Needle therapy s Role in the Integrative Medical Care of Cancer Patients

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Needle therapy's Role in the Integrative Medical Care of Cancer Patients Adam Schreiber, MAOM, Dipl. OM, R.Ac.

A Brief History of Acupuncture is one branch of an entire arrangement of prescription known as Oriental Medicine, which has created through the span of thousands of years. Hypotheses basic customary Oriental Medicine are to a great extent in light of watching the regular world. Most established composed therapeutic data ~ 168 BCE

Most critical content – Yellow Emperor's Canon of Internal Medicine – (300-100 BCE) Historically, individuals learn by being a piece of a heredity of specialists - prompts to the act of a wide range of styles. Western/Biomedicine comes to China in the mid 1900s. Starts long procedure of Westernizing conventional Chinese solution.

1950s - Mao Zedong has driving therapeutic individuals institutionalize and Westernize conventional pharmaceutical. Gets to be distinctly known as "TCM" (Traditional Chinese Medicine) – showed today in numerous Western needle therapy schools. In China today, numerous healing centers are coordinated – Biomedicine/Western & Traditional drug in a similar doctor's facility. Standard practice in Chinese TCM healing facilities for disease patients to get Biomedical and customary solution (incorporates herbs) treatment at the same time.

The Holistic Nature of Oriental Medicine Oriental prescription considers all parts of a man's wellbeing. Ready to regard tolerant all in all – body, mind, soul (particularly imperative for tumor patients). Intends to treat the main drivers of sickness, while additionally tending to the manifestations. Design arranged – attempt to ID the general example of disharmony in the body which is bringing on sickness.

The Theoretical Foundations of Acupuncture

The Human Body Acupuncture hypothesis sees the body as a microcosmic portrayal of the universe (e.g. meridians of the body are similar to the conduits of the earth). Organs of the body are viewed as more for their capacities than for their structure .

The Concept of Qi Translated as "life vitality" or "indispensable vitality", a dynamic build. OM characterizes Qi by the capacity it performs in the body. Qi is in charge of all physiological working in the body. Qi is gotten from three fundamental sources: air we inhale, nourishment we eat, & acquired. Qi courses through the body by means of channels, or meridians, that compare to specific organs or organ frameworks.

Qi

The Concept of Blood Different than Western thought of blood – however there is cover. Additionally characterized practically. Blood feeds the body, soaks body tissues. Blood contains the Shen , or soul, which compares generally to the mind. Blood and qi perform huge numbers of similar capacities, yet are related.

Meridians & Acupoints Meridians are pathways which qi pursues as it streams around the body. Undifferentiated from, yet not the same as , circulatory, lymphatic, and sensory systems. 12 customary meridians, named for inner organs. Meridians contain 365 needle therapy focuses. Focuses have Chinese names which frequently identify with their capacity or area. Acupoints are discrete and particular locales through which the Qi of the organs speaks with the surface of the body.

Stomach Meridian Graphics reproduced with consent Copyright 2002-2005 Yin Yang House – all rights saved http://www.yinyanghouse.com/

Small Intestine Meridian Graphics republished with authorization Copyright 2002-2005 Yin Yang House – all rights held http://www.yinyanghouse.com/

Organ Systems Each organ framework related with various levels of impact - physical, fiery, mental, passionate. Mind-body continuum. Once more, organs seen more for their capacities than for their physical structure. Illustration - we say in Chinese pharmaceutical that the "Spleen" keeps blood inside the veins. The "Spleen" likewise changes nourishment into qi that the body can utilize (i.e. processing and osmosis). OM organs  Biomedical organs.

Causes of Disease Generally malady is brought on by brokenness in stream of qi or potentially blood in the body. Three reasons for ailment: 1) External reasons for malady: Six Exogenous Factors 2) Internal reasons for illness: Seven Emotions 3) Other reasons for ailment: Miscellaneous

Exogenous Factors Environmental conditions act an indistinguishable route in the body from they do in nature. Wind Dryness Heat Cold Dampness Summer-warm

Endogenous Factors Excessive or delayed feelings prompt to an assortment of contortions in the development and capacity of Qi, which can inevitably bring about pathology: - Anger -Pensiveness - Joy -Shock - Sadness -Worry - Fear

Miscellaneous Factors Genetic Predisposition – Constitutional issues Improper eating regimen – incorporates indulging, eating the wrong sustenances, poor dietary patterns Overwork – physical or potentially mental Trauma Parasites

Diagnosis Goal is to find and depict an example of disharmony. In view of the "4 Examinations" 1) Asking 2) Looking 3) Listening 4) Palpating

Tongue Diagnosis Observe shading, covering, estimate, shape, dampness. Organs mapped on tongue surface. Beat Diagnosis: Assess: rate, quality, quality. Diverse positions compare to inside organs.

Treatments Only clean, single-utilize needles. May have mellow inconvenience with needles, yet for the most part all around endured. Medications are typically extremely unwinding. Treatment course relies on upon nature of sickness, disease patients may require progressing treatment. At the same time treat the manifestations while tending to the main driver or potentially the constitution of the patient.

Biomedical Theories of How Acupuncture Works "Entryway Control hypothesis" – needle therapy empowers nerve filaments which motion for hindrance of agony. "Endorphin hypothesis" – invigorates arrival of endorphins, serotonin, norepinephrine and ACTH – all ensnared in torment alleviation. "Connective Tissue hypothesis" – needle therapy makes changes in connective tissue which affect the body at the cell level by means of mechanotransduction. 1. Langevin HM, Churchill DM, Cipolla MJ. Mechanical motioning through connective tissue: a component for the restorative impact of needle therapy. FASEB J. 2001;15:2275-2282.

Acupuncture and the Integrative Treatment of Cancer

Pathology of Cancer in OM Any/the greater part of the 3 reasons for ailment are embroiled. Four normal examples of disharmony: Phlegm gathering Heat/Fire Toxins Qi & Blood Deficiency Qi & Blood Stagnation

How Can Acupuncture Help Cancer Patients? It is sheltered to utilize needle therapy simultaneously with Biomedical disease medications. It won't meddle with pharmaceutical/radiation treatment. By and large utilized as strong treatment, to help reduce reactions of Biomedical medicines. Writing audit of growth related needle therapy inquire about – Cohen and partners. 2. Cohen AJ, Menter A, Hale, L. Needle therapy: Role in Comprehensive Cancer Care – A Primer for the Oncologist and Review of Literature. Integr Cancer Ther. 2005 Jun;4(2):131-43 .

Cancer-Related Acupuncture Research MSKCC – Integrative Medicine – pioneer in research Antiemetic impacts – all around reported, 1997 NIH accord articulation 3 Pain Control Fatigue Breathlessness Mood Disorders, QOL Issues Xerostomia Flushing (Breast and Prostate malignancies) 3. Needle therapy. NIH Consensus Statement . 1997;15(5):1-34

Pain Control 48 patients with axillary agony after axillary hub dismemberment for bosom tumor – needle therapy gather indicated altogether more total arm snatching and less torment than control bunch. 4 Alimi and associates – tumor patients w/stable pain relieving treatment with neuropathic torment – 90 patients, auricular needle therapy – 36% still had lessened agony force at two months. 5 4. He JP, Friedrich M, Ertan AK, Muller K, Schmidt W. Torment alleviation and development change by needle therapy after removal and axillary lymphadenectomy in patients with mammary malignancy. Clin Exp Obstet Gynecol . 1999;26:81-84. 5. Alimi D, Rubino C, Pichard-Leandri E, Fermand-Brule S, Dubreuil-Lemaire M-L, Hill C. Pain relieving impact of auricular needle therapy for disease torment: a randomized, blinded, controlled trial. J Clin Oncol . 2003;21:4120-4126.

Fatigue Phase II pilot think about (MSKCC) – post-chemotherapy weariness – mean change was 31.1%. 6 Breathlessness Open Pilot - Filshie and associates – 20 patients with malignancy related shortness of breath – 14 revealed checked symptomatic advantage with equivalent physiological changes. 7 6. Vickers AJ, Straus DJ, Fearon B, Cassileth BR. Needle therapy for post-chemotherapy weakness: a stage II examine. J Clin Oncol . 2004;22:1731-1735. 7. Filshie J, Penn K, Ashley S, Davis CL. Needle therapy for the alleviation of disease related shortness of breath. Palliat Med . 1996;10:145-150.

Immune Effects Studies not particular to growth, but rather have appeared: Increases in CD3+, CD4+ lymphocytes and CD8+ cells. 8 Increases in B lymphocytes & NK cell movement. Regulation of B and T cells that favors counter acting agent generation. 9 8. Spiegel D, Stroud P, Fyfe A. Correlative medication. West J Med . 1998;168:241-247. 9. Petti F, Bangrazi A, Liquori A, Reale G, Ippoliti F. Impacts of needle therapy on insusceptible reaction identified with opioid-like peptides. J Tradit Chin Med . 1998;18(1):55-63.

Current Clinical Trials Head and neck torment identified with head and neck disease surgery – Phase III (MSKCC) Hot flashes from bosom growth – Phase III (MSKCC) Reducing indications in cutting edge colorectal malignancy – Phase I (Univ. of Pittsburgh Med. Focus) Source: http://nccam.nih.gov/clinicaltrials/acupuncture.htm

Research Conclusions "As for oncologists in the group or in scholastic focuses, in light of our mongrel