Where in the United States Tcm #511 Brain Teasers Answers

acupuncture
I suspect there is more published about longstanding Formosan medicine than whatever other SCAM. Here are some of the Holocene epoch curiosities of TCM.

Of import genitals

The little girls laughed about the germs, because they didn't trust in them; but they believed about the disease, because they'd seen that happen. Spirits caused it, everyone knew that. Spirits and sorry luck. Manual laborer had non said the right prayers.
Pasang and Crake

I long-range ago gave up connected the idea that on that point are a finite number of pseudo-medical treatments. Anything a human can imagine will probably be old as a Victimize intervention. I rest amazed at the permutations that occur in the faker-medical world, non unequal the mix and match bioforms in Oryx and Crake.

Not everyone knows basic anatomy and physiology that allows for sympathy of disease. Alternatively, people much trust on metaphor and magic for their understanding, peculiarly in the world of pseudo-music. Sympathetic magic lies at the heart of umteen SCAMs.

The standard good example is rhino horns for impotence. But thither are other examples. What makes rake flow to a body part? Heat. What is hot? Ardor. Why are you unable? Lack of blood menstruate. Put information technology all together and it spells blast: Set your crotch alight to cure impotence. Actually.

It is all about keeping rake flow moving rapidly. The lovingness from the burning towels speeds the rake through the body and it makes me perform 50% improved in bed.

The accompanying photograph of a flaming bulwark is a prelude to a What's the harm? entry operating room a most unpleasant entrance mone to the burn middle-of-the-road if it goes dreadfully wrong.

There is nothing on the PubMeds concerning fervency therapy and less on the internet. There are different versions fire therapy. It

is much more advanced and regnant than Moxibustion.

Given the total uselessness of moxibustion, I shady the being several times Thomas More powerful than nothing is still nothing.

While the current photographs are from China, information technology allegedly originated in Sitsang where:

The thermotherapeutic procedure consists in the application of a herbal product with a specific formula for each disease under handling on the area of the affected organ. The area is covered with a towel soaked in alcohol and it is then lighted [sic]. The heat produced by the burning at the stake of the intoxicant is easily born by the patient. The procedure is stopped when the long-suffering announces a disconfort [set]. The vasodilator effect produced away the fire hot up accelerates the local blood circulation and the local metamorphosis. Thus, the curing substances of the herbs will be carried directly to the displeased organ and they leave act immediately at localized level.

I would non bank on any therapy that bases its end point upon the use a safeword. Information technology is not a therapy for Dave Grohl, although Jerry Lee Lewis might approve.

Its declared chemical mechanism of action is because

All wellness problems relate microcirculation deficiency. At capillary level, the blood become stagnate [sic], then toxin will Be cumulate [sic], using Fire Firedrake Therapy can improve the microcirculation and to remove stagnate [sic] toxins.

Yep. Toxins. And:

The vasodilative essence produced by the force out heat accelerates the local bloodline circulation and the local metabolism. Thusly, the curing substances of the herbs bequeath be carried directly to the livery organ and they will act immediately at local level.

Like nigh pseudo-medicines, there is no process for which fire therapy cannot comprise used, including Eastern Samoa a beauty aid.

General fuel firedrake therapy can help cure the favorable disorders: Indigestion, low metamorphosis, cold, melancholy, pain caused by strain and tension, insomnia, anxiety, fear, scare attacks, stomach distension, vertigo, diaphragmatic hernia, benign tumors, cold bile disease, articulate pains, arthritis, ivory deformation, joint inflammation, frivolous fever (empty fever), post-maturity syndrome and nerve inflammation (sciatic nerve, neurological disorders, etc.). In short, fire dragon therapy is good for diseases which manifest from phlegm and wind humoral disorders.

Phlegm and wind. Good for teenage boys? And are the effects? Of course

Huo Long therapy produces many face personal effects, but all of them are positive.

Whew.

The procedure as described is relatively safe: the towels are wet and it is the alcoholic beverage vapor to a higher place the towel, not the liquid alcohol on the towel, that is burning. As long A it doesn't erupt the clothes or the environment, it poses littler risk.

But it sure looks stupid to ME.

Pop Pop

There is often the suggestion that you should consult a licensed and certified acupuncturist, not just any old needle wrangler down pat the street, to practice their magic along you.

I assume't know. I would think that licensed and registered magic is no more effective than unlicensed and uncertified magic.

Maybe they might know a trifle more if insane, but the blow over rates for acupuncture boards are non impressive, at to the lowest degree in California.

In February 2014, only when 62% of first-time test takers in California passed and overall 49% passed. Gives one pause.

There are several sites on the internet with Acupuncture Board questions and flash cards. I took the tests and missed all the questions. The questions often seemed goofy to ME, but then I find all of the theory and practice of stylostixis goofy.

Knowing the crossing point of the spleen meridian and the throughfare vessel surgery that cupping removes depravation and promotes granulation somehow has no relevancy to what I would consider biomedical reality.

I wonder, as an aside, what the result of board certification will be on the practice of acupuncture. There are a huge variety of styles (by res publica and by practitioner), acupoints, variations (bee malice or cat intestine added) and techniques. There are more acupuncutures than acupuncture, perhaps Eastern Samoa many forms As there are practitioners. I also note that some schools receive high pass rates and others do not. I predict with board certification the variability of acupuncture bequeath decline as, at the least in the The States, they teach to the quiz.

The biomedical sample questions were often simplistic and, if indicative of the knowledge base of practitioners World Health Organization want to be primary care providers, shivery. I was reassured to find questions concerning proper hand hygiene and sterilization of needles, although I am skeptical about their application.

What I did not happen (and that doesn't mean they were not there; information technology was not an complete search) were questions testing whether acupuncturists had an understanding of the importance of the anatomy under their acupoints. Evidently not, for if you search acupuncture and complications along the PubMeds you will find seven pages of articles, some of which have titles that suggest needle points are going where they should not:

  • "A goad penetrating the stomach cavity aft acupuncture."
  • "Animation-menacing viscus tamponade: a rare complication of acupuncture."
  • "Is pneumothorax later on acupuncture so uncommon?"
  • "Staphylococcus aureus pericardial abscess presenting as severe sepsis and septic shock after acupuncture therapy."
  • "Cervical epidural abscess after cupping and acupuncture."
  • "An acute cervical epidural hematoma as a complicatedness of dry needling."
  • "Hemopericardium following acupuncture."
  • "Viscus tamponage caused by acupuncture: a review of the literature."

Some of those are impressive. It takes real movement to father deep enough to pop a tolerate or heart. I would hard-pressed to accomplish such a result deliberately.

Those are the results of the first two pages of search results and does not include my uncomparable preferent:

"Acupuncture needle found in ex-South Korea president's lung"

"I can't figure out how the needle got into there," Dr Sung Myung-whun was quoted arsenic notification reporters at the infirmary after the cognitive operation. "It is a mystery for me, excessively."

Um, maybe because acupuncturists assume't really know what they are doing when they stick needles in people? They coif not really know how wakeless they can safely push a needle since they have nobelium understanding of anatomy?

There is a push to include acupuncturists A primary care physicians. Given the nature of their training and what IT includes to pass their Boards (mostly magic) and excludes (reality and anatomy), I would not live unbelieving of their abilities.

CIGO: Cochrane In, Garbage Come out.

The Cochrane reviews. They give me pause. I understand the need and utility of systematic reviews and meta-analysis. They bum give a nice overview of a topic and suggest the utility or lack thereof of a acknowledged therapy. But they are non conclusive and suffer from the problem of GIGO: refuse in garbage unfashionable.

GIGO is specially pertinent when the methodologies of in order reviews are applied to faker-medical interventions that are divorced from reality.

My colleagues and I have written extensively some acupuncture (we have collected many of the essays in book form free at Amzazon. Hint. Jot.).

The unofficial of acupuncture: it is not based in reality (there are no meridians or acupoints) and well-configured clinical trials suggest the acupuncture only when works for subjective endpoints if the patient thinks they are getting stylostixis and think information technology to be effective. It does not matter where needles are placed or even if needles are used the least bit. From a prior plausibility linear perspective, any positive effect from stylostixis is likely out-of-pocket to a combination of preconception and poor study design.

But that ne'er stops the Cochrane collaboration, who will run anything and everything through with their grinder to bring about a meta-analysis sausage balloon. Unfortunately, unlike sausage, I often screw what goes into the meta-psychoanalysis.

Acupuncture is the rodent hair and insect parts in the bratwurst that is "Acupuncture for treating piercing ankle sprains in adults." Can I beat a metaphor to death or what? Anything and everything that calls itself stylostixis is included; no form was ignored:

We enclosed entirely types of acupuncture practices, such every bit needle acupuncture, electroacupuncture, laser acupuncture, pharmacoacupuncture, non-penetrating acupuncture point stimulation (e.g. acupressure and magnets) and moxibustion. Acupuncture could be compared with control (zero treatment or placebo) or another standard non-surgical interference.

Stylostixis, American Samoa is of so the incase, is anything they want it to glucinium. Inset Humpty quote here. Talk more or less your "heterogeneous radical of acupuncture and quasi-stylostixis." And, what surprise, they did not find any evidence that acupuncture, however outlined, was effective for acute ankle wrench:

The currently available evidence from a very heterogeneous group of randomized and quasi-randomised controlled trials evaluating the effects of acupuncture for the treatment of acute ankle sprains does not provide reliable support for either the effectiveness or safe of acupuncture treatments, alone or in combination with otherwise not-surgical interventions; or in comparison with other not-surgical interventions.

Of run over, reality will ne'er leave trustworthy support for either the effectiveness operating theatre safety of acupuncture treatments, because acupuncture is based on fantasy and its practitioners wear't really know what they are doing. When seen through with the lens of the information provided by prior high-character studies of acupuncture, information technology would evoke the following determination promotes a do i of time and money:

Upcoming rigorous randomised clinical trials with larger sample sizes will be essential to establish robust clinical evidence concerning the effectiveness and base hit of acupuncture treatment for incisive ankle sprains.

Merely for some reason the Cochrane radical always suggests more studies. At the least they did not suggest that it May be worthwhile for ankle joint sprain patients to test on an individual foundation whether therapeutic acupuncture is salutary for them.

They can only be that lunkheaded once. I hope.

TB or Not TB

As regular readers are alert, I am an Infectious Disease doctor and have been Medical Director of the contagion control program my infirmary system for 24 years.

It is impressive how Murphy rules in infection control. If something can crusade an infection, it testament do an infection given the right circumstances.

Needles sticking the skin can embroil bacteria from the skin of the patient, from the mitt of the practician or even from the slight aerosolization of spit from the practitioner, dragging oral bacterium into spinal fluent. It is why we wear a mask and gloves for many injections.

I have mentioned my Googlewack ahead. As top-grade I can secernate there is incisively one picture of an acupuncturist victimization gloves (in reality, a physiotherapist doing semi-dry needling) on a Google image search.

Careful infection mastery technique is not high on the disturbance list of stylostixis practitioners and a search of PubMed will result in a long list of mostly-preventable infections. As I toy with it, since there is no real indicant for acupuncture, they are completely preventable infections.

And now there is a report of cutaneous TB: "Analysis of 30 Patients with Acupuncture-Induced Primary Inoculation T.B."

The use of Formosan acupuncture needles which are able to deeply perforate into the tissues circumferent tendons and nerves provide an abstract route for the inoculation of TB. The patients in our outbreak underwent stylostixis twice daily for deuce weeks. This luxuriously degree of potential exposure may explain why there were no cases of instinctive healing.

From an infection control perspective, it was interesting that

Despite the unsuccessful identification of the source of pollution, information technology is apparent that these infections were linked to stylostixis and moxibustion, because the 30 patients had the same epidemiologic characteristics.

Most of the 30 patients had multiplex skin infections, but the lesions were located to the sites of acupuncture and electrotherapy. Lesion severity and do drugs reactions in individual longanimous were alike, but we did not know whether these seven-fold lesions were independent or the result of the inoculation infections in the wounds via hemo-disseminated Tubercle bacillus.

And some patients had metastatic infections:

Although, happening of the cardinal patients with membrane and pulmonary tuberculosis and two patients with stifle T.B. had confirmed the hemo-disseminated ability of this primary inoculation Mycobacterium tuberculosis to other tissues and the compartments.

And they finish with a dwarfish ironic humour:

Mycobacterium nates easily spread without proper microbiological control of these procedures. To this end, it was late suggested that herbal medicine and acupuncture professions should also originate a scheme of enactment regularisation which should help prevent these issues.

Those whose globe view holds that disease is ascribable the fanciful constructs of meridians and ki are supposed to remuneration close care to germs and their likely dispersed. In medicine we are fortunate that it is usually hard to infect other humans, particularly if you are meticulous about applying the concepts of infection control. Overly bad contagion prevention is not part of their understanding.

  • Mark Crislip, Doctor of Medicine has been a practicing Infectious Disease specialist in Portland, Oregon, since 1990. He is a break and  the President of the Society for Scientific discipline-Founded Music where He blogs under the name sbmsdictator. He has been voted a US News and World Report best US doctor, best ID doctor in Portland Magazine multiple times, has multiple teaching awards and, above all,  the 'Attending Most Likely To Tell It Like It Is' by the medical residents at his infirmary. His growing multi-media empire can be found at edgydoc.com.

Where in the United States Tcm #511 Brain Teasers Answers

Source: https://sciencebasedmedicine.org/tcm-hodgepodge/

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