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29 Other Books Like The Cu Kuei Chen Chang, Written By The Director Of Medical Services For China, Were Also Influential During This Period, But Were Not Preserved.

It limits the use of words like ?Acupuncture? and ?Registered Acupuncturist?. citation required A minimum of 28 nations in Europe have specialist organizations for acupuncturists. 303 In France, the Académie rationale de Médecine National Academy of Medication has actually controlled acupuncture considering that 1955. 304 ^ From Latin, aces needle and also puncture to puncture 1 ^ a b c sigh & Ernst 2008 mentioned, ?Researchers of Wellness NIH declared support for acupuncture for some problems in November 1997. It.includes a licensing test and also registration, along with level courses approved by the board. 300 Canada has acupuncture licensing programs in the districts of British Columbia, Ontario, Alberta and also Quebec; requirements established by the Chinese Medicine and also Acupuncture 29:71 However, it is more probable that rocks were made use of for various other clinical objectives, such as puncturing a growth to drain its pus. 27 30 The Mawangdui texts, which are thought to be from the Second century BC, state making use of sharp rocks to open up abscesses, and also moxibustion, but except acupuncture. 28 It is also speculated that these stones could have been used for blood-letting, due to the old Chinese idea that diseases were caused by satanic forces within the body that can be killed or released. 269 It is most likely blood-letting was an antecedent to acupuncture. 30 According to chroniclers Lu Gwei-djen and also Joseph Needham, there is considerable proof that acupuncture could have started around 600 BC. 29 Some hieroglyphs as well as pictographs from that period suggests acupuncture as well as moxibustion were method. 270 However, chroniclers Gwei-djen and also Needham said it was unlikely a needle could be constructed out of the materials readily available in China throughout this time duration. 29:71 -72 It is feasible Bronze was used for very early acupuncture needles. In 553, numerous Korean and also Chinese citizens were designated to rearrange clinical education and learning in Japan and also they integrated acupuncture as part of that system. 29:264 Japan later sent out students back to China and established acupuncture as one of 5 divisions of the Chinese State Medical Management System. 29:264 -265 Acupuncture started to spread to Europe in the second fifty percent of the 17th century.

The.Np.f.he.eedle.hould not be made too sharp to prevent breakage, although blunt needles cause more pain. 49 Apart from the usual filiform needle, other needle types include three-edged needles and the Nine Ancient that it can cure disease; the evidence of effectiveness is negligible. 63 Scalp acupuncture, developed in Japan, is based on reflexological considerations regarding the scalp . Traditionally, acupuncture was used to treat acute conditions acupuncture practices as well. 27 China and Korea sent ?medical missionaries? that spread traditional Chinese medicine to Japan, starting around 219 AD. Diagrams of the flow of spiritual energy, for example, Alternative Medicine was created within the NIH. The.hen.Cu.Cm Fi Jung, which was published in the mid-3rd century, became the oldest acupuncture book that is still in existence in the modern era. 29 Other books like the Cu Kuei Chen Chang, written by the Director of Medical Services for China, were also influential during this period, but were not preserved. 29 In the mid 7th century, to no treatment or sham therapy for chronic low back pain only in the short term immediately after treatment. 100 The same review also found that acupuncture is not more effective than conventional therapy and other alternative medicine treatments. 100 Two separate 2016 Cochran reviews found that acupuncture could be useful in the prophylaxis of tension-type headaches and episodic migraines . 101 102 The 2016 Cochran review evaluating acupuncture for episodic migraine prevention concluded that true acupuncture had a small effect beyond sham acupuncture and found moderate-quality evidence to suggest that acupuncture is at least similarly effective to prophylactic medications for this purpose. 102 A 2012 review found that acupuncture has demonstrated benefit for the treatment of headaches, but that safety needed to be more fully documented in order to make any strong recommendations in support of its use. 103 A 2009 Cochran review of the use of acupuncture for migraine prophylaxis treatment concluded that ?true? acupuncture was no more efficient than sham acupuncture, but ?true? acupuncture appeared to be,1, as effective as, or possibly more effective than routine care in the treatment of migraines, with fewer adverse effects than prophylactic drug treatment. 104 The same review stated that the specific points chosen to needle may be of limited importance. 104 A 2009 Cochran review found insufficient evidence to support acupuncture for tension-type headaches. 104 The same review found evidence that suggested that acupuncture might be considered a helpful non-pharmacological approach for frequent episodic or chronic tension-type headache. 104 A 2014 review concluded that ?current evidence supports the use of acupuncture as an alternative to traditional analgesics in osteoarthritis patients.? 105 As of 2014 updates, a meta-analysis showed that acupuncture may help osteoarthritis pain but it was noted that the effects were insignificant in comparison to sham needles. 106 A 2013 systematic review and network meta-analysis found that the evidence suggests that acupuncture may be considered one of the more effective physical treatments for alleviating pain due to knee osteoarthritis in the short-term compared to other relevant physical treatments, though much of the evidence in the topic is of poor quality and there is uncertainty about the efficacy of many of the treatments. 107 A 2012 review found ?the potential beneficial action of acupuncture on osteoarthritis pain does not appear to be clinically relevant.? 74 A 2010 Cochran review found that acupuncture shows statistically significant benefit over sham acupuncture in the treatment of peripheral joint osteoarthritis; however, these benefits were found to be so small that their clinical significance was doubtful, and ?probably due at least partially to placebo effects from incomplete blinding?. 108 A 2014 systematic review found moderate quality evidence that acupuncture was more effective than sham acupuncture in the treatment of lateral elbow pain. 109 A 2014 systematic review found that although manual acupuncture was effective at relieving short-term pain when used to treat tennis elbow, its long-term effect in relieving pain was ?unremarkable?. 110 A 2007 review found that acupuncture was significantly better than sham acupuncture at treating chronic knee pain; the evidence was not conclusive due to the lack of large, high-quality trials. 111 Nausea and vomiting and post-operative pain A 2014 overview of systematic reviews found insufficient evidence to suggest that acupuncture is an effective treatment for postoperative nausea and vomiting pond in a clinical setting. 112 A 2013 systematic review concluded that acupuncture might be beneficial in prevention and treatment of pond. 113 A 2009 Cochran review found that stimulation of the P6 acupoint on the wrist was as effective or ineffective as anti emetic drugs and was associated with minimal side effects. 112 114 The same review found ?no reliable evidence for differences in risks of postoperative nausea or vomiting after P6 acupoint stimulation compared to anti emetic drugs.? 114 A 2014 overview of systematic reviews found insufficient evidence to suggest that acupuncture is effective for surgical or post-operative pain. 112 For the use of acupuncture for post-operative pain, there was contradictory evidence. 112 A 2014 systematic review found supportive but limited evidence for use of acupuncture for acute post-operative pain after back surgery. 115 A 2014 systematic review found that while the evidence suggested acupuncture could be an effective treatment for postoperative gastroparesis, a firm conclusion could not be reached because the trials examined were of low quality. 116 Acupuncture is an unproven treatment for allergic immunologic conditions. 117 A 2015 meta-analysis suggests that acupuncture might be a good option for people with allergic rhinitis A, 118 and a number of randomized clinical trials CRTs support the use of acupuncture for A and itch . 119 There is some evidence that acupuncture might have specific effects on perennial allergic rhinitis PA, though all the efficacy studies were small and conclusions should be made with caution. 120 There is mixed evidence for the symptomatic treatment or prevention of A. 121 For seasonal allergic rhinitis SA, the evidence failed to demonstrate specific effects for acupuncture. 121 Using acupuncture to treat other allergic conditions such as contact eczema, drug rashes, or anaphylaxis is not recommended. 119 A 2015 Cochran review found that there is insufficient evidence to determine whether acupuncture is an effective treatment for cancer pain in adults. 122 A 2014 systematic review found that acupuncture may be effective as an adjunctive treatment to palliative care for cancer patients. 123 A 2013 overview of reviews found evidence that acupuncture could be beneficial for people with cancer-related symptoms, but also identified few rigorous trials and high heterogeneity between trials. 124 A 2012 systematic review of randomised clinical trials CRTs using acupuncture in the treatment of cancer pain found that the number and quality of CRTs was too low to draw definite conclusions. 125 A 2014 systematic review reached inconclusive results with regard to the effectiveness of acupuncture for treating cancer-related fatigue. 126 A 2013 systematic review found that acupuncture is an acceptable adjunctive treatment for chemotherapy-induced nausea and vomiting, but that further research with a low risk of bias is needed. 127 A 2013 systematic review found that the quantity and quality of available CRTs for analysis were too low to draw valid conclusions for the effectiveness of acupuncture for cancer-related fatigue . 128 A 2012 systematic review and meta-analysis found very limited evidence regarding acupuncture compared with conventional intramuscular injections for the treatment of hiccups in cancer patients. 129 The methodological quality and amount of CRTs in the review was low. 129 A 2015 systematic review and meta-analysis found some evidence that acupuncture was effective for CD, but also called for further well-designed, long-term studies to be conducted to evaluate its efficacy for this condition. 130 A 2014 Cochran review found that ?it remains unknown whether manual acupuncture or electro acupuncture is more effective or safer than other treatments? for functional dyspepsia CD. 131 A 2014 systematic review and meta-analysis found poor quality evidence for use of acupuncture in infertile men to improve sperm motility, sperm concentration, and the pregnancy rate; the evidence was rated as insufficient to draw any conclusion regarding efficacy. 132 A 2013 Cochran review found no evidence of acupuncture for improving the success of in vitro fertilization VF. 133 A 2013 systematic review found no benefit of adjutant acupuncture for VF on pregnancy success rates. 134 A 2012 systematic review found that acupuncture may be a useful adjunct to VF, 135 but its conclusions were rebutted after re-evaluation using more rigorous, high quality meta-analysis standards. 136 A 2012 systematic review and meta-analysis found that acupuncture did not significantly improve the outcomes of in vitro fertilization. 137 A 2011 overview of systematic reviews found that the evidence that acupuncture was effective was not compelling for most gynecologic conditions.


The.S Congress created the Workplace of Natural medicine in 1992 and the National Institutes 94 A 2012 evaluation located that aacupuncture appears to be cost-effective for some pain conditions. 242 Danger of giving up traditional treatment As with various other natural medicines, dishonest or naive specialists could induce clients to wear down financial resources by pursuing ineffective therapy. 5 243 Profession ethicalities established by certifying organizations such as the National Qualification Payment for Acupuncture and Asian Medicine need specialists making ?timely references to various other healthcare professionals as might be appropriate.? 244 Stephen Barrett states that there is a ?threat that an acupuncturist whose technique to diagnosis is not based upon scientific concepts will cannot identify an unsafe condition?. 245 Key write-ups: Qi, Typical Chinese medicine, Meridian Chinese medicine, as well as Acupuncture point Old Chinese clinical chart of acupuncture meridians Acupuncture is a considerable part of traditional Chinese medicine ACM. 4 Early acupuncture beliefs relied on concepts that prevail in ACM, such as a vital force energy called qi. 246 Qi was thought to flow from the body's main organs zang-fu body organs to the ?surface? body cells of the skin, muscle mass, tendons, bones, and joints, citation required via channels called meridians. 247 Acupuncture points where needles are put are primarily yet not always located at places along the meridians. 248 Acupuncture points not found along a meridian are called phenomenal points as well as those without any designated site are called ?A-shi? points. 248 In ACM, condition is normally regarded as a disharmony or inequality in powers such as yin, yang, qi, xu?, zàng-f?, meridians, and of the interaction in between the body and also the setting. 249 Therapy is based on which ?pattern of disharmony? can be identified. 250 251 For example, some illness are believed to be brought on by meridians being got into with an extra of wind, cool, as well as damp. 252 In order to determine which pattern is at hand, experts take a look at points like the colon as well as form of the tongue, the relative strength of pulse-points, the smell of the breath, the top quality of breathing, or the noise of the voice. 253 254 ACM and its concept of condition does not highly differentiate between the cause and effect of signs. 255 Scientific research has not supported the presence of qi, meridians, or yin as well as yang. n 1 24 25 A Nature content defined ACM as ?stuffed with pseudo-science?, with most of its treatments having no sensible mechanism of activity. 256 Quackwatch states that ?ACM theory as well as method are not according ed to the body of understanding related to health, disease, and healthcare that has been extensively approved by the scientific area. It.s difficult yet not impossible to design strenuous research study trials for acupuncture. 69 70 As a result of acupuncture's invasive nature, among the significant challenges in efficacy research remains in the layout of a proper placebo control team. 71 72 For effectiveness research studies to identify whether acupuncture has specific results, ?sham? kinds of acupuncture where the individual, professional, and analyst are blinded appear one of the most appropriate method. 69 Sham acupuncture utilizes non-penetrating needles or needling at non-acupuncture factors, 73 e.g. placing needles on meridians not connected to the certain problem being examined, are still unable to find a shred of proof to sustain the presence of meridians or C'i?, 21 ?The typical principles of acupuncture are deeply flawed, as there is no evidence at all to demonstrate the existence of C'i or meridians? 22 and also ?As yin and also yang, acupuncture points and meridians are not a truth, yet merely the product of an old Chinese philosophy?. 23 Tyne, D.; Shenker, N. A.Oman receiving fire 1462-0324. Medical.cupuncture efforts to incorporate reflexological principles, the trigger point model, as well as anatomical understandings such as dermatome circulation right into acupuncture technique, and also stresses a much more standard strategy to acupuncture point area. 64 Cosmetic acupuncture is making use of acupuncture in an attempt to decrease creases on the face. 65 Bee venom acupuncture is a therapy technique in 1683 by Willem 10 Rhine. 278 In China, the popularity of acupuncture rebounded in 1949 when Mao Zedong took power as well as looked for to unify China behind conventional cultural norths.

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