improvements in response to the prescription Tai Ji Fan exercise. Results: The susceptibility of the metabolic response to exercise amazed biochemists for years. The prescription of Tai Ji Fan exercise for treatment and management of type 2 diabetes improves glucose level on fasting and postprandial blood glucose results. Conclusion: Tai Ji Fan exercise can potentially treat and manage type 2 diabetes in a non-medical way and significantly reduce the risk of long term implications.
Author: Jeffrey Na, L.Ac.
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Objectives: The goal of this paper is to narrate the school of thought on the Positive Five Elements during the Ming and Qing dynasties and present its concepts through "Fu Qing Zu Nu Ke", a book on Chinese medicine and clinical practice. Based on this new style of application for diagnosis and treatment in Chinese medicine, I will analyze the relationship between the theory of diagnostic treatment and the characteristics of different Chinese herbs. Methods: To apply the concept of Positive Five Elements, which include generating and controlling; sequences in transformation; insulting, opposing and harming relationships; flourishing and restricting periods of earthly branches and heavenly stems(see Appendix, table 2-1,2-2,2-3). I will use these terms to analyze the main gynecological disorders described in the “Fu Qing Zu Nu Ke” (e.g. leucorrhea, metrorrhagia & metro taxis, menstruation, and infertility) and the prescriptions for treatment. All the amounts in the prescription will also analyzed by Chow I’s imageology and numerology Results: Because the theory of Positive Five Element matches very similarly with the natural environment and the treatment of “Fu Qing Zu Nu Ke” is also based on the principle of nature, therefore, the analysis will sufficiently show a close fittingness between them and demonstrate the core principal of the Positive Five Elements. According to the treatment of symptoms in "Fu Qing Zu Nu Ke", it reflects the relationship between symptoms and the herbs, the relationship of sufficiency or insufficiency of the Five Elements. For example, the herbs with the “earth” property could make the element of “fire” disperse, bury the “metal” element, and also enhance the “wood” element; the “metal” herbs can enhance (produce) “water” element, extinguish “fire” element, and also regulate the “wood” element; the “fire” herbs could help stomach & pancreas as middle soil (“earth”), save yang deficiency, warm the lungs, disseminate cold, stop pain, and invigorate blood. Generally speaking, the cold symptoms won’t utilize “metal” or “water” elements; the symptoms are always treated by with the “wood”, “fire”, and “earth” elements. And similarly, the symptoms of heat should not be treated with “wood” and “fire” elements but with “earth”, “metal”, and “water” elements instead. All these results prove that the theory of Positive Five Elements is not only used for analysis, diagnosis, and treatment, but it also provides a research foundation for an extended application in TCM. Conclusion: According to the discussion and the result, we can have four conclusion listed below:1) The well-known masters of history were not aware of the new, contemporary developments of Positive Five Elements, but they understand I-Ching, and focus on “learn from the nature” and, subsequently, “unite with nature” as their greatest goal. This means their school of thought is also compliant with the late concepts of Positive Five Elements. It is also properly to analysis the prescription in famous “Shanghan Lun” by the principle of this theory.2) When analyzing the application of herbs in the article, the Positive Five Element is categorized by ways of comparing the taste and function of herbs with the Ten Heavenly Stems. This approach is different from the earlier classifications by Tao Hong Jing and Huang Yuan Yu. The book of “Fu Xing Jue”, written by Tao, categorizes by the taste of subjective authorization and channelization. The books of “Changsha Yao Jie” and “YuQiu Yao Jie”, written by Huang Yuan Yu, are categorized merely by the way of channelization. To compare the ways done with the masters, the Positive Five Element methods are more meaningful in the application field.Key points: Positive Five Elements, Fu Qing Zu Nu Ke, Analysis of Diagnosis 3) The records of Five Elements category in “Huang di Nei Jing” and “Fu Xing Jue” is quite different. From the author’s point of view, both of these books are not perfect, since they lack the objective comparison to decide which taste belongs to which element. One can find a detailed comparison in the chapter of “Chinese Herbs Category of Five Elements” in my book, “Yi Hai Shi Yuan”. To ensure proper comparison, it is more appropriate to apply the herbs’ features into the diagnosis and treatment.4) The dosage application in “Fu Qing Zu Nu Ke” is obviously using I’s imageology and numerology to present the feature of Five Elements of herbs. The treatment process is also compliant with the same principle. From this point, we can tell that the knowledge of I is already an integral part of the author’s clinical experience.By the framework of the analysis, we may expect more application of the Five Elements into TCM and expanded into clinical practice. We may explore more of the unspoken essence of the ancient and walk down a new broad way for TCM.Key Words: Positive Five Elements, Fu Qing Zu Nu Ke, Analysis of Diagnosis
Author: Julie Zhu n
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Objectives: Eight Extraordinary Channels and the eight convergent acu-points is an important part of the channels system and especial acupuncture points. The great majority of these vessels branch out from the twelve primary channels and sharing the function of circulating Qi throughout the body, from a web of complex interconnections with the primary channels. Each of these channels has a distinct course which facilitates the functional relationships among the primary channels. At the same time, each has its own functional characteristics and clinical utility independent of the primary channels. We studied it from different points of view, such as its etiology, target diseases, symptoms of differentiations and so on. Our research aims to obtain some new knowledge and inspiration on both academic and clinic.Methods:Modern methods were combined with traditional ones. A lot of the ancient and traditional books, modern books and medical magazines, and modern journals were used, with statistical software packages, such as Microsoft Excel and Visio and so on were used to classify and graph these data. We hope to express information concisely. Results:Each of the eight extraordinary Channels has a meeting point on the upper and lower limb. Although it is true that not all of the Eight convergent acupuncture points are related extraordinary Channels circulate extensively through the limbs, nevertheless each is indirectly linked through its ‘meeting’ with one of the twelve Primary channels. These points are utilized in accordance with the symptomatology of the eight extraordinary Channels. Ordinarily, a meeting point on the upper limb is combined with a related meeting point on the lower limb.The eight extraordinary points are named gongsun, neiguan, linqi, waiguan, houxi, shenmai, lieque, zhaohai all the points locate the position under the elbow and ankle. These points treat the extra ordinary’s diseases and although can treat internal and external diseases too. Ancient doctors, such as Songzihua, Douhanqing, Liuchen, Xufeng, Gaowu, Yangjichou act. They do lot research that “How Eight Extraordinary Channels and the eight convergent acupuncture points meeting together and how used these points”. Conclusion:The eight extraordinary points, four are Luo-connecting points, two are Shu-stream points, and tow starting points. The tow starting points which connecting with the Conception and penetrating vessels, the both two pair points used to treat gynecology diseases, and tonify qi and nourish blood, regulate the Conception and penetrating vessels, adjusting yin and yang balance. Key words: Eight Miscellaneous channels, Eight Extraordinay points, effects and indications, clinical application, literature analysis
Author: Hsu, Chun-Hua (OMD)
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Objective: 「Ling Gui Zhu Gan Tang」 is an important formula of Zhong Jing,Zhang, it has been used extensively, We studied it from different points of view, such as its etiology, target diseases, symptoms and so on. Our research aims to obtain some new knowledge and inspiration on both academic and clinic. Methods: Modern methods were combined with traditional ones. Computers were used to search for ancient books and records, modern journals, then, statistical software packages, such as Microsoft Excel and Visio and so on were used to classify and graph these data. We hope to express information concisely. Results: This formula was recorded in seven classified catalogues, and it is appearance 113 times in eighty- seven books. From 1994 to 2009, in China Journal Full-text Database, there are 204 articles related to「Ling Gui Zhu Gan Tang」. It was classified by (ICD-9-CM), obtain cases 3875, 898(23titles) have contrasted, including diseases of the circulatory system 982 cases, diseases of the nervous system and sense organs 972 cases. Medical Magazine of Taiwan there are three materials, one titled 「Ling Gui Zhu Gan Tang」and two with the same keyword. PubMed there are two materials with the keyword which is「Ling Gui Zhu Gan Tang」. Shenzhen National Central Library there are six materials search results. Conclusion: 「Ling Gui Zhu Gan Tang」was used for treating the dampness and phlegm disease mainly in the past, but now it is existed in high qualitative modern life. Following development of technology, life standard and medicine, diseases are different from old days, but the mechanics of the disease is actually unanimous. Keyword: Ling Gui Zhu Gan Tang,phlegm.
Author: Charlie Yao-Ning Chuang
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Objective:Many studies have been done on the treatment of fibromyalgia syndrome using Chinese Medicine and Acupuncture, but rarely find using Shang Han Lun classic in research as the basis of discussion for fibromyalgia treatment. This research paper is to organize logical methods and clinical guidelines found in Shang Han Lun classic for treatment of fibromyalgia.Methods:Search and review relative literature and publications, and understand existing Chinese Medicine and Acupuncture versus Western medical treatments for fibromyalgia. Further analyze Shang Han Lun classic clauses by concluding the possibilities of the treatment of fibromyalgia. Results:Obtained 5 represented collective randomized controlled trials, (RCTs), and reviewed existing literature and publications on the overview of fibromyalgia. Some search results shown Chinese Medicine and Acupuncture provides effective treatment for the management of FMS, and some not suggested. Further, there are studies indicated that integrative East-West medical treatment could have better results; or incorporate multidisciplinary approach such as, aerobic exercises, mild weight training, relaxation and meditation practice, patience education, and cognitive behavioral therapy all can help and lead to effective results in treatment of fibromyalgia. Few studies and the inconsistent results provide limited evidence for clinical practice.Conclusion:Analyze and discuss the probable treatment of fibromyalgia from perspective of body-wide pain in Shang Han Lun classic clauses; thus, to research the corresponding formula and syndrome with specific characteristics in treatment of fibromyalgia. Summarize the experiences of professors, especially from Professor Hu Xi Shu’s academic perspective based on the framework of Shang Han Lun classic, and also organize the clinical application in the direction of corresponding formula and syndromes. Further, consider related syndromes with body constitutions, and formula with symptoms. Theoretical analysis and discussion in classic formula for treatment of fibromyalgia finds raising the vitality or vital-qi with overall body management should be the key focus in fibromyalgia treatment. The main formula group to be considered in the protocol of fibromyalgia treatment can be Cinnamon (GuiZhi) Family/CinnamomiRamulusor Ephedra (Ma Huang) Family/EphedraeHerba. Bupleurum (Chai Hu) Family/Bupleuri Radix can be prscribed for symptoms associated with fibromyalgia; and Aconite accessory root (Fu Zi) family/Aconiti Radix lateralispreparata can be prescribed for severe cold and dampness symptoms.Key Words:Fibromyalgia, Shang Han Lun, chronic widespread pain, body-wide pain, Traditional Chinese Medicine (TCM), classic formula
Author: Cappa, Ann Tung (L.Ac)
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Author: Robert Yizhong Yao
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Objective:The constitution theory of “Medicinal Man” of Chinese medicine proposed by Huang Huang has been successfully used in clinical practice. Since there is high percentage of “Ban Xia Constitution” population , the author did following research to try to clarify the definitions of “Ban Xia Constitution”; “Ban Xia Indication (Ban Xia Syndrome)”; “Ban Xia Formulas’ Indications (Ban Xia Formulas’ Syndrome)”. Additionally , the author creatively developed a “Ban Xia Tree Model” to dimensionally explain the above definitions and their relationships for enhancement of accuracy of clinical reasoning . To benefit the clinical practice, the differential diagnosis of Ban Xia Constitution, mixed Ban Xia constitutions and genetic basis of Ban Xia Constitution were discussed in the paper. Methods:1. Modern literature study using CNKI, Cqvip, Wanfang Data. 2. Classic literature research. 3. Research on Huang Huang’s works on classic formulas. 4. “Ban Xia Tree” a theoretical model created by author was used.Results:1. About “Ban Xia Constitution”: “Ban Xia Constitution” is a relatively stable characteristics of human being and high percentage of populations belong to “Ban Xia Constitution”. They are characterized by following 5 features: 1) appearance: well nourished, slightly overweight, large and vivid eyes. 2) psychological status: tend to be nervous, suspicious, easily to be scared. 3) tongue: normal or thick or slippery coating 4) pulse: normal or slippery pulse 5) abnormal tendency of: strange symptoms ; nausea、vomiting; paresthesia in throat; cough、sputum、palpitation; dizziness; insomnia; paresthesia on limbs et al.2. About “Ban Xia Indication”: The indication includes: persistent or frequent nausea or vomiting; slippery or thick coating on tongue; yellow or gray complexion.3. About Ban Xia Formulas’ Indications: Clinically , the common Ban Xia Formulas’ Indications are: Ban Xia Hou Po Tang Indication ; Wen DanTang Indication; Xiao Ban Xia Tang Indication; Ban Xia Bai Zhu Tian Ma Tang Indication; Er Chen Tang Indication; Huo Xia Zheng Qi Wan Indication; Dao Tan Tang Indication.4. The relationships of above definitions: their relationships are similar to a tree, “Ban Xia Tree”. “Ban Xia Constitution” is the root; “Ban Xia Indication” is the trunk; “Ban Xia Formulas’ Indications” are branches. Their characteristics are upwardly interwoven. Conclusion:1. Definition of “Ban Xia Constitution”: Ban Xia Constitution is a constitution existed in sub-health population, named after Ban Xia, a common Chinese Medicine herb. Such population generally could be used with Ban Xia or Ban Xia formulas for illness prevention and usually could achieve better result from it.2. Definition of Ban Xia Indication: Ban Xia indication is the indication of therapeutically using Ban Xia and it’s a series of pathological symptoms, or syndrome. Ban Xia indication is a group of basic symptoms that people with Ban Xia constitution transform from sub-health status to pathological status. Since Ban Xia indication comes from population with Ban Xia Constitution , their features usually coexist simultaneously.3. Definition of Ban Xia Formulas’ Indications: They are the indications of using different Ban Xia Formulas and they are a variety of specific, pathological syndromes. 4. The relationships of above definitions / Ban Xia Tree Model: “Ban Xia Constitution” , “Ban Xia Indication” and Ban Xia Formulas’ Indications” are all within the tree and their characteristics are upwardly interwoven. In clinical practice, confirming the constitution first, then taking the symptoms into consideration could easily reach the diagnosis of certain Ban Xia Formula Indication.5. The merits of Huang Huang Constitution Theory are: 1) Integrity. Paying more attention to the body than the illness, focusing on the general more than the local. 2) Feasibility in clinical practice. 3) Safety in clinical application. 4) Logicality in theory. 5) Applicability for remote medical system. 6) Easy acceptability by Western society and common people. Therefore, there is a broad prospect for Western and TCM Combined Medicine application. 7) Since the components and dosage are relatively uniform, classic formulas that constitution theory uses are reliable and feasible for clinical research. 8) From the view of clinical evaluation, the lab data of some patients changed slower than their clinical manifestations. Therefore, the relationship between the change of clinical manifestation and lab test need be studied further. Key Words:Constitution; Ban Xia Constitution; Medicinal Man; Herbal Indications; Formulas’ Indications; Ban Xia Indication; Ban Xia Formulas’ Indications
Author: Mei, Eva (LAc.)
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Author: Wan He
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Objective:Traditional Chinese medicine (TCM) is a healing system that has been over two thousand years old. In recent years, TCM has been able to assist in a patient’s rehabilitation after a stroke has occurred. However, TCM has also been able to help in treating factors that have been commonly associated before a stroke happens (e.g high blood pressure, diabetes, etc). This paper outlined and summarized key concepts and principles of stroke-related preventative treatment, along with therapies that have been published in various TCM research papers. By addressing these concepts and principles, the author proposed that preventative treatment should play a key role in the future of stroke prevention and treatment.Methods:The author adapted previous work related to clinic stroke prevention and treatment using acupuncture and Chinese herbal formulas found in knowledge databases. (i.e. www. Cnki.net, www.Aqvip.com and www. Wanfangdata.com.cn), as well as related topics and clinic case studies reported in classical.literatures: ( ), (< SHANHANLUNYIAN>), (),(), using TCM’s preventive treatment philosophy.Results:It is important to be able to correctly recognize and apply the concept of preventive treatment to sustain health and ensure one’s ability to prevent a disease from occurring. Based on TCM’s health science, practice through dietary adjustment/therapy, Qi Gong, Tai Chi, and acupuncture would keep Yin and Yang in balance, allowing Yin to flourish smoothly and Yang to vivify steadily, resulting in a relative equilibrium and balanced health that can be maintained, and keeping away from diseases. Using theories of different syndromes as guidance for treatment, applying acupuncture, massage, Chinese herbal formula, and other nursing means can help prevent a stroke from happening. For those who have had a stroke, applying those methods not only can prevent the progression and deterioration/ development of a stroke, but also can prevent reoccurrence. Strong evidence from research on TCM has confirmed that TCM could act as a viable option for stroke prevention and rehabilitation.Conclusion:TCM’s preventative treatment philosophy has shown effectiveness and reliability in clinical treatment and in the prevention of stroke. Increasing application of this philosophy not only can prevent strokes from occurring, but also can protect against other diseases in the first place. Up to now, the inheritance and development of TCM’s preventative treatment philosophy has been very limited. If we can utilize modern science regarding evidence-based medicine and technology to strengthen and promote the concepts and principles of preventative treatment, the widespread of TCM therapies would be practically significant and contributed better to human health.Key Words:Stroke; Preventative Treatment; Acupuncture/ Stroke; Traditional Chinese Herb /Stroke; Literature Review.
Author: Junting Liu
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Objectives:Breast cancer is the second highest cause of death in women diseases, especially in the United States every eight women may be a patient. The etiology and pathogenesis of breast cancer is unclear. Western medicine doctors believe it may be related to endocrine hormone disorders, work and life in a variety of pressures, pollution of the surrounding environment, family members carried in genetics, poor diet, obesity, and lack of exercise. Chinese medicine doctors believe that the etiology due to liver qi stagnation, blood stasis, liver, spleen and kidney qi and blood insufficiency. Currently, among breast cancer treatment options, the main method is surgical resection plus chemotherapy, radiotherapy, endocrine therapy, Chinese medicine in the existing literature reports only as an adjuvant therapy.The author has been received medical education in western and eastern for many years and has over 30 years’ clinical experience on integrative medicine. The choice of this research topic is intended to enhance the awareness of medical profession team and breast cancer patients: besides invasive procedures, it also has an alternative treatment which is non-invasive, painless, low cost, no side effects. As an evidence of practice, the clinic outcome has confirmed by pathologic test.Methods:By reading a lot of classic recipes and clinical literature, select two types of oral herbal medicine, one type of topical medicine, apply to two breast cancer patients who diagnosed as invasive ductal cancer. Results:One patient was confirmed by pathological report (re-biopsy) that the tumor cells disappeared completely after fulfilling four months medicine treatment. The tumor of the other patient was significantly reduced after 40 days herbal medicine treatment; the surgery procedures changed from mastectomy to lumpectomy. After four years of follow-up, two patients had no evidence of recurrence of breast cancer.Conclusion: Using Chinese medicine to treat breast cancer is effective, it can avoid or reduce surgical trauma for some patients. Author's idea: when some patients are diagnosed with breast cancer confirmed by pathological report, for the patients who declined to do mastectomy or have to wait a long period to receive surgery, they can try Chinese medicine. Although the author's lack of large clinical sample and pathological research, but two patients took the same herbal medicine which made tumor cells disappeared and without recurrence for more than four years, it is not an accidental phenomenon. The efficacy reflects the wisdom of 5,000 years of Chinese medicine and crystallization, the author believes that there is clinical value to use modern scientific methods, and gradually discover why the Chinese medicine can treat cancer mystery.Key words: Breast cancer, early diagnosis, early treatment, cancer typing, Breast Stone, liver qi stagnation
Author: He, Stephanie Na (L.Ac.)
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Objective: To make a clinical trial design of acupuncture with” Hua Tuo Jia Ji” points in the treatment of neck pain. Methods: Follow random-control-blind principle to do clinical experiment. Initially evaluate the curative effect of traditional points (DU14, SI3, UB62) and “Jia JI” points to treat neck pain. Adopt visual analog scale and Short-Form McGill Pain Questionnaire (SF-MPQ) to assess pain. Use uniform reinforcing-reducing needling technique, take traditional points selection treatment as a control group. Use SPSS 13.0 statistical software to conduct data processing. Results: There are three substantial results of this clinical trial design. “Jia Ji” points has better, as same as or not good as curative rate than traditional points. Conclusion: “Jia Ji” points connect to zang fu. It has very close relationship with neuroganglion. Needling “Jia Ji” points may not only affect ramus posterior nervi spinalis, but also ramus anterior nervi spinalis which contact with sympathetic trunk. In the future, we may do some research about acupuncture “Jia Ji” points to treat complete or incomplete spinal cord injure or other neurological disease.
Author: Xiaofen Shen
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Objective: The goal of this study is to observe the effects of combining acupuncture, moxibustion, and traditional Chinese herbal medicine in the treatment of delaying the skin aging process, assisting the removal of spots and wrinkles, and promoting skin rejuvenation through a combination of treatment modalities where acupuncture point selection and choice of herbs are all guided by syndrome differentiation. This study intends to provide more practical application to theories in TCM cosmetology and to serve as guidelines for use in the clinical setting.Method: We summarized the theories of acupuncture and traditional Chinese herbal medicine as they apply to cosmetology, together with findings from modern research and clinical experience. Based on TCM theory and through syndrome differentiation, the application of combining acupuncture, moxibustion, and Chinese herbal topical cream in delaying the skin aging process and the mechanism of action in this treatment method are discussed.Results: Acupuncture with moxibustion warming the needles directly on acupuncture points (warm acupuncture), as compared to the normal acupuncture (acupuncture without moxibustion), has the effects of enhancing the flow of qi in the meridian, regulating the qi and blood, warming the five Zang organs, removing wrinkles, whitening and moisturizing the skin, which all play an important role in delaying skin aging. The combine use of warm acupuncture and Chinese herbal topical cream, not only achieves the regulation of qi and blood in both local and whole-body levels, but also regulates qi and blood internally in the organ level.Conclusion: The application of combining warm acupuncture and Chinese herbal topical cream has the ability to treat both internally and externally, addressing both the root cause and the symptoms concurrently, and regulating at both local and whole-body levels. The therapeutic effect is stable and long-lasting. This treatment method has broad application prospects in the delaying of the skin aging. As it brings practical value to the continued development of theory and application in TCM cosmetology, it is worthy of more in-depth studies in the future.Key Words: Acupuncture with moxibustion warming the needles, Chinese herbal topical cream, delaying the skin aging process
Author: Chao, Ping (L.Ac)
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Author: Min, Long (L.Ac.)
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Author: Qi, Xiu Ping (L.Ac.)
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Author: Zhi, Qi (L.Ac.)
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Author: Kui Ma
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Objectives:This paper creates an awareness of Guizhi Tang and its modifications as a Herbal Soup medicine for the clinical treatment of three Stomach and Spleen pathologies. Analyses are presented of how the basic formula as defined for classic exterior deficiency with wind-cold invasion is transformed to treat multiple Middle Jiao disorders through modifications. Efficacy data is provided to support the optimal use of the basic formula modifications and a summary of applications recommendations are included in the paper. Method:The research method consists of three steps. Step one is a data collection processes which establish as a baseline the performance of the basic formula Guizhi Tang including its theory and nature from both ancient and modern data. This work will include efficacy data, clinical prescriptions and decoction/preparation methods. In step two Guizhi Tang variant formulas and patient administration are presented as prescriptions for syndromes detailing the herbal additions and subtractions, dosage, modifications and adaptations of derivative formulas such as the ChaiHu Guizhi Tang, XiaoJianZhong Tang, Guizhi Keel Oyster Soup and BaiHu plus GuiZhi soup. In step three, additional research and analysis of Guizhi Tang and its variant formulas was performed to determine their cautions and contraindications in their application to the root causes of disorders of the Stomach and Spleen. Lastly, formulas addressing Middle Jiao pathology were developed. Results:GuiZhi Tang can be used to treat cold, stomach disease, rheumatism, blood arthralgia, Ying and Wei Qi Disharmony, etc. Today its application has expanded to treating diseases of spleen and stomach, stomach deficiency, abdominal pain. Through clinical study it has been proven to be an effective solution for the treatment of stomach and Spleen disease as well as stomach pain. Variant formulas of Guizhi Tang are closely related to its foundational formula. They are used to treat cold and stomach disease, by harmonizing Ying Qi and Wei Qi and balancing Yin and Yang. Stomach and its related diseases are often treated with variant formulas of Guizhi Tang because its basic formula, Guizhi Tang, can enhance blood and energy circulation, invigorate the Middle Jiao, harmonize the Ying Qi and Wei Qi, subdue Excess and expel external wind cold pathogens. Conclusions:In clinical practice Guizhi Tang and its modifications can effectively treat Ying/Wei Qi disharmony, be used to regulate the gastrointestinal function, improve immune system and to treat a range of stomach related diseases. In addition, current research on Guizhi Tang from published sources further supports its efficacy and application to Spleen and Stomach disorders. However, the Rule of Modified Formulas derived from basic Guizhi Tang needs additional research and clinical data.Key Words:Guizhi Tang Tang, Stomach and Spleen disease (disorder), Middle Jiao Disharmony (deficiency), Treatment, Spleen Stomach Disharmony.
Author: Liao, Whitney (L.Ac.)
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Author: Lau, Javis (LAc.)
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Author: Edward Dong
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Objectives:This paper is a preliminary study to explore the relationship between points of the Fang’s scalp acupuncture and biomedical theory about Brodmann area of cerebral cortex. Through this exploration, the paper provides theoretical basis of Fang’s scalp acupuncture from both Traditional Chinese Medicine (TCM) and biomedicine, which may guide the clinical applications for better therapeutic effect.METHODS:Based on the theories in modern western medicine, including human anatomy, neurophysiology and functional map of cerebral cortical known as Brodmann area, and meridian theory in Chinese medicine, the author put forward the corresponding relationship between points of Fang’s micro acupuncture on scalp, such as Fuxiang, Fuzang, Daoxiang and Daozang, and brain mapping.RESULTS:A detailed description is done in this paper about the corresponding relation between Brodmann areas and 21 points on scalp in Fang’s acupuncture, which provides references for the clinical application in different diseases. For example, Thinking point is major in relation to BA 10, the prefrontal area that locates anterior to superior frontal gyrus and middle frontal gyrus. The orientation of Thinking point could be between the bilateral frontal tubers.CONCLUSIONS:The theory of Fang’s scalp acupuncture is created according to the projective positions of brain gyrus on skull and the wholism concept of Chinese medicine. Based on the theory of Fuxiang and Fuzang, combined with knowledge of Brodmann areas and Meridian theory in Chinese medicine, the location of Fuxiang and Fuzang and its relationship to functional map in cerebral cortex a contributes to, more accurate orientation and more satisfactory acupuncture effect.Key words: Fang’s scalp acupuncture, Bromann area, relationship between points location and functional mapping, theoretical discussion
Author: Ligong Leon Ho
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Objective:The excavated ”Fu Xing Jue Zang Fu Yong Yao Fa Yao”rekindles the vitality of revealing the Jing Fang orthodox, the attached ”Jing Fa Tu” extracts the theoretical ideas of ”Tang Yi Jing”: Inter-Containing of Five Elements, Changes of Five Flavors, Reinforcement and Reduction of the Prescription-Formulating, resulting in the wonderful ”Jing Fa Tu”. The system approaches of the Prescription-Formulating are made of the origin of the above mentioned three fundamental ideological. In this thesis, the Jing Fang ideological is researched and elucidated; a theoretical foundation and guide line is created to formulate the herbal prescriptionin clinical practice.Methods:Systematic research and analysis of the original text in ”Fu Xing Jue” is performed to observe what the ”Jing Fa Tu” is seeking to convey about the formulating principles, and then to analyze the prescription-formulating pattern.Results:Prescription-formulating pattern, which resulted from analyzing Jing-Fang principles, reveals five-element attributionsand Algorisms implied by the major and minor formula. Conclusion:In the light of the Five-Element Algorisms,we can easily, by knowing “the Inter-Containing of Five Elements” of the "Herbs-Selected", take the “deficiency or excess” of an organ, and its Five-Element relationship to other organs into consideration to prescribe a formula in accordance with the herbs’ five-element attribution. Thereby we can research the classical "Shan Han Za Bing Luen" accordingly, to inherit and carry forward the essence of the traditional Chinese medicine to make the past serve the present, namely, the purpose of the thesis.Key Words:”Fu Xing Jue Zang Fu Yong Yao Fa Yao”,”Jing Fa Tu”, Inter-containing of Five Elements, Changes of Five Flavors.
Author: Julie Lung
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Objective: Female infertility is one of the common gynecological diseases around the world, specially the cold uterus symptom. According to Chinese medical classics, herbal formula and acupuncture, moxibustion are widely practiced as treatments to gynecological diseases. The purpose of this study was to establish a research method to investigate how herbal formula and acupuncture, moxibustion were used in female cold uterus infertility in Chinese medical classics for clinical practice.Method: Fourteen ancient disease terms of female infertility were obtained from two references. These terms were then used as keywords to perform searches in Chinese medical classics with herbal formula and acupuncture, moxibustion treatments published before A.D. 1911 (Chin Dynasty) and sorted by “classics and herbal formula” “classics and acupoints”.Results:From 68 Chinese medical classic books, 140 herbal formulas and 206 herbs were used; alsoforty-three acupoints and 9 meridians were commonly used in treatment of female cold uterus infertility.Conclusion: The following prescriptions are suggested from this study: Herbal formulas treatments: The herbs that warm the interior, tonify yang and dispel cold and wind are most common used. Warm herbs are promoting the qi and blood circulation, helping clear the blood stasis. Rou gui, Renshen, baizhu, fuzi, huajiao, xiaohuixiang and ganjiang are the most common warms herbs to warm interior and dispel the cold. Dan gui, shu di huangare the top 2 to tonify the blood. Acording to modern research, the herbs that tonify kidney yang, such as bajitian, du zong and xuduan… can work directly to warm the uterus and helping fertility.Acupuncture treatments: Select the meridians of ren and kidney as primary acupoints and those from bladder meridian, extra-meridian acupoints, stomach meridian, spleen meridian, liver meridian, du meridian, gallbladder meridian,, and heart meridian as an secondary acupoints. Zhongji (RN3), Guanyuan (RN4), Rangu (KI2), Yinjiao (RN7), Yinlian (LR11), Qichoug (ST30), Yongquan (KI1) were suggested as major points selected for female infertility treatment.Key words: female infertility, uterus cold infertility, herbal formula, acupuncture and moxibustion prescriptions, and Chinese medical classics
Author: Schoenbart, Bill (L.Ac.)
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Objective: To determine whether the roots of Dan Shen (Salvia miltiorrhiza) organically cultivated in the United States have a similar constituent profile to roots grown and imported from China. Methods: Samples of Dan Shen (Salvia miltiorrhiza) were collected from a variety of Asian sources. Using High Performance Thin Layer Chromatography (HPTLC), these were then compared to samples grown organically in the United States. Results: The roots grown organically in the U.S. showed high levels of the bioactive tanshinones andsalvianolic acid. In all cases, they compared favorably with the Asian samples both qualitatively and quantitatively. Both organically grown samples from the U.S. appeared to have equal or higher levels of these important compounds. Conclusion: Dan Shen (Salvia miltiorrhiza) can be successfully grown outside of China with organic agricultural methods. The harvested roots appear to have high levels of known bioactive compounds. This has positive implications for the environment, both in the reduction of pesticide and synthetic fertilizer usage, and in reducing pressure on Chinese agricultural land due to increased demand for Chinese herbs worldwide.
Author: McDonald, Fred Melvin, Jr.
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Fibromyalgia is an idiopathic syndrome (FMS) that affects an estimated 7-10 million in the United States alone, and affects mostly women between ages of twenty to fifty. Objective: The present study was performed to determine whether the addition of acupuncture injection therapy of Sarraceniacea purpurea and selected homeopathic injectables would increase the effectiveness of a previously used acupuncture/electro-acupuncture protocol that produced minimal responsiveness after six weeks. Methods: There were two case studies in which the patients were evaluated during two six week periods with a three week break between these two periods. The two six week periods were labeled Phase I and Phase II respectively. Phase I was represented by acupuncture and electro-acupuncture alone. Phase II was represented by acupuncture/electro-acupuncture combined with acupuncture injection therapy (AIT) of Sarraceniacea purpurea and selected homeopathic injectables. Patients were evaluated via a Visual Analog Pain Scale (VAPS), a Fibromyalgia Oswestry Pain Questionnaire (FOPQ), and weekly range of motion (ROM) measurements during both phases of the study. Results: There was an average overall improvement of 15% from baseline in Case Study A in Phase I compared to an average overall improvement of 37% from baseline as seen in Phase II of Case Study A. In Case Study B, there was an average overall improvement of 16% from the baseline in Phase I and an average overall improvement of 35% from the baseline in Phase II of Case Study B. Conclusion: The results of this study indicate that acupuncture injection therapy may be a viable adjunctive therapy in complex hard-to-treat patients with fibromyalgia and/or chronic myofascial pain that do not readily respond to acupuncture or electro-acupuncture alone. It would appear that a larger more complex study would be warranted.
Author: Yee, Lisa (L.Ac)
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Objective: To review the critical points of current knowledge on tendonopathy and integrate TCM theories of treatment to improve healing rate and expedite recovery. The essential question posed by this review is: what effect does acupuncture have on increasing the healing rate of lateral epicondylosis? Methods: A systematic review of the anatomy and physiology of tendons and tendonopathy during the inflammatory stage to chronic fibrotic stage is outlined. Various Western Orthopedic therapies and treatment approaches were reviewed for current concepts in treating lateral epicondylosis. TCM classical texts and books available in English were reviewed for treating tendon problems. Results: After the collection of theories, concepts, and ideas were gathered, a comparative study of several theories were critiqued. In clinical practice and theory, Chinese medical practitioners treat a variety of musculoskeletal disorders, including tendonosis. The basis of Chinese medical treatment is the facilitation of balance and harmony. For acute tendonitis from overuse, the focus is on decreasing inflammation and promoting healing. However, Chinese medicine views treatment of chronic tendon recovery in terms of breaking stagnation and accumulation of blood and fluids, nourishing the tendon, balancing qi and blood, and restoring normal circulation in the injured area to improve tendon quality and therefore correcting pathology and restoring physiology. The author believes that integrated Chinese acupuncture and western medicine therapies combined during the fibrotic stage of lateral epicondylosis can improve the recovery rate and rehabilitation by promoting local blood flow. Conclusion: Integrated Chinese acupuncture and Western medicine therapies are complementary in treating lateral epicondylosis. Acupuncture’s inflammatory action benefits the chronic stage of tendonosis by moving qi along the meridians to break local fibrosis. Secondly, acupuncture supplies blood and nutrients locally to nourish and rebuild the injured tendon, promotes circulation to the area, and facilitates balance to this chronic degenerative condition. Combining both medicines of acupuncture and western manual therapy of: self-soft tissue massage, stretches, activity modification, and strengthening expedites healing rate, regains functional activity, and reduces recurrence.
Author: Tan, Annie, LAc.
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Author: Katherine Sun
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Objective: TCM (Traditional Chinese Medicine)therapy of artificial menstrual cycle is based on TCM theory about “Kidney regulates the reproduction system” and “the normal reproduction relies on the balance among Kidney- Tiankui- ChongRen- BaoGong axis”. It adopts theory of menstrual cycle in western medicine to guide the TCM treatment. It is an effective therapy for most of gynecological disorders, especially on infertility and irregular period. This effect is substantial. Compare with western hormone method, TCM therapy of artificial menstrual cycle regulates Hypothalamus-Pituitary-Follicle axis thoroughly. It does not have the side effects caused by hormone treatment and can be used for long time. The prognosis is also good. The indications for TCM artificial menstrual cycle method is increasing. Just few papers about overall evaluation of TCM therapy of artificial menstrual cycle are found. They didn’t cover the latest research results, none of them mentioned acupuncture’s role on TCM therapy of art ficial menstrual cycle, andhow this therapy can be cooperatedwith Artificial Reproduction Technology (ART) and In-Vitro fertilization (IVF). In this thesis, the latest articles about TCM therapy of artificial menstrual cycle will be systemically collected and analyzed for better serve for clinical application. Methods: Searching through the key words as “Artificial menstrual cycle” in Wangfang database from 2009 to 2012,totally 51 articles are included into this study. Results: The TCM theory for this therapy is consensus in most articles, mainly based on the periodic attribute of menstrual cycle, the mechanism of menstrual cycle, TCM theory about “Kidney regulates the reproduction system” and “the normal reproduction relies on the balance among Kidney-Tiankui-ChongRen-BaoGong axis”. Different Chinese herbs are used according to 4 different phases in menstrual cycle. In Follicular phase, focuse on tonifying the kidney ying.In ovulating phase, focuse on promoting blood circulation.In luteal phase focus on strengthening kidney yang, and in menstrual phase focus on promoting blood circulation again. On Kidney- Tiankui- Chongren- Baogong axis, the treatment is concentrated on kidney qi. In order to differentiate the phases more accurately, basal body temperature (BBT), virginal discharge, and the date during the cycle could be the references, making measurement quantified in clinical practice. The TCM therapy of artificial menstrual cycle can be used to treat infertility, polycystic ovary syndrome (PCOS), menorrhagia, irregular period, endometriosis, premature ovarian failure, uterine fibroids, amenorrhea, acne, etc. It also can be used in ART and IVF. The research on the mechanism of this therapy showedthattonifying kidney would enhance function of sex axis, and combining with herbsfor promoting blood circulation would facilitate the ovulationdur ing ovulating phase. Conclusion: TCM therapy of artificial menstrual cycle was created based on TCM theory of balancing kidney-tiankui-chongren-baogong and theory of sex axis in western medicine. It has been used for many gynecologic disorders such as infertility, PCOS, menstruation disorder, endometriosis, premature ovarian failure, uterine fibroids, andacne, etc. Different treatments are used based on 4 phases of cycle and pattern differentiation. Not only focuses on the physiologic attribute in4 different phases, but also focuses on the individual’s condition. Different experts have various emphases. With the development in both clinical and experimental studies on this therapy, its indications are increasing. Scientifically using this therapy to improve clinical effect will be addressed in future research. Key words: TCM therapy of artificial menstrual cycle, literature review, basic theory, gynecological disorders, indications/clinical application.
Author: Hsien-min Yeh
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Objective: Cataracts are the most common cause of blindness in the world. The typical clinical symptom is a clouding of the lens inside the eye which leads to a decrease, and eventually, a complete loss of vision, the literature will discuss how to prevent and treat cataracts by Chinese Medicine from different aspects, and develops a Chinese medical patent formula that fits modern people in order to resolve vision problems from technological progress.Methods: The literature will collect and search references from Wan Fang database, Chinese knowledge database, libraries at Five Branches University and American College of Acupuncture and Oriental Medicine. The forty two Chinese medical formulas are from references that include ancient ophthalmology famous formulas, clinical common used formulas and some specific cataracts’ formulas for researches in the past 30 years. The research paper is going to analyze and calculate components of those forty two formulas in order to find any characteristics or special regulation. Results: According to the differentiations of cataracts in Chinese Medicine, the literature submits six major types of cataracts with different treatment strategies. On the other hand, the research also finds several results after analyzing the forty two formulas. First of all, Gou Qi Zi has the highest using percentage (26/42) in those forty two formulas. Second are Ju Hua (20/42) and Shu Di (20/42). Jue Ming Zi (16/42) belongs the third group, Bai Shao is 13/42, Fu Ling and Bai Ji Li both are 12/42, Shi Jue Ming, Dan Shen, Dang Gui and Dang Shen all are 11/42 and San Yao, Gan Cao, Tu Si Zi, Wu Wei Zi are 10/42. Tonify Qi and blood herbs are the major herbal medicines in the characteristics of forty two formulas, then clearing heat, extinguishing wind and anchor liver herbs are the second. Invigorating blood and removing blood stasis herbs with strengthening spleen herbs play the important roles for enhancement. Conclusion: Users extremely use video display terminal products long period. It may have potential risk to deteriorate people’s vision sooner if users also have allergies or metabolic diseases, thus it is worth more concern and care the relationship between modern diseases and cataracts. The writer sets "Yes dispelling cataracts formula" to be prevention and treatment formula for cataracts and Computer Vision Syndrome. It is the expectation of this specific formula that provides modern prevention and protection for cataracts if the formula combines more cataracts’care techniques. The research evidence of "Yes dispelling cataracts formula" needs more clinical trial in the near future. Key Words: Chinese medicine, Acupuncture, Cataracts, Video display terminal, Computer Vision Syndrome, Allergy, Metabolic disorder
Author: Mei Yi
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Objective:The purpose of the present review was to provide an overview on the Chinese diagnostic method on tongue observation based on literatures from the last decade; more specifically to outline the origins of the Chinese tongue diagnosis, the process of development, and to provide a review of the Chinese diagnostic method used for the tongue. The author also illustrates self-knowledge and personal construct on this controversial topic in regard to tongue diagnoses. The present review highlights the importance of considering Chinese tongue diagnosis as an alternative method for clinicians when working with patients during diagnoses and treatments. Methods:The current review generated an detailed overview of the most updated literatures focusing on the clinical application of tongue diagnosis in the last decade. The references were comprised of articles from both Chinese and foreign literature database, from year 2002-2012. The literatures were consisted of comprehensive information on the development background of the tongue diagnosis, the clinical application, and incorporated previous researches from both China and other countries. Moreover, the author provided valuable information on predicting the development trends and application prospects of tongue diagnosis in clinical settings, while incorporated personal outlook on the future direction in Chinese tongue diagnosis.Results:Tongue diagnosis is a kind of medical diagnosis, in which its applicability to the medical profession can bring about many benefits. Previous studies on the clinical application of tongue diagnosis have greatly contributed to furthering the incorporation of tongue diagnosis in clinical settings by allocate empirical evidence in supporting the efficacy of tongue diagnosis. In detail, the studies examined the Chinese tongue diagnostic criterion used in various diseases and investigated the diagnostic methods for tongue diagnosis. A clearer understanding of clinical application and future direction was obtained through a closer examination of previous literatures on tongue diagnosis. Conclusion:Although Chinese tongue diagnosis was originated with adequate empirically supported evidence, researchers and clinicians have found the right direction by integrating theory and application, and through the process of active research, Chinese tongue diagnosis has been proven to be efficacious in modern day diagnosis and treatment. Taken together, the present review illustrates the advantages of Chinese tongue diagnosis when used with other diagnostic methods, however, there is still a clear need for research in tongue diagnosis in correspondence to the further advancement in medical technology. Future research in the incorporation of medical technology and tongue diagnostic methods may help to promote the modernization of Chinese medicine. Key Words:Tongue Diagnosis, Clinical Application, Diagnostic Development, Overview
Author: Ann Sun, L.Ac
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The present research study discovers that Nitric Oxide NO (NO) Radicals play an equivalent role in human’s blood vessels when compared to a role of Qi and blood in Traditional Chinese Medicine (TCM) view. By study of modern pharmacology theory, we have deepened our understanding of a phase in which the invisible Qi transform to a visible molecular . Consequently, we can further understand material basis of Qi and have started our new thinking on development of medicine, in which we essentially create a real Qi model in a micro world.In this way, it will help future physiopathology to better model experimental design and will further recognize comparative medicine effectiveness. Furthermore, we can achieve clinical effectiveness by developing TCM nanotechnology research.Objective: A basis of Qi’s material. The present pharmacology study of NO helps us to recognize a basis of Qi material and a phase in which the invisible Qi transform to a visible molecular. Hopefully the study effort can promote TCM to a newer state. As a result, more and more people in the world come to recognize TCM’s essence and significance; it also helps to establish a solid foundation for TCM development. The progress of research will further help us to build a Qi model in a micro environment, favorable for a new medicine development and its application.Methodology:We collect and analyze information provided by clinical pharmacology journals and sort out various Chinese medicine characteristics. Primarily all collected information source from the journals and modern study books on TCM. Conclusion:To analyze Qi at the molecular level and to apply it to practical clinic usage is of paramount importance in the research topic of Qi. TCM clinical application can present a substantive form of Qi. Consequently, we think that Nitric Oxide equivalent to Qi as described in TCM theory. Results:As we learn more about the essence of Qi and about its material base in depth, it is expected that people can achieve its clinical effectiveness and they will also be demonstrating much better modeling of physiopathology and comparison of medicines. The research in practice will give a significant help for Micro Nanotechnology of TCM to further achieve its clinical effectiveness.Keywords:Qi (Energy), Blood, Yin, Yang, Nitric Oxide(NO), NOS, Radicals
Author: Cowan, Beverly K., Dipl. OM (NCCAOM), L.Ac.
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Objective: To describe a treatment protocol for peripheral neuropathy using acupuncture and electrical stimulation. Methods: A 76-year-old man had experienced peripheral neuropathy of unknown etiology, numbness, and pain for 9 years. Muscle Channel Technique was used (He Sea points as Anchor Points, and other areas on Channels as Access Points). De Qi was obtained manually with each needle. Electrical stimulation at 100 Hz for 30 minutes was used. Treatment schedule was twice weekly for 5 months. Results: After a 5-month treatment period, improved sensory stimulation and pain reduction were achieved. The patient’s balance improved but was never fully regained; ambulatory function improved and foot pain was minimal. During the end of the treatment protocol, the patient reported feeling pain when De Qi was achieved, suggesting that sensory levels were maintained. Conclusion: Electroacupuncture may be an effective modality in treating peripheral neuropathy of unknown etiology.
Author: Doris Pao Chih Liu
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Objective:1. Through the analysis of ancient books of Hetu, Five Elements theory and Huang Di Nei Jing Su Wen, the association of the Five Elements theory, time and seasons with spleen and stomach disease was proved, the primary season of the spleen and stomach disease was accurately and properly recorded, providing a very good foundation and reference point for pre4vention and treatment of spleen and stomach disease. 2. With the understanding of the Five Elements theory and organs and the controlling and producing relationship of Wood Element, Fire Element, Metal Element, and Water Element with Earth Element, it further evidences of the importance of the spleen and stomach to the association of all organs. For the wellness, health and longevity of oneself, one must control and regulate the nourishment of spleen and stomach.Methods: Study of the ancient books of Theory of Spleen and Stomach, Huang Di Nei Jing Su Wen, Shennong Ben Cao Jing (Divine Farmer’s Material Medica), (15 books of modern school of Chinese TCM, blog.yam.com, Oriental blog network, Baidu encyclopedia network) Chinese learning network articles with the Five Elements, spleen and stomach, spleen and stomach diseases and comparative analysis of the prevention and treatment of spleen and stomach disease antibody.Filter from the network of ancient books and a number of health congees, health food, prevention and treatment of diseases of spleen, massage and acupuncture point data.According to the summaries of the data, combined and compare with data from Beijing hospital for two years of spleen and stomach disease incomplete statistics to summarize format and analyze the study results.Results:Through the study of ancient books and online articles, the study of illnesses related to spleen, stomach and other organs, which is also the producing and controlling relationship of the Five Element fits together. With spleen and stomach as center, all diseases are raised from the spleen and stomach failure. 1. Pulmonary disease, much of it is due to the weakness in spleen and stomach. Must adjust and enhance the spleen and stomach then lung disease can be cured.2. The four seasons have great relationships in prevention and treatment of spleen and stomach diseases. Therefore with the different seasons, there are many ways to nourish the body to good health.Spring is to nourish the liver and strengthening the spleen and stomach. Summer is to nourish the heart and to support and to strengthening the spleen and stomach. Autumn is to nourish the lung, strengthening the spleen and stomach. Winter is to nourish the kidney and strengthen the spleen and stomach. Need to raise the qi and nourish the spleen and stomach all year round, meaning that spleen and stomach is the life force of one’s life.3. Spleen and stomach are strong in all four seasons. One should use the four seasons to nourish the four organs. The last 18 days of each season of Spring, Summer, Autumn and Winter are for nourishing the spleen and stomach, which the Earth element is the strongest. Conclusion:Through clinical experiences in the treatments of many diseases, the author discovered that most illnesses need to treat the spleen and stomach in order to be curable. Use the point of discussion of ascend, descend, float, subsidence, supplement and drain in the Theory of Spleen and Stomach was discussed. The key season for spleen and stomach based on the Five Elements Theory is not only “Long Summer”, it is the last 18 days of each of the four seasons which we considered as “be in the season”. The four “be in the season” is the best time to nourish, enhance or adjust the spleen and stomach. Taking different food in different seasons to nourish the different types of Earth element in the four seasons is advocated. In the Spring and Autumn, the earth is dry; in the Summer the earth is wet and hot; in the Winter, the earth is wet and cold. Earth Element produces the four organs, therefore the four different kind of earth will nourish four different organs.Key Words:spleen and stomach diseases with the five elements, prevention and treatment of spleen and stomach disease, Hetu and five elements methods, wellness of spleen and stomach, four seasons health and wellness
Author: Yilongyuan Yu
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Objective: This dissertation summarizes literatures about the research of postpartum depression (PD) published in recent 10 years, discusses the etiology and pathogenesis of PD together with early-stage intervention, prevention and therapy in the views of traditional Chinese and western medicine, and analyzes and expounds methods of current research and possible emphases in the future. The article aims at providing more train of thought, methods and their theoretical evidences for effective diagnosis and treatment of the PD, improving the clinical diagnosis and therapeutic effect of the PD by summarizing the treating rules, enhancing the physical and mental health of puerperants which also helps healthy and sound grow-up of the newborns. Methods: The dissertation reviews traditional Chinese medicine (TCM) literatures of case studies concerning postpartum regulation and treatment of puerperal diseases in recent 10 years, and the results are further analyzed. Literatures involved include classics of TCM and modern periodicals. About 70 articles are obtained by searching the key words of “puerperal disease, postpartum depression, metal intervention” in Wanfang Database and Google Scholar. Forty-one articles related to etiology, pathogenesis and treatment of PD are finally cited in the dissertation.Results: TCM classifies PD as depression syndrome. Both doctors in ancient and modern ages consider that the etiology and pathogenesis of PD is qi-stagnancy with blood stasis and healthy energy deficiency with evil excess. The diagnosis and treatment should focus on differentiating patterns of excess or deficiency, coldness or heat and interior or exterior. To cure PD, it is proposed that tonifying qi-blood, opening the inhibited lung-energy to dissolve depression and eliminating pathogen to promote smooth flow in channels are primary, cooperated with removing blood stasis to promote blood circulation, moisturizing to dredge intestines, removing heat to cool blood, invigorating the kidney to induce lactation, dissipating phlegm and dehygrosis, invigorating spleen and stomach, and tranquilizing mind etc., as well as prescription of respective herbal formulas for soothing liver-qi stagnation, purging heat from the liver, nourishing the blood & calm the nerves, invigorating the spleen & nourishing the heart, no rishing Yin and clearing heat etc. depending on clinical syndromes.Grouping the PD in neurotic depression but different from normal mental diseases, western medicine normally takes the standard of "Diagnostic and Statistical Manual of Mental Disorders" constituted by the American Psychiatric Association, and considers the etiology of PD is complicated and related to the factors such as inheritance, environment, transmission disorder of neurohormone and the greater changes of hormone levels in pregnant women. Integrated Chinese and western medicine therapies can better control the development of PD. Psychological intervention approaches show positive effect, too. Since the function and effect of emotion is valued in Chinese medicine, it may be combined with psychological approaches.Conclusion: Modern TCM has good therapeutic effect mainly based on invigorating qi and blood, opening the inhibited lung-energy to dissolve depression, regulating qi & relaxing vein but less on acupuncture and moxibustion therapy, which is therefore worth discussing in depth. Integrated Chinese and western medicine has satisfactory curative effect and great potential of clinical application. Along with the transforming from the biomedical model to biological, psychological and social medical model, it is more and more extensively concerned that labor is also strongly influenced by psychological and social factors. Education and consultation on perinatal care for the maternity patients is significant for prevention and treatment of PD. To break the bottleneck of current researches, one important aspect of the prospective researches is that it is highly necessary to do the researches evaluating objectively the actual efficacy of antepartum psychological intervention upon prevention and treatment of PD. Additionally, when and how Chinese and western medicine are integrated still need further studies and normalization. The etiopathogenesis of PD, comparison and selection of various ways of effective prevention and cure of PD need to be further discussed as well.Key Words: postpartum depression, depression syndrome, etiology and pathogenesis, diagnosis and treatment, diagnostic standard, integrated Chinese and western medicine, mental intervention, summary.
Author: Dong, Sun Chung (Fred) (L.Ac.)
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Author: Xianhua Meng
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Objective: To investigate and summarize the advantages of using traditional Chinese medicine for the treatment of perimenopausal syndrome, in order to maintain women’s health and improve the quality of life; as well as providing suggestions for improving the effectiveness of clinical treatment and establishing a foundation for future research.Methods: Using keyword searches in multiple medical and academic databases, 82 research articles were found that related to this topic. After further selection and analysis, 53 publications (spanning from 2002 to 2012) were cited in this thesis.A combination of personal clinical experience and published research methodology/ findings was used in the analysis of current treatment modality of perimenopausal syndrome and its modulation by traditional Chinese medicine via the effect on the function of autonomic nervous system.Result: Three approaches (theoretical, clinical and experimental) were used in investigation of the current topic. The theoretical approach described the classical and modern medical theory of the pathogenesis of perimenopausal syndrome. The clinical approach described the various pattern differentiation systems and acupuncture treatments. Clinical research indicated that while Chinese medicine itself was not a stimulant, it could regulate the hypothalamus-pituitary-gonadal axis; thus had definitive effect in alleviating perimenopausal symptoms through the modulation of the nervous, endocrine and circulatory systems. The experimental approach described the latest research studies of the treatment of perimenopausal syndrome by the usage of individual herbs and formulas. The experimental data revealed that traditional Chinese medicine not only effectively resolved multiple signs and symptoms associated with perimenopausal syndrome, but also prolonged and improved the quality of life.Conclusion: During perimenopause years, ovarian function decreased, resulting in dramatic reduction of estrogen and corresponding elevation of GnRH, FSH and LH. Traditional Chinese medicine can regulate reproductive endocrine and immune functions; therefore, can help perimenopausal patients to recover from the nervous, endocrine and immune system imbalances, and delay reproductive aging. Clinical research showed that traditional Chinese medicine can normalize the levels of estrogen, progesterone, FSH and LH in blood, hence relieving the perimenopausal symptoms caused by anomalies in autonomic nervous system. In summary, traditional Chinese medicine is a safe, effective way to treat perimenopausal syndrome and prevent osteoporosis.Keywords: Perimenopausal Syndrome, Traditional Chinese Medicine Therapy, and Review
Author: Chen, Chao Ming (L.Ac)
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Author: Chen, Judy (LAc.)
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Author: You Ting Liu
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Objective: To summarize contemporary famous TCM doctors’ experiences in treating peptic ulcer and understand the causes and the corresponding treatments of peptic ulcer in TCM theory. The analysis of these famous oriental medicine doctors’ experiences provides the principles and the methods in treating peptic ulcer in the clinical.Methods: Use computer programs to search books and contemporary journals in recent ten years, and demonstrate the methods that these famous oriental medical doctors of oriental medicine used based on differentiation of syndromes and features of Chinese herbs presented in their formulas. The summarization and analysis helps understand their theories in treating peptic ulcer.Result: TCM doctors use many methods to cure peptic ulcer. Some doctors treat peptic ulcer based on single pathogenesis. For instance, they think the pathogenesis of peptic ulcer is deficient cold of spleen and stomach or qi stagnation. Some doctors treat peptic ulcer addressing different periods. For instance, they think peptic ulcer can be divided into acute period and late period. Some doctors treat peptic ulcer based on TCM patterns. For instance, they think peptic ulcer contains several patterns, like dampness-heat of spleen and stomach, liver qi invading stomach, and deficient cold of spleen and stomach. Some doctors treat peptic ulcer based on modern medical theories. For instance, they think gastric ulcer means liver qi invading stomach; duodenal ulcer means deficiency of spleen and stomach.Conclusion: TCM doctors use many methods to cure peptic ulcer, and these methods are generally based on pathogenesis, periods, syndromes and modern medical theories. However,these treatments can be summarized into three periods, including the beginning period of onset, active period of ulcer and remissive period. And then, TCM patterns of peptic ulcer, like deficient cold of spleen and stomach, dampness-heat of spleen and stomach, and liver qi invading stomach could be integrated into these three periods. By the summary of the above rules, treatment based on syndrome differentiation would be more simplified and precise.Keywords: Gastric ulcer, duodenal ulcer, peptic ulcer, TCM, summary of clinical experience
Author: Tracy Nan Ye
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Objective:To explore the supply source and clinical applications of Aconite in Northern California, esp. bay area, to eliminate the fear of herb, and to enhance the confidence of acupuncturists and herbal practitioners in treating certain diseases. To provided reference for FDA while they make regulations about this herb.Methods:Through the literature analysis, case studies, and experiences transplantation to find the aconite applications based on classic TCM theories, rich clinical experience of predecessors, and to explain how theory and experience may be applied to contemporary clinical practice in Northern California.Results:Aconite are relatively stable sources of supply and quality assurance in the Northern Californiaarea. The region phenology and diet characteristics comply with certain diseases and the scope of application of the aconite.Conclusion:Processed Fuzi may enhance the function of visceral organs, reduce joint pain, and relieve the pain due to rheumatoid arthritis. It may reduce chronic asthma triggered by allergies. Key Words:Aconite, Fuzi, arthritis, allergies, asthma
Author: Ren, Jane (L.Ac, RN)
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Author: Hyunjeong Koo
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Objective: To prove the effects of acupuncture for treating knee osteoarthritis by analysis of literature review.Methods: A specified literature search was performed of Medline, Cochrane Central, EMBASE, and AMED computerized databases in October 2011. Randomized controlled trials where patients were treated with specified interventions for knee osteoarthritis were selected and analyzed their pooled effects on pain and function.Results: A total 7 trials representing 1275 participants met the inclusion criteria and were analyzed in this review. Five of the studies compared a true acupuncture group to a sham acupuncture control group. One study used a usual care control. The remaining study added medication on acupuncture treatment to compare conventional treatment control. The treatment period of the studies varied from 5 to 26 weeks for as few as 10 to as many as 23 sessions. Participants were blinded to group assignment in the studies comparing true acupuncture to sham acupuncture. The same 4 acupuncture points were selected in all the studies: GB34, ST36, SP9, and Xiyan. Outcome measurements included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Oxford Knee Score (OKS), and the Visual Analogue Scale (VAS). All studies had pain in common as an outcome measure. Six studies measured physical function. In 6 of the 7 studies, the acupuncture group experience statistically significant pain reduction in comparison with the control group. Two of these studies also found that the reduction in pain was significantly greater for the acupuncture group versus the conventional treatment group. Three studies found a statistically significant improvement in physical function in the acupuncture group versus the control group. Two studies found that the physical function was not significant differences between acupuncture and control groups.Conclusions: All the studies concluded the acupuncture was effective, and most studies found that the acupuncture group experienced significantly greater improvements in pain than control group. However, the trials represented here used standardized acupuncture points for knee osteoarthritis such as GB34, SP9, ST36 and Xiyan. In TCM theory, the condition of osteoarthritis is called Bi syndrome. Bi syndrome differentiates as Wind Bi, Cold Bi, Heat Bi, and Damp Bi according to patient’s symptoms. In practice, TCM frequently uses Chinese herbs and individualized treatments based on TCM diagnosis. Individualized approaches and supplemental herbs according to patient’s condition are actually more effective than standardized acupuncture-only treatment. The effectiveness of individualized treatments for osteoarthritis of the knee should be challengeable trials in the future. In conclusion, acupuncture is effective in treating pain associated with osteoarthritis of the knee, and is superior to sham acupuncture and conventional treatment. The evidence appears to be robust enough to encourage wider use of acupuncture for osteoarthritis of the knee. But further large, high quality trials are needed in order to reach more definitive conclusion in the future.Key words: acupuncture, effect/pain & function, osteoarthritis/knee joint, systematic review.
Author: Park, Jae Young (L.Ac)
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Objective: To explain why Ge Gen has been such a popular herb in treating Xiao Ke based on its medicinal properties and Traditional Chinese Medicine theory. Methods: A systematic review of a number of Chinese Herbal Medicine and TCM books available in English is studied to examine the rationale behind the frequent use of Ge Gen for the treatment of Xiao Ke from the TCM perspective. Also, latest available data from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention are used to show the current status of diabetes mellitus population in the United States. Results: It is found that the wider use of Ge Gen for Xiao Ke is not just because of its nourishing the fluids and clearing the Stomach heat functions as widely described in most of Chinese herbal medicine books available in English. It is also found that Ge Gen’s status as the most frequently used herb can be mainly attributed to its entering TCM channels which are the Spleen and Stomach and its function of lifting Yang Qi to the Lung and eventually helping the Kidney. Conclusion: Since Ge Gen enters the Spleen which is responsible for transporting and transforming function in TCM, it is especially suitable for modern diabetes mellitus population considering the majority of them have central obesity which is mainly regarded as damp-phlegm stagnation in the abdominal area in TCM. Ge Gen will help to transform the abdominal fat and transport it up to the Lung to disperse through its Lifting Yang Qi function. More than anything, this function of “Lifting Yang Qi” is what distinguishes from all other frequently used herbs in treating Xiao Ke. More attention and research need to be done regarding this property of Ge Gen in regard to the treatment of Xiao Ke.
Author: Bai, Yuzhuo (L.Ac)
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Author: Carma Shen
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Objective:Migraine is a recurrent disease with throbbing headache. More and more people suffer from the disease. It not only affects the patients but also our society. Western medicine usually uses painkillers to treat the disease. According to the clinical reports, I find that the clinical cure rate is relatively high by using TCM treatment. So TCM has its advantage in treating migraine. I find that different doctors may use different herbs or points but they may follow a number of rules. The objective of this thesis is to analyze the clinical reports and summarize the common rules to treat migraine, in order to guide TCM doctors to treat Migraine in the future.Methods:By searching the clinical reports of treating migraine that published in the past 10 years, about 30 papers were recruited with the following key words: migraine, TCM, herbal medication, acupuncture & moxibustion, clinical application, treatment. Based on the analysis on these literatures, the author summarized the common rules of prescribing herbs or points that TCM doctors usually use to treat migraine and the acupuncture methods as well. The author also analyzed the limitation in the recent TCM research and gave suggestion on future TCM research.Results:Clinical reports show that the following herbs are usually used in treating migraine which includes herbal formulas to expel external pathogens, to transform damp and phlegm, to activate blood and relieve pain(especially Chuan Xiong), to smooth qi, to calm liver and stop internal wind, to tonify qi and blood and Chai Hu. In the field of acupuncture & moxibustion, TCM doctors usually choose points on Shao Yang meridians, especially points on head. They also add other body points according to different symptoms. They also choose LI4 & LU7 to expel external pathogens, LI4 & LV3 to activate blood, smooth qi and relieve pain by following the TCM pathogenesis of migraine. TCM doctors prefer penetration needling technique on the points on head and face. Electro-acupuncture technique is also widely applied in treating migraine clinically.Conclusion:In TCM, migraine is considered to result from the dysfunction of LV, SP & KD due to internal or external pathogens. The dysfunction may cause the human body to incur blood stasis and phlegm. And when the external pathogens such as wind, coldness invade human body, the blood stasis and phlegm could block the brain blood vessels and result into migraine. Therefore, the main causes of migraine are wind, coldness, phlegm and blood stasis. The external causes of migraine are external pathogens while the internal causes are the dysfunction of LV, SP & KD. By meridian differentiation, migraine mainly belongs to the disorder of Shao Yang meridians. In the clinic, TCM doctors usually prescribe herbs or points for migraine patients according to the above pathogenesis. In addition, there are the limitations in the recent TCM studies. For example, the symptom differentiation and the treatment evaluation standard are different; the parameters of electro-acupuncture are different and of the studies on the effects of different parameters are few; the needling techniques are subjective and different; the sample sizes are too small or control groups weren’t be set, etc. These deficits in study design need to be addressed in future research, such as, to unify the TCM pattern differentiation and outcome measurement of migraine; to clarify the parameters of electro-acupuncture and needling technique, to compare the effect of different parameters or needling technique; to increase the sample size and set control group, etc.Key Words:Migraine;TCM;Internal herbal medication; Acupuncture & moxibustion; Treatment; Summary
Author: Tracy T. Young
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Objective:This thesis is to illustrate the theory of Six Qi Transformation with canonical case studies by using dialectic analysis of the Qi transformation, and to summarize history of this theory and the development as well as the clinical values in differentiating syndromes applying the theory of the Six Qi Transformation. This provides an alternative thinking process that helps physicians reduce the probabilities in making misdiagnosis and applying mistreatment. Furthermore the theory is applied to herbal medicine to adjust the Yuan Qi of the body and to harmonize the ascending and descending of the Qi flowing through the meridians to improve the treatment efficiency.Methods:Analyze the data from the ancient medicine books and related publications, extract and distill the clinical reports and doctoral theses from distinctive institutes of Chinese Medicine, compare and list the dialectic of the theory of Six Qi.Results:Six Qi Transformation theory utilizes Ben Biao Zhong Qi theory from NeiJing in pathogenesis of disease. According to Ben Biao Zhong Qi theory, there are two rules, which are the Mater/slave rule and the Following rule. Ben Qi, Biao Qi, and Zhong Jian Qi all work in harmony for the life on earth. Zhi Cong Chang, Xiu Yuan Chen, YuanYu Huang, and Rong Chuan Tang applied this theory to the six meridian disease pathogenesis in ShangHanLun. Each of their illustration on this theory is characteristic. For future research on this theory, we should combine Qi transformation with Zang Fu, meridian, Qi and Blood, and Yin Yang regarding physiology and pathology of human body to make the theory more practical. Therefore, this theory may be generalized more in-depth during clinical practice. Conclusion:The onset, development, and transform of diseases in human body are governed by Six Qi. We can apply meridian, Zang Fu, and Qi transformation theory to the diagnosis of human disease, but the root cause is the imbalance of Six Qi transformation. Applying Qi Transformation in the diagnosis of disease simplifies the diagnostic process.Key Words:Six Qi, Zhang ZhiCong, Chen XiuYuan,HuangYuanYu,TangRongChuan, Yun Qi Theory,Ben Biao Zhong Qi, Human-environmental inter-relation, Shang Han Lun, Six meridian Qi Transformation theory, clinic application
Author: Chow, Winnie (L.Ac)
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