Cookbook Acupuncture for triage (in national emergencies / disasters)

[Guest guest]

Hi Karen, Rene & All,

 

THough individualised acupoint selection, based on TCM diagnosis,

may be preferable, I agree that Cookbook Acupuncture, based on

Western diagnosis and/or selection of acupoints for the most important

symptoms, may be very useful for field use in national emergencies /

disasters.

 

Rene Ng wrote:

> Karen.... the " cook-book " approach is seen very commonly in hospitals

> in China.

 

.... and the in Taiwan (in 1982). See:

 

The Taiwan Report:

http://users.med.auth.gr/~karanik/english/vet/taiwan1.htm

http://users.med.auth.gr/~karanik/english/vet/taiwan2.htm

http://users.med.auth.gr/~karanik/english/vet/taiwan3.htm

http://users.med.auth.gr/~karanik/english/vet/taiwan4.htm

 

> ... public sections of the hospitals where treatments are frequently

> free involves just questioning the symptoms a patient has, taking the

> pulse, looking at the tongue, and then going straight for the

> treatment... much like a cattle herd. They just focus on the symptoms,

> and then based on observation, smelling, tongue, and pulse, a full

> diagnosis is arrived at and treatment administered. Hardly ever do you

> see intakes covering the 8 principles, 6 stages, 4 levels, 3 burners,

> 5 elements, etc. etc. etc. So, a good suggestion would be for you to

> see if you can dig out publications on how acupuncture is done at China

> public hospitals, or talk to folks who have been there and can relate

> to that.

 

For a comprehensive Cookbook of AP points for common conditions,

see:

 

Acupuncture Formulas: Top Ten Points for Common Conditions

- Main Page: http://homepage.eircom.net/~progers/adtop.htm

 

and

 

Acupuncture Formulas: Top Ten Points for Common Conditions -

Keyword & Fast Find Page: http://homepage.eircom.net/~progers/ff.htm

 

For Cookbook Points for urogenital / reproductive disorders, see:

http://homepage.eircom.net/~progers/gu1.htm

 

Acupuncture in Genitourinary & related Conditions: 2. Keyword Index:

http://homepage.eircom.net/~progers/gu2.htm

 

Acupuncture in Genitourinary and related Conditions: 3a. Summary of

Points & Protocols: Overview:

http://homepage.eircom.net/~progers/gu3a.htm

 

AP treatment of " Female " Disorders:

http://homepage.eircom.net/~progers/gu3b.htm

 

AP treatment of " Male " Disorders:

http://homepage.eircom.net/~progers/gu3c.htm

 

AP treatment of Urinary & General Disorders:

http://homepage.eircom.net/~progers/gu3d.htm

 

Best regards,

 

[Guest guest]

In the emergency department in China, they sometimes dont even bother

asking too many questions first. I remember the one stop shot for an

acute asthma attack was Du 25. For more information, its worth

talking to some of the Chinese practitioners who were sent to the

countryside for re-education or to minister to the masses when they

were younger in China. A couple of my teachers had some very

interesting stories of using acupuncture or available herbs to treat

very " frontline medicine " type of conditions. Like cholera, for

instance.

[Guest guest]

Hi Cory,

 

> Do you recall any points for treating anaphylaxis?

 

Medline has only 7 hits on acupuncture & anaphylaxis. The main points

from those articles are GV26, CV24, BL23, BL52 (old BL47), + points

for the main affected organ(s):

 

ST36 is controversial in anaphylaxis. One old paper that I remember

said that it INCREASED deaths in experimental anaphylactic shock in

animals.

 

Hu J. Clinical observation on 25 cases of hormone dependent bronchial

asthma treated by acupuncture. J Tradit Chin Med. 1998 Mar;18(1):27-

30. Institute of Acupuncture and Moxibustion, China Academy of

Traditional , Beijing. The clinical observation revealed

that the asthmatic symptoms in most of the patients began to be

improved after several acupuncture treatments with the dosage of the

drug gradually reduced. Generally, the dose of cortisone per os was

decreased by 2 mg every 10 days, while that of aerosol was controlled

by the patients themselves according to the condition of the disease.

The symptoms in most of the patients were markedly improved after 15

treatments, but the treatment should be continued for another 10 times

to consolidate the curative effect. Thus, each asthmatic patient needs to

receive approximately 30 sessions of acupuncture treatment, lasting

about 3 months. Thereafter, in order to prevent its relapse, the

treatment should be administered 10 times each year in the summer

season. It is worthy to be mentioned that, in this series, there was a

female patient who suffered from anaphylactic asthma induced by dog's

hair. She received 10 sessions of acupuncture treatment with no any

improvement. In this case, the acupuncture treatment should not be

given any longer. There were another two children patients aged 5 and

7 years respectively, for them the above method of acupuncture

treatment was difficult to be used. Therefore, the auricular pressing

method combined with cupping was adopted instead. The auricular

points selected were Shenmen, Lung, Large Intestine, sensitive point,

Pingchuan, Subcortex, and Kidney. 5 points were used each time, and

pressed with the seeds of Vaccaria which were changed every 3 days.

The patients were asked to press each of the points themselves 3 times

a day (each time by 20 pressings). And Dazhui (Du 14), Feishu (UB 13),

Pishu (UB 20) and Shenshu (UB 23) were cupped for 5 min. each time.

The auricular pressing and cupping therapies may also be added for

adult patients to strengthen the curative effect. The 25 cases of

hormone dependent bronchial asthma were treated by acupuncture,

yielding a markedly effective rate of 56% with a total effective rate of

96%, indicating that good therapeutic results can also be expected in

the western countries for those cases who have already been treated

with hormones. Publication Types: Clinical Trial PMID: 10437259

[PubMed - indexed for MEDLINE]

 

--

 

Chen LL, Li AS, Tao JN. [Clinical and experimental studies on

preventing and treating anaphylactic asthma with Zusanli point

immunotherapy] [Article in Chinese] Zhongguo Zhong Xi Yi Jie He Za

Zhi. 1996 Dec;16(12):709-12. Affiliated Hospital of Zhejiang College of

Traditional , Hangzhou. We have studied on

preventing and treating anaphylactic asthma with Zusanli (S36) point

immunotherapy (ZPIT). Sixty-nine patients were observed. The results

showed that the clinical curative effect of ZPIT was not only much

higher than that of conventional desensitization therapy, but also the

patients' total IgE level was reduced, anti-acarid IgE was lowered, SIgA

level was raised, the absolute eosinophilic granulocyte level dropped

and pulmonary function recovered. Animal experiment results showed

that the ZPIT could more effectively suppress the guinea pigs'

anaphylactic asthma allergized by albumin and more obviously resist

the guinea pigs' bronchial spasm induced by histamine and

acetylcholine than the conventional desensitization therapy and injected

normal saline. The immunomodulating action of the ZPIT are elucidated

from clinical study and animal experiment in the paper. Publication

Types: Clinical Trial Randomized Controlled Trial PMID: 9772584

[PubMed - indexed for MEDLINE]

 

--

 

Yang YQ. [Progress on anti-allergy treatment with acupuncture] [Article

in Chinese] Zhongguo Zhong Xi Yi Jie He Za Zhi. 1993 Mar;13(3):190-

2. No Abstract. Publication Types: Review PMID: 8339041 [PubMed -

indexed for MEDLINE]

 

--

 

Rogers PA, Schoen AM, Limehouse J. Acupuncture for immune-

mediated disorders. Literature review and clinical applications. Probl Vet

Med. 1992 Mar;4(1):162-93. Acupuncture activates the defense

systems. It influences specific and nonspecific cellular and humoral

immunities; activates cell proliferation, including blood,

reticuloendothelial, and traumatized cells; and activates leucocytosis,

microbicidal activity, antibodies, globulin, complement, and interferon. It

modulates hypothalamic-pituitary control of the autonomic and

neuroendocrine systems, especially microcirculation, response of

smooth and striated muscle, and local and general thermoregulation.

Immunostimulant points include LI-4, LI-11, ST-36, GB-39, SP-6, GV-

14, BL-11, BL-20, BL-23, BL-24, BL-25, BL-26, BL-27, BL-28, and CV-

12. Some, such as BL-47, are immunosuppressive. Antifebrile points

include GV-14 and ST-36. Reactive reflex SHU points, MU points, and

earpoints are useful in organic diseases. In immunomediated diseases,

some or all of these points can be used with other points, especially

local points and points of the major symptoms or points of the affected

body part, area, function, or organ. Applications of acupuncture include

treatment of inflammation and trauma; stimulation of tissue healing in

burns, ulcers, indolent wounds, ischemia, necrosis, and gangrene;

infections; postinfection sequelae; fever; autoimmune disease; allergies;

anaphylaxis and shock; and treatment or prevention of side effects from

cytotoxic chemotherapy and ionizing radiation. Acupuncture therapy

may inhibit neoplastic cells. Examples of acupuncture use in

immunomediated conditions in small animals are given. Publication

Types: Case Reports Review PMID: 1581655 [PubMed - indexed for

MEDLINE]

 

--

 

Nerucci P, Porciatti N, Cianciullo A, Lorenzi P, Marsili M. [TENS as an

alternative analgesic treatment in dental settings] [Article in Italian] G

Anest Stomatol. 1991 Apr-Jun;20(2):7-12. Universita degli Studi di

Firenze. The use of electrostimulation using low-intensity and very high

frequency current, as an Electronic Analgesic (EDA) has aroused

enormous interest during the last few years in Dentistry. Thanks to its

use, good results have been obtained especially in the treatment of

caries. This technique is suitable for several types of patients as those

who have previously shown anaphylactic-anaphylactoid reactions to

local anaesthetics, those who are afraid of needle, those who

underwent to coronaric by-pass or have had myocardial infarction,

those who employ omeophatic therapy and refuse traditional drugs and

those who are in anticoagulant therapy, where it is preferable to avoid

injection trauma. This technique offers a rapid disappearance of the

effects and makes it possible to work in the same sitting on more than

one quadrant of the mouth. The application of the technique instead

shows relative or absolute contraindications in patients with pace-maker

or with an history of alteration of rhythm, cerebral ictus or TIA. PMID:

1834532 [PubMed - indexed for MEDLINE]

 

--

 

Mu J. The study of the acupuncture effect on experimental allergic

shock in mice. Zhen Ci Yan Jiu. 1986;11(4):268-73. No Abstract. PMID:

3105921 [PubMed - indexed for MEDLINE]

 

--

 

Jian M. Influence of adrenergic antagonist and naloxone on the anti-

allergic shock effect of electro-acupuncture in mice. Acupunct

Electrother Res. 1985;10(3):163-7. Our recent studies indicated that

there was a good therapeutic effect selecting acupoints " Renzhong

(Du26 =G.V. 26) " " Chengjiang (Ren. 24=C.V.24) of electro-acupuncture

(E-A) in the treatment of allergic shock induced by bovine serum in

mice. Phentolamine or propranolol injection before needling could

partially reverse this anti-allergic shock effect, while practolol had no

influence on the effect of E-A in the treatment. Another series of

experiments showed that the E-A anti-allergic shock effect could not be

blocked by Naloxone or previous exhaustion of pituitary endorphins,

thus suggesting that there might be a difference between mechanisms

underlying the analgesic effect and those underlying the anti-allergic

shock effect of acupuncture. PMID: 2866669 [PubMed - indexed for

MEDLINE]

 

 

Best regards,

 

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