I huvudet på en läkare (som just avgått efter många års styrelsearbete; Rolf Nordemar)
Funderingar kring 37 års erfarenhet av akupunktur.
Reglerteknik skiljer sig från styrteknik genom att där finns återkoppling (feedback) och används inom industrin men har också sin tillämpning inom biologin och läkekonsten.
Lyssna först till kroppens språk med rytm, melodi och uttryck. Behandla en person, inte en sjukdom eller diagnos – individualisera och anpassa. Låt de i kroppen inbyggda, medfödda systemen fungera enligt sina bestämda lagar. Till exempel reglering av inkommande impulser i det afferenta nervsystemets symfoni eller kakafoni. Låt nålarna förmedla tillit och hopp i en smärtsam värld – håll ut även när det är motigt – låt motkrafterna verka även när det ser mörkt ut. Akupunktur är en sann ekologisk behandling liksom massage, fysioterapi, kiropraktik och några andra manuella terapier, men mer djupgående, omfattande och långvarig.
Standardiserade, randomiserade och blinda studier är helt främmande för akupunkturen väsen, lika främmande som att låta en kirurg operera en diagnos med förbundna ögon enligt en standardiserad modell och där patienten inte vet om den blir opererad bara med snitt i huden eller på ”riktigt”.
Låt oss återerövra akupunktur som en del av läkekonsten – annars kommer den att förtvina.

 

Nikos Chairetakis höll ett föredrag på vårt årsmöte om akupunktur i Grekland

Det har kommit några intressanta artiklar om akupunktur nyligen, läs begrunda o sprid:


Acupuncture for chronic pain and depression in primary care: a programme of research.
Editors
MacPherson H, Vickers A, Bland M, Torgerson D, Corbett M, Spackman E, Saramago P, Woods B, Weatherly H, Sculpher M, Manca A, Richmond S, Hopton A, Eldred J, Watt I.
Source
Southampton (UK): NIHR Journals Library; 2017 Jan.
Programme Grants for Applied Research.
Excerpt
BACKGROUND:
There has been an increase in the utilisation of acupuncture in recent years, yet the evidence base is insufficiently well established to be certain about its clinical effectiveness and cost-effectiveness. Addressing the questions related to the evidence base will reduce uncertainty and help policy- and decision-makers with regard to whether or not wider access is appropriate and provides value for money.
AIM:
Our aim was to establish the most reliable evidence on the clinical effectiveness and cost-effectiveness of acupuncture for chronic pain by drawing on relevant evidence, including recent high-quality trials, and to develop fresh evidence on acupuncture for depression. To extend the evidence base we synthesised the results of published trials using robust systematic review methodology and conducted a randomised controlled trial (RCT) of acupuncture for depression.
METHODS AND RESULTS:
We synthesised the evidence from high-quality trials of acupuncture for chronic pain, consisting of musculoskeletal pain related to the neck and low back, osteoarthritis of the knee, and headache and migraine, involving nearly 18,000 patients. In an individual patient data (IPD) pairwise meta-analysis, acupuncture was significantly better than both sham acupuncture (p < 0.001) and usual care (p < 0.001) for all conditions. Using network meta-analyses, we compared acupuncture with other physical therapies for osteoarthritis of the knee. In both an analysis of all available evidence and an analysis of a subset of better-quality trials, using aggregate-level data, we found acupuncture to be one of the more effective therapies. We developed new Bayesian methods for analysing multiple individual patient-level data sets to evaluate heterogeneous continuous outcomes. An accompanying cost-effectiveness analysis found transcutaneous electrical nerve stimulation (TENS) to be cost-effective for osteoarthritis at a threshold of £20,000 per quality-adjusted life-year when all trials were synthesised. When the analysis was restricted to trials of higher quality with adequate allocation concealment, acupuncture was cost-effective. In a RCT of acupuncture or counselling compared with usual care for depression, in which half the patients were also experiencing comorbid pain, we found acupuncture and counselling to be clinically effective and acupuncture to be cost-effective. For patients in whom acupuncture is inappropriate or unavailable, counselling is cost-effective.
CONCLUSION:
We have provided the most robust evidence from high-quality trials on acupuncture for chronic pain. The synthesis of high-quality IPD found that acupuncture was more effective than both usual care and sham acupuncture. Acupuncture is one of the more clinically effective physical therapies for osteoarthritis and is also cost-effective if only high-quality trials are analysed. When all trials are analysed, TENS is cost-effective. Promising clinical and economic evidence on acupuncture for depression needs to be extended to other contexts and settings. For the conditions we have investigated, the drawing together of evidence on acupuncture from this programme of research has substantially reduced levels of uncertainty. We have identified directions for further research. Our research also provides a valuable basis for considering the potential role of acupuncture as a referral option in health care and enabling providers and policy-makers to make decisions based on robust sources of evidence.
TRIAL REGISTRATION:
Current Controlled Trials ISRCTN63787732.
FUNDING:
The National Institute for Health Research Programme Grants for Applied Research programme.
Copyright © Queen’s Printer and Controller of HMSO 2017. This work was produced by MacPherson et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.
Sections
Plain English summary
Scientific summary
Chapter 1. Introduction
Chapter 2. Acupuncture for chronic pain: an individual patient data meta-analysis
Chapter 3. Comparison of acupuncture with other physical treatments for pain caused by osteoarthritis of the knee: a network meta-analysis
Chapter 4. Towards a cost-effectiveness analysis of acupuncture for chronic pain: developing methods in a case study
Chapter 5. Cost-effectiveness of non-pharmacological adjunct treatments for patients with osteoarthritis of the knee
Chapter 6. Acupuncture, Counselling or Usual Care for Depression (ACUDep): a randomised controlled trial
Chapter 7. Conclusions
Acknowledgements
References
Appendix 1. Review data related to Chapter 1
Appendix 2. Acupuncture characteristics related to trials in Chapter 2
Appendix 3. Review data related to Chapter 3
Appendix 4. Review data related to Chapter 4
Appendix 5. Review data related to Chapter 5
Appendix 6. Trial data related to Chapter 6
  (Det går att få läsa hela artikeln om du söker upp den på PubMed)

Acupuncture and Acupressure in Labor.
J Midwifery Womens Health. 2017 Jan;62(1):12-28. doi: 10.1111/jmwh.12545. Epub 2016 Dec 21.

Schlaeger JM, Gabzdyl EM, Bussell JL, Takakura N, Yajima H, Takayama M, Wilkie DJ.
Abstract
Acupuncture and acupressure, 2 modalities of Traditional Chinese Medicine, are based on reducing pain and symptoms of disease through balancing yin and yang. Acupuncture and acupressure have been used in China for reduction of labor pain, labor augmentation, and other intrapartum indications for more than 2 millennia. This article presents a review of the current literature that has addressed the effects of acupuncture and acupressure on intrapartum events. Studies of acupuncture have demonstrated that acupuncture may reduce labor pain, the use of pharmacologic agents, the use of forceps and vacuum-assisted births, and the length of labor. Studies that examined the effect of acupuncture on labor that is induced or augmented for premature rupture of membranes have found that acupuncture may increase the degree of cervical ripening but does not reduce the amount of oxytocin or epidural analgesia administration, nor does it shorten length of induced labor. Acupressure may reduce labor pain and labor duration, but acupressure has not been found to increase cervical ripening or induce labor. There are insufficient studies about acupuncture and acupressure and their effects on labor at this time, and there is need for further research. Areas of uncertainty include efficacy, optimal point selection, best techniques, and length of time for point stimulation.
© 2016 by the American College of Nurse-Midwives.

J Trauma Dissociation. 2017 Feb 2. doi: 10.1080/15299732.2017.1289493. [Epub ahead of print]
Acupuncture for the Treatment of Adults with Posttraumatic Stress Disorder: A Systematic Review and Meta-Analysis.
Grant S1, Colaiaco B1, Motala A1, Shanman R1, Sorbero M2, Hempel S1.
Author information
1a RAND Corporation , 1776 Main Street, P.O. Box 2138, Santa Monica , CA 90407-2138 , USA.
2b RAND Corporation , 4570 Fifth Avenue, Suite 600, Pittsburgh , PA 15213 , USA.
Abstract
Acupuncture has been suggested as a treatment for posttraumatic stress disorder (PTSD), yet its clinical effects are unclear. This review aims to estimate effects of acupuncture on PTSD symptoms, depressive symptoms, anxiety symptoms, and sleep quality for adults with PTSD. We searched 10 databases in January 2016 to identify eligible randomized controlled trials (RCTs). We performed random effects meta-analyses and examined quality of the body of evidence (QoE) using the GRADE approach to rate confidence in meta-analytic effect estimates. Seven RCTs with 709 participants met inclusion criteria. We identified very low QoE indicating significant differences favoring acupuncture (versus any comparator) at post-intervention on PTSD symptoms (standardized mean difference [SMD] = -0.80, 95% confidence interval [CI] [-1.59, -0.01], 6 RCTs), and low QoE at longer follow-up on PTSD (SMD = -0.46, 95% CI [-0.85, -0.06], 4 RCTs) and depressive symptoms (SMD = -0.56; 95% CI [-0.88, -0.23], 4 RCTs). No significant differences were observed between acupuncture and comparators at post-intervention for depressive symptoms (SMD = -0.58, 95% CI [-1.18, 0.01], 6 RCTs, very low QoE), anxiety symptoms (SMD = -0.82, 95% CI [-2.16, 0.53], 4 RCTs, very low QoE), and sleep quality (SMD = -0.46, 95% CI [-3.95, 3.03], 2 RCTs, low QoE). Safety data (7 RCTs) suggest little risk of serious adverse events, though some participants experienced minor/moderate pain, superficial bleeding, and hematoma at needle-insertion sites. To increase confidence in findings, sufficiently-powered replication trials are needed that measure all relevant clinical outcomes and dedicate study resources to minimizing participant attrition.

Lisbeth Dahlin anordnar en kurs i akupunktur i Kina mars 2017, klicka så får du se detaljer

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