ISSN:1075-5535    

DOI:10.1089/acm.1999.5.1

出版商:Mary Ann Liebert, Inc.    

年代:1999

数据来源: MAL

ISSN:1075-5535    

DOI:10.1089/acm.1999.5.3

出版商:Mary Ann Liebert, Inc.    

年代:1999

数据来源: MAL

摘要:

Objective:Outcome for carpal tunnel syndrome (CTS) patients (who previously failed standard medical/surgical treatments) treated primarily with a painless, noninvasive technique utilizing red-beam, low-level laser acupuncture and microamps transcutaneous electrical nerve stimulation (TENS) on the affected hand; secondarily, with other altemative therapies.Design:Open treatment protocol, patients diagnosed with CTS by their physicians.Setting:Treatments performed by licensed acupuncturist in a private practice office.Subjects:Total of 36 hands (from 22 women, 9 men), ages 24-84 years, median pain duration, 24 months. Fourteen hands failed 1-2 surgical release procedures.Intervention/Treatment:Primary treatment: red-beam, 670 nm, continuous wave, 5 mW, diode laser pointer (1-7 J per point), and microamps TENS (<900A) on affected hands. Secondary treatment: infrared low-level laser (904 nm, pulsed, 10 W) and/or needle acupuncture on deeper acupuncture points; Chinese herbal medicine formulas and supplements, on case-by-case basis. Three treatments per week, 4-5 weeks.Outcome Measures:Pre- and posttreatment Melzack pain scores; profession and employment status recorded.Results:Posttreatment, pain significantly reduced (p<.0001), and 33 of 36 hands (91.6%) no pain, or pain reduced by more than 50%. The 14 hands that failed surgical release, successfully treated. Patients remained employed, if not retired. Follow-up after 1-2 years with cases less than age 60, only 2 of 23 hands (8.3%) pain returned, but successfully re-treated within a few weeks.Conclusions:Possible mechanisms for effectiveness include increased adenosine triphosphate (ATP) on cellular level, decreased inflammation, temporary increase in serotonin. There are potential cost-savings with this treatment (current estimated cost per case, $12,000; this treatment, $1,000). Safe when applied by licensed acupuncturist trained in laser acupuncture; supplemental home treatments may be performed by patient under supervision of acupuncturist.

ISSN:1075-5535    

DOI:10.1089/acm.1999.5.5

出版商:Mary Ann Liebert, Inc.    

年代:1999

数据来源: MAL

摘要:

Acupuncture has been used for various gastrointestinal (GI) conditions. Voluminous data support the effect of acupuncture on the physiology of the GI tract, including acid secretion,motility, neurohormonal changes, and changes in sensory thresholds. Much of the neuroanatomic pathway of these effects has been identified in animal models. A large body ofclinical evidence supports the effectiveness of acupuncture for suppressing nausea associated with chemotherapy, postoperative state, and pregnancy. Prospective randomized controlledtrials have also shown the efficacy of acupuncture for analgesia for endoscopic procedures, including colonoscopy and upper endoscopy. Acupuncture has also been used for a varietyof other conditions including postoperative ileus, achalasia, peptic ulcer disease, functional bowel diseases (including irritable bowel syndrome and nonulcer dyspepsia), diarrhea, constipation,inflammatory bowel disease, expulsion of gallstones and biliary ascariasis, and pain associated with pancreatitis. Although there are few prospective randomized clinical studies,the well-documented physiological basis of acupuncture effects on the GI tract, and the extensive history of successful clinical use of acupuncture, makes this a promising modalitythat warrants further investigation.

ISSN:1075-5535    

DOI:10.1089/acm.1999.5.27

出版商:Mary Ann Liebert, Inc.    

年代:1999

数据来源: MAL

摘要:

In response to recent reviews in the literature that have focused on adverse events due to acupuncture treatment, this article reexamines the original reports from which they derive,particularly the fatalities allegedly caused by acupuncture. The article explores some important issues relating to the debate on risk and safety. Education and research strategies needto be developed so that the acupuncture profession can continue to minimize the likelihood of adverse events occurring in the future.

ISSN:1075-5535    

DOI:10.1089/acm.1999.5.47

出版商:Mary Ann Liebert, Inc.    

年代:1999

数据来源: MAL

摘要:

One of the primary areas of investigation in the pathophysiology of Parkinson's disease (PD) is the loss of the dopamine-producing cells in the melanized neurons of the substantia nigra,believed to be caused by oxidative stress resulting from excessive free radical activity. The cuprozinc enzyme, superoxide dismutase (SODCu2Zn2), catalyzes the dismutation of superoxide anions to hydrogen peroxide plus oxygen, and is normally found in high concentrationsin the substantia nigra where it protects neurons by scavenging free radicals. Zinc supplementation has been shown to significantly increase SODCu2Zn2in vitro. A novel oral zinc tally test (ZTT) used in the assessment of zinc status was administered to 100 PD patients and25 controls. Patients with PD showed a significantly decreased zinc status as compared to controls (p<0.001). Significance was also established for 3 self-reported health-related variables thought to be related to zinc status: vision problems, olfactory loss, and taste loss (p<0.05). Relative risks for patients with PD for these variables were 1.51,1.56, and 1.33, respectively.Zinc status as measured by the ZTT is negatively correlated with PD status. PD status is positively correlated with self-reported vision problems, and olfactory and taste loss. Furtherstudy of the role of zinc in the development and treatment of PD is warranted.

ISSN:1075-5535    

DOI:10.1089/acm.1999.5.57

出版商:Mary Ann Liebert, Inc.    

年代:1999

数据来源: MAL

摘要:

Managed care presents a challenge to homeopaths and to consumers of homeopathic care. If homeopaths want to be a part of managed care, they will have to organize themselves to ahigher level of professional order. Although the vast majority of practicing homeopaths are licensed in one of many conventional health professions, with the medical license being themost common, homeopaths need to develop more clearly defined educational standards and certification programs in the specialty of homeopathic medicine, and they need to have theseprograms certified by respected, independent agencies. The small number of homeopaths who are unlicensed will either have to become licensed or work with those who are and whosemalpractice insurance would cover their care. This article notes that there is a small but significant body of clinical research and additional evidence that homeopathic care is cost effective.A recent increase in public and private research monies is leading to a larger body of evidence that homeopathic medicines are effective, and this will help it achieve greater acceptanceand recognition from governmental bodies, medical professional associations, and managed care organizations. Reasons are given as to why managed care organizations willplay a leading role in advocating that consumers learn to use homeopathic medicines for non emergency self-care ailments as a way to empower them to take greater control over their health and to reduce doctor visits and hospitalizations.

ISSN:1075-5535    

DOI:10.1089/acm.1999.5.65

出版商:Mary Ann Liebert, Inc.    

年代:1999

数据来源: MAL

摘要:

Objectives:A 76-year-old patient with chronic and severe spinal cord compression secondary to cervical stenosis, a cervical osteophyte, and a herniated intervertebral cervical disk had lastingresolution of symptoms after completing a specific, martial art-based, physical therapy program. We wanted to determine if there were structural changes in the cervical spine thatcould account for the prompt resolution of symptoms.Design:A 76-year-old female completed 8 weeks of a specific, martial art-based, physical therapy. The pretherapy and posttherapy cervical magnetic resonance images (MRIs) werecompared. A follow-up evaluation was done at 1 year.Results:The patient was symptom-free within 8 weeks of the start of therapy. She remained symptom-free at 1 year follow-up evaluation. There were no obvious structural differencesin the pretherapy and posttherapy MRI studies.Conclusions:Resolution of symptoms was directly related to the specific martial art therapy. However, there were no changes in the pretherapy and posttherapy MRI studies, suggestinga significant adaptation to the spinal compression had occurred. These data suggest a viable option to surgery in elderly patients with chronic and severe cervical spinalstenosis.

ISSN:1075-5535    

DOI:10.1089/acm.1999.5.75

出版商:Mary Ann Liebert, Inc.    

年代:1999

数据来源: MAL

摘要:

The ancient Indian medical system, Ayurveda, included geriatrics as 1 of 8 medical divisions. Well-documented evidence exists for treating aging and age-related disorders including dementia.Geriatrics was termedRasayanatantra. Cognitive function was well recognized and Sanskrit terms existed such asBuddhifor intelligence andCittanasa(Cittameans mind,nasameans loss of) for dementia. A normal human life span was considered to be 100 years. It could be prolonged to 116-120 years through the use of preventive treatments, if they werestarted during late youth or middle age. Treatments included herbal preparations, diet, exercise, and attention to general mode of life and social behavior. Several herbal formulationsare described, including details of their composition and preparation. The mode of action of antiaging drugs was believed to occur at 3 levels. Detailed descriptions of the mode of actionof several herbs are provided, and recent research confirms some of this activity.

ISSN:1075-5535    

DOI:10.1089/acm.1999.5.81

出版商:Mary Ann Liebert, Inc.    

年代:1999

数据来源: MAL

ISSN:1075-5535    

DOI:10.1089/acm.1999.5.89

出版商:Mary Ann Liebert, Inc.    

年代:1999

数据来源: MAL