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Acupuncture Effects on Heart failure: How to Create Objective Study Designs

Journal of Acupuncture and Tuina Science 2008年第5期6卷 307-308页

作者： HJ Greten A Kick E Scholz J fischer T Greten f brazkiewicz f Schroder S Sertel Wendt M Goncalves O Karrer A Remppis German Society of Traditional Chinese Medicine Heidelberg Germany Porto University ICBAS Portugal Dept. of Endocrinology and Metabolism University of Heidelberg Germany Dept. of Cardiology University of Heidelberg Germany Dept. of Otorhinolaryngology Head & Neck Surgery University of Heidelberg Germany

According to a modem understanding of acupuncture mechanisms, acupuncture may elicit vegetative reflexes, presumably influencing the systemwide vegetative dysregulation associated with the heart failure syndrome, a feature of which is low performance in the 6 min walk test. The author performed a preliminary prospective, randomized, single-blinded clinical trial （n=21） in a cross-over design comparing acupuncture treatment, which was either compatible with individual Chinese diagnosis according to the Heidelberg Model of TCM （i-ACU） or a standardized treatment on acupoints with no specific relation to TCM diagnosis （u-ACU）. The repeated measures analysis revealed a significant effect for i-ACU vs. u-ACU （f =7.2, df=1.37, P=-0.011）. The study revealed first evidence that acupuncture may prolong 6 min walk distance as a key parameter of heart failure.

关键词： Acupuncture Therapy Heart failure Randomized Controlled Trial Humans

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Symptoms of “Heat” as a Pattern of Physiopathology

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Journal of Acupuncture and Tuina Science 2008年第5期6卷 272-272页

作者： HJ Greten T Greten f brazkiewicz f Schrder S Sertel M Goncalves Wendt O Karrer A Mafalda A Rcmppis German Society of Traditional Chinese Medicine HeidelbergGermany Porto UniversityICBASPortugal Department of Otorhinolaryngology Head & Neck SurgeryUniversity of HeidelbergGermany Porto University ICBASPortugal German Society of Traditional Chinese Medicine HeidelbergGermany

Objective:The guiding criteria are considered the backbone of Chinese *** have previously been described as functional features (symptoms) leading to the overall

关键词：病态生理学热病临床表现中医治疗

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Quantification of Acupuncture Effects on Peripheral Neuropathy of Unknown and Diabetic Cause by Nerve Conduction Studies

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Journal of Acupuncture and Tuina Science 2008年第5期6卷 312-314页

作者： Sven Schroeder Andrew Remppis Tobias Greten frank brazkiewicz Michael Morcos Henry Johannes Greten Hamburg Center of Traditional Chinese Medicine Germany Heidelberg School of Chinese MedicineGermany German Society for TCMGermany Heidelberg School of Chinese Medicine Germany Dpt.of Internal Medicine ⅢUniversity Hospital of HeidelbergGermany German Society for TCMGermany German Society for TCM Germany Heidelberg School of Chinese Medicine Germany Bremen Institute of Traditional Chinese MedicineGermany German Society for TCMGermany Dpt.of Internal Medicine Ⅰ University Hospital of HeidelbergGermany Heidelberg School of Chinese Medicine Germany Instituto di Ciencas Biomedicas Abel SalazarUniversity of PortoDepartment of NeurophysiologyPortugal German Society for TCMGermany

Objective： To evaluate the effect of acupuncture on peripheral neuropathy （PN） as measured by changes in nerve conduction studies （NCS）. Methods： 192 patients with PN were evaluated over a period of 1 year. In 17 patients diabetic neuropathy was found. 3 of these patients received acupuncture therapy according to classical Chinese medicine as defined by the Heidelberg model of TCM and all improved in NCS. Of the 14 non-specifically treated patients, 3 （21.4%） presented with improved NCS and 11 （78.6%） aggravated in NCS （P〈0.03）. An overall of 47 patients met the criteria for PN of undefined aetiology, 21 patients received acupuncture therapy, while 26 patients received no specific treatment. All groups were examined by NCS before treatment and 4 months later. Results： 1） Diabetic neuropathy, in the control-group 3 patients improved and 11 showed an aggravation. Comparison of groups was significantly different. 2） PN, 16 patients （76.2%） in the acupuncture group improved, while only 4 patients in the control group （15.4%） did so. 3 patients in the acupuncture group （14.3%） showed no change and 2 patients an aggravation （9.5%）, whereas in the control group 7 patients showed no change （26.9%） and 15 an aggravation （57.7%）.Comparison of the groups was significantly different. Conclusion： There is a positive effect of acupuncture on PN, as measured by objective parameters （NCS）.

关键词： Acupuncture Therapy Diabetic Neuropathies Nerve Conduction

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