School: aaaom.edu

Tuesday, September 30, 2014

Food as Medicine



Traditional Chinese Cuisine: Let Food Be Your Medicine
There is a long tradition in China of using medicinal herbs in cuisine. The Chinese Ministry of Health has a list which includes more than 80 foods that can be used both as food and medicine, more than 110 herbs used for health and 59 ingredients forbidden in foods for health purposes.
Last year, the Ministry of Health announced that aweto, a rare fungus believed to have a replenishing function, is not recommended for ordinary food products. But experts warn that people should be particularly careful when using ingredients with strong medicinal properties.
Public interest in medicinal cuisine has fueled the growth of restaurants proffering foods that offer health benefits, but often without the guidance of experienced cuisine masters.
A warming bowl of lamb soup with ginger and the Chinese herb angelica is a classic Chinese recipe for people who feel cold and tired in autumn and winter.  Chinese angelica is an often-used traditional herbal medicine. Its warming capacity is used to stimulate blood circulation, while ginger dispels coldness, warms up the inside of the body, and promotes perspiration. Lamb has a hot, warming property that replenishes energy for the weak.
This recipe was first drafted by Zhang Zhongjing, one of China’s best-known traditional medicine doctors in the Eastern Han Dynasty (AD 25-220).  About 1,800 years later, this soup is still prescribed during the cold seasons for people with a weak constitution, especially old people and women after delivery.
Another good example is ginseng – widely popular not only in China, but also in Korea and Southeast Asian countries as a daily energy booster. The valuable herb is used to replenish qi (energy) and sooth nerves among people with a weak constitution. But it has been found that, for people with weak yin and excited yang, ginseng can lead to dizziness, overexcitement and even mania.
Some other commonly used Chinese herbs in food can also have adverse properties. Saffron, which invigorates blood circulation and boosts immunity, can cause miscarriages, dizziness and over excitement. Huang qi, or milk vetch root, replenishes energy but can be dangerous for people who’ve had a cerebral hemorrhage.
Maybe restaurants should have TCM doctors as instructors and experienced chefs in food and herb combining to prepare “medicinal cuisine”. It also requests that ingredients used in medicinal foods should be those designated in a list issued by the Ministry of Health in 2002, and that the quantity of herbs used should not be more than those designated in the Pharmacopoeia of the People’s Republic of China.
Du Zhong, or eucommia bark, for instance, is cooked in soup with pork kidney to replenish energy in men’s kidneys. Ginseng, angelica and lily bulb are boiled together to replenish energy, and benefit the lungs.  Other common ingredients used as foods and herbal medicines include Chinese jujube, lotus seed, medlar fruit, longan and gastrodia tuber. The fresh leaves of mint, basil, milk vetch and baical skullcap are also being used in dishes.
Jiao Mingyao, general manager at Beijing’s Tian Xia Yi Jia Restaurant, says that ginseng has already faded out of restaurants, but aweto still exists on quite a few menus.  Jiao recommends eating nutritious foods according to different seasons, individual physical conditions and location.  He says foods that raise energy in spring include sprouts and the liver of chicken, pork and lamb to replenish energy in the liver.  
“Summer is a time to replenish energy mildly, and dispel heat and dryness,” he says. “It is good to eat lotus seed, mint, water chestnut, pigeon, beef and duck.”
For autumn, he suggests frying lily bulb with gingko, and making dishes with orange and pear. In winter, beef and lamb, as well as venison are all good energy boosters, he says.
“My concept of medicinal food is about scientific, nutritional cooking,” Jiao says. “It should be an advanced phase of development for Chinese cuisine, instead of a simple mixture of herbal medicine and food.”
Chinese herbs and medicinal ingredients should be devided into those with light medicinal properties and those with strong medicinal properties, which should only be prescribed by doctors.
“Those herbal medicines that can be mixed with foodstuff to treat illnesses should be left for doctors to decide,” he says. “As to those that are also foodstuff, people should be reminded of their side effects, but they should not be banned from using them.”
Source of the story is  here.

Monday, September 29, 2014

Acupuncture for Cancer



UF researcher to study if acupuncture could help cancer patients
Saun-Joo Yoon, an associate professor of nursing, has received a UF Research Opportunity Seed Fund award for 2014-2016 to conduct the study.
Yoon and colleagues from the UF colleges of Medicine, Public Health and Health Professions, and Pharmacy will study the impact of an acupuncture intervention to counteract weight loss in gastrointestinal cancer patients with cachexia, a wasting syndrome whose symptoms are characterized by involuntary weight and muscle loss that cannot be reversed nutritionally.
The intervention, called mechanism-based acupuncture, addresses the specific symptoms of a disease or condition.
“Treatment for cancer such as chemotherapy and tumor-mediated metabolic changes can cause weight loss, systemic inflammation and muscle waste, which negatively impacts patients’ health at a critical time,” Yoon said. “We want to explore whether complementary treatments like acupuncture specifically focused on these symptoms can improve their appetite and overall health outcomes, including their physical functioning and quality of life.”
Yoon’s past research has focused on how complementary and alternative medicines can promote health and manage chronic illness in adult populations.
Yoon, who is one of 16 UF faculty member principal investigators to receive this award, and her research team will receive $84,000 over two years.
UF distributes approximately 15-18 Research Opportunity Seed Fund awards each year, which range from $65,000 to $85,000. 

Source of the report is here.

Sunday, September 28, 2014

Acupuncture Sensation and Bell’s Palsy



Acupuncture Sensation and Bell’s Palsy

Acupuncture therapy emphasizes de qi (obtaining qi sensation) from the needling process is critical. De qi is a sensation of soreness, tingling, fullness, aching, cool, warmth and heaviness, and a radiating sensation at and around the acupoints when needling is performed. Can de qi be justified for treating Bell’s palsy? Does stronger stimulation have a better therapeutic effect? To answer these questions, a prospective multicenter randomized controlled trial involving patients with Bell’s palsy was conducted in the Department of Neurology, Key Laboratory of Neurological Diseases of Chinese Ministry of Education, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. 338 patients were randomly assigned to two groups: the de qi group (167 patients) or control group (171 patients). The same acupuncture prescription was applied to both groups. In the de qi group, the needles were manipulated manually until qi sensation was obtained, while in the control group, the needles were inserted without any manipulation. All patients received prednisone as a basic treatment. The primary assessed outcome was facial nerve function at month 6. The results showed that after 6 months, patients in the de qi group had better facial function (adjusted odds ratio [OR] 4.16, 95% confidence interval [CI] 2.23-7.78), better disability assessment (differences of least squares means 9.80, 95% CI 6.29-13.30) and better quality of life (differences of least squares means 29.86, 95% CI 22.33-37.38). Logistic regression analysis showed a positive effect of the de qi score on facial-nerve function (adjusted OR 1.07, 95% CI 1.04-1.09). The study concluded that among patients with Bell palsy, acupuncture with strong stimulation that elicited de qi had a greater therapeutic effect, and stronger intensity of de qi was associated with the better therapeutic effects.

Xu SB, Huang B, Zhang CY, Du P, Yuan Q, Bi GJ, Zhang GB, Xie MJ, Luo X, Huang GY, Wang W. Effectiveness of strengthened stimulation during acupuncture for the treatment of Bell palsy: a randomized controlled trial. CMAJ. 2013 Apr 2;185(6):473-9.

Saturday, September 27, 2014

Chinese Medicine for Chronic Fatigue Syndrome

Traditional Chinese Medicine for Chronic Fatigue Syndrome: A Systematic Review of Randomized Clinical Trials
BACKGROUND: There is no curative treatment for chronic fatigue syndrome (CFS). Traditional Chinese medicine (TCM) is widely used in the treatment of CFS in China.
OBJECTIVE: To evaluate the effectiveness and safety of TCM for CFS.
METHODS: The protocol of this review is registered at PROSPERO. We searched six main databases for randomized clinical trials (RCTs) on TCM for CFS from their inception to September 2013. The Cochrane risk of bias tool was used to assess the methodological quality. We used RevMan 5.1 to synthesize the results.
RESULTS: 23 RCTs involving 1776 participants were identified. The risk of bias of the included studies was high. The types of TCM interventions varied, including Chinese herbal medicine, acupuncture, qigong, moxibustion, and acupoint application. The results of meta-analyses and several individual studies showed that TCM alone or in combination with other interventions significantly alleviated fatigue symptoms as measured by Chalder's fatigue scale, fatigue severity scale, fatigue assessment instrument by Joseph E. Schwartz, Bell's fatigue scale, and guiding principle of clinical research on new drugs of TCM for fatigue symptom. There was no enough evidence that TCM could improve the quality of life for CFS patients. The included studies did not report serious adverse events.
CONCLUSIONS: TCM appears to be effective to alleviate the fatigue symptom for people with CFS. However, due to the high risk of bias of the included studies, larger, well-designed studies are needed to confirm the potential benefit in the future.
Source: Wang YY, Li XX, Liu JP, Luo H, Ma LX, Alraek T. Traditional Chinese medicine for chronic fatigue syndrome: A systematic review of randomized clinical trials. Complement Ther Med. 2014 Aug;22(4):826-33. doi: 10.1016/j.ctim.2014.06.004. Epub 2014 Jun 30.

Friday, September 26, 2014

Chinese Medicine and Tourism



Traditional Chinese medicine and sporting events have been eyed to play important roles for attracting tourists to visit the country.
Beijing’s tourism authority said they have intended to use TCM and sports to boost the tourism industry in China. According to Beijing Commission of Tourism deputy director Wang Yue, traditional medicine promotion along with the upcoming World Athletics Championship in 2015 would attract visitors to China.
The upcoming 2015 World Athletics Championships is the most important sporting event to occur in China after the Olympic Games held in the country in 2008.
According to Wang, visitors are attracted to visit Beijing for major sporting events. She also added China’s capital has greatly benefited from the 2008 Olympic Games where thousands of tourists flew into the country to witness the event. Furthermore, Wang added promoting tourism products to visitors while in China.
Traditional Chinese medicine products for visitors include traditional health services and sightseeing tours. TCM tourism provides guests with services including healthy cuisine and traditional massage. Since August, numerous Beijing-based travel operators have been highlighting TCM tourism.
In the last two years, the Chinese capital has been struggling with its inbound tourism industry although its outbound tourism has been flourishing. The Beijing Bureau of Statistics reported a year after year decline of 5.9% in the city’s inbound tourism. The data also show Beijing has received 2.36 million overseas guests.
Before, Beijing has been the only and most popular tourist destination in China. However, the continuing popularity of cities and other tourist destinations in Jiangsu and Tianjin has offered tough competition for inbound tourists.
Deputy Director Wang said she is confident that TCM would greatly aid the tourism industry in Beijing. She also added that Beijing would become a more diverse vacation destination for tourists. Furthermore, she said TCM and sporting events would help to address the issue over the scarcity on middle and high end tourism products in Beijing.

Source of the story is here.

Integrated Chinese-Western Medicine in Hong Kong



Hospitals Pair Western, Chinese Medicine in Trial

Three public hospitals will begin offering integrated Chinese-Western medicine services today.
The Hospital Authority's Integrated Chinese- Western Medicine Pilot Project will be a testing platform for doctors of both types of medicine to cooperate in setting out a clinical framework for hospital care.
Western medicine will be the main form of treatment and Chinese medicine will play an assisting role. Chinese and Western medicine doctors are encouraged to pair up when going into the sickroom to observe the in-patients together.
The two doctors will write in the same diary exchanging information before designing a treatment plan.
The patient will undergo a main therapy given by the Western medicine doctor with Chinese medicine doctors giving additional treatment, such as acupuncture, to relieve side effects and strengthen results.
Cheung Wai-lun, director (cluster services) of the Hospital Authority, said: "This is not a research program on the medical value of Chinese-Western combined medicine. It is to try out the system to run this kind of protocol across the entire public medical network in future."
The first phase of the project, which will last for six months, will be carried out among stroke patients at Tung Wah Hospital in Sheung Wan, palliative care at Tuen Mun Hospital and acute low back pain at Pamela Youde Nethersole Eastern Hospital in Chai Wan. This will be followed by an evaluation before the next phase begins in March.
Three Chinese medicine centers for training and research will send out practitioners with at least four years' experience to join the project under a senior supervisor.
The authority's chief of Chinese medicine and integrative medicine, Eric Ziea Tat-chi, said he hopes the program can provide training opportunities for Chinese medicine doctors as well.
The attending doctor will first select eligible in- patients to take part, then invite them to join the voluntary pilot program.
Each enrolled patient, on top of their original medical cost as in-patients, will need to pay around HK$200 per day for the Chinese medical consultation and treatment. Out-patients will pay HK$120 per visit.
Out-patients may arrange for follow-up treatment after discharge.
Patients are free to quit the project if they do not feel well during treatment.
Source of the story is here.