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Acupuncture in cerebrovascular disorders (CROSBI ID 739033)

Prilog sa skupa u časopisu | stručni rad

Podobnik Šarkanji, Slava Acupuncture in cerebrovascular disorders // Acta clinica Croatica. 1999. str. 49-50-x

Podaci o odgovornosti

Podobnik Šarkanji, Slava

engleski

Acupuncture in cerebrovascular disorders

The Chinese discovered acupuncture more than 5000 years ago. Acupuncture is gentle insertion of very thin needles into specific points on the body to stimulate the flow of one's Qi or natural healing energy. Chinese science had a very different way of thinking from the Western world. It emphasized holistic patterns, relationships, cycles, and processes, in contrast to the western way of thinking, which emphasizes linear thinking, causality and reductionist explanations. The Chinese medical doctors look at identifying the health and dysfunction, and the status of Qi, blood, phlegm, moisture. They make diagnosis upon physical characteristics of pulse on radial artery, which id entities the twelve acupuncture meridians, and also the patient's tongue, overall physical stature, face, skin, nails, eyes are important. So, the Eastern medical doctors would diagnose the status of Qi either as weak, stagnant, or congestive, and they also examine for the five external influences, i.e. heat, cold, dampness, dryness, and wind. Another Eastern concept is Yin and Yang. Yin implies feminine qualities of the universe (night, winter, western, north, external, cold, water, darkness, moon, blood), and Yang represents masculine qualities of the universe (day, spring, summer, east, south, warm, internal, heat, sun, energy). The principle of Chinese medicine is balance and harmony between Jin and Yang. Qi is vital energy of any living organism and source of all movement and change in the universe. Chinese medicine describes invisible Qi circulating along a system of conduits, meridians or channels. There are twelve principal bilateral meridians of Qi, which are connected, with one of the viscerals of the body and each manifests its own characteristic of Qi. The Chinese explain acupuncture as Qi or energy traveling through channels in the body. Any obstruction of the movement of this energy is like a dam, which backs up the flow in one part of the body and restricts the flow in other parts. The obstruction or blockade or deficiency of energy (Qi) would lead to dysfunction, and ultimately to disease and death. Acupuncture can unblock the obstruction of the dams within the meridian circulation releasing the regular flow of Qi, blood and fluid, moisture through these meridians. Modern science explains the function of acupuncture as stimulation of the nervous system to release neuroproteins and neuroinformation packages in the muscle, spinal cord and brain, particularly endorphin, enkephalins and dynorphins. These chemicals modulate the perception of pain and physiological function of the neural-endocrine-hormonal system. In modern science, cellular health is the movement of electrons. Only a radical change in the cellular structure and cellular electrical magnetic forces is called a disease. Until 1976, the evidence of acupuncture anesthesia was mainly anecdotal in the Western world. Since then, the situation has changed dramatically, and now acupuncture is a method used to improve health generally as well as to promote healing and to reduce side effects of many drugs. Acupuncture has found application in the areas where conventional medicine usually comes up short, such as chronic disease, pain control, and stress reduction. Several controlled clinical trials in chronic pain patients comparing true acupuncture to sham acupuncture have also shown that acupuncture really works better than placebo. In 1979, the World Health Organization, United Nations, published a list of conditions that could be successfully treated by acupuncture. In the medical field of neurology, the following diseases can be treated by acupuncture: migraines, headaches, postoperative pain, pain in general, stroke, Parkinson's disease, and neurogenic bladder dysfunction. Acupuncture has recently shown efficacy in improving clinical outcome after cerebrovascular accident. Acupuncture therapy can be used in the subacute stage of stroke and in the treatment of spasticity, the most common symptom in stroke patients. It is also possible to treat different pains that are usually caused by spasticity and contractures in stroke patients. Many patients with vertebrobasilar insufficiency have painful neck with tension of paravertebral muscle. In this case, acupuncture is very helpful. Study results have shown that stroke patients in the subacute stage who received acupuncture during rehabilitation program had better motor function improvement and have better adjusted to daily life activities. Spasticity is a common symptom in stroke patients, and its management is a major rehabilitation problem. Acupuncture has been used with moderate effect. Some clinical experience has been acquired, however, there is little objective evidence to support its use. Acupuncture as the treatment for spastic hemiparesis in stroke patients was studied by evaluation of the increased spinal motor neuron excitability in spasticity. The results provided evidence for the increased spinal motor neuron excitability in paretic limbs. In conclusion, acupuncture is a useful therapeutic method in the management of stroke patients, and it has proved very helpful during the procedure of rehabilitation

acupuncture; cerebrovascular disorders

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Podaci o prilogu

49-50-x.

1999.

nije evidentirano

objavljeno

Podaci o matičnoj publikaciji

Acta clinica Croatica

0353-9466

1333-9451

Podaci o skupu

Nepoznat skup

ostalo

29.02.1904-29.02.2096

Povezanost rada

Kliničke medicinske znanosti