Clinical Acupuncture and Oriental Medicine

Publisher: Society for Acupuncture Research; National Academy of Acupuncture and Oriental Medicine

Description

The mission of Clinical Acupuncture and Oriental Medicine is to: (1) Create a forum for the exchange of information and all significant points of view related to the transmission, education, research, and clinical practice of Chinese medicine and related disciplines. (2) Establish standards of translation, research, study, and practice of Chinese medicine based upon and rooted in the traditional archives and related traditions. (3) Stimulate and disseminate discussion and debate among all significant points of view related to points 1 and 2, above. (4) Conduct an ongoing critical assessment of the English language literature of traditional Chinese medicine. (5) Increase the mutual understanding and cooperation between students, teachers, researchers and practitioners of traditional Chinese medicine throughout the world.

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  • 5-year impact
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  • Website
    Clinical Acupuncture and Oriental Medicine website
  • Other titles
    Clinical acupuncture and oriental medicine (Online)
  • ISSN
    1461-1449
  • OCLC
    45232735
  • Material type
    Document, Periodical, Internet resource
  • Document type
    Internet Resource, Computer File, Journal / Magazine / Newspaper

Publications in this journal

  • Clinical Acupuncture and Oriental Medicine 12/2003; 4(4):103-104.
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    ABSTRACT: Primary objectives: To explore the current level of computerization in clinical practice of acupuncturists in the Hong Kong Special Administrative Region.Methods and procedures: A self-completed, one-page two-sided, questionnaire was sent to the sample via mail, and a second mailing was sent to those who had not replied after 14 days. The Sample consisted of 367 listed acupuncturists registered with the Chinese Medicine Council of Hong Kong in 2002.Main outcomes and results: We received 162 questionnaires from this mailed survey. After deducting those who had moved (n=37), we calculated a response rate of 49.1%. Male respondents accounted for 72.2% (n=117) of replies, and 46 respondents (28.9%) had used computer in their practices. The present analyses provide evidence that acupuncturists’ current overall level of knowledge and use of computers in clinical practice is far from optimal. At best, only about 5.3% and 2.9% of acupuncturists in the study sample had computerized 5–8 clinical and 5–8 administrative functions, respectively.Conclusions: In Hong Kong primary health care systems place much emphasis on quality outcomes and cost reduction. In order to achieve these goals, apparatus that allows greater accountability represents a means by which healthcare providers and policy makers can exercise greater control over healthcare services. Thus, implementation of computer systems in clinical practice can be seen as a prominent part of this overall philosophy. The present study has systematically documented the extent of clinical computer use in HK, identified areas for improvement, as well as specific groups of acupuncturists who might benefit from targeted efforts to promote computerization in the practice.
    Clinical Acupuncture and Oriental Medicine 12/2003; 4(4):127-137.
  • Clinical Acupuncture and Oriental Medicine 12/2003; 4(4):164-168.
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    ABSTRACT: Context: Depression is one of the most common and painful forms of mental suffering. Treatment with acupuncture may help to alleviate, transform and perhaps eliminate symptomology.Objective: To determine if acupuncture’s extraordinary vessels are effective in treating major depressive disorder.Design: Observational, mixed-method, pilot study.Setting: Participants were recruited through a newspaper advertisements and prescreened for Major Depressive Disorder.Participants: Ten men and women (34–66 years of age), screened for Major Depressive Disorder, were treated with acupuncture.Interventions: Acupuncture’s extraordinary vessels – treatment involved four weeks of twice weekly acupuncture treatments followed by four weeks of once weekly treatments.Main Outcome Measures: Structured Clinical Interview for DSM-IV (SCID). Beck and Reynolds Depression Inventories.Results: Those who completed the treatments showed significant improvement on both the Beck and Reynolds Depression Inventories and on retakes of the SCID suggesting that acupuncture can provide significant relief from depression in both men and women.
    Clinical Acupuncture and Oriental Medicine 12/2003; 4(4):144–147.
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    ABSTRACT: The author asserts, that each point of Principal meridian renders differential influence on a skeletal musculation. Particularly on each muscle renders direct influence four points, though there are also exceptions. Whereas the quantity of muscles size constant, occurs an opportunity to prognosticate opening new points. The creation of the completed system of active points of a body will enable to lead Qi in any site of a skeletal musculation of the person, and system will allow to describe interrelation between akupoints and skeletal muscles. And though the belonging of points to a concrete meridian is defined by their direct influence on an internal body usually appropriate to the name of a meridian. Nevertheless, this difficult process of identification is easier for beginning from interrelation akupoints and skeletal muscles. The detailed description of influence of each concrete point on sites of skeletal muscles, internal bodies, veins, arteries will frame an opportunity to consider very exact influence of each point on all organism as a whole. On an example of the Lung meridian will are considered general principles of interaction between akupoints and skeletal musculation. Muscularly––tendon meridians described in the ancient medical treatises to the given work have no any attitude.
    Clinical Acupuncture and Oriental Medicine 12/2003; 4(4):179-190.
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    ABSTRACT: In this manuscript, I describe a research agenda appropriate to the acupuncture community that is designed to fundamental questions of interest to patients and practitioners. The agenda would help schools focus their training to prepare practitioners to meet the needs of the patients who come to them, would prepare practitioners to be confident of the ways in which they can help patients and when they cannot, and would prepare patients to be more savvy and appropriate consumers of acupuncture. I describe 13 top research priorities. For each research priority, I describe why it is important to our general understanding of acupuncture, what type of data or experiments are needed to answer these questions and what groups of acupuncturists can best answer these questions.
    Clinical Acupuncture and Oriental Medicine 12/2003; 4(4):114-120.
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    ABSTRACT: Belching, or hiccup in TCM, can be a very serious condition for the suffering patients experience in their working, learning and social situation, and yet, little attention is given for its treatment in Western Medicine. Traditional Chinese Medicine theory suggests the condition may be a warning sign of deterioration of other acute or chronic diseases, which requires early diagnosis and treatment to prevent complications. Acupuncture treatment involves the principle of harmonizing stomach function and descending inverse through specific point selection, which is determined by the different types of hiccup. The acupuncture treatment, which is very inexpensive and without side effects, has been 100% effective in this study, has increased the patients’ acceptance and confidence in this therapy.
    Clinical Acupuncture and Oriental Medicine 12/2003; 4(4):169-172.
  • Clinical Acupuncture and Oriental Medicine 12/2003; 4(4):121–126.
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    ABSTRACT: The electrocardiogram is a representative signal containing information about the condition of the heart. The shape and size of the P-QRS-T wave, the time intervals between its various peaks, etc., may contain useful information about the nature of disease afflicting the heart. However, the human observer cannot directly monitor these subtle details. Besides, since bio-signals are highly subjective, the symptoms may appear at random in the time scale. Therefore, the heart rate variability signal parameters, extracted and analyzed using computers, are highly useful in diagnostics. Analysis of heart rate variation (HRV) has become a popular non-invasive tool for assessing the activities of the autonomic nervous system. HRV analysis is based on the concept that fast fluctuations may specifically reflect changes of sympathetic and vagal activity. It shows that the structure generating the signal is not simply linear, but also involves nonlinear contributions. This work is an attempt made to do a quantitative study on the effect of reflexology on the HRV during reflexologic stimulation. The nonlinear parameters are evaluated for this study and the results obtained for 20 subjects are tabulated.
    Clinical Acupuncture and Oriental Medicine 12/2003; 4(4):173–178.
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    ABSTRACT: The effects of mechanical stimulation on various skin areas on rectal motility were examined in anesthetized rats as a model of human. The rectal motility was measured by the balloon method at a position about 4–6 cm from the anus. Mechanical stimulation of the perineum induced a characteristic contraction of the rectum. Stimulation of the other skin areas did not produce any responses in the rectal motility. After the spinal transection at the 1st to 2nd cervical level, stimulation on the hindpaw and lower abdomen as well as the perineum induced the characteristic contraction of the rectum. These responses were abolished by severance of the pelvic nerves. After the severance of the sympathetic nerves innervating the rectum, the rectal motility increased its frequency, behind which the stimulation-induced responses were hidden and could not be observed. These results indicate that rectal motility was modulated by cutaneous mechanical stimulation through a segmental spinal reflex mechanism in anesthetized rats.
    Clinical Acupuncture and Oriental Medicine 12/2003; 4(4):138–143.
  • Clinical Acupuncture and Oriental Medicine 03/2003; 4(1):29-33.
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    ABSTRACT: How can we account for the fact that traditional Chinese medicine is both so ancient and yet so effective? This apparent paradox is difficult to explain from the world view of the physical sciences. To address it, we must be aware of the gap between East and West, and bearing such awareness in mind we can begin to shed light on such questions from the perspective of system science. In doing so we will discuss Yn-Yáng and the Five Phases theory, which constitute the basic theoretical framework of Traditional Chinese Medicine. In these ancient Chinese modes of reasoning, Yn-Yáng is the first step to classify the qualitative properties of things, while the Five Phases are employed to analyze and express the relationships among systems. Following this combination of contemporary and ancient ways of thinking, Traditional Chinese Medicine can provide a promising method to deal with complex things.
    Clinical Acupuncture and Oriental Medicine 03/2003;
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    ABSTRACT: In this brief paper the author highlights a number of issues involved in the investigation of traditionally based systems of acupuncture. Issues of authenticity and scholarship are discussed. Selecting clinical research models to match the type of question asked are discussed. The author also suggests a number of research models and a checklist of criteria that may be necessary for randomized controlled clinical trials of acupuncture exploring the relationship between clinical efficacy and the specific traditional diagnosis-treatment interventions used.
    Clinical Acupuncture and Oriental Medicine 01/2003; 4:84-87.
  • Clinical Acupuncture and Oriental Medicine 01/2003; 4(4):109-113.
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    ABSTRACT: Objective: To study the various methods and levels of blinding in acupuncture research. Data sources: Reference lists of the most recent systematic review of acupuncture on pain, systematic search of MEDLINE from 1966 to August 2000, CINAHL from 1982 to August 2000, and HealthSTAR from 1975 to August 2000.Study selection: Randomized studies were included if they evaluated the effectiveness of acupuncture in painful conditions using a blinded design.Data extraction: The hard copy of each of the eligible studies available was reviewed. The following information was extracted: name of first author, publication year, study design, blinding testing, treatment sham group received, and the outcome measures.Data synthesis: There were 19 studies identified. They were described as ‘double blinded’ by the authors, referring to blinding of patients and evaluators. Sixteen studies did not perform any blinding testing after the treatments were over. Only three studies provided information that the blinding of patients was successful. These three studies used different questionnaires to assess the success of blinding. There was no study that evaluated the success of blinding of treatment evaluators. Also, no study attempted blinding of the treating acupuncturists.Conclusions: Proper blinding of patients and evaluators is possible in acupuncture research and many different techniques of proper blinding exist. Assessment of blinding is a critical aspect of any sham or placebo controlled trial and should be routinely incorporated into the design of such trials of acupuncture.
    Clinical Acupuncture and Oriental Medicine 01/2003; 4(2):71-77.
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    ABSTRACT: The diagnostic processes of Traditional Chinese Medicine (TCM) are fundamental to the practice of acupuncture. A review was conducted of some central issues underlying pattern differentiation and the integration of the TCM diagnostic system into acupuncture research. Problems with diagnostic reliability and the implications for clinical trials are discussed. Future research should include diagnostic reliability studies and the development of strategies for improving diagnostic reliability within acupuncture clinical trials.
    Clinical Acupuncture and Oriental Medicine 01/2003; 4(2):94-101.
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    ABSTRACT: The evaluation of traditionally-based systems of acupuncture (TBSA) is complex. However, we can assess specific measurement techniques and the diagnostic consistency of traditional Chinese medicine. In the context of randomised controlled trials, the intrinsic value of individual diagnostic systems versus general formulaic prescriptions for specific conditions needs to be carefully thought through, and an individual trial methodology based on the structure of each research proposal needs to be developed. The implications of evaluating TBSAs are discussed in this paper, although it is clear that we have as yet no clear answers to these complex issues.
    Clinical Acupuncture and Oriental Medicine 01/2003;
  • Clinical Acupuncture and Oriental Medicine 01/2003; 4(4):105-108.