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The Treatment of Tendon Pain with Traditional Chinese Medicine

Author: Mark Kastner

This article describes the treatment of tendon pain using acupuncture and adjunctive Chinese medicine techniques. The pathomechanism of tendon pain is discussed from the perspectives of biomedicine and Chinese medicine, and a comprehensive protocol for the treatment of tendinosis is provided.

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An Introduction to Classical Fascia Acupuncture

Authors: Steven Finando & Donna Finando

Acupuncturists, regardless of their school, style or understanding of what they do, are engaged in the treatment of the fascia. Understanding the form and function of the fascia and its role in human health and pathology can provide insights into the practice of acupuncture. Classical Fascia Acupuncture (a term coined by the authors to emphasise the fundamental role of fascial palpation in the practice of acupuncture) utilises the fascial system to understand, in modern scientific terms, the mechanism of acupuncture. By doing this, philosophical principles that are applied to human health in Chinese medicine emerge as meaningful and applicable to all styles of acupuncture practice. This article provides a basic introduction to the practice of acupuncture from this perspective, including a scientific discussion that maintains harmony with classical approaches. Within this context, a rational explanation for the apparently confounding results of recent scientific acupuncture research is offered.

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Marginalisation, Reduction and Omission: An Examination of Historical Approaches to the Disease Category Shàn and the Impact of its Reduced Status in Modern Traditional East Asian Medical Practice

Author: Alex Jacobs

Shàn (疝) is a disease category (bìng 病) that broadly refers to various diseases characterised by pain and/or swelling of the abdomen or scrotum. Its inclusion and definition in modern academic materials in both the Chinese and the English language is highly variable. Furthermore, a 2012 study by the author of this article revealed low awareness and understanding of the term by current Traditional East Asian Medicine (TEAM) practitioners in the UK. This is in contrast to the place it occupied in the pre-20th Century TEAM corpus, where it featured in all the major canonical texts of the Hàn dynasty and was widely discussed by many later notable TEAM figures. This article summarises the research above and outlines the primary characteristics of shàn that have been emphasised and debated by TEAM authors throughout history. This is followed by an examination and evaluation of both Chinese and English language terms associated with shàn and a discussion of factors that may have contributed to the current low awareness of the term. Finally, there is a discussion of the clinical implications of the loss of this term and recommendations for future research.

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Xiao Jian Zhong Tang (Minor Construct the Middle Decoction): A Formula to Warm the Centre or Supplement Yin?

Authors: Yan Shi-Lin & Tao Yi; Translated by Paola Campanelli

This article discusses whether Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) is a formula that warms the centre or one that supplements yin. The material analysed by the authors comprises of the lines on Xiao Jian Zhong Tang in the Shang Han Lun (On Cold Damage) and Jin Gui Yao Lüe (Essential Prescriptions of the Golden Cabinet), their interpretation by commentators since the Han and Tang dynasties, and related discussions in contemporary journals. To understand the essence of the formula the authors approach it from four different perspectives: they analyse and contrast the debates in the literature, analyse signs and symptoms for which the formula is recommended, discuss its composition and consider its clinical applications. From this analysis, the authors show that the heart vexation, nosebleeds, wild dreams with seminal loss, vexing heat in the hands and feet, dry mouth and throat and the other heat signs listed amongst the indications of Xiao Jian Zhong Tang can be considered as manifestations of a cold pattern. The pathomechanism behind such symptoms is vacuity cold of the Spleen and Stomach, exuberant yin forcing out the yang, and yang vacuity with floating fire. This formula is very effective at warming the middle and dispersing cold. Clinical applications include various kinds of digestive, respiratory and haematological problems due to vacuity cold. The authors conclude that Xiao Jian Zhong Tang should be viewed as a representative formula to warm the middle and disperse cold.

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Fatigue: The Big Picture

Author: Sarah Price

This article explores the concept of fatigue, which is increasingly seen in healthcare literature as being the primary problem reported by patients with long-term health conditions such as autoimmune disease and cancer. For many practitioners of traditional Chinese medicine (TCM), fatigue is often thought of in relation to chronic fatigue syndrome (CFS). In addition, the widespread poor understanding of the concept of fatigue tends to result in its conflation with tiredness. This article discusses recent research into the biomedical mechanisms of fatigue associated with various diseases, and includes relevant TCM insights and illustrative case studies. The aim of this article is to increase Chinese medicine practitioners’ awareness of fatigue and its central role in disease, and thereby help practitioners to clearly define outcomes of treatment and achieve therapeutic success.

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Taijiao (Foetal Education)

Author: Peter Deadman

Taijiao (literally foetal education) – the premise that maternal behaviour will affect the health and future development of her child – has been taught in Chinese culture for at least two thousand years. It is only fairly recently, however, that modern research has confirmed this to be so. This article looks at the ideas behind taijiao and the evidence for the influence of maternal emotional states, diet and exercise on the lifetime health of the individual.

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Book Reviews

Book Reviews in this issue

The Spark in the Machine - How the Science of Acupuncture Explains the Mysteries of Western Medicine
Dr Daniel Keown
Read review and buy the book

The Classic of Supporting Life with Acupuncture and Moxibustion Vol. I-III
Lorraine Wilcox (Editor) Yue Lu (Translator)
Read review and buy the book

Acupuncture Point and Channel Energetics
Hamid Montakab
Read review and buy the book

Venerating the Root, Part 1: Volume 5 of Bei Ji Qian Jin Yao Fang
Sabine Wilms

JTCM Abstracts in this issue (from April and June 2014)

  • Therapeutic effect of electroacupuncture, massage, and blocking therapy on external humeral epicondylitis, by Li Xinjian et al.
  • Clinical research on using acupuncture to treat female adult abdominal obesity with spleen deficiency and exuberant dampness, by Wu Jie et al.
  • Effects of Chinese herbs combined with in vitro fertilisation and embryo transplantation on infertility: a clinical randomised controlled trial, by Guo Jia et al.
  • Correlation between tongue manifestations and glucose, total cholesterol, and highdensity lipoprotein cholesterol in patients with acute cerebral infarction, by Liu Ping et al.
  • Effect of Banxiaxiexin Tang on treatment of functional dyspepsia: a meta-analysis of randomised controlled trials, by Gan Yongkang et al.
  • Clinical efficacy and safety of Traditional Chinese Medicine combined with Western Medicine in patients with diabetic acute ischemic stroke, by Zhan Huan et al.
  • Effects of Jianpi herbal suppository on hemorheology and CD62p in patients with ulcerative colitis, by Han Jie et al.
  • Effects of Radix Ginseng on microbial infections: a narrative review, by Wu Hong et al.
  • Chinese herbal medicine for subacute thyroiditis: a systematic review of randomised controlled trials, by Luo Hui et al.

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