Decided not to include meridians in the exam, there's just a lot to study...
Review the following:
1) 8 principles, particularly what each pair of principles is for (example, heat/cold refer to the nature of the pathogen, yin and yang refer to overall quality)
2) what are characteristics of excess (aka full) patterns? or deficiency (empty) patterns, etc etc
Know the following about the six levels - which one is characterized by alternating fever and chills? which one is characterized by four bigs (excess fever, thirst, sweat and pulse), which one is a sign of spleen weakness, which one affects heart and kidney? etc etc Same with four stages of warm disease - which one has faint skin eruptions, which one has real bleeding?
In Heart problems:
which pattern is characterized by cold? which one characterized by five palm heat? which is the mildest, which affects the mind?
SI problems - not included
In Spleen and stomach - study spleen qi deficiency, spleen yang deficiency, spleen qi sinking and spleen not controlling blood. know which appetite characteristic fits which pattern
Lung and LI Problems: how to differentiate lung qi vs lung yin deficiency? wind-heat vs wind cold? phlegm and body fluid deficiency? large intestine heat vs cold?
Liver problems: liver yin vs liver blood deficiency. how to distinguish liver qi stagnation, liver yang vs liver fire
Kidney - distinguish kidney qi from kidney yang and kidney yin deficiency...
Remember: Yang deficiencies are characterized by COLD. Yin deficiencies by empty heat
And maraming bonus!
--
Philip Nino Tan-Gatue, MD
Wednesday, December 16, 2009
Tuesday, May 15, 2007
Are Your Patients Using Alternative Treatment? NIH Starts Integrative Medicine Consult Service
BETHESDA, MD -- May 14, 2007 -- The National Center for Complementary and Alternative Medicine (NCCAM) has established an Integrative Medicine Consult Service at the National Institutes of Health (NIH) Clinical Center, the world's largest hospital devoted to research.
This service will provide physicians, nurses, and other members of the Clinical Center health care team the ability to discuss complementary and alternative medicine (CAM) therapies with knowledgeable medical staff from the consult service and learn how various CAM practices might complement or interact with a patient's care as a research participant at the Clinical Center.
CAM is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine, such as herbal supplements, meditation, chiropractic manipulation, and acupuncture. Integrative medicine combines treatments from conventional medicine and CAM for which there is high-quality evidence of safety and effectiveness.
The 2002 National Health Interview Survey showed that more than one-third of all American adults use some form of CAM. And a recent consumer survey of older Americans revealed that less than one-third of those who had used CAM discussed this information with their physicians. Since patients at the Clinical Center are participating in research studies, it is important to know what CAM therapies are being used and how they might affect the treatments being studied.
"Volunteers who participate in clinical research at the NIH Clinical Center are partners in medical discovery. We are committed to providing excellent care for them," said John I. Gallin, MD, Director of the Clinical Center. "This new consult service will help enhance the care they receive and the research conducted here."
CAM is not a new concept at the NIH Clinical Center. The Clinical Center's Pain and Palliative Care Service and the Rehabilitation Medicine Department offer acupuncture, Reiki, hypnosis, guided imagery, massage therapy, acupuncture, tai chi, and qi gong training. The Pharmacy Department consults on herbals and herb/drug interactions and has conducted research in these areas. The Integrative Medicine Consult Service will coordinate the resources of these existing services to meet the needs of the Clinical Center staff and its patients. In addition to offering clinical consultation regarding CAM therapies, the service will establish a research program embedded in NIH's clinical and translational research structure and provide CAM education for NIH staff, patients, and their families.
The director of the consult service will be Patrick J. Mansky, MD, a clinical oncologist and researcher at NCCAM. Mansky received his medical degree from Witten/Herdecke University Medical School in Germany, where he also gained experience and received instruction in Anthroposophical Medicine including herbal therapies, art therapies, and physical applications. After a postdoctoral research fellowship in immunogenetics at Memorial Sloan-Kettering Cancer Center, New York, New York, he completed clinical residency training in pediatrics and internal medicine at Case Western Reserve University in Cleveland, Ohio. Mansky joined NIH in 1997 as a clinical and research fellow in pediatric hematology/oncology and medical oncology at the National Cancer Institute.
"I am delighted that Dr. Mansky accepted the position of head of the consult service. This service will provide a focal point for CAM evaluation, research, and education in the NIH intramural community," said Robert B. Nussenblatt, MD, Acting Scientific and Clinical Director of NCCAM's Division of Intramural Research. "I hope the larger medical community will find this an important new addition to the evaluation and treatment of our patients."
In 2001, Mansky joined NCCAM as a staff clinician and clinical investigator leading the Oncology Program in NCCAM's Division of Intramural Research. He conducts research on the application of CAM interventions in the care and treatment of cancer patients and survivors, such as electroacupuncture for nausea from chemotherapy, use of mistletoe in combination with gemcitabine for treating advanced cancers, and effects of tai chi and exercise in cancer survivors.
"We are pleased with the creation of the Integrative Medicine Consult Service and the role we hope it will play in providing Clinical Center patients with the best possible integrated care," said, Ruth L. Kirschstein, MD, Acting Director of NCCAM. "Dr. Mansky's blend of clinical and research experience at the crossroads of the CAM and conventional medicine fields makes him an excellent choice to lead this consult service."
The National Center for Complementary and Alternative Medicine's mission is to explore complementary and alternative medical practices in the context of rigorous science, train CAM researchers, and disseminate authoritative information to the public and professionals. For additional information, call NCCAM's Clearinghouse toll free at 1-888-644-6226, or visit nccam.nih.gov.
The National Institutes of Health (NIH) -- The Nation's Medical Research Agency -- includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. It is the primary federal agency for conducting and supporting basic, clinical and translational medical research, and it investigates the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.
SOURCE: National Institutes of Health
This service will provide physicians, nurses, and other members of the Clinical Center health care team the ability to discuss complementary and alternative medicine (CAM) therapies with knowledgeable medical staff from the consult service and learn how various CAM practices might complement or interact with a patient's care as a research participant at the Clinical Center.
CAM is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine, such as herbal supplements, meditation, chiropractic manipulation, and acupuncture. Integrative medicine combines treatments from conventional medicine and CAM for which there is high-quality evidence of safety and effectiveness.
The 2002 National Health Interview Survey showed that more than one-third of all American adults use some form of CAM. And a recent consumer survey of older Americans revealed that less than one-third of those who had used CAM discussed this information with their physicians. Since patients at the Clinical Center are participating in research studies, it is important to know what CAM therapies are being used and how they might affect the treatments being studied.
"Volunteers who participate in clinical research at the NIH Clinical Center are partners in medical discovery. We are committed to providing excellent care for them," said John I. Gallin, MD, Director of the Clinical Center. "This new consult service will help enhance the care they receive and the research conducted here."
CAM is not a new concept at the NIH Clinical Center. The Clinical Center's Pain and Palliative Care Service and the Rehabilitation Medicine Department offer acupuncture, Reiki, hypnosis, guided imagery, massage therapy, acupuncture, tai chi, and qi gong training. The Pharmacy Department consults on herbals and herb/drug interactions and has conducted research in these areas. The Integrative Medicine Consult Service will coordinate the resources of these existing services to meet the needs of the Clinical Center staff and its patients. In addition to offering clinical consultation regarding CAM therapies, the service will establish a research program embedded in NIH's clinical and translational research structure and provide CAM education for NIH staff, patients, and their families.
The director of the consult service will be Patrick J. Mansky, MD, a clinical oncologist and researcher at NCCAM. Mansky received his medical degree from Witten/Herdecke University Medical School in Germany, where he also gained experience and received instruction in Anthroposophical Medicine including herbal therapies, art therapies, and physical applications. After a postdoctoral research fellowship in immunogenetics at Memorial Sloan-Kettering Cancer Center, New York, New York, he completed clinical residency training in pediatrics and internal medicine at Case Western Reserve University in Cleveland, Ohio. Mansky joined NIH in 1997 as a clinical and research fellow in pediatric hematology/oncology and medical oncology at the National Cancer Institute.
"I am delighted that Dr. Mansky accepted the position of head of the consult service. This service will provide a focal point for CAM evaluation, research, and education in the NIH intramural community," said Robert B. Nussenblatt, MD, Acting Scientific and Clinical Director of NCCAM's Division of Intramural Research. "I hope the larger medical community will find this an important new addition to the evaluation and treatment of our patients."
In 2001, Mansky joined NCCAM as a staff clinician and clinical investigator leading the Oncology Program in NCCAM's Division of Intramural Research. He conducts research on the application of CAM interventions in the care and treatment of cancer patients and survivors, such as electroacupuncture for nausea from chemotherapy, use of mistletoe in combination with gemcitabine for treating advanced cancers, and effects of tai chi and exercise in cancer survivors.
"We are pleased with the creation of the Integrative Medicine Consult Service and the role we hope it will play in providing Clinical Center patients with the best possible integrated care," said, Ruth L. Kirschstein, MD, Acting Director of NCCAM. "Dr. Mansky's blend of clinical and research experience at the crossroads of the CAM and conventional medicine fields makes him an excellent choice to lead this consult service."
The National Center for Complementary and Alternative Medicine's mission is to explore complementary and alternative medical practices in the context of rigorous science, train CAM researchers, and disseminate authoritative information to the public and professionals. For additional information, call NCCAM's Clearinghouse toll free at 1-888-644-6226, or visit nccam.nih.gov.
The National Institutes of Health (NIH) -- The Nation's Medical Research Agency -- includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. It is the primary federal agency for conducting and supporting basic, clinical and translational medical research, and it investigates the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.
SOURCE: National Institutes of Health
Thursday, May 10, 2007
Some alternative and complementary medicine approaches to migraine relief
Original article: http://www.southernillinoisan.com/articles/2007/05/09/health/doc464226cd2388a421528408.txt
Some alternative and complementary medicine approaches to migraine relief
Acupuncture: Dr. Ying Li, a licensed acupuncturist and certified Oriental medicine practitioner, at Southern Illinois Acupuncture in Carbondale and Metropolis, treats each patient individually using acupuncture and Chinese herbal remedies.
Acupuncture is the gentle insertion of extremely thin needles into specific points on the body to stimulate the flow of Qi or natural healing energy.
"They come to me when they're having the headaches," Li said. "If they respond well to acupuncture, we will usually have success after two or three treatments. The treatments help improve the quality of their lives."
Alexander Technique: Liz Patula, a certified teacher of the Alexander Technique in Carbondale, said that her students who experience migraines have reported fewer headaches because of the new ways they are learning to use their bodies.
The American Society of the Alexander Technique describes the Alexander Technique as a mode of self-management that gives you independence in maintaining your health. Rather than being solely a recipient, you learn to soothe your own nervous system, release your own muscles and balance your own structure.
"I teach my students how to use their overall coordination in a better way," Patula said. If they have tension in the neck and shoulders, Patula teaches them how to use their body so that there is no tension. "This can help them deal with migraines and experience improvement," she said.
Biofeedback: This learned mind-body technique helps a person influence his or her involuntary physical functions such as blood pressure, heart rate, muscle tension, and brain waves. This treatment is approved by the National Institutes of Health for chronic pain and insomnia.
Chiropractic: "After we make sure that there are no underlying diseases or neurological problems, I conduct a spinal exam on a migraine sufferer," said Alan Nolen, D.C., who has been practicing in West Frankfort for thirty years. "Then I use manipulation, deep heat, ultrasound therapies. If a collapsed disc is involved, I use decompression therapy. I recommend a low carb, get-rid-of-junk-food diet."
Diet and exercise: Perkins recommends that her patients drink half their body weight in ounces of water each day. Any foods that seem to provoke migraines - especially those with increased levels of tyramine - should be eliminated from the diet. She also encourages exercise because it releases endorphins, which help pain.
Herbs and supplements: Magnesium, vitamin B-2 (riboflavin), butterbur, and feverfew are often recommended, according to the website of Andrew Weil, M.D.
Massage therapy: Marty Griffin, LMT and owner of Southern Illinois Massage Clinic in Herrin, is also certified in neuromuscular therapy, myofascial release therapy, and reflexology. When working with migraine sufferers, he uses a variety of treatments.
"I focus on relaxation," Griffin said. "I work around the eyes in an easy manner. I friction the suboccipital muscles under the base of the skull because there can be a lot of tension there. I work on all cervical and trapezius muscles, the neck and head areas, the temporalis muscles in the heads, and the scalp. I want to improve circulation by relaxing the fascia."
Some alternative and complementary medicine approaches to migraine relief
Acupuncture: Dr. Ying Li, a licensed acupuncturist and certified Oriental medicine practitioner, at Southern Illinois Acupuncture in Carbondale and Metropolis, treats each patient individually using acupuncture and Chinese herbal remedies.
Acupuncture is the gentle insertion of extremely thin needles into specific points on the body to stimulate the flow of Qi or natural healing energy.
"They come to me when they're having the headaches," Li said. "If they respond well to acupuncture, we will usually have success after two or three treatments. The treatments help improve the quality of their lives."
Alexander Technique: Liz Patula, a certified teacher of the Alexander Technique in Carbondale, said that her students who experience migraines have reported fewer headaches because of the new ways they are learning to use their bodies.
The American Society of the Alexander Technique describes the Alexander Technique as a mode of self-management that gives you independence in maintaining your health. Rather than being solely a recipient, you learn to soothe your own nervous system, release your own muscles and balance your own structure.
"I teach my students how to use their overall coordination in a better way," Patula said. If they have tension in the neck and shoulders, Patula teaches them how to use their body so that there is no tension. "This can help them deal with migraines and experience improvement," she said.
Biofeedback: This learned mind-body technique helps a person influence his or her involuntary physical functions such as blood pressure, heart rate, muscle tension, and brain waves. This treatment is approved by the National Institutes of Health for chronic pain and insomnia.
Chiropractic: "After we make sure that there are no underlying diseases or neurological problems, I conduct a spinal exam on a migraine sufferer," said Alan Nolen, D.C., who has been practicing in West Frankfort for thirty years. "Then I use manipulation, deep heat, ultrasound therapies. If a collapsed disc is involved, I use decompression therapy. I recommend a low carb, get-rid-of-junk-food diet."
Diet and exercise: Perkins recommends that her patients drink half their body weight in ounces of water each day. Any foods that seem to provoke migraines - especially those with increased levels of tyramine - should be eliminated from the diet. She also encourages exercise because it releases endorphins, which help pain.
Herbs and supplements: Magnesium, vitamin B-2 (riboflavin), butterbur, and feverfew are often recommended, according to the website of Andrew Weil, M.D.
Massage therapy: Marty Griffin, LMT and owner of Southern Illinois Massage Clinic in Herrin, is also certified in neuromuscular therapy, myofascial release therapy, and reflexology. When working with migraine sufferers, he uses a variety of treatments.
"I focus on relaxation," Griffin said. "I work around the eyes in an easy manner. I friction the suboccipital muscles under the base of the skull because there can be a lot of tension there. I work on all cervical and trapezius muscles, the neck and head areas, the temporalis muscles in the heads, and the scalp. I want to improve circulation by relaxing the fascia."
Tuesday, April 24, 2007
Antinociception of heterotopic electro-acupuncture mediated by the dorsolateral funiculus
17/04/2007 - Antinociception of heterotopic electro-acupuncture mediated by the dorsolateral funiculus.
Country: U.S.A
Institute: The Institute of New Life Health Center, Boston, USA.
Author(s): Lee SJ, Lyu YS, Kang HW, Sohn IC, Koo S, Kim MS, Park BR, Song JH, Kim JH.
Journal: Am J Chin Med. 2007;35(2):251-64.
Abstract:
We investigated the inhibitory pathways that mediate the antinociceptive effects of heterotopic electro-acupuncture (EA) on formalin injection-induced pain in rats.
EA (2 ms, 10 Hz, 3 mA) was delivered to heterotopic acupoints HT(7) and PC(7) for 30 min; this was followed immediately by subcutaneous injection of formalin into the left hind paw of rats. Naltrexone (10 mg/kg, i.p.), an opioid receptor antagonist, was administered to evaluate the involvement of endogenous opioids. The dorsolateral funiculus (DLF), which is a descending pathway that inhibits pain, was transected at the ipsilateral T10-11 level of the thoracic spinal cord.
EA inhibited behavioral responses to formalin injection-induced pain and prevented the pain-induced increase in cFos expression in the lumbar spinal cord. Pretreatment with naltrexone did not inhibit the antinociceptive effects of EA on formalin injection-induced pain. Transection of the DLF ipsilateral to the acupuncture site eliminated the antinociceptive effects of EA.
These results suggest that the antinociceptive effects of heterotopic EA are mediated by the DLF and not by endogenous opioids.
Article Retrieved From: http://acupuncture.com.au - http://www.acupuncture.com.au/articles/viewarticle.html?id=095
Country: U.S.A
Institute: The Institute of New Life Health Center, Boston, USA.
Author(s): Lee SJ, Lyu YS, Kang HW, Sohn IC, Koo S, Kim MS, Park BR, Song JH, Kim JH.
Journal: Am J Chin Med. 2007;35(2):251-64.
Abstract:
We investigated the inhibitory pathways that mediate the antinociceptive effects of heterotopic electro-acupuncture (EA) on formalin injection-induced pain in rats.
EA (2 ms, 10 Hz, 3 mA) was delivered to heterotopic acupoints HT(7) and PC(7) for 30 min; this was followed immediately by subcutaneous injection of formalin into the left hind paw of rats. Naltrexone (10 mg/kg, i.p.), an opioid receptor antagonist, was administered to evaluate the involvement of endogenous opioids. The dorsolateral funiculus (DLF), which is a descending pathway that inhibits pain, was transected at the ipsilateral T10-11 level of the thoracic spinal cord.
EA inhibited behavioral responses to formalin injection-induced pain and prevented the pain-induced increase in cFos expression in the lumbar spinal cord. Pretreatment with naltrexone did not inhibit the antinociceptive effects of EA on formalin injection-induced pain. Transection of the DLF ipsilateral to the acupuncture site eliminated the antinociceptive effects of EA.
These results suggest that the antinociceptive effects of heterotopic EA are mediated by the DLF and not by endogenous opioids.
Article Retrieved From: http://acupuncture.com.au - http://www.acupuncture.com.au/articles/viewarticle.html?id=095
The treatment of obesity by acupuncture.
An interesting abstract posted on a mailing list. Have yet to find the original article, though.
Int J Neurosci. 2006 Feb;116(2):165-75. Related
Articles, Links
The treatment of obesity by acupuncture.
Cabyoglu MT, Ergene N, Tan U.
Department of Physiology, Selcuk University, Faculty
of Meram Medical, Konya, Turkey. tugcab@yahoo.com
The present study is an investigation of the results of the studies on the effects of acupuncture application therapy on obesity. It has been reported that acupuncture application in obesity treatment is effective in procuring weight loss. It can affect appetite, intestinal motility, and metabolism, as well as emotional factors such as stress. Increases in neural activity in the ventromedial nuclei of the hypothalamus, in tone in the smooth muscle of the stomach and in levels of enkephalin, beta endorphin, and serotonin in plasma and brain tissue have also been observed with the application of acupuncture. It has been observed that acupuncture application to obese people increases excitability of the satiety center in the ventromedial nuclei of the hypothalamus. Acupuncture stimulates the auricular branch of the vagal nerve and raises serotonin levels. Both of these activities have been shown to increase tone in the smooth muscle of the stomach, thus suppressing appetite. Among other things, serotonin enhances intestinal motility. It also controls stress and depression via endorphin and dopamine production. In addition to these effects, it is thought that the increase in plasma levels of beta endorphin after acupuncture application can contribute to the body weight loss in obese people by mobilizing the body energy depots through lipolithic effect.
Int J Neurosci. 2006 Feb;116(2):165-75. Related
Articles, Links
The treatment of obesity by acupuncture.
Cabyoglu MT, Ergene N, Tan U.
Department of Physiology, Selcuk University, Faculty
of Meram Medical, Konya, Turkey. tugcab@yahoo.com
The present study is an investigation of the results of the studies on the effects of acupuncture application therapy on obesity. It has been reported that acupuncture application in obesity treatment is effective in procuring weight loss. It can affect appetite, intestinal motility, and metabolism, as well as emotional factors such as stress. Increases in neural activity in the ventromedial nuclei of the hypothalamus, in tone in the smooth muscle of the stomach and in levels of enkephalin, beta endorphin, and serotonin in plasma and brain tissue have also been observed with the application of acupuncture. It has been observed that acupuncture application to obese people increases excitability of the satiety center in the ventromedial nuclei of the hypothalamus. Acupuncture stimulates the auricular branch of the vagal nerve and raises serotonin levels. Both of these activities have been shown to increase tone in the smooth muscle of the stomach, thus suppressing appetite. Among other things, serotonin enhances intestinal motility. It also controls stress and depression via endorphin and dopamine production. In addition to these effects, it is thought that the increase in plasma levels of beta endorphin after acupuncture application can contribute to the body weight loss in obese people by mobilizing the body energy depots through lipolithic effect.
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