on stroke and asthma

[Guest guest]

Welcome to the list Pengxuwei!

 

Unfortunately, this particular acupuncture list hasn't had a lot of activity

lately. I would suggest that you consider joining the two most popular

acupuncture email lists which are:

 

1. pa-l (go to / to sign up for this

group)

 

2. ACUPUNCTURE (This is a British acupuncture list. You can get

information on how to here: http://www.jiscmail.ac.uk)

 

There are a lot more discussions on those two lists.

 

Pengxuwei wrote:

 

> For instance,several papers on storke rehabilitation with acupuncture

treatment can be fouond in Stroke...

> When I read such papers , I found a serious problem. Many doctors

participating clinical works did not know the basic concepts of acupuncture and

TCM at all,so they could not design the research correctly.

 

These issues have been hotly debated in the West for many years now. The basic

question is: How important is it to practice acupuncture (AP) within the

context of TCM theory? In the West and in China, there are many practitioners

who think that we can now understand many of the mechanisms behind AP with

neurohumoral physiology etc, so it is no longer necessary to use TCM concepts in

practicing AP. In the West, these practitioners call themselves " medical

acupuncturists " (vs. " TCM acupuncturists " ). This topic has generated a lot of

controversy.

 

You cited the recent studies in the journal Stroke. However, in

Chinese-language journals (which I to -- I can read Chinese), there

have also been many studies which treated stroke successfully *without* TCM

differentiation. For example, Dr. Shi Xuemin has reported great success with

his standardized " Xing Nao Kai Qiao " treatment for stroke. And many researchers

have gotten positive results with scalp AP, which is primarily based on

neuroanatomy. Here are just a few citations of such non-TCM studies. There are

many, many more:

 

Meng Q. 113 cases of CVA sequelae treated with scalp acupuncture. Zhongguo

Zhenjiu 1989: 9 (6): 36.

Li D, et al. Treatment of cerebral hemorrhage primarily using the acupuncture

points Fengfu DU16 and Yamen DU15. Zhongguo Zhenjiu, 1987; 7 (3): 1.

Qiu M, et al. Changes in cerebral blow flow and other factors following

acupuncture treatment. Zhongguo Zhenjiu 1984; 4 (2): 1.

Shi X, et al. Analysis of 54 cases of cerebral hemorrhage treated with

acupuncture. Zhongguo Zhenjiu 1984; 4 (5): 11.

Wang Y. 59 cases of cerebral thrombosis treated with scalp acupuncture.

Zhongguo Zhenjiu 1982; (2) 3: 48.

Wu C. Clinical observation of 1228 cases of hemiparesis treated with scalp

acupuncture. Zhongguo Zhenjiu, 1989: 19 (4): 3.

 

All of these studies achieved very high success rates without TCM

differentiation. Also, there have been other studies in the West which got good

results using standardized ( " cookbook " ) AP. For example:

 

Johansson BB. Has sensory stimulation a role in stroke rehabilitation?

Scandinavian Journal of Rehabilitation Medicine Suppl, 1993 29:87-96.

 

> Another example, referring to six phases theory described by Brunnstrom,even

to a same patient,when he is in one of the six phases, the patient may suffer

from different problems, and should receive different treating methods.

 

I would like to hear more about how you have applied Brunnstrom's six phases to

AP stroke rehabilitation.

 

I personally think that the " TCM stage " of acupuncture is coming to an end. In

the 21st Century, I think we will see a lot of scientific breakthroughs which

will help to explain what is happening with acupuncture in terms of

bioelectricity, neuroendocrine physiology, etc. rather than " spleen deficiency "

and " heart fire " and so on. Through this, we will be able to refine our AP

protocols and get even better results.

 

Cheers!

Matthew

 

 

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