Latest issue no. 103 - October 2013
Features & Articles in this issue
An Interview with Paul Unschuld
Author: Z’ev Rosenberg
This summer, Paul Unschuld, venerable translator of Chinese medical texts and medical anthropologist, agreed to a rare interview for The Journal of Chinese Medicine. Having known Paul for several years, and having collaborated on a doctorate-level class at Pacific College of Oriental Medicine last year, I thought the timing was right for a discussion about some of his most recent books and translations, all of which have actual or potentially great impact on our profession. I was first introduced to his work by reading his Medicine In China series back in the 1980's, which g reatly broadened my historical perspective on Chinese medicine. I have spent the last two years studying his Huangdi Neijing Suwen translation, and I continue to be impressed by the immense depth and value of the text. I had many questions for Paul, and his answers, as you will see, are as provocative and thoughtful as all of his books have been.
The Treatment of Notalgia Paresthetica with Traditional Chinese Medicine: A Case Study
Authors: Britton R. Mann and Haosheng Zhang
Notalgia paresthetica (NP) is a common, under-diagnosed chronic skin disorder that typically manifests as a pruritic, hyperpigmented patch on the upper back. Although its exact prevalence is unknown, NP is thought to affect a significant proportion of the adult population worldwide. The aetiology of this condition is multifactorial: musculoskeletal dysfunction affecting the spinal nerves, increased dermal innervation and hereditary influences may all play a role. The effectiveness of conventional medical treatments varies, with some patients not experiencing any improvement in their symptoms. This case summarises the effect of Chinese medicine – primarily acupuncture and Chinese herbal medicine with supplementary tuina and dietary therapy – on a 54-year-old female patient with NP who had responded minimally to Western medical interventions. After six weeks of treatment the patient reported almost total relief of itch on her upper back, as well as improvements in her health overall. No adverse events were observed. Chinese medicine may be a safe and effective treatment to address both the symptoms and underlying causes of NP.
The ‘Three Golden Opportunities’: Key Times Women Can Improve or Damage their Health
Author: Lia Andrews
There are three times during a woman’s life when she has the opportunity to either improve, or else risk damaging her health. These are menstruation, postpartum and menopause. This theory has historically been used by practitioners of traditional Chinese medicine (TCM), and has more recently been popularised by Dr. Zhuang Shuqi, a Taiwanese doctor of TCM specialising in women’s health. This article expounds on this theory and explores its relevance to modern Western society, presenting a comprehensive description of the main pathologies, practices, prohibitions, dietary approaches and lifestyle choices that practitioners should be aware of in order to help women recover and optimise their health during these life transitions.
The Chinese Medicine Treatment of Paediatric Idiopathic Pulmonary Haemosiderosis
Authors: Hu Tian Cheng & Zhou Jiang; translated and annotated by Paola Campanelli
Idiopathic pulmonary haemosiderosis (IPH) is a rare condition found primarily in children. It is characterised by recurrent alveolar capillary bleeding and accumulation of haemosiderin in the lungs. Disease aetiology and pathogenesis are unknown and it has no generally recognised specific treatment. Over the last six years, Professor Hu Tian Cheng has treated this condition on the basis of combined disease and pattern identification. Idiopathic pulmonary haemosiderosis has acute and remission phases. The acute phase presents typically as a repletion pattern, usually damp-heat depressed in the Lung, Lung and Spleen damp-heat, Lung and Stomach depressive heat or Bladder damp-heat. In the remission phase, vacuity patterns are common, typically dual vacuity of Lung and Spleen, or qi and blood depletion. This paper documents the treatment of 20 paediatric IPH patients who were treated by Professor Hu Tian Cheng using Chinese medicine as the main approach. The clinical treatment and preliminary results are described, together with a discussion of issues related to treatment based on disease and pattern identification, and a detailed representative case study.
The Acupuncture Treatment of Sensory Loss Following Head Trauma: A Case Study
Authors: Ariel Jodorkovsky & Tom Rotenberg
External trauma is a common aetiological factor of the Chinese medicine pattern of blood stasis. From a biomedical viewpoint, external trauma can trigger a variety of neurological pathophysiologies. This paper describes a case involving blood stasis induced by a head injury that was treated using acupuncture. A young girl who had been diagnosed with concussion suffered from severe headaches and complete loss of sensation in one of her hands for more than three weeks after being released from hospital. Eight acupuncture sessions over a period of ten days produced complete recovery.
Differences Between Moxa Punk And Smokeless Moxa Cones During Warm Needling: A Comparative Study
Author: Steve McCulloch
This article compares the capacity of moxa punk (MP) and smokeless moxa (SM) to transfer heat to the end of an acupuncture needle during warm needling (WN). Two forms of moxa of equivalent weight were compared: the Ondan SM cone and Japanese MP rolled into a ball (12 of each type). The moxa was positioned on the handle of two types of filiform needles (40mm x 0.3mm and 40mm x 0.25mm) and the temperature measured at the needle tip. The key findings were that SM produced 10 per cent more energy than MP, but that MP produced a 41 per cent greater and more rapid temperature increase than SM cones. Conversely, SM maintained maximum temperature four times longer than MP. It is suggested that the temperature characteristics of MP during WN correlate with the Chinese medicine treatment method of dispersing, while those of SM correlate to tonification. The lack of studies addressing the therapeutic effects of these different temperature characteristics, as well as the unknown temperature characteristics of WN using acupuncture needles in-vivo, prevents further conclusions being drawn.
Using the NADA Protocol to Treat Combat Stress-Induced Insomnia: A Pilot Study
Authors: Christine Cronin and Lisa Conboy
PURPOSE: Minimal research has been conducted on the use of acupuncture for the treatment of illnesses related to post-traumatic stress. The purpose of this pilot study was to investigate whether auricular acupuncture treatment using the National Acupuncture Detoxification Association (NADA) protocol was effective in treating individual aspects of post-traumatic stress (specifically insomnia) in combat veterans.
METHOD: Using a randomised pre-test – post-test design with a delayed-treatment wait-list control, this study evaluated the effect of the NADA protocol on insomnia symptoms in five participants who were veterans of the United States armed forces.
RESULTS: The NADA protocol was associated with statistically significant improvements in overall scores of both the Pittsburgh Sleep Quality Index (PSQI, p≤0.04 at post-treatment and follow-up) and Post-Traumatic Stress Disorder Check List - Military Version (p≤0.05 at post-treatment and follow-up). The PSQI showed a statistically significant improvement in sleep quality post-treatment (p≤0.05). In addition, reductions in re-experiencing (p≤0.04 at follow-up) and hypervigilance (p≤0.003 post-treatment) were statistically significant on the PCL-M.
CONCLUSION: The NADA protocol may offer military medical personnel a simple treatment option for symptoms of combat-induced stress that could be used in any military setting. The treatment could be used preventively soon after combat stress or trauma exposure to reduce the risk of development of future symptoms. For service members, the NADA protocol can provide a way to begin treatment that does not expose them to feelings of vulnerability or fear of loss of reputation.
‘Herbs That Clear Heat From Deficiency’ – A Misnomer?
Authors: Lu Yubin & Chu Qin
The ‘Herbs that Clear Heat from Deficiency’ are a subgroup of the ‘Herbs that Clear Heat’ in the Chinese materia medica. This article discusses the term ‘heat from deficiency’ and highlights the differences in pathomechanism, signs and symptoms, and treatment methods between heat from yin deficiency and residual heat in the late stages of warm disease. The so-called herbs that clear heat from deficiency in fact only address the latter and not the former. The authors believe that the term ‘herbs that clear heat from deficiency’ misrepresents the functions of the herbs that go under this title and the pathomechanism that they address, as well as being misleading as to their clinical applications. They suggest that this sub-category should be renamed ‘Herbs That Clear Residual Heat in the Late Stages of Warm Disease’.
Book Reviews in this issue
- Treatment of Infertility with Chinese Medicine
Read the review/buy this book
JTCM Abstracts in this issue (from April 2013 and June 2013)
- Electrical stimulation of acupoint combinations against deep venous thrombosis in elderly bedridden patients after major surgery, by Hou Lili et al.
- Analgesic effect of acupuncture at Hegu (LI 4) on transvaginal oocyte retrieval with ultrasonography, by Zhang Jianwei et al.
- Review of controlled clinical trials on acupuncture versus sham acupuncture in Germany, by Wei He et al.
- Effects of electroacupuncture and Chinese kidney-nourishing medicine on polycystic ovary syndrome in obese patients, by Yu Liqing et al.
- Effects of Duhuojisheng Tang and combined therapies on prolapse of lumbar intervertebral disc: a systematic review of randomized control trials, by Ma Yanxu et al
- Content analysis of systematic reviews on effectiveness of Traditional Chinese Medicine, by Wang Junwen et al.
- Traditional Chinese Medicine diagnoses in persons with ketamine abuse, by Tang Waikong et al.
- Perilla oil and exercise decrease expressions of tumor necrosis factor, plasminogen activator inhibitor-1 and highly sensitive C-reactive protein in patients with hyperlipidemia, by Wei Minggang et al.
- Curative effect of Dingqi analgesic patch on cancer pain – a single-blind randomised controlled trial, by Wang Changjun et al.
- Traditional Chinese medicine syndrome patterns and qi-regulating, chest-relaxing and blood-activating therapy on cardiac syndrome X, by Bi Yingfei et al.
- Retrospective study on Professor Zhongying Zhou's experience in Traditional Chinese Medicine treatment on diabetic nephropathy, by Su Kelei et al.
- Chinese herbal dose in ancient and modern times: a comparative study, by He Shimin
- Role of Dongchongxiacao (Cordyceps) in prevention of contrast-induced nephropathy in patients with stable angina pectoris, by Zhao Kai et al.
- Effects of herbal fomula Xiao Pi-II on functional dyspepsia, by Liu Baohai et al.
- Influence of Erbanxiao solution on inhibiting angiogenesis in stasis toxin stagnation of non-small cell lung cancer, by Liu Junbao et al.
- Effect of a basic Chinese traditional diet in overweight patients, by Aldo Liguori et al
- Pharmacological effects of Astragaloside IV: a literature review, by Ren Shuang et al.
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