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Placebo?

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Hi

The major placebo line comes from the fairly extensive German studies which

looked at migraines, knee and back pain.  Thousands of patients were enrolled,

and seperated into a sham acupuncture group (placebo), treatment group, and no

acupuncture.  I believe they has 8 treatments early, and were followed at 1

year.  At that time, in all 3 studies, acupuncture and placebo patients reported

less pain and were more likely to be functional.  Only problem is that the

acupuncture and placebo groups were about the same. 

 

A problem with this study was that most treatments were fairly standardized.. 

There was some flexibility in treatment, but most treatments were pretty

similar.  Also the level of training in TCM among practioners was not as

extensive as in the US.

 

Other studies that were better designed HAVE shown differences between placebo

and treatment groups.  A very good study from Italy in the journal Brain showed

both placebo and treatment were better than control for headaches, but here

acupiuncture outperformed placebo.  Some Boston studies looking at functional

MRI showed that treatment and placebo acted on different parts of the brain! 

And all of this ignores the fact that there really is no placebo, that all

needling moves Qi.

 

We all know from experience that it works.  I also know, as has been commented

on, that many Western modalities, such as trigger point injections, do not

necessarily have solid evidence of working better than placebo (and Medicare

pays for those), not to mention medications.

 

All of which is to say.....if this is a placebo, its ONE HECK OF A GOOD ONE..

 

R Livingston MD, DOM

 

 

 

 

 

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What people should take home from this " TCM is placebo " nonsense is this: it

is an implicit admission that TCM WORKS. They cannot deny that it works, so

they're just bashing HOW it works. To the average joe, it doesn't matter is

something's mechanism of action fits with the " mainstream " or not, what the

average joe wants is something that makes them feel better.

 

On Fri, Nov 13, 2009 at 12:45 PM, Chico Livingston <chicolivwrote:

 

>

>

> All of which is to say.....if this is a placebo, its ONE HECK OF A GOOD

> ONE..

>

> R Livingston MD, DOM

>

 

 

 

--

Philip Nino Tan-Gatue, MD

 

 

 

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