East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine...

45
East meets West Is the Bridge ? Complementary-Integrative Medicine ??

Transcript of East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine...

Page 1: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

East

mee

ts W

est

Is th

e B

ridge

?

Com

plem

enta

ry-In

tegr

ativ

e M

edic

ine

??

Page 2: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

Preh

isto

ric Ic

e M

an m

ay h

ave

used

acu

punc

ture

Sci

entis

ts h

ave

dete

rmei

ned

that

Oet

zi,

who

was

45

year

s ol

d w

hen

he d

ied,

ha

s ar

thrit

is in

his

low

er b

ack,

kne

e an

d an

kle.

Preh

isto

ric Ic

e M

an m

ay h

ave

used

acu

punc

ture

15 d

iffer

ent g

roup

s of

tatto

os w

hich

co

vere

d th

e m

an's

bod

y ar

e fo

und

alon

g th

e sa

me

mer

idia

ns a

s th

ose

used

by

Chi

nese

acu

punc

ture

L D

orfe

r; M

Mos

er; F

Bah

r; K

S

pind

ler;

et a

l. A

med

ical

repo

rt

from

the

ston

e ag

e? L

ance

t; 19

99;

354(

9183

);. 1

023

Page 3: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

Mer

idia

n Sy

stem

Lu

ng M

erid

ian

Larg

e in

test

ine

Mer

idia

n

Sto

mac

h M

erid

ian

Spl

een

Mer

idia

n

Hea

rt M

erid

ian

Sm

all i

ntes

tine

Mer

idia

n

Kid

ney

Mer

idia

n

Per

icar

dium

Mer

idia

n

Trip

le E

nerg

izer

M

erid

ian

Gal

lbla

dder

Mer

idia

n

Live

r Mer

idia

n

Gov

erno

r Mer

idia

n

The

Twel

ve P

rimar

y C

hann

els

Yang

cha

nnel

sLe

sser

Yan

g G

reat

er Y

ang

Yan

g br

ight

ness

Arm

Leg

Ying

cha

nnel

s Le

sser

Yin

G

reat

er Y

in

Abs

olut

e Y

in

Page 4: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

Yin

Yang

Brig

htne

ss

Less

er

Gre

ater

Gre

ater

Abso

lute

Less

er

Fron

t

Mid

dle

Bac

k

Med

ial

Late

ral

Bac

k Pa

in

Page 5: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

()

Page 6: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...
Page 7: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

:

,

,,

Page 8: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

:,

,,

,,

,

:,

:

Page 9: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

:,

,,

,,

: :

:,

,,

:,

:

Page 10: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

:,

,,

,

:,

:

:,

,,

,,

, :,

:

Page 11: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

:,

,,

,

: :

1. 2. 3. 4. 5. 6.

Page 12: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...
Page 13: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

;

Page 14: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...
Page 15: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...
Page 16: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...
Page 17: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

5

Page 18: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

361

Acu

punc

ture

Poi

nts

Page 19: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

Stan

dard

mea

surin

g un

its

Pro

porti

onal

bon

e (s

kele

tal)

cun

(B-c

un)

Fing

er c

un (F

-cun

)

Fing

erbr

eadt

h (F

-bre

adth

)

Mox

ibut

ion(

1)

Page 20: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

Mox

ibut

ion(

2)M

oxib

utio

n(3)

Page 21: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

need

les

Patie

nt

Phys

icia

nEf

fect

iven

ess

WH

O S

tand

ard

Acu

punc

ture

Poi

nt L

ocat

ions

in

the

Wes

tern

Pac

ific

Reg

ion

(200

8)

Page 22: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...
Page 23: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

Mec

hani

sm o

f Acu

punc

ture

Th

e th

eory

is th

at o

ne c

an re

gula

te th

e flo

w

(Qi)

Acu

punc

ture

in re

cent

sci

entif

ic re

sear

chM

edia

ted

by th

e ne

rvou

s sy

stem

R

elea

se o

f neu

rotra

nsm

itter

s C

hang

e in

bra

in-fu

nctio

nal m

agne

tic

reso

nanc

e im

agin

g (M

RI)

sign

als

Page 24: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

Pro

mot

ing

the

satis

fact

ions

of p

ain

man

agem

ent i

n pa

tient

s w

ith s

houl

der n

eck

pain

s af

ter t

he c

ervi

cal v

erte

bra

surg

ery

Purp

ose

The

mai

n pu

rpos

e of

this

spe

cial

pro

ject

was

to p

rom

ote

the

satis

fact

ion

of

pain

man

agem

ent i

n pa

tient

s w

ith s

houl

der n

eck

pain

s af

ter t

he c

ervi

cal

verte

bra

surg

ery.

Tech

nolo

gic

Ope

rate

d Ac

upre

ssur

e Pr

oced

ure

for

shou

lder

nec

k pa

ins

afte

r the

ce

rvic

al v

erte

bra

surg

ery

Res

ults

The

resu

lts o

f the

pro

ject

sho

wed

that

: 1.

The

cont

ent o

f non

-pha

rmac

olog

ical

pai

n m

anag

emen

t in

nurs

es w

ere

impr

oved

from

40.

0% to

65.

0%.

2.Th

e ex

ecut

ion

rate

of p

ain

man

agem

ent i

n nu

rses

with

sho

ulde

r ne

ck p

ains

afte

r sur

gery

wer

e im

prov

ed fr

om 4

0.0%

to 8

0.0%

. 3.

The

satis

fact

ions

of p

ain

man

agem

ent i

n pa

tient

s w

ith s

houl

der

neck

pai

ns a

fter s

urge

ry w

ere

impr

oved

from

61.

5% to

89%

. 4.

Afte

r com

plet

ing

the

acup

ress

ure

proc

edur

e, th

e pa

in in

tens

ity

decr

ease

d to

5.3

sco

re fr

om 8

.7 s

core

in 5

min

utes

late

r, an

d de

crea

sed

to 4

.2 s

core

in 3

0 m

inut

es la

ter.

5.Th

e sa

tisfa

ctio

ns o

f pai

n m

anag

emen

t and

the

pain

inte

nsity

w

as s

igni

fican

tly n

egat

ive

corr

elat

ion

(r=

-0.3

1, p

< 0.

05 ).

Li-Y

uan

Hua

ngM

SN.

RN

1 .,Su

-Lin

g C

huan

g M

SN. R

N 2

. ,H

siu-

Chu

an C

hien

BSN

. RN

3 .,

Yun-

Fang

Tsa

iPhd

. RN

4 .,

Chi

ng-H

sien

Cha

ngM

D5 .,

Wen

-Chi

ng T

zan

MD

6

1.2.

3 N

urse

Pra

ctiti

oner

, Dep

artm

ent o

f Nur

sing

, Cha

ng G

ung

Mem

oria

l Hos

pita

l at K

eelu

ng. T

aiw

an.

4 Pr

ofes

sor,

Scho

ol o

f Nur

sing

, Cha

ng G

ung

Uni

vers

ity a

t Tai

wan

. 5

Dep

artm

ent o

f Tra

ditio

nal C

hine

se M

edic

ine,

Cha

ng G

ung

Mem

oria

l Hos

pita

l at K

eelu

ng T

aiw

an.

6 D

epar

tmen

t of N

euro

-Sur

gica

l, C

hang

Gun

g M

emor

ial H

ospi

tal a

t Kee

lung

Tai

wan

.

Met

hods

1.W

e th

en m

ade

a sh

ould

er n

eck

pain

acu

pres

sure

she

et, d

esig

ned

a te

chno

logi

c

oper

ated

acu

pres

sure

pro

cedu

re a

nd ru

n a

nurs

ing

staf

f in

serv

ice

educ

atio

n of

ac

upre

ssur

e pa

in m

anag

emen

t to

chec

k ou

t the

sat

isfa

ctio

ns o

f pai

n m

anag

emen

t abo

ut th

eir s

houl

der a

nd n

eck

pain

s.2.

Pat

ient

s an

d N

ursi

ng s

taff

wer

e re

crui

ted

from

a n

euro

surg

ery

outp

atie

nt c

linic

of

a te

achi

ng

hosp

ital i

n th

e no

rther

n Ta

iwan

dur

ing

Mar

ch 0

1 to

20,

200

6. S

PS

S

for W

indo

ws

10.0

ana

lyze

d th

e da

ta o

f the

pro

ject

.

050100

Scor

e(%

)

Res

ult o

f T

he P

roje

ct

before

after

befo

re61

.540

40

afte

r89

8065

sati

sfac

tion

s of

pai

n

con

tent

of

non-

Ex

ecut

ion

rate

of

pain

0510

Time

Score pa

in int

ensit

y8.7

5.34.2

Now

5 mi

nutes

later

30 m

inutes

later

Pain

inten

sity i

n pati

ents

with

should

er ne

ck pa

ins af

ter th

e

cervic

al ve

rtebra

surge

ry

Con

clus

ions

Th

e re

sults

of t

he p

roje

ct in

dica

ted

that

1.

This

spe

cial

pro

ject

cou

ld im

prov

e th

e sa

tisfa

ctio

ns o

f pai

n m

anag

emen

t in

patie

nts

with

sho

ulde

r nec

k pa

ins

afte

r the

cer

vica

l ver

tebr

a su

rger

y.

2. 3.Th

is p

roje

ct w

ould

pro

vide

hos

pita

l adm

inis

ters

and

nur

ses

as a

refe

renc

e on

the

in-

serv

ice

train

ing

plan

and

nur

sing

car

e to

impr

ove

the

qual

ity c

ontro

l for

the

neur

osur

gica

l pat

ient

s an

d fa

mily

.

Adre

ss: (

204)

No

222,

Mai

-Chi

n R

d. A

nle

Chi

u K

eelu

ng ,

Taiw

an.

E-m

ail :

liy

uan@

cgm

h.or

g.tw

Bac

kgro

und

1. W

e fo

und

that

thes

e pa

tient

s pe

rcei

ved

low

sat

isfa

ctio

ns o

f pai

n m

anag

emen

t abo

ut

thei

r sho

ulde

r and

nec

k pa

ins

and

the

aver

age

inte

nsity

of p

ain

was

up

to 8

.7 s

core

in

th

e 0-

10 s

cale

.2.

Onl

y le

ss th

an 4

0% o

f par

ticip

ated

nur

ses

reco

gniz

ed th

e co

nten

t of n

on-

phar

mac

olog

ical

pai

n m

anag

emen

t and

had

car

ried

out f

or th

eir p

atie

nts.

3. L

ow e

xecu

tion

rate

(40%

) of p

ain

man

agem

ent w

ith s

houl

der n

eck

pain

s af

ter

surg

ery

In n

urse

s

Sigm

a Th

eta

Tau

18th

Inte

rnat

iona

lN

ursi

ng R

esea

rch

Con

gres

s 20

07/0

8

Page 25: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...
Page 26: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

The

basi

c pr

inci

ple

of

acup

unct

ure

prac

tice

Ath

ousa

nd y

ears

of t

radi

tion

, and

a

who

le n

ew e

xper

ienc

e

Page 27: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

If yo

ur c

iviliz

atio

n w

ants

us

to c

ringe

, I'l

l sho

w y

ou th

e pr

ide

of s

avag

es.

Th

an

ks

for

yo

ur

att

en

tio

n!

Page 28: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...
Page 29: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

()

Page 30: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

()

Page 31: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...
Page 32: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

3

Page 33: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...
Page 34: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

--

Page 35: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

()

1.5

Page 36: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

1.

2.

3.

4.

()

Page 37: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

1.

2.

3.

4.

()

2

Page 38: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

() 3

Page 39: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

()

()

3

Page 40: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

()

Page 41: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

90

()

Page 42: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

90

Page 43: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

GB

-20

Feng

chi

CV

-6 Q

ihai

Page 44: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...

BL2

3 S

hens

hu

()

Page 45: East meets West - twna.org.t · East meets West Is the Bridge ? Complementary-Inte grative Medicine ?? Prehistoric Ice Man may have used acupuncture ...