Magic is well-established, but scientific repeatedly questioned

Focus: acupuncture is effective \"say\"?

Our reporter Jun-ping wang

March 24, 2017 08:43 source: People's Daily - the People's Daily

Nanjing city of jiangsu province hospital of an expert for nanjing port crossings guardianship two squadron officers and soldiers under acupuncture services.

Jia Ziyang Harmony rising photojournalism

Acupuncture is a \"business card\" in China, the United Nations educational, scientific and cultural organization recognized as one of the human intangible cultural heritage representative works. Still faces many challenges today, the development of acupuncture and moxibustion, its scientific nature is repeatedly questioned, hard to come by mainstream medicine. At the same time, because the price is low, the traditional Chinese medicine acupuncture dried up, subject development \"bottleneck\". How to confirm the science of acupuncture? How to get the curative effect of acupuncture and moxibustion \"clear\"? How to get acupuncture to benefit more people? We launched series \"ask the doctor of traditional Chinese medicine acupuncture\", in order to cause the attention of the society.

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\"Anchor\" to win the foreigner

More than 30 acupuncture practitioners around the world. 1500 clinical guidelines in the United States, more than 30 is recommended to use acupuncture

Algeria, a senior official riding hurt (3, invited a dozen medical experts from Europe, JiuZhi is invalid. National physician master xue-min shi for acupuncture treatment, when two needles pulled up, the patient's leg is up, all the people present surprised.

Italy one patient was fracture surgery should be done in a car accident, but anesthesia cause respiratory depression. Xue-min shi in the valley, lr 3, one medium point after five needle, patients have no pain and 10 minutes after the reset operation success.

Xue-min shi, the Chinese academy of engineering President zhu guangya hailed as a \"ghost hand anchor\" of contemporary Chinese medicine acupuncture everybody, not only won the domestic peers admire, also with a lot of successful cases prove to the world that the magic of acupuncture and moxibustion.

World federation of acupuncture and moxibustion societies, Chinese acupuncture and moxibustion, chairman of the association bao-yan liu said that acupuncture consists of \"needle\" and \"jiu\", adopt acupuncture moxibustion or fire the human body acupuncture point to treat diseases. Acupuncture is to put the needle stab into the patient's body according to certain Angle, using the twisting and lift technique such as insert stimulate human body parts, thus achieve the purpose of healing. Moxibustion is a prefabricated moxibustion on body surface points burning wick or moxibustion grass, smoked iron, using thermal stimulation to the prevention and treatment of disease.

Bao-yan liu introduces, at present, 103 the world health organization member states to use by acupuncture and moxibustion, of which 29 countries and regions set up relevant laws and regulations, 18 countries and regions will acupuncture into the health care system. More than 30 acupuncture practitioners around the world. Acupuncture and moxibustion with 6 Chinese and foreign inheritance base, covering the United States, Canada and Australia. 1500 clinical guidelines in the United States, more than 30 is recommended to use acupuncture. Acupuncture has been legalized in 44 states, became the part of the integration of medical and health care, the acupuncturist has more than 45000 people in the United States.

Acupuncture popular, the key lies in its irreplaceable clinical curative effect. Beijing hospital of traditional Chinese medicine acupuncture of doctor of Wang Linpeng introduction, who served as a review and analysis of acupuncture clinical study report. According to the report, has passed the controlled clinical trials prove that acupuncture is an effective treatment of disease symptoms have 28; Has preliminary evidence that acupuncture is effective but still needs further study of diseases and symptoms. There are 63; Other traditional therapies work hard and individual acupuncture clinical controlled trials report effective disease and symptom have nine; In providing special modern medical knowledge and enough under the condition of monitoring equipment, can let the disease and symptom of acupuncture doctors try to seven.

\"Domestic patient is given priority to with the nervous system and joint diseases, abroad is more painful disease. If acupuncture in clinical work, who will also do research?\" Wang Linpeng introduction, institute of acupuncture clinical trials involving disease to plant at home and abroad have a very wide range. A preliminary retrieval, acupuncture clinical and mechanism studies found more than 2000 SCI papers related, involving a variety of diseases such as tumor, cardiovascular system, digestive system. International scope has completed the evidence-based medicine system evaluation such as acupuncture and moxibustion treatment of stroke.

\"However, acupuncture and moxibustion development still faces many challenges.\" Bao-yan liu believes that the biggest problem is the lack of strong evidence clinical curative effect. Acupuncture and moxibustion belongs to the experience of the traditional medicine, how to prove the efficacy and safety, is facing a major issue of traditional Chinese medicine.

Acupuncture curative effect is not a \"legend\"

Acupuncture anesthesia and anesthesia effect very similar chemical painkiller morphine injections. This shows that acupuncture anesthesia must have a material basis, is not just a psychological effect

Common filiform needle acupuncture is a micro hole, fire or moxibustion is WenTong method, triangular needle hole bleeding is strong - \"hayes tee method\" in the Chinese medicine acupuncture a household name. Fire needle method is 0.5 mm thick heat resisting steel needle on the alcohol lamp burn to red, on the acupuncture point, fast forward quickly, not retaining needle, the time is not more than 0.5 seconds, after acupuncture patients appeared a white spots on the skin, feeling a little sore. The late master of national physician He Puren argues that \"a troublesome disease, the ineffective cure disease - with fire needle is up to the doctor. As migraine and facial spasm, firm come to no good, use fire it several times to solve the problem.

Founder of pain medicine in China, academician of Chinese academy of sciences, han js initially joined acupuncture anesthesia research team, a bit reluctant to learn he does not believe in western medicine of traditional Chinese medicine acupuncture. When witnessing a 20 - year - old girl open thoracic surgery, is entirely of acupuncture anesthesia, han js convincing.

People at that time a question of acupuncture anesthesia is: acupuncture anesthesia is a psychological effect completely, no chemical material base. Han js is responsible for the human body acupuncture analgesia experiment data calculation. Final curve calculation results show that, under the action of acupuncture and pain threshold gradually rise, to steady state about half an hour at a high level. Curve after the needle is falling, on average every 16 minutes analgesic effect is reduced by half, return to baseline in an hour. The law of acupuncture anesthesia, anesthesia with chemical painkiller morphine injection effect is very similar. This shows that acupuncture anesthesia must have a material basis, is not just a psychological effect.

Now that the acupuncture anesthesia analgesic effect, increase the number of acupuncture and moxibustion can improve anesthesia effect? In a certain period of time, with the increase of number of acupuncture anesthesia, if the body produces \"morphine resistance material\" is becoming more and more anesthesia effect will gradually decrease. Along the way of thinking, han js in the subsequent experiment extracted a analgesia of material.

Review for more than 50 years, the studies of acupuncture analgesia han js said, Chinese medicine acupuncture is effective or not, it is worth to continue to scientific mining.

Biology, chief researcher of China academy of traditional Chinese medicine Zhu Bing confirms that the science of acupuncture and moxibustion. Acupuncture points, he said, 20-30 minutes, the body secretes glucocorticoid, known as the \"panacea\", thus effectively relieve pain, acupuncture and moxibustion on the body's endocrine system has a wide range of adjustment.

\"As the largest organ of the human body, the skin on the biological function is responsible for making bodies a barrier between the internal and external environment.\" Zhu Bing said that acupuncture stimulation treatments for many diseases such as body surface play the broad spectrum effect of nonspecific adjustment, this is endocrine, immune function mechanism of \"leather - brain axis\". At the same time, the surface to stimulate regulate visceral function, the establishment of \"body - guts\". Formed in the process of evolution characteristic of biological structures, to deal with all kinds of harmful stress source, forming the biologic mechanisms of acupuncture effect.

Based on the clinical have a way out

TCM people thirst for \"ideal world\" from the past as soon as possible, attention to the \"real world\", constantly improve the curative effect of traditional Chinese medicine

As a kind of unique non-drug therapy, traditional acupuncture theory emphasizes the \"qi\" is the best curative effect. For patients, \"qi\" is the acid, hemp, bilge, ant line, the feeling of flowing water. Is needle sinks, for doctors have pull. Clinically \"effectiveness\" is \"qi\" or not, but it is hard to get \"scientific\".

In 2005, a German scientist in migraine, for example the clinical experiment, the results show that the traditional acupuncture according to find treatment based on clinical curative effect of traditional Chinese medicine without help. This conclusion in the world famous medical journal published on proceedings of the American medical, sparked debate rumbles.

Whether \"acupuncture points on the meridian has the curative effect of specificity\", is considered to be a key issue of the development of acupuncture and moxibustion. In chengdu university of traditional Chinese medicine acupuncture meridian specificity research team, led by professor fan-rong liang joint multidisciplinary units, such as institute of China academy of traditional Chinese medicine acupuncture undertake national 973 plan project - \"based on the meridian specificity of clinical and research\". The study confirmed that the acupuncture point from the perspective of overall metabolic flow adjustment effect is the largest, most targeted, rather than the cavity effect intensity is the weakest, adjustment range is relatively narrow.

For acupuncture practitioners of traditional Chinese medicine, it's not difficult to find out clinical. Foreign researchers if find position is inaccurate and research conclusion inevitably occurred biased. Wang Linpeng thought, even by many foreign researchers demonstrated that acupuncture is invalid, also is not equal to acupuncture clinical is invalid, the problem on the research design and methods, acupuncture and moxibustion science must first by clinical test and verify.

\"Chinese people a lot of papers about acupuncture and moxibustion, over the years by foreign recognition.\" Wang Linpeng said, in addition to foreigners bias, an important reason is that the traditional Chinese medicine clinical research ability, because of traditional Chinese medicine knowledge structure of talents is not reasonable, some will only do clinical won't do research, understanding of diseases and a disparity between the current mainstream medicine, it is difficult to put forward the real problem, hindered the acupuncture clinical development, also lower the understanding of the domestic study abroad.

Led by bao-yan liu to carry out a Chinese medicine acupuncture clinical studies have shown that acupuncture has an obvious advantage in the treatment of chronic severe functional constipation. In September 2016, the study was published in the international authoritative medical journal annals of internal medicine, the Chinese research on acupuncture and moxibustion is gradually get international recognition.

Bao-yan liu, the doctor of traditional Chinese medicine and acupuncture clinical curative effect evaluation method research should be \"reduced simultaneously\" : one is in accordance with internationally recognized clinical research method, to compare the curative effect of TCM validation; The second is to build a \"real world\" clinical actual conditions in clinical research methodology, to promote TCM clinical research paradigm \"real world\", through the chain of evidence to form the deepening of traditional Chinese medicine acupuncture ability and level of prevention and treatment of disease.

Only under the condition of \"real world\", Chinese medicine acupuncture and moxibustion can get give full play to the advantage of the characteristics. Bao-yan liu introduction, the \"real world\" of clinical research, refers to the conventional medical conditions, using the daily medical practice in the course of information to carry out scientific research activities. And \"ideal world\" clinical research requirements according to the research purpose, artificially through a certain method, makes the object of study to maintain consistency.

Bao-yan liu said, along with the coming of the era of big data, traditional Chinese medicine are thirst for \"ideal world\" from the past as soon as possible, attention to the \"real world\", so as to improve the curative effect of traditional Chinese medicine, the acupuncture the \"China card\" shine brighter.

The world health organization announced acupuncture effective part of the people (read)

A system, respiratory system disease

___________ sinusitis; 2. Rhinitis; 3. A cold; 4. Tonsillitis; 5. The acute and chronic laryngitis; 6. Bronchitis; 7. Bronchial asthma.

Second, the eye disease

Acute conjunctivitis; 8. 9. Centricity retinitis; 10. Myopia; 11. Cataracts.

Three, dental disease

12. A toothache. 13. Pain after tooth extraction; 14. Gingivitis.

Fourth, diseases of the gastrointestinal system

15. The esophagus, gush door lost delays; 16. Hiccups. 17. Gastroptosis. 18. Acute and chronic gastritis; 19. The disease of grow in quantity of hydrochloric acid in gastric juice; 20. Chronic duodenal ulcer (pain relief); 21. Simple acute duodenal ulcer is phlogistic; 22. The acute and chronic colitis; 23. Acute (chronic) bacillus dysentery; 24. Constipation; 25. Diarrhea; 26. Intestinal paralysis.

Five, the nerve, muscle, bone disease

27. Headache; 28. Migraine; 29. Trigeminal neuralgia; 30. Facial nerve paralysis; 31. Mild paralysis after stroke; 32. Around sexual neurological disorder; 33. Pediatric poliomyelitis sequelae; 34. Meniere's syndrome; 35. Neuropathic bladder dysfunction; 36. Urinary incontinence; 37. The intercostals neuralgia; 38. The cervical arm syndrome; 39. The shoulder coagulation disorder; 40. Tennis elbow; 41. Sciatica; 42. Backache; 43. Arthritis.

The People's Daily (March 24, 2017, 17)