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1
Smith, Andrew, and n/a. "Pulse diagnosis in traditional acupuncture." University of Canberra. Education, 1993. http://erl.canberra.edu.au./public/adt-AUC20061109.082650.
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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.
2
El-Grégorie, S. "Whole systems healthcare : traditional Chinese medicine acupuncture under the microscope." Thesis, City, University of London, 2018. http://openaccess.city.ac.uk/20129/.
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Aim The aim of this study was to investigate the efficacy of a specific school of acupuncture, Traditional Chinese Medicine Acupuncture (TCMA), as a whole complex intervention, as it operated in a clinic setting, on a wider representation of users and spectrum of diseases than the typical acupuncture user profile, and to explore potential variations in health outcomes. Design and Setting This was a retrospective study that employed a Whole Systems Research (WSR) design that involved outcome evaluation, to determine the efficacy of TCMA, together with process evaluation, to determine patient perceptions of how the intervention worked in practice, with regards to health, wellness, and Quality of Life (QoL). The research focused on a subsidised clinic that was located in a socially deprived area of London. Methods The retrospective study period was February 2007 to March 2008. Scores from Measure Yourself Medical Outcome Profile (MYMOP), an outcome measure used to investigate changes in health outcomes over time, were extracted from individual patient files (N=208) that had fulfilled the inclusion criteria of attendance at six consecutive treatment sessions, delivered from baseline treatment, irrespective of outcome or symptom. MYMOP scores on Symptom, Activity and Wellbeing, that were completed at baseline (treatment 1) follow up (treatment 2), follow up (treatment 3), follow up (treatment 4), follow up (treatment 5) and follow up (treatment 6), were analysed using repeated measures ANOVA to investigate whether a significant difference in QoL, a variable derived from the mean of the nominated MYMOP scores, existed between baseline treatment and outcome for patients over the six week treatment period; statistical analysis was also completed to explore variations in treatment outcomes in relation to patient’s socio-demographic characteristics, age, gender, ethnicity and social grade, and the wide range of health conditions reflected in the sample. Written patient commentaries (N=117), concerning experiences of TCMA, that were provided on patient discharge forms were extracted and analysed using Thematic Analysis. Results Significant differences were found in the direction of better reported MYMOP Symptom, Activity and Wellbeing scores following TCMA treatments and a significant difference in QoL was found between baseline assessment and outcome for TCMA patients over the 6-week course of treatment. Statistical analysis produced no evidence that the perceived benefits of TCMA treatment were associated with patients’ gender, age, ethnicity, social class, or presenting condition; no evidence was found that either demographics or presenting condition operated as outcome modifiers. Thematic analysis resulted in the identification of five themes which together provided insight into, and a way of understanding, both the outcomes and the processes that operated within TCMA. Conclusion Findings from the present study show that TCMA delivered perceived global and multidimensional beneficial changes in health, wellbeing and QoL; furthermore, the perceived positive treatment outcomes, which were unrelated to illness type or severity at the time of initial treatment, were consistent across socio-demographic subgroups and a wide spectrum of challenging cases of both physical and mental pathology. The study’s findings are important because they have advanced understanding of TCMA treatment efficacy and the workings of this particular style of acupuncture (TCMA) in terms of health, wellness and QoL.
3
Lau, Kiu-yung Helen, and 劉翹溶. "The effectiveness of treating abstinence syndrome by acupuncture over traditional medication and psychotherapy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206977.
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Background
Traditional medication therapy and psychotherapy are commonly used for treatment drug abstinence syndrome. Because of the side effects of traditional medication therapy (MT), acupuncture therapy (AT) is under investigation for treating abstinence syndrome, particularly for heroin detoxification. This project aims to review different randomised clinical trials (RCTs) of heroin detoxification treatment by acupuncture, and retrieve relevant data so that appropriate suggestions can be made to the Narcotics Division (ND), the Department of Health (DH), non-governmental organisations (NGOs) and related local public health institutes for the anti-drug services of heroin and opioid drugs.
Methods
A systematic review was conducted using PubMed and Google Scholar to retrieve 13 relevant articles of randomised clinical trials (RCTs) in English and Chinese conducted from 2000 to 2014. These RCTs contained data of heroin-dependent patients, details of assessment of abstinence syndrome and treatments; and comparison of efficacy of AT with MT, such as side effects, severity and relapse of heroin abstinence in physical and psychological aspects.
Results
13 articles were included. All treatments were conducted in clinics or hospitals. Different intervention strategies were included, comparing AT with MT, AT plus MT with MT alone, AT with no treatment as well as true AT with superficial AT. All trials have reported better therapeutic effects in the heroin abusers with AT, regardless the use of medication, age and sex. Improved treatment effects were demonstrated in reducing psychological effect of heroin abstinence, such as anxiety and depression, sleep quality, relapse and heroin craving. Also, improved treatment of physical effects of abstinence was shown by increasing body weight, improved liver and kidney functions, improved immunity and lower adverse effects than conventional MT. No adverse effect was reported in 3 trials (23%) or mentioned in 9 trials (69%), mild adverse effects was reported in 1 trial.
Conclusions
ND, DH, NGOs and other local public health institutes should conduct further studies in Hong Kong to obtain primary local data of the therapeutical effects of AT, and implement AT as an adjunct to the traditional MT and psychotherapy for treating heroin abstinence syndrome due to it high efficacy, safety and low side effects.published_or_final_version
Public Health
Master
Master of Public Health
4
Robinson, Anneke. "Women's experiences of traditional chinese acupuncture treatment for threatened preterm labour a thesis submitted in partial fulfilment of the requirements for the degree of Master of Health Science, Auckland University of Technology, New Zealand, February 2005." Full thesis. Abstract, 2005. http://puka2.aut.ac.nz/ait/theses/RobinsonA.pdf.
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Huang, Weidong. "Exploring the effectiveness of traditional chinese acupuncture for the treatment of stress in adults - a pilot study." Thesis, University of West London, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.503057.
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Dias, Paulo AraÃjo. "Efeitos da acupuntura,eletroacupuntura e moxabustÃo na qualidade de vida e no controle da dor em mulheres fibromiÃlgicas." Universidade Federal do CearÃ, 2012. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=9039.
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Conselho Nacional de Desenvolvimento CientÃfico e TecnolÃgicoA dor à uma das principais causas do sofrimento humano, aflige a humanidade desde o inicio de sua existÃncia e, independentemente de seu carÃter agudo ou crÃnico, desencadeia no homem alteraÃÃes nos padrÃes de sono, apetite e libido, irritabilidade, diminuiÃÃo da capacidade de concentraÃÃo, alÃm de dificuldades em atividades familiares, profissionais e sociais. A fibromialgia (FB) à uma sÃndrome musculoesquelÃtica crÃnica caracterizada por dor generalizada, de etiologia ainda nÃo completamente esclarecida, que ocorre predominantemente em indivÃduos de cor branca, afetando 2,5% da populaÃÃo brasileira, com maior incidÃncia no sexo feminino, na fase produtiva (antes dos 50 anos de idade), podendo tambÃm afetar crianÃas e idosos. Na ausÃncia de marcadores especÃficos, o diagnÃstico da FB à baseado em achados clÃnicos conforme critÃrios estabelecidos pelo American College of Rheumatology: dor generalizada presente no esqueleto axial e em ambos os hemicorpos, acima e abaixo da cintura, presenÃa de 11 ou mais dos18 tender points e dor crÃnica por mais de 3 meses. O tratamento da FB tem como objetivo reduzir a dor e os sintomas associados e melhorar a qualidade de vida. Antidepressivos associados a tratamentos nÃo farmacolÃgicos incluindo exercÃcios aerÃbicos de baixo impacto, alongamentos, programas de fortalecimento ou relaxamento muscular, reabilitaÃÃo e fisioterapia tÃm sido usados com resultados nem sempre satisfatÃrios. Outras terapias sÃo recomendadas, como balneoterapia, termoterapia, terapia magnÃtica, homeopatia, manipulaÃÃo manual, dietoterapia, musicoterapia e acupuntura, pelos seus efeitos auto-reguladores, analgÃsicos e antiinflamatÃrios. Na busca de outras opÃÃes terapÃuticas, este estudo objetiva avaliar os efeitos da acupuntura, da eletro- acupuntura e da moxabustÃo sobre a dor e a qualidade de vida em mulheres fibromiÃlgicas. Participaram do estudo 30 mulheres com idades entre 20 e 60 anos (mÃdia 46,90Â9,24), selecionadas segundo critÃrios prÃ-definidos, portadoras de fibromialgia, que apresentavam dor de intensidade moderada a grave (Algometria de Fischer <4kg/cm2). As pacientes foram distribuÃdas aleatoriamente em trÃs grupos (n=10) e tratadas com acupuntura (AC) [G-1], eletroacupuntura (EAC) [G-2] e moxabustÃo (MX) [G-3], durante 8 semanas (sessÃes semanais). Agulhas de aÃo inoxidÃvel foram inseridas em acupontos especÃficos bilateralmente (Neiguan/PC-6, Hegu/IG-4, Yanglingquan/VB-34, Sanyinjiao/BP-6 e Taichong/F-3) em todas as pacientes e retidas por 30 minutos. Adicionalmente, foram aplicadas a EAC (G-2) ou a MX (G-3) durante 30 minutos. Para avaliaÃÃo da intensidade da dor foram utilizados o questionÃrio McGill, a Escala de Faces de Wong-Baker e o AlgÃmetro de Fischer. A qualidade de vida foi avaliada utilizando o questionÃrio The Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), traduzido, adaptado e validado para a lÃngua portuguesa em 1999. Os dados foram tabulados utilizando-se o software Excel para Windows 2007 da Microsoft Corporation (U.S.A.) e analisados pelo programa de anÃlise estatÃstica GraphPad Prism v.5.00 (GraphPad Software, San Diego, CalifÃrnia, U.S.A). Os resultados mostram que nenhum dos trÃs mÃtodos de tratamento utilizados no estudo (AC, EAC, MX) promove reduÃÃo da dor em mulheres fibromiÃlgicas, apÃs 8 semanas de tratamento. Por outro lado, tanto a EAC como a MX melhoram a saÃde mental; a AC promove a melhora da vitalidade nessas pacientes.
Pain is one of the major causes of human suffering, afflicted humanity since the beginning of its existence and, regardless of its acute or chronic character, triggers in man changes in sleep patterns, appetite and libido, irritability, decreased ability to concentrate, in addition to difficulties in family, professional and social activities. Fibromyalgia (FB) is a syndrome characterized by chronic widespread musculoskeletal pain, etiology not yet fully clarified, that occurs predominantly in white individuals, affecting 2.5% of the Brazilian population, with higher incidence in females, in the productive phase (before 50 years of age), and may also affect children and the elderly. In the absence of specific markers, the diagnosis of FB is based on clinical findings according to criteria established by the American College of Rheumatology: widespread pain present in the axial skeleton and in both hemibodies, above and below the waist, presence of 11 or more of the 18 tender points and chronic pain for more than 3 months. FB treatment aims to reduce pain and associated symptoms and improve quality of life. Antidepressants associated with non-pharmacological treatments including low impact aerobic, stretching, strengthening programs, or muscle relaxation, rehabilitation and physical therapy have been used with results not always satisfactory. Other therapies such as balneotherapy, thermotherapy, magnetic therapy, homeopathy, manual handling, dietotherapy, music therapy and acupuncture are recommended for its self-regulatory, analgesic and anti-inflammatory effects. In search of other therapeutic options, this study aims to evaluate the effects of acupuncture, electroacupuncture and moxibu stion on the pain and quality of life in fibromyalgic women. Thirty women aged between 20 and 60 years (mean age 46.90Â9.24), selected according to predefined criteria, with FB, who had pain of moderate to severe intensity (<4kg/cm2) were included in the study. The patients were randomized, distributed in three groups (n=10) and treated with acupuncture (AC) [G-1], electroacupuncture (EAC) [G-2] and moxibustion (MX) [G-3], during 8 weeks (weekly sessions). Stainless steel needles were inserted into specific acupoints bilaterally (Neiguan/PC-6, Hegu/G-4, Yanglingquan/VB-34, Sanyinjiao/BP-6 and Taichong/F-3) in all patients, and retained for 30 minutes. Additionally, EAC (G-2) or MX (G-3) were applied during 30 minutes. To evaluate the intensity of the pain the McGill questionnaire, the Wong-Baker Faces Scale and the Fischer Algometer device were used. The quality of life was assessed using the questionnaire The Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), translated, adapted and validated for the Portuguese language in 1999.The data was tabulated using the Excel 2007 software for Windows  from Microsoft Corporation (U.S.A). GraphPad Prism  v. 5.00 (GraphPad Software, San Diego, California, U.S.A) program was used for statistical analysis. The results show that none of the three treatment methods used in the study (AC, EAC, MX) promotes reduction of pain in fibromyalgic women, after 8 weeks of treatment. However, both EAC as MX treatments improve the mental health. Additionally, the AC improves vitality in these patients.
7
Liu, Chaomei. "Traditional Chinese medical clinic system." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2517.
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The Chinese Medical Clinic System is designed to help acupuncturists and assistants record and store information. This system can maintain and schedule appointments and view patient diagnoses effectively. The system will be implemented on a desktop PC connected to the internet to facilitate the acupuncturists record of information.
8
Lu, Shao-chen, and ILLEGIBLE. "Acupuncture for Quality of Life in Patients Having Pain Associated with the Spine: a Systematic Review." RMIT University. Health Science, 2008. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080724.122432.
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Background: Pain associated with the spine (PAWS) refers to pain in the neck, thorax, lower back or sacrum. It impacts on patients' Quality of Life (QoL), including working ability, daily functioning, sleep and psychological well-being. A number of clinical trials have demonstrated that acupuncture was beneficial for patients with PAWS. However the overall effect of acupuncture on these patients' QoL is unknown. Aims: The current study aimed to conduct a systematic review (SR) of clinical trials to determine the effect of acupuncture on QoL and pain for patients with PAWS. In addition, a narrative review (NR) was conducted to compare patients' perceived changes (PCC) with the standard QoL instruments used in acupuncture clinical trials for pain. Methods: For the SR, PubMed, Embase (via ScienceDirect), CINAHL (Via EBSCO) and Cochrane Central Register of Controlled Trials were searched. Randomised controlled trials (RCTs) of acupuncture for PAWS condition(s) that include both QoL and pain assessments with a Jadad score of three or greater were included. For the NR, PubMed was searched to identify studies reporting PPC after acupuncture and/or traditional Chinese medicine. Extracted data were grouped and compared with domains of the QoL instruments. Results: In total, 21 RCTs were included and 17 of them had sufficient data for analysis. QoL was measured using 15 different instruments. Randomisation procedures and dropouts were adequately reported in all 17 studies. Four studies compared acupuncture with wait-list or usual-care. Two demonstrated that acupuncture had a superior effect on improving physical and mental components of QoL measured by Short Form-36 health survey questionnaire and pain at the three month follow-up. Studies comparing acupuncture with sham/placebo acupuncture or placebo-TENS found either no difference between the treatments or conflicting results. When acupuncture was compared with active interventions, there was no difference except that at the intermediate-term follow-up massage was better for disability and pain and physiotherapy was better for Northwick Park Neck Pain Questionnaire. Acupuncture was also better than TENS for pain. The combined therapy of acupuncture and an active intervention showed a superior result than the latter alone in the short-term. Six studies were identified for the NR. Patients reported 11 categories of changes after acupuncture, such as reduced reliance on other therapies, enhanced spirituality, prevention of disease. However, these clinical outcomes were not included in any of the QoL instruments used in the included RCTs. Conclusion: There is moderate to strong evidence that acupuncture is more effective than wait-list or usual-care at the short-term follow-up in improving QoL of patients with PAWS. When acupuncture is combined with another therapy, the combined therapy seems to produce a better outcome. Acupuncture is not better than sham/placebo acupuncture or placebo-TENS. Surprisingly, the commonly used QoL instruments do not measure all the changes perceived by patients as a result of acupuncture and/or traditional Chinese medicine. There is a pressing need to design QoL assessments that are suitable for acupuncture research. Further studies should have larger sample sizes and additional validated outcome assessments are required to detect effects of acupuncture.
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Cachado, Rita Sofia Martins Fragoso de Sousa. "Aplicação de medicinas complementares à prática de clínica de equinos." Master's thesis, Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária, 2012. http://hdl.handle.net/10400.5/4987.
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Dissertação de Mestrado Integrado em Medicina VeterináriaA Medicina Tradicional Chinesa (MTC) é uma corrente da prática de Medicina, tanto na saúde humana, como na saúde animal, que trata do diagnóstico, tratamento e prevenção das doenças. Esta corrente filosófica aborda e incorpora a experiência do povo chinês na sua longa luta contra a doença. Caracteriza-se essencialmente pela sua interpretação das funções fisiológicas e alterações patológicas, pelas suas técnicas de diagnóstico específicas e pelos seus princípios terapêuticos próprios. Desta abordagem médica, fazem parte inúmeras técnicas, nomeadamente a Fitoterapia, a Massagem Tui Na, a Dietética, o Qi Qong e a Acupunctura, a única destas técnicas abordada neste trabalho. Além da referida Acupunctura, outras técnicas como a Quiropráctica e a Homeopatia são consideradas como pertencentes à Medicina Integrada, uma corrente holística com difusão a nível global, apesar de todas as dificuldades e obstáculos que surgem na conciliação de algumas das suas técnicas e a Medicina dita convencional, baseada na evidência. Actualmente, o número de estudos científicos relativos aos métodos que abrange é imenso, visando explicar os seus mecanismos de funcionamento, embora alguns permaneçam por esclarecer. A clínica de equinos, em particular equinos de desporto, recai, frequentemente, sobre problemas ortopédicos, com especial destaque para claudicações e problemas vertebrais; alterações e/ou desvios comportamentais, os quais se reflectem nos resultados obtidos em provas; e problemas de performance e/ou vontade dos proprietários de explorarem ao máximo as potencialidades dos seus animais, visando retirar um desempenho o mais exímio possível. Apesar das inúmeras abordagens possíveis a qualquer alteração ortopédica em curso e das infinitas moléculas às quais se pode recorrer para exponenciar a performance do atleta de quatro patas, estas opções e decisões geralmente acarretam grandes desvantagens, as quais se prendem, essencialmente com os efeitos secundários nefastos das moléculas utilizadas, além dos custos elevados aos quais estão associadas. Em acréscimo, a abordagem alopática não contempla o perfil comportamental do equino, pelo que desvios e/ou problemas comportamentais e de stress não são passíveis de serem resolvidos à luz da medicina ocidental, mas encontrando soluções quando se opta por uma abordagem segundo as Medicinas Complementares e integradas. Apesar da controvérsia gerada em torno da Homeopatia, em particular, e do reduzido número de estudos relativos a doenças específicas em equinos, tratadas com Acupunctura e Quiropráctica, os estudos e resultados obtidos em humanos são muito positivos e satisfatórios, pelo que será seguro afirmar-se que a Medicina Complementar ou Integrada oferece abordagens terapêuticas e de diagnóstico seguras como complemento na prática clínica de equinos. Apesar de uma amostra reduzida, com poucos casos clínicos, e das limitações em termos do acompanhamento da evolução de cada caso apresentado, por razões logísticas e de sigilo profissional, além dos custos inerentes, observou-se uma evolução positiva sempre que se recorreu à aplicação e utilização de técnicas da Medicina Complementar, tanto na aceitação dos proprietários, como na aceitação dos próprios animais e na evolução/recuperação da doença em curso. Tais resultados apontam para uma necessidade de estudos mais completos sobre estas técnicas em equinos, reunindo uma amostra mais significativa, grupo de controlo, avaliação cega e maior tempo de tratamento, para ser possível avaliar a fundo a eficácia de cada uma das técnicas, em animais num mesmo ambiente e com a mesma doença. Ao longo do estágio, a aplicação destas técnicas mesmo em animais com um carácter mais difícil ou menos tolerantes na manipulação com bons resultados de aceitação permitiu concluir que, apesar da irascibilidade de alguns temperamentos dos pacientes abordados, os tratamentos foram perfeitamente aceites. Desta forma, parece ser indicador de que, em animais de temperamento mais dócil, este tipo de abordagem seja aceite ainda com maior facilidade.
ABSTRACT - The Traditional Chinese Medicine (TCM) is a type of practical approach of Medicine, both in human health and in animal health which refers to the diagnosis, treatment and prevention of diseases. This philosophical approach incorporates the experience of the Chinese people in their long struggle against the disease. It’s characterized primarily by its interpretation of physiological functions and pathological changes, by their specific diagnostic techniques and therapeutic principles. This medical approach is a universe of techniques including herbal medicine, Tui Na massage, special Diet, Qi Qong and Acupuncture the only technique discussed in the present paper. In addition to Acupuncture other techniques such as Chiropractic and Homeopathy are considered as belonging to the Integrated Medicine, a holistic approach spread worldwide in spite of all difficulties and obstacles when combining some of its techniques with the Eastern evidence-based Medicine. In present times, the number of scientific studies regarding the methods used in TCM is very high … even though some remain unexplained. Equine practice, particularly sport horses, relies essentially on orthopedic problems, mainly lameness and vertebral pathologies; behavioral pathologies and/or deviations that influence the results obtained in competitions; and performance issues and/or the need for the owners to explore their horse’s potential to the maximum hoping to obtain the best results. There are several different ways of approaching an orthopedic pathology and an infinite number of molecules that can be used to enhance the four-legged athlete performance. However, these options and decisions often come with a cost and many great disadvantages associated essentially with the secondary and undesirable effects that may develop due to its usage. In addition, the allopathic approach does not take into consideration the behavioral profile of the horse, hence behavioral pathologies and/or deviations and stress are not taken into account or able to be solved in light of Eastern Medicine. Nevertheless, when undertaken by the TCM approach solutions can be found. Even though Homeopathy generates much controversy, and there are few studies regarding specific pathologies in equine practice treated with Acupuncture and Quiropractics, the studies and results obtained in humans are very positive and satisfactory. Thus it is possible to say that TCM offers safe therapeutic and diagnostic complementary in the equine practice. In spite of the reduced population sample, with few clinical trials and case studies, and the limitations in the follow-up of each case study a positive evolution was evident every time TCM was used. There was also an increase and evident owner’s and horse’s acceptance. Such results point towards the necessity of more complete studies regarding these techniques in equine practice, gathering a more significant population sample, control group, blind trials and a wider period of time in order to be possible to make a deep assessment of the real efficacy of each of the techniques in a constant environment and with the same pathology. During this training period the application of these techniques, even in animals with a more complicated temperament or less tolerant to manipulation, obtained good results acceptance and led to the conclusion that in spite of the difficult temperament the patients the treatments were perfectly accepted. This suggests that in animals with a softer temper this approach would be even better accepted.
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Price, Sarah. "Traditional acupuncture : exploring the rationale and theory of change in the specific context of early breast cancer and chemotherapy in research and practice." Thesis, University of Leeds, 2012. http://etheses.whiterose.ac.uk/3664/.
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Acupuncture is an increasingly popular complementary therapy. Acupuncture research, however, leaves uncertainty as to its effectiveness and raises question about what traditional acupuncture (TA) is. This thesis aims to examine what acupuncture is, by using the Theory of Change (ToC) as a novel approach to elucidate the pathways for change. Early breast cancer (EBC) is used as a complex exemplar providing the TA practitioner with the opportunity to utilise TA in all of its complexity. A ToC framework was developed from the professional accrediting body of TA. This ToC framework was applied to two sets of literature: firstly acupuncture research where validated outcome measures were used; secondly research on the exploration of practitioner and patients’ perceptions of TA. A longitudinal study was constructed to examine change over time during the EBC experience. This study entailed interviewing 14 women before, during and after chemotherapy while they received up to ten sessions of TA. The two practitioners were also interviewed; they kept diaries and treatment logs of the process creating additional data. Grounded theory methods were used to analyse the data. The ToC was refined after analysis of all the data to provide a comprehensive insight into the components of TA providing further weight to the idea that it is a complex intervention. Treatment entails a continuous process with multiple pathways to change. TA offers great flexibility in addressing chronic illness with acute features or daily fluctuations of a range of problems. The concept of outcome patterns arose from this which is ripe for further exploration. The therapeutic relationship is part of the intervention, used to engage the individual with new insights into health and changing behaviour as well as to enable disclosure leading to person-centred goals of treatment. Therapeutic befriending emerged as a notion suitable for further exploration within CAM.
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Hughes, John Gareth. "Acupuncture for rheumatoid arthritis and the impact of acupuncturist affiliation to a traditional or western theoretical framework : exploring the perceptions of acupuncturists and patients." Thesis, Manchester Metropolitan University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.443307.
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Hayashi, Ayne Murata. "Estudo clínico da eficácia da acupuntura no tratamento da discopatia intervertebral tóraco-lombar em cães." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05042007-170354/.
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Acupuntura tem sido integrada no tratamento da discopatia intervertebral tóraco-lombar em cães com intuito de analgesia e reabilitação motora e sensorial. Faltam estudos clínicos controlados comparando acupuntura associada ao tratamento médico não cirúrgico. Foram avaliados 61 cães portadores de afecção degenerativa do disco intervertebral tóraco-lombar durante o período de março de 2005 a fevereiro de 2006. Destes 61 animais, 50 foram incluídos no estudo, 26 cães no grupo com acupuntura e 24 cães no grupo sem acupuntura. As avaliações da melhora do estado neurológico foram realizadas através de uma escala funcional numérica em 4 momentos: primeira avaliação, 7º dia de avaliação, 14º dia de avaliação e último retorno. Para análise estatística, nível de significância de 5%, utilizou-se o Teste de Mann Whitney para amostras independentes e o Teste de Friedman para amostras dependentes, seguido do Teste de Wilcoxon para comparações das amostras dentro do mesmo grupo. Os valores das medianas do escore total na 1ª avaliação permitiu comparação entre graus de lesão (1 a 5) subdivididos em graus 1-2 (Md 21 e 20); graus 3-4 (Md 11 e 9) e grau 5 (Md 2). O tempo de retorno a locomoção de animais sem capacidade de locomoção e presença de dor profunda (graus 3-4) foi comparado entre os grupos com (n=10) e sem acupuntura (n=6) através do Teste T-Student, sendo os cães que receberam acupuntura anteciparam em 50% o retorno a locomoção (10,10±6,49 dias) em comparação com cães que não receberam acupuntura (20,83±11,99 dias) com diferença significativa (p<0,034). Apresentaram médias superiores e com diferença significativa no escore total da escala funcional numérica na 7ª e 14ª avaliações (p<0,039 e p<0,020) em relação ao grupo que não recebeu acupuntura, representando um estado neurológico superior. A taxa de sucesso em cães com graus 3-4 no retorno a locomoção foi de 100% e 66%, respectivamente grupo com acupuntura e sem acupuntura, sendo a diferença significativa (p<0,047). Os cães de graus 1-2 não apresentaram diferença significativa, sendo a taxa de sucesso em ambos os grupos de 100%. Os cães de grau 5 tiveram taxa de sucesso no retorno a locomoção de 50% e 12,5%, respectivamente grupo com acupuntura e sem acupuntura, não apresentando diferença significativa (p>0,124). Conclui-se que acupuntura pode ser aplicada associada ao tratamento médico em cães com discopatia tóraco-lombar, antecipando o retorno à locomoção e a melhora na evolução neurológica em cães apresentando percepção à dor profunda intacta e sem capacidade de locomoção.Acupuncture has been combined in the treatment of thoracolumbar disk disease in dogs with the purpose of analgesia, motor and sensorial rehabilitation. There is a lack of clinical controlled studies comparing acupuncture integrated with medical and non surgical treatment. 61 dogs with thoracolumbar disk disease were evaluated from March 2005 to February 2006. Among these 61 animals, 50 were included in the study: 26 dogs in the group with acupuncture and 24 dogs in the group without acupuncture. The evaluations of the neurological improvement were done through a numerical functional scale in 4 moments: first, seventh, fourteenth evaluations and the last visit. For the statistical analysis, significant level of 5%, Mann Whitney test for independent variables, Friedman test for dependent variables comparisons, followed by Wilcoxon test for dependent variables in the same group, were utilized. The median values of the total scores in the first visit permitted comparisons within lesion levels (1 to 5) divided in levels 1-2 (Md 21 and 20); levels 3-4 (Md 11 and 9) and level 5 (Md 2). The time of return of ambulation in dogs without ambulation and intact deep pain perception (levels 3-4) were compared with acupuncture group (n=10) and without acupuncture group (n=6) through Student T test, where dogs that received acupuncture anticipated in 50% the locomotion return (10,10±6,49 days) in comparison of dogs that didn?t received acupuncture (20,83±11,99days) with significant difference (p<0,034). These dogs showed superior means and significant difference in the total score from the numerical functional scale in the seventh and fourteeth visits (p<0,039 and p<0,020) in relation to the group that didn?t received acupuncture, showing superior neurological state. The success rate of dogs with levels 3-4 in the return of ambulation were 100% and 66%, respectively acupuncture group and without acupuncture, with significant difference (p<0,047). The dogs with levels 1-2 didn?t show difference, so that the success rate in both groups were 100%. The dogs with level 5 had success rate in the return of ambulation of 50% and 12,5%, respectively acupuncture group (n=6) and without acupuncture (n=8), but without significant difference (p>0,124). It was concluded that acupuncture can be applied to the medical treatment in dogs with thoracolumbar disk disease, with anticipation of the return of ambulation and the improvement of neurological state in animals showing intact deep pain perception and without ambulation.
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Quispe, Cabanillas Juan Guzman 1974. "Efeito da eletroacupuntura na qualidade de vida de pacientes com esclerose múltipla forma recorrente-remitente." [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309902.
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Orientadores: Wanderley Dias da Silveira, Leonilda Maria Barbosa dos SantosTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
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Resumo: A Acupuntura é uma das mais antigas formas de tratamento que tem sobrevivido e evoluido não só no Extremo Oriente (China), mas em todo o mundo. A técnica consiste na inserção de agulhas em vários níveis de profundidade da pele em pontos específicos chamados de "Acupontos", podendo ser estimuladas manualmente ou com uma corrente de baixa tensão elétrica (Eletroacupuntura). Faz parte ainda de um conjunto de técnicas com fins terapêuticos da Medicina Tradicional Chinesa, sendo, atualmente, praticada como terapia primária e adjuvante para uma variedade de doenças e condições crônicas. De outro lado a Esclerose Múltipla é uma doença inflamatória crônica do sistema nervoso central, caracterizada pela infiltração de células do sistema imune neste compartimento, com destruição de mielina e perda de oligodendrócitos, é a mais comum das doenças auto-imunes do sistema nervoso central. Trata-se de uma doença que acomete principalmente adultos jovens, sendo mais frequente nas mulheres, causando múltiplos sinais e sintomas de disfunção neurológica. Aproximadamente 85% dos pacientes apresentam a forma recorrente - remitente (surto/remissão), que é caraterizada por apresentar manifestações sintomatológicas de disfunção neurológica (exacerbação, relapso ou ataque) com períodos de estabilização ou melhora (remissão). Terapias imunomoduladoras modernas vêm sendo empregadas no tratamento da Esclerose Múltipla, no entanto, não aliviam muitos dos sintomas, como dor e depressão, levando a uma piora na qualidade de vida. Pacientes, assim, procuram tratamentos alternativos, como a acupuntura, embora os benefícios desses tratamentos não tenham sido objetivamente avaliados. O emprego do modelo experimental, a Encefalomielite Autoimune (alérgica) Experimental, tem trazido grandes contribuições para a compreensão dos mecanismos envolvidos e o esclarecimento da patogênese de doenças autoimunes, tais como a Esclerose Múltipla. Este estudo foi, portanto, concebido para avaliar o efeito da eletroacupuntura sobre a qualidade de vida de pacientes com Esclerose Múltipla tratados com imunomoduladores e na modulação da resposta imune na encefalomielite autoimune experimental. No final do estudo foi observado que a Eletroacupuntura promove a melhora em vários aspectos da qualidade de vida dos pacientes com Esclerose Múltipla, especialmente a dor, e na Encefalomielite Autoimune (alérgica) Experimental foi observado que existe uma modificação da resposta imunológica. Além disso, os resultados também sugerem que o uso rotineiro de um questionário de autoavaliação da qualidade da vida deve ser incluído nas avaliações clínicas regulares dos pacientes
Abstract: Acupuncture is one of the oldest forms of treatment that has survived and evolved not only in the Far East (China), but around the world. The technique involves inserting needles at various levels of depth of the skin at specific points called "Acupoints" and can be stimulated manually or with a low voltage electrical current (electroacupuncture). It is part of a set of therapeutic techniques the traditional chinese medicine and is currently practiced as primary therapy and adjuvant for a variety of diseases and chronic conditions. On the other hand the MS is a chronic inflammatory disease of the central nervous system characterized by infiltration of immune cells in this compartment, with destruction of myelin and oligodendrocytes loss. It is the most common of the autoimmune diseases of the central nervous system and is a disease that mostly affects young adults, being more common in women, causing multiple signs and symptoms of neurological dysfunction. Approximately 85% of patients present form recurrent-remitting MS (relapsing/remitting), which presenting symptom of neurological events (exacerbation, relapse or attack) with periods of stabilization or improvement (remission). Modern immunomodulatory therapies have been employed in the treatment of Multiple Sclerosis, however, do not alleviate many of the symptoms such as pain and depression, leading to deterioration in quality of life. Patients, therefore, seek alternative treatments such as acupuncture, although the benefits of these treatments have not been objectively evaluated. The use of model experimental autoimmune encephalitis has brought large contributions to the understanding of mechanisms and understanding the pathogenesis of autoimmune diseases such as MS. This study was therefore designed to evaluate the effect of electro on the quality of life of patients with multiple sclerosis treated with immunomodulators and modulation of immune response in experimental autoimmune encephalomyelitis. At the end of the study it was observed that electroacupuncture improved in various aspects of quality of life of patients with multiple sclerosis, especially pain, and it was observed that electroacupuncture modifies the immune response in the Autoimmune Encephalomyelitis Experimental. Moreover, the results also suggest that the routine use of a self-assessment of quality of life should be included in regular clinical evaluations of patients
Doutorado
Farmacologia
Mestre em Farmacologia
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Schiavo, Fúlvio. "Disfunção erétil psicogênica e acupuntura: uma opção terapêutica?" Faculdade de Medicina de São José do Rio Preto, 2006. http://bdtd.famerp.br/handle/tede/163.
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Previous issue date: 2006-04-25This work was elaborated on a literature review about the Acupuncture practice in the treatment of psychogenic erectile dysfunction. The erectile dysfunction is defined and inserted in the sexology context. Its aetiology, risk factors and alternatives for treatment are briefly discussed. The Acupuncture, a new Western therapeutic aid, is approached in the field of the Traditional Chinese Medicine. Due to the differences in the way of facing the sexuality between the Western and the Eastern cultures, and the possibility of approaching at the same time the physical and psychological aspects of diseases, the Acupuncture was evaluated in some studies as an option for the treatment of the psychogenic erectile dysfunction. The articles are clinic test types, retrospective study, case report and review. Taking into account the ones with better outline, the results showed that the acupuncture was efficient in about 60 to 70% of the cases. Although these results are promising, the papers have some structural failure and they do not have part of the information related to the intervention strategy (handling of the needles). Therefore, it is suggested that further studies dealing with this subject ought to be more feasible. Up to end of this research, there was not sufficient information to provide the effectiveness of Acupuncture in the treatment of the psychogenic erectile dysfunction.
Este estudo foi elaborado a partir de uma revisão da literatura sobre a aplicação da Acupuntura no tratamento da disfunção erétil psicogênica. A disfunção erétil é definida e inserida no contexto da sexologia. São comentados sua etiologia, seus fatores de risco e opções de tratamento de forma breve. A Acupuntura, uma nova arma terapêutica para o Ocidente, é abordada no contexto da Medicina Tradicional Chinesa. Devido às diferenças na maneira de encarar a sexualidade entre as culturas ocidental e oriental e a possibilidade de abordar, ao mesmo tempo, os aspectos físicos e psicológicos das doenças, a Acupuntura foi avaliada em alguns estudos como uma opção no tratamento da disfunção erétil psicogênica. São artigos dos tipos ensaio clínico, estudo retrospectivo, relato de caso e revisão. Considerando os que têm melhor delineamento, os resultados demonstraram que a acupuntura foi eficaz em cerca de 60 a 70% dos casos. Embora estes resultados sejam promissores, os estudos trazem consigo falhas de estrutura e carecem de parte das informações em relação à estratégia de intervenção (manejo das agulhas). Portanto, são feitas sugestões para que os estudos futuros abordando o tema tenham plena confiabilidade. Até o encerramento desta pesquisa, não havia dados suficientes para afirmar que a Acupuntura é eficaz no tratamento da disfunção erétil psicogênica.
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Doria, Marilia Concei??o da Silva. "O uso da acupuntura na sintomatologia do stress." Pontif?cia Universidade Cat?lica de Campinas, 2010. http://tede.bibliotecadigital.puc-campinas.edu.br:8080/jspui/handle/tede/251.
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Previous issue date: 2010-02-02Pontif?cia Universidade Cat?lica de Campinas
The present study aimed to verify the Acupuncture effectiveness for stress symptoms treatment. The 20 participants, all volunteers from the Community, 15 female and 5 male, aged from 27 to 65 years old, answered the researcher s invitation announcement. The pre-treatment was composed by the participants acceptance though. The Free and Informed Consent signature, and then the application the Lipp s Stress Symptoms Inventory (ISSL), of an interview, the Analogue-Visual Scale (EAV), that accesses the participants demand. Participants who attended the inclusion criterion, that was the presence of stress symptoms, had received the 10-sessions Acupuncture Treatment at the Instituto de Psicologia e Acupuntura Espa?o Consci?ncia. These sessions, conducted by 5 acupuncturist psychologists oriented by Professor Delvo Ferraz da Silva, were individual, weekly, and endured 50 minutes each. All participants were submitted to the same instruments after the 10 sessions, and also registered their personal opinion about the treatment. The general results has indicated that before the Acupuncture Treatment, 60% of the volunteers were in the resistance phase of stress, and the demand intensity average was 8,1, considering a scale from 1 to 10. After the treatment, the stress presence was significantly reduced (p<0,001), as the stress level (p=0,006), the symptoms predominance (p=0,02), and the demand intensity (p<0,001). As the Acupuncture Treatment reduced significantly the stress symptoms presence, it s possible to conclude its effectiveness in this sample.
O presente estudo objetivou verificar o uso da Acupuntura na sintomatologia do stress. Os participantes foram 20 adultos, sendo 15 mulheres e 5 homens, na faixa et?ria de 27 a 65 anos, provenientes da Comunidade em geral que responderam ao an?ncio da pesquisadora para participa??o na pesquisa. Os volunt?rios que aceitaram participar, assinaram o Termo de Consentimento Livre e Esclarecido, e logo ap?s foram submetidos ? aplica??o do Invent?rio de Sintomas de Stress de Lipp (ISSL), para avaliar a presen?a de stress, a um question?rio e ? Escala Anal?gica Visual (EAV), para avaliar a intensidade da queixa (sintoma principal do ISSL) do participante. Essas avalia??es constitu?ram a fase pr?-tratamento. Assim, os participantes que atingiram os crit?rios de inclus?o do estudo, participaram do Tratamento de Acupuntura, que foi realizado em 10 sess?es individuais, com freq??ncia semanal e com dura??o de aproximadamente 50 minutos. O Tratamento de Acupuntura foi realizado nas salas do Instituto de Psicologia e Acupuntura Espa?o Consci?ncia por cinco Psic?logos Acupunturistas formados no Instituto, igualmente treinados, que seguiram orienta??es sistematizadas, com supervis?o do Professor Delvo Ferraz da Silva. Ap?s as 10 sess?es de acupuntura, os participantes foram reavaliados com os mesmos instrumentos de avalia??o psicol?gica (EAV e ISSL), utilizados na fase pr?-tratamento, e tamb?m foram solicitados que expressassem a sua opini?o sobre o Tratamento. Os resultados gerais mostraram que antes do Tratamento de Acupuntura, 100% dos participantes apresentavam stress, j? que este era um crit?rio de inclus?o da pesquisa, sendo que 60% se encontravam na fase de resist?ncia, e a m?dia da intensidade da queixa era 8,1, em uma escala que variava de 1 a 10. O tratamento foi capaz de reduzir significativamente a presen?a de stress (p<0,001), o n?vel de stress (p=0,006), a predomin?ncia de sintomas (p=0,02) e a intensidade da queixa (p<0,001). Conclui-se que o Tratamento de Acupuntura foi ?til na redu??o da sintomatologia do stress desta amostra, considerando-se seus efeitos imediatos.
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Nunes, Marcelo Felipe. "Trajetórias de formação e atuação de acupunturistas." Universidade do Vale do Rio dos Sinos, 2013. http://www.repositorio.jesuita.org.br/handle/UNISINOS/3165.
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O objetivo do artigo foi analisar as trajetórias de formação e a atuação de acupunturistas. Trata-se de um estudo de natureza qualitativa, baseado no referencial metodológico das narrativas de histórias de vida. Participaram oito profissionais de saúde, cinco homens e três mulheres, graduados em enfermagem, fisioterapia e medicina, que utilizavam a acupuntura a partir da perspectiva da Medicina Tradicional Chinesa (MTC) e que responderam a entrevistas semiestruturadas. A análise das narrativas resultou em três categorias centrais: Busca por novas racionalidades em saúde; Inserção no complexo mundo da acupuntura; A acupuntura vai além da agulha. Ficou evidente que a busca pela acupuntura foi motivada pela insatisfação com a formação inicial no paradigma biomédico. A trajetória de formação na acupuntura foi gradativa e envolveu uma inserção profunda na racionalidade da MTC, devido à complexidade de sua proposta terapêutica, o que levou-os a entender que a inserção da agulha representa a confluência de diversos aspectos da MTC, não podendo ser reduzido a mera aplicação de uma técnica de agulhamento. Neste sentido, aponta-se a necessidade de repensar a formação desses profissionais, assim como investigar a atuação dos que trabalham no Sistema Único de Saúde.
The objective of the article was to analyze the trajectories of formation and action of acupuncturists. This is a qualitative study, based on the methodological framework of the narratives of life stories. There were eight participants among healthcare professionals, five men and three women, graduated in nursing, physiotherapy and medicine, who used acupuncture from the perspective of Traditional Chinese Medicine (TCM) and answered structured interviews. The analysis of the narratives implied three main categories: Search for new rationalities in health; Entering the complex world of acupuncture, Acupuncture goes beyond the needle. It became evident that the search for acupuncture was motivated by dissatisfaction with the initial training into biomedical paradigm. The trajectory of the education in acupuncture was gradual and involved a deep insertion into the rationality of TCM, due to the complexity of its treatment plan, which led the participants to realize that the needle insertion represents the confluence of several aspects of TCM, which can not be reduced to mere application of a needling technique. In this regard, it appoints the need of rethinking the education of the healthcare professionals, as well as to investigate the actions of those who work for the Sistema Único de Saúde.
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Roland, Maria Inês de França. "Fatores associados ao estabelecimento da medicina tradicional chinesa na cidade de São Paulo." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-10102012-105723/.
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A acupuntura é uma estratégia da medicina chinesa que teve introdução no ocidente por meio de ondas orientalistas, a partir do século 18, quando foi associada à cirurgia, por se tratar de terapêutica externa. Durante a primeira metade do século 19, foi objeto de interesse científico, perdendo impacto na segunda metade daquele século, quando identificada como etnomedicina, de interesse apenas histórico. Não obstante, a investigação científica sobre esta terapêutica não foi encerrada. No início do século 20, estudos sobre acupuntura buscavam uma explicação para sua dinâmica nas teorias da eletricidade animal. Nos anos 1960, nova onda da terapêutica, mística e esotérica, acompanhou o movimento de Contracultura no ocidente, fora do ambiente acadêmico. A partir dos anos 1970, sua admissão formal em meio acadêmico foi facilitada pela reaproximação do ocidente com a República Popular da China. Desde então, a acupuntura vem ganhando espaço nas investigações científicas, estabilizando sua explicação pela teoria neurofisiológica, visando a identificar padrões terapêuticos para situações de saúde classificadas pelo núcleo conceitual da Medicina Ocidental Moderna (MOM). O presente estudo de caso descreve o estabelecimento da acupuntura científica na Faculdade de Medicina na Universidade de São Paulo (FMUSP). Utiliza a teoria ator-rede de Bruno Latour e colaboradores. Identifica as redes de conexão utilizadas pelos doutores Hong Jin Pai, Wu Tu Hsing e Chin An Lin para instalar ensino, assistência e pesquisa acadêmica em acupuntura nessa instituição de ensino superior, considerada ícone na difusão de conhecimento ortodoxo em medicina. Essa trajetória é construída por meio de depoimentos de médicos acupunturistas que participam das atividades didáticas, assistenciais e de pesquisa na FMUSP. Foram empregadas as estratégias de observação participante (fevereiro a dezembro de 2010), entrevistas semiestruturadas (17), pesquisa documental e midiática. Os registros de campo foram digitados em Word2003 e Word 2007. As entrevistas tiveram gravação digital e foram transcritas. A análise realizada foi temática e de conteúdo, considerando cinco temas principais propostos por modelo de sistema circulatório latouriano: mobilização do mundo, autonomização, alianças, representação pública e núcleo conceitual. Os resultados indicam que a acupuntura: (1) reforça o conhecimento de que parte considerável das enfermidades é simples e não precisa de alta tecnologia para construção do diagnóstico e da terapêutica; (2) é um contraponto para a MOM que tem alto custo e nem sempre oferece resultados satisfatórios para o médico e/ou o paciente; (3) contribui para melhorar as estratégias de assistência à saúde; (4) modula o consumo de fármacos; (5) os pacientes usam as Medicinas Complementares e Alternativas (MCAs) e isso se relaciona: (a) ao alto custo financeiro da MOM, (b) ao efeito terapêutico imediato da acupuntura, (c) a insucessos no tratamento convencional, (d) à boa relação terapêutica que proporciona; (6) quando baseada em evidências, a acupuntura tem sua prática legitimada no sistema de saúde. Conclui-se que: (1) a formação em acupuntura reforça a dimensão clínica da prática médica, associada à imagem do bom profissional de saúde; (2) a ideia da acupuntura apenas como placebo é inadequada; (3) a não regulamentação da profissão de acupunturista prejudica a formação profissional que possa responder às necessidades de assistência em saúde, com padrões de excelência; (4) combinadas, MOM e Medicina Chinesa Clássica (MCC) potencializam o benefício terapêutico aos pacientesAcupuncture is a strategy of Chinese medicine. It was introduced in the West from Orientalist waves since the 18th century. It was associated with surgery, because its characteristic of external therapy. It was object of scientific interest during the first half of the 19th century, but lost impact in the second half of this century when it was identified as ethnomedicine with historical interest only. Nevertheless, scientific research on this therapy has not been closed. In the early 20th century, studies on acupuncture sought an explanation for their dynamics on theories of animal electricity. In the 1960s new waves of therapy, esoteric, mystical, accompanied the Counterculture movement in the West, outside the academic environment. From the year 1970, its formal admission into the academic environment was facilitated by the West rapprochement with the People\'s Republic of China. Since then, acupuncture has been gaining ground in scientific investigations, stabilizing its explanation by neurophysiologic theory, identifying therapeutic standards for health situations classified by the core concept of the MOM (modern Western medicine). This case study describes the establishment of acupuncture science in the Faculty of Medicine at the University of Sao Paulo, FMUSP. It uses actor-network theory of Bruno Latour and colleagues. It identifies the network connection used by Dr. Hong Jin Pai, Wu Tu Hsing and Chin An Lin to install education, service and academic research in acupuncture at this institution of higher learning, considered icon on the diffusion of knowledge in orthodox medicine in Brazil. This trajectory is constructed by testimonials from medical practitioners who participate in educational activities, assistance and research in FMUSP. The research strategies used were participant observation (February-December 2010), semi-structured interviews (17), documentary and media research. The field records were entered into Word2003 and Word 2007. The digital recording interviews had been transcribed. The analysis was thematic and content, considering five main themes proposed by Latours circulatory system model: mobilization of the world, empowering, alliances, public representation and conceptual core. The results indicate that acupuncture: (1) reinforces the knowledge that a considerable part of the diseases is simple and does not need high technology for construction of diagnosis and therapy, (2) is a counterpoint to MOM which is costly and not always provide satisfactory results for the physician and / or patient, (3) contributes to improve strategies for health care, (4) modulates the consumption of drugs, (5) patients use the CAM (Complementary and Alternative Medicine) and this is related to: (a) the high financial cost of the MOM, (b) the immediate therapeutic effect of acupuncture, (c) failures in the conventional treatment, (d) improves therapeutic relation, (6) once based on evidence, Acupuncture has legitimized his practice in health service. We conclude that: (1) training in acupuncture strengthens the clinical dimension of medical practice associated with the image of good health care, (2) the idea of acupuncture just as placebo is inadequate, (3) without regulation, the profession of acupuncturist affect negatively the needs of health care with standards of excellence, (4) MOM combined with CCM (Classical Chinese Medicine) potentiates the therapeutic benefit
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Iorio, Rita de Cassia. "Acupuntura no exercício da medicina: o médico acupunturista e seus espaços de prática." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/6/6136/tde-21082008-095112/.
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A presente tese tem por objetivos: identificar concepções sobre Medicina Convencional e Acupuntura que contribuem para o entendimento dos motivos que levam médicos a procurarem conhecer ou se especializar em medicina chinesa, identificar expectativas dos médicos investigados com relação ao exercício da Acupuntura e desvelar o significado dos discursos sobre prática médica e sobre mudança de especialidade médica. Com a hipótese de que os médicos que buscam especialização em Medicina Chinesa - Acupuntura objetivam exercer Acupuntura de forma integrada à Medicina Convencional, o que se dá a partir de uma nova visão de mundo, tendo por referência o contexto de uma prática médica mais abrangente e com relação médico-paciente mais humanista. O tema estudado é de relevância, visto que atualmente é crescente a procura de médicos por especialização em práticas médicas não convencionais, mais freqüentemente, Acupuntura. Também porque tem aumentado o afluxo de pacientes para estas especialidades e, finalmente, porque a discussão do humanismo na medicina é bastante presente na atualidade. Neste contexto, interessa-nos estudar o médico que tem formação na medicina convencional e busca se especializar-se em Acupuntura. Dada a natureza do problema, a pesquisa realizada é quanti-qualitativa. Foram pesquisados 175 médicos do 'Curso de Desenvolvimento em Medicina Chinesa-Acupuntura' do Center-AO - Centro de Pesquisa e Estudo da Medicina Chinesa e UNIFESP - EPM, com questionários composto por perguntas abertas e fechadas. Os dados obtidos foram analisados estatisticamente com metodologia que se aplicou no caso específico do presente estudo, bem como, com técnica de coleta de material denominada do tipo temática, baseada nas respostas dos médicos. As respostas foram analisadas com a técnica de análise de conteúdo, buscando desvelar unidades de significado, e a partir daí, estabelecemos categorias gerais e específicas, que passaram a dar significado aos discursos. Dessa forma obtivemos três grupos categoriais: "Aprimoramento profissional", "Ampliar seu próprio horizonte de vida" e "Compreender o paciente em uma dimensão mais abrangente". Nossos dados revelaram que médicos de especialidades médicas cognitivas e intermediárias são mais atraídos para a especialização em Acupuntura. Também revelaram que os médicos de nosso estudo pretendem exercer Acupuntura em diversos espaços de prática como consultório e outros espaços da medicina privada, SUS, hospitais, pesquisa e docência, entre outros, de forma integrada à Medicina Convencional, no bojo da qual a Acupuntura se firma como especialidade médica.The main goal of the thesis is to identify conceptions relating to Conventional Medicine and Acupuncture that contributes to the understanding of reasons why doctors search for or specialize in Chinese medicine, identify expectations of the doctors researched in connection with the practice of Acupuncture and reveal the meaning of speeches about medical practice and changes of medical specialization. Assuming as a hypothesis that doctors specialize in Chinese medicine aims to practice Acupuncture integrated with Conventional Medicine, which comes from a new view of the world, having as base a more broaden medical practice in view of a more humanistic doctor-patient relationship. The subject is relevant in view of the current growth in number of doctors searching for specialization in unconventional medical practices, most frequently, Acupuncture. In addition to that, the number of patients of such practices is increasing and, finally, since the discussion of humanistic values in medicine is a current matter. In view of the above, it is important to study the doctor who has as a base the conventional medicine and who searches for specialization in Acupuncture. Due to the nature of the problematic a quantitative-qualitative research was carried on. 175 doctors from 'Curso de Desenvolvimento em Medicina Chinesa-Acupuntura' of Center-AO - Centro de Pesquisa e Estudo da Medicina Chinesa e UNIFESP - EPM- São Paulo, was researched and subjected to a questionnaire of open and closed questions. The obtained data was statistically analyzed with the methodology applicable to the concrete case of the present study, in addition to the applicable collection of material denominated thematic, based on the doctor's answers. Such answers were analyzed in face of the "content analysis" method, seeking to reveal significance units, and from than on, establishing general and specific categories, which leads to the meaning of speeches. In face of that, 3 categories were established: "Professional Improvement", "Broaden self life horizon" and "Understand patients in a more broaden dimension". The data collected reveals that doctors who specialize in cognitive and intermediary medical practices are more drawn to Acupuncture specialization. The data also revealed that doctors subject to the present study aim to practice Acupuncture in several environments, such as private offices and clinics, public hospitals (SUS), academic research, among others, in an integrated way with Conventional Medicine, which establishes Acupuncture as a medical specialization.
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Saidah, Rassen. "Tratamento das algias do joelho pela acupuntura com a utilização da técnica "ao oposto" da medicina tradicional chinesa." Faculdade de Medicina de São José do Rio Preto, 1997. http://bdtd.famerp.br/handle/tede/220.
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Previous issue date: 1997-12-12The aim of the present study is to evaluate the result of the knee pain treatment using The Opposite Side Technique from the Traditional Chinese Medicine. Thirty-six patients with unilateral gonalgia were studied. 44.44% (16) with osteoarthrosis, 30.55% (11) with patella femural osteoarthrosis, 11.11% (4) with severe osteoarthrosis, 11.11% (4) with patella chrondomalacy and 2.77% (1) with synovial plica. The patients were divided in two groups: Group I (Acupuncture) were eighteen, who submitted to 20 acupuncture sessions, where it was used points of counter to lateral acupuncture to the affected knee and acupuncture points to the distance according to the Traditional Chinese Medicine and to the acupuncture neurophisiologic action standard to select these points for the treatment, and Group II (Phisiotherapy) also eighteen, who submitted to 20 physiotherapeutic sessions and antiinflamatory non steroid (AINS) medicines. According to the results from the statistical analysis, non-parametric, of the subjective data (the intensity of the described pain, difficulty in walking, in crouching, in going upstairs and downstairs, in running, in jumping, in claudicant motion, in making use of some walking support) as the objective parameters ( the restriction of the flexional moviment and also the one of the knee extension moviment, and the arc moviment) showed good results in all the studied parameters. The most refractory parameters were the objective ones above mentioned. The Jue Yin (Liver) energetic channel of the foot showed to be the most affected (22.22%), followed by the associations of the Jue Yin (Liver) and the Tae Yang (Bladder) energetic channel of the foot (22.22%), the Jue Yin (Liver) and the Yang Ming (Stomach) of the foot (16.66%), and the Jue Yin (Liver) and the Shao Yang (Gall Bladder) of the foot (11.11%), and another associations (16.66%). The false-Yang (52.77%) characteristics of disorders were the predominant in relation to the energetic ones followed by the Yin (33.33%) and the Yang (13.88%) disorders of the patients.
O presente estudo tem a finalidade de avaliar o efeito do tratamento das algias do joelho utilizando a técnica "ao oposto" da medicina tradicional chinesa. Foram estudados 36 pacientes, portadores de gonalgia unilateral, dos quais 44,44% (16) eram portadores de osteoartrose, 30,55% (11) de osteoartrose patelo-femural, 11,11% (4) de osteoartrose grave, 11,11% (4) de condromalácea de patela e 2,77% (1) de plica sinovial. Os pacientes foram divididos em dois grupos. Todos os pacientes do grupo I (acupuntura), 18, foram submetidos a 20 sessões de acupuntura, utilizando-se pontos de acupuntura contra-lateral ao joelho afetado e, pontos de acupuntura à distância, obedecendo-se aos critérios da medicina tradicional chinesa e aos critérios neurofisiológicos de ação da acupuntura, na eleição destes pontos para o tratamento, e os pacientes do grupo II (fisioterapia), 18, foram submetidos a 20 sessões de fisioterapia e administração de antiinflamatórios não esteróides (aine). A análise estatística não paramétrica dos resultados obtidos nos dados subjetivos (intensidade da dor relatada, dificuldade de andar, de agachar, de subir e descer escadas, de correr, de pular, de marcha claudicante, de uso de apoio para andar), como os parâmetros objetivos (limitação do movimento do joelho) evidenciou bons resultados em todos os parâmetros estudados. Os parâmetros mais refratários ao tratamento, foram os parâmetros objetivos, citados acima. O canal de energia jue yin (fígado) do pé mostrou ser o mais acometido (22,22%), seguido das associações dos canais de energia jue yin (fígado) e tae yang (bexiga) do pé (22,22%), jue yin (fígado e yang ming (estômago) do pé (16,66%), jue yin (fígado) e shao yang (vesícula biliar) do pé (11,11%), jue yin (fígado), yang ming (estômago) e shao yang (vesícula biliar) do pé (11,11%) e outras associações (16,66%). Em relação às características energéticas, houve a predominância de afecções de característica falso-yang (52,77%), seguida das afecções yin (33,33%) e das afecções yang (13,88%) dos pacientes.
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Saidah, Rassen. "Benefícios da acupuntura no pós-operatório das cirurgias artroscópicas no joelho." Faculdade de Medicina de São José do Rio Preto, 2001. http://bdtd.famerp.br/handle/tede/175.
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Previous issue date: 2001-09-28The aim of the present study is to evaluate the result of the knee pain treatment using The Opposite Side Technique from the Traditional Chinese Medicine. Thirty-six patients with unilateral gonalgia were studied. 44.44% (16) with osteoarthrosis, 30.55% (11) with patella femural osteoarthrosis, 11.11% (4) with severe osteoarthrosis, 11.11% (4) with patella chrondomalacy and 2.77% (1) with synovial plica. The patients were divided in two groups: Group I (Acupuncture) were eighteen, who submitted to 20 acupuncture sessions, where it was used points of counter to lateral acupuncture to the affected knee and acupuncture points to the distance according to the Traditional Chinese Medicine and to the acupuncture neurophisiologic action standard to select these points for the treatment, and Group II (Phisiotherapy) also eighteen, who submitted to 20 physiotherapeutic sessions and antiinflamatory non steroid (AINS) medicines. According to the results from the statistical analysis, non-parametric, of the subjective data (the intensity of the described pain, difficulty in walking, in crouching, in going upstairs and downstairs, in running, in jumping, in claudicant motion, in making use of some walking support) as the objective parameters ( the restriction of the flexional moviment and also the one of the knee extension moviment, and the arc moviment) showed good results in all the studied parameters. The most refractory parameters were the objective ones above mentioned. The Jue Yin (Liver) energetic channel of the foot showed to be the most affected (22.22%), followed by the associations of the Jue Yin (Liver) and the Tae Yang (Bladder) energetic channel of the foot (22.22%), the Jue Yin (Liver) and the Yang Ming (Stomach) of the foot (16.66%), and the Jue Yin (Liver) and the Shao Yang (Gall Bladder) of the foot (11.11%), and another associations (16.66%). The false-Yang (52.77%) characteristics of disorders were the predominant in relation to the energetic ones followed by the Yin (33.33%) and the Yang (13.88%) disorders of the patients.
O presente estudo teve a finalidade de avaliar a eficácia da acunputura no pós-operatório das cirurgias artroscópicas no joelho utilizando - se a técnica "ao oposto" da medicina tradicional chinesa. As 36 gonalgias estudadas foram distribuídas conforme a patologia encontrada nas artroscópicas cirúrgicas: 50,0% tinham lesão do menisco medial isolada, 19,44% tinham lesão meniscal associada à artrose de joelho, 11,11% tinham lesão meniscal lateral associada à artrose de joelho, 8,33% tinham lesão meniscal lateral isolada de joelho, 2,77% apresentavam lesão em ambos os menisco associados à artrose de joelho, 2,77% apresentavam condromalácea de patela e 2,77% eram portador de corpo livre. Os pacientes foram dividos em dois grupos. Todos os pacientes do grupo i (acunputura) 18 foram submetidos a 20 sessões de acunputura, utilizando-se pontos de acunputura, utilizando-se pontos de acunputura contra-lateral ao joelho afetado, e os pacientes do grupo ii (fisioterapia), 18, foram submetidos a 20 sessões de fisioterapia, associadas a anti-inflamatórios não esteroídes (aine). Nota de Resumo A análise estatística não paramétrica dos resultados obtidos nos dados subjetivos (intensidade da dor relatada, dificuldade de andar, de agachar, de subir e descer degraus, de correr, de uso de apoio a marcha), como os parâmetros objetivos (limitação do movimento de flexão, extensão, arco de movimento, edema, derrame e trofismo de joelho) evidenciaram bons resultados na maioria dos parâmetros estudados. Embora os resultados fossem semelhantes, a acunputura apresentou melhores resultados do tratamento mais precocemente, enquanto a fisioterapia mais tardiamente.
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Segarra, Sandra. "Perfil de usuários e financiamento da acupuntura em um hospital de ensino no interior paulista." Faculdade de Medicina de São José do Rio Preto, 2016. http://hdl.handle.net/tede/364.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
Introduction: World Health Organization recognition of Integrative and Complementary Practices (PICs) and the high costs of biomedicine have encouraged countries to implement PICs in their Public Health Systems, since PICs require simplified technological resources and work in the promotion, prevention, treatment, and rehabilitation of most common illnesses, leading to the humanization of treatment. In Brazil, the insertion of these practices in the Unified Health System (SUS) was made possible in 2006, when the National Policy for PICs (Política Nacional de Práticas Integrativas e Complementares or PNPIC in Portuguese) was approved, aiming at broadening treatment at all levels while focusing on primary care. Among the PICs, acupuncture is highlighted due to its popularity and progressive acceptance in western society. Objective: To investigate the profile of acupuncture users and the financing of acupuncture sessions in a teaching hospital in the countryside of Sao Paulo state. Methods: This quantitative, descriptive and traversal study used, as a data source, all records computerized between 2010 and 2016 regarding 2,564 patients who received 19,034 acupuncture sessions as prescribed therapeutic interventions. The data were analyzed using descriptive statistics, the Mann-Whitney U test, the ANOVA test, the Games-Howell Multiple Comparison procedure, Pearson's correlation test, and Multiple Correspondence Analysis (multivariate approach) in order to investigate the relationship between the collected variables, the total number of sessions, and the total financial cost of acupuncture. Results: Most patients were female- 1952 (76.13%), were housekeepers-739 (28.82%), had elementary school education-1077 (42.00%), and were Catholics-1651 (64.39%). The mean number of acupuncture sessions was 7.42 with a standard deviation of 8.99 sessions and a median of 5.0 sessions. The mean financing round for the performance of acupuncture sessions was 91.99 Brazilian Reais/patient with a standard deviation of 120.10 Brazilian Reais and a median of 56.52 Brazilian Reais, reaching a maximum of 1429.06 Brazilian Reais. The mean financing round per session was 12.15 Brazilian Reais, with a standard deviation of 3.74 Brazilian Reais and a median of 14.13 Brazilian Reais, reaching a maximum of 21.47 Brazilian Reais per session. Conclusion: There is a need to offer other healthcare practices provided for in the PNPIC, and show that these practices, their benefits, and the government financing of PICs should be better publicized to users of the UHS and primary care providers, especially physicians.
Introdução: A Organização Mundial de Saúde tem reconhecido a importância das Práticas Integrativas e Complementares (PIC) e os altos custos da biomedicina tem estimulado os países a inserir seu uso no Sistema Público de Saúde, considerando que exigem recursos tecnológicos simplificados, que atuam na promoção, prevenção, tratamento e reabilitação dos principais agravos, com humanização do atendimento. Objetivo: analisar o perfil de usuários e o financiamento da acupuntura em um hospital de ensino no interior paulista. Método: pesquisa com abordagem quantitativa, transversal, com fonte de dados nos registros computadorizados entre os anos de 2010 a 2016, referente a 2564 pacientes que fizeram 19.034 atendimentos de acupuntura como prática terapêutica prescrita. Na análise dos dados foram realizadas técnicas de estatística descritiva e os teste de Mann-Whitney, de Análise de Variância (ANOVA), de comparação múltipla de Games-Howell, teste de correlação de Pearson e análise de Correspondência Múltipla (abordagem multivariada), para observar a relação entre todas as variáveis coletadas, o número total de atendimentos e o recurso financeiro total da prática de acupuntura. Resultados: a maioria dos pacientes era do sexo feminino- 1952 (76,13%); com ocupação do lar- 739 (28,82%); escolaridade em nível do ensino fundamental-1077 (42,00%); religião católica-1651 (64,39%). O número médio de atendimentos foi de 7,42 com desvio padrão de 8,99 atendimentos e mediana de 5,00 atendimentos. O financiamento médio com a realização da prática de acupuntura, por paciente, foi de 91,99 reais com desvio padrão de 120,10 reais e mediana de 56,52 reais, atingindo um máximo de 1429,06 reais. O financiamento médio, por atendimento, foi de 12,15 reais com desvio padrão de 3,74 reais e mediana de 14,13 reais, atingindo um máximo de 21,47 reais por atendimento. Conclusão: Há necessidade de ofertar outras práticas de atenção em saúde previstas na Política Nacional de Práticas Integrativas e Complementares e que deve ser mais divulgado entre usuários do SUS e aos profissionais de saúde no âmbito da Atenção Básica, principalmente aos médicos, os benefícios e o financiamento governamental das práticas integrativas e complementares.
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Kurebayashi, Leonice Fumiko Sato. "Auriculoterapia chinesa para redução de estresse e melhoria de qualidade de vida de equipe de enfermagem: ensaio clínico randomizado." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-20092013-155159/.
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Introdução: A equipe de Enfermagem em hospitais tem sido exposta a ambientes de trabalho estressantes, submetidos, muitas vezes, à condições de trabalho precárias, com baixa qualidade de vida. A auriculoterapia chinesa apresentou eficácia em estudo preliminar para redução de estresse com um protocolo escolhido com base na Medicina Tradicional Chinesa(MTC) e este Ensaio Clínico se propôs a avaliar a eficácia e o alcance da técnica quando é aplicada com e sem protocolo fechado. Objetivos: Descrever e investigar os níveis de estresse da equipe de Enfermagem do Hospital Samaritano; Comparar a eficácia da auriculoterapia chinesa realizada com e sem protocolo, descrever os principais diagnósticos de MTC para estresse e a eficácia dos pontos escolhidos. Material e Método: Na primeira fase, 484 profissionais responderam a um questionário de dados sócio-demográficos e à Lista de Sintomas de Stress de Vasconcellos(LSS). Foram incluídos aqueles com pontuação entre 37 a 119 pontos (médio e alto estresse). Randomizaram-se 213 pessoas em 3 grupos (controle, grupo protocolo e grupo sem protocolo); 175 finalizaram o tratamento de 12 sessões de auriculoterapia com agulha semipermanente, duas vezes por semana, por seis semanas. O protocolo de pontos utilizado foi: ponto Rim, Tronco Cerebral, Shenmen e Yang do Fígado 1 e 2. Os instrumentos de Coleta de dados no Ensaio Clínico foram a LSS, o Inventário de Sintomas de Stress da Lipp (ISSL), o Instrumento de Qualidade de Vida (SF36v2), uma Ficha de diagnósticos de MTC. O período de coleta foi de novembro de 2011 a julho de 2012 e sete acupunturistas participaram do estudo. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da EEUSP e do Hospital. Resultados: Na primeira fase, a pontuação média de estresse de 484 profissionais foi de 45,92 (nível médio). Os que apresentaram níveis mais elevados de estresse foram: as enfermeiras (p=0,012), profissionais do turno da manhã (p=0,022) e sujeitos com doenças auto referidas (p=0,001). Na segunda fase, os dois grupos de intervenção obtiveram diferenças estatísticas significativas quando comparadas ao grupo controle (p<0,05), com efeito superior para o grupo sem protocolo segundo a LSS no pós-tratamento e follow-up. Quanto ao ISSL, houve melhores resultados para o grupo sem protocolo para a fase de resistência/quase exaustão e domínio psicológico da fase de alerta. Quanto ao SF36v2, houve diferença estatística (p<0,05) somente para o grupo sem protocolo quanto ao domínio físico no follow-up. No domínio mental, ambos os grupos de intervenção obtiveram resultados positivos(p<0,05), com ligeira superioridade para o grupo sem protocolo quanto ao índice d de Cohen. Os principais diagnósticos de MTC foram: Estagnação de Qi e Xue nos meridianos tendino-musculares, Calor de Estômago e Subida de Yang do Fígado, Estagnação de Qi do Fígado, Distúrbio de Shen, Deficiência de Yin do Rim, Deficiência de Qi e Xue do Baço-Pâncreas. Os pontos mais utilizados foram os cinco pontos do protocolo somados a Estômago, Baço e pontos de dor. Conclusão: o grupo sem protocolo obteve melhores resultados para redução de estresse e melhoria de qualidade de vida, demonstrando que a auriculoterapia chinesa quando feita de forma individualizadaIntroduction: Hospitals Nursing Team have been exposed to highly stressful work environment and submitted many times to precarious work conditions and thus low quality of life. Chinese auricular therapy has presented efficiency in a preliminary study to reduce stress by a selected protocol based on Chinese Traditional Medicine (MTC). This Clinical Trial is proposed to evaluate the effectiveness and reach of the technique whenever this is applied with or without a closed protocol. Objectives: Describe and investigate the stress levels of Samaritano Hospitals Nursing Team; Compare the effectiveness of Chinese Auricular Therapy performed with or without protocol; Describe the main diagnosis of MTC for stress and efficiency of the selected points. Material and Method: On the first phase, 484 professionals answered to a questionnaire containing demographic social data and to the Vasconcelos List of Stress Symptoms (LSS). Those ones with score between 37 and 119 points (average and high stress) were included. 213 people were randomized in 3 groups (control, protocol group and group without protocol); 175 ended a 12-session auricular therapy treatment with semi-permanent ear needles twice a week for six weeks. The scoring protocol used was: Kidney point, Brain stern point, Shenmen and Yang of the Liver 1 and 2. The instruments for the data collection in the Clinical Trial were LSS, Lipp Stress Symptoms Inventory (ISSL), Instrument of Life Quality (SF36v2), MTC diagnosis chart. The period of data collection was between November 2011 and July 2012 and seven acupuncturists participated in the trial. This study was approved by the School and Hospital Ethical Committee on Clinical Trial. Results: On the first phase, the average scoring of stress was of 45,92 (average level of stress). The professionals that presented higher stress levels were: nurses (p=0,012), morning shift professionals (p=0,022) and subjects with self-referred diseases (p=0,001). On the second phase, the two intervention groups presented differences once compared with the control group (p<0,05), with higher effect in the group without protocol according to LSS in the after treatment and follow-up. Regarding ISSL, there were better results to without protocol group for resistance/quasi-exhaustion phase and physical domain of alert phase. In relation to SF36v2, there was statistics difference (p<0,05) only for the group without protocol in connection with physical dominance during follow-up. In mental dominance, both of intervention groups presented positive results (p<0,05), with an slight superior effect for the group without protocol as per Cohens index. The main MTC diagnosis was: Qi stagnation and Xue in the tendino-muscular meridians, Stomach Heat and Rising of Yang of the Liver, Qi stagnation of the Liver, Shen Disturbs, Kidney Yin Deficiency, Qi deficiency and Xue of Spleen-Pancreas. The mostly used points were the five ones of the protocol plus Stomach, Spleen and pain points. Conclusion: the group without protocol presented the best results for stress reduction and improvement of life quality, demonstrating that Chinese auricular therapy made in a personalized way broaden the reach of the technique.
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Ischkanian, Paula Cristina. "Promoção, comunicação e educação em saúde: a prática da acupuntura e da fitoterapia." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-04032016-143503/.
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Esta pesquisa discute a Comunicação em Saúde no contexto das Práticas Integrativas e Complementares (PIC) no Sistema Único de Saúde (SUS), no que concerne ao tratamento do câncer realizado num hospital público de Campinas. O arcabouço teórico se debruça sobre as diretrizes do ideário da Promoção da Saúde e sobre as discussões da Educação em Saúde, por serem premissas fundamentais para que a Comunicação em Saúde seja participativa e democrática, e que a Comunicação das PIC conquiste maior espaço na Saúde Pública. O objetivo geral foi investigar o processo de comunicação entre profissionais de saúde e usuários do SUS participantes do Projeto de Construção do Cuidado Integrativo (PCCI). A metodologia utilizada foi a qualitativa tendo como instrumentos pesquisa documental e entrevistas semi-estruturadas para a coleta dos dados. Os participantes do estudo foram usuários que fizeram parte do grupo de Acupuntura e de Fitoterapia e usaram práticas complementares ao tratamento convencional do câncer, e também os profissionais de saúde envolvidos no PCCI realizado no Hospital de Clínicas da Universidade Estadual de Campinas (UNICAMP)/SP. Os dados foram analisados por meio da análise temática de conteúdo de Bardin, que permitiu identificar as seguintes categorias: Medo da intervenção, Analgesia como resultado, Continuidade do tratamento, Falta de informação e Divulgação das práticas. Os resultados mostraram que houve dificuldades de comunicação, indicando lacunas importantes em relação à infraestrutura, à falta de divulgação e continuidade do tratamento complementar com as PIC, a falta de valorização da participação popular e estímulo à autonomia como preconiza o ideário da Promoção da Saúde. Concluiu-se que o modelo de saúde vigente, de base biomédica, não tem permitido a participação dos usuários, e, mais ainda, tem dificultado o desenvolvimento da comunicação democrática, humanizada e solidária. O Projeto (PCCI) foi importante em sua execução, uma vez que trouxe resultados positivos com o uso das PIC por melhorar as condições da qualidade de vida dos usuários e ter promovido analgesia, conferido maior disposição e recuperação dos movimentos. Entretanto, o Projeto (PCCI) não teve potencial o suficiente para provocar uma mudança na lógica do tratamento convencional que está hegemonicamente imerso no modelo biomédico, com isso limitando a inserção e a comunicação das PIC na Saúde Pública e dificultando a abertura para o diálogo entre os diferentes saberes. Entende-se que este é um dos principais desafios da Medicina Tradicional e Complementar (MTC).In this research is discussed Health Communication in the light of Integrative and Complementary Practices (PIC) of the Brazilian Unified Health System (SUS), regarding cancer treatment performed in a public hospital in Campinas. The rationale is Health Promotion as an idealistic guideline, as well as the discussions of Health Education. These are fundamental premises to guarantee Health Communication in a participatory and democratic manner, and that the communication of PIC conquers more space in Public Health. The overall objective was to investigate the process of communication between health professionals and users of the Unified Health System (SUS) that participate in the Construction of Integrative Care Project (Projeto de Construção do Cuidado Integrativo - PCCI). The methodology was qualitative having as documentary research tools and semi-structured interviews for data collection. Study participants were users part of the Acupuncture and Herbal Medicine Group, which used the practices complementing the conventional cancer treatment, and also the health professionals involved in the PCCI conducted at the Clinical Hospital of the State University of Campinas (Unicamp) / SP. The data were analyzed using thematic analysis of content (Bardin), which identified the following categories: \"Intervention Fear\", \"Analgesia as a Result\", \"Follow-up Care\", \"Lack of Information\" and \"Propagation of Practices\". The results showed that there were communication difficulties, indicating significant gaps in relation to infrastructure, lack of propagation and continuity of complementary treatment with PIC, and yet no proper appreciation of popular participation neither the encouragement of autonomy advocated by the ideas of Health Promotion. Concluding, the current Public Health policy, which is biomedical based, has not yet allowed the participation of users and, even more, has hindered the development of democratic, humane and supportive communication. The Project (PCCI) was important in its execution as it brought positive results regarding the use of PIC to improve the quality of life of users, promote analgesia, confer greater willingness and recovery of movement. However, the project (PCCI) did not have enough potential, yet, to promote a change in the logic of conventional treatment, which is hegemonic immersed in the biomedical model, thereby limiting the inclusion and communication of PIC in Public Health, and hindering an opening for dialogue between different knowledge. This is one of the main challenges of Traditional and Complementary Medicine (TCM).
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Pai, Hong Jin. "Efeitos da acupuntura sobre os pacientes com asma leve e moderada persistentes: um estudo randomizado, controlado e cruzado." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/5/5144/tde-05052014-121907/.
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Introdução: Este estudo foi realizado com o intuito de avaliar efeitos da acupuntura sobre os pacientes com asma leve e moderada persistentes com o uso de beta-2 agonista ou corticoide inalatório. Métodos e casuística: Trata-se de um estudo prospectivo, duplo-cego, randomizado e cruzado com dois braços. Os 74 pacientes com diagnóstico de asma leve/moderada, de acordo com a classificação de GINA 2002/2003, foram divididos em dois grupos, sendo 31 do Grupo I, e 43 do Grupo II inicialmente. Foram realizadas consultas médicas e exames que incluíram espirometria, citologia de escarro induzido, NO expirado, preenchimento de escala de sintoma, questionários de qualidade de vida de asma e de SF 36, e realização de peak-flow, dependendo da Fase do protocolo. A Fase I constituiu-se dos exames pré-intervenção. Na Fase II, foram realizadas 10 sessões de Acupuntura Real no Grupo I e 10 sessões de Acupuntura Sham no Grupo II, na Fase III, houve 4 semana de washout, na Fase IV, houve a troca de técnicas de acupuntura, sendo uma sessão por semana e, na Fase V, realização dos exames. Resultados: Não há diferença nos critérios de avaliação no pré-tratamento entre dois grupos, com exceção de maior celularidade inflamatória no Grupo II. No entanto, houve uma redução significativa de eosinófilos (p = 0,035) e neutrófilos (p = 0,047), e aumento de macrófagos (p = 0,001), melhora da medida de volume do peak-flow (p = 0,01) na fase IV do Grupo II. No Grupo I, na avaliação de escala de sintomas diária, havia menor uso de medicação de resgate (p = 0,043) na Fase II, e, depois de receber a Acupuntura Sham na Fase IV, havia menos tosse (p = 0,007), menos chiado (p = 0,037), menos dispneia (p < 0,001) e menor uso de medicação de resgate (p < 0,001). No Grupo II, após receber o tratamento com a Acupuntura Sham na Fase II, houve diminuição de tosse (p = 0,037), de chiado (p = 0,013) e de dispneia (p = 0,014), e, na Fase IV, havia menos tosse (p = 0,040), sibilos (p = 0,012), dispneia (p < 0,001) e menos despertares noturnos (p = 0,009). Nos questionários de qualidade de vida de asma e de SF 36, foram encontrados alguns aspectos de melhora significantes na Acupuntura Sham dos dois grupos em relação à Fase I, mas os resultados da Acupuntura Real tiveram maiores índices de melhora em relação aos resultados da Acupuntura Sham nos dois grupos. Mas não há diferença significativa entre os dois na qualidade de vida de SF 36. Entretanto, não houve alteração de avaliação de espirometria e de óxido nítrico expirado. Conclusão: Este estudo demonstrou que o uso de Acupuntura Real num grupo de pacientes com a celularidade mais inflamatória teve melhor resultados de sintomas diários, tais como dispneia e despertar noturno, de medida de volume de peak-flow matutina, e de avaliação de qualidade de vida em asma e SF36, além da diminuição quantitativa de neutrófilos e de eosinófilos, com aumento de macrófagos, que justificam os efeitos anti-inflamatórios e imunitários. A acupuntura é uma terapia segura, não havendo nenhum efeito colateral observado neste projeto que possa interferir com a vida cotidiana e pode ser de grande auxílio no alívio de sintomas, com melhora de qualidade de vida e, possivelmente, pode ter uma ação na modulação do processo inflamatório de vias aéreasIntroduction: This survey has been conducted in order to evaluate the effects of acupuncture in patients with persistent mild and moderate asthma (according to GINA criteria 2003), using beta agonist and/or inhaled glucocorticoid. Methods and patients: This is a prospective, double blinded, randomized and cross-over study with two branches: 74 patients diagnosed with mild and moderate asthma were divided into two groups: Group I with 31, initiating with real acupuncture and Group II, starting with sham acupuncture. Medical interview and laboratory tests including spirometry, induced sputum citology, exhaled NO measurement, quality of life questionnaire (SF-36 and QQL), besides, daily symptom scores and measurement of peak-flow were performed, in the beginning of the study, and in the end of each phase of treatment. Phase I: laboratory tests and other qualitative measurements. There were 10 real acupuncture weekly sessions to Group I and 10 sham acupuncture sessions to Group II in Phase II. On the other hand, in the Phase IV, there was an exchange between Group I and Group II, which was receiving real acupuncture started to receive sham, and vice-versa, the number of sessions remained the same (10 weekly sessions). Phase III, during the interval between Phase II and Phase IV, there was an interval of 4 weeks of washout. Phase V: laboratory tests and other qualitative measurements. Results: There was no difference beween both the groups in all criteria of evaluation pré treatment, with only na exception: in the Group II there was large inflammatory cell counts. However, there was a significant reduction in eosinophils (p = 0.035) and neutrophils (p = 0.047), and increase of macrophages (p = 0.001), improved peak-flow measurement in the morning (p = 0.01) in Group II (started with sham) in Phase IV. In Daily Symptons Score, there was a significant reduction in use of rescue medication (p = 0.043) in Group I (real acupuncture) in Phase II and after received sham acupuncture (Phase IV), there were less cough (p = 0.007), less wheezing (p = 0.037), less dyspnea (p < 0.001) e less use of rescue medication (p < 0.001). In Group II, after received sham (Phase II), there were less cough (p = 0.037), less wheezing (p = 0.013) and less dyspnea (p = 0.014). In Phase IV, less cough (p = 0.040), wheezing (p = 0.012), dyspnea (p < 0.001) and less nocturnal awakening (p = 0.009). In the questionnaires of quality of life SF-36 and QQL, several domains were found to be improved after received sham acupuncture in both groups, comparing phase II against phase I, but the results found after received real acupuncture were better than sham in both groups. Although there was no statistic difference between both groups. However, there was no difference in exhaled NO and spirometry measurement. Conclusion: This survey demonstrated that the use of real acupuncture in a group of patients with large inflammatory cells counts could have contributed to reduce symptoms, improve quality of life, improved peak-flow measurement in the morning and reduced inflammatory cells count in induced sputum, therefore, acupuncture is a safe healing techniques, presented no adverse effects observed in this study, and could of great help in treatment of patients with mild and moderate asthma
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Pivcevich, Carey. "The effects of Chinese herbs and acupuncture on menopausal symptoms." 2005. http://www.ocomlibrary.org/images/PDF/studentpapers/careypivcevich.pdf.
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Hirschberg, Denise. "Optimal care : physical therapy & acupuncture combined." 2007. http://www.ocomlibrary.org/images/PDF/studentpapers/denisehirschberg.pdf.
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LU, BWO-WEI, and 盧柏瑋. "Design and Implementation of a Traditional Chinese Medicine Acupuncture Point Combination System." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/p3r4n7.
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碩士國立中正大學
資訊工程研究所
106
Our research team has developed a syndrome differentiation system for traditional Chinese medicine that identifies patients' syndromes based on their symptoms. This thesis develops an acupuncture point combination system that recommends acupuncture point prescriptions according to the syndromes identified by the syndrome differentiation system. This acupuncture point combination system currently supports 130 acupuncture points, including five shu points, yuan primary points, collateral points, back shu points, front mu points, and commonly used acupuncture points. This acupuncture point combination system currently provides four types of acupuncture point combination methods to form acupuncture point prescriptions, including the five element acupuncture point combination methods, viscera acupuncture point combination methods, time acupuncture point combination methods, and commonly used acupuncture points. At present, the research on acupuncture point combination system based on syndromes is still preliminary. This thesis would like to promote the research in that direction.
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Cheng, Wan-Chun, and 鄭宛鈞. "'REN SHEN' Acupuncture Taboo of Traditional Medicine during Han and Tang Dynasty." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/63509974549564656502.
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碩士國立臺灣師範大學
東亞學系
100
The purpose of this thesis is to examine the taboo of Traditional Chinese Medicine about Acupuncture-mox from Han dynasty to Tang Dynasty. The acupuncture taboo originates from Han dynasty and becomes a theory in Tang dynasty. A representative Chinese medical doctor, Sun, described in his book Qiānjīn yì fāng千金翼方the pre-requite ritual before acupuncture is performed: to grasp the ‘xíng nián ’行年of the patient and ‘rén shén suǒ zài.’人神所在. The taboo above is of little concern, however, if the patient is in emergency. If the co-existence of ‘rén shén’人神preclude acupuncture, then is the non-existence of them an approval? Since the notion of ‘ren shen’ still eludes easy definition, but this thesis attempts to delve into the historical contexts of its popular medical realities in the both dynasties and find its theoretic ground for a still controversial issue. To historicize ‘rén shén’ —to bring a historical controversy to light— this thesis relies heavily on such medical classics as ‘Huángdì háma jīng’黃帝蝦蟇經, ‘Bèijí qiānjīn yàofāng’備急千金要方, ‘Wàitái mìyào fāng’外臺秘要方, bamboo slips of Han dynasty and Dūnhuáng Medial Paper. On this matrix of medical documents, by these medical documents, a historicized edifice of ‘rén shén’ taboo can be shed some light. Its aim is to map the contour of ‘rén shén’ during Tang and Han dynasties, and, most importantly, to integrate the ‘rén shén’ vignette into the tapestry of ancient medicine. According to research, ‘rén shén’, from the latter Han Dynasty into Wei-Jin and the Northern and Southern Dynasties, is still in its formative stage in which its practice does not consolidate into a consistent scholarship. ‘Rén shén’ and ‘rén qi’ influence each other and intermingle. It is not until the Tang Dynasty that these various notions form a stringent system of the ‘rén shén’ taboo. In practice, to preserve the will-being of the patient’s ‘rén shén’, medical experts adopt the approach of ‘ tiān yī’天醫. In a nutshell, there are three points of the conclusion of this thesis. First the correspondence of the human and sky/earth is the essence of ‘rén shén’ theory. Second, to harm ‘rén shén’ can cause yōng jū癰疽, but treat such ulcer must take ‘rén shén’ into account. Third, ‘rén shén’ follows a rigorous pattern. In sum, ‘rén shén’ is a constellation of taboos that plays out itself along the coordinates of time and space.
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Adams, Denise Lauren. "Traditional Chinese medicine evidence and challenges in fatigue clinical research /." 2010. http://hdl.handle.net/10048/1140.
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Thesis (Ph.D.)--University of Alberta, 2010.A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Doctor of Philosophy, Department of Public Health Sciences. Title from pdf file main screen (viewed on April 28, 2010). Includes bibliographical references.
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Kool, Kat. "Two perspectives on migraine treatment : pharmaceuticals vs. acupuncture." 2005. http://www.ocomlibrary.org/images/PDF/studentpapers/kathleenkool.pdf.
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Zawisza, Alexandra Maria Marguerite. "What is the point? en-spiriting the practice of acupuncture." Thesis, 2005. http://hdl.handle.net/1828/58.
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The following is an inquiry into the phenomenon of “Spirit” and its relation to the practice of locating an acupuncture point. In this context of Traditional Chinese Medicine, which finds its roots in Taoist tradition, the aspect of Spirit shen is understood as being inextricably inter-related, inter-dependent and inter-connected with the Body and Mind aspects of this triune.
Eight practitioners agreed to participate in a taped interview describing the experience of locating an acupoint. Although each practitioner described an experience which was unique, four threads emerged which are similar: (1) the practitioner focuses a body mediated awareness inward; (2) this awareness is then extended to the patient; (3) then there is the experience of movement toward the point both with intention and a palpating finger; and (4) when the point has been located there is a pause, followed by the sensation of arrival of the patient’s qi at the acupoint.
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Schinasi, Aimee. "Acupuncture and moxibustion on BL-67 to reverse breech presentation : a proposal for the integration of Chinese medicine into natal care." 2005. http://www.ocomlibrary.org/images/PDF/studentpapers/aimeeschinasi.pdf.
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Baumgartner, Meggan. "Can acupuncture effectively treat depression? : an examination and comparison of the biomedicine and traditional Chinese medicine (TCM) systems." 2006. http://www.ocomlibrary.org/images/PDF/studentpapers/megganbaumgartner.pdf.
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Van, Airsdale Lynn Ann. "Treating psoriasis through treating chronic stress and anxiety : the effects of acupuncture and traditional Chinese medicine." 2007. http://www.ocomlibrary.org/images/PDF/studentpapers/lynnvanairsdale.pdf.
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Chen, Yan-Ting, and 陳彥廷. "Development of Traditional Chinese Medicine Massage Technique，s Quantification Method and Acupressure at Acupuncture Point Training System." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/67114858767377593264.
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碩士長庚大學
醫療機電工程研究所
95
The massage technique is a primary subject studied in the traumatic and orthopedics of traditional Chinese medicine. The massage technique is a natural treatment without any side effects. It is not invasive for human body and is commonly accepted by people. In recent years, it has been found that the technique has an improper condition because the massage may cause a serious complication. Several reports showed that Chinese medicine massage lacks the accuracy in quantification. The operator judges roughly the quantity of the massage technique according to the experience and the patient's response. It will influence further understanding in depth and curative effects in the massage technique. According to relevant literature survey, the massage measuring apparatus exist in the market today can not be used directly on the human body. Therefore, it is not possible to find out the patient's impression immediately. Also according to literature survey in acupressure at acupuncture point, there is not a clear definition on the magnitude of acupressure. Fifty five persons were used for testing in this study. Fourteen acupuncture including the “Shousanli、Neiguan、Zusanli、Shoutaiyin Feijingxue Points of Lung Meridian” were examined. We used the handy push-pull gauge to measure muscular pains threshold according to Age、Sex、Body Mass Index (BMI) and Girth on the statistical analysis and ration. This study designed and built the “Traditional Chinese Medicine Massage Technique and Acupressure at Acupuncture Points Training System” originally. It may help the medical doctor to make the treatment to the patient of different physique using different massage pressure. In general people can use DIY mode at home. Using training system match with “Pressure Sensor Glove”, the doctor can act on the human body directly while measuring the massage technique. Besides, this system can also help the medical school students and patients to practice more easily at home. Due to different factor of statistical analysis, the doctor should consider Sex、BMI、Girth as the main parameter of pressure when the massage technique is used to treat patients, and the Age factor is used as the secondary parameter.
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White, Agnes. "Traditional Chinese medicine and the treatment of Type 2 diabetes mellitus in the Latino population." 2009. http://www.ocomlibrary.org/images/PDF/studentpapers/AgnesWhite.pdf.
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Hu, Cheng-Li, and 胡正利. "The effects of traditional acupuncture and electroacupuncture on regeneration of severed rat sciatic nerves repaired with silicone rubber chambers." Thesis, 2000. http://ndltd.ncl.edu.tw/handle/14583234029420456453.
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碩士中國醫藥學院
中國醫學研究所
88
The gap length is the most important factor in deciding the method of nerve repair. End-to-end anastomosis and fascicular suturing have been successfully used to repair small defects between severed stumps. But it is not always possible to apply these methods to bridge large gaps. To overcome large gaps, nerve grafting and nerve bridge methods have been developed. The autograft is the best option to repair injured nerves because it will not cause severe tissue reaction during the implantation period. Nevertheless, disadvantages of the autograft include the difficulty of acquiring a donor nerve for grafting and the inevitable risks of surgery at another site. To solve these problems, artificial nerve cuffs or guide tubes are regraded as an alternative. It has been showed that electric current and electromagnic fields can promote the regeneration of injured nerves. Also, traditional acupuncture and electroacupuncture exerted on certain acupuncture points have been demonstrated that they have positive effects on injured nerve. Due to the goal of previous studies was mainly to repair small defects between severed stumps, it is not practical for large gaps commonly seen in clinic. In this study, silicone rubber tubes were used to bridge 10-mm gaps in rat sciatic nerves and then traditional acupuncture or electroacupuncture were applied on two acupuncture points, which were near the ends of dissected nerve stumps. Results revealed that there was no statistical difference of success rate of nerve regeneration between traditional acupuncture/or electroacupuncture group and controls which were repaired with silicone rubber tubes only. However, the ratio of blood vessel areas to total nerve areas in the group of traditional acupuncture and the axonal density, the ratio of total axonal areas to endoneurium areas, the total blood vessel numbers, the areas of total blood vessels, the ratio of blood vessel areas to total nerve areas in the group of electroacupuncture were all significantly larger than those of the controls (P<0.05). The present study suggested that traditional acupuncture and electroacupuncture could promote the recovery of tissues in regenerated nerves.
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Kao, Ming Chen, and 高銘偵. "The Therapeutic Effect of Topical Application with Traditional Chinese Medicine Herbal Paste on Acupuncture Points to Treat Dysmenorrhea-A Preliminary Study." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/52776085009006294980.
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碩士長庚大學
中醫學系傳統中醫學
100
Dysmenorrhea is a common clinical gynecological disease, had been reported from 51% to 85% of women, and also a frequent cause of absenteeism from school or restriction of daily activity. The aim of this study was to evaluate the clinical effect on dysmenorrhea with the use of Traditional Chinese Medicinal (TCM) herbal paste onto acupoints. The TCM herbal paste were made with Radix Angelicae Sinensis, Rhizoma Ligustici Chuanxiong, Cyperi rhizome, Corydalis tuber, Typhae Pollen, TrogopterorI Faeces, Zingiberis Cutis, Evodia rutaecarpa. The selected acupoints were Shenque (RN8) and Guanyuan (RN4) . The paste was placed on 2 acupoints for 8 hours once a day, beginning from 5 day before the start of menstruation until 3 day after the start of menstruation. The total course of treatment was three consecutive menstrual cycles. The present study used the Visual Analog Pain Scale (VAS) and Menstrual Distress Questionnaire (MDQ) to measure the functional outcome, which were assessed by the patients before and after treatments. This study subjects included 31 patients who received completed treatment at Chang Gung Memorial Hospital, Taiwan. The results indicated dysmenorrhea can be managed effectively by the use of TCM herbal paste onto selected acupoints. The intensity of menstrual discomfort, fatigue, fullness and cramps in the lower abdomen was significantly decreased. (P<0.01)
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Hsu, Hsiu-Ying, and 許綉穎. "Key Factors of Acupuncture in the Combination between Western and Traditional Chinese Medical Treatment from the Perspectives of Patients and Their Family." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/5cnv73.
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碩士龍華科技大學
企業管理系碩士班
107
Acupuncture has been in the history of oriental medicine for more than 5,000 years. However, Taiwan’s acupuncture medical treatment has gradually declined due to the lack of orthodox and accurate educational methods of traditional Chinese medicine and its documentary records. That’s why acupuncture, a precise and effective medical treatment, has become the way of assistance for the mainstream medical practices. On the other hand, the dominant mainstream chemical synthetic agents used by major pharmaceutical companies seem to be doubted in the market gradually. At the same time, more and more international collective drug lawsuits are also controversial. Moreover, the 55th World Health Organization Congress also pointed out that the world traditional medical treatment market reaches 60 billion US dollars each year and is still growing. It is presented that in the extremely high number of countries in the world a lot of patients have begun using traditional medicine to solve the medical problems that Western medicine can’t deal with. In view of this, the World Health Organization will help its members develop and implement traditional medicine policies and establish a database of traditional medicine, including the therapeutic function, efficacy, and quality and harmlessness to supervise traditional medicine practices to and serve a large number of patients. The ultimate goal of medical treatment is to relieve the suffering of patients' diseases and to ease the hard work of family members. However, various medical disputes have always neglected the viewpoints and positions of patients and their families. This study aims to examine the key factors of acupuncture in the combination between western and traditional Chinese medical treatment. This study was conducted by using a qualitative investigation, targeting the patients with respiratory distress and their family members. Exploring the viewpoints of patients and their families in the comprehensive therapy of integrated Chinese and Western medicine, this study collected and analyzed the data and provided theoretical and practical suggestions for follow-up research and practical application.
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Yen, Suh-May, and 顏素美. "Investigating the factors related to concepts, attitude, and precaution of patients’ safety among traditional Chinese medical doctors- Taking the acupuncture therapy as an example." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/54219943524875740563.
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碩士中國醫藥大學
醫務管理學研究所碩士班
98
Abstract Purpose: The aim of this study is to clarify factors related to traditional Chinese doctors’ perception, attitude, and prevention methods of patient safety, so the results can be the reference of their future education and clinical practice guidelines. Method: The target subjects were all Taiwan traditional Chinese doctors who were evaluated through general survey. Total 5,099 copies of questionnaire were mailed to them with 1,424 valid copies, participation rate of 27.9%, retrieved. The cross-sectional analysis was applied through structured questionnaire. Other than descriptive and variant analyses, the multiple regression analysis was conducted to evaluate the possible factors influencing traditional Chinese doctors’ perception, attitude, and prevention activities of patient safety. Results: The average age of the enrolled traditional Chinese doctors was 48.7 years old. The ratio of male to female was three to one. Average 95.8% of the questions related to perception were answered correctly, which meant that almost 96% of traditional Chinese doctors had correct perception of patient safety. The mean score of their attitude was 4.72 (the total score was 5). Generally, the degree of preventing abnormal events was above average. The multiple regression analysis revealed that the factors affecting perception were “the way of being certified” and “the mean outpatient number per visit”. The factors influencing attitude included “age”, “seniority”, “professional title”, “personal experience of abnormal medical events”, “hours of attending patient safety education program” and “perception of patient safety”. The factors impacting prevention methods included “location of the institute” and “attitude toward patient safety”. Conclusion and recommendation: Generally, elder the traditional Chinese doctors were and more hours of education programs they attended, more positive attitude toward patient safety they had. Their perception positively affected their attitude that is positively related to the prevention methods of abnormal events. Therefore, appropriately arranging education programs of patient safety may improve their correct perception and positive attitude, and then flawless prevention methods can be established. As a result, patient safety can be maintained, quality of medical care can be improved, and legal problems can be reduced when performing acupuncture treatment. Key words: traditional Chinese medical doctors；patients’ safety； perception；attitude；precaution
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Sousa, Alessandra Anchieta de. "A acupuntura no tratamento médico-dentário." Master's thesis, 2018. http://hdl.handle.net/10284/7286.
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A acupuntura é uma terapia com ênfase no diagnóstico individualizado e na integração do ser humano com o meio ambiente, estimulando o autocuidado. Visa a harmonia entre o corpo e a mente, assim como a restauração e manutenção da saúde.
Estudos concluem que a acupuntura pode ser um complemento às modalidades convencionais em medicina dentária. O seu valor no tratamento das disfunções temporomandibulares e dores orofaciais é bem documentado, no entanto como único meio anestésico, tem sido questionado. Pode ser utilizada como primeira opção de tratamento nos casos de parestesias, podendo também ser de grande valia para pacientes ansiosos e odontofóbicos.
O objetivo deste trabalho é, por meio da revisão da literatura, proporcionar um melhor conhecimento e entendimento da utilização da acupuntura no tratamento médico-dentário, destacando a acupuntura no controlo da dor e sua utilização nos quadros de ansiedade e parestesias.
Para a maior utilização e realização desta terapia milenar na prática odontológica, faz-se necessário mais estudos científicos controlados e cegos que esclareçam seu mecanismo de ação e que comprove sua eficácia.Acupuncture is a therapy with an emphasis on individualized diagnosis and integration of the human being with the environment, stimulating self-care. It aims at harmony between body and mind, as well as the restoration and maintenance of health. Studies conclude that acupuncture may be a complement to conventional modalities in dentistry. Its value in the treatment of temporomandibular disorders (TMDs) and orofacial pains is well documented, however, as the only anesthetic medium, has been questioned. It can be used as the first treatment option in cases of paresthesia and may also be of great value for anxious and dental phobic patients. The aim of this work is to provide a better knowledge and understanding of the use of acupuncture in the medical-dental treatment, emphasizing acupuncture in pain control and its use in anxiety and paresthesias. For the greater use and accomplishment of this age-old therapy in dental practice, it is necessary to have more controlled and blind scientific studies that clarify its mechanism of action and prove its effectiveness.
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Vagaroso, Gonçalo de Jesus Silva e. Silva. "Acupuntura no tratamento da dor orofacial em Medicina Dentária – revisão narrativa." Master's thesis, 2019. http://hdl.handle.net/10284/9097.
Full textAbstract:
A acupuntura tem-se demonstrado como uma prática muito procurada nos dias de hoje, uma vez que se apresenta como uma técnica menos invasiva que as convencionais, assumindo cada vez mais um papel importante no que toca a terapias complementares na Medicina Dentária.
Esta técnica apresenta benefícios a vários níveis sendo a sua grande utilidade especialmente atribuída ao seu poder analgésico e relaxante antes, durante e após qualquer procedimento dentário, como regulador de níveis de dor associados a patologias orofaciais ou como adjuvante no controlo da ansiedade relacionada com tratamentos dentários.
O objetivo deste trabalho é, através de uma revisão da bibliografia existente, proporcionar um conhecimento mais abrangente quanto a esta terapêutica, explorando também um pouco das suas origens e percebendo a sua inserção na prática odontológica atual.Acupuncture has been shown to be a highly sought-after practice nowadays, since it presents itself as a less invasive technique than conventional ones, assuming an increasingly important role with regard to complementary therapies in dental medicine. This technique presents benefits on several levels and its great utility is specially attributed to its analgesic and relaxing effect before, during and after any dental procedure, as a pain regulator associated with orofacial disorders or as an adjunct to the control of anxiety related to dental treatments. The goal of this work is, through a revision of the existing bibliography, to provide a more comprehensive knowledge about this therapy, also exploring some of its origins and understanding its insertion in the current dental practice.
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Gutwirtová, Aneta. "Obhajoba lékařů a praktiků aplikujících Tradiční čínskou medicínu a jejich vypořádání se s kritikou své práce ze strany konvenčně zaměřených kolegů." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-383902.
Full textAbstract:
Traditional Chinese Medicine (TCM) has been common practice for many years, and part of the treatment plan of several million patients in the world. This includes areas such as Great Britain, USA, Germany, the Netherlands, Ireland, Switzerland and China. However, its possibilities in the territory of the Czech Republic are limited and insufficiently mapped (the area of practicing TCM for non-medical education practitioners). The thesis analyzes the current situation of doctors and practitioners applying TCM in the territory of the Czech Republic compared to other countries where TCM has been successfully established within the health system for many years. It also aims to find out how doctors and practitioners advocate their focus, what reasons they present for treatment with the TCM and how they deal with the criticism of their colleagues from the West. The work will include findings on why conventional physicians are heading towards Eastern medicine. Due to the debate of the topic, the thesis will continue to deal with the legislative anchoring of TCM in the laws of the Czech Republic and the world. The theoretical part of the thesis presents basic concepts related to the history and philosophy of the TCM. It also describes methods of diagnostics, treatment and pillars that the TCM supports...