TCM treatment of Endometriosis

TCM treatment of Endometriosis

By Virginia Jin 24/11/2020

Endometriosis is a blood stasis syndrome of traditional Chinese medicine. It is mostly caused by external evil invasion, emotional, elemental factors or surgical injury, etc., which cause the body’s viscera dysfunction, impulsive injury, qi and blood loss, formation of blood stasis, and stagnation in the lower abdomen. If the blood stasis is blocked and the veins and collaterals are blocked, dysmenorrhea will be seen; the blood stasis will accumulate for a long time and form a symptom; Heavy volume or prolonged menstrual period. In short, the key to this disease is blood stasis, and the cause of blood stasis is different from deficiency and excess, cold and heat.

  1. Qi stagnation and blood stasis   usually due to depression or anger, liver injury, stagnation of liver qi, disharmony between Chong and Ren, resulting in meridian stasis.

2. Cold blood stasis   more than after the menstrual period, the blood chamber is opening, the remaining blood is not clean, carelessness in taking life, feeling cold, blood coagulation when cold, leading to cold blood stasis.

3. Damp-heat stasis   element body spleen deficiency, water dampness stops, accumulates heat for a long time; or liver depression and spleen deficiency, damp-heat endogenous; or after the menstrual period, the blood vessels are empty and feel the evil of damp-heat. Damp heat stays in Chongren and accumulates in the uterine cytokine, which blocks the circulation of qi and blood and causes blood stasis.

  1. The body of phlegm and blood stasis is a body that has deficiency of spleen and is full of phlegm, or eating disorderly, excessive fatigue, excessive thinking, damage to spleen qi, spleen deficiency and dampness, dampness accumulates into phlegm, phlegm dampness injection flushes the blood flow and causes phlegm Stasis knots each other.

5. Qi Deficiency and Blood Stasis   Irregular diet, excessive thinking, excessive fatigue, or serious illness, chronic illness, damage to the spleen, deficiency of qi and blood circulation, stagnation of blood circulation, impediment of Chong and Ren stasis.

6. Kidney deficiency and blood stasis   congenital insufficiency, or acquired injury, serious illness and prolonged illness, prolific labor, and damage to kidney qi. Insufficiency of kidney yang will cause yin and cold to grow in the body. Chong Ren Deficiency and cold, blood loss of warmth will promote blood stasis; insufficient kidney yin, deficiency of fire endogenous, internal heat burning blood can also cause blood stasis; and insufficient kidney water, unable to contain wood, liver disorders Chong and Ren stasis caused by dysfunction of dredging, qi and blood discord.

Patients with chronic endometritis are best treated with Chinese acupuncture and acupuncture points. Acupuncture can promote blood circulation, clear blood stasis, remove toxins accumulated in the body, and improve body resistance, thereby significantly speeding up the improvement of endometritis and reducing the chance of its recurrence.

Generally speaking, the physical acupuncture points that can be used in the treatment of endometritis are related to Yuan, Qihai, and Sanyinjiao. The selected points include Zusanli, Qichong, Ligou, and Yinlingquan. In the specific treatment, one or two points can be selected based on the main points of acupuncture and moxibustion according to other symptoms. Moderate stimulation can be used, and the needles can be retained for 15-20 minutes. Acupuncture and moxibustion is sufficient once a day, and one week of continuous treatment is a course of treatment. Most patients can obtain obvious therapeutic effects after acupuncture and moxibustion once or twice.

 

In addition to acupuncture and moxibustion, patients with endometritis can also be treated by ear acupuncture. The acupuncture points that can be selected for ear acupuncture include the uterus, ovaries, and endocrine. In addition, it is not enough for patients with endometritis to treat with acupuncture and moxibustion alone. During this period, they can also be treated with Chinese medicine.

The traditional Chinese medicine acupuncture treatment of endometritis is not difficult. The key is to choose the right acupuncture points and techniques for acupuncture. In addition, acupuncture and moxibustion cannot lack the help of other treatment methods. Only by combining multiple methods for treatment and taking various nursing and health care measures can you better improve your physical fitness and speed up the recovery of inflammation.

 

Virginia very successful in helping with fertility life and gynecologic disorder and women health care.

Call us :09 360 1229 for Consultation

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Irritable bowel syndrome (IBS) & TCM

TCM treatment of IBS etiology and pathogenesis

Irritable bowel syndrome (IBS) is a relatively common chronic intestinal dysfunction disease. The pathophysiological basis of IBS is mainly abnormal gastrointestinal motility and visceral perception, and the mechanism of these changes has not been fully elucidated. Western medicine treatment of IBS has side effects, and its clinical application is subject to many restrictions, and patients are reluctant to accept it. Many patients will seek TCM treatment, so what method and theory should TCM treat IBS?

1. Soothing the liver and regulating qi, improving abnormal emotional pain
Patients seeking treatment for IBS often have emotional disorders, suggesting that the symptoms may be related to abnormal central emotion and pain perception. IBS disease is located in the intestine, and its pathogenesis is liver depression and spleen failure. Soothing the liver and regulating qi can obviously improve the abnormal central emotion and pain, and the traditional Chinese medicine for soothing the liver can obviously alleviate and improve symptoms. The treatment medication focuses on regulating qi.

2. Invigorate the spleen and replenish qi, regulate the intestinal transport function
IBS patients’ bowel habits change, suggesting that there may be intestinal dysfunction, the disease is located in the spleen, and the main pathogenesis is deficiency. Clinically, by eliminating the hyperresponsiveness of intestinal smooth muscle. So as to alleviate the symptoms of abdominal pain and diarrhea in IBS patients.

3. Dispel dampness and turbidity, improve the environment in the intestine
Deficiency of the spleen and loss of transport, diarrhea, accumulation of damp heat or cold and dampness, loss of intestinal conduction, and poor qi flow. When the spleen rises and the stomach falls, the dampness will rise and fall abnormally, especially the stagnation of qi. It is seen that there is pain in the abdomen or bowel diarrhea, sticky stools, foaming, or diarrhea and constipation. Therefore, the general combination of dampness and qi regulation.

Conclusion:
It can be seen that the pathogenesis of IBS is mainly liver depression and spleen deficiency, and the liver and spleen are closely related to the internal organs. The main principle of treatment is to sooth the liver, invigorate the spleen and dissipate dampness.

Cough – Acupuncture – Traditional Chinese Medicine (TCM)

Types of cough and treatment methods and curative effects of Chinese acupuncture

Cough is a common symptom of lung disease. Various causes of internal injuries can cause lung qi to fail to propagate or subdue, causing lung qi to reverse and cause coughing. A long-lasting cough is called a chronic cough.
【Cause and Pathogenesis】
Weak lungs, or other diseases involving the lungs, causing a cough, are all chronic coughs. The internal organs are all weak, not just the lungs. However, the lung is the master of qi, and all qi will cough when it is against the lungs. Coughing is “not only in the lungs, but also in the lungs. ”

1. Spleen deficiency produces phlegm
If the spleen loses its health and transport, it can’t transfer the essence of water and grains, which can cause dampness and produce phlegm, which will stain the lungs, block the lung qi, affect the flow of qi, and cause coughing. “The spleen is the source of phlegm, and the lung is the organ of phlegm storage.” For people who are usually deficient in yang, their cold drink enters the stomach, from the stomach to the diaphragm, through the lungs and up to the lung system, resulting in unfavorable lung qi and coughing.

2. Deficiency of Kidney Qi
“Lung is the master of qi, kidney is the root of qi”, “kidney is in charge of receiving qi”. If the kidney is insufficiency, it will cough. If the kidney yang is weak and the gasification is not good, the water will stop accumulating, and the lung will be attacked, which will also cause coughing.

【Differentiation】
1. Phlegm cough
Prolonged cough, heavy turbid cough, sputum in the throat, multi-colored sputum, accompanied by nausea in the chest, reduced appetite, fatigue of the limbs, white fur on the tongue, slippery pulse.

2. Qi Deficiency Cough
Coughing for a long time, low and weak cough, short breath, low breath, clear and thin phlegm, fatigue, fear of wind, spontaneous sweating, easy to catch cold, thin tongue coating, pale tongue, weak pulse.
3. Yang deficiency cough
Coughing recurring, usually caused by cold, clear phlegm and saliva, dizziness, heart palpitations, chills, heavy limbs, or difficulty in urination, white tongue coating, slippery pulse.

【treatment】

1. Phlegm cough
Treatment method: invigorate the spleen and dry dampness, regulate qi and resolve phlegm
Prescription: Feishu, Pishu, Taiyuan, Fenglong, Hegu.
Fang Yi: Taiyuan, the original point of the lung meridian of the hand Taiyin, is injected for the Zhenqi of the internal organs. It is combined with Feishu and Pishu to invigorate the spleen and reduce dampness, replenish lung qi, treat the symptoms and root causes at the same time, take the foot-yangming meridian points Fenglong and hand Mingjing Yuan acupoints hegu, in order to harmonize the stomach qi, and the qi will flow into Jinbu, the phlegm will be self-dissolved, so the cough can be stopped. Add Zusanli and Neiguan for severe chest tightness.

2. Qi Deficiency Cough
Treatment method: to replenish lung qi, resolve phlegm and relieve cough.
Prescription: Feishu, Pishu, Shenshu, Qihai, Fenglong.
Fang Yi: Qihai, Shenshu nourishes qi, nourishes the essence, nourishes the kidney and strengthens the essence; Feishu and Pishu xuanfei invigorates the spleen, nourishes the lung qi; enriches the stomach and reduces phlegm and turbidity.

3. Yang deficiency cough
Treatment method: warming the sun to dispel cold, transforming qi into water.
Prescription: Mingmen, Guanyuan, Shenshu, Gaolingshu, Shenque, Feishu.
Fang Yi: Mingmen, Guanyuan Wenshen Peiyuan, Shenshu and Gaolingshu nourishes the kidney and nourishes qi, Shenque warms the yang, Feishu promotes qi, and plays the power of warming yang and dispelling cold, transforming qi and promoting water.

Ponsonby Wellness’ patients feedback by cough treatment.

How does acupuncture for fertility work? Increase chance of conception without side effects

HOME › HOW DOES ACUPUNCTURE FOR FERTILITY WORK? INCREASE CHANCE OF CONCEPTION WITHOUT SIDE EFFECTS

How Does Acupuncture for Fertility Work? Increase Chance of Conception Without Side Effects

The overwhelming anguish and sense of loss experienced by women struggling with infertility issues is an unwelcome motivator, driving them to seek other treatment options to overcoming infertility. From home remedies, fertility drugs, and even surgery, to in vitro fertilization (IVF) and donor eggs and embryos, modern healthcare has vastly expanded the array of options available for couples struggling to conceive.

But not all can afford the financial costs of infertility which can range from hundreds of dollars spent on drugs to tens of thousands spent on advanced procedures such as Intrauterine insemination (IUI) and IVF. In the search for affordable and effective health care, alternative and holistic treatments are gaining wider appeal among the general public.

Traditional Chinese medicine, for example, has been practiced for thousands of years and includes techniques and practices such as tai chi, moxibustion, tui na, Chinese cupping, and acupuncture. Acupuncture in particular has rapidly grown in acceptance by the general public and practice among therapists today. Not only is acupuncture valued for stress-relieving and relaxing benefits, but also as a component of fertility treatments.

When used in conjunction with Western fertility treatments, acupuncture increases conception rates by 26%. A recent study from Tel Aviv University reports, “When combining IUI with TCM treatments, 65.5 percent of the test group were able to conceive, compared with 39.4 percent of the control group, who received no herbal or acupuncture therapy.” For the 4.5 million couples experiencing infertility each year, acupuncture may be just what the doctor ordered.

The Evolution and History of Acupuncture
With a recorded history of about 3,000 years, the foundations of acupuncture are believed to date back to the Stone Age when sharp edged tools were used to puncture the skin and drain blood and abscesses.

The Chinese document titled Lingshu (translated as “Miraculous Pivot”) listed nine classical acupuncture needles: Filiform, Shear, Round-Pointed, Spoon, Lance, Round-Sharp, Stiletto, Long, and Big. These classical needles were originally made from bronze, gold, or silver, but modern acupuncture uses only stainless steel filiform needles.

In the U.S., physicians have been practicing acupuncture since the early 1800s. When the New York Times published the documentation of James Reston’s visit to China in 1971, acupuncture piqued public interest. In 1997, the National Institutes of Health Consensus Statement advocated for acupuncture’s potential to manage postoperative pain, vomiting, and nausea. Ten years later, according to a report published by the National Center for Biotechnology Information (NCBI), a “. . . survey conducted by the Centers for Disease Control and Prevention’s National Center for Health Statistics, almost 40% of adults used complementary and alternative therapies, such as acupuncture, in the prior year.”

The rise in popularity of acupuncture has compelled researchers to take a closer, scientific look at the full potential of acupuncture. From aiding in weight loss efforts, to reducing stress and relieving pain, the benefits of acupuncture have raised interest in its potential to increase the chances of conception.

The Science Behind Infertility
Because of the delicate balance between the hypothalamus, pituitary, and reproductive glands, stress is capable of preventing a woman from ovulating entirely. This can contribute to the cause of female infertility. Stress can also create spasms in both the fallopian tubes and the uterus, which can interfere with movement and implantation of a fertilized egg. In men, stress can alter sperm counts, motility, and cause impotence. Acupuncture infertility treatment counters the effects of stress and cortisol by releasing endorphins in the brain. An herbal impotence cure is also an option for men and can reduce stress.

Hormonal balance does not have to be disrupted by cortisol to cause infertility. The most common cause of female infertility is an ovulation disorder, in which the release of a mature egg from the ovary is prevented, usually because of a hormonal imbalance. Without enough progesterone, for example, the fetus is unable to attach to the uterus. High levels of prolactin, the hormone that stimulates the production of breast milk, can also prevent ovulation.

Acupuncture for Fertility
An imbalance in reproductive hormones can also negatively affect male reproductive function, such as sperm motility and production. However, the fertility drugs that stimulate ovulation in women by regulating the hypothalamus and pituitary, the glands that control reproductive hormones, don’t perform nearly as well for men (success rates are about a third of those for women), nor have they been approved for men by the FDA. Male infertility treatment must take another track. An herbal impotence cure — if impotence is a factor in a couple’s infertility — causes no side effects and has a reported success rate when taken in conjunction with male infertility treatment.

While the fertility drugs commonly prescribed for women can produce a 20 to 60 percent pregnancy rate, they also commonly include such side effects as abdominal tenderness, bloating, fluid retention, weight gain, and nausea. Some studies show that they may also cause breast cancer.

The Potential of Acupuncture to Increase Chance of Conception
Acupuncture can increase fertility by reducing stress, increasing blood flow to the reproductive organs and balancing the endocrine system, according to several studies and medical research. “The goal of an infertility treatment from a Chinese medicine perspective is not just to get pregnant, but to stay pregnant and to have a healthy baby,” says Deb Davies, LAc, a Pacific College alumnus. Among many other benefits, acupuncture can provide better blood flow to the ovaries and uterus, creating a stronger chance for an egg to be nourished and carried to term.

Modern acupuncture consists of the gentle insertion and stimulation of thin, disposable sterile needles at strategic points near the surface of the body. Over 2,000 acupuncture points on the human body connect with 14 major pathways, called meridians. Chinese medicine practitioners believe that these meridians conduct qi, or energy, between the surface of the body and internal organs. It is qi that regulates spiritual, emotional, mental and physical balance. When the flow of qi is disrupted through poor health habits or other circumstances, pain and/or disease can result. Acupuncture helps to keep the normal flow of this energy unblocked, thereby increasing a couple’s chances of conceiving.

Acupuncture infertility treatment can improve almost every cause of this obstacle. While 40 percent of infertility is caused by problems in the female, another 40 percent is caused by problems in the male, such as low sperm count or motility. The cause of female infertility stems from problems such as anovulation and endometriosis. The remaining 20 percent is caused by unknown factors.

One of the ways acupuncture infertility treatment increases fertility is by reducing stress, which is often a key factor in the fertility of both men and women. When people are under stress, the hormone cortisol is released in the brain. This alters the brain’s neurochemical balance, thus changing hormone levels and disrupting the pituitary balance that is key to the reproductive cycle.

If the thyroid is over- or under-functioning, acupuncture can help address the effects on fertility. Acupuncture can also “. . . be used to treat any type of fertility disorder including spasmed tubes. Spasmed tubes are often de-spasmed with acupuncture, though blocked tubes will not respond to acupuncture,” according to the American Pregnancy Association.

However, acupuncture cannot address issues with tubal adhesions. Acupuncture is also contraindicated for the abdomino-pelvic area, which includes the following points: Gallbladder 21, Large Intestine 4, Bladder 60, Stomach 12, Spleen 6, and Bladder 67, as well as any other points on the lower abdomen.

“Chinese medicine can help support a woman through this important time in her life—whether that is emotionally or physically, acupuncture can help with much more than just conception. It can help with morning sickness, nausea, aches and pains (low back pain, for example), anxiety preparation for birth, and insomnia, among many others,” explains Davies.

Acupuncture’s Side Effects
Acupuncture for infertility treatment, by contrast, produces few or no side effects while performing the same function as the drugs do: stimulating the hypothalamus to effectively balance the endocrine system and its hormones and to get to the root cause of female infertility as well as male infertility.

The natural, time-tested alternative treatment used by eastern cultures just might be worth a try.

SOURCES

Tel Aviv University study

http://www.aftau.org/site/News2?page=NewsArticle&;id=15808

http://www.healthy.net/Health/Article/The_History_of_Acupuncture_in_China/1819

http://www.itmonline.org/arts/bleeding.htm

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5512332/

http://americanpregnancy.org/infertility/acupuncture/

Click here to learn more about Pacific College of Oriental Medicine’s Chicago acupuncture school, New York acupuncture school, and San Diego Acupuncture School Programs.

How Does Acupuncture for Fertility Work? Increase Chance of Conception Without Side Effects

ACC & Acupuncture


Accident compensation has a long history in New Zealand. The Accident Compensation Corporation (ACC) began in 1974 and has continued to evolve ever since. ACC helps prevent injuries and get New Zealanders and visitors back to everyday life if they’ve had an accident. ACC help pay for a range of medical, health and treatment costs if we cover your injury. You may have to pay for part of your treatment costs. Includes serious injury and disability.
You can register with us if you’re a treatment provider or registered health professional under the Accident Compensation Act 2001. This includes: acupuncturist
To register as a health provider you need to:
Be registered with the appropriate authority, eg your professional body
Hold a current annual practising certificate from the same authority

Acupuncture modalities currently funded by ACC The Accident Compensation Corporation (ACC) includes acupuncture within the suite of allied health treatment modalities. Allied Health is the third major group in the New Zealand health and disability workforce (alongside medical and nursing professionals), and includes physiotherapists, chiropractors, osteopaths, occupational therapists, speech therapists and acupuncturists (www.ahanz.org.nz). ACC currently funds two sets of treatment modalities within acupuncture services, conventional therapies and adjunct therapies. The conventional therapies are comprised of traditional acupuncture, Western acupuncture, laser acupuncture, electroacupuncture, and auricular acupuncture; the adjunct therapies include cupping, Gua Sha scraping, tuina massage, and moxibustion. ACC does not fund herbal plasters, liniments, herbalism, nutritional supplements, and ion-pumping cords. Acupuncturists have been recognised under ACC cost of treatment regulations since 1990. The Accident Compensation Act (AC Act) defines an acupuncturist as a person who is a) a full member of the New Zealand Register of Acupuncturists Incorporated (NZRA), now known as Acupuncture NZ (AcNZ), or the New Zealand Acupuncture Standards Authority Inc (NZASA) and b) who holds a current practising certificate. Other Health Practitioners (as defined under the Health Practitioners Competence Assurance Act 2003) may utilise acupuncture interventions as determined under the scopes of practice within which they work.
Musculoskeletal conditions may be eligible for cover if it can be established that the condition is a personal injury caused by an accident (PICBA) or a work-related gradual onset condition (e.g. carpal tunnel syndrome) (WRGPDI). The criteria for each are described in the Accident Compensation Act 2001. ACC does not cover musculoskeletal injuries which are considered to be wholly or substantially due to noninjury factors, such as disease or aging.

Neck Pain

Mechanical Neck Pain Included evidence: seven systematic reviews, which included eight individual RCTs, and one additional RCT were identified. Study quality varied, however most were of moderate to high quality. Included studies investigated treatments using either a TCM or western medical framework and delivered traditional acupuncture, electroacupuncture, dry needling and cupping. Acupuncture interventions were mainly compared with sham acupuncture, wait-list or inactive treatment (e.g. sham laser or TENs). Participants within the included studies varied significantly regarding the duration and severity of neck pain, with conditions ranging from acute to chronic durations. The reported number, duration and frequency of treatment sessions was often 15 – 30 minutes long, with 5 – 15 sessions delivered over 3 – 5 weeks of treatment. Length of follow-up was mostly short to medium term with a small number of studies reporting long-term functional or pain outcomes. There is conflicting evidence suggesting that traditional acupuncture may be more effective at reducing pain and improving disability in the short-term for patients with mechanical neck pain when compared to sham acupuncture, however, the evidence does not provide support for a long-term effect. Based on two HQ++ SRs of level 1+ evidence and one LQ- SR of level 1- evidence. The SRs included 4 relevant RCTs. There is conflicting evidence regarding the benefits of dry needling and electroacupuncture on the outcome of pain over the short-term in patients with mechanical neck pain when compared to control interventions. Based on one HQ++ SR of level 1+ evidence, three AQ+ SRs of level 1 evidence and one HQ++ RCT. The SRs included three relevant RCTs, two on dry needling and one on electroacupuncture. Insufficient evidence is available on other acupuncture therapies including auricular acupuncture, laser acupuncture, moxibustion, cupping and Gua Sha scraping for patients with mechanical neck pain.

Shoulder Pain
Frozen Shoulder Included evidence: four systematic reviews, which included six RCTs, and one additional RCT. Studies were of low to moderate quality. Included studies investigated treatments which mainly used a TCM framework and delivered a combined or individual treatment of acupuncture (traditional acupuncture, cupping, electroacupuncture, tuina therapy and laser acupuncture) and rehabilitation, physiotherapy or electrotherapy. These interventions were mainly compared with physiotherapy, electrotherapy and injections alone. Patients were commonly aged in their 50’s and in varying and poorly reported stages of the condition. The number, duration and frequency of treatment sessions were around 30 – 40 minutes long, with 8 – 10 sessions delivered over 4 – 6 weeks of treatment. The evidence suggests that acupuncture or electroacupuncture, alone or in combination with physiotherapy or electrotherapy may be effective for reducing pain, improving range of motion and function in patients with frozen shoulder when compared to physiotherapy or electrotherapy alone. Based on one LQ- SR of level 1- evidence containing three RCTs and one LQ- RCT. Insufficient evidence is available on other acupuncture therapies including auricular acupuncture, laser acupuncture, dry needling, moxibustion, cupping, tuina massage and Gua Sha scraping for patients with frozen shoulder.

Sciatica
Sciatica Included evidence: three systematic reviews, which included 13 individual RCTs, were identified that reviewed the effectiveness of acupuncture interventions for sciatica. Studies were of low to moderate quality. Included studies mainly investigated treatments which used a TCM framework and delivered traditional acupuncture and electro-acupuncture. Acupuncture interventions were mainly compared with conventional medication (Ibuprofen, Prednisone, Meloxicam and Diclofenac). Patient age and duration of condition significantly varied between the included studies ranging from 18 – 79 years of age and reported durations of 4 days to 18 years. The number, duration and frequency of treatment sessions was well-reported, with sessions often of 20 – 45 minutes long, with 5 – 20 sessions delivered over a short period of 1 – 3 weeks. Length of follow-up was mostly short-term with few studies reporting long-term functional or pain outcomes. The evidence indicates that traditional acupuncture and electroacupuncture are probably effective in reducing pain in the short-term when compared with conventional medication. However, there is little evidence on its sustained effect over the medium and long-term and its effect on function and quality of life. Based on two SRs of HQ++ and one SR of AQ+, all of level 1 evidence. The SRs included thirteen relevant RCTs. Insufficient evidence is available on other acupuncture therapies including dry needling, auricular acupuncture, laser acupuncture, moxibustion, cupping, Gua Sha scraping and traditional Chinese tuina massage for patients with sciatic
Back Pain
Lumbar Disc Herniation Included evidence: two systematic reviews which included 14 individual RCTs. Studies were reported to be of low quality. One looked at the effectiveness of tuina manual therapy while the other looked at the interventions of acupuncture and electroacupuncture. Tuina manual therapy was also used in conjunction with other interventions, mostly oral Meds, traction and intravenous injections. The control groups were mainly oral Meds and traction using varied duration periods which were different to the intervention in most cases. The included studies that reported treatment schedules averaged 11.3 ± 8.1 sessions (range 1–36) and the length of each session was 25.3 ± 5.7 minutes (range 15–30). Follow up length was only reported within two of the included RCTs and ranged between 1 day to 60 weeks. There was low quality evidence that tuina, alone or used alongside traction, may be effective for the relief of pain due to lumbar disc herniation, but the clinical impact of the treatment is uncertain. The evidence indicates that traditional acupuncture plus traction may be effective in reducing pain post treatment for patients with lumbar disc herniation when compared to traction alone. Based on one LQ- SR of level 1- evidence. The SR included five relevant RCTs. The evidence suggests that tuina massage may be effective in improving pain and function for patients with lumbar disc herniation when compared to conventional medication and traction, however, the evidence for functional improvement was not as strong as pain relief. Based on one AQ+ SR of level 1+ evidence. The SR included eight relevant RCTs. Insufficient evidence is available on other acupuncture therapies including electroacupuncture, auricular acupuncture, laser acupuncture, dry needling, moxibustion, cupping and Gua Sha scraping for patients with lumbar disc herniation

Knee Pain
Knee Osteoarthritis Included evidence: 15 systematic reviews, which included 78 RCTs, plus nine additional RCTs were identified, that reviewed the effectiveness of acupuncture interventions for knee OA. Studies were of low to moderate quality. Included studies mainly investigated treatments which used a TCM framework and delivered traditional acupuncture, trigger point acupuncture or moxibustion. Acupuncture interventions were mainly compared with sham acupuncture, no treatment or conservative therapies. Moxibustion was mainly compared with Meds therapies such as diclofenac, or sham moxibustion. Patients were generally recruited from hospital clinics, were aged greater than 50 years old and suffered from knee OA of chronic duration and moderate severity, however, the included studies varied significantly. A history of traumatic injury was often an exclusion criterion, so this may limit the relevance of the findings for ACC. The number, duration and frequency of treatment sessions was not well-reported, but where it was, sessions were about 20 – 30 minutes long, with 5 – 20 sessions delivered over 5 – 9 weeks of treatment or daily treatments over a short period of 7 – 10 days. Length of follow-up was mostly short-term with few studies reporting long-term functional or pain outcomes. The evidence suggests that acupuncture and electroacupuncture probably reduces pain in the short-term when compared to the controls of medication, placebo and waiting list, however, their effects on function and quality of life remain unclear and conflicting. Based on three AQ+ SRs and three LQ- SRs, three of level 1+ evidence and three of level 1 evidence and two RCTs, one of LQ- and one of AQ+. The SRs included 43 relevant RCTs. The evidence suggests that the effectiveness of acupuncture treatments depends on the age of the patient and severity of their osteoarthritis. Specifically, the evidence suggests that laser acupuncture, needle acupuncture and moxibustion are probably not effective in improving pain and function in older patients with moderate or severe knee pain. Based on one HQ++ RCT of level 1+ evidence quality on laser and needle acupuncture and one HQ++ RCT of 1+ evidence quality on moxibustion. There is conflicting evidence about the benefits of moxibustion on the outcomes of pain and function over the short-term in patients with knee osteoarthritis. Based on one HQ++ SR, two AQ+ SRs of level 1 evidence and four RCTs of HQ++ (1), AQ+ (1) and LQ- (2) of level 1 and 1- quality. The SRs included 21 relevant RCTs. The evidence indicates that pulsatile cupping may be effective in improving knee pain and function in patients with knee osteoarthritis in the short and medium term when compared to no intervention. Based on one AQ+ SR and one AQ+ RCT both of level 1 evidence quality and 1 LQ- RCT of level 1- evidence. The SR included seven relevant RCTs. Insufficient evidence is available for other acupuncture therapies including Gua Sha scraping and traditional Chinese tuina massage for patients with knee osteoarthritis. Ankle Sprain Included evidence: three systematic reviews which included 18 individual RCTs. Studies were generally of low quality and lacked validated outcome measures for the primary and secondary outcomes of interest within this review including pain, function and QOL. Included studies mainly investigated treatments which used a TCM framework and delivered traditional acupuncture, auricular acupuncture, electroacupuncture and warm acupuncture. Acupuncture interventions were mainly compared with usual care/standard physiotherapy (bandage and/or ice pack), massage, topical NSAIDs and oral medication. The included studies considered three main types of comparisons: acupuncture versus no treatment or placebo, acupuncture versus another standard non-surgical intervention and acupuncture used in conjunction with other treatments to assess its effectiveness as an add-on treatment. Patients were generally between 18 and 25 years of age and had suffered an acute ankle sprain of less than a week’s duration. Most studies within the SRs included ankle sprains of mixed severity or did not detail severity. The number, duration and frequency of treatment sessions was commonly between 5 and 15 sessions over 1 to 2 weeks. Length of follow-up was mostly of short-term. Insufficient evidence is available for the outcomes of pain, function and quality of life using needle based and other acupuncture therapies for patients with ankle sprains. The available evidence lacks validated outcome measures for the primary and secondary outcomes of interest within this review including pain, function and quality of life. Based on three SRs of HQ++ and AQ+ with level 1+ and 1 evidence. The SRs included 18 relevant RCTs.

Heel Pain
Plantar Heel Pain Included evidence: seven systematic reviews, which included 12 individual RCTs, plus 1 additional RCT was identified that reviewed the effectiveness of acupuncture for plantar heel pain. Studies were of low to moderate quality and mostly reported on follow up times in the short and medium term. Included studies investigated treatments which used TCM or western framework and delivered traditional acupuncture, trigger point dry needling, electroacupuncture and warm needling acupuncture. Acupuncture interventions were mainly compared with exercise, sham acupuncture, insoles or steroid injections. Patients were generally diagnosed with plantar fasciitis however, several studies used the words plantar fasciitis and plantar heel pain interchangeably. Plantar fasciitis is a common cause of plantar heel pain, but plantar heel pain can also include wider issues which may affect results. The patients were commonly aged between 35 and 60 years old. The number, duration and frequency of treatment sessions were often of two different treatment schedules, one of daily treatments over 1 – 2 weeks and the other of weekly sessions over 4 – 8 weeks. The evidence suggests that acupuncture and electroacupuncture may be effective in the short-term reduction of pain in patients with plantar fasciitis; however, the improvement is not sustained over the medium to long term. Based on one AQ+ SR and one LQ- SR both of level 1 evidence. The SRs included five relevant RCTs. The evidence indicates that dry needling may be more effective than control or placebo for reducing pain but not improving quality of life in the short and long term when treating patients with plantar heel pain. Based on five AQ+ SRs (four of level 1 evidence and one of 1- evidence). The SRs included eight relevant RCTs. The evidence indicates that acupuncture interventions may be effective in reducing pain in the short-term (up to 6 weeks), however, there is little evidence supporting its sustained effect over the medium and long term and its effect on improving quality of life in the short and long term. The evidence suggests that as the duration of plantar fasciitis increases, the improvement from treatment including electroacupuncture decreases. Based on one LQ- SR of level 1 evidence, containing only one relevant RCT. Insufficient evidence is available on other acupuncture therapies including auricular acupuncture, laser acupuncture, moxibustion, cupping, Gua Sha scraping and traditional Chinese tuina massage for patients with plantar heel pain.

General comments on the evidence base of acupuncture for musculoskeletal conditions There is some evidence that acupuncture modalities are effective for the short-term (up to 6 weeks) relief of pain associated with some musculoskeletal conditions but there is little evidence of medium or long-term pain relief. While it is less consistent, there is evidence that for some conditions acupuncture modalities also improve functional outcomes in the short-term. There is overall a lack of available evidence regarding the effectiveness for other modalities, such as moxibustion, Gua Sha, tuina and cupping. Treatments were often reported as being 15 – 30 minutes long, although it was not always clear if this represented total treatment or needle retention time. These findings are consistent with other recent systematic reviews and clinical guidelines for the management of low back pain and knee osteoarthritis (Yin et al, 2017; Nahin et al 2016; Chou et al, 2017). The findings of the evidence-based review were limited by a lack of high-quality studies for many acupuncture modalities, particularly adjunct modalities, such as cupping, tuina massage, Gua Sha scraping and moxibustion. There was also a focus on outcome measures for pain, with a lack of functional, disability, quality of life, or patient-centred outcomes. This means that for many conditions the reviewers were unable to comment on the functional impact of treatment with acupuncture.

REF
https://www.acc.co.nz/assets/research/dc1104f788/aerg-consensus-acupuncture-musculoskeletal-conditions

Acupuncture & Infertility

15th May 2020 By Virginia Jin
There are many reports of acupuncture treatment of infertility in Chinese medicine, and its efficacy is generally recognized by people.
Case: Female, 35 years old, unable to become pregnant after 5 years of marriage. She was under big pressure. The first time she came with her mother was very sincere and requested treatment for her infertility. She originally planned to go to the Western Medicine Infertility Specialty for IVF surgery, but after a doctor’s examination, she found that although her menstruation came on time, she did not ovulate at all. FSH was very high 15.8 mlU / ML (normal 1.5-10 mlU / ML), accompanied by anemia, hemoglobin (Hb) is only 9.2 g / dl (normal 12.5-16g / dl). Not qualified for IVF, this specialist refused to perform IVF surgery for her and recommended the treatment by acupuncture and traditional Chinese medicine . After 4 months of treatment and conditioning, her basal body temperature(BBT) and ovulation tests showed normal ovulation, FSH decreased to 8.7 mlU / ML, and hemoglobin (Hb) also reached 12.7g / dl, everything returned to normal. She went to the specialist doctor to perform IVF surgery, which was a success.
According to the causes and types of patients’ infertility, and the different stages they are in, there are three general treatments for infertility:
The first group: natural pregnancy group. Natural pregnancy after traditional Chinese medicine & acupuncture treatment, does not require any Western medicine. Some cases do not need to consider IUI or IVF at all. For example, they are 25-35 years old, have no organic lesions, but are dysfunctional, or have high FSH. We just monitor such as measuring basal body temperature(BBT) every morning, measuring ovulation during two mid-menstrual periods, and having a sexual life at an appropriate time, can be naturally pregnant.
The second group: prepare for IUI or IVF group. A period of treatment before starting artificial insemination or IVF. After conditioning by Chinese medicine acupuncture treatment, then do IUI or IVF. Some people do IVF several times, they all failed, and the specialist still advocated to try again, and the result may not be successful. It wasting money and time, and damaging the body. If you undergo IVF after 1-3 months of Chinese medicine treatment, the situation is very different. The success rate will increase by more than 50%. Interestingly, some cases are pregnant during the early preparation of IVF, the patient saves the IVF surgical steps, and naturally becomes pregnant.
The third group: cooperate with IUI or IVF group. Use acupuncture to cooperate with IVF surgery. Cooperate with acupuncture during the whole IVF surgery, and give different acupuncture and moxibustion treatment at different stages, which can greatly Improve success rate. This group usually does not use Chinese medicine.

Of course, each case requires a specific analysis. Each treatment requires a specific treatment plan. By acupuncture treatment or use Chinese medicine, or both together, how long it takes is different. After years of clinical practice, a complete set of treatment methods have been summarized, such as the selection of acupuncture points and the preparation of traditional Chinese medicine formulas. According to the menstrual cycle, different stages use the different treatment plan. For example, some acupuncture points can better regulate the female endocrine system, improve blood circulation around the uterus, and enhance the function and activity of eggs. The prescription of traditional Chinese medicine is mainly based on the etiology, for anovulatory menstruation, or high FSH caused by advanced age, low estradiol (E2), or thin uterine wall, or suffering from different gynecological diseases, such as ovarian cysts, uterus Fibroids and endometriosis need to be treated with different prescriptions of traditional Chinese medicine.
In addition, there is another point to note is the cooperation of the patient and his family. Health food, less stress, good sleep…There are many successful cases of acupuncture and Chinese herbal medicine for infertility treatment . In our clinic, the success rate of acupuncture treatment with traditional Chinese medicine is 70-80%.

Acupuncture therapy & Ankle Sprain

13 April 2020 By Tony Jiang
Sprain of ankle is a major disease of sports injury and the morbidity of it is highest among athletic injury illnesses (around 40%). The principal manifestation of ankle sprain can be viewed as soft tissue injury of ankle joint rather than fracture, dislocation, and skin damage.

The common clinical symptoms of ankle sprain include partial pain, swelling, claudication, and the limitation of joint motion. In addition, for lateral malleolus injury, the pain symptom will be aggravated if patients try to finish strephenopodia. Conversely, for Medial deltoid ligament injury, the local pain will be increased if patients attempt to do strephexopodia.

The main treatment therapy of ankle sprain includes brake, ice compress, conservative treatment (e.g. plaster immobilization) and the curative time is approximately 3-6 weeks. Moreover, the surgical treatment is essential to serious ankle sprain patients.

Acupuncture treatment is suitable for these patients without fracture. According to the basic theory of traditional Chinese medicine, the major cause of this sports injury is “qi stagnation and blood stasis” and the therapeutic principle is “promoting qi to active blood”. Major acupoints of acupuncture service are Shangqiu, Jiexi, Zhongfen, Qiuxu, Kunlun, Taixi. For another, electric acupuncture treatment is most suitable to cure this illness. Acupuncturists commonly select the dilatational wave and the strength of electricity should be based on patients’ tolerance. Additionally, TDP treatment is effective assist treatment. The treatment time of acupuncture therapy is 20-30 minutes per time, 1 time per day, and 10 times per course.

Acupuncture therapy & Simple Obesity

11 May 2020 Tony Jiang

Obesity is a metabolic disease caused by interaction of multiple factors. The main clinical manifestation of obesity includes excessive accumulation and abnormal distribution of internal fat, weight increase, and imbalance of energy metabolism. Simple obesity accounts for about 95% of total obesity. Simple obesity can be divided to two types, constitutional and acquired obesity. The former is caused by congenital factors and the feature is widespread obesity, the latter is cause by acquired factors (i.e. unhealthy lifestyle and dietary habit).

Obesity has significantly negative impact on people’s health and it can decrease quality of life (QOL). The main hazard of this common illness typically includes lethality and pathogenicity. Obesity has been considered as a preventable lethal cause. According to epidemic data, approximately 111, 909 to 365, 000 persons in U.S. were killed by this illness per year. In addition, a lot of obese patients also suffer from other chronic disease, such as cardiovascular, diabetes, degenerating nature, arthritis, some cancers etc.,

The treatment method of obesity includes behavior therapy, medication, and operative therapy. Although these treatments have positive influence on controlling obesity, the deficiencies of them cannot be ignore. For example, orlistat medicine adversely impacts gastrointestinal function, and probably have side effect on kidneys. For another, the incidence of complications is 17% and around 7% of the patients need to receive second operation.

According to the theory of traditional Chinese medicine, this disease can be divided into a number of patterns of syndrome. The common patterns of obesity are spleen deficiency and gastrointestinal excessive hot. In recent years, acupuncture therapy has great impact on treating obesity. The acupuncture treatment of this disease includes two main types: electro-acupuncture and needle warming moxibustion. The main acupuncture points of electro-acupuncture method include Zhongwan, Daju, Tianshu, Huaroumen, Zusanli, Sanyinjiao, Biguan, etc. The waveform of electric acupuncture therapy is continuous wave. The treatment duration of obesity is 30 minutes every time, 15 times per treatment course. To slightly obese patients, one treatment duration will has positively influence on treating obesity. To moderately and severely obese people, 2-3 treatment duration is suitable.

Acupuncture therapy & External humeral epicondylitis

Acupuncture therapy & External humeral epicondylitis
28 March 2020 Tony Jiang

External humeral epicondylitis, is a common disease of sports injuries, and the popular name of this illness is tennis elbow. The most important symptom of tennis elbow is pain around the external condyle of the humerus. The extensor tendon of the forearm will be in a state of contraction and tension when we grasp some stuffs, for example, tennis racket. Overusing this muscle contributes to degeneration, laceration of the starting point of this tendon.

In addition to playing tennis, excessive exercises also lead to this illness, such as swimming, climbing, playing the guitar, and doing high-intensity work. For another, the trauma of elbow joint can result in external humeral epicondylitis. Based on which have been mentioned above, the underlying pathogenesis of tennis elbow is “slight fracture and inflammation on the starting point of extensor carpi tendon”.

The principle treatment method of tennis elbow is braking of articulation cubiti. The patients in first stage should avoid taking stuffs palm down, twisting off the bottle caps, and frying foods. Moreover, taking aspirin and injecting steroid medicine can eliminate inflammation and assist tendon recovery. The majority of patients don’t need to accept surgery therapy except for those whose symptoms cannot be relieved for a long period.

Acupuncture therapy can be considered as an effective treatment of external humeral epicondylitis. The principle of selecting acupoint are “basing on pain spot” and “according to the acupuncture channel”. The major acupoint of treating tennis elbow are pression point and four points which located on 1 cm from the main pression point. Furthermore, the minor acupoints are Quchi, Sousanli, Waiguan and so on. The key acupuncture points can be inserted 1-1.5cm down at a 45° or 90° angle. The minor acupuncture points can be inserted 2-3 cm down at a 90° angle. The treatment duration of acupuncture services is 30 minutes per time, five times per week, and 10 times per course.

In addition to playing tennis, excessive exercises also lead to this illness, such as swimming, climbing, playing the guitar, and doing high-intensity work. For another, the trauma of elbow joint can result in external humeral epicondylitis. Based on which have been mentioned above, the underlying pathogenesis of tennis elbow is “slight fracture and inflammation on the starting point of extensor carpi tendon”.

The principle treatment method of tennis elbow is braking of articulation cubiti. The patients in first stage should avoid taking stuffs palm down, twisting off the bottle caps, and frying foods. Moreover, taking aspirin and injecting steroid medicine can eliminate inflammation and assist tendon recovery. The majority of patients don’t need to accept surgery therapy except for those whose symptoms cannot be relieved for a long period.

Acupuncture therapy can be considered as an effective treatment of external humeral epicondylitis. The principle of selecting acupoint are “basing on pain spot” and “according to the acupuncture channel”. The major acupoint of treating tennis elbow are pression point and four points which located on 1 cm from the main pression point. Furthermore, the minor acupoints are Quchi, Sousanli, Waiguan and so on. The key acupuncture points can be inserted 1-1.5cm down at a 45° or 90° angle. The minor acupuncture points can be inserted 2-3 cm down at a 90° angle. The treatment duration of acupuncture services is 30 minutes per time, five times per week, and 10 times per course.

Traditional Chinese medicine for COVID-19 treatment

1. Summary
The current 2019-nCoV outbreak is moving rapidly [1], the cumulative number of confirmed cases in mainland China has reached 80151, with 47,204 (58.89 %) cured cases and 2943 (3.67 %) deaths as of 2-Mar-2020, and no specific Meds has been discovered for Coronavirus Disease 2019 (COVID-19). However, a number of clinical practice results showed that traditional Chinese medicine (TCM) plays significant role in the treatment of COVID-19, bringing new hope for the prevention and control of COVID-19.
TCM has a long history and played an indispensable role in the prevention and treatment of several epidemic diseases. During the SARS epidemic in 2003, the intervention of TCM has also achieved remarkable therapeutic effect. During the treatment period of COVID-19, more than 3100 medical staff of TCM were dispatched to Hubei province, and TCM scheme was included in the guideline on diagnosis and treatment of COVID-19 [2], and TCM experts fully participate in the whole rescue process. The decoction, Chinese patent medicine, acupuncture and other characteristic therapy of TCM was comprehensively employed, mainly treated based on syndrome differentiation. Specific TCM wards were set up, and established the designated hospital, moreover, TCM team participates in treatment collectively. Currently, the total number of confirmed cases treated by TCM has reached 60,107 [3]. In 102 cases of mild symptoms treated with TCM, the clinical symptom disappearance time was shortened by 2 days, the recovery time of body temperature was shortened by 1.7 days, the average length of stay in hospital was shortened by 2.2 days, the improvement rate of CT image was increased by 22 %, the clinical cure rate was increased by 33 %, 27.4 % reduction in the rate of common to severe cases and 70 % increase in lymphocyte.3 In addition, in the treatment of severe patients with TCM, the average length of stay in hospital and the time of nucleic acid turning negative has been shortened by more than 2 days.
From current treatment results, TCM based on an over-all symptoms of 2019-nCoV pneumonia patients, has suggested to prescribe prescription that are likely to be effective, such as qingfei paidu decoction (QPD), gancaoganjiang decoction, sheganmahuang decoction, qingfei touxie fuzheng recipe, etc. QPD which consisted of Ephedrae Herba, Glycyrrhizae Radix et Rhizoma Praeprata cum Melle, Armeniacae Semen Amarum, Gypsum Fibrosum, Cinnamomi Ramulus, Alismatis Rhizoma, Polyporus, Atractylodis Macrocephalae Rhizoma, Poria, Bupleuri Radix, Scutellariae Radix, Pinelliae Rhizoma Praepratum cum Zingibere et Alumine, Zingiberis Rhizoma Recens, Asteris Radix et Rhizoma, Farfarae Flos, Belamcandae Rhizoma, Asari Radix et Rhizoma, Dioscoreae Rhizoma, Aurantii Fructus Immaturus, Citri Reticulatae Pericarpium, and Pogostemonis Herba, has been promoted as a general prescription in the diagnosis and treatment plan of COVID-19 in China [2]. Among the 701 confirmed cases treated by QPD, 130 cases were cured and discharged, clinical symptoms of 51 cases disappeared, 268 cases of symptoms improved, and 212 cases of stable symptoms without aggravation [3]. The effective cure rate of QPD against COVID-19 is over 90 %. According to the theory of TCM, the target organ location of COVID-19 is the lung, and the etiology attribute is “damp and toxin plague”. The network pharmacology analysis showed that QPD has an overall regulatory effect via multi-component and multi-target. The primary site of pharmacological action is the lung, as 16 herbs to lung meridian, which indicated that the decoction is mainly specific for lung diseases. In addition, it can play the role of dehumidification through the rise and fall of the spleen and stomach, and exhibited the protection for heart, kidney and other organs. Among the potential targets screen, most of them co-expressed with ACE-2, the receptor of COVID-19, indicating the potential improvement of COVID-19. It can inhibit the replication of COVID-19 by acting on multiple ribosomal proteins. COVID-19 can lead to strong immune response and inflammatory storm [4]. Functional enrichment analysis showed that QPD could inhibit and alleviate excessive immune response and eliminate inflammation by regulating immune related pathway and cytokine action related pathway [5]. Furthermore, through the prediction of molecular docking, it was found that patchouli alcohol, ergosterol and shionone in the formula had better anti−COVID-19 effect, which provided new molecule structures for new Meds development [6].
Here, we take one highly suspected COVID-19 patient treated with TCM as a case example to show its effectiveness [7]. The male patient was on a business trip in Wuhan for several days before the onset of the disease. During the admission period, fever and cough were repeated, and respiratory rales of both lungs were not obvious. Western medicine was used firstly, including orally take oseltamivir phosphate capsule, intravenous infusion of ganciclovir, aerosol inhalation of recombinant human interferon a1b, etc. Although the nucleic acid test was negative, the results of chest CT showed that the fusion of two lung ground glass shadows was enlarged and the density was increased, which was more advanced than that of admission (Fig. 1a-1c). As the serious illness, combined with the patient’s performance of damp-heat syndrome, and the heat is more serious than damp, QPD was added for treatment. On the night of administration, the body temperature dropped to 36.2 ℃, and then tended to be normal. After 6 days of treatment, chest CT was better than before, tracheobronchial shadow was normal, and inflammation was obviously absorbed (Fig. 1d). The patient had no fever or asthenia, coughing occasionally, and the rales of two lungs were weaker than before. After discharge, continue to take 7 doses of the prescription, occasionally cough, no special discomfort was found. The clinical symptoms and imaging examination of the patients improved significantly after the treatment, reflecting the advantages of TCM.

TCM has own characteristics such as holistic concept, balance of Yin and Yang, syndrome differentiation and treatment, strengthening the body resistance to eliminate pathogenic factors. TCM has thousands of years of experience in regulating the body and enhancing the resistance to epidemic diseases, with unique insights and prevention and control experience. For mild and common patients, the early intervention of TCM can effectively prevent the disease from transforming into severe and critical disease. In the severe cases, TCM has won time for rescuing them by improving symptoms (http://www.scio.gov.cn/xwfbh/xwbfbh/wqfbh/42311/42560/index.htm). Treatment practice of COVID-19 showed that early intervention of TCM is important way to improve cure rate, shorten the course of disease, delay disease progression and reduce mortality rate. Furthermore, the reason why TCM works is not only to inhibit the virus, but might block the infection, regulate the immune response, cut off the inflammatory storm, and promote the repair of the body. Moreover, the prevention and control measures of COVID-19 fully reflect the ideology of “preventive treatment of disease”. Apart from the epidemic diseases recorded in the Han Dynasty should be isolated, the preventive measures of TCM also include psychology, sports, diet, medication, etc.
In the next prevention and control work of COVID-19, it should give full play to the advantages of TCM in syndrome differentiation and the whole therapeutic effect, reduce the complications as well as death rate. Besides, the scientific research should also be carried out on the TCM with definite curative effective of COVID-19, to comprehensively evaluating its action mechanism and in-depth understanding COVID-19.
Declaration of Competing Interest
There are no conflicts to declare.
Acknowledgments
This work was supported by grants from the Voluntary Research Project of 2019-nCoV Pneumonia, and Key Program of Natural Science Foundation of State (Grant No. 81830110, 81861168037, 81973745, 81903818, 81430093), Heilongjiang Touyan Innovation Team Program.
Appendix A. Supplementary data
The following is Supplementary data to this article:
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References
[1]
N. Zhu, D. Zhang, W. Wang, X. Li, B. Yang, J. Song, X. Zhao, B. Huang, W. Shi, R. Lu, P. Niu, F. Zhan, X. Ma, D. Wang, W. Xu, G. Wu, G.F. Gao, W. Tan
China novel coronavirus investigating and research team. A novel coronavirus from patients with pneumonia in China, 2019
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National Health Commission of the People’s Republic of China.