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1 L’AGOPUNTURA PUO’ ESSERE DEFINITA COME MEDICINA ENERGETICA OVVERO MEDICINA COMPLEMENTARE E’ UNA BRANCA DELLA MEDICINA TRADIZIONALE CINESE CHE COMPRENDE: FITOTERAPIA MOXIBUSTIONE DIETETICA GINNASTICA (QICONG – TAJIQUAN) COPPETTAZIONE MASSAGGI 2 3 HUANGDI NEI JING È IL TESTO PIÙ ANTICO ( 475 A. C. ) E COMPLETO DELL’AGOPUNTURA DUE SEZIONI: • SO WEN - QUESTIONI SEMPLICI • LING SHU - PERNO SPIRITUALE - IL DIPLOMATICO E SINOLOGO FRANCESE, SOULIE’ DE MORANT, FECE CONOSCERE L’AGOPUNTURA AI FRANCESI ED AL RESTO DELL’EUROPA L’INCONTRO A PECHINO NEL 1972 TRA IL PRESIDENTE NIXON E MAO TSE TUNG, APRI’ LE PORTE DEGLI USA ALL’AGOPUNTURA 4 IL PUNTO DI AGOPUNTURA - AGOPUNTO - RAPPRESENTA LA BASE ANATOMICA IN CUI IL MEDICO INTERVIENE CON UNA STIMOLAZIONE, EFFETTUATA CON DIVERSE TECNICHE ED ALLO SCOPO DI RIPRISTINARE IL CORRETTO EQUILIBRIO DELLE FUNZIONI BIOLOGICHE DEL PAZIENTE. I PUNTI DESCRITTI SONO CIRCA 650. ACCANTO A QUESTI AGOPUNTI "CLASSICI" O "SOMATICI" CI SONO POI QUELLI RELATIVI ALLE VARIE METODICHE REFLESSOTERAPICHE DISTRETTUALI, TRA LE QUALI L'AGOPUNTURA AURICOLARE È SICURAMENTE LA PIÙ PRATICATA ED INDAGATA SPERIMENTALMENTE. CARATTERISTICHE BIOLOGICHE DELL’AGOPUNTO: • MINOR RESISTENZA ELETTRICA CUTANEA • RAPPORTI CON I TRONCHI VASCULO-NERVOSI • RAPPORTI CON TERMINAZIONI NERVOSE I MERIDIANI: STRUTTURE VIRTUALI, IN NUMERO DI 14, SU CUI SONO RAGGRUPPATI GLI AGOPUNTI, IN BASE ALLA LOCALIZZAZIONE ED ALLE INDICAZIONI CLINICHE 5 PRINCIPALI TECNICHE DI STIMOLAZIONE AGOPUNTURALE: STIMOLAZIONE MANUALE DELL’AGO L'AGO DI AGOPUNTURA È COSTITUITO DA UNA PARTICOLARE LEGA DI ACCIAIO CHE ABBINA RESISTENZA ED ELASTICITÀ. È COMPOSTO DA UN MANICO, UN CORPO ED UNA PUNTA. IL CALIBRO VARIA DA 0,25 A 0,40 MM ED È LUNGO DA 1-2 CM AD OLTRE 10 CM. 6 7 LE TECNICHE DI STIMOLAZIONE MANUALE DELL’AGO SONO SOSTANZIALMENTE TRE: • TONIFICAZIONE • DISPERSIONE • ARMONIZZAZIONE MOXIBUSTIONE O MOXA 8 STIMOLAZIONE ELETTRICA DELL’AGO 9 EFFETTI E MECCANISMI D’AZIONE DELL’AGOPUNTURA • EFFETTO ANTALGICO-ANALGESICO • EFFETTO IMMUNOMODULATORE-ANTIINFIAMMATORIO • EFFETTO DI REGOLAZIONE NEUROENDOCRINA • EFFETTO SUL TONO MUSCOLARE • EFFETTO VASOMODULATORE-TROFICO • EFFETTO SULLA SFERA PSICOEMOTIVA 10 Med Acupunct. 2013 Jun;25(3):164-172. Acupuncture for Treating Anxiety and Depression in Women: A Clinical Systematic Review. Sniezek DP1, Siddiqui I. Abstract BACKGROUND: Anxiety and depression are high in prevalence, especially in the female population, whose incidence is approximately double that of the male population. In addition, these conditions are difficult to treat and have high relapse rates and medication side-effects. There is evidence to suggest that acupuncture may be an effective treatment modality. OBJECTIVE: The aim of this review is to summarize the existing evidence on acupuncture as a therapy for anxiety and depression in women and to present a novel method for assessing acupuncture trial quality. METHODS: Published randomized controlled trials were included, whereby acupuncture was compared with any control procedure in subjects with anxiety and/or depression. Two authors extracted data independently. A novel acupuncture trial quality-assessment tool was developed to analyze the literature quality. RESULTS: Six articles used the desired inclusion and exclusion criteria. The quality of research varied heavily. Five studies were properly randomized. Three were double-blinded. Three used individualized acupuncture. Four studies were of at least reasonable quality. One was of marginal quality, and one was of poor quality. There was a significant difference between acupuncture and at least one control in all six trials. CONCLUSIONS: With respect to six reviewed studies, there is high-level evidence to support the use of acupuncture for treating major depressive disorder in pregnancy. KEYWORDS: Acupuncture; Anxiety; Complementary and Alternative Medicine; Depression; Depressive Disorders; Female; Integrative Medicine; Pregnancy; Systematic; Women PMID: 24761171 [PubMed] PMCID: PMC3689180 11 Asian Pac J Cancer Prev. 2014;15(7):3139-44. Acupuncture as a complementary treatment for cancer patients receiving chemotherapy. Tas D1, Uncu D, Sendur MA, Koca N, Zengin N Abstract BACKGROUND: Medical treatment for eliminating the side effects of cancer therapy may not always be efficacious. Acupuncture is one of the most widely accepted alternative and complementary therapies in use today. In this study, we investigated the efficacy of acupuncture in patientsexperiencing cancer treatment side effects, including nausea, vomiting, pain, poor sleep quality and anxiety. MATERIALS AND METHODS: A total of 45 inpatients who underwent chemotherapy between February and April 2013 in the Oncology Department of Numune Hospital were included in our study. Acupuncture was administered to the patients one day prior to chemotherapy, on the day of chemotherapy and one day after chemotherapy. The patients were evaluated on nausea, vomiting, pain, sleep quality and anxiety before the chemotherapy and on the 4th day of chemotherapy. RESULTS: Of the 45 patients included in the study, 18 (40%) were female and 27 (60%) were male. A total of 25 (55.6%) had an elementary school education; 32 patients (71%) had stage 4 cancer and were treated with palliative chemotherapy (the patient characteristics are shown in Table 1). Statistically significant decreases (p<0.001) in pain, nausea, vomiting, insomnia and anxiety scores were observed after the acupuncture treatmentcompared to baseline. There were no differences in the age, gender, education level, stage or metastasis levels between the patient groups whose symptoms improved or were unchanged. CONCLUSIONS: Our study showed that acupuncture has positive effects in cancer treatment patients who experience nausea, vomiting, pain, poor sleep quality and anxiety as side effects of chemotherapy. Chemotherapy-related side effects in cancer patients could be decreased by the concurrent use of acupuncture. PMID: 24815460 [PubMed] 12 Fertil Steril. 2002 Apr;77(4):721-4. Influence of acupuncture on the pregnancy rate in patients who undergo assisted reproduction therapy. Paulus WE1, Zhang M, Strehler E, El-Danasouri I, Sterzik K. Abstract OBJECTIVE: To evaluate the effect of acupuncture on the pregnancy rate in assisted reproduction therapy (ART) by comparing a group of patients receiving acupuncture treatment shortly before and after embryo transfer with a control group receiving no acupuncture. DESIGN: Prospective randomized study. SETTING: Fertility center. PATIENT(S): After giving informed consent, 160 patients who were undergoing ART and who had good quality embryos were divided into the following two groups through random selection: embryo transfer with acupuncture (n = 80) and embryo transfer without acupuncture (n = 80). INTERVENTION(S): Acupuncture was performed in 80 patients 25 minutes before and after embryo transfer. In the control group, embryos were transferred without any supportive therapy. MAIN OUTCOME MEASURE(S): Clinical pregnancy was defined as the presence of a fetal sac during an ultrasound examination 6 weeks after embryo transfer. RESULT(S): Clinical pregnancies were documented in 34 of 80 patients (42.5%) in the acupuncture group, whereas pregnancy rate was only 26.3% (21 out of 80 patients) in the control group. CONCLUSION(S): Acupuncture seems to be a useful tool for improving pregnancy rate after ART. PMID: 11937123 [PubMed - indexed for MEDLINE] 13 14 IN CONCLUSIONE • UNA SOLA MEDICINA • INTEGRAZIONE • RICERCA SCIENTIFICA • VISIONE UNITARIA DELL’UOMO 15 “ L’IGNORANZA E’ MENO LONTANA DALLA VERITA’ DEL PREGIUDIZIO” Denis Diderot Filosofo del XVIII° secolo 16 17