Big science projects implemented by acupuncture

Time: 2016-12-16

Source: China's traditional Chinese medicine

Author: Huang Bei

"Is the placebo acupuncture, acupuncture and moxibustion is a pseudoscience." These words in acupuncture people especially for me, for acupuncture doubts never subsided.

On November 30, Britain's national institute for health and clinical website announced officially cancelled in the new clinical guidelines for Britain's national health service system recommended acupuncture treat lumbago. In October 2014, the journal of the American medical association has published an article on the curative effect of acupuncture on chronic knee arthritis academic papers, said both acupuncture and laser acupuncture and moxibustion, the treatment of moderate to severe chronic knee pain and placebo effect.

In September this year, on the other hand, the authority of the international medical journal archives of yearbook published online the acupuncture clinical research papers of the acupuncture treatment of chronic severe functional constipation of randomized controlled trials ", the study shows that pure electric acupuncture therapy can effectively treat chronic severe functional constipation, forceful response to the acupuncture is the "super placebo".

The study's lead author, chairman of the world federation of acupuncture and moxibustion societies, bao-yan liu, the Chinese acupuncture society's chairman, said the questions and challenges faced, acupuncture person cannot retreat, "we have to take out the evidence, with a large number of clinical cases and experimental data prove the effect of acupuncture and moxibustion, using scientific theory to explain the mechanism of action of acupuncture and moxibustion, to acupuncture name!"

Acupuncture idea also in such big science research projects in mature.

Traditional acupuncture and scientific empirical new spark collision

Acupuncture point and meridians of don't exist on earth, through what way to effect to human body, the mechanism of action of acupuncture? These questions hovering in bao-yan liu heart already a long time.

Acupuncture big science program is to answer the above questions.

"Much starker choices-and graver consequences-in planning", "the China academy of traditional Chinese medicine development, points out that in the acupuncture big science research project aims to organize multidisciplinary, across the country's science and technology resources, the mechanism of the effect of meridian specificity and as breakthrough point, to study the advantage of acupuncture clinical disease as the carrier, in the practice of acupuncture and moxibustion has reflected the basic scientific problems, system in-depth research, innovation and reconstruction based on the theory of acupuncture and moxibustion science demonstration system, carry out international multicenter, large sample of clinical research, determine the appropriate conditions of acupuncture and moxibustion, provide objective curative effect of evidence.

"Big science" is the international technology in recent years, puts forward the new concept of large construction needs huge investment, operation and maintenance of the facilities of "engineering type" big science research or need interdisciplinary collaboration of large-scale, large-scale cutting-edge scientific research project, this kind of research method has been widely recognized in the world.

For a long time, there is a point of view, the major that TCM has its own integrated theory system, explained by the theory of modern science is cut. , bao-yan liu said that acupuncture has its uniqueness, acupoint property is different from traditional Chinese medicine (TCM) of four mixed gas, the viscera and channels and collaterals theory as the connotation of the zang-fu organs also have different, prefer to entities in the modern medicine viscera.

Acupuncture research in recent years are also trying to use modern scientific theories reveal acupuncture mechanism. At the university of California school of medicine, Susan in the Samuel comprehensive medical research center, according to a study of electric acupuncture through the effect of lowering blood pressure in the rat brain in the ventrolateral medulla oblongata tip to the enkephalin synthesis to achieve.

Research "to make sure that the mechanism of action of acupuncture and moxibustion, acupuncture alone strength is not enough, we are planning to joint multidisciplinary power, overcome the difficult together." Bao-yan liu said that the current domestic research team has been basically established, the foreign cooperation team has more than 10 teams, neuroscience, endocrine, immune disciplines, brain science, molecular biology and biological engineering discipline domain experts.

Acupuncture is both pain points and basic research

Acupuncture big science plan purpose from the start, the research in the practice of acupuncture and moxibustion have reflected the basic scientific problems.

"Now we don't know what is the advantage of acupuncture diseases, take what prove that acupuncture is effective?" The fourth "theory of the west lake at the recent needle" on the BBS, zhejiang university of traditional Chinese medicine oblong sword Joe hit the nail on the head to point out that the pain points of acupuncture research to basic research.

Jian-qiao fang explained, in the field of acupuncture and moxibustion, further evidence system, form a complete chain of acupuncture research is not much, the basic research results into acupuncture theory, become less clinical application support. Acupuncture and moxibustion science plan, he suggested, do need to have a clear advantage is planted for listing of acupuncture, for basic research as the breakthrough point, finally back to the clinic.

, bao-yan liu believes that the core content of acupuncture and moxibustion theory system from huangdi neijing, but due to the constraints of the modern theory of the vein of "generous", huangdi neijing of acupuncture clinical guidance much less; Because do not system, scattered, and some of the basic research and rarely return and supplement to the theoretical system of acupuncture and moxibustion. Therefore, acupuncture and moxibustion science program attaches great importance to the basic research work, research in the practice of acupuncture and moxibustion have reflected the basic science problem, also pay attention to acupuncture clinical research work.

In recent years, acupuncture and moxibustion for basic research in China has been no fertility, but also not to crop failures. In the national key basic research development program (973 program), the existing more than ten acupuncture related project completed the study objectives, including the meridian specificity, the basis of the biological basis of channels and collaterals, moxibustion, acupuncture anesthesia mechanism, formed more than 10 acupuncture basic research team, for the breakthrough in the basic research of acupuncture and moxibustion to consolidate the foundation.

With the standard, high quality improve international recognition

"We make to research, foreign recognition, believe, that is not equal to white to do?" Shanghai guang-hong ding acupuncture meridian research center said. President of Chinese medicine acupuncture society the original Stevens bjh.simplified methods for ever wrote, done in the west hundreds of randomized acupuncture clinical trials, some design, high quality, costly, its research conclusion by acupuncture group identity.

Uniform standards, improve the quality, it is to crack this embarrassing situation.

Bao-yan liu said the results of acupuncture in the treatment of severe chronic functional constipation was recognized by the international academia, the key is to strictly follow the traffic rules of the international clinical research, clinical research team and specialized clinical evaluation methodology, statistics team closely, strictly the quality pass, will all kinds of bias control in as small as possible within the scope of the study of design, quality control, etc firmly relying on multi-disciplinary experts, work closely with the international relevant experts. These are to further organize acupuncture big science research project provides a train of thought, the accumulation of experience.

"We will be in accordance with internationally recognized rules, organize to carry out multicenter, large sample of acupuncture clinical trials research, promote acupuncture more into the international mainstream medicine system. To this end, we are to build high quality, high level of clinical studies in basic conditions." Bao-yan liu said.

At present, by more than 500 experts in the industry standard for discussion and review the "norm of acupuncture clinical research management" has been officially released, professional team composed of acupuncture clinical evaluation and data center is taking shape, acupuncture clinical trial registry agreed by the world health organization related department review, have been established in China academy of traditional Chinese medicine, more than 20 projects have been registered. At the same time, international acupuncture clinical case registration system has been running, with large data, the Internet, free acupuncture from the lack of data.

If support "acupuncture and moxibustion science program, which is the first Chinese medicine field, led by the Chinese scientific research project, is also a big challenge for us." Bao-yan liu said that the height, organization and coordination ability are put forward high request, but if we can reveal the mechanism of action of acupuncture and moxibustion, power acupuncture into mainstream medicine, pay is worth more.