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The traditional theory of evidence-based medicine

 

acupuncture point to YaoYan-as an example

 

Author: PuShan long heirs

Sources: the world federation of acupuncture society

 

 

A trial of the Traditional Acupuncture Evidence Based

-making a point of the Ex-B7

PuShan long URAYAMA heir, Hisatsugu JAPAN love and never dull

Ⅰ introduction.

"Traditional medicine" is called, is to preserve the traditional "traditional" continuity of the ego identity, it must be based on previous literature, clear academic inheritance. Now the acupuncture doctors, and of course many people do that, according to the literature, however, most people is not so. Especially in Japan, most people for lack of correctly understanding acupuncture terms, often understand deviation. The author thought that if traditional medicine for the foundation of a lack of understanding of all right, not only can't on the traditional foundation have new accomplishment, I'm afraid even calling himself "traditional" medical qualifications all have no.

In addition, we also have to recognize, traditional medicine is only part of the medicine, traditional medicine must be combined with modern medicine, in conventional medicine with modern medicine before and combining with the traditional medicine, for, we should do what preparation work, or choose the method of how to make combined?

Ⅱ. Several medical concept-TEBM and TEBA

Modern medicine is a very important concept put forward, that is, evidence-based medicine in this we might as well using "evidence-based" concept, imagine that several medical:

1. EBM (this Evidence Based) : evidence-based Medicine, according to randomized controlled double-blind trials, with full clinical Evidence of Medicine.

2. EBA (Evidence Based Acupuncture) : evidence-based medicine Acupuncture, introducing the randomized double-blind test, with full clinical Evidence of Acupuncture medicine.

3. TEBM (Traditional Evidence Based) : this Traditional evidence-based Medicine, with the literature textual research methods (department, exegesis study, phonology, bibliography etc) careful consideration of literature, understand the real meaning of ancient literature, keep the Traditional Medicine to literatures self-identity, Based on the Medicine.

4. TEBA (Traditional Evidence Based Acupuncture) : the Traditional evidence-based medicine Acupuncture.

Acupuncture, belongs to the traditional medicine, we will develop acupuncture evidence-based medicine (EBM), he called TEBA. Using the modern in the different fields have rationality, and modern medicine (anatomy, physiology, pathology of what) also don't conflict.

Ⅲ. To YaoYan as an example, using the method of TEBA

In the autumn of 2006 "Meeting on Development of Standard Acupuncture Point of the Locations; Tsukuba Meeting (WHO international meridian parts standardization conference; Meeting)" determined the Tsukuba attempts 361 of Acupuncture Point area.

At present the WHO's only made a standard, not run away for the region and the hole's chief standards. Although the WHO held DuoCi meridian parts, but also have no meeting standardized discussion point part's standard.

First, we TEBA with the method of literature, collecting YaoYan acupuncture point. From the main literature excerpts from YaoYan "and a" and "YaoYan" agreed to word (for example "in the waist," "waist eye", etc.), clear on the history of change, bifurcation.

Second, to collect of the literature, for analysis.

Third, the review the acupuncture point, location, and indications of the name, then clear out relationship on this point all features.

Fourth, suggest the topic of continue to study.

Ⅳ. "YaoYan (Ex-B7)" name, location, and government review

1) "YaoYan" part of the review

 coffins ", "" no" YaoYan plain question "" waist eye"ØThe  entries, only "in the waist," "waist condyle".

The meat asked ･ thorns section of the article ":" thorn waist condyle between "bone, wang bing note:" waist bone collector, the waist room condyle chivalry ridge, flat vertical trapped in those of the bone, according to a place, "the thorn waist pain on the article" : "stab into the Kao waist, two Shen condyle on", wang bing note: "man ridge two ponds, under the waist condyle Shen meat meilong up". The word "wen solution:" Shen, clip loin also ".

The ･ coffins by the article "don't," foot of the sun is... down Kao five inch, don't in anus ", "the anus above the 5 inch" nearby was "Kao", according to Japanese • DanBo yuan became the body of the explanation is "means the waist Kao under".

The ･ coffins meridians ":" sufficient sun pulse of the straight... the carry the ridge, is worth... in the waist, follow the Lv ", "the play of life of 14 slide note:" waist, namely the waist of prison bone fractures.... the vertebral section under 16 and waist, carry prison for bone ridge in the attachment. 17 and 20 every four vertebral, waist the prison for bone Yan attached, and eight Jiao acupuncture point is to first time also carry the ridge empty." , said the "bone" means the waist of the prison anatomic "iliac crest". According to the body and ":" man 両 ridge near the edges up, also ", bone fractures "waist condyle" for the anatomic "after the". The host

 party b, the volume of the three from the MingTang caities whichØ act "to the terms have" waist condyle ", 1 case of "waist in 2."

Jiao on, at the empty, under an inch waist condyle, man, do in the ridge. Sufficient sun, less the collaterals Yang.

JingMen, kidney also raised. A famous house, a famous yu. In prison, waist, bone chivalry ridge, season the rib. Piercing the three points, a call, three strong seven sticks. (according to the heart ･ caities which act the attending medical party law to correct)

"The waist to" iliac condyle "after the" if, on the Jiao point in "on the bottom of the spines after iliac 1 inch", see the daughter party ･ secret ":" in the lumbar acerbity he three inches, about four inches of chivalry ridge, both sides each four point, plan, the name eight points, eight Jiao "above Jiao for waist under 1", the following condyle Jiao times, each one inch down in Jiao, the following Jiao for waist condyle 4 inches under. As part of the depression, "eyes condyle (= bone graft material, in addition to") "waist, no other condyle outside" more suitable for parts.

 medical cause on the law of pulse figure quotedØThe heart ･ party  the sankei ":" right renal vein... and offering caves, at the waist, rib eye this season, man, Yu meat, ridge before WanWan, name JingMen ". According to the solution of words, "Yu, abdominal fat also", "under Yu meat" is written by mistake, the right is "Shen meat", meaning "waist muscle film", "Shen meat" refers to the "foreign" before the meaning.

The meat asked ･ thorns section of the article "wang2 bing note has" iliac for, "according to the waist bone ShenTong interpretation of the bone fractures in the" two two strands, yue prison, yue big bone, bone, "" yue iliac iliac" and "bone" is the same part of the prison, "bone" means the waist anatomic "iliac crest".

So, JingMen of acupuncture point "prison" is "bone iliac crest the bottom of the hole," the position of the JingMen should explain "is located in the bottom of the iliac crest bone, carry the fairy, on the waist of the waist after iliac on (eye) and lumbar back fascia foreign (Shen meat) of sink concave department before, from the root of the ribs 12 (= season. Is this rib spinal stand up muscle of the outer rim) vertical in the place of the intersection.

 elbow for a flank pain he takes "first appeared in theØThe rear ･  extant literature" YaoYan "point name, but only point name and the attending, no record of the position.

"Put to renal waist pain... and party, YaoYan sticks, seven strong. Kidney waist, like the waist, suddenly turn against the 倇." From the attending to see, is close to the daughter of back pain ": ･ party" waist pain... jiu the waist, seven strong Jiao orders. In Kao about, is about." And the heart ･ party for medical had back pain party led the sketch party of ":" jiu the waist pain, small waist eye sticks... and Kao around on YinChu in, is also." The three kinds of literature, remember, when have common similar basis. "Kao around about", "Kao around on YinChu" refers to the performance of the two fields of state meet out do with the element of concave, ask "parts so near. The sketch party "" small evil" the meaning of on qia hind refers to the "little for deviation" place.

"The daughter of the" eight Jiao "party" position, the center of the "2" from foreign (man ridge were four inch) "leave, according to the ･ coffins bone degrees" "waistline four feet 2 inches" conversion, 3 inches on top of the "eye", from "waist after the" on iliac slightly off to the outside. This is MingTang caities which act as the "" the JingMen" consistent position. The toad with the ･ born on destroyed sticks law will also sentenced to avoid "eye" on the image, waist is after the "on" iliac nearby.

2) "YaoYan" indications development

 渇 away "; Extinction, number of "渇 urine andØThe daughter ･ party  party have two kinds of records, is" jiu when back a place, between the central solution and waist on orders from two sticks, all three place "and" jiu the waist of item, in the kidney lose three inch, also man under the spine two ponds, about an inch and a half to refer to take. "according to From the site of the meridian standards, this is located in the "BL25 (e. yu)", with the above near the narrative, "YaoYan" is different, the same hole as different.

 medical said the article "acupuncture for" Zhai diseaseØThe ･  "treatment, in" waist two ponds micro trapped place "was, this is the" hub "home of the YaoYan" acupuncture. The introduction to heal ･'s medical hole "also have the same records, but" the waist have two trapped visible ", named "ghost eye" acupuncture point, and record some different. The attending has two, "method" and "consumptive virginal bug.

 wing ･ strange yu class set" written "YaoYan",Ø"By the figure of  its location is "either WanWan" or "in his own micro do on both sides, visible and invisible" the labor "Zhai" or "the corpse Zhai virginal, content is" as the medical said ", "medical introduction as". Japan's remit the meridian ･ solution hole "is basically follows the department records.

 Japan, 17 at the end of the century GangBen an armful of theØ acupuncture is to point to, "YaoYan new opinions. As a "YaoYan" alias for "hai" group, according to the medical said "" when the night two more" hai group, but parts have the difference, "at the waist 1056 around vertebral WanWan dent, this is YaoYan acupuncture point also" "click here in sufficient sun by two lines of bladder between three lines, probably, in the vertebral 16 around. But someone in 17 side next to the vertebral according to personal lean are different." According to the daughter party, "" the kidney under three inches," lost "by the middle of the bladder from two lines between three lines of" probability is very high, according to the daughter ･ party about the secret acerbity "record.

 meridian remit solution hole's department "and" caitiesØThe ･  which act "both by the assorts, is to the effect of acupuncture point", when "16 • seven vertebral both sides back two lines between three lines, WanWan sag place". The acupuncture therapy, "was least and caities which act said: located in the" fourth lumbar spinous process between the under the open 3.5 ~ 4 inch dent, "the indications:" weak from thin, tuberculosis, blood clots qi stagnation, bronchitis, testicular inflammation, waist neuralgia. Said Lord wasting disease, waist pain, gynaecology and elimination of 渇, syphilis, the worm, abdominal diseases." Than the assorts caities which act, the attending more."

The Ⅴ.

Zong, about "YaoYan" and "waist eye", comparing the results of literature, is as follows:

(1) have called "YaoYan (the elbow rear" : no parts) ", "Jiao (the daughter waist orders" : Kao about party), "" around the waist eye (the heart of medical party led the sketch party" : Kao around on YinChu) "points, attending is" waist pain "in the middle of the" foreign. Part 2 inches, after the depression on foreign host place ", as the MingTang caities which act of the JingMen "consistent" origin.

(2) and is called "waist eye (the daughter party") "" waist Jiao (" eye") "assorts caities which act meridians, attending is" away ", parts in "渇 colon yu in the renal lose paying nearly (under three inches, also man spine two ponds each an inch and a half or so, to refer to take)" by.

(3) and is called "YaoYan (the medical said") "" ghost eyes (the medical introduction" : the waist have two trapped visible) "points, attending is" Zhai disease, the method of (the), the "medical said worm (the medical introduction"), the Zhai (the kind of the wing ") "(figure is this modern hip and joint tuberculosis' 'sample disease), part with (1) is the same as.

(4) and have called "the point is to YaoYan o" "points, attending is" waist pain "and" the Zhai, the worm, "parts in" e. yu dent (the foreign assorts caities which act ": when ･ 16 seven vertebral both sides back two lines between three lines, WanWan dent. And the acupuncture therapy at least" : and caities which act in the fourth lumbar spinous process between the under the open 3.5 ~ 4 inch dent of) ".

・ now generally popular (4) is the most late parts, appear, from Japan 戸 jiang era began.

・ the four "YaoYan" and "waist eye", there are traditional literature as the basis, if want to make the WHO's the point by the standard of "part, can become the candidate part, but which one is the most suitable for, also want to consult and easy.

・ above is TEBA using the method of literature review, to the center, but will guide the final conclusion, obviously, and compared the results of clinical trials reference. Clinical trials of the methods, and is in the future to fully discuss part. If can have several different to the location of the developments, in the same operation, the effect of the disease to the attending, carries on the comparison experiments of words, will be able to draw the positioning, and developments to better use.