ISSN:1075-5535    

DOI:10.1089/acm.1995.1.1

出版商:Mary Ann Liebert, Inc.    

年代:1995

数据来源: MAL

ISSN:1075-5535    

DOI:10.1089/acm.1995.1.5

出版商:Mary Ann Liebert, Inc.    

年代:1995

数据来源: MAL

ISSN:1075-5535    

DOI:10.1089/acm.1995.1.9

出版商:Mary Ann Liebert, Inc.    

年代:1995

数据来源: MAL

ISSN:1075-5535    

DOI:10.1089/acm.1995.1.15

出版商:Mary Ann Liebert, Inc.    

年代:1995

数据来源: MAL

ISSN:1075-5535    

DOI:10.1089/acm.1995.1.17

出版商:Mary Ann Liebert, Inc.    

年代:1995

数据来源: MAL

ISSN:1075-5535    

DOI:10.1089/acm.1995.1.19

出版商:Mary Ann Liebert, Inc.    

年代:1995

数据来源: MAL

ISSN:1075-5535    

DOI:10.1089/acm.1995.1.41

出版商:Mary Ann Liebert, Inc.    

年代:1995

数据来源: MAL

摘要:

Criteria for therapeutic efficacy and safety include significant amelioration of symptoms and, ideally, cure (i.e., patients' belief in effective improvement of symptoms and quality of life,durable impact on symptoms, verifiable subjective and objective changes); improved patient management (e.g., diminishing, or ceasing medication, physiotherapy, and other interventions);safety for patient and practitioner and an acceptable side effect profile; cost-effectiveness of the therapy in practice and to teach to others. There is evidence that in bronchial asthma,chronic bronchitis, and chronic disabling breathlessness the use of acupuncture fulfills these to varying degrees. It can facilitate reducing pharmacologic medication and is safe, suggestingthat acupuncture as an adjuvant in the treatment of respiratory disease might be safer than prolonged pharmaceutical maintenance therapy alone. Its cost-effectiveness has yet to beadequately researched.Twenty-one papers in English were obtained and 16 were further evaluated; eight were double-blind, five single-blind, and three unblinded. The remaining five, and most of theChinese literature, were excluded on account of their poor quality. Acupuncture was effective in four of eight of the double-blind, three of five single-blind, and three of three unblindedstudies (i.e., 10 of 16 [62.5%] overall).A previously unreported confounding variable was identified and concerned the designation of sham points. Most sham points were believed to be inactive but, according to traditionalChinese principles, many are active in pulmonary disease. Reappraised accordingly, the unequivocally positive studies were summed with those in which "real" and "sham" acupuncturewere not significantly different but in which the combined effect of all acupuncture (i.e., real + sham) on breathlessness was significantly different from baseline. This yielded 14 of 16(87.5%) studies in which acupuncture led to significant improvement.In most studies, current pharmacologic treatment had a greater effect than acupuncture alone. However, in the 11 studies in which it was evaluated, medication could be significantlyreduced by acupuncture in 10 (91%). Twenty-three of the 320 patients in the 16 studies (7%) reported minimal side effects, none requiring intervention. Current published evidencereveals no reason to withhold acupuncture as a safe and potentially effective treatment in patients with bronchial asthma and chronic obstructive lung disease. Further, more appropriatelydesigned studies are urgently required. This would be facilitated in the United States by licensing the acupuncture needle as a therapeutic agent and might lead to important newinsights and therapeutic opportunities.

ISSN:1075-5535    

DOI:10.1089/acm.1995.1.57

出版商:Mary Ann Liebert, Inc.    

年代:1995

数据来源: MAL

摘要:

This study was designed to evaluate the antidepressant effect of negative ions in the ambient air as a potential treatment modality for seasonal affective disorder. Twenty-five subjects withwinter depression underwent a double-blind controlled trial of negative ions at two exposure densities, 1104ions/cm3or 2.7106ions/cm3, using an electronic negative ion generator with wire corona emitters. Home treatments were taken in the early morning for 30 min over 20days, followed by withdrawals.The severity of depressive symptoms (prominently including the reverse neurovegetative symptoms of hypersomnia, hyperphagia, and fatigability) decreased selectively for the groupreceiving high-density treatment. Standard depression rating scale assessments were corroborated by clinical impressions. When a remission criterion of 50% or greater reduction insymptom frequency/severity was used, 58% of subjects responded to high-density treatment while 15% responded to low-density treatment (2= 5.00, df = 1, p = 0.025). There were no side effects attributable to the treatment, and all subjects who responded showed subsequentrelapse during withdrawal.Treatment with a high-density negative ionizer appears to act as a specific antidepressant for patients with seasonal affective disorder. The method may be useful as an alternative orsupplement to light therapy and medications.

ISSN:1075-5535    

DOI:10.1089/acm.1995.1.87

出版商:Mary Ann Liebert, Inc.    

年代:1995

数据来源: MAL

摘要:

We have designed a senior elective, Introduction to Alternative Medicine, to prepare our students better to practice in multicultural environments, and to expand their views of healthand healing. We combined didactic lecture, films, first-hand experience with some methods, and observation of alternative practitioners in their offices/clinics. Students explored hypnosis,chiropractic, therapeutic touch, meditation, biofeedback, acupuncture, homeopathy, naturopathy, and massage therapy. Discussions of scientific efficacy, legal and ethicalconsiderations, and the role of spirituality in health and healing focused on limitations of science-based approaches and reasons why alternative/complementary methods are popularwith patients and allopathic physicians. We conclude that allopathic medical schools have an important role in reducing the isolation of their students from alternative health beliefs,practices, and systems of care that are common in our communities.

ISSN:1075-5535    

DOI:10.1089/acm.1995.1.93

出版商:Mary Ann Liebert, Inc.    

年代:1995

数据来源: MAL