Benefícios da auriculoacupuntura em profissionais de enfermagem atuantes na COVID-19 à luz da Teoria do Conforto / Benefits of auriculoacupuncture in nursing professionals working at COVID-19 in light of the Comfort Theory / Beneficios de la auriculopuntura en profesionales de enfermería que prestan servicios vinculados al COVID-19 a la luz de la Teoría del Confort

Objetivo: analisar os benefícios da auriculoacupuntura em profissionais de enfermagem atuantes na pandemia COVID-19 à luz da Teoria do Conforto de Katherine Kolcaba. Método: pesquisa descritiva com abordagem qualitativa, realizada com 33 profissionais de enfermagem atuantes no combate à COVID-19. Os depoimentos foram coletados por meio de entrevista após a realização de sessões de auriculoacupuntura, em seguida organizados e analisados segundo a análise de conteúdo de Bardin, com ancoragem na Teoria do Conforto. Resultados: emergiram três categorias temáticas: "Auriculoacupuntra como medida de conforto"; "(Des)Conforto físico e psicoespiritual e atuação na assistência à COVID-19"; e, "Do apoio organizacional ao comprometimento individual com a saúde". Verifica-se que os sujeitos declararam melhora no autopercepção de conforto, com destaque para os domínios físico e psicoespiritual, como a melhora da ansiedade, dores e qualidade do sono. A integridade institucional aparece como aliada ao comportamento de procura de saúde. Considerações finais e implicações para a prática: A auriculoacupuntura foi percebida como benéfica para melhorar a sensação de conforto físico e psicoespiritual pelos profissionais de enfermagem

Objective: To analyze the benefits of auriculoacupuncture in nursing professionals working in the COVID-19 pandemic in the light of Katherine Kolcaba's Theory of Comfort. Method: Descriptive research with a qualitative approach, carried out with 33 nursing professionals working to combat COVID-19. The testimonies were collected through interviews after conducting auriculoacupuncture sessions, then organized and analyzed according to Bardin's content analysis, anchored in the Comfort Theory. Results: Three thematic categories emerged: "Auriculoacupuntra as a measure of comfort"; "(Dis) Physical and psychospiritual comfort and performance in assisting COVID-19"; and, "From organizational support to individual commitment to health". It appears that the subjects reported an improvement in their self-perception of comfort, with emphasis on the physical and psychospiritual domains, such as improvement in anxiety, pain and quality of sleep. Institutional integrity appears as an ally to health-seeking behavior. Final considerations and implications for practice: Auriculoacupuncture was perceived as beneficial for improving the feeling of physical and psycho-spiritual comfort by nursing professionals

Objetivo: analizar los beneficios de la auriculopuntura en profesionales de enfermería que prestan servicios vinculados a la pandemia de COVID-19 a la luz de la Teoría de la comodidad de Katherine Kolcaba. Método: investigación descriptiva con enfoque cualitativo, realizada con 33 profesionales de enfermería que trabajan para combatir COVID-19. Los testimonios se recopilaron a través de entrevistas después de realizar sesiones de auriculopuntura, luego se organizaron y analizaron de acuerdo con el análisis de contenido de Bardin, anclado en la Teoría del Confort. Resultados: surgieron tres categorías temáticas: "Auriculopuntura como medida de confort"; "(In) Comodidad física y psicoespiritual y desempeño en la asistencia al COVID-19"; y, desde el apoyo organizacional hasta el compromiso individual con la salud. Se advierte que los sujetos informaron una mejora en su autopercepción de comodidad, con énfasis en los dominios físicos y psicoespirituales, como la mejora en la ansiedad, el dolor y la calidad del sueño. La integridad institucional aparece como un aliado del comportamiento de búsqueda de salud. Consideraciones finales e implicaciones para la práctica: los profesionales de enfermería percibieron la auriculopuntura como beneficiosa para mejorar la sensación de confort físico y psicoespiritual

Tratamento clínico de zumbido primário em adultos e idosos: revisão sistemática / Clinical treatment of primary tinnitus in adults and in the elderly: systematic review

O zumbido no ouvido é definido como uma ilusão auditiva ou sensação sonora endógena, não relacionada a nenhuma fonte externa de estimulação. É um sintoma frequente na população idosa. Até hoje, vários autores argumentam que o desconhecimento da etiologia do zumbido, aliado à subjetividade desta manifestação, mais a sobreposição das enfermidades e dos sintomas que, geralmente, acometem os pacientes idosos, dificultam a obtenção de um bom resultado terapêutico. O objetivo desta revisão foi levantar quais os tratamentos clínicos mais utilizados na prática clínica no tratamento do zumbido primário em adultos e idosos. Procedeu-se à verificação do status dos últimos 5 anos de estudos em textos de acesso livre, no banco de dados eletrônicos da PubMed. Apresentaram tratamentos clínicos para o zumbido primário 25 artigos; aqueles com resultados satisfatórios foram quatro artigos sobre acupuntura, dois sobre neuromodulação de resenha coordenada acústica, um sobre uso combinado de amplificação e gerador de som, e um sobre psicoterapia corporal, que incluíam tanto adultos e idosos, tendo a idade média entre 51 a 54 anos. Não se pode afirmar que os tratamentos propostos são eficazes na cura dos sintomas de zumbido em adultos e idosos, mas sim que existem algumas terapêuticas de baixo custo que apresentam respostas relativamente satisfatórias. (AU)

Tinnitus is defined as a hearing illusion or endogenous auditory sensation that is not related to any external stimulation source. It is a frequent symptom among elderly people. To date, many authors have argued that the lack of knowledge about the tinnitus etiology, added to the subjectivity of this manifestation, and the overlap of other diseases and symptoms that often occur with aged patients make the obtainment of a good therapeutic result difficult. The objective of this review was to find the most used clinical treatment in clinical practice for primary tinnitus on adults and elderly. The status of the last five years of studies in free full texts on PubMed database was checked. Twenty-five articles showed clinical treatment for primary tinnitus, with four articles about acupuncture, two about acoustic coordinate reset neuromodulation, one about sound generator associated with conventional amplification, and one about body-psychotherapy which included adults and elderly with an average age between 51 to 54 years old showing satisfactory results. It is difficult to state that the proposed treatment is efficient on healing the tinnitus symptoms on adults and elderly but there are some low-cost therapies showing relatively satisfactory responses. (AU)

Application and effect of transfer type anti-acupuncture needle in blood collection of hemodialysis patients / 实用医学杂志

Objective To improve the efficiency of blood collection in hemodialysis patients by inventing and applying new blood collection needles.Methods One hundred and eighty cases of hemodialysis patients were randomly divided into control group 1(CG1),control group 2(CG2),experimental group(EG). Comparison of the three groups in time of blood collection,the number of operation that had the risk of acupuncture injury and the number of the blood samples that had been contaminated. Results There were statistically significant difference (P<0.05)in three groups.The number of times of blood collection in the number of operations that had the risk of acupuncture injury,and the number of the blood sample that had been contaminated. CG1 had the longest blood collection time(12.55 min),EG had the shortest blood collection time(5.09 min);the risk of acupuncture injury was the highest in CG2 and the lowest in the EG.The number of contamination of blood samples and the amount of inaccurate sample in CG1 were the highest,and the lowest in the EG. Conclusions The working efficiency of transfer type anti-acupuncture needle(TTAN)during blood sample collection in hemodialysis patients is signifi-cantly better than that of traditional blood collection method,and it is helpful to reduce the risk of acupuncture injury and the risk of contamination in blood samples,which is worthy of promotion.

Diabetes mellitus: dimensões psicoemocionais à luz da medicina tradicional chinesa / Diabetes mellitus: dimensiones psicoemocionales a la luz de la medicina tradicional China / Diabetes mellitus: psycho-emotional dimensions in the light of traditional Chinese medicine

Esta pesquisa tem como objetivo compreender a influência de fatores psicoemocionais em pessoas com Diabetes Mellitus (DM), considerando os conhecimentos da Medicina Tradicional Chinesa (MTC). As emoções são parte integral da vida humana e, quando excessivamente intensas, podem atuar como fatores de adoecimento. O estudo apresenta caráter descritivo com abordagem qualitativa, utilizando entrevista semi-estruturada e análise de conteúdo. Participaram 12 pessoas entre 40 e 80 anos de idade. Os fundamentos da MTC indicam a relação mútua entre os órgãos e uma emoção específica. No DM, os principais órgãos prejudicados são o baço e o pâncreas, relacionados com o pensamento. Os dados indicam importante frequência do sentimento de preocupação na maioria dos entrevistados, diante de problemas. Constatou-se tendência à susceptibilidade psicoemocional, com falta de controle dos pensamentos.

This research analyzes the influence of psycho-emotional factors in diabetic, considering the knowledge of Traditional Chinese Medicine (TCM). Emotions are an integral part of human life, but also they can influence on disease factors when these are excessively strong. The fundamentals of MTC indicate the mutual relationship between the body organs and a specific emotion. In diabetes, the main affected organs are the spleen and the pancreas, both related to mental aspects. The study presents descriptive and analytical character with a qualitative approach. Data was collected by semi-structured interviews. 12 people aged between 40 and 80 were involved in this research. According to data, most participants indicate an important frequency of concern feelings. Tendency to psycho-emotional susceptibility and lack of control of thoughts were found.

Esta investigación busca comprender la influencia de factores psicoemocionales en personas con diabetes, considerando los conocimientos de la Medicina Tradicional China (MTC). Las emociones forman parte integral de la vida humana y, cuando son excesivamente intensas, pueden actuar como factores de enfermedad. Los fundamentos de la MTC indican la relación mutua entre los órganos y una emoción especifica. En la diabetes, los principales órganos afectados son el bazo y el páncreas, relacionados con el pensamiento. El estudio es de carácter descriptivo, abordaje cualitativo y utilizó el análisis de contenido como estrategia metodológica y la entrevista semiestructurada como técnica de recolección de la información. Participaron 12 personas entre 40 y 80 años de edad. Los datos indican una importante frecuencia de sentimientos de preocupación en la mayoría de los entrevistados. Fue constatada la tendencia a la susceptibilidad psicoemocional, con falta de control de los pensamientos.

Estrategias de implementación para Medicinas Complementarias y/o Alternativas (MCA) en la atención primaria: síntesis rápida de evidencia / Implementation strategies for Complementary and/or Alternative Medicines (CAM) in primary care: rapid evidence synthesis

ANTECEDENTES Y OBJETIVO Las Medicinas Complementarias y Alternativas (MCA) han sido ampliamente reconocidas y, para algunas de ellas, su efectividad sobre ciertas condiciones ha sido demostrada empíricamente. Es el caso de la Acupuntura, donde se ha mostrado su efectividad para tratar migrañas, dolores lumbares y problemas osteo-articulares, esto último respaldado con evidencia local. En este contexto, el Departamento de Políticas Farmacéuticas solicita esta síntesis de evidencia con el objetivo de informar la toma de decisiones respecto del efecto de una política para las medicinas complementarias en el país. METODOLOGÍA Se formuló una estrategia de búsqueda para ser utilizada en 5 bases de datos con el objetivo de identificar revisiones sistemáticas del tema. Se incluyen documentos publicados en los últimos 5 años. Adicionalmente, se preguntó a expertos que han trabajado con el tema, tanto en el ámbito nacional como internacional. Por último, se utilizó información del Departamento de Políticas Farmacéuticas de MINSAL, para obtener datos de la realidad de Chile. RESULTADO -Contar con un proceso de formación de especialistas en MCA y el rol de las Universidades en este proceso son 2 aspectos claves para la implementación. -La colaboración entre profesionales de medicina convencional y de MCA se favorecería con otorgar roles importantes a las enfermeras, facilitar acceso a lugares comunes y establecer claramente los roles para cada MCA. -Se ha propuesta avanzar en sistemas de monitoreo y evaluación, protocolización y definición de roles, de manera de entregar una buena calidad de MCA. -Se recomienda la construcción de una institucionalidad en el Gobierno Central para la administrar las MCA. -Se propone regular los criterios de derivación de pacientes y avanzar en la convergencia entre las medicinas convencionales y alternativas. -La provisión de MCA debe avanzar en resguardar la seguridad de los pacientes, respaldar con evidencia científica las prácticas clínicas y definir las responsabilidades legales de cada profesional, la calidad de los recursos necesarios para la atención y certificación de profesionales. -Los pacientes perciben de mejor forma la atención de acupuntura que la medicina convencional. -Contar con una relación horizontal médico-paciente en las MCA impacta directamente sobre el autocuidado responsable del paciente.

Efectividad de la acupuntura en pacientes con epicondilitis humeral / Effectiveness of acupunture in patients with humeral epicondyltis

Se realizó un estudio de intervención terapéutica con 32 pacientes seleccionados aleatoriamente de 36 que asistieron a consultas de ortopedia y traumatología en el Hospital Provincial Docente Clinicoquirúrgico "Saturnino Lora Torres" de Santiago de Cuba desde octubre de 2010 hasta junio de 2011 por presentar epicondilitis humeral, a fin de evaluar la efectividad de la terapia acupuntural en ellos. Se asignaron números pares para el grupo control e impares para el de estudio. La evaluación final de los pacientes tratados permitió afirmar que estos respondieron mejor al tratamiento acupuntural (en 14 de 16, para 88,0 %) y que aunque se presentaron algunas complicaciones, su eficacia supera con creces los procedimientos occidentales para alivio del dolor.

A therapeutical intervention study was carried out on 32 patients randomly selected of 36 who attended the orthopedics and traumatology departments in "Saturnino Lora Torres" Teaching Clinical Surgical Provincial Hospital in Santiago de Cuba from October, 2010 to June, 2011 for presenting humeral epicondylitis, in order to evaluate the effectiveness of the acupunture therapy in them. Pair numbers were assigned for the control group and odd numbers for the study. The final evaluation of patients treated allowed to affirm that they responded better to the acupuntural treatment (in 14 of 16, for 88.0%) and that although some complications were presented, their effectiveness overcomes the western procedures for the relief of pain.

Experiência de pacientes com acupuntura no Sistema Único de Saúde em diferentes ambientes de cuidado e (des)medicalização social / Acupuncture patients' experience in the Brazilian Unified National Health System in different healthcare settings and social (de)medicalization / La experiencia de los pacientes con tratamiento de acupuntura en el Sistema de Salud de Brasil en diferentes ámbitos de atención y la (des)medicalización social

Virtudes atribuídas às terapias complementares, como abordagem holística e centrada nos pacientes e estímulo à autocura, vêm sendo valorizadas e podem, em tese, atenuar a excessiva medicalização social hoje vigente. Dentre elas, a acupuntura destaca-se pela institucionalização e aceitação progressiva. O objetivo foi analisar a experiência de pacientes com acupuntura no Sistema Único de Saúde e como ela se insere no seu cuidado, à luz da medicalização social, esta pensada nos seus aspectos constitutivos das representações e modelos explicativos dos usuários. Foram entrevistados trinta pacientes selecionados das atenções primária e secundária de Florianópolis, Santa Catarina, Brasil. Observou-se relevantes resultados terapêuticos nas queixas principais, no sono, na disposição, no estado emocional e diminuição do uso de fármacos. Os modelos explicativos dos usuários e seu autocuidado foram pouco ou nada modificados pelo tratamento com acupuntura. Notou-se, todavia, um cuidado ampliado e menos iatrogênico, principalmente na atenção primária à saúde, em que houve pouca oferta de outras práticas da medicina chinesa associadas.

The virtues attributed to complementary therapies such as holistic and patient-centered approaches and stimulus for self-healing have been increasingly valued and could theoretically attenuate the current prevailing excessive social medicalization. Among such therapies, acupuncture has been highlighted due to its progressive institutionalization and acceptance. The objective of the current study was to analyze the experience of acupuncture patients in the Brazilian Unified National Health System and its relationship to their care, in light of social medicalization in terms of the constitutive aspects, representations, and users' explanatory models. Thirty patients were interviewed, selected from primary and secondary care services in Florianópolis, Santa Catarina State, Brazil. Important therapeutic results were observed in the principal complaints, sleep, disposition, emotional status, and decreased use of medication. Users' explanatory models and self-care were modified very little, or not at all, by acupuncture treatment. However, the study showed expanded and less iatrogenic care, especially in the primary care setting, in which there was little supply of other associated practices from Chinese medicine.

Las virtudes atribuidas a las terapias complementarias con enfoque holístico, centradas en los pacientes y que estimulan la auto-curación, han sido valoradas y pueden, en teoría, aliviar la excesiva medicalización social. Entre ellas, la acupuntura se distingue por la institucionalización progresiva y su aceptación. El objetivo fue analizar la experiencia de los pacientes con tratamientos de acupuntura en el Sistema Nacional de Salud y cómo se ajusta a sus condiciones, así como la visión, representaciones y modelos explicativos de los usuarios respecto a la medicalización social. Entrevistamos a 30 pacientes de atención primaria y secundaria de salud de Florianópolis, Santa Catarina, Brasil. Observamos los resultados en las principales quejas, el sueño, el estado de ánimo, el estado emocional y la disminución del consumo de drogas. Los modelos explicativos de los usuarios y de cuidado personal eran pocos o no modificados por el tratamiento. Se observó, sin embargo, una amplitud de la atención y se consideró menos iatrogénica, principalmente en la atención primaria de salud, en la que había poca oferta de otras prácticas de medicina china.

Effect of CT-aided Scalp Surrounding Needling on Infarction Dementia by Retaining Long Time / 中国康复理论与实践

@#Objective To observe the effect of CT-aided scalp surrounding needling on infraction dementia by retaining long time. Methods 53 infraction patients following dementia were randomly divided into treatment group (n=26) and control group (n=27). The control group was treated with CT-aided scalp surrounding needling for 30 minutes, while the treatment group was treated with CT-aided scalp surrounding needling for 3 hours. The course was 8 weeks. The therapeutic effect was assessed by Mini-Mental State Examination(MMSE), Hasegawa Dementia Scale(HDS-R) and Activities of Daily Living (ADL). Results The scores of ADL, MMSE, and HDS-R improved obviously after treatment in two groups (P<0.05), and the treatment group was better than the control group (P<0.05). Conclusion CT-aided scalp surrounding needling by retaining long time may facilitate to enhance the clinical effect on infarction dementia.

Relationship between Nerve Location and Acupuncturing Effect in Patients with Peripheral Facial Paralysis / 中国康复理论与实践

@# Objective To investigate the relationship between nerve location and acupunture effect in patients with peripheral facial paralysis.Methods92 patients with peripheral facial paralysis, included simple facial paralysis (36 cases), Bell's paralysis (46 cases) and Hunt's paralysis (10 cases), were treated with acupuncture and medicine.ResultsEffect of the treatment was different from each groups. The curetive effect of simple facial paralysis was higher than Bell's paralysis and Hunt's paralysis, the Hunt's palsy had the lowest effect.ConclusionThe effect of acupuncture on peripheral facial palsy is depended on the location of injury.

Comparison and Observation about the Immediate Effect of Postoperative Distension of the Abdomen with Electroacupunctuving Zusanli and Shangjuxu Points / 浙江中医药大学学报

[Objective]To contrast the influence of using the electro-needling machine on the Zusanli(ST36) or Shangjuxu(ST37) ,or on the two points both to treat the postoperative distension of the abdomen.And simultaneously to obverse whether using the two points together has the coordination effect or antagonistic effect.[Method] Adopting the stochastic grouping contrastive technique,dividing the 100 patients into the Zusanli group,the Shangjuxu group,the cooperative group and the blank group. To contrastively observe each situation,including the abdominal rumbles sound,the abdominal pain,the transformation of the incidental symptoms and the first time of exhaust,before and after the acupuncture treatment in each group.[Result]The treatment group has the therapeutic effect,with the blank group comparison,having the significant difference(P0.05)with each other.There's no obvious coordination effect or antagonistic effect during the treatment in the cooperative group. [Conclusion] Using the electro-acupunture on Zusanli,Shangjuxu can play an important part in improving the recuperation of the gastrointestinal function after surgical treatment. It also can obviously relieve uncomfortable postoperative symptoms.

Two cases of anaphylaxis due to bee venom acupuncture / 천식및알레르기

Bee venom acupuncture has been widely used as a method to treat chronic pain, multiple sclerosis, myalgia, arthritis, and neuralgia. However, bee stings can induce anaphylaxis in both children and adults. We experienced two cases of anaphylaxis after bee venom acupuncture. A 42-year-old woman who had received venom acupuncture on the head, neck and back, experienced facial edema, generalized urticaria, and dyspnea 10 min. after the treatment. High levels of serum specific IgE to honeybee venom measured by CAP method was noted. The other patient was a 39-year-old woman who also received venom acupuncture on the back and experienced facial edema, generalized urticaria, dyspnea, and lower abdominal pain 10 min. after the treatment. High levels of serum specific IgE to honeybee venom by CAP method was also noted. Therefore, due to its wide use, bee venom acupuncture could induce IgE-sensitization and anaphylaxis in this country.

Desestimulación del tabaquismo por el método de auriculoterapia / Smoking distimilation through the auricultherapy method

Se realizó un estudio de intervención para evaluar la eficacia de la auriculoterapia en la desestimulación del tabaquismo en 23 fumadores, profesionales de la salud pertenecientes al Policlínico Docente Previsora, que voluntariamente aceptaron someterse a este tratamiento. Se aplicó durante 8 semanas, a través de una sesión semanal. El registro primario y definitivo de la investigación consistió en la aplicación de una encuesta, según criterio de expertos, con una serie de variables, al inicio y mensualmente durante un año. El tratamiento tuvo una eficiencia de un 82,60 % en los fumadores de 10 años en adelante. Asimismo, el nivel de abstinencia alcanzado fue de un 94,73 % a los 6 meses y de un 84,21 % a los 12 meses. Por la eficacia del método sugerimos hacer extensiva su enseñanza a todos los profesionales de la salud.

An interventionist study was carried out for assesssing the effectiveness of auriculotherapy in smoking distimulation in 23 smokers, health professionals who voluntarily accepted to undego such treatment, belonging to Previsora Teaching Polyclinic. I was applied during 2 months once a week. Primary and definite register of the research consisted in hte application of a survey, according to experts criterio with series of variables monthly during one year. Treatment was effective in 82,60% in 10 years smokers and over. Also, abstinence level achieved was that of 94,43% at 6 months and 84,21% at 12 months . For the effectiveness of this method we suggest its teaching extensively to all health professionals.

Acupuntura como técnica de tratamiento en la hipertensión arterial esencial en pacientes neoplásicos / Acupunture as a treatment technique in the essential arterial hypertension in neoplasic patients

Se realizó una intervención para la evaluación de la eficacia de la acupuntura en el control de la hipertensión arterial esencial, en pacientes ingresados con alguna oncopatía en el Hospital Oncológico "María Curie" de Camagüey, en el período de septiembre de 1999 a marzo del 2000. El universo incluyó a todos los pacientes hipertensos atendidos en ese centro. Se tomó como muestra de estudio a 50 pacientes valorados en consulta de Medicina Interna que referían hipertensión arterial esencial grado I-II, remitidos para su tratamiento al Departamento de Medicina Natural y Tradicional. Como resultado más relevante se observó que el tratamiento fue satisfactorio en la hipertensión grado I en el 95% de los casos y en la grado II en un 93,3 %.

An interventionist was carried oaut for assesing the effectiveness of acupuncture in the control of essential arterial hypertension in patients with any oncopathy in " Marie Curie" Oncologic Hospital of Camaguey within the period from Semtember 1999 to March 2000. The study universe included all hypertensive patients assisted in this centre. As a sample 50 patients were studied in the internal medicine consultation who referred essential arterial hypertension type I-II, remitted to the natural and tradicional deparment of treatment . As a relevant result it was observed that treatment was sucessful in type I hypertension in 95% of cases and type II in 93,3%.

Eficacia del tratamiento con acupuntura en pacientes con várices en miembros inferiores / Effectiveness of acunpuntural treatment in patients with varicous veins in the lower limbs

Se realizó un ensayo clínico fase II temprana abierto y secuencial en 80 pacientes con várices en miembros inferiores que fueron remitidos, desde el Servicio de Angiología al de Medicina Natural y Tradicional del Hospital Provincial de la Ciudad de Camagüey desde marzo hasta agosto de 1999. Se comprobó la eficacia de la terapéutica a partir de la quinta sesión de tratamiento, alcanzando significaciones estadísticas relevantes a la décima. El 93.75% de pacientes presentó una buena evolución. Desapareció el edema, la pesadez y la parestesia en el 100 % de los enfermos. Demostró además ser una terapéutica de corta duración, de elevado beneficio y reincorporación social rápida, sin reacciones adversas.

A clinical, phase II open, early and sequiential essay was performed in 80 patients with varicous veins of lowe limbs. They were remitted from the Angiology Service to the natural and Traditional Service of the Provincial Hospital Camagüey City within the period from March to August 1999. The importance of this treatment was proved in the fifth session, and statistic significance was reached at the tenth. The 93,75% of patients had a goog evolution. Swelling, heainess and parestesia disappeared in 100% of patiens . It was also short term therapeutic , of great and rapid social reicorporation withouh adverse reactions.

La acupuntura corporal en pulpitis aguda de urgencia / The body acupuncture in urgent acute pulpitis

Se realizó un ensayo clínico fase II temprana abierto, no secuencial en 60 pacientes de ambos sexos comprendidos entre 15 y 20 años que acudieron al servicio de urgencias de las clínicas estomatológicas Ignacio Agramonte e Independencia de la Ciudad de Camagüey, con el diagnóstico de pulpitis aguda de urgencia en el período comprendido entre junio-septiembre de 1997. La terapia de elección fue la acupuntura corporal con el objetivo de evaluar eficacia de la misma ante la pulpitis aguda de urgencia, relacionar la hemiarcada de cada paciente con la aparición del dolor en relación con el sexo, valoración etiológica según diagnóstico tradicional y reacciones adversas. Se concluye que el tratamiento acupuntural resultó eficaz en el 92% de los pacientes con pulpitis aguda, no existe relación entre hemiarcada y sexo para la aparición del dolor y según diagnóstico tradicional la causa más frecuente fue Xu del riñón , terapia acupuntural que reporta mínimas reacciones adversas.

A clinical, phase II, early, open, non sequential eassy was performed in 60 patiens of both sex of 15 and years old who were assisted in the emergency service of "Ignacio Agramonte"and "Independencia" Dental Clinics of Camagüey City, with the diagnosis of urgent acute pulpitis within the period from June to September 1997. The therapy of choice was body acupuncture with the aim of evaluating the effectiveness of it in urgent acute pulpitis, relating the hemiarcade of each patient with the apparition of pain in relation with sex, ethiologic assessment according to the traditional diagnosis and adeverse reactions. It is concluded that the acupuntural treatment resulted effective in 92% of the patients carries of acute pulpitis, there is no relationship among hemiarcade and sex for the apparition of pain and according to the traditional diagnosis acupuncture treatment brougth about minimal adverse reactions.

A Case of Cardiac Tamponade due to Penetration of the Right Ventricule by an Acupunture Needle

The heart may be critically damaged by objects of unimpressive size or appearance. We report a case of cardiac tamponade due to penetration of the right ventricle by an acupunture needle. A 59-year-old man was admitted due to dyspnea and chest pain. He had recieved acupuncture therapy during 10 years for chronic right upper abdominal pain. He was diagnosed as cardiac tamponade due to hemopericardium caused by an broken a cupuncture needle detected on fluoroscopy, computerized tomography and trans-esophageal echocardiography, and the needle was successfully removed by cardiac surgery. The patient was discharged uneventfully and followed at the outpatient department.

On the Traditional Surgery of Choson Period (I) / 의사학

In this paper, authors discussed the development of the traditional surgery of Choson Period(16th to 19th century), and analyzed the contents of their professional guide books on surgery, particulary, on abscess(Chong-Ki) excision. The invasive skill of Korean abscess healers was by far different from ones of the preservative traditional Chinese and Japanese medicine. Korean healers used specially designed acupuncture instruments(mess-like), and they advocated early excision of abscess(carbuncle, furuncle, liver abscess, pleurisy etc). Their achievement can be said to be comparable with that of Ambroise Pare. Generally, they were of low classes. Therefore, by treating horses and their neighbors of same classes, they could improve their invasive, rather dangerous skills and could invent new techniques of surgery. And it might be said that they inherited the traditional secret method of medicine-men and Buddhist-doctors of Koryo period.

Clinical Research of 200 Cases with Spondylosis Deformans treated by Acupuncture and Qigong / 日本東洋医学雑誌

We treated 200 cases with Spondylosis deformans using acupuncture and Qigong and achieved reasonably good effect.<br>Results: Clinical cure were 144 cases (72%), while 52 cases (26%) were rated effective. Four cases (2%) were invalid. The total rate of effectiveness was 98%. Twenty seven cases were cured in two courses of treatment, 110 in four courses and 7 in six courses.<br>Discussion: This disease belongs to the category krown as “Bi zheng” (arthralgiasyndrome) in tradional Chinese medicine. The disease results from “damage to the Governor Vessel” and “stagnancy of Qi and Blood”. The patients practised Shadow Qigong and Huanghai Qigong during the acupuncture treatment. The patients felt “De qi” (needling sensation by acupuncture) and “Qi gan” (Qi sensation of Qigong). The function of Qigong is to improve the circulation of Qi and Blood and to promote health.

The Effects of Acupuncture in Chronic Pain

Pain is one of the most complex human experience and the commonest cause of stress and the most frequent symptom that makes people seek medical help. The mechanism of its production and perception are poor understood. Since the past, various procedures have been tried to control or relieve pain. It had been observed that acupuncture stimulation has been effective in the relief of painful conditions. However, up to the present there had been no definite proof that acupuncture treatment has cured any pathological condition. Work is at present proceeding to make this a practical possibility. Recently, in modern medical science, several experiments are in progress and in some cases, cure had been obtained but until these studies are completed and proved to be effective, it is impossible at the present stage to evaluate whether these occasional cures are statistically significant. So, we launched studies and observations at our pain clinic at St. Paul's Hospital employing the "Somatosensory evoked Potential",(SEP) responses for chronic pain patient to relieve pain with acupuncture. The median and sural nerve of patients with chronic pain were stimulated and recorded using the SEP. Recordings were made before and after the acupuncture therapy was initiated. We analyzed the recorded SEP responses to see if ther are any physiological effects of the acupuncture therapy in patients with chronic pain. Findings: The important changes of the SEP responses recorded during acupuncture therapy in patients with chronic pain were the suppression of the amplitude of the SEP waves and delayed latency of the responses, similar to those manifested by patients, who are under morphine therapy. Then, naloxone an antagonist to morphine was administered. The effects were the same, that is the SEP responses were reversed in both the patients under morphine therapy and those under acupuncture therapy. So, we postulated that, since the meridian system is closely connected to the posterior column of the spinal cord conducting system, which is concerned in the somatosensory conducting system, peripheral stimulation by acupuncture may bring about the so called "pain suppression of descending system", which is closely connected to the meridian system of acupuncture. Though it is quite early to draw positive and definite conclusions, the results are very encouraging. More cases and further observations are advocated.

The Influence of Acupuncturing Tsusanli on Physical Work Capacity and Neuroendocrino-immunological Parameters in the Mice / 中国运动医学杂志

The experiments were carried out in mice to investigate the effects of acupuncturing Tsusanli (AT) on physical work capacity and neuroendocrino-immunological system. Mice were divided into four groups. The general health condition of the animals during the experimental period, the swimming duration, the content of hemoglobin and T, C, T/C, C 3, C 4 of alexin in the serum, the coefficients of spleen and thymus were observed. Results showed that AT could effectively improve the general health condition of the mice and strengthen the mice endurance as manifested by the prolonged swimming time,the increased content of hemoglobin and T, T/C, C 3, C 4 of alexin in the serum, and the higher coefficient of spleen and thymus gland. These indicated that AT was effective in elimination of fatigue and improving the endurance performance,showing the possibility of its appllication in the field of sports medicine.