Guest guest Posted March 17, 2004 Report Share Posted March 17, 2004 Robert Thanks for the update and clarification. What stands out FIRST & FOREMOST in this scenario has to do with money and therefore we should first understand why healthcare reimbursement companies do not wish to pay for acupuncture treatments. They make their money by investing the high cost of premiums. As allopathy goes.....especially in syndromes of chronicity....the pay-out for claims is high which therefore insures that the premiums are high. The claims pay-out these companies are supposed to make more often than not.... are derelict in paying anyone. In the end - acupuncture or any wholistic traditional medicine which would certainly reduce claims pay-outs would in facty reduce premiums and for their bottom line profits that would NOT be desirable. Let us now briefly address - placebo. When one invades the body with a needle, no matter where it is inserted......the result is certainly NOT placebo. There is definitely a reaction and such reaction should not be passed off as meaning that acupuncture overall is useless because of a totally incorrect premise regarding placebo. The research was for problems which can be categorized as YIN stagnation often coupled with deficiency problems as seen in chronic back pain; chronic arthritis of the knees; tension headache; and migraine. Acupuncture as defined by the National Institute of Health in 1997 refers to a family of modalities which includes but is not limited to the insertion of acupuncture needles. Acupuncture needles compared to other modalities are within a domain one may call YANG style treatment. Applied to a YIN and/or DEFICIENCY problem....it will have an effect but NOT as great an effect as a YIN style treatment such as GuaSha and/or BaGuan(cupping). As posted many times before....the synergy I developed utilizing both together resulting in what Dr. Wu, BoPing has coined the name BA GUA FA has a much superior result than only the use of acupuncture needles. And in this kind of research would have proved without a shadow of a doubt that within this definition of acupuncture - the results would have out surpassed anything the standard care was capable of accomplishing...which is not much. Then there is the problem of how many well trained acupuncturists treated these 500,000 participants. Were these MDs with minimal training? Maybe this was the reason why the sham acupuncture from the real acupuncture had no discernable difference. Doesn't anyone think it curious that these studies often is about acupuncture needles? Although it is what we are primarily taught - it seems to me that one reason for this has been the long time political suppressive manuevers by some. Needles can be argued that they belong to western medical domain and that they might even be more effective than anything else. Well - I can tell you by experience that although they are very effective in certain disorders such as blunt trauma and nervous systems syndromes - in chronic cases such as picked for this research.... other body work modalities would have had a more astounding result. And so we see that........ " Professor H J Trampisch from Bochum University, provides HIS answer. When asked whether these results demonstrate the success of acupuncture his response was decisive: " No, this cannot be. In our studies, we clearly determined that acupuncture will be deemed effective only if it is significantly superior to sham acupuncture " . Who is he that such a statement lacking any logic would be or should be accepted? The REAL issue should be about the uselessness of standard medical care as seen in the statement..... " It doesn't matter where we stick the acupuncture needle, the patient improves in any case, and this can only be due to a placebo response. " Logic should then have us LOOK at standard medical care and throw it OUT if sticking a needle anywhere in the body does better. If we accept to cal it placebo acupuncture which improves the patients condition beyond the standard of medical care.....the focus should be on the failure of standard western medical care. What they are doing is called prestidigitation. Magicians use it to distract the observer from the truth. In this case...the truth being that western medicine for the most part is barbaric when it comes to chronic syndromes. Why doesn't someone in Germany speak-out to these issues especially to this Professor's incorrect and illogical public statements? Collectively we need to voice the real truths when we see/hear such garbage. Richard A. Freiberg, OMD, NMD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2004 Report Share Posted March 17, 2004 Published in the The Guardian Newpaper 16/3/04 regards to all Robert McLinton Medicine man An end to 'free' acupuncture sessions? No wonder doctors and patients got the needle Edzard Ernst Tuesday March 16, 2004 The Guardian It is reported by the British Medical Journal this week that a study in the UK has indicated that acupuncture could be helpful for migraine sufferers. In Germany, however, where researchers have conducted the largest clinical trials of acupuncture ever undertaken, the results are not so clear cut. About 500,000 patients were included in these ambitious projects which are sponsored by four large health insurance companies. Previously, acupuncture research suffered from the fact that clinical studies were small, often too small to allow meaningful conclusions. A typical trial would include 50 patients and anything bigger than 100 was already seen as remarkable. Even the background of these mega-studies is fascinating. In October 2000, the German authorities decided that the evidence for acupuncture was not sufficiently convincing for inclusion in the list of interventions qualifying for reimbursement from health insurance companies. Henceforward Germans would have to pay for acupuncture out of their own pockets, as do most people in Britain. This announcement created uproar - German doctors who had previously used acupuncture, and received money from health insurers for it, feared that their income would decrease. After intense lobbying it was agreed that acupuncture would be put to the test, and that German doctors experienced in acupuncture could participate in these trials. Crucially, they would be paid for doing so. So doctors were happy to take part and patients thought this was a good way of continuing to enjoy " free " acupuncture treatments. Several " cohort studies " were started as part of the overall project. These are investigations where all patients receive treatment and the results are monitored and compared to their respective baseline values. Lacking a comparison or control group, such results have to be interpreted with the greatest of caution. But the researchers from Munich, Berlin and Bochum were also keen to embark on more rigorous tests. So they initiated four large controlled clinical trials to determine the usefulness of acupuncture for four conditions: chronic back pain; chronic arthritis of the knees; tension headache; and migraine. These trials also involved univer sity departments at Marburg, Heidelberg, Bochum and Mainz. Patients were allocated at random to one of three treatment groups: real acupuncture plus standard medical care; sham acupuncture (needles were simply stuck into non-acupuncture points) plus standard medical care; or standard medical care alone. The trials are not yet finished - they were due to end about now, but recruitment was slow and recently it was announced that the deadline has been extended until the end of this year. Preliminary results were leaked nevertheless. They are intriguing: adjunctive acupuncture turned out to be better than standard care but sham acupuncture yields the same benefit as " real " acupuncture. This is perplexing because it could be interpreted in two dramatically different ways. The optimist (or acupuncturist) would say that the results demonstrate the effectiveness of acupuncture - adding it to standard care improves the outcome compared to standard care alone. Hence acupuncture must be a good thing. On the other hand, the pessimist (or scientist) would insist that these results prove that acupuncture is merely a placebo therapy with no " real " effects of its own. It doesn't matter where we stick the acupuncture needle, the patient improves in any case, and this can only be due to a placebo response. Hence acupuncture has no " real " value. So do the German mega-studies suggest effectiveness or ineffectiveness? Apparently, there is less room for interpretation than one might think. One of the German investigators, Professor H J Trampisch from Bochum University, recently provided the answer. When asked whether these results demonstrate the success of acupuncture his response was decisive: " No, this cannot be. In our studies, we clearly determined that acupuncture will be deemed effective only if it is significantly superior to sham acupuncture " . If this is true, the biggest trials in the history of acupuncture might be the beginning of the end of this therapy. .. Edzard Ernst is professor of complementary medicine at the Peninsula Medical School at the universities of Exeter and Plymouth. Guardian Unlimited C Guardian Newspapers Limited 2004 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2004 Report Share Posted March 17, 2004 I despair at the trials and research been presently conducted and the german one fits into this picture. They make a number of assumptions which I don't experience in real life. That all acupuncturists are equal in skill, that all people with the same symptoms are to be treated equally, that a particular acupuncture point can be sinonimous in effect to a particular drug. That the levels of environmental stresses of individuals are disregarded (hard to quantify but a real spanner in the works fro some people). That one can treat a symptom in isolation from the rest of the human system and disregard all the other improvements. how does one compare health? perhaps trials on levels of health would be more interesting than levels of sickness. I would like to see research that compares people that have kept away from western doctors ( ie. drugs, vacinations, surgery) and relied on alternative medicine and exercise. (apologies for the rant ) salvador _______________ Use MSN Messenger to send music and pics to your friends http://www.msn.co.uk/messenger Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2004 Report Share Posted March 17, 2004 I despair at the trials and research been presently conducted and the german one fits into this picture. They make a number of assumptions which I don't experience in real life. That all acupuncturists are equal in skill, that all people with the same symptoms are to be treated equally, that a particular acupuncture point can be sinonimous in effect to a particular drug. That the levels of environmental stresses of individuals are disregarded (hard to quantify but a real spanner in the works fro some people). That one can treat a symptom in isolation from the rest of the human system and disregard all the other improvements. how does one compare health? perhaps trials on levels of health would be more interesting than levels of sickness. I would like to see research that compares people that have kept away from western doctors ( ie. drugs, vacinations, surgery) and relied on alternative medicine and exercise. (apologies for the rant ) salvador _______________ Tired of 56k? Get a FREE BT Broadband connection http://www.msn.co.uk/specials/btbroadband Quote Link to comment Share on other sites More sharing options...
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