School: aaaom.edu

Tuesday, March 31, 2015

Nursing students learn about traditional Chinese medicine

Even in today’s high-tech health care world, future professionals have much to learn from ancient medical practices. That was the takeaway for six Penn State nursing students who recently traveled to Hong Kong to learn about Chinese health care and nursing education.
Through a reciprocal arrangement with The Chinese University of Hong Kong (CUHK), the College of Nursing sends up to 10 students there each winter for two weeks of studying and sightseeing. In return, 10 CUHK nursing students visit Penn State each year during the fall semester.
One of the trip’s highlights was learning about traditional Chinese medicine, said Pam Lawson, a College of Nursing faculty member who accompanied the students on the trip.
“The nurse practitioner students (at CUHK) demonstrated many forms of Chinese medicine they were studying at the time,” Lawson said. “Several of the Penn State students volunteered to have them practice certain techniques, such as cupping, acupuncture and the use of incense.”
Caitlin Brennan, a nursing major studying at Penn State Hershey, learned about acupuncture and chiropractic care, along with a few techniques not as well known in the West, such as tongue diagnosis.

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Monday, March 30, 2015

A New Research on Combining Chinese Herbal Formula with Hypertension Drug



A New Research on Combining Chinese Herbal Formula 
with Hypertension Drug
Despite a recent American Heart Association (AHA) consensus statement emphasizing the importance of resistant hypertension (RH), its control is still a challenge for conventional medicine. The Chinese herbal formula, Qutan Huayu Fang, has been used effectively to assist antihypertensive agents in blood pressure control, but its effect for RH patients is still unclear. This pilot study aims to explore the effects of taking the formula in addition to antihypertensive medication in the management of RH. A prospective cohort study will be conducted in two first-class hospitals of traditional Chinese medicine (TCM). Eligible RH patients will be classified as the experimental group (n = 100) and the control group (n = 100) based on the interventions they receive. Participants taking antihypertensive agents and the Chinese herbal formula will be in the experimental group and those taking antihypertensive agents alone will be in the control group. The whole study will last 24 weeks, including an 8-week observation and follow-up at 24 weeks. The primary outcomes, assessed against patient baseline conditions, will be the reduction of systolic blood pressure and diastolic blood pressure as well as changes in TCM symptoms and signs. These outcomes will be assessed at weeks 2, 4, 6, and 8. The reductions of blood pressure will also be assessed at week 24. Cardiac events and mortality rate will be secondary outcomes and will be assessed at weeks 8 and 24. Any adverse reactions will be recorded during the study. The causal inference method will be used to assess the effectiveness of the inclusion of TCM herbal medicine in the management of patients with RH. This study will determine whether the Chinese herbal formula is helpful for RH patients treated with antihypertensive agents and the findings will provide a basis for further confirmatory studies.
Source: Yuwen Y, Liu YQ, Wang YP, Dai JG, Liu DS, Wang YX, Han XJ. The add-on effect of a Chinese herbal formula for patients with resistant hypertension: study protocol for a pilot cohort study. J Integr Med. 2015 Mar;13(2):122-8.

Sunday, March 29, 2015

Chinese herbal medicine for myelosuppression induced by chemotherapy or radiotherapy



Chinese herbal medicine for myelosuppression induced by chemotherapy or radiotherapy
Background. Myelosuppression is one of the major side effects of chemo- and radiotherapy in cancer patients and there are no effective interventions to prevent it currently. Chinese herbal medicine (CHM) may be helpful due to its multidrug targets. Objectives. This study was designed to evaluate effectiveness of CHM on preventing patients from experiencing myelosuppression by chemo- or radiotherapy. Search Methods. Randomized controlled trials (RCTs) were retrieved from seven different databases from the date of database creation to April 2014. We assessed all included studies using Cochrane Handbook for Systematic Reviews of Interventions 5.1.0 and performed statistical analysis using RevMan 5.2.1. Results. Eight RCTs were included (818 patients). Pooled data showed that increase of white blood cells (WBCs) is higher with CHM plus chemotherapy/radiotherapy than with chemotherapy/radiotherapy only. Both CHM compared to placebo and CHM combined with chemotherapy/radiotherapy compared to chemotherapy/radiotherapy lacked significant differences in the peripheral platelets, red blood cells (RBCs), and hemoglobin changes. Conclusions. Our results demonstrated that CHM significantly protected peripheral blood WBCs from a decrease caused by chemotherapy or radiotherapy. There were no significant protective effects on peripheral RBCs, hemoglobin, or platelets, which may be related to low quality and small sample of included studies
Source: Jia Y, Du H, Yao M, Cui X, Shi Q, Wang Y, Yang Y. Chinese herbal medicine for myelosuppression induced by chemotherapy or radiotherapy: a systematic review of randomized controlled trials. Evid Based Complement Alternat Med. 2015;2015:690976.

Saturday, March 28, 2015

Acupuncture for Dysmenorrhea




Acupuncture for Dysmenorrhea
Background. Dysmenorrhea is a common problem for which acupuncture provides effective analgesia. Although acupoint selection affects the effectiveness of acupuncture, the basic rules of acupoint selection are little understood. This study aims to investigate the principles of acupoint selection and characteristics of acupoints used for primary dysmenorrhea. Methods. PubMed, China National Knowledge Infrastructure, and Chinese Biomedical Database were searched for clinical trials published in English or Chinese from January 1978 to April 2014 evaluating the effect of acupuncture on primary dysmenorrhea, with or without methods of randomization and/or control. Three authors extracted information and two reviewers inputted information on titles, journals, interventions, main acupoints, and outcomes using the self-established Data Excavation Platform of Acupoint Specificity for data mining. Results. Sanyinjiao (SP06), Guanyuan (CV04), and Qihai (CV06) were used most frequently. The most frequently used meridians were Conception Vessel, Spleen Meridian of Foot Taiyin, and Bladder Meridian of Foot Taiyang. 67.24% of acupoints used were specific acupoints. Acupoints on lower limbs were most frequently used. Conclusion. Data mining is a feasible approach to identify the characteristics of acupoint selection. Our study indicated that modern acupuncture treatment for primary dysmenorrhea is based on selection of specific acupoints according to traditional acupuncture theory.
Source: Yu S, Yang J, Yang M, Gao Y, Chen J, Ren Y, Zhang L, Chen L, Liang F, Hu Y. Application of acupoints and meridians for the treatment of primary dysmenorrhea: a data mining-based literature study. Evid Based Complement Alternat Med. 2015;2015:752194.

Friday, March 27, 2015

Acupuncture in Hospitals



Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
By Beth Sommers, PhD, MPH, LAc and Kristen Porter, MS, MAc, LAc
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer. One forum for these conversations is the Academic Consortium of Complementary and Alternative Health Care (ACCAHC).
ACCAHC, founded in 2004, envisions and is involved in co-creating a system of health care that is multidisciplinary and dedicated to health and healing. Based on mutual respect among all providers, ACCAHC works toward creating an environment of collaboration that is based on patient-centered care.
ACCAHC's mission is to enhance the health of individuals and communities. Valuing diversity of practice, institutional members include the Council of Colleges of Acupuncture and Oriental Medicine (CCAOM), the Accreditation Commission for Acupuncture and Oriental Medicine (ACAOM), and the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM), as well as 14 other educational, accrediting, and testing bodies associated with Ayurvedic medicine, chiropractic, homeopathy, massage, midwifery, naturopathic medicine, and yoga. Working groups within ACCAHC include members focused on clinical care, education, research and policy.
ACCAHC's strong commitment to professional education has been reflected in many of its projects, including a recent webinar on the role of integrative health in influencing patient outcome and experiencecalled the Power of Choice in Patient Experience Improvement: The Critical Role for Integrative Health.
[images 1 r]John Weeks, Executive Director of ACCAHC and publishing editor of the Integrator Blog, is a strong proponent of patient-centered care. He notes that much of what is called health care in this country is actually "a medical industry which unfortunately thrives on disease." Because of his concern about health professionals working in silos, without communication or collaboration, Weeks is gratified to witness the increasing level of integration that acupuncture has achieved in the hospital environment, particularly in the Veterans Administration system with which he shared various ACCAHC resources on acupuncture and other disciplines when he was invited to advise in 2014.
Weeks' spoke about "active diplomacy" on the part of acupuncturists and other integrative health care providers as we play more visible roles in hospitals and other community health settings. He stated that because acupuncturists are "part of a team approach to care, acupuncturists bring a unique perspective to patient care, one that, to be most effective, must be both grounded in modern day biomedical research and evaluation as well as in the ‘evidence of the old masters.'"
In 2007, Weeks and colleagues produced a document entitled "Survey of MDs/Administrators of Integrative Clinics to Gather Information on Competencies of Licensed Acupuncturists for Practice in Hospitals, Integrated Centers and Other Conventional Healthcare Settings." This document was produced by the National Education Dialogue to Advance Integrated Health Care and ACCAHC for the Integrated Healthcare Policy Consortium and sponsored by NCCAOM. Surveys were completed by ten respondents (nine MDs and one RN). The core themes related to determining appropriate competencies for acupuncturists identified by the survey were: 

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