Guest guest Posted October 21, 2000 Report Share Posted October 21, 2000 Dear Colleague, This is a once-in-a-while mailing from The Journal of . Please read below to see: 1. Details of the latest (Number 64, October 2000) issue of The Journal which is published this week (rs will receive their copies within the next 1-2 weeks). Full subscription details, including on-line subscribing, may be seen on our website www.jcm.co.uk 2. All the NEWS from the latest issue of the Journal (remember that every NEWS item we have ever published can be viewed on the website). 3. Information about the Seminars and Case History sections of the website. 1. LATEST ISSUE CLINICAL CONSIDERATIONS IN TREATING THE ELDERLY by Skya Gardner-Abbate Elderly patients have diferent needs, different physiques and often different patterns of disharmony compared to younger patients. This article discusses all of these aspects. Special treatment considerations are discussed (for example cautions when needling and the complex issue of herb and drug reactions). The unique pathological patterns of the elderly are considered, namely Kidney deficiency, blood stasis and phlegm. Charts illustrate the pros and cons of various treatment modalities, diagnostic signs for blood stasis, the selection of points for treating blood stasis and phlegm, and standard ear acupuncture protocols. BI SYNDROME OF THE KNEE TREATED WITH ACUPUNCTURE WITH PATELLOFEMORAL PAIN SYNDROME AS A CASE by Roar Jensen & Anders Baerheim This article may be read and printed in plain text or .pdf format by going to our website (http://www.jcm.co.uk) and clicking on Sample Articles. HERPES ZOSTER: TREATMENT BY MOXIBUSTION by Xuan Lihua Many acupuncturists are cautious about using moxibustion in heat patterns and therefore it is stimulating to read of a technique that applies small moxa cones locally and distally for the treatment of herpes zoster, which is usually characterised by hot symptoms and signs. The technique is to treat the 'head', 'middle' and 'tail' of the snake (i.e. the herpes zoster) as well as additional points according to differentiation. REGULATING QI AND RESOLVING PHLEGM TO TREAT COMPLICATIONS OF DIABETES by Gao Luwen This article continues the discussion of the treatment of diabetic complications that began with " Wen Dan Tang & Diabetic Retinal Disease " in issue 62. Here Gao Luwen considers further applications of Wen Dan Tang and its variations in the treatments of diabetic peripheral neuropathy, diabetes complicated with infection of the urinary system and diabetes complicated with pruritis. HOT FLUSHES IN BREAST CANCER PATIENTS: TREATMENT BY ACUPUNCTURE AND DIETARY MODIFICATION by Dr. Emad Tukmachi This is a long and comprehensive article devoted to the treatment of severe and recalcitrant hot flushes in patients following breast cancer. Not only are the flushes severe but the standard western medicine treatments are not considered safe due to their potential effect on the cancer. The clinical picture is covered in meticulous detail from both a modern western and a traditional Chinese viewpoint, a comprehensive treatment strategy is described (including acupuncture, dietary modification, semi-fasting and lifestyle changes), and a clinical study is presented suggesting that acupuncture may significantly benefit women in this position. ACUPUNCTURE HISTORY: WANG JI & THE ZHEN JIU WEN DUI by Steve Clavey Wang Ji worked and wrote in the 16th century and this article gives a flavour of his unique opinions - many strongly held, dismissive of the practices of his time, and surprisingly modern and controversial. He rejects the idea that acupuncture can really tonify, ridicules the benefits of prophylactic moxibustion, and asserts that there is no difference in needling men and women. FAMOUS CONTEMPORARY CHINESE PHYSICIANS: PROFESSOR LI DING by Franz Zehentmayer & Cinzia Scorzon This is the first of a series of articles on famous 'old' doctors working in China today and in this respect follows the traditions of Chinese medicine journals in which such articles are a regular feature. Professor Ding works in Shanghai and was a member of the committee devoted to standardising the names and locations of the acupoints. He advocates the integration of the traditional and modern and discusses many aspects of acupuncture and treatment relevant to our practices and the ongoing debate on the place of acupuncture within modern medicine. CERVICAL SPONDYLOSIS: 100 PATIENTS TREATED WITH SLIDING CUPPING by Zhang Hong Sliding cupping is a simple technique that can be applied by acupuncturists and other practitioners to this painful and difficult to treat disease. The article discusses the method of treatment, a clinical study, a typical case history and the rationale behind the treatment. QUESTIONS CONCERNING CHINESE HERBAL MEDICINE: MATERIA MEDICA Jiang Yong-Ping Jiang Yong-Ping praises Eastland Press's " Chinese Herbal Medicine Materia Medica " as the primary textbook in English, yet over the years has noticed a number of errors. In this article he carefully points out mistakes in the text and how they should be corrected. An important article for all herbal medicine students and practitioners. THE JOURNAL OF TRADITIONAL CHINESE MEDICINE Abstracts June 2000 REVIEWS (This issue¹s review may be read by going to our website (http://www.jcm.co.uk) and clicking on ŒReviews¹. 2. NEWS NEWS NEWS FROM JCM 64 OCTOBER 2000 ACUPUNCTURE & COCAINE ADDICTION In a study published in a recent issue of the Archives of Internal Medicine, Yale researchers have shown that acupuncture is an effective treatment for cocaine addiction. The eight-week study involved 82 participants who were addicted to heroin and cocaine. They received methadone for their heroin addiction, but no medication for their cocaine addiction. All participants received individual and group counselling and were divided into three groups. One group received known effective auricular acupuncture, a second control group received acupuncture in other points along the outer ear believed to have no treatment effect, and a third group was shown videotapes depicting relaxing images, such as nature scenes. Of the patients studied, 53.8 percent of those receiving the acupuncture technique tested free of cocaine during the last week of the treatment, compared with 23.5 percent and 9.1 percent in the two control groups. Those who completed the acupuncture treatment also had longer periods of sustained abstinence than participants in either control group. Because traditional treatment centres often have high relapse and dropout rates for cocaine users, the study's findings are encouraging. Acupuncture is now being used in substance abuse programs in hospitals, jails, homeless and battered woman's shelters, neighbourhood community centres, and medical clinics across the USA. It is an effective complement to traditional methods of treatment because it has fewer side effects and is relatively low-cost. Cocaine addiction has been associated with cardiovascular and respiratory problems, psychiatric disorders, AIDS, early child development abnormalities and death. In 1996 an estimated 1.7 million persons reported using cocaine at least once in the past month. In the same year, an estimated $10 billion was lost in cocaine-related crimes and productivity, and public/private expenditures on cocaine-related treatment totalled about $1 billion. ACUPUNCTURE FOR LOW-BACK AND PELVIC PAIN IN PREGNANCY Acupuncture may be more effective than physiotherapy for pregnancy-related low-back and pelvic pain, according to a recent prospective study. Sixty pregnant women with low-back and pelvic pain were randomised to receive 10 treatments of either acupuncture (30-minute sessions, given within 1 month) or physiotherapy (50-minute sessions of counselling and physical therapies, given within 6 to 8 weeks). Significant improvements were noted in pain and in the ability to perform daily activities in the acupuncture group. The physiotherapy group had less pain relief but symptoms did not become worse (as they often do in pregnancy). While the physiotherapy group had a high dropout rate, which weakened the analysis, the researchers conclude that acupuncture is " promising enough to warrant further studies. " (Acta Obstet Gynecol Scand. 2000;79:331-335). OSTEOPOROSIS IN SPACE A Sino-French space experiment has shown that a traditional Chinese medicine is conducive to the proliferation of osteoblast, a bone-forming cell, during space flight, thus reducing the risk of osteoporosis facing astronauts. The conclusion is the result of a 15-day space experiment jointly sponsored by Chinese and French researchers last year. Six laboratory boxes of bone cells were placed in a French-made cell-fostering facility on a recoverable satellite owned by the Europe Space Agency (ESA) on a 15-day space flight last October. Initial results have shown that the traditional Chinese medical compound promoted the generation of bone cells in space. CHOCOLATE Cocoa, a key ingredient in most chocolate products, is rich in flavonoids - a natural plant substance that has antioxidant properties. Some flavonoids may have anti-inflammatory effects similar to aspirin. Low concentrations of these flavonoids can reduce platelet activity in the blood, thereby lowering the risk of blood clots. In a study of healthy, nonsmoking adults with no history of heart disease, researchers at the University of California, Davis, found that platelet activation was inhibited 2 hours and 6 hours after ingestion of a cocoa-enriched beverage. These results suggest that for healthy people, moderate intake of chocolate over the long-term may inhibit platelet activity and ultimately reduce the risk of heart disease. TCM IN SOUTHEAST ASIA TCM is becoming steadily more popular in Southeast Asia. In July, the Thai government announced a formal recognition of the legal status of traditional Chinese medicine, and launched a co-operative project with China to build regional training, research and treatment centres for TCM in Thailand. In Malaysia, the government has decided to integrate TCM into the mainstream national medical system and plans to offer all Malaysians a combined medical service with both western medicine and traditional Chinese medicine. In Singapore, the health ministry supports the idea of forming a co-ordinating committee among TCM organisations and will provide policy protection for these organisations. GREEN TEA & SKIN CANCER Previous studies have shown that green tea contains powerful anti-oxidants that fight harmful free radicals. This enables green tea to reduce the risk and prevent the development of many cancers. But the effect of green tea is not limited to internal organs. It can also improve the health of the skin by preventing wrinkles, reducing damage from sunburn and even decreasing the risk of skin cancer when applied topically. A recent study reviewed several previous studies that looked at green tea and skin. Green tea taken orally or applied directly to the skin has prevented damage from ultraviolet light, which can lead to skin cancer. Mice exposed to a chemical that causes skin cancer were less likely to develop tumours if they had green tea ointment applied for 1 week prior to exposure. (Archives of Dermatology 2000;136:989-994, 1051). ACUPUNCTURE & PAIN A study carried out at the Department for Family Medicine at the University of Maryland has shown that acupuncture is more effective than placebo in the treatment of postoperative oral surgery pain (Archives of Otolaryngology Head & Neck Surgery 1999; 125(5): 567-572). CARPAL TUNNEL SYNDROME 31 patients (36 hands) with carpal tunnel syndrome of a mean 24 months duration, with 14 hands having failed either one or two surgical release procedures, were treated by combined therapy. Primary treatment was low-level laser acupuncture and microamps TENS, and secondary treatment included regular needling and Chinese herbal formulas and supplements. Treatment was given three times a week for 4-5 weeks. After treatment 33 hands experienced either no pain or pain reduced by more than 50%, with all 14 hands that had failed surgery being successfully treated. (Journal of Alternative & Complementary Medicine 1999; 5(1): 5-26. CANNABIS & RA Cannabidiol, an ingredient of cannabis, greatly reduces the pain of rheumatoid arthritis without any intoxicating or psychoactive side effects and could provide a cheaper alternative to current anti-arthritis drugs. Components of cannabis have long been known to affect the immune system. The cannabis extract has only been tried in mice so far, however it has been found to be as effective as a far more expensive treatment that has to be taken by injection. The next stage would be to conduct small scale human medical trials, although it could be up to five years before the drug might be available, and finding sponsors for the research might be difficult, given the associations with an illegal drug. HOSPITALS EMBRACE CAM A new study in the USA has shown that many hospitals are offering alternative therapies in an effort to reverse poor financial situations resulting from managed care contracts. The biennial study, US Hospitals and the Future of Health Care, surveyed 5,015 US acute care hospitals and found that 24% of hospitals reported having tried alternative medicine. PROPOLIS & HERPES In a study by Ukrainian researchers, a flavonoid ointment derived from propolis (made by bees from tree resin) proved to be more effective than acyclovir and placebo for the treatment of genital herpes. In the single-blind, randomised, placebo-controlled, multicentre trial, 90 men and women with chronic genital herpes simplex virus type 2 applied either 3 percent propolis, 5 percent acyclovir, or placebo ointments for 10 days during a herpes relapse. After 3 days of treatment, volunteers in the propolis group had significantly fewer symptoms than those in the placebo group, but not in the acyclovir group. After 10 days of treatment, significantly more volunteers in the propolis group than in the acyclovir and placebo groups had lesions that were completely healed. In contrast with acyclovir, propolis helped to reduce bacterial outgrowth in women and was effective when treatment was initiated in the blister phase (Phytomedicine. 2000;7(1):1-6). SOYA & MENOPAUSE A new evidence-based consensus opinion published by the North American Menopause Society (NAMS) says that menopausal women can benefit from the cardiovascular effects of consuming whole soy foods, such as tofu, that contain isoflavones. An NAMS-appointed panel of clinicians and researchers reviewed published and unpublished studies of isoflavones and their effects on menopausal symptoms, cardiovascular disease, bone metabolism, cognitive function, and female-related cancers. They found conclusive evidence that isoflavone-containing whole foods favourably affected lipid profiles and arterial elasticity, however, because of inadequate, inconclusive, or conflicting data, the panel was unable to find compelling evidence for the use of isoflavone-containing whole foods for the other menopause-related parameters studied (Menopause. 2000;7(4):215-229). Meanwhile, a summary of 38 recent studies of the effect of soy on cholesterol showed that an average intake of 46 grams of soy protein per day reduced total cholesterol by an average of 9 percent, LDL (Œbad') cholesterol by l3 percent, and triglycerides by 11 percent. Patients who had the highest cholesterol to start with had the greatest cholesterol-lowering benefit GINKGO & COGNITIVE FUNCTIONING A double-blind, placebo-controlled trial has shown that ginkgo biloba can improve neuropsychologic performance. Healthy adults (21 men and 19 women, 55 to 86 years of age) were randomised to receive either ginkgo (180 mg/day of EGb 761 extract) or a placebo for 6 weeks. Compared with the placebo group, those taking ginkgo showed significant improvements in their speed of information processing. A non-significant trend of improved immediate recall was noted, and more participants in the ginkgo group reported improvements in memory. The authors suggest that ginkgo may prove efficacious for the enhancement of neurocognitive abilities, but recommend that larger studies using different dosages and populations be conducted (J Altern Complement Med. 2000;6(3):219-229). In another study 256 healthy middle-age volunteers (93 male and 163 female, ages 40 to 65), took a gingko-ginseng combination for three months. Cognitive testing carried out every month showed a 7.5 percent improvement over normal levels on tests for attention, concentration, short-term memory and long-term memory (findings presented at the recent International World Psychiatry Congress in Brussels, Belgium). ARISTOLOCHIA & CANCER Patients in Belgium with Chinese-herb nephropathy a progressive form of renal fibrosis that developed in some people, apparently after taking weight-reducing pills containing Aristolochia fangchi appear to have a high risk of urothelial carcinoma. Among 39 patients, there were 18 cases of urothelial carcinoma, 17 cases of carcinoma of the ureter, renal pelvis, or both and 1 papillary bladder tumour. 19 of the remaining patients had mild-to-moderate urothelial dysplasia, and two had normal urothelium. All tissue samples analysed contained aristolochic acid-related DNA adducts. The cumulative dose of aristolochia was a significant risk factor for urothelial carcinoma, with total doses of more than 200g associated with a higher risk of urothelial carcinoma. Cases of Chinese-herb nephropathy and urothelial carcinoma have also been detected in France, Spain, Japan, Taiwan, and the United Kingdom. (The New England Journal of Medicine - June 8, 2000 - Vol. 342, No. 23). BMA & ACUPUNCTURE A postal survey of a random sample of UK family doctors carried out for the British Medical Association's report Acupuncture: efficacy, safety and practice found that almost half the GPs who responded had arranged acupuncture for their patients. An even higher number (58% of the 365 GPs) had arranged some kind of complementary medicine for patients, with osteopathy and homoeopathy being next most popular. Of the 169 GPs who reported arranging acupuncture treatment for their patients 15% provided it themselves, 57% used another doctor, 24% used a physiotherapist and only 5% had used a traditional Chinese medicine practitioner. Almost half of the GPs said they would like to receive some training in acupuncture in order to treat their patients in the future. The report states " Overall 79% of the GPs agreed that they would like to see acupuncture available on the National Health Service " . Regarding efficacy, the report concludes that acupuncture appears to be more effective than control interventions for nausea and vomiting (particularly for post-operative symptoms in adults), back pain, dental pain and migraine. Evidence is unclear about a specific response to acupuncture in osteoarthritis, neck pain, recovery from stroke, tension headache, fibromyalgia and certain joint dysfunctions. In relation to safety, the report states " the incidence of adverse reactions to acupuncture appears relatively low. " GINSENG PRODUCTS FAIL TESTS In a recent test of 22 Asian ginseng (Panax ginseng) and American ginseng (Panax quinquefolius) supplements on sale in the USA, only 9 contained the amounts of active ingredients indicated on the label and had safe levels of pesticides and heavy metals. In order to meet the testing standards, products had to contain a minimum level of ginsenosides and had to meet US or European Pharmacopoeia or State of California purity criteria. None of the products tested contained arsenic or cadmium, but eight Asian ginseng products contained high levels of the pesticides quintozene and hexachlorobenzene. Two of these eight also contained unacceptable levels of lead (ConsumerLab.com. Product review: Asian and American ginseng, http://www.consumerlab.com/results/ginseng.html, July 17, 2000). HRT & BREAST CANCER A study at the University of Southern California in Los Angeles has found that women taking oestrogen only hormone replacement therapy had a 6 per cent increased risk of breast cancer with every five years of use of HRT, and that women taking a combination of oestrogen and progestogen had a 24 per cent increased risk with every five years of treatment. However, the doctors concluded that HRT was still worth taking because its protective effect on the heart outweighed the risk of breast cancer (Journal of the National Cancer Institute 2000; 92: 328-32). In a separate study at the Fred Hutchinson Cancer Research Center in Seattle, it was found that taking a hormone-replacement therapy with oestrogen and progestin can more than double the risk of lobular breast cancer. Researchers found a 2.6-fold higher incidence of lobular breast cancer in women who took the combination therapy for at least six months and an average of four years (Cancer). PRAYER & HEALING A study published in the Annals of Internal Medicine has analysed the results of 23 clinical studies which examined the effect of prayer, spiritual healing and other unconventional treatments on patients' health. It was found that more than half of these studies - 57% - found a positive impact on patients. The highest number of positive results was found in studies which examined spiritual healing, in particular a technique where the " energy field " is treated by a practitioner moving their hands over a patient's body to promote healing. All the studies included placebo controls and were chosen for the scientific quality of the research. STINGING NETTLES & ARTHRITIS Stinging nettles appear to reduce the pain and disability associated with osteoarthritis, indicates research at Plymouth University, UK. 27 patients with osteoarthritic pain at the base of the thumb or index finger, some taking conventional treatments such as analgesics and anti-inflammatories, applied stinging nettle leaf (Urtica dioica) daily for one week to the affected area; 5 weeks later, they applied white deadnettle leaf (Lamium album), which was used as a placebo because it looks like a stinging nettle but has no sting. Pain and disability scores were significantly lower after 1 week of treatment with stinging versus nonstinging nettles, and there was a non-significant reduction in daily use of analgesic and anti-inflammatory drugs with stinging nettle use. Pain relief was most likely to occur if a sting with wheals was produced, but 85% of patients said this was an acceptable side-effect and half said they preferred stinging nettles to their usual pain relief medication (J R Soc Med 2000; 93: 305-09). CARROTS, TOMATOES & LUNG CANCER Eating fruits and vegetables containing carotenoids may reduce the risk of lung cancer, according to researchers at Harvard School of Public Health and Brigham and Women's Hospital, Boston. In an analysis of answers to questionnaires about their diets from 124,207 men and women at the start of a pair of ongoing studies, and ten years (for men) and 12 years (for women) later, those who reported eating the greatest amount of lycopene, found in tomatoes, and alpha-carotene, found in carrots, had a lower risk of being diagnosed with lung cancer. Further, the risk was significantly lower among those who reported eating a variety of carotenoids. Study participants who never smoked and who ate the most alpha-carotene had a 63% lower incidence of lung cancer. (American Journal of Clinical Nutrition, October 2000; 72:990-997). EXERCISE & DEPRESSION Exercise works at least as well as Zoloft (a popular prescription drug in treating clinical depression) and keeping the condition from returning, researchers say. Scientists at Duke University Medical Center, USA tested exercise against Zoloft and found the ability of either - or a combination of the two - to reduce or eliminate symptoms were about the same. But they found exercise seemed to do a better job of keeping symptoms from coming back after the depression lifted. The exercise primarily consisted of brisk walking, stationary bike riding, or jogging for 30 minutes, plus a 10-minute warmup and 5-minute cooldown, 3 times a week. Exercisers who had been in remission after 4 months were far less likely to see their depression return after 10 months, compared with people taking the drug or a combination therapy, the study found. Eight percent of exercisers saw symptoms come back, compared with 38 percent of those taking drugs and 31 percent getting both. The studies do not prove exercise relieves depression, in part because the exercisers worked out in a group, so group dynamics may have played a role. A new study will attempt to find out, by comparing supervised group exercisers with people who were simply given an exercise plan and sent home. (Psychosomatic Medicine, http://www.psychosomatic.org/v62n0700.html). GARLIC & CANCER Eating raw or cooked garlic may help protect against developing colon and stomach cancers, according to new research. The research reviewed published data related to diet and cancer and analysed 22 studies from various countries, including Argentina, China, Switzerland and the Netherlands. The research showed that eating about five cloves a week reduced the risk of stomach cancer by up to 50 percent and the risk of colon cancer by 30 percent when compared to people who eat little or no garlic. (American Journal of Clinical Nutrition, October 2000). WHOLE GRAINS & STROKE Women who eat lots of whole-grain foods can significantly reduce their risk of strokes. Data from 75,521 participants in Harvard University's Nurses Health Study showed that those who ate the most whole grains - the equivalent of two to three slices of whole-grain bread daily - were 30 percent to 40 percent less likely to have an ischaemic stroke than women who ate less than half a slice or the equivalent daily. Whole grains consumed by study participants included whole-wheat bread, whole-grain cereal, popcorn, wheat germ, oatmeal, bulgur and couscous. (Journal of the American Medical Association). HYPERICUM & DEPRESSION St. John's wort (Hypericum), a popular herbal dietary supplement, should be considered the first line of defence in patients with mild to moderate depression, according to a study published in the British Medical Journal. The study, reportedly the biggest ever of its kind, was conducted in Germany and involved more than 300 patients with mild to moderate depression. Participants were randomly treated with either St. John's wort extract or the antidepressant imipramine. The results show that the two treatments were " therapeutically equivalent " with regard to overall effect on depression. What is also significant, however, is that patients had a higher tolerance for St. John's wort. Side effects such as dry mouth, sweating and dizziness, were reported in only 39% of patients taking St. John's wort compared to 63% taking imipramine. This resulted in fewer patients discontinuing treatment - only 3 percent of those taking St. John's wort as compared to 16 percent of patients on imipramine. According to the BMJ, the results of findings of this study and others recently published " provide compelling evidence that St. John's wort extract is as effective as standard antidepressants. In view of its superior safety record, St. John's wort should be considered for first line treatment in mild to moderate depression, especially in general practice where the milder forms of depression are most commonly seen. " EXERCISE & IMPOTENCE According to research published in the Journal Urology, men who burn 200 calories or more a day in physical activity - a level that can be met with as little as two miles of brisk walking - have far less risk of erectile dysfunction compared to men who do not exercise. The New England Research Institutes, a private US health research firm, looked at data on 593 men aged 40 to 70 in the long-running Massachusetts Male Aging Study. None reported erectile dysfunction at the start of the nearly nine-year study; at the end, 17 percent did. The researchers found that the more exercise the men did, the lower the chances were that they would develop impotence and even those who started exercise during the study period lowered their risk. KNEE INJURIES & ARTHRITIS A single knee injury as a teenager or young adult can triple the risk of arthritis in that knee by middle age. Dr. Allan Gelber of John Hopkins medical school studied graduates who underwent rigorous health exams before graduating some 40 years ago and then were monitored each year since. Those who injured a knee before age 22 had a threefold increased risk of getting arthritis in that knee, and it typically struck by the mid-50s, he found. The cumulative risk rose to fivefold when Gelber also counted injuries suffered later in life. Injuries included ligament or cartilage tears and bone fractures. Football, basketball and skiing were common causes, but car accidents and falls were culprits, too. TCM OBESITY HOSPITAL Tianjin Aimin Hospital is the only hospital in China that specialises in weight loss by means of acupuncture and traditional Chinese medicine. The hospital has been crowded with students hoping to lose weight since this year's summer vacation began in late July. Everyday over 1,200 people come to the hospital for outpatient services. ORGANIC FOOD APOLOGY America's ABC News had had to admit it fabricated laboratory tests for a story attacking organic food. The original warning, based on a non-existent pesticide food safety test, warned that organic food " could kill " consumers. HERBS & PROSTATE CANCER A herbal mixture called PC-SPES, which contains extracts from eight Chinese and American herbs (among them saw palmetto and ginseng), results in surprisingly rapid and dramatic drops in the level of patients' prostate-specific antigen (PSA), an important marker for disease progression, according to a report given at the annual conference of the American Institute of Cancer Research, a Washington-based non-profit organisation that supports nutrition education and research. After skin cancer, prostate cancer is the most common cancer in American men. It is estimated that one in six men will develop the disease within their lifetime. Based on lab studies, the herbal mixture seems to affect immune function as well as the interaction between oestrogen and cancer cells. One or more of the herbs in the mixture may also act as an analgesic. Controlled experiments in rats injected with human prostate cancer cells showed that PC-SPES reduced the number of tumours that formed by 40 percent, suggesting that the mixture might help control the spread of prostate cancer, he said. QIGONG IN CHINA The Chinese State General Administration of Sport (SGAS) has issued " The Provisional Administrative Methods on Qigong, " in a bid to ensure the healthy development of qigong. They say that in recent years some people have been making illegal profits and spreading superstitious ideas under the name of practising qigong and that these problems have severely affected the normal practice of qigong and been detrimental to the interests of the people. Local government departments in charge of physical culture and sports are responsible for administering and organising qigong activities, according to the document, which also sets out specific regulations on the setting-up of qigong-practising stations and demands that all qigong coaches must meet the qualification after strict training and examination. 3. Information about the Seminars and Case History sections of our website. Seminars Diary: You can view details of worldwide Chinese medicine seminars and add details of any seminars/conferences/lectures you are organising by going to the website (http://www.jcm.co.uk) and clicking on ŒSeminars¹. We are working to build up a catalogue of Chinese medicine case histories for mutual enjoyment and education. You can write up any case that you have treated in simple note form (it doesn¹t have to be elaborate, perfect or even successful as long as it has interesting aspects) and email it to us at jcm. We will then put it online. 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