Introduction to Chinese medicine

Dr Dan LIBON
 Examples

In 2015 : 3,966 TCM hospitals across the country, Tu Youyou in the

including 253 hospitals of ethnic minority medicine
and 446 hospitals of integrated Chinese and Western 1980s. Dr. Tu, 84,
medicine; became the first
There were 452,000 practitioners and assistant citizen of the People’s
practitioners of TCM (including practitioners of ethnic Republic of China to
minority medicine and integrated Chinese and Western win a Nobel Prize in
medicine);
the sciences, for
There were 42,528 TCM clinics, including 550 for
ethnic minority medicine and 7,706 for integrated discovering
medicine; artemisinin, a drug
There were 910 million visits that year to TCM medical that is now part of
and health service units across the country and standard antimalarial
26,915,000 inpatients treated regimens
http://english.gov.cn/archive/white_paper/2016/12/06/content_281475
509333700.htm
‫רפואה סינית‬

‫• הסטוריה‬
‫• פילוסופיה‬
‫• ענפי טיפול‬
‫• דוגמאות‬
‫רפואה סינית ‪ -‬הסטוריה‬
‫קיימת אלפי שנים‬ ‫•‬
‫מבוססת על צפייה ופילוסופיה‬ ‫•‬
‫תיעוד‪ ,‬נסיונות קליניים‪ ,‬העברה לכתב‬ ‫•‬
‫מקורות שונים‪" ,‬הקיסר הצהוב" ‪ ,‬ידע כתוב מצטבר‬ ‫•‬
‫עת החדשה ‪ TCM‬של סין העממית וענפים אחרים‬ ‫•‬
‫לתקופתנו‪ ,‬פריצה למערב והתפתחות מחקרים‬ ‫•‬
‫פילוספיה‬
‫אנימיסטים‬
old shamanistic beliefs that disease was
caused by demonic influences
‫צפייה‬
the natural effects of diet, lifestyle, emotions,
environment, and age are the reason diseases
develop.
I CHING •
YIN YANG •
‫ היסודות‬5 •
‫ העקרונות‬8 •
‫הגזעים והענפים‬ •
Yin yang, I Ching
5 Elements
 Five Elements

Human Body
Nature

Atmos. Zang- Fu- Sense Emotion

Taste Color Season Element Tissue
factor organs organs organs

Green Gallblad Anger

Sour Wind Spring Wood Liver Eye Tendon
(Blue) der

Small Joy
Bitter Red Heat Summer Fire Heart Tongue Vessel
Intestine

Late
Sweet Yellow Damp Earth Spleen Stomach Mouth Flesh Worry
Summer

Large
Skin &
Pungent White Dryness Autumn Metal Lung intestine Nose Sadness
Hair

Salty Black Cold Winter Water Kidney Bladder Ear Bone Fear
8 Principles
Ying / Yang
Excess / Deficiency
Internal / External
Hot / Cold
8 Principles
‫בדיקה פיסיקלית‬
‫מבנה גוף‬ ‫•‬
‫איברים מטרה‬ ‫•‬
‫קול‬ ‫•‬
‫רגשות‬ ‫•‬
‫ריח‬ ‫•‬
‫דופק‬ ‫•‬
‫לשון‬ ‫•‬
‫אבחנה על פי לשון‬
Pulse diagnosis

8 Principles
Spring & Liver
‫דוגמא‬
‫שיא החורף‬ ‫•‬
‫שליטת הכליות‬ ‫•‬
‫מלוח‬ ‫•‬
‫שחור‬ ‫•‬
‫לילה‬ ‫•‬
‫ה‪ YANG‬שב ‪ YIN‬כמו‬ ‫•‬
‫טסטוסטרון באשה‪ ,‬האור‬
‫ביממה בחשוכה‪ ,‬החום‬
‫שבקור‬
Water element
Water Symptoms of Balance:
Fearless
Determined
Strong willpower
Water Symptoms of Imbalance:
Tendency to feel fearful, anxious,
withdrawn
Problems with water balance
Frequent urination
Fertility problems
Menopausal symptoms
Cold extremities
Arthritis conditions
Low libido
Hearing problems
Tinnitus
‫ענפי טיפול‬
‫תזונה‬
‫צמחים‬
‫תירגול – ‪Qi Kong‬‬
‫אקופונקטורה – דיקור סיני‬
‫טוי‪-‬נא עיסוי‬
‫רפואה מונעת‬
‫נגזרות ‪ -‬יפנית שיאצו‪ ,‬קוריאנית (סוג'וק)‪ ,‬טיבטיתו (צ'ואקה)כו'‬
 ‫תזונה‬

"You are what you eat," and "Your food is your medicine” Hippocrates
Food for spring
 All salty foods and dark foods, foods that are
purple, black or blue will benefit this organ. A list

Food for Winter of foods to incorporate into your diet during the
winter include:
• – Fresh fish and salted fish
• – Salted meat
• – Caviar, any other fish eggs
• – Shellfish of all kinds
• – Pork
• – Eggs
• – Beans of all kinds
• – Seaweed and sea vegetables
• – Asparagus, alfalfa, celery
• – Chicory root and Burdock root
• – Soy sauce and Tamari
• – Hearty soups, bone broths
• – Miso
• – Figs
• – Blueberries and blackberries
• – Eggplant
• – Kale
• – Micro-algae (chlorella, spirulina, wild blue-
green)
• – Wild rice
• – Walnuts
• – Sesame seeds (specifically black sesame
seeds), sunflower seeds and pumpkin seeds
‫צמחים ‪Fformula -‬‬
‫קיסר ‪Emperor -‬‬ ‫•‬
‫מטרת הטיפול‪ ,‬ישירות עם פתולוגיה‬ ‫•‬
‫ואתיולוגיה‪.‬‬
‫שר – ‪Minister‬‬ ‫•‬
‫חיזוק הקיסר‪ ,‬עוזר – ‪Assistant‬‬ ‫•‬
‫מטרות משניות‪ ,‬ניטרול תופעות לוואי‬ ‫•‬
‫תומך ‪ ,‬מתקן‪ ,‬מנוגד‬ ‫•‬
‫שליח – ‪ Servant‬לכוון למרידיאן‪,‬‬ ‫•‬
‫לאזן טעמים‬
Warm up in winter (under Chinese doctor medical guidens)

• HERBAL CHAI TEA

CONCENTRATE
• (makes 6-8 cups)
• 8-10 cups of water (use 8 if you
prefer more concentrated flavors,
and 10 if you prefer a milder flavor)
• 4 cinnamon sticks
• 4” piece of ginger, unpeeled + sliced
• 25 cloves
• 25 cardamom pods (I use green)
• 10 allspice berries
• 5 star anise
• 1 tbsp freshly grated nutmeg
• 8 tbsp rooibos, black, or mate tea (if
you go with mate, I’d recommend
putting it in tea bags because it’s
often powdery / hard to strain)
“Qi" (energy) and "gong" (work or cultivation).
Qi gong Green Dragon Separating Water
‫אקופונקטורה‬
CTS

Acupuncture
The 1997 National Institutes of Health consensus statement concluded that
acupuncture may be useful adjunct therapy or as an acceptable alternative
treatment of CTS.32
A more recent systematic review from 2016 also confirms these findings.33
Acupuncture treatment has been shown to be as effective as oral steroids for
CTS over a 4 week period and this effect seems to be sustained over a 1-year
follow-up period.34,35
When compared with wrist splinting, patients treated with acupuncture report
fewer symptoms and improved physiologic measures with improved nerve
conduction velocities.36
‫מוקסה‪ ,‬כוסות רוח‬
Tui na
• .2History
• Tui-Na dates back to the
Shang Dynasty of China,
1700 B.C.E. Oracle bones
show that Tui-Na massage
was used to treat children's
diseases and digestive
complaints in adults. By 600
C.E. Tui-Na was included in
the Imperial Medical College
as a separate department.
Tui-Na flourished
throughout China until the
Qing Dynasty where it was
suppressed along with other
Chinese cultural arts.
LI 4 Hegu GV 26 Rhenzhong
PC–6 Neiguan

J Pain Symptom Manage. Author manuscript; available in PMC 2012 Oct 1. •

Published in final edited form as: •
J Pain Symptom Manage. 2011 Oct; 42(4): 589–603. Published online 2011 Apr 30. •
doi: 10.1016/j.jpainsymman.2011.01.007
PMCID: PMC3154967 •
NIHMSID: NIHMS282571 •
The Efficacy of Acupressure for Symptom Management: A Systematic •
Review
Eun Jin Lee, PhD, RN, ARNP and Susan Frazier, PhD, RN •
PC - 6
• Inner & passge, “mountain
pass”, “critical juncture”,
“customs house”
,“barrier” gate/

• Heart
• MOVING QI IN THE CHEST
• MOVING LIVER-QI
• THE PERICARDIUM AND
THE HUN
• P-6 AS LUO POINT
• P-6 SYNERGISTIC EFFECT
‫זמן מחזוריות ועיתוי‬
Chronotherapy
Cancer Chronotherapy
‫מנגנון פעולה של דיקור סיני‬
• Acupoints are located at sites that have a high density of
neurovascular
• Injection of Technitium99, rapid progression of the
tracer along the meridian at a rate that was inconsistent
with either lymphatic/vascular flow or nerve conduction
• Needling a point on the lower leg traditionally associated
with the eye activated the occipital cortex of the brain as
detected by functional magnetic resonance imaging.[7]
• Needling affects cerebrospinal fluid levels of endorphin
and enkephalin, and such effects can be blocked by the
opiate antagonist naloxone
• Adrenal activation (ACTH) and release of endogenous
corticosteroids may also result from acupuncture
Mechanism of action
•
Pain. 1977 Oct;4(1):41-8.
Evaluation of the efficacy and neural mechanism of a hypnotic analgesia procedure in experimental and clinical dental pain.
Barber J, Mayer D.

3. Hypertension. 2018 Feb;71(2):356-365. doi: 10.1161/HYPERTENSIONAHA.117.09759. Epub 2017 Dec 11.

4. Inhibition of NADPH Oxidase-Dependent Oxidative Stress in the Rostral Ventrolateral Medulla Mediates the Antihypertensive Effects of Acupuncture in
Spontaneously Hypertensive Rats.
Wang XR1, Yang JW1, Ji CS1, Zeng XH1, Shi GX1, Fisher M1, Liu CZ2.
5. Cell Transplant. 2016 Feb 4.doi: 10.3727/096368916X690872. Acupuncture-induced analgesia: the role of microglial inhibition.Lin L1, Skakavac N, Lin
X, Lin D, Borlongan MC, Borlongan CV, Cao CJ Pain. 2014 May;15(5):535-49. doi:

6. 10.1016/j.jpain.2014.01.498. Epub 2014 Feb 10. From peripheral to central: the role of ERK signaling pathway in acupuncture analgesia. Park JY1, Park
JJ2, Jeon S3, Doo AR4, Kim SN1, Lee H4, Chae Y1, Maixner W5, Lee H1, Park HJ6

7. Published online 2014 Jan 20. doi: 10.1186/1751-0759-8-4

Acupuncture therapy: mechanism of action, efficacy, and safety: a potential intervention for psychogenic disorders?
Kenji Kawakita 1 and Kaoru Okada1
J Vet Intern Med. 2006 May-Jun;20(3):480-8.

8, Effectiveness of acupuncture in veterinary medicine: systematic review.

Habacher G, Pittler MH, Ernst E.
University of Veterinary Medicine Vienna, Austria

9. Comparison of electroacupuncture and morphine-mediated analgesic patterns in a plantar incision-induced pain model.
Zeng YJ1, Tsai SY2, Chen KB3, Hsu SF4, Chen JY5, Wen YR6.
2015;2015:941413. doi: 10.1155/2015/941413. Epub 2015 Aug 31.

10. IL-4 Inhibits IL-1β-Induced Depressive-Like Behavior and Central Neurotransmitter Alterations.
Park HJ1, Shim HS2, An K3, Starkweather A4, Kim KS5, Shim I6.
2016 Dec;17(6):557-581. Complementary and Alternative Medicine for Atopic Dermatitis: An Evidence-Based Review.
General indications – examples
11. Vieira BL1, Lim NR1, Lohman ME1, Lio PA2,3
https://www.ncbi.nlm.nih.gov/pubmed/27388911
2012 Oct 22;172(19):1444-53. doi: 10.1001/archinternmed.2012.3654.
Acupuncture for chronic pain: individual patient data meta-analysis.

12. Vickers AJ1, Cronin AM, Maschino AC, Lewith G, MacPherson H, Foster NE, Sherman KJ, Witt CM, Linde K; Acupuncture Trialists' Collaboration.
2016 Aug;34(4):257-66. doi: 10.1136/acupmed-2015-010950. Epub 2016 Feb 15. Acupuncture for fibromyalgia in primary care: a randomised controlled trial.

13. A Systematic Overview of Reviews for Complementary and Alternative Therapies in the Treatment of the Fibromyalgia Syndrome
Romy Lauche, 1 , Holger Cramer, 1 Winfried Häuser, 2 , 3 Gustav Dobos, and Jost Langhorst
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515506/pdf/ECAM2015-610615.pdf

14, Liguori A, Petti F, Bangrazi A, Camaioni D, Guccione G, Pitari GM,

Bianchi A, Nicoletti WE: Comparison of pharmacological treatment versus acupuncture treatment for migraine without aura--analysis of socio-medical
parameters. Journal of Traditional Chinese Medicine 2000, 20:231-240.

15. 2009 Apr;16(2):91-7. doi: 10.1159/000209315. Epub 2009 Apr 9.

Safety of acupuncture: results of a prospective observational study with 229,230 patients and introduction of a medical information and consent form.
Witt CM1, Pach D, Brinkhaus B, Wruck K, Tag B, Mank S, Willich SN.

16, 2017 Apr 24;357:j1284. doi: 10.1136/bmj.j1284. Management of chronic pain using complementary and integrative medicine. Chen L1,2, Michalsen A3,4
https://www.ncbi.nlm.nih.gov/pubmed/?term=Safety+of+acupuncture%3A+results+of+a+prospective+observational+study+with+229%2C230+patients+a
nd+introduction+of+a+medical+information+and+consent+form.
BMJ.

17. J Altern Complement Med. 2018 Jan 3. doi: 10.1089/acm.2016.0408.

Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis.
Befus D1, Coeytaux RR1, Goldstein KM2,3, McDuffie JR2,3, Shepherd-Banigan M2, Goode AP4,5, Kosinski A6, Van Noord MG7, Adam SS8, Masilamani V2, Nagi
A2, Williams JW Jr2,3.

18. JAMA Surg. 2017 Oct 18;152(10):e172872. doi: 10.1001/jamasurg.2017.2872. Epub 2017 Oct 18.
Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty: A Systematic Review and Meta-analysis.
Tedesco D1,2, Gori D2, Desai KR1, Asch S1,3, Carroll IR4, Curtin C5,6, McDonald KM1, Fantini MP2, Hernandez-Boussard T1,6,7.
•
Mechanism of action – acupuncture
Cell Transplant. 2016 Feb 4. doi: 10.3727/096368916X690872. [Epub ahead of print]
Acupuncture-induced analgesia: the role of microglial inhibition.
Lin L1, Skakavac N, Lin X, Lin D, Borlongan MC, Borlongan CV, Cao C

J Pain. 2014 May;15(5):535-49. doi: 10.1016/j.jpain.2014.01.498. Epub 2014 Feb 10.

From peripheral to central: the role of ERK signaling pathway
in acupuncture analgesia.
Park JY1, Park JJ2, Jeon S3, Doo AR4, Kim SN1, Lee H4, Chae Y1, Maixner W5, Lee H1, Park HJ6

Published online 2014 Jan 20. doi: 10.1186/1751-0759-8-4

Acupuncture therapy: mechanism of action, efficacy, and safety: a
potential intervention for psychogenic disorders?
Kenji Kawakita 1 and Kaoru Okada1

J Vet Intern Med. 2006 May-Jun;20(3):480-8.

Effectiveness of acupuncture in veterinary medicine: systematic review.
Habacher G, Pittler MH, Ernst E.
Source
University of Veterinary Medicine Vienna, Austria
 ‫סתיו‬
‫המתכת ההתכנסות ומוצקות‪ .‬היין הצעיר הצומח אל תוך היאנג המתמעט‪.‬‬
‫היובש‪ ,‬הלבן‪ ,‬איסוף‪ ,‬אגירה ותכנון לקראת העונה הקשה‪.‬‬

‫על כן המתכת מייצגת את בגרותו הבשלה של האדם‪ ,‬את האופי המחושב‬

‫והמאורגן‪ .‬בגוף האדם פאזת המתכת מתייחסת אל הריאות ואל המעי הגס‪.‬‬
‫ברמת המקרוקוסמוס‪:‬‬
‫כיוון‪ :‬מערב‬
‫אקלים‪ :‬יובש‬
‫עונה‪ :‬סתיו‬
‫חלק יום‪ :‬ערב‬
‫זרימה‪ :‬ציפה‬
‫טון מוזיקלי‪ :‬שאנג‬
‫מספר‪9 :‬‬
‫כוכב‪ :‬נוגה‬
‫תהליך‪ :‬סיום‪ ,‬קצירה ואסוף יבול‬

‫מסלול‪ :‬מרידיאן זה מתחיל במחמם אמצעי יורד מטה ומתחבר למעי הגס אחר כך עולה מעלה ומתחבר‬
‫ששת השכבות ‪ :‬שכבת ‪ TAI YIN‬איברים ‪LU+SP‬‬
‫‪.1‬מווסתת צ'י ריאה למחלות‬
‫מעיים ‪/‬קיבה במעורבות של‬
‫הריאות ‪.‬‬
‫‪ .2‬משחררת גידים ומפסיקה‬
‫כאב (כנקודת מראה ל ‪)BL40‬‬
‫‪.1‬פותחת מעברי מים מטיבה‬
‫עם שלפוחית השתן‪-‬בצקות‬
‫בפנים ובגפיים‪.‬‬
‫‪.2‬בעיות אמוציונאליות –אבל‬
‫צער יגון‪-‬כנקודת חיבור‪.‬‬
‫‪.3‬השפעה מקומית –שורש‬
‫כף היד ‪.‬‬
‫מרידיאן הריאות ‪LU‬‬
‫לקיבה ממשיך דרך הסרעפת ומתחבר לריאות‪.‬‬
‫אלמנטים ‪ :‬מתכת ‪LU +LI‬‬
‫תפקידים ‪:‬‬
‫הפצה והורדת צ'י ‪.‬‬
‫שליטה בעור‪-‬הזעה ‪.WEI QI‬‬
‫הפצת נוזלים‬
‫נפתח לאף‬
‫‪.1‬מנקה חום מהריאות מחוסר‪/‬עודף‪.‬‬ ‫נק' ים ‪,‬מים ‪,‬פיזור‪.‬‬ ‫‪LU5‬‬
‫‪.2‬מתמירה ליחה מהריאה חמה‪/‬קרה‪.‬‬ ‫"רגל מהביצה"‬
‫‪1‬מורידה ומפזרת את צי' הריאה‪.‬‬ ‫*נקודת חיבור‪.‬‬ ‫‪LU7‬‬
‫‪.2‬מניעה ‪, WEI QI‬משחררת חיצון‬ ‫*נקודת השפעה על‬
‫מהתקפה של רוח חיצונית טובה‬ ‫אחורי העורף‪.‬‬
‫*נקודת פתיחה של ה למצב זה מפני ששולטת על איזור ה‬
‫‪.TAI YANG‬‬ ‫‪. CV‬‬
‫‪ .3‬מתוקף היותה נקודת פתיחה של‬
‫‪ CV‬מחזקת ‪YIN‬ודם‪-‬במיוחד בגיל‬
‫המעבר‪.‬‬
Mid autumn
 ‫סתיו‬
‫ברמת המיקרוקוסמוס‪:‬‬
‫איבר יין ‪Lu:‬‬
‫איבר יאנג‪LI :‬‬
‫נפש‪Po :‬‬
‫פתח‪ :‬אף‪ ,‬פי טבעת‬
‫רקמה‪ :‬שיער גוף ועור‬
‫הפרשה‪ :‬נזלת‪ ,‬צואה‬
‫חוש‪ :‬נשימה‪ ,‬ריח‬
‫קול‪ :‬בכי‪ ,‬יבבה‬
‫רגש‪ :‬עצב‪ ,‬יגון‪ ,‬תקווה‬
‫חשיבה‪ :‬חיבור פרטים‪ ,‬צמאון רוחני‬
‫צבע‪ :‬לבן‬
‫ריח‪ :‬חלוד‬
‫טעם‪ :‬חריף‪ ,‬מתכתי‬
‫חלומות‪ :‬מתכות‪ ,‬שדים לבנים‪ ,‬רצח‬
‫בעיות‪ :‬שיעול‪+‬‬
Mechanism of acupuncture
Comparison of electroacupuncture and morphine-mediated analgesic •
patterns in a plantar incision-induced pain model.
Zeng YJ1, Tsai SY2, Chen KB3, Hsu SF4, Chen JY5, Wen YR6. •
Author information •
Abstract •
Electroacupuncture (EA) is a complementary therapy to improve morphine analgesia for •
postoperative pain, but underlyingmechanism is not well-known. Herein, we investigated
EA-induced analgesic effect in a plantar incision (PI) model in male Sprague-Dawley rats.
PI was performed at the left hind paw. EA of 4 Hz and high intensity or sham needling was
conducted at right ST36 prior to PI and repeated for another 2 days. Behavioral responses
to mechanical and thermal stimuli, spinal phospho-ERK, and Fos expression were all
analyzed. In additional groups, naloxone and morphine were administered to elucidate
involvement of opioid receptors and for comparison with EA. EA pretreatment significantly
reduced post-PI tactile allodynia for over 1 day; repeated treatments maintained analgesic
effect. Intraperitoneal naloxone could reverse EA analgesia. Low-dose subcutaneous
morphine (1 mg/kg) had stronger inhibitory effect on PI-induced allodynia than EA for 1 h.
However, analgesic tolerance appeared after repeated morphine injections. Both EA and
morphine could equally inhibit PI-induced p-ERK and Fos inductions. We conclude that
though EA and morphine attenuate postincision pain through opioid receptor activations,
daily EA treatments result in analgesic accumulation whereas daily morphine injections
develop analgesic tolerance. Discrepant pathways and mechanisms underlying two
analgesic means may account for the results
Treatment of Pain
Arch Intern Med. 2012 Oct 22;172(19):1444-53. doi:
10.1001/archinternmed.2012.3654.

Acupuncture for chronic pain: individual

patient data meta-analysis.
neck pain, osteoarthritis, and chronic headache
Acupuncture is effective for the treatment of chronic pain and is
therefore a reasonable referral option. Significant differences
between true and sham acupuncture indicate that
acupuncture is more than a placebo. However, these
differences are relatively modest, suggesting that factors in
addition to the specific effects of needling are important
contributors to the therapeutic effects of acupuncture
Acupuncture and the Opioid System:
Implications in Management of Migraine
Shai Pintov, MD**, Eli Lahat, MD*, Miriam Alstein, PhD II, Zvi Vogel, PhD*, and
Jacob Barg, MD, PhD *~

We investigated the effectiveness of acupuncture in childhood migraine in 22 children

with migraine, randomly divided into two groups: a true acupuncture group (12
children) and a placebo acupuncture group (10 children).
Ten healthy children served as a control group. Opioid activity in blood plasma was
assayed by two methods: (1) determination of total (panopioid) activity with an
opiate radioreceptor assay, and (2) determination of [~-endorphinlike
immunoreactivity by radioimmunoassay. The true acupuncture treatment led to
significant clinical reduction in both migraine frequency and intensity.
At the beginning of the study, significantly greater panopioid activity was evident in
plasma of the control group than in plasma of the migraine group. The true
acupuncture group showed a gradual increase in the panopioid activity in plasma,
which correlated with the clinical improvement.
After the tenth treatment, the values of opioid activity of the true acupuncture group
were similar to
those of the control group, whereas the plasma of the placebo acupuncture group
exhibited insignificant changes in plasma panopioid activity.
In addition, a significant increase in [~-endorphin levels was observed in the migraine
patients who were treated in the true acupuncture group as compared with the
values before treatment or with the values of the placebo acupuncture group.
The results suggest that acupuncture may be an effective treatment in children with
migraine headaches and that it leads to an increase in activity of the opioidergic
system.
mental
Cochrane Database Syst Rev. 2014 Oct 20;10:CD005475. doi:
10.1002/14651858.CD005475.pub2.
Acupuncture for schizophrenia.
Limited evidence suggests that acupuncture may have some antipsychotic effects as
measured on global and mental state with few adverse effects. Better designed large
studies are needed to fully and fairly test the effects of acupuncture for people with
schizophrenia.

Neurosci Lett. 2016 Jan 8;615:66-71. doi: 10.1016/j.neulet.2016.01.004. [Epub ahead of print]
Electroacupuncture regulate hypothalamic-pituitary-adrenal axis
and enhance hippocampal serotonin system in a rat model
of depression.
Le JJ1, Yi T1, Qi L2, Li J1, Shao L1, Dong JC3.
) in the hippocampus. Our results showed that EA treatment reversed the behavioral
deficiency induced by CUMS in rats. EA treatment decreased CRH mRNA expression in
the hypothalamic, and ACTH and CORT level in plasma, and markedly increased 5-HT
concentration, 5-HT1AR (mRNA and protein) expression in the hippocampus. These
results indicated that EA treatment could act on depression by modulating HPA axis
and enhancing hippocampal 5-HT/5-HT1AR in CUMS Rats
 ‫רפואה מונעת‬
"Health and well-being can be achieved
only by remaining centered in spirit,
guarding against the squandering of
energy, promoting the constant flow of
qi and blood, maintaining a harmonious
balance of mind and body. This is the
way to a long and happy life."
The Yellow Emperor's Classic of Medicine, 3rd century BC