Scientific Bases of Acupuncture summarizes the major scientific advances from 1976 - 1988 on the mechanisms of acupuncture. Outstanding researchers from Western countries, Japan and China report their findings in the format of review articles. The individual reviews summarize each author's personal research while also referring to the overall literature in the field of acupuncture and TENS.
In 1987, our first book Acupuncture: Textbook and Atlas received rave reviews (e.g., in New England Journal of Medicine). This prompted us to write this smaller, affordable version in order to reach a wider audience. The smaller format has been so successful that we are now into our fourth revised edition. This has given us the opportunity to update and improve the book. For example, nu merous new references to scientific advances have been added. Also the section on traditional Chinese medicine (TCM) was ad ded because it gives a more complete picture of the current prac tice of acupuncture. Acupuncture has come a long way since our first book in 1987. There has been a surge of interest in treating drug addictions by ear acupuncture in 450 centers world wide. The treatment of nau sea and vomiting has been so well tested (scientifically) that the FDA (USA) is considering making this the major indication for acupuncture in America. Research into its efficacy for neurologi cal and pulmonary diseases is also gaining credibility. No longer is chronic pain the only scientifically acceptable use for acupuncture (based on the endorphin mechanism).
Acupuncture is rapidly moving out of the arena of "alternative" medicine, in large part because it is grounded more firmly than other alternative treatments in research. This book provides readers with the up-to-date information on the clinical bases of acupuncture.
This is the first book to set out a full range of research strategies for evaluating the clinical practice of acupuncture. Leading acupuncturists and researchers with international reputations share their expertise. They illustrate their descriptions with practical examples of what has worked and what has not. It outlines many of the key challenges in the field. These challenges relate to the nature of acupuncture and the gap between current research evidence and the actual experiences of acupuncturists in the field. By focusing the chapters on key research questions, rather than methods, the book has a user-friendly feel. Each chapter is easily accessible with brief explanations of research designs as well as vignettes of relevant past research. The book is based on a deep understanding of acupuncture, with its inherent complexity in practice, whether based on traditional principles or more modern concepts. By incorporating a more sophisticated understanding of the field, this book details a range of strategies aiming to develop the evidence base with the utmost rigour. It is the first book on acupuncture research to take this unique view, integrating the very best of evidence-based medicine with a genuine sensitivity to the discipline of acupuncture, from its traditional and holistic roots to its more modern interpretations.
Comprehensively revised and expanded with vital new content, the second edition of Medical Acupuncture continues to explore the realistic integration of acupuncture into conventional medicine. Advocating the Western medical acupuncture approach (WMA), this science-based compendium provides the trained practitioner with all the latest research on the effectiveness of WMA and its associated mechanisms, techniques, clinical practice and evidence. Medical Acupuncture demonstrates a variety of needling techniques and clinical applications within the context of WMA and its evolution from traditional Chinese acupuncture using current knowledge of anatomy, physiology and pathology alongside the principles of evidence-based medicine. Split into seven sections the book begins by establishing the roots of WMA in the Introduction and then progresses on to describe the mechanisms of action in Section 2, including peripheral components of stimulation and evidence from neuroimaging. Sections 3 and 4 cover clinical approaches (eg, superficial needling, electroacupuncture, safety of acupuncture) and techniques related to acupuncture (TENS, laser therapy). Section 5 takes a closer look at the difficulties faced by trials and reviews while Section 6 goes on to showcase 21 clinical uses of WMA, ranging from chronic pain, mental health, obstetrics and primary care to sports medicine, respiratory conditions and neurology. The final reference section contains dermatome/myotome maps, meridian/channel charts and standard international nomenclature. - Comprehensive coverage of the scientific evidence and clinical application of acupuncture in medicine - Balances the genuine benefits of acupuncture against unfounded claims - Presents a wide range of treatable conditions from psychiatry and palliative care through to the pain clinic and veterinary medicine - Clinical points boxes highlight key knowledge and learning - Illustrated with over 130 drawings and photographs - Content restructure and overhaul with contributions from over 40 world leading experts - Individual chapters on the use of acupuncture for a wide range of medical conditions including gynaecology and infertility, cancer and palliative care, drug dependence, obesity, sports medicine, dentistry and veterinary practice - Updated with the latest scientific evidence - Expanded information on neuroanatomical and neurophysiological considerations in relation to the mechanisms of acupuncture
The technique of acupuncture is easily acquired although the evidence of efficacy remains subjective. Before the evidence can be sorted out through scientific explorations, confidence on efficacy can rely only on literature search and sharing of expert experiences.
Acupuncture therapy has been practiced in China and other Asian countries for more than two thousand years. Modern clinical research has confirmed the impressive therapeutic effect of acupuncture on numerous human ailments, such as controlling pain, nausea, and vomiting. However, the biological mechanisms of acupuncture are still under debate. In Traditional Chinese Medicine (TCM), the mechanism of acupuncture therapy is explained by a meridian model. According to this model, acupuncture is believed to treat the diseased organs by modulating two conditions known as Yin and Yang, which represent all the opposite principles that people find in the universe, both inside and outside the human body. Yin and Yang complement each other, and are subjected to changes between each other. The balance of Yin and Yang is thought to be maintained by Qi, an energy substance flowing constantly through the meridian, a network connecting all the organs of the body. The illness, according to this theory, is the temporary dominance of one principle over the other, owing to the blockade of the Qi from flowing through the meridian under certain circumstance. The axiom of “No stagnation, No pain” in TCM summarizes this concept. Thus, the goal of acupuncture treatment is to restore the balance of Yin and Yang conditions in the diseased organ(s). This theory has been considered to be useful to guide this ancient therapy, such as carrying out diagnosis, deciding on the principle, and selecting the acupoints.
Traditional Chinese medicine has a strong scientific basis, but the science of these important preparations is often rarely discussed. Western approaches often simplify traditional Chinese medicine to drug discovery in Chinese plants, however, the majority of traditional Chinese medications use complex mixtures of plant extracts, rather than single purified drugs. The combination of different extracts is based on yin, yang and chi theories, which are often poorly understood in the West. Yin and yang are known to be the balance of agonists and antagonists, whereas chi derives from signalling processes in the body and regulates bodily functions. Traditional Chinese medical practitioners understand that yin, yang and chi constantly interact in the body to maintain health. Western medical practitioners understand how to use agonists and antagonists and how to modify signalling processes, but generally do not accept the use of complex plant extracts to perform these functions. Aimed at medical scientists, and including detailed explanations of the theories behind the science, this text may help researchers to understand Chinese medical practitioners and to communicate more effectively with them. It will also lead to greater acceptance of traditional medications in the West. Presenting a clear rationale for the use of traditional Chinese medications in Western medical facilities, it enables scientists to find new directions in experimental design and encourage examination of these useful, but often poorly understood, preparations in clinical trials.
An informative and provocative text, this book describes the current status of knowledge and challenges scientists to better define acupuncture therapy. The first section covers the scientific basis and mechanism of acupuncture, particularly in relation to the cardiovascular system. The second section is devoted to clinical case studies, illustrating that scientific knowledge can be integrated with traditional concepts in Chinese medicine to provide effective treatments. It is a useful reference guide for advanced students and practitioners of traditional Chinese medicine and acupuncture, as well as scientists conducting physiological and pharmacological research.
