Акупунктура

[Evgeniy]

Игорь, я тут как раз сам хотел привести Вам аналогичное высказывание. Ведь наш Живов всегда прав (п.1). Если же он не прав, то опять смотри п. 1.
Могу спорить - он и на эти наши невинные замечания напишит очередную филиппику.

[Dr.Vad]

Уважаемые коллеги!
Как не специалист, был приятно порадован определенным прогрессом в сфере поиска научного обоснования/материальной основы применения акупунктуры, наметившегося в последние годы (Евроклиники, в оригинале, без комментариев)
J Tradit Chin Med 2002 Jun;22(2):104-11
Study on cytokines IL-2, IL-6, IL-10 in patients of chronic allergic rhinitis treated with acupuncture.
Petti FB, Liguori A, Ippoliti F.
Paracelso Institute, Body Corporate of Italian Ministry of Health, Chair of Social Medicine, School of Medicine La Sapienza University, Rome, Italy.
OBJECTIVES: To observe the plasmatic concentration of IL-6, IL-10 and IL-2 in the patient of chronic allergic rhinitis before and after acupuncture therapy. METHODS: Cytokine levels were determined before and after treatment in 30 healthy volunteers (Group A) and 90 patients of chronic allergic rhinitis (Group B) with an increased plasma IL-10 level. Group B was then divided into 3 subgroups: 30 patients treated with real acupuncture (Group B1); 30 patients treated with sham acupuncture (Group B2); 30 non-treated patients (Group B3). RESULTS: The allergic subjects of group B1, compared with controls, showed a significant reduction of IL-10 after a specific treatment with acupuncture (P < 0.05). On the other hand, in those patients treated with sham acupuncture (B2) as well as in non-treated patients (B3), the IL-10 values remained high and unchanged. There was a statistically significant change in IL-2 values at 24 hours (P < 0.05) after real acupuncture (Groups A, B1), however the values remained within normal ranges. The IL-6 do not change after therapy. CONCLUSION: The acupuncture treatment can reduce plasmatic level of IL-10 in chronic allergic rhinitis.

J Altern Complement Med 2000 Dec;6(6):519-25
Immunomodulatory effects of acupuncture in the treatment of allergic asthma: a randomized controlled study.
Joos S, Schott C, Zou H, Daniel V, Martin E.
Department of Anaesthetics, University of Heidelberg, Germany. [Ссылки доступны только зарегистрированным пользователям ]
OBJECTIVE: According to Traditional Chinese Medicine (TCM) acupuncture is a suitable treatment for complex chronic diseases such as bronchial asthma. In a randomized, controlled study we investigated immunologic effects of Chinese acupuncture on patients with allergic asthma. PATIENTS AND METHODS: The effects of acupuncture treatment given according to the principles of TCM (TCM group, n = 20) were compared with those of acupuncture treatment using points not specific for asthma (control group, n = 18). All patients were treated 12 times for 30 minutes over a time period of 4 weeks. Patients' general well-being and several peripheral blood parameters (eosinophils, lymphocyte subpopulations, cytokines, in vitro lymphocyte proliferation) were determined before and after acupuncture treatment. RESULTS: In the TCM group, significantly more patients indicated an improvement in general well-being (79% in the TCM group versus 47% in the control group; p = 0.049) after acupuncture treatment. The following changes were found in the TCM group: within the lymphocyte subpopulations the CD3+ cells (p = 0.005) and CD4+ cells (p = 0.014) increased significantly. There were also significant changes in cytokine concentrations: interleukin (IL)-6 (p = 0.026) and IL-10 (p = 0.001) decreased whereas IL-8 (p = 0.050) rose significantly. Additionally, the in vitro lymphocyte proliferation rate increased significantly (p = 0.035) while the number of eosinophils decreased from 4.4% to 3.3% after acupuncture (p > 0.05). The control group, however, showed no significant changes apart from an increase in the CD4+ cells (p = 0.012). CONCLUSION: The results imply that asthma patients benefit from acupuncture treatment given in addition to conventional therapy. Furthermore, acupuncture performed in accordance with the principles of TCM showed significant immune-modulating effects.

Obstet Gynecol 1998 Aug;92(2):245-8
Influence of acupuncture on maternal serum levels of interleukin-8, prostaglandin F2alpha, and beta-endorphin: a matched pair study.
Tempfer C, Zeisler H, Heinzl H, Hefler L, Husslein P, Kainz C.
Department of Gynecology and Obstetrics, University of Vienna Medical School, Austria. clemens@[Ссылки доступны только зарегистрированным пользователям ].at
OBJECTIVE: To measure the serum levels of interleukin (IL)-8, prostaglandin (PG) F2alpha, and beta-endorphin in parturients with acupuncture treatment and in controls to clarify the effect of acupuncture and duration of labor on the serum levels of substances active in cervical ripening and dilatation. METHODS: A matched pair study was performed involving 80 women with and without prenatal acupuncture treatment, matched for age and parity. Serum levels of IL-8, PGF2alpha, and beta-endorphin were measured in serum samples taken after delivery by use of enzyme-linked immunosorbent assay, enzyme immunoassay, and immunoradiometric assay, respectively. RESULTS: The mean difference in total duration of labor between matched pairs with and without acupuncture was -136.5 minutes (95% confidence interval [CI] 191.1 minutes, -81.9 minutes; paired t test, P < .001). The mean difference of the duration of the first and second stages of labor between matched pairs with and without acupuncture was -138.8 minutes (95% CI 188.6, -89.0 minutes; paired t test, P < .001) and 2.3 minutes (95% CI 15.5, 20.1 minutes; paired t test, P = .8), respectively. The geometric means of ratios of IL-8, PGF2alpha, and beta-endorphin between matched pairs in women with and without acupuncture showed no statistically significant differences. Serum levels of IL-8, PGF2alpha, and beta-endorphin were not significantly correlated with the duration of the first and second stages of labor. CONCLUSION: Prenatal acupuncture treatment significantly reduces the duration of labor and may be a valuable tool in prenatal preparation. Serum levels of IL-8, PGF2alpha, and beta-endorphin are not significantly influenced by acupuncture and are therefore not likely to mediate acupuncture-related effects during labor.

[Dr.Vad]

для мною очень уважаемого доктора Алексея Живова, отдельные статьи из весьма известных и уважаемых международных урожурналов лишь по одной тематике: энурез (в оригинале, без комментариев)
***Int J Urol 2002 Dec;9(12):672-6
Treatment of monosymptomatic nocturnal enuresis by acupuncture: A preliminary study.
Honjo H, Kawauchi A, Ukimura O, Soh J, Mizutani Y, Miki T.
Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan. [Ссылки доступны только зарегистрированным пользователям ]
OBJECTIVES: This study was designed to clarify the clinical usefulness of acupuncture as a treatment option for monosymptomatic nocturnal enuresis, and evaluate the mechanisms of its effect. METHODS: Subjects comprised 15 patients (10 males, 5 females) with monosymptomatic nocturnal enuresis who were treated by acupuncture using a disposable stainless steel needle (0.3 mm in diameter, 60 mm in length) inserted into bilateral BL-33 (Zhongliao) points on the skin of the third posterior sacral foramina and rotated manually for 10 min reciprocally. Bladder capacities and number of wet nights per week were compared before and after treatment. Patients in whom wet nights decreased 50% or more compared with the baseline were considered responders. RESULTS: Nocturnal enuresis improvement rates following acupuncture treatment were 40% (6/15) just after treatment and 47% (7/15) 2 months after. In 6 responders, just after treatment the nocturnal bladder capacity (NBC) increased significantly, from 201 mL to 334 mL (P < 0.05). No side-effects were recognized throughout the treatment period. CONCLUSION: Acupuncture may be beneficial in the treatment of nocturnal enuresis by increasing NBC, and provide a promising alternative to conventional therapies for monosymptomatic nocturnal enuresis.

Curr Opin Urol 2002 Jul;12(4):317-20
Nocturnal enuresis.
Djurhuus JC, Rittig S.
Institute of Experimental Clinical Research, Aarhus University Hospital, Skejby Section, Denmark. [Ссылки доступны только зарегистрированным пользователям ]
PURPOSE OF REVIEW: The purpose of this review is to highlight and comment upon important areas of enuresis research. RECENT FINDINGS: Current areas of pathophysiological focus are nocturnal urine production, in which alternative mechanisms other than deficient vasopressin secretion has been implicated in some patients. Bladder reservoir function has gained renewed interest, and has proved to be one of the best predictors of treatment response to desmopressin. Various aspects of central nervous system function, including arousability and pontine reflexes, are in focus, and molecular genetics has provided firm evidence of a link between enuresis and different chromosomal markers. The therapeutic focus is directed towards a differential approach based upon the underlying mechanism and towards combination therapies such as alarm devices and desmopressin as well as anticholinergic agents and desmopressin. Furthermore, new exciting treatment concepts such as laser acupuncture have shown promising results in initial studies. SUMMARY: Despite recent advances in our understanding of nocturnal enuresis, we are still far from understanding in detail this socially discomfiting and scientifically intriguing condition, and many controversies remain. However, the substantiation that enuresis is a heterogeneous condition that requires a differential approach has provided the basis for further progress.

***Eur Urol 2001 Aug;40(2):201-5
Prospective randomized trial using laser acupuncture versus desmopressin in the treatment of nocturnal enuresis.
Radmayr C, Schlager A, Studen M, Bartsch G.
Department of Urology, University of Innsbruck, Austria. [Ссылки доступны только зарегистрированным пользователям ]
OBJECTIVES: Several treatment modalities for children suffering from monosymptomatic nocturnal enuresis are available, but desmopressin is a well-established option. On the other hand, alternative nonpharmacological therapies such as laser acupuncture are more frequently requested by the parents. To our knowledge, there is no prospective randomized trial which evaluated the efficacy of such an alternative approach in comparison with the widespread use of desmopressin. METHODS: Forty children aged over 5 years presenting with primary nocturnal enuresis underwent a previous evaluation of their voiding function to assure normal voiding patterns and a high nighttime urine production. Then the children were randomized into two groups: group A children were treated with desmopressin alone, and group B children underwent laser acupuncture. All children were investigated after a minimum follow-up period of 6 month to evaluate the duration of the response. RESULTS: The children of both groups had an initial mean frequency of 5.5 wet nights per week. After a minimum follow-up period of 6 months reevaluation revealed a complete success rate of 75% in the desmopressin-treated group. Additional 10% of the children had a reduction of their wet nights of more than 50%. On the other hand, 6 months after laser acupuncture, 65% of the randomized children were completely dry. Another 10% had a reduction of the enuresis frequency of more than 50% per week. 20% of the children in the desmopressin-treated group did not respond at all as compared with 15% in the acupuncture-treated group. Statistical evaluation revealed no significant differences among the response rates in both groups. CONCLUSION: Im comparison with pharmacological therapy using desmopressin, our study shows that laser acupuncture should be taken into account as an alternative, noninvasive, painless, cost-effective, and short-term therapy for children with primary nocturnal enuresis in case of a normal bladder function and high nighttime urine production. Success rates indicated no statistically significant differences between the well-established desmopressin therapy and the alternative laser acupuncture.

Scand J Urol Nephrol 2000 Feb;34(1):21-6
Electro-acupuncture in the treatment of children with monosymptomatic nocturnal enuresis.
Bjorkstrom G, Hellstrom AL, Andersson S.
University College of Health Sciences, Jonkoping, Sweden. [Ссылки доступны только зарегистрированным пользователям ]
OBJECTIVE: The aim of this study was to investigate the effects of a long series of electro-acupuncture (EAP) sessions on bedwetting symptoms. MATERIAL AND METHODS: Twenty-five children (age range 7-16 years) with monosymptomatic nocturnal enuresis and treated earlier without success were included in the study. The median number of wet nights per week was 4.7 before treatment. Bedwetting, voided volume, sleep and nocturia were evaluated 3 weeks, 3 months and 6 months after 20 sessions of EAP lasting 8 weeks. RESULTS: All the children, with the exception of one, tolerated EAP treatment well. At the three follow-up sessions it was found that the number of dry nights had increased gradually from a median of 2.3 in the pre-test to 3.0, 4.3 and 5.0 per week, respectively. Compared to pre-treatment findings there were more dry nights in 65% of the children (p < 0.001) and 5 out of 23 children were responders (> 90% reduction of the numbers of wet nights) at the 6 months' follow-up. According to the parents, the sleep arousal threshold had decreased in about 50% of the children.

Если что заинтересует как специалиста, то помеченные звездами статьи могу выслать пдфом на мейл.

[Evgeniy]

Вышлите. если не затруднит на [Ссылки доступны только зарегистрированным пользователям ]

[Evgeniy]

Спасибо.

[Zhivov]

Уважаемый Vad,
Надеюсь Вы, в отличие от некоторых полуграмотных и примкнувших к ним просто жуликоватых товарищей понимаете, что в медицине в отличие от права презумпции невиновности нет. Все, что не доказало свою эффективность в соответствующих современному уровню знаний исследованиях не может быть признано эффективным. Доказательство же эффективности того или иного нестандартного подхода - дело его автора.

Спасибо Вам за статьи. Знаете, в недавно опубликованной работе J. C. Nickel по эффективности ингибиторов ЦОГ в лечении хронического простатита, плацебо эффект достигал аж 57%. Это можно считать вполне реальным при заболеваниях с выраженным психосоматическим осложняющим/причинным компонентом. Энурез явно относится к числу таких заболеваний и не случайно в его лечении акупунктура показала себя столь эффективной. Дело в том, что лучшие стандартные методы лечения энуреза имеют длительную эффективность не более 65% (сигнальные устройства + медикаменты по показаниям, включая трициклические антидепрессанты, антихолинергики и агонисты вазопрессина). Я учился у профессора Djurhuus JC в университетском госпитале г. Аархус, Дания и очень уважаю этого специалиста и ученого с большой буквы. Он под ерундой не подписывается. Однако получен лишь начальный опыт с лазерной акупунктурой и требуется дальнейшее изучение этого метода для того, чтобы он стал стандартным. Хотелось бы поточнее представить механизм действия лазерной акупунктуры при энурезе. А для этого все же требуются двойные слепые плацебо-контролируемы исследования. В любом случае спасибо за ссылки, но они пока принципиально не могут поменять отношение цивилизованного практика медицины к акупунктуре. Время покажет!

[Igor Simonov]

Hong Kong's government said doctors there would start giving traditional Chinese medicine to Sars patients in coming weeks as doctors seem unable to stop an alarming rise in the death rate rate using a cocktail of Western drugs.

It would be the first time Chinese herbs would be used in Hong Kong hospitals since World War 2, according to doctors in the territory.

Occupying Japanese troops stopped the use of Chinese medicine when they converted all hospitals to using Western medicine in the early 1940s.
[Ссылки доступны только зарегистрированным пользователям ]

[Zhivov]

Интересно будет проследить развитие этой истории, Игорь. Вам, как практику китайской традиционной медицины, наверное было бы весьма уместно держать нас в курсе дела. Действительно время покажет. Думаю, что если Chinese herbs что то изменят в борьбе с SARS, об этом быстро узнает весь мир. Кстати, Евгений тут как то уже завлял, что легко бы справился с SARS. Может Вы порекомендуете своему единомышленнику откомандироваться в Китай на борьбу с недугом. Если повезет, станет ведь китайским народным героем и войдет в мировую историю.

[Hard]

Игорь, не прокомментируете?..

[Изображения доступны только зарегистрированным пользователям]

[Igor Simonov]

Простите, чтоже тут можно коментировать, всё и так ясно

[Evgeniy]

Н-да, г-н Хард отличается завидным трудолюбием - не только по гомеопатии статьи собирает.

Хорошо, если труд приносит конкретную пользу. Перевести огромную статью какого-то полуграмотного крикуна из никому не ведомой ассоциации (в составе одного человека - самого автора статьи) по борьбе с мошенничеством - может ли быть бесполезней трата времени. Мартышка тоже ведь до поту трудилась, пытаясь подобрать очки. Да так и не вышло. Ну, она их тогда и об камень - хвать! "лишь стекла зазвенели".

[Igor Simonov]

[Изображения доступны только зарегистрированным пользователям]
[Изображения доступны только зарегистрированным пользователям]

[Igor Simonov]

LEI DAO IS LYING ON HIS STOMach
with his trousers pulled down.
His doctor, Hong Na, tlvists and
turns one needle into his hip. then
another into his backide. "lt
hurts," cries ki-then git-es a clench-jas'ed
laugh at u'hat heb gotten himself into. This
discomfort, though, is nothing next to the
pain thatbrought him to Wangjing Hospital
in Beijing in the first place. As a writer for a
legal publication, he spends long hours
working at his desk, which often leaves him
with agonizingpain in his rightleg. When it
comes to most of his ailments, ki prefers
dr-ugs and other conventional treatments,
but nothing he's found aller.iates muscle pair.r
better than acupunctLlre. "\\ e stem mcclicinc
candonod'ringaboutnrvpain. I-cisars. iurd
acupuncture n orks.'
\umerous scientific stuclies hale confirmed
this judgment, and it's norl' u-idelv
accepted in medical circles that acupuncture
is an effective treatment for most t\,Des
ofpain. But Lei may he mistaken in one respect:
the distinction between Western
medicine and acupuncture is getting blurrier
all the time. In countries around the
v'orld, acupuncture is becoming a bona
fide treatment for pain another tool, along
with painkiliers and anesthetics, in the doctor's
medical kit. Increasinglr-, acupuncturists
are x.hite-coated phr-sicians s'ho receive
palment from state-run health svstems
or even prir'ate medical insurance.
Even in China, scientists are working to put
this ancient art on a firm scientific footine.
Scientists have failed. though, to come
up with agood theory as to why acupuncture
seems to work. Tladitional Chinese medicine
believes that acupuncture helps to
smooth tlre flox' of the liG force, or qi,
through the bodv along l-l major patirvavs,
or "meridians." -{ccording to this theon',
pain is the result of blocked qi in one or nore
meridians. Dr. HanJisheng, director of the
Neuroscience Research Institute at Beijing
University, would like to believe it, not least
because it's a fundamental tenet of his culfure.
However, he says, "I have no evidence."
Han got involved with acupuncture in
1965 when he witnessed a surgical procedure
performed without anesthetics-only
acupuncture to relieve the pain. Since then
he's tried to erplain scientifically how it
works. Although the "acupoints" highlighted
by the meridian map of the body don't
correspond to any part ofthe anatom,v, they
seem to be the most effective places to apply
needles or electrical cunents. He also found
that acupuncfure triggers the release of endorphins
and other pain-blocking chemicals.
Han has even gotten diflerent results by
applying different frequencies of alternating
current to the needles: 100 hertz s'orkecl
better for muscle spasms as a result ot-spinal
injuries, r.r'hile 2Hz \,vas more suitabh lbr
chronic lower-back pain. But despite his efforts,
Han hasn t been able to con.re up sith a
good scientific e>.planation forr-hr- this is so.
Scientists in the United Statcs q'ho've
applied brain scans to acupuncture patients
have been able to obsen e that the
needles stimulate those oafts oi the brain
involved in pain perceplion. Zang-Hee
Cho, a professor ofradiologicai sciences at
the Universiq. of California. Inine, got interested
in the subject 10 \'ears ago when
he injured his back in a hiking accident.
Since his doctor's office u-as closed, his
wife suggested acupuncture. "I was almost
mad at her," he recalls. But it worked. Since
then Cho has been studying patients with

[Igor Simonov]

f\'IRI and PET scans, but he's still at a loss
to explain rr'ht acupuncture s'orks. "I
think it's funny," he says, "that with all this
modern science, we cannot explain this
thing. Nobody knows the mechanism."
Medicine, of course, is apragmatic profession.
Physicians and patients don't care
so much about the why, as long as it works
and has no side effects. Four years ago
Marie Rochette, a 36-year-old Parisian, had
a particular$ painful bout of sciatica,
which two weeks on painkillers couldn't resolve.
After four or five sessions with an
acupuncturist, she felt enormous relief "I
went from being in bed in pain to being fully
functioning, even exercising again," she
says. She's been a needlejunkie ever since.
She's in good comparry. Acupuncture is
all the rage in Europe. Cherie Blair, wife of
the British prime minister, has been seen
sporting a tin needle in her ear. More than
2,OOO acupuncturists are licensed in
France-medical doctors u'hose services are
reimbursed bv the state health srstem. In
Germany, 50,000 physicians practice acupuncture,
and the numbers are rising. Most
hospitals and pain-treatment clinics include
acupuncture as a standard regimen. And the
government is currently funding clinical trials
on 150,O00 patients suffering from chronic
back pain, migraines and athritis, as a
prelude to making acupuncture a part of the
country's health service later this year. Even
some private health insurers in the United
States now offer at least patial reimbursement
for acupuncture fteatments.
Perhaps the clearest sign that acupuncture
has made it big in Western medicine is
that it's being used to cut health-care costs.
Even though acupuncture tueatments extend
over manyweeks, they're often cheaper
than drug regimens. Hospitals are catching
on. This week Dr. Peter Thssani, an
anesthesiologist at the Cardiac Clinic at
Munich Technical University, will begin
using acupuncture on patients undergoing
heart-brpass surgery Rather than knocking
them out with powerful anesthetic
drugs, he insefts 3cm needles into their ears
and arms 30 minutes before surgery starts,
and amplifies the effectwith a 9O-volt electric
current. He still administers drugs, of
course, but has cut dosages by 75 percent.
The payoff comes after surgery. Patients
don t lie unconscious for the rest ofthe day,
taking up a valuable bed in intensive careinstead
they're trundled out shortly alter
their chests are sewn up. The clinic expects
to save a bundle on the more than 2,00O
heart operations it performs each year.
"Acupuncture doesn't fit with arything I
learned at university," says Tassani. "All I
know is, it works." For the art of medicine,
that's as good as it gets.
With SARAH SCHAFER in Beijing, LIZ KRIEGER in Paris,
STEFAN THEIL i n Berlin and JAIME CUNNINGHAM i n New York