Tag Archives: Myasthenia gravis

What’s real picture about Chinese acupuncture research?

Professor Edzard Ernst’s blog “Problems with Chinese acupuncture trials” mentioned:

Most of the studies were in Chinese, and I therefore have to trust the review-authors’ data extraction. They tell us that most trials were of very poor quality.

Not reporting adverse effects in clinical trials is a serious violation of research ethics, particularly as severe adverse effects and even deaths after acupuncture are well-documented.

Unlike Western medicine that typically treats symptoms through medication or surgery with applied knowledge of science and technology, TCM is not evidence-based, but rooted in traditions of more than 2,000 years. There is also a strong cultural component, including many ideas about the universe and human body that Chinese people take for granted, such as the five elements (water, earth, wood, fire, metal). It is difficult to explain these metaphysical ideas in the wider international community that relies heavily on Western medicine and the scientific method.

Is Chinese acupuncture research really poor quality? What’s real picture about Chinese acupuncture research?

Modern and scientific TCM evaluation system is still imperfect. In the current quality control assurance system established with medicinal materials as the core, the lack of TCM resources, limit of raw material prices and other factors lead to the mismatches between the TCM clinical needs and industrial products.Meanwhile, the lack of information sharing platforms among the central and municipal scientific research institutes has restricted the conversion of scientific and technological achievements. These factors have directly influenced the output value, revenue and profit growth of the TCM industry in Beijing.

Recently, the volume of applied research in Chinese medicine is growing rapidly and the quality is improving.There is good evidence supporting the use of some Chinese patent medicine treatments.Researchers are starting to emphasize the importance of clinical trials. Many experts including clinicians, pharmacologists, statisticians and epidemiologists are discussing and formulating clinical trial protocols for TCM.And quality control is being emphasized for the process of trials more than before.

Chinese medicine is indeed different from western medicine, while TCM is an individual therapeutic method for diseases or conditions. There should be a balance between what is ideal and what is feasible.Sham acupuncture as a control method is still immature, which is not appropriate to be taken as a standard model for acupuncture research. If the research method which takes modern medicine as the control method in Chinese Acupuncture and Moxibustion can be promoted, and the most effective and the most advanced methods and results which are general accepted can be taken as the control, the differences and the advantages of acupuncture-moxibustion can be discovered directly with greater value.

But, the scientist still believe something like this: “In fact there have been several thousand acupuncture studies over decades. After all of this clinical research, acupuncture has not been clearly demonstrated to be effective for any indication. In short, acupuncture does not work. It is too late to talk about acupuncture’s “potential,” as if we just need to study it more. It has been studied. It doesn’t work.Proponents, however, will continue to publish poorly conducted studies where biases and degrees of freedom can generate positive results, and more rigorous studies with negative results that they will promote none-the-less as if they were positive.For acupuncture true believers, acupuncture research is a “heads I win, tales I win” situation.”

latest case report:

Acupuncture and Chinese herbal medicine were used to treat a 65-year-old man who had dry eye disease. He had complained of dryness and stinging sensation in his eyes for five months. His eye discomforts were frequently exacerbated in the afternoon and in air-conditioned spaces. He consulted an ophthalmologist, who made the diagnosis of dry eye disease and prescribed artificial tears. However, the patient’s feeling of tired eyes had hindered his daily activities considerably, even with the use of the artificial tears supplement.

The patient thus consulted the Chinese medicine department in a Taiwan hospital, which diagnosed his case as Kidney Yang Deficiency .

The patient went through a one-month treatment with a daily dose of Chinese herbal medicine and weekly acupuncture sessions. The stinging sensation was reduced by 60 per cent. After four-month treatment, the doctor ordered to stop on the use of artificial tears. The patient reported that he had occasional fatigued eyes in the afternoon, but his life is much better than before.

source: https://is.gd/pZzn6C

Can acupuncture works for Myasthenia gravis?

New Chinese research showed: EA warming therapy combined with western medicine has a significant therapeutic effect on myasthenia gravis. One of the mechanisms possibly is to restrain specific immune reaction by regulating the level of IL-4.(1)

Myasthenia gravis is a neuromuscular junction impact transfer function of autoimmune diseases. Its main clinical manifestations of the involvement of the extreme muscle fatigue, rest after a certain recovery. With eyelid ptosis, diplopia focusing on the ocular involvement of the most common, accounting for about 90%. The disease was 35 to 10 years old were commonly female than male patients. Myasthenia gravis causes and the pathogenesis, and it is still not clear, modern Western medicine or therapy effects.

Myasthenia gravis, also attributed to the Chinese atrophy permit areas. Its pathogenesis and the spleen and kidney insufficiency, Kidney essence inadequate irrigation is not physically, it is difficult to temper weak nutritional skin. Therapeutic Jianpi Yiqi, has achieved a certain effect.

With the increase in clinical practice and the accumulation of cases, acupuncture treatment for the disease has been more in-depth understanding. The general view : acupuncture right ocular myasthenia gravis have better results, more was more. Other early symptoms of myasthenia gravis lighter, but also efficacy, but with required drug Tongzhi.

Body acupuncture

Points
Main Points : Zanzhu, Yangbai, Yvyao, Hegu, Baihui.
Points allocation : Ocular drooping increase Waiguan, Guangming, Sanyinjiao, Zusanli; Diplopia increase Qingming, Fengchi.
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(1)Zhongguo Zhen Jiu. 2007 Dec;27(12):901-3.

new case report: :, a case of type 2 diabetes mellitus in a patient with MG who underwent 105 sessions of acupuncture delivered over 6 months is reported. After acupuncture treatment, the patient’s fasting plasma glucose and hemoglobin A1c levels, as well as the score on the Hamilton Depression Rating Scale, were decreased. Furthermore, no adverse effects were observed. The findings in this clinical study are encouraging and provide evidence supporting the effectiveness of acupuncture in reducing type 2 diabetes mellitus in a patient with MG.

Another research:

Sixty cases of ocular myasthenia gravis were selected. The acupuncture was applied at Dàzhuī GV 14), Bihuì () GV 20), Shàngxīng ( GV 23) of Governor Vessel, and its crossing points with Yinqiao and Yangqiao Meridian, such as Jīngmíng ( BL 1), shēnmài ( BL 62), Dìcāng ( ST 4), Jūliáo ( ST 3), Chéngqì ( ST 1), etc. Besides, ginger-partition moxibustion was applied at Yángbái ( GB 14) and Sìbái ( ST 2). The plum-blossom needle was applied at upper limb distribution of lung channel of hand taiyin, heart channel of hand shaoyin and pericardium channel of hand jueyin. The patients’ clinical symptoms, potential degradation percentages of repetitive nerve stimulation (RNS) in low frequency were observed.

Results

8 cases were clinically cured, 20 cases were basically cured, 12 cases were remarkably effective, 15 cases were effective and 5 cases were failed. The total effective rate was 91.7%. Compared with before the treatment, the potential degradation percentages of repetitive nerve stimulation in low frequency were lowered [(19.44±6.28)% vs (8.78±3.12)%, (P<0.05)].

Conclusion

Acupuncture and moxibustion at extra-meridian and collateral for ocular myasthenia gravis could achieve positive efficacy.