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1
Jarvis, Matthew. „Architecture of Acupuncture“. Thesis, Virginia Tech, 2001. http://hdl.handle.net/10919/30912.
Annotation:
â Architecture of Acupunctureâ refers to one way an architect may begin a design project. This thesis was a one-year collaborative effort with my Masters Diploma Professors, Peter Zumthor and Miguel Kreisler, at the Academy of Architecture in Mendrisio, Switzerland, in 2001. To begin, a surgical study of a place just south of Pavia, Italy, was conducted and analyzed to determine the most appropriate program for that place, and again analyzed to determine the most appropriate image and material for that program. I located points in the immediate area of the site where 1.water, 2.road, 3.built mass, and 4.event, intersect on the site and called these â points of convergence.â The points of convergence were used to map out a unique way in which the site can be read. These are the acupuncture points on the body of the place.
The project is an Industrial Fish Farm. It is the largest fish farm in Europe and sells fish to all of Northern Italy, Switzerland, Germany, Austria and France, while also serving fresh fish daily to the small towns of Mezzana Corti, Tre Re, and Cascina della Colonne approximate to it.
The Farm is one and a half kilometers of concrete water-filled fields inserted into an irregular shaped land-form between two 18 foot tall existing earth dams.
The attitude of the Farm is a sensitive one in regard to the flat and quiet farming communities around it. The space the Fish Farm occupies cannot be seen unless from the roads which each run on top of the dams themselves. Two new structures are the only things that can be seen from outside the dams. One is a tower building. One is a line building.
The line building is a restaurant, ninety meters long. The Restaurant enhances the industrial program by offering back to the people of the nearby towns an opportunity to actively interact with the new farm. The Restaurant is clamped to the South Dam Road, which is used for public traffic around perimeter of the site. The tower building is the Operations Building. It acts as an aircraft control tower does for an aircraft carrier, consolidating all built mass into one central structure. The Operations Building is a landmark at the midpoint of the concrete fields. It is clamped to the North Dam Road, dedicated to the daily functioning of the Farm. Both structures are shack-like and cheap; both made well of steel and corrugated metal.
All built things inside the body of the Farm, including the two buildings, adopt in their appearances an â insect imageâ from the machines used to harvest the fish. They are raised up on long and thin steel legs so as to lightly touch the still water they stand in.
Master of Architecture
2
Strömberg, Sahel. „Urban Acupuncture: Västerås Waterfront“. Thesis, KTH, Stadsbyggnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-101155.
3
Vixner, Linda. „Acupuncture for labour pain“. Doctoral thesis, Högskolan Dalarna, Medicinsk vetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:du-17488.
Annotation:
Background: Acupuncture involves puncturing the skin with thin sterile needles at defined acupuncture points. Previous studies are inconclusive regarding the effect of acupuncture on labour pain, but some studies have found a reduction in the use of pharmacological pain relief when acupuncture is administered. The appropriate dose of acupuncture treatment required to elicit a potential effect on labour pain has not been fully explored. The dose is determined by many different factors, including the number of needles used and the intensity of the stimulation. In Sweden, manual stimulation of the needles is common practice when acupuncture is used for labour pain, but electrical stimulation of the needles, which gives a higher dose, could possibly be more effective. The overall aim of this thesis was to evaluate the effectiveness of acupuncture with manual stimulation (MA) of the needles as well as acupuncture with a combination of manual and electrical stimulation (EA) in reducing labour pain, compared with standard care without any form of acupuncture (SC). Methods: The study was designed as a three-armed randomised controlled trial in which 303 nulliparous women with normal pregnancies were randomised to MA, EA, or SC. The primary outcome was labour pain, assessed using the Visual Analogue Scale (VAS). Secondary outcomes were relaxation during labour, use of obstetric pain relief, and associations between maternal characteristics and labour pain and use of epidural analgesia respectively. Also, labour and infant outcomes, recollection of labour pain, and maternal experiences, such as birth experience and experience of the midwife, were investigated two months after the birth. The sample size calculation was based on the potential to discover a difference of 15 mm on the VAS. Data were collected during labour before the interventions, the day after birth, and two months later. Besides using the VAS, information was collected by means of study specific protocol, questionnaires and medical records. Results: The mean VAS scores were 66.4 in the MA group, 68.5 in the EA group, and 69.0 in the SC group (mean differences: MA vs. SC 2.6 95% CI -1.7 to 6.9, and EA vs. SC 0.6 95% CI -3.6 to 4.8). Other methods of pain relief were used less frequently in the EA group, including epidural analgesia, MA 61.4%, EA 46%, and SC 69.9%. (EA vs. SC OR 0.4 95% CI 0.2 to 0.7). No statistically significant differences were found in the recollection of labour pain between the three groups two months after birth (mean VAS score: MA 69.3, EA 68.7 and SC 70.1). A few maternal characteristics were associated with labour pain (age, dysmenorrhea, and cervix dilatation), but none of the investigated characteristics predicted the outcome of the acupuncture treatment in MA or EA. Women in the EA group experienced acupuncture as being effective for labour pain to a higher extent than women who received MA, MA 44.4%, EA 67.1% (EA vs. MA OR 2.4 95% CI 1.2 to 4.8). Women in the EA group also spent less time in labour (mean 500 min) than those who received MA (mean 619 min) and SC (mean 615 min) (EA vs. MA HR 1.4 95% CI 1.0 to1.9, EA vs. SC HR 1.4, 95% CI 1.1 to 2.0), and had less blood loss than women receiving SC, (EA vs. SC OR 0.1 95% CI 0.3 to 0.7). The women’s assessment of the midwife as being supportive during labour (MA 77.2%, EA 83.5%, SC 80%), overall satisfaction with midwife care (MA 100%, EA 97.5%, SC 98.7%), and having an overall positive childbirth experience (MA 64.6%, EA 61.0%, SC 54.3%) did not differ statistically. No serious side effects of the acupuncture treatment were reported. Conclusion: Acupuncture, regardless of type of stimulation, did not differ from standard care without acupuncture in terms of reducing women’s experience of pain during labour, or their memory of pain and childbirth overall two months after the birth. However, other forms of obstetric pain relief were less frequent in women receiving a combination of manual and electrical stimulation, suggesting that this method could facilitate coping with labour pain.
4
Bergdahl, Lena. „Auricular acupuncture for insomnia“. Doctoral thesis, Uppsala universitet, Psykiatri, Akademiska sjukhuset, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-320045.
Annotation:
Cognitive behavioural therapy for insomnia (CBT-i) is the most effective treatment for insomnia. Studies show that auricular acupuncture (AA) may alleviate insomnia symptoms. The overall aim of the thesis was to compare treatment effects of auricular acupuncture (AA) with cognitive behavioural therapy for insomnia (CBT-i) on symptoms of insomnia, anxiety, depression, hypnotic drugs consumption and quality of life from short- and long-term perspectives. Paper I had a qualitative approach with a descriptive design. 16 participants received group-treatment with AA during their protracted withdrawal phase and were interviewed about their experiences. They participants experienced a reduction in protracted withdrawal symptoms, improved subjective sleep quality, a strong sensation of peacefulness and increased wellbeing. Paper II, III and IV present results from a randomised controlled trial in where the effects of group-treatment with AA and CBT-i were compared in short- and long-term using subjective (questionnaires and sleep diary) and objective (actigraphy) measurements. The results showed that CBT-i was superior to AA in reducing insomnia symptoms in both the short and long run. Both groups experienced significant long-term reduction of depressive symptoms. Further, both groups managed to maintain a decreased intake of hypnotic drugs at the end of the treatment when compared to baseline measurement. Short-term reduction of symptoms of anxiety and depression improved only in the AA group. The results from the objective actigraph recordings showed that the AA group slept more and the CBT-i group less after the treatment and that sleep patterns in both groups reverted to pre-treatment levels after 6 months. Conclusively: AA, as administered in this study, was not as good as CBT-i in treating insomnia symptoms, and should not be used as a stand-alone treatment for insomnia. Our results also demonstrate that prolonged sleep time does not necessarily yield better sleep, and that the perception of insomnia symptoms is not inevitably affected by sleep duration. AA was as effective as CBT-i in ending hypnotic drugs consumption. Moreover, AA was more successful than CBT-i in reducing symptoms of anxiety and depression in the short run. Further studies investigating AA for anxiety and depression are motivated.
5
Teixeira, Sabrina Goltsman. „Acupunctura no tratamento da dermatite atópica canina“. Bachelor's thesis, Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária, 2011. http://hdl.handle.net/10400.5/3293.
Annotation:
Dissertação de Mestrado Integrado em Medicina VeterináriaA Acupunctura é praticada mundialmente apesar das dificuldades na conciliação do seu princípio com a medicina baseada na evidência. Hoje em dia existem já vários estudos científicos e abordagens para a explicação dos seus mecanismos. A Dermatite Atópica Canina (DAC) é uma doença de pele crónica, recorrente e pruriginosa, do foro alérgico e inflamatória. Tem predisposição genética e é considerada a segunda maior causa de prurido nos cães. Apesar de existir uma grande diversidade de métodos de controlo desta doença, com excepção da Imunoterapia Alergénio-Específica (IAE), não está estudado até ao momento qualquer outro método de tratamento que permita uma alteração do curso da doença com baixo risco de efeitos secundários, requerendo manutenção para o resto da vida do animal. No entanto, a sua eficácia para o tratamento humano da Dermatite Atópica é controverso e encontra-se contra-indicada na Dermatite de Tipo Atópico (DTA). Apesar de não existirem ainda estudos de acupunctura direccionados para a DAC, diversos estudos em humanos demonstram a sua eficácia na Dermatite Atópica. Isto indica que poderá ser uma terapia complementar segura para a DAC. Foi elaborado um estudo para observar a tolerância de cães com hipersensibilidade cutânea à Acupunctura e, simultaneamente, a evolução clínica da DAC com a Acupunctura como tratamento complementar, com a duração de 11 semanas. Apesar de uma amostra reduzida, com apenas 2 casos clínicos, o estudo revelou alguma resolução do prurido e inflamação. Tal aponta para a necessidade de estudos mais completos sobre Acupunctura em animais de companhia contando com uma maior amostra, grupo de controlo, avaliação cega e um maior tempo de tratamento para se conseguir avaliar a fundo a sua eficácia. O estudo de tolerância desta terapia por cães com hipersensibilidade cutânea permitiu concluir que, apesar da hipersensibilidade e agitação característica destes pacientes, o tratamento é perfeitamente tolerado. Isto parece apontar para, em animais com pele saudável, a tolerância aos tratamentos de Acupunctura ser ainda maior.
ABSTRACT - Acupuncture is practiced worldwide despite the difficulties in reconciling its principle with evidence-based medicine. Nowadays there are several scientific studies and approaches which explain its mechanisms. Canine Atopic Dermatitis (CAD) is a chronic, recurring, pruritic and inflammatory skin condition. There is a genetic predisposition and it is considered the second most common cause of pruritus in dogs. Despite the great diversity of methods available to control this disease, apart from allergen-specific immunotherapy no other treatment method is able to change its course with low risk of secondary effects, requiring life-long maintenance. However, its efficacy in the treatment of human Atopic Dermatitis is controversial and it’s contraindicated in the treatment of Atopic-Like Dermatitis. Despite there being as of yet no studies specifically tailored for CAD several studies have demonstrated its efficacy in human Atopic Dermatitis. This indicates it might be a safe complementary therapy for CAD. An 11-week study was elaborated in order to ascertain the tolerance of acupuncture by dogs with cutaneous hypersensitivity and, simultaneously, the clinical evolution of Canine Atopic Dermatitis when using acupuncture as a complementary treatment. Despite a small sample, two clinical cases only, the study revealed some improvement in terms of pruritus and inflammation. This indicates the need for further studies in companion animals with a bigger sample, control group, a blind study model and a longer treatment period so the efficacy of acupuncture can be accurately evaluated. The tolerance study in dogs with cutaneous hypersensitivity allowed for the conclusion that despite hypersensitivity and the restlessness that characterises these patients the treatment is very well tolerated. This seems to indicate that in subjects with healthy skin the treatment tolerance will be even higher.
6
張琦. „激痛點針灸療法的機理研究進展“. HKBU Institutional Repository, 2016. https://repository.hkbu.edu.hk/etd_oa/242.
Annotation:
研究背景：激痛点与肌筋膜疼痛综合征等多种疾病的发生和转归有密切联系。激痛点针灸疗法在Ii面床治疗中应用广泛，但其相关作用机理还不十分清楚。因此，激痛点针灸疗法作用机理的研究有十分重要的理论意义和临床价值。 研究目的：初步总结激痛点针灸疗法的作用机制，为丰富激痛点针灸疗法及提高临床疗效提供思路。 研究方法：本文以“激痛点、“扳机点、“触发点 “激痛点针灸和“机制、为主题词’检索中国期刊全文资料库（ CNKI ）；以“Trigger point、“DryNeedling和“Mechanism为关键字检索英文文献数据库PubMed 。结合激痛点相失生理病理研究结论，对近年来激痛点针灸疗法机制的相关研究进行整理。 结论：破坏激痛点局部的独特生理病理结构’即功能障碍终板的完整性，抑制伤害戚受器的传人可能是激痛点针灸疗法的主要局部镇痛机制。其失’针刺本身参与的局部镇痛及通过脊髓相失节段调整远部牵涉痛、内脏痛；激发全身镇痛、抗炎、生物力学调整等，都是激痛点针灸疗法的镇痛的可能机制。
7
Enblom, Anna. „Nausea and vomiting in patients receiving acupuncture, sham acupuncture or standard care during radiotherapy“. Doctoral thesis, Linköpings universitet, Omvårdnad, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-17237.
Annotation:
Background and aim: Many patients with cancer experience emesis (nausea and vomiting) during radiotherapy. The overall aim of this thesis was to improve the situation for patients with risk for emesis during radiotherapy, by evaluating emesis in patients receiving verum (genuine) acupuncture, sham (simulated) acupuncture or standard care during radiotherapy. Methods: In study I, a cross-sectional sample (n=368) treated with radiotherapy over various fields answered a study-specific questionnaire. In study II, 80 healthy volunteers were randomized to receive needling with verum acupuncture or non-penetrating telescopic sham needles by one of four physiotherapists. In study III, 215 patients were randomly allocated to verum (n=109) or non-penetrating telescopic sham (n=106) acupuncture during their entire radiotherapy period over abdominal or pelvic fields. The same 215 patients were also included in study IV. They were compared to 62 patients irradiated over abdominal or pelvic fields, selected from study I. Results: In study I, the weekly prevalence of nausea was 39 % in all radiotherapy-treated patients and 63 % in abdominal or pelvic irradiated patients. Age younger than 40 years and previous experience of nausea in other situations were characteristics associated with an increased risk for nausea. Of the 145 nauseous patients, 34 % considered their antiemetic treatment as insufficient. Patients with nausea reported lower level of quality of life compared to patients free from nausea. In study II, most individuals needled with verum (68 %) or sham (68 %) acupuncture could not identify needling type, and that blinding result varied from 55 to 80 % between the four therapists. In study III, nausea was experienced by 70 % (mean number of days=10.1) and 25 % vomited during the radiotherapy period. In the sham group 62 % experienced nausea (mean number of days=8.7) and 28 % vomited. Ninety five percent in the verum and 96 % in the sham group believed that the treatment had been effective for nausea. In both groups, 67 % experienced other positive effects, on relaxation, mood, sleep or pain-reduction, and 89 % were interested in receiving the treatment again. In study IV, the weekly prevalence of nausea and vomiting was 38 and 8 % in the verum group, 37 and 7 % in the sham group and 63 and 15 % in the standard care group. The nausea difference between the acupuncture and the standard care cohort was statistically significant, also after overall adjustments for potential confounding factors. The nausea intensity in the acupuncture cohort was lower compared to the standard care cohort (p=0.002). Patients who expected nausea had increased risk for nausea compared to patients who expected low risk for nausea (Relative risk 1.6). Conclusions and implications: Nausea was common during abdominal or pelvic field irradiation in patients receiving standard care. Verum acupuncture did not reduce emesis compared to sham acupuncture, while reduced emesis was seen in both patients treated with verum or sham acupuncture. Health-care professionals may consider identifying and treating patients with increased risk for nausea in advance. The telescopic sham needle was credible. Researchers may thus use and standardize the sham procedure in acupuncture control groups. The choice of performing acupuncture during radiotherapy cannot be based on arguments that the specific characters of verum acupuncture have effects on nausea. It is important to further study what components in the acupuncture procedures that produce the dramatic positive but yet not fully understood antiemetic effect, making it possible to use those components to further increase quality of care during radiotherapy.
8
Sambian, Noël Elisabeth. „Apport de l'acupuncture dans le traitement des migraines et des céphalées : étude rétrospective de 45 cas traités au centre anti-douleur CHU de Montpellier“. Montpellier 1, 1988. http://www.theses.fr/1988MON11178.
9
Smith, Andrew, und n/a. „Pulse diagnosis in traditional acupuncture“. University of Canberra. Education, 1993. http://erl.canberra.edu.au./public/adt-AUC20061109.082650.
Annotation:
The process of pulse diagnosis was examined in a
sample of 100 patients randomly selected from the
author's acupuncture clinic. Patient symptoms,
pulses (as utilised in traditional Chinese
medicine), diagnostic criteria (as described in
traditional Chinese medicine), acupuncture points
selected and patient comments after each treatment
were coded into a numerical format suitable for
stepwise multiple regression and crosstabulation
analysis.
The analysis indicated that the interpretation of
pulse qualities predicted the diagnostic criteria
when used in accordance with the theories of
acupuncture. The selection of acupuncture points
could not be predicted from the diagnostic
criteria when using pulse diagnosis. Additionally
the analysis indicated that the patient comments
after acupuncture were independent of the initial
patient symptoms.
More research is needed to more fully understand
the process of pulse diagnosis. However the
analysis does suggest that pulse diagnosis should
be incorporated into acupuncture curricula in both
traditional acupuncture courses and medical
acupuncture courses.
10
Cohen, Marc 1964. „Bioenergetics, information and acupuncture : an exploration of the links between acupuncture information, and bio-electromagnetism“. Monash University, Dept. of Electrical and Computer Systems Engineering, 2000. http://arrow.monash.edu.au/hdl/1959.1/7851.
11
Tujague, Philippe. „Immunité et acupuncture : revue de la littérature, étude préliminaire sur des constantes biologiques susceptibles de variations“. Montpellier 1, 1991. http://www.theses.fr/1991MON11167.
12
Blom, Maria. „Studies on acupuncture treatment of xerostomia /“. Stockholm, 1999. http://diss.kib.ki.se/1999/91-628-3637-4/.
13
Chau, Cheuk-man, und 周卓敏. „Effectiveness of acupuncture in stroke rehabilitation“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44525412.
14
Vincent, Charles. „The treatment of headache by acupuncture“. Thesis, University College London (University of London), 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.307698.
15
Park, Jongbae. „Evaluation of the effrectiveness of acupuncture“. Thesis, University of Exeter, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.418780.
16
Micheau, Pascal. „La carie dentaire en acupuncture traditionnelle“. Nantes, 1986. http://www.theses.fr/1986NANT1541.
17
Gibson, Denise Helena. „Acupuncture for anxiety in respiratory disorders“. Thesis, University of Southampton, 2017. https://eprints.soton.ac.uk/422640/.
Annotation:
Anxiety is a key component of respiratory disorders, which can exacerbate symptoms as well as impact upon treatment outcomes. This PhD offers an original contribution to knowledge by demonstrating the clinical effects of acupuncture on anxiety related to two chronic respiratory disorders, (hyperventilation syndrome (HVS) and chronic obstructive pulmonary disease (COPD)). This thesis contains findings from two novel trials that have examined the use of body acupuncture and ear acupuncture for the treatment of anxiety associated with respiratory disorders. These studies are linked through one research question: does acupuncture, offered as an adjunctive treatment to physiotherapy, reduce anxiety in patients with common chronic respiratory disorders? Previous research examining acupuncture for the treatment of anxiety has focused on the treatment of generalised anxiety disorder, or anxiety related to exposure to anxiety provoking situations. The research included within this thesis has examined the use of acupuncture in a population of individuals with respiratory disorders to assess the feasibility of using acupuncture for anxiety in this population, and to enhance our understanding of its efficacy and clinical benefits. No previous respiratory acupuncture studies have been identified that were designed with anxiety as a primary outcome. Study 1 is a three-arm single-blind randomised controlled trial (RCT) of acupuncture for HVS. In this trial acupuncture was used as an adjunct to standard physiotherapy (in the form of breathing retraining (BR)). Study 2 was a trial to examine the feasibility of using ear acupuncture as an adjunct to physiotherapy (in the form of pulmonary rehabilitation for COPD). Hypotheses were tested using anxiety data from the Hospital Anxiety and Depression Scale. The findings from both studies suggest that it is feasible to use acupuncture as an adjunct to physiotherapy in these patient groups. Within each trial, there were no statistically significant differences in anxiety between groups at outcome. However, following the interventions, there were clinically relevant reductions in anxiety in the acupuncture groups within both studies. In study 1 the reduction in mean anxiety scores in the acupuncture group took them to below the cut-off for clinically relevant anxiety. There were also statistically significant between-group differences in breathlessness associated with HVS. These findings indicate that both body acupuncture and ear acupuncture are feasible in patients with chronic respiratory disorders, when delivered as an adjunct to physiotherapy. They also suggest that acupuncture may have clinically significant benefits for anxiety associated with respiratory disorders, as well as for symptoms such as breathlessness. This knowledge will provide practitioners with some supportive evidence for the use of acupuncture within their clinical practice.
18
Qian, Yang Peijuan. „Zhen jiu zhi liao fu xie xing chang yi ji zong he zheng de qu xue gui lü /“. click here to view the abstract and table of contents, 2006. http://net3.hkbu.edu.hk/~libres/cgi-bin/thesisab.pl?pdf=b1998618xa.pdf.
19
Vivini, Muriel. „Pourquoi l'acupuncture ? motivations et comportements des consultants en acupuncture“. Bordeaux 2, 1992. http://www.theses.fr/1992BOR2M040.
20
Woon, Shoo Tong Marie. „Règlementation de l'exercice de l'acupuncture dans les pays de la communauté européenne“. Bordeaux 2, 1993. http://www.theses.fr/1993BOR2M197.
21
Bergbom, Rebecka, und Johanna Eliasson. „Öronakupunktur mot ångest och depression : En analys av behandling i grupp“. Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-192336.
Annotation:
Introduction: Anxiety and depression are common among patients enrolled in psychiatric outpatient care. Ear Acupuncture is an alternative form of treatment that has been shown to relieve anxiety and depression in previous studies. Aim: To evaluate ear acupuncture as a group treatment for depression and anxiety Method: A psychiatric outpatient clinic has been offering group treatments with ear acupuncture for anxiety and depression for 5 weeks. Participants of the study have answered self-rating scales Montgomery Åsberg Depression Rating Scale, Beck Anxiety Inventory and Sheehan Disability scale before and after the treatment period. Material was collected in the period 2008-2012 and has been analyzed in SPSS. Results: Data from 31 patients were included in the study. The results from the study showed a significant difference, between the measurements before and after treatment, with a reduction of the average values in the three different scales. Summary: From this study, it is difficult to draw any conclusions about the effect of ear acupuncture. More studies in this area is needed to be able to draw any conclusions. Keywords: Acupuncture, anxiety, auricular acupuncture, depression, psychiatric.Introduktion: Ångest och depression är vanligt förekommande bland patienter inskrivna i psykiatrisk öppenvård. Öronakupunktur är en alternativ behandlingsform som visat sig lindra ångest och depression enligt flera tidigare utförda studier. Syfte: Utvärdering av öronakupunktur som gruppbehandling vid ångest och depression Metod: En psykiatrisk öppenvårdsmottagning har erbjudit gruppbehandlingar med öronakupunktur mot ångest och depression under 5 veckor. Deltagarna har svarat på självskattningsskalorna Montgomery Åsberg Depression Rating Scale, Beck Anxiety Inventory och Sheehans funktionskala före respektive efter behandlingsperioden. Material är insamlat mellan 2008-2012, vilket har analyserats med hjälp av SPSS. Resultat: Data från 31 patienter inkluderades i studien. Efter behandling visades en signifikant skillnad med en sänkning av medelvärdena i de tre olika skalorna. Slutsats: Utifrån denna studie är det svårt att dra några slutsatser angående öronakupunkturens effekt. Mer studier inom området är önskvärt. Nyckelord: Acupuncture, anxiety, auricular acupuncture, depression, psychiatric.
22
Simmonet, Philippe. „Utilisation de l'acupuncture et de l'hypnose en anesthésiologie“. Bordeaux 2, 1989. http://www.theses.fr/1989BOR2P021.
23
Lasmolles, Isabelle. „Actualité des muscles des méridiens de la médecine traditionnelle chinoise : étude comparative entre muscles des méridiens d'une part, douleurs référées (Travell) puis chaînes musculaires (Mézières) d'autre part“. Bordeaux 2, 1994. http://www.theses.fr/1994BOR2M063.
24
Aranha, Maria Fernanda Montans 1981. „Evaluation of acupuncture, electroacupuncture and sham acupuncture on the treatment of myofascial pain at the upper trapezius muscle“. [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/288256.
Annotation:
Orientador: Maria Beatriz Duarte GaviãoTexto em português e inglês
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: A dor miofascial (DM), proveniente de um ponto gatilho miofascial (Pg), é a principal causa de dor de cabeça e pescoço. A sua presença é associada à rigidez muscular e estresse e pode influenciar a qualidade de vida de pacientes sintomáticos. Imagens ultrassonográficas do tecido disfuncional têm sido realizadas com o intuito de avaliar objetivamente o Pg. Com o objetivo de avaliar o efeito da acupuntura e da eletroacupuntura no tratamento da DM da parte superior do músculo trapézio, sessenta voluntárias com idade entre 18 e 40 anos, índice de massa corpórea entre 18 e 30 Kg/m2, com pelo menos um ponto gatilho na parte superior do músculo trapézio, dor local ou referida por mais de seis meses foram randomizadas em três grupos: eletroacupuntura (EA), acupuntura (AC) e acupuntura SHAM (SHAM). O avaliador e as voluntárias eram cegos aos tratamentos. Os pontos de acupuntura utilizados foram: VB20, VB21, F3 e IG4, além de no máximo, 2 pontos ashi em cada lado do trapézio superior. A efetividade do tratamento, assim como a manutenção dos resultados até um mês após o final do tratamento, foram avaliada pela intensidade de dor (escala visual analógica: EVA), amplitude de movimento cervical (fleximetria), qualidade de vida (SF-36), estresse (área abaixo da curva: AUCG; resposta do cortisol ao acordar: CAR), imagem de ultrassom (área do Pg). De acordo com sua distribuição os dados foram analisados pelos testes: teste-t pareado, Wilcoxon signed rank, ANOVA para medidas repetidas ou teste de Friedman, ANOVA ou Kruskal Wallis. Foi aplicado o teste de correlação de Pearson. O nível de significância foi de ?= 0,05. Foi observada redução na dor geral (DG) nos grupos EAC (P<0.001) e AC (P<0.001) após todas as sessões. Na reavaliação, a dor no trapézio direito (TPzD) diminuiu para os grupos EA (P<0.001) e AC (P=0.025), já no trapézio esquerdo (TPzE), apenas o grupo EA mostrou melhora (P<0.001). Em relação à DG correu interação dos fatores "fase de avaliação" e "grupo" para AC e EAC, e para dor no TPzD e E apenas para o grupo EA. Após o tratamento houve aumento da rotação para a esquerda no grupo EA (P=0.049), e aumento da inclinação e rotação para a direita no grupo AC (P=0.005; P=0.032). Houve aumento da AUCG (P=0.006) e CAR (P<0.001) no grupo AC. Em relação aos dados obtidos pelo SF-36, o grupo SHAM apresentou aumento significativo da dor (P=0.005); os grupos EA e AC mostraram aumento nos mesmos domínios, com valores respectivos de P: capacidade funcional (P=0.011; P=0.016), aspectos físicos (P=0.027; P=0.13), dor (P=0.010; P=0.003), estado geral da saúde (P=0.017; P=0.011), vitalidade (P=0.010; P=0.011), saúde mental (P=0.018; P=0.014) e componente físicos (P=0.019; 0.002). Ocorreu diminuição na área do ponto gatilho (US) nos grupos EA (TPzD: P<0.001; TPzE: P=0.001) e AC (TPzD e TPzE P<0.001), e no grupo SHAM apenas no TPzE (P=0.036). A EA se mostrou mais eficaz no alívio da dor quando comparada aos outros grupos. Tanto AC quanto EA foram eficazes na melhora da morfologia do tecido muscular (US) e da qualidade de vida. A AC parece ser mais indicada na diminuição do estresse e na melhora da amplitude de movimento cervical em mulheres com dor miofascial no trapézio superior
Abstract: Myofascial pain (MP), caused by myofascial trigger points (MTrP), is of the main cause of headache and neck pain. It is associated with muscular stiffness, stress and can influence the quality of life of symptomatic patients. Ultrasound images of dysfunctional tissue have been used aiming to objectively evaluate the myofascia trigger point. Aiming to evaluate the effect of acupuncture and electroacupuncture on the treatment of MP at the upper trapezius muscle, sixty women aged between 18 and 40 years old, body max index between 19 and 30 Kg/m2, presenting at least one trigger point at the upper trapezius and local or referred pain for more than six months were randomized in to and three groups: electroacupuncture (EAC), acupuncture (AC) and SHAM-acupuncture (SHAM). Both examiner (CEEM) and volunteers were blinded to the treatments. The selected acupoints were VB20, VB21, F3 and IG4, besides a maximum of 2 "ashi points" in each upper trapezius. The effectiveness of treatment (eight sessions), as well as it maintenance till one month follow up, were evaluated concerning the intensity of pain (Visual analog scale: VAS), range of motion (fleximetry), quality of life (SF-36), stress (area under the curve to the ground: AUCG; cortisol awaking response: CAR) and ultrasound image (area of MTrP). Influencing factors and the menstrual cycle phases were monitored. According to its distribution, data were analyzed by pared t-test, Wilcoxon signed rank, ANOVA repeated measures, Friedman test, ANOVA or Kruskal Wallis. Pearson¿s correlation was applied. The level of significance was set in ?= 0.05. It was observed reduction on general pain (GP) on treated groups after all sessions (EA: P<0.001; AC: P<0.001). After treatment, intensity of pain on the right trapezius (RTPz) decreased in the EA (P<0.001) and AC (P=0.025) groups, but on the left trapezius (LTPz) it was only observed in the EA group (P<0.001). There was interaction of factor "time of evaluation" with factor "group" for GP in the AC and EA groups; and for pain at the RTPz and LTPz only in the EA group. There was increase on rotation to the left in the EA group (P=0.049) and on inclination and rotation to the right on group AC (P=0.005; P=0.032). There was increase on AUCG (P=0.006) and CAR (P<0.001) in the AC group. While SHAM presented significant increase only on bodily pain (P=0.005), EA and AC showed increase at the same following domains, with respectively P values: physical function (P=0.011; P=0.016), role physical (P=0.027; P=0.13), bodily pain (P=0.010; P=0.003), general health (P=0.017; P=0.011), vitality (P=0.010; P=0.011), mental health (P=0.018; P=0.014) and physical components (P=0.019; 0.002). It was observed a decrease on MTrP area (US) in the groups EA (TPzD: P<0.001; TPzE: P=0.001) and AC (RTPz e LTPz P<0.001), and in the SHAM groups only at the LTPz (P=0.036). The EA group has shown to be more effective on pain relief when compared to other groups. Both AC and EA were effectiveness improving tissue morphology (US) and quality of life. AC seems to be more indicated to the decrease stress and increase cervical range of motion than EA in women with myofascial pain at the upper trapezius
Doutorado
Anatomia
Doutora em Biologia Buco-Dental
25
Yuan, Jing. „Effectiveness & efficacy of acupuncture for pain“. Thesis, Ulster University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.442157.
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McNeill, Sheelagh C. „Acupuncture : clinical practice and effectiveness in physiotherapy“. Thesis, University of Ulster, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.288826.
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COMPERE, VERONIQUE. „Diagnostic et traitement d'une lombalgie en acupuncture“. Limoges, 1989. http://www.theses.fr/1989LIMO0128.
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Deleuze, Yannick. „Modeling and simulation of transport during acupuncture“. Thesis, Paris 6, 2015. http://www.theses.fr/2015PA066372/document.
Annotation:
L’objectif de cette thèse est d’appréhender la complexité des mécanismes biologiques de l’acupuncture afin de construire un modèle mathématique multi-échelle. Ce modèle est étudié théoriquement et numériquement. L’acupuncture est une des plus vielles pratiques de l’histoire de la médecine et une partie intégrante de la médecine traditionnelle chinoise. Dans sa pratique la plus classique, une ou plusieurs aiguilles sont placées à des endroits spécifiques, nommés points d’acupuncture. L’aiguille est ensuite manipulée en utilisant des mouvements de rotation et de translation de façon à stimuler le point d’acupuncture. Les effets cliniques de l’acupuncture pourraient être le résultat d’effet de cascades de réactions produites par les interactions entre l’hypoderme et les systèmes nerveux, endocrinien et immunitaire. Le travail présenté s’articule sur la modélisation de l’insertion d’une aiguille dans le tissu conjonctif de l’hypoderme. Un modèle d’écoulement en milieu poreux du liquide interstitiel de l’hypoderme a permis d’étudier numériquement les composantes de contrainte qui agissent sur les récepteurs à la surface des cellules du tissu et notamment des mastocytes.Un modèle mathématique de la réponse chimiotactique des mastocytes à une contrainte physique créée par le traitement d’acupuncture est développé. Ce modèle prend en compte les mécanismes de signalisation cellulaire. La contrainte physique induit la libération rapide et continue, grâce au recrutement chimotactique de mastocytes, d’attractants et de médiateurs chimiques. Le modèle est basé sur le modèle de chimiotaxie de type Keller-SegelThe objective of this thesis is to comprehend the complexity of the underlying basis of acupuncture. Acupuncture needling is investigated in order to establish a multiscale model that takes into account the complexity of biology but is mathematically simple enough to run simulations.Acupuncture is one of the oldest practices in the history of medicine and is the core of Traditional Chinese Medicine. Once needles are inserted in the right locations, called acupoints, they are manipulated via manual needling to stimulate the acupoint. The physiological reactions of acupuncture needling lead to therapeutic effects which can be explained by a series of interactions between the skin and the nervous, the endocrine, and the immune systems.In the present work, the thrusting and lifting of an acupuncture needle inserted in subcutaneous connective tissue is modeled. A porous media model is used to run simulations and compute the pressure and shear stress affecting the organization of fibers and of isolated cells in their matrix. A mathematical model was conceived to take into account cell signaling. There is ample evidence that needle manipulation in acupuncture can cause degranulation of mastocytes directly through a physical stress to occur. Activated mastocytes rapidly release granules containing chemical mediators. These chemical mediators play a key role recruiting mastocytes in their environment and are known to affect the excitability of nerve endings as well as local microcirculation permeability and size for the appropriate transfer of long-term acting endocrine signals. The process is sustained by the recruitment of mastocytes through chemotaxis
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Ko, Chun-hung. „Double blind randomized placebo controlled trial in cerebral palsy use of an innovative tongue acupuncture technique versus sham acupuncture /“. Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk/hkuto/record.jsp?B23339925.
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Deshays, Catherine. „Conception et réalisation d'une banque de données documentaire en acupuncture“. Montpellier 1, 1988. http://www.theses.fr/1988MON11140.
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Suzuki, Masao. „A Randomized, Placebo-Controlled Trial of Acupuncture in Patients With Chronic Obstructive Pulmonary Disease (COPD): the COPD-Acupuncture Trial (CAT)“. Kyoto University, 2015. http://hdl.handle.net/2433/202643.
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Gao, Yongsheng. „Formal representation of acupuncture : concept, theory and logic“. Thesis, University of Salford, 2010. http://usir.salford.ac.uk/26685/.
Annotation:
This research investigates the development of a single acupuncture ontology which can represent knowledge from two distinct perspectives, i.e., those of so-called orthodox or Western medicine and those of Chinese medicine. Acupuncture, initially a treatment from ancient Chinese medicine, has been widely adopted by increasing numbers of practitioners of orthodox medicine. However the differences between the two traditions make it difficult to exchange knowledge and to compare findings. With a view to facilitate knowledge sharing, this thesis explores how heterogeneous types of acupuncture knowledge and information can be represented in a single ontology. The purpose of such an ontology is to provide a consistent representation of acupuncture across the different paradigms. An ontology for acupuncture was conceptualised using the flexible sets of distinctions based on Sowa's distinction approach, and constructed using description logic technologies. To assess the contribution of the acupuncture ontology, evaluation was carried out by experts from two disciplines, i.e., from medical informatics and from health care, and with respect to three applications, i.e., ontology editing tool, ontology browser with choices of perspectives, and web ontology query application. The data collection methods comprised observation and interviews, coupled with video recording and screen capture. The video and transcripts were analysed and coded with software designed for supporting qualitative research. The outcome of the evaluations concluded that the research had achieved its aim, i.e., to formally represent the concept, theory and logic of acupuncture from distinct paradigms of both orthodox and Chinese medicine in a single ontology. It succeeded in making implicit relationships in acupuncture knowledge explicit at concept level, instance level and meta level across the two paradigms.
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Purepong, Nithima. „Acupuncture in the management of low back pain“. Thesis, University of Ulster, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.490743.
Annotation:
The thesis aimed to investigate the effectiveness of AT for LBP. A systematic review was conducted to determine the effectiveness of acupuncture. There is strong evidence that acupuncture can be a useful supplement to other forms of conventional therapy for non-specific LBP although the effectiveness of acupuncture compared with other forms of control intervention still requires further investigation.
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Prady, Stephanie Louise. „Bias and heterogeneity in clinical studies of acupuncture“. Thesis, University of York, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.547356.
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Shieh, Leonardo. „Urban acupuncture as a strategy for São Paulo“. Thesis, Massachusetts Institute of Technology, 2006. http://hdl.handle.net/1721.1/34983.
Annotation:
Thesis (S.M.)--Massachusetts Institute of Technology, Dept. of Architecture, 2006.This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.
Includes bibliographical references (p. 127-131).
This work is the study of one city, São Paulo, and one idea, how small and precise architectural interventions can be catalytic to major urban transformations. The largest urban agglomeration in the southern hemisphere is now approaching twenty-million inhabitants with a major incongruence: while São Paulo sprawls informally onto non-structured lands, the infrastructured downtown has been emptied out. In an attempt to re-attract activity to the historical core, this thesis suggests the insertion of twelve urban projects, small and therefore suitable to the operations of a weak public sector. Designed according to a set of developed criteria, the expectation is that the new urban projects would stimulate the overall rehabilitation of downtown São Paulo.
Leonardo Shieh.
S.M.
36
Paterson, Esmé. „Acupuncture for the treatment of phantom limb syndrome“. Thesis, London South Bank University, 2016. http://researchopen.lsbu.ac.uk/1811/.
Annotation:
Phantom limb syndrome (PLSd) is a prevalent complication post amputation which can be severe and chronic. Multi-disciplinary treatment is recommended, addressing peripheral, central and psychological factors. Although acupuncture is recommended, evidence supporting its effectiveness is sparse. This project aimed to develop an acupuncture protocol for the treatment of lower limb amputees with PLSd and evaluate its acceptability and feasibility prior to a definitive trial. The project was situated under the Medical Research Council’s framework for developing and evaluating complex interventions, and used a multiphase mixed methods research design. Three systematic literature reviews and two studies were undertaken to inform a feasibility study. The literature reviews aimed to identify previous research undertaken on the experience and management of PLSd. The first study, a Delphi study, aimed to develop an acupuncture protocol and the second, a qualitative descriptive study, explored amputees’ perceived acceptability of acupuncture within the context of living with PLSd. From these findings a feasibility study was designed and conducted, comprising a randomised controlled trial and semistructured interviews. The literature reviews identified limited qualitative studies exploring amputees’ experience of PLSd, limited evidence supporting interventions for PLSd and only two non-randomised controlled trials evaluating the effectiveness of acupuncture for treating PLSd. The Delphi study developed a novel acupuncture protocol which was considered ‘good practice’ and this was used in the feasibility study. The qualitative descriptive study produced rich data, not previously available on a UK demographic group of amputees shortly post amputation, on their experience of PLSd. PLSd was found to be ‘real’ and bothersome with effects on wellbeing. Additionally, acupuncture was perceived acceptable and outcome measures were identified for use in the feasibility study. The feasibility study generated new original findings on areas which would need addressing before undertaking a definitive trial, including; problems with recruitment, completion of outcomes at one month follow up, blinding, practitioner adherence to the acupuncture protocol, capture of rescue medication and recording of adverse events. Acupuncture was perceived to be effective at resolving or reducing PLSd. Findings from this project could inform the development of a definitive trial to establish the effectiveness of acupuncture for treating PLSd.
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Lewith, George. „The clinical effects of acupuncture : methods of evaluation“. Thesis, University of Southampton, 1994. https://eprints.soton.ac.uk/399479/.
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Cloete, Marinus. „Acupuncture for women with refractive Overactive Bladder Syndrome“. Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/10188.
Annotation:
To evaluate the efficacy of acupuncture in refractive OAB. The primary aim was to evaluate the effect on frequency, nocturia and urge urinary incontinence. The secondary aim was to evaluate the effect of the response on self-perceived quality-of-life.
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Faircloth, Amanda. „Perceptions of Acupuncture and Acupressure by Anesthesia Providers“. VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3586.
Annotation:
BACKGROUND: Randomized controlled trials show acupuncture and acupressure support anesthesia management by decreasing anxiety, opioid requirements and treating post-operative nausea and vomiting. Acupuncture and acupressure have demonstrated clinical usefulness and received governmental support (NIH, PPACA, WHO, U.S. Military), but have not yet diffused into mainstream anesthesia practice. This study examined US anesthesia providers' perceptions of acupuncture and acupressure.
METHODS: Ninety-six anesthesiology departments stratified by geographic region (Northeast, South, West, and Midwest) and institution type (university medical centers, community hospitals, children’s hospitals, and VA hospitals) were selected for participation in an anonymous, online survey. The target sample was 1,728 providers of which N = 292 (54% anesthesiologists, 44% CRNAs, 2% AAs) responded yielding an overall 17% response rate.
RESULTS: Spearman’s correlation coefficient revealed a statistically significant correlation between acupuncture and geographic region, with the West having the highest predisposition toward acupuncture use (rs = 0.159, p = 0.007). Females are more likely to use acupuncture than men (rs = -.188, p = 0.002). Age yielded a moderate effect size with providers between the ages of 31-50 years old experiencing the best outcomes administering acupuncture (rs = 0.65, 95% CI = 2.79, 3.06). A strong effect size exists between acupuncture and country of pre-anesthesia training (rs = 1.00, 95% CI = 1.08, 1.16). Some providers have used acupuncture (27%) and acupressure (18%) with positive outcomes, however the majority of providers have not used these modalities, but would consider using them (54%, SD = 1.44 acupuncture; 60%, SD = 1.32 acupressure). Seventy-six percent of respondents would like acupuncture education and 74% would like acupressure education (SD = 0.43, SD = 0.44, respectively). Lack of scientific evidence (79%, SD = 0.73) and unavailability of credentialed providers (71%, SD = 0.92) were the primary barriers.
CONCLUSIONS: While most U.S. anesthesia providers have not used these modalities, they still report a favorable perception of acupuncture/acupressure’s role as part of an anesthetic and the majority of providers express an interest in receiving education. This study adds to the body of acupuncture and acupressure research by providing insight into anesthesia providers’ perceptions of these alternative medicine modalities.
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Ng, Kevin K. W. „Immunological Responses In Human Saliva With Acupuncture Stimulation“. Thesis, The University of Sydney, 1988. http://hdl.handle.net/2123/5060.
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Wu, Angela. „Acupuncture for Treatment of Obesity and Insulin Resistance“. Thesis, The University of Arizona, 2014. http://hdl.handle.net/10150/322107.
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Huang, Ching-Wu, und 黃竫武. „Acupuncture Technique Sensors Applied Upon Electrical Acupuncture Statue“. Thesis, 2012. http://ndltd.ncl.edu.tw/handle/16031829192011850540.
Annotation:
碩士國立臺灣大學
機械工程學研究所
100
This thesis presents interactive Electrical Acupuncture models for teaching and practicing purposes. Based on the previous Electrical Acupuncture model which could detect the inserting positions of needles, we develop new acupuncture models to detect commonly used acupuncture techniques, such as lifting/thrusting and twirling. In the second version, the passive sensor scanning array circuit is added to the original circuit for detecting the lift-thrust acupuncture technique. Needle sensors are improved by using conductive mesh and polydimethylsiloxane (PDMS) to withstand repeated piercing, and integrated as sensor modules. In addition, the interactive interface program is extended to include the Acupuncture Inquiry System, the Acupuncture Technique System, the COM Settings System, the Chinese-English Interface Integration, and the Sound Reminder System. In the third version, we introduce the Webcam Sensor Modules to detect different acupuncture skills using image processing procedures. The model replaces the sensors and electric circuits of the second version, by developing a single sensor module to detect the aformentioned acupuncture techniques. Lastly, the two developed models are integrated, and realized on an acupuncture mannequin for experimental verification. Based on the results, the proposed models are deemed effective.
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Chen, Yi-Kai, und 陳怡愷. „Development of a smart laser acupuncture system integrated with acupuncture parameters“. Thesis, 2015. http://ndltd.ncl.edu.tw/handle/su79w9.
Annotation:
碩士中原大學
生物醫學工程研究所
103
The power generated from a laser acupuncture system is attenuated corresponding to the skin thickness of a hμman body. The aim of this study was to develop an intelligent laser acupuncture system with adjustable power output depending on the attenuation coefficients of tissues, such as different tissue types and the tissue thickness, to improve the therapeutic effectiveness of acupuncture. We used phantom to determine the power of laser light attenuation level of tissues, which was simulated to the different kinds of tissues. From the phantom simulation results, we developed an intelligent laser acupuncture system with adjustable power output depending on the height(<160cm、160~180cm and >180cm) and the level of body mass index (BMI<24、24~30、>30). Finally, we used phantom to verify the output power of the laser system. The phantom simulation results were shown that when the laser power under 300mW, the muscle phantom thickness could be measured was 1.75cm and the power was 240.1mW. The fat phantom thickness could be measured was 1.25cm and the power was 243.4mW. The combination phantom of fat and muscle phantom thickness could be measured was 1.25cm and the power was 243.4mW. An intelligent laser acupuncture system can adjust power output depending on the height and the level of BMI. The power was approximate to 5mW after attenuated by all different tissue types and the tissue thickness. Taken together, the attenuation levels of laser power were different in fat and muscle tissues, suggesting that a laser acupuncture system with adjustable and customize power outputs should be developed for acupuncture therapy.
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Ribeiro, Daniel Cerqueira. „Time-frame assessment of acupuncture effects: how fast does acupuncture work?“ Master's thesis, 2016. https://repositorio-aberto.up.pt/handle/10216/89319.
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Ribeiro, Daniel Cerqueira. „Time-frame assessment of acupuncture effects: how fast does acupuncture work?“ Dissertação, 2016. https://repositorio-aberto.up.pt/handle/10216/89319.
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Coelho, Ana Rita Oliveira. „Pinning Down TRPV1: Acupuncture Analgesia“. Master's thesis, 2018. http://hdl.handle.net/10316/82134.
Annotation:
Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de MedicinaIntrodução: A acupunctura é uma das técnicas mais populares da medicinacomplementar, sendo a analgesia um dos assuntos mais abordados. O Transient ReceptorPotential Vanilloid 1 (TRPV1) é um nociceptor periférico que foi descrito como umrecetor respondedor à acupunctura. O objetivo desde estudo é investigar se a acupunturamodula a via de nocicepção periférica dos TRPV1.Materiais e Métodos: Foram usados 44 ratos macho Wistar, divididos em 6 subgrupos:acupunctura-soro fisiológico (n=10), controlo-soro fisiológico (n=10),acupunctura-capsaicina (n=6), controlo-capsaicina (n=6), acupunctura-azeite (n=6) econtrolo-azeite (n=6). Realizaram-se 7 sessões de acupunctura, uma por semana, usandoos pontos Zusanli (ST36), Sanyinjiao (SP6) e Neiguan (HC6). A latência do tail-flick(TFL) foi avaliada antes e depois do protocolo de acupunctura. Vinte e quatro horas antesda avaliação final da TFL, foi administrada subcutaneamente solução salina a 0,90%(0,1 ml), capsaicina (1 mg capsaicina/ml azeite, 10 mg/kg) e azeite (0,1 ml). Os resultadosda TFL inicial e final foram comparados utilizando um teste T para amostrasemparelhadas e a TFL final com um teste T para amostras independentes. A magnitudeda resposta à acupunctura foi representada pela variação percentual média da TFL. Ratoscom uma variação superior a 30% foram considerados respondedores.Resultados: Nos subgrupos acupunctura-capsaicina e acupunctura-azeite verificou-seaumento da TFL (p<0,001). O subgrupo acupunctura-soro fisiológico não apresentoudiferenças (p=0,107). No subgrupo controlo-capsaicina verificou-se aumento da TFL(p<0.01). Os subgrupos controlo-azeite e controlo-soro fisiológico não apresentaramdiferença entre as avaliações (p=0,692 e p=0,451, respectivamente). A TFL final dossubgrupos acupunctura-capsaicina e controlo-capsaicina foi semelhante (p=0,117).Comparando apenas TFL final, todos os subgrupos foram diferentes entre si (p<0,05),com exceção dos subgrupos controlo-soro fisiológico versus controlo-azeite (p=0,436).Discussão: A acupunctura não teve o efeito analgésico esperado. Pelo contrário, acapsaicina teve importante efeito analgésico em todos os subgrupos em que foi usada, oque reforça a sua importância no tratamento da dor crónica. Quando associadas, aacupunctura e capsaicina obtiveram um efeito analgésico semelhante ao uso da capsaicinaisoladamente.Conclusão: Concluímos que a acupunctura não modulou a via de nocicepção periféricados TRPV1. Perspetivas futuras incluem estudos que permitam a distinção neuroquímicados ratos respondedores dos não-respondedores à acupunctura. Os fármacos que atuamnos TRPV1, nomeadamente a capsaicina, poderão vir a desempenhar um papelimportante no tratamento da dor crónica pelo que se deve continuar a investigar.
Background: Acupuncture is a popular technique of complementary medicine andanalgesia is its most highlighted subject. Transient Receptor Potential Vanilloid 1(TRPV1) is a peripheral nociceptor that was also described as an acupuncture-respondingchannel. Here we aim to investigate if acupuncture modulates TRPV1 neuronal pathwayof peripheral nociception.Materials and Methods: We used 44 male Wistar rats divided into 6 subgroups:acupuncture-saline (n=10), control-saline (n=10), acupuncture-capsaicin (n=6), control-capsaicin(n=6), acupuncture-olive oil (n=6) and control-olive oil (n=6). We performed 7acupuncture sessions, one per week, using Zusanli (ST36), Sanyinjiao (SP6) and Neiguan(HC6) acupoints. Tail-flick latency (TFL) evaluation was performed before and afteracupuncture protocol. Twenty-four hours prior to final evaluation, rats were administeredsubcutaneously with 0.1 mL 0.90% saline solution, capsaicin (1 mg capsaicin/mL oliveoil, 10 mg/kg) and olive oil (0.1 mL). Initial and final TFL were compared using pairedsamples T-test. Final tail-flick latency was compared with unilateral samples T-test.Magnitude of acupuncture response was represented by Average Percentage Change oftail-flick latency (%). Rats with more than 30% change were considered responders.Results: Acupuncture-capsaicin and acupuncture-olive oil subgroups had increased TFL(p<0.001). Acupuncture-saline subgroup had no difference between the initial and finallatencies (p=0.107). Control-capsaicin subgroup had a higher final TFL (p<0.001).Control-olive oil and control-saline subgroups had no difference between the twoevaluations (p=0.692 and p=0.451, respectively). No difference was found between theacupuncture-capsaicin and control-capsaicin subgroups (p=0.117). Regarding final TFL,all subgroups were different from each other (p<0.05) with the exception of control-salineversus control-olive oil (p=0.436).Discussion: Acupuncture did not have the analgesic effect expected. On the contrary,capsaicin had an important analgesic effect in all subgroups where was used, whichreinforces the importance of capsaicin in the treatment of chronic pain. When associated,acupuncture and capsaicin had a similar analgesic effect to capsaicin alone.Conclusion: We conclude that acupuncture did not modulate TRPV1 pathway ofperipheral nociception. Future perspectives include further studies to acknowledge theneurochemical basis which distinguishes responders from non-responder rats toacupuncture. TRPV1-acting drugs, namely capsaicin, can play an important role inchronic pain management in the future and efforts should continue towards thisendeavour.
Universidade de Coimbra - O projecto foi financiado pelo Gabinete de Apoio à Investigação da Faculdade de Medicina da Universidade de Coimbra no ano 2015.
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Lin, Jhih-Jhong, und 林志忠. „Design of a Back Body Acupuncture Points Massage System－Using Electronic Acupuncture“. Thesis, 2009. http://ndltd.ncl.edu.tw/handle/52178782228115884810.
Annotation:
碩士正修科技大學
電子工程研究所
97
Electronic acupuncture which combines electronics with traditional technique uses pulses to massage acupuncture points. Electronic acupuncture will help unclog meridians and qi and blood, increase endorphin, inhibit nerve conduction, facilitate muscle contraction, improve blood circulation, and mitigate shoulder pain. Non-invasive and easy to operate, it is widely applied to health care in daily life without side effects. This study designed a back body acupuncture points massage system which could reduce back pain effectively through acupuncture points (Naoshu, Jugu, Jianzhen, Jianliao, Tianliao, Quyuan, Tianzong, and Bingfeng) and which consisted of an electronic acupuncture device and an acupuncture gear. The electronic acupuncture device adopted a multiple channel output design which can massage acupuncture points and at the same time, achieve the health care result of conventional acupuncture. The pulse frequency selected by the electronic acupuncture was ranged from 2Hz to 20Hz. This band can effectively mitigate chronic pain. The acupuncture gear used Jianliao point as a standard to locate other acupuncture points. Then, electrodes were placed on each point and an electronic acupuncture device was connected to each point. Thus, the misidentification of the points can be avoided. If the user misidentifies the point, the expected health care results will not be achieved. With a chip microcontroller and CPLD as its core, this system integrated amplitude setting, frequency generation, acupuncture point selection circuit and storage circuit where the user can save massage setting to increase its convenience. Moreover, the acupuncture gear for massaging back points could increase muscles’ strength and extensibility and prevent and mitigate shoulder pain. User-friendly, easy to operate and inexpensive, the back body acupuncture points massage system can obviously mitigate sufferer’s shoulder pain.
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HSIO, NIEH TSU, und 聶子修. „city ACUPUNCTURE AND MOXIBUSTION“. Thesis, 2006. http://ndltd.ncl.edu.tw/handle/maw84t.
Annotation:
碩士東海大學
建築學系
94
A lot of main cities in Taiwan now are facing with the overpopulation. The densely development causes the problems as intensive living space , overgrown structure of city, and people migration. Take Taichung for example, the way that used to solve these problems is giving a great area of city surgery. But we found this kind of surgery couldn’t recover the injury of city by the introversive forum in recent years. Thus in this case, we will try to read the city from the logic of medical science, and provide a new flowing system, city artery, in the city. It won’t install a new system forcedly, but discover and integrate the complex city relationships from the old city lines. And let the existent city problems can be adjusted to moveable balance by the new system. The logic of handling this case can avoid the disorder of over-alteration and the short of handling space. It not only can own the elasticity to confront the activities of city change in the future, but also reach the goal of lasting effect in the city.
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Dalgetty, Gillian Fiona. „Networking acupuncture in Vietnam“. Phd thesis, 2010. http://hdl.handle.net/1885/11796.
Annotation:
This thesis proposes that medical anthropologists change the way we think about
acupuncture in Vietnam. Acupuncture should not be conceived as a discrete medicophilosophical system as has been acupuncture’s textual identity in academic writings to date. Acupuncture is rather a performative network, in the sense used by Bruno Latour, constituted through energetic relationships between science, people, textbooks, classrooms, pedagogic practices, clinical technologies and much more.
These come into interaction and their collaborations produce acupuncture in unexpected ways. This conclusion was generated through 15 months of ethnographic fieldwork with acupuncturists in Ho Chi Minh City and catchments from 2007-08. Fieldwork involved observing acupuncturists engage patients, participating in acupuncture classes and volunteering on acupuncture charity teaching and treating missions. A snowballing method was used to generate connections with a mobile and diverse group of medical specialists.
First, it will be shown that in Vietnam, science and tradition were united in the creation of a New Medicine that must be considered on its own terms rather than as a grafting of two different types of medical system. The New Medicine modelled pedagogic and legitimacy-making practices which circulated in the city. Second, local formation of acupuncture objects and shaping of clinical treatment flatten out previously taken for granted hierarchies when describing clinical medical knowledge.
The technology of vision was integral to the construction of such knowledge and when interrupted caused acupuncture to grind to a halt. Finally, person networks, after Mark Granovetter, were active in the city generating professional success and legality for practitioners but these will also be analysed using a Latourian approach.
Recent ethnographic investigations of science and technology are used to help portray, more faithfully, the interactive dynamic of acupuncture experienced during fieldwork. Such writings extend the scope of what can be investigated as participating in the creation of medical realities in southern Vietnam. I argue that medical knowledge is a reality constructed through continual practices. Knowledge is not a commodity or eternally static entity, knowledge is what we do.
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Wang, De Yuan. „Acupuncture and premenstrual syndrome“. Thesis, 1998. https://vuir.vu.edu.au/15302/.
Annotation:
Premenstrual syndrome (PMS) is a common syndrome experienced by women during their reproductive years. Up to 95% of women experience PMS with 30% experiencing moderate
to severe symptoms and in 5-10% of women, the symptoms of PMS often result in work and/or social impairment which disrupts the quality of their lives.
The aetiology of PMS from a Western medical perspective still remains unclear even though numerous theories has been proposed. Although some pharmacological agents have proven effective and are widely used to treat the disorder, at present there are no approved medications for this disorder. In addition, most of these agents have adverse effects which limits their use in some patients. On the other hand, the aetiology of PMS from a Traditional
Chinese Medicine (TCM) point of view is quite clear. However, until now, there have been no rigorous TCM clinical trials on PMS. Many clinical trials in acupuncture are seriously flawed by methodological problems.
This study was designed to evaluated the efficacy of Traditional Chinese Acupuncture for the treatment of PMS. Twenty-six subjects were grouped according to age and then the TCM pattern of disharmony. The subjects within each age and TCM pattern group, were then randomly assigned to a treatment group which received real acupuncture treatment or to a control group which received sham acupuncture treatment.