School: aaaom.edu

Friday, August 29, 2014

From Chinese Dumplings to Beijing Duck



Which Chinese Food Should Make Unesco’s Heritage List?
Chinese food– or at least some portion of it – may be soon joining the likes of kimchi and Mediterranean food on Unesco’s list of intangible cultural heritage items.
The Chinese Cuisine Association, which tried to get Chinese cuisine on the list in 2011 when it proposed more than 30 foods and food-preparation techniques, is making another go at getting Chinese food on the organization’s list. But this time, they’re making a more targeted recommendation.
“One thing is certain,” says Bian Jiang, the association’s vice director. “We’re not going to get Chinese cuisine in general listed.”
The association tried that tactic in 2011, he says. But the attempt didn’t even make it past Beijing’s Ministry of Culture, which has to approve all Unesco bids.
So this year, the association is putting together a panel of experts to narrow down the list.
“Chinese cuisine is so complicated and complex that it’s hard for the Unesco officials to understand it as a whole,” Mr. Bian says. “In the end, we will probably choose one specific food, like dumplings, or a kind of cuisine technique,” such as pickling, he says.
The intangible cultural heritage list is Unesco’s attempt to honor things like rituals and community-based activities, intended especially for cultures that may not have Machu Piccus or Parthenons. The intangibility, in turn, sometimes translates into something as tangible as food and its preparation. In 2013, both Koreas’ kimjang – the making and sharing of kimchi – and the Mediterranean diet made the list. The Mediterranean diet, Unesco says, brings about moments “of social exchange and communication, an affirmation and renewal of family, group, or community identity,” which might be translated into drinking wine at three-hour lunches.
So which Chinese foods should make the Unesco list? Opinions are nearly as diverse as Chinese cuisine itself.
Judith Farquhar, author of “Appetites: Food and Sex in Post-Socialist China,” says she’d go for dumplings.
“They have a certain symbolic form, they have an inside and outside, and include meat and grain, the two fundamental divisions of food for Chinese cuisine,” she says. “Dumplings have a social life – they’re made in groups and eaten in groups.”
Qu Hao, a Chinese chef who won the China Golden Chef Award given by The Chinese Cuisine Association, recommends braised sea cucumber with leeks because it “enjoys a long history,” he says. “Many famous Chinese chefs have contributed to the development of this dish, and it’s now widely known by Chinese people, even though it is a Shandong specialty. “
Tim Sedo, a history professor at Concordia University in Montreal who makes a YouTube cooking series with his wife, has a different idea: Hangzhou food.
To make a long story short, a famous Song dynasty hero named Yue Fei defended the country from northern invaders and became a folk hero and a symbol of loyalty. The story goes that he died in a Hangzhou prison – betrayed by his captors.
Hangzhou, in turn, “has a lot of food that represents the people’s hatred for these people,” he says, such as the fried bread, youtiao, which stands for “the frying of the two characters” who betrayed Yue Fei, says Mr. Sedo.
Mindi Schneider, a professor at the International Institute of Social Studies at the Hague in the Netherlands, goes one step further in her idea, recommending indigenous Chinese pig breeding – and the fatty pork that you get from it.
“China is the actual home of the pig, which was domesticated there between 6,000 and 10,000 years ago. And each place has a local adapted pig breed. It’s really diverse. You really need to preserve that indigenous livestock breed,” she says. Ms. Schneider published a four-page proposal for her idea.
No surprise that Shi Xiusong, chef and general manager of Da Dong Roast Duck restaurant, recommends his restaurant’s specialty dish as a combination of inheritance and innovation with a storied history. Meanwhile, Shu Qiao, editor of the Chinese Epicure magazine and an author of several books about food, recommends fermented tofu and Shaoxing wine.
Unesco, for its part, has nothing to say about this stage of the process. “We cannot speak about any specific possible nomination,” writes Frank Proschan, the Paris-based chief of the Programme Implementation Unit of the Intangible Cultural Heritage Section at Unesco.
After the Chinese Cuisine Association picks its top choice, it goes to the Ministry of Culture in March. In June or July, the Ministry will make its application to Unesco, but the results won’t appear until the following November, Mr. Bian says.
China has had luck with other intangibles on the Unesco list: using the abacus for mathematical calculations (2013), shadow puppetry (2011), acupuncture and moxibustion (2010) and block printing (2009). Maybe someday dumplings or fatty pork will join the canon.
–Debra Bruno, with contributions from Xuejian Zhang and Li Jie

Thursday, August 28, 2014

Classical Chinese Medicine Principle, "Yi Bing Tong Zhi", Is Tested



Classical Chinese Medicine Principle "Yi Bing Tong Zhi "Is Tested
Buyang Huanwu Decoction (BHD) is a famous herbal prescription that has been used to treat stroke for centuries. Recent studies reported that the use of BHD had been extended to treat various kinds of disorders according to the TCM syndrome theory of Treating Different Diseases with the Same Method (TDDSM). Here, an overview of systematic reviews (SRs) of BHD for healthcare was conducted to interpret the TCM theory of TDDSM and its target of vascularity in an evidence-based manner. Literature searches were carried out in 5 databases to search SRs of BHD for any indication up to August 2013. Thirteen eligible SRs were identified which reported a wide range of vascular conditions. Based on the Overview Quality Assessment Questionnaire scores, the quality of included SRs was varied, with an average score of 4 points. We found that there is premature evidence for the use of BHD for healthcare, whereas BHD was well tolerable in all patients. BHD can be used to treat many disorders with the same therapeutic principle of invigorating Qi to activate blood circulation, which is essentially a manifestation of the TDDSM and is likely to account for targeting the specific pathogenesis of vascular diseases. 

Source: Li JH, Liu AJ, Li HQ, Wang Y, Shang HC, Zheng GQ. Buyang huanwu decoction for healthcare: evidence-based theoretical interpretations of treating different diseases with the same method and target of vascularity. Evid Based Complement Alternat Med. 2014;2014:506783.

Traditional Use of Tao Hong Si Wu Tang Is Proven



Traditional Use of Tao Hong Si Wu Tang Is Proven
The Chinese herbal medicine formula Tao Hong Si Wu decoction (THSWD) is traditionally used for the prevention and treatment of ischemic stroke. Transcription factor NF-E2-related factor 2 (Nrf2) regulates a battery of phase II enzymes and is known as the major mechanism of cellular defense against oxidative stress. The present study aimed to explore the potential effect of THSWD on the Nrf2 signaling pathway and the consequent effect during cerebral ischemia-reperfusion (I/R) injury. The researchers found that THSWD reduced infarct volume and improved neurological function in a rat stroke model induced by middle cerebral artery occlusion (MCAO). Additionally, heme oxygenase 1 (HO-1), a key endogenous antioxidant enzyme regulated by Nrf2, was significantly further induced by THSWD in this in vivo model. In neuronal-like PC12 cells, THSWD remarkably up-regulated HO-1 expression and promoted Nrf2 nuclear translocation. Furthermore, phosphatidylinositol 3-kinase (PI3K)/Akt kinase was found to be involved in the upstream of Nrf2 regulation. In an in vitro oxygen-glucose deprivation/reperfusion (OGD-Rep) model, THSWD treatment significantly reduced cell death induced by OGD-Rep insult. Importantly, the protective action was attenuated while PI3K activity was inhibited by a specific inhibitor, LY294002, and the Nrf2 signaling pathway was blocked by antioxidant response element (ARE) decoy oligonucleotides. Collectively, these results demonstrated that THSWD exhibited notable neuroprotective properties in vitro and in vivo and activation of PI3K/Akt and the Nrf2 signaling pathway may be, at least in part, responsible for the protection. This study provides a better understanding of the molecular mechanism underlying the traditional use of the Chinese herbal medicine formula THSWD.

Source: Li L, Yang N, Nin L, Zhao Z, Chen L, Yu J, Jiang Z, Zhong Z, Zeng D, Qi H, Xu X. Chinese herbal medicine formula Tao Hong Si Wu decoction protects against cerebral ischemia-reperfusion injury via PI3K/Akt and the Nrf2 signaling pathway. J Nat Med. 2014 Aug 23.

Wednesday, August 27, 2014

Acupuncture for Ankle Sprain



Treatment of Ankle Sprain with Acupuncture
Dr Raman Kapur  New Delhi

Ankle sprain is a common condition of the motor system. It occurs when the balance of the body is broken, causing a sudden change in the center of gravity of the ankle joint. When the ankle joint is at the state of planter flexion, a slight movement of both sides of the tarsomegaly causes the ankle joint to become unsteady.
As a result, a sprain occurs. We used acupuncture to treat ankle sprain and obtained excellent results.
1. CLINICAL DATA
1.1. General Data
Out of the 126 cases, 70 were males and 56 were females; the oldest was 56 years old and the youngest 15 years old; the shortest course was 3 hours and the longest course was I year. Most patients were treated within two days of a sprain.

1.2. Diagnostic Criteria
The diagnosis revealed external injury, accompanied by tumefaction and pain in the ankle, and difficulty in walking. When entropion and sprain appeared, the upper lower part of the lateral malleolus was distended and tender; the foot was performing various actions; blocking ache occured in the upper lower part of the lateral malleolus. X-ray revealed no fractures, no rupture of ligaments, nor trusion of the ankle joint.
2. METHOD OF TREATMENT
The main point was Qiuxu(GB40) in the non-affected leg. Filiform needles (diameter: 0.38 mm, length: 40 mm) were used. After routine sterilization, we fixed the point with the left hand and inserted the needle quickly with the right hand into the subcutaneous part to a depth of about 25 mm. We usedthe reducing method as the main method, with the affected foot moving and the ankle joint doing plantar flexion, entropion, and eversion, we applied sufficient lifting and thrusting to induce a feeling of soreness, numbness, distention, and pain in the local area.
The needle was manipulated at 5 minutes intervals, and retained for 20 or 30 minutes. For certain patients with minimal sprain, and whose symptoms had disappeared, we did not retain the needle. For patients with serious sprain, we combined cold therapy, massage, and TDP, and obtained excellent results. Treatment was given once a day; one course consisted of 7 days of treatment.
3. OBSERVATION OF CURATIVE EFFECT
3.1. Standard of Curative Effect
Cured: The ankle joint recovered its normal functions, pain disappeared, the patient could walk as before. Marked effect: The clinical symptoms almost disappeared, pain was relieved significantly, there was minimal pain when walking. Moderate effect: The clinical symptoms were improved, pain was relieved, ankle joint function improved after treatment. No effect: Symptoms and physical signs showed no improvement.
3.2. Results
Of the 126 cases, 98 cases (77.78%) were completely cured, 17cases (13.49%) showed a marked effect, 8cases ( 6.35%) showed a moderate effect, and there was no effect in 3cases 2.38%. The total effective rate was 97.62%. Of the 98 cases that recovered completely, the least number of treatments is 1 and the most is 7, the average is 4 treatments.
4. TYPICAL CASE
A 21-year-old male student, was first seen on December 10, 1993. He had sprained ankle joint going down the stairs. Examination showed red swelling and tenderness in the lateral malleolus; he could not walk without aid.
He was referred to the Department of Acupuncture and was treated with the above method. Pain was relieved significantly after 10 minutes. The needles were retained for 30 minutes, and the treatment was given once a day. After 4 treatments, the red swelling and tenderness disappeared, and he was cured.
5. DISCUSSION
Qiuxiu(GB40), which has a powerful analgesic effect, is located at the starting point of the extensor digitonimbrevis where the lateral anterior malleolar artery and vein are distributed; the branches of later dorsal cutaneous nerve of the foot and the superficial peroneal nerve are also located there.
Puncturing this point diverts the focus of excitation of pain in the cerebral cortex, or directly stimulates the afferent nerves and blocks afferent pain fibers. The opposite needling method, which involves the selection of points contralateral to the affected side, is often used to treat patients with pain and dysfunction.
This study has been done by acupuncture department, Henan College of Traditional Chinese Medicine, Zhongzhou, China.
The author is the head of the department of Acupuncture at Sir Ganga Ram Hospital. You can write your queries to Dr. Raman Kapur at kapuracu@kapuracu.com