1.Acupuncture Treatment for Labyrinthine Tinnitus Based on Intergrated Traditional Chinese Medicine & Western Medicine
Men-dar WU ; LAWRENCE C-L Huang
Journal of the Japan Society of Acupuncture and Moxibustion 2008;58(4):626-641
Based on the differentiation of deficiency (hyporeactivity) and excess (hyperreactivity) syndromes according to the Traditional Chinese Medicine (TCM) logic, 65 labyrinthine tinnitus cases of the example was classified into three groups, the excess constitutional type (18 cases), the deficiency constitutional type (37 cases) and the intermediate type (10 cases). Acupuncture treatment was carried out under the guidance of the basic principles of "seeking the fundamental of a disease in treatment"based on TCM.
The effect was evaluated using two parameters of subjective tinnitus assessment score in a special questionnaire (STS) and objective tinnitus loudness level in dB SL (OTL). Based on the changes in STS and OTL before and after the end of all therapeutic courses, the gross effective rate (GER) of 65 cases containing effective STS or OTL was 72.3%, while the strict effective rate where both STS and OTL showed effective (BER) was 47.7%. Among the three TCM syndromes differentiation groups, the excess constitutional type had the best therapeutic effect (66.7%of BER), fellows the deficiency constitutional type (48.7%of BER), and the intermediate type was the worst (only 10%of BER). Statistically, there was a significant difference among each syndrome differentiation group (p<0.05).
Meanwhile, the entire GER and BER went down to 55.4%and 38.5%respectively 2 months after the end of treatment to show a decreasing tendency of therapeutic effectiveness compared with those treatment rates immediately after the end of treatment. Especially, GER of the deficiency constitutional type showed a significant decrease (P<0.05).
We concluded that the TCM differentiation of deficiency and excess syndromes is a prerequisite for the determination of a correct acupuncture treatment for labyrinthine tinnitus. Through a thorough analysis and treatment on 65 clinical cases, the tinnitus of the excess constitutional type showed a higher reactivity for the treatment comparing to the other two types, the deficiency and the intermediate.
3.Clinical Study of the Effects of Traditional Chinese Acupuncture Treatment on Tinnitus with Age-related Hearing Loss
Men-dar WU ; Shigeru INAFUKU ; Lawrence C-L HUANG
Kampo Medicine 2003;54(3):661-670
Traditional Chinese acupuncture was used in four cases of intractable tinnitus associated with presbyacusis, showing greater losses at higher frequencies while lower frequencies were only slightly below the normal threshold on a pure tone audiogram. Further audiologic evaluation by means of a speech discrimination test and short-increment sensitivity index (SISI) showed that cases 1 and 2 were the labyrinthine impairment type, case 3 was the mixed type, and case 4 was the retrolabyrinthine type. However, the etiology and pathogenesis of all patients were diagnosed as constitutional deficiency of kidney essence failing to nourish both the ear and brain, the so-called “sea of marrow” based on TCM differentiation. Following the principle of invigorating kidney essence and nourishing “Kidney Qi, ” acupuncture treatment was given around the ear as well as at distal points on the extremities once a week, with 10 sessions constituting one therapeutic course.
In cases 1, 2 and 3, a temporary minor reduction effect of tinnitus lasting half a day to a few days could usually be achieved by each acupuncture session, and long-term effects, with significant improvement of subjective intensity and loudness of tinnitus (which always dropped to 1/2-1/3 of the pretreatment levels) was possibly obtained after 3-4 treatment sessions. Acupuncture was less effective in case 4, in which some fluctuation of tinnitus loudness values was reported within the period of treatment, but there was no remarkable stable improvement, either in terms of loudness or disturbance of the tinnitus after 10 treatment sessions.
The results indicate that traditional Chinese acupuncture is a recommendable therapy in treating age-related tinnitus, especially the labyrinthine type or mixed type rather than the retrolabyrinthine type.
4.Interpretation of endoscopic biopsies of alimentary tract in pediatrics: experience from a children's hospital in Australia.
Chinese Journal of Pathology 2014;43(1):48-52
Acetylcholinesterase
;
analysis
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Antibodies, Monoclonal, Murine-Derived
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metabolism
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Australia
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Biopsy
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Calbindin 2
;
analysis
;
Child
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Diagnosis, Differential
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Endoscopy, Gastrointestinal
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Eosinophilic Esophagitis
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pathology
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Hirschsprung Disease
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metabolism
;
pathology
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Humans
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Intestinal Diseases
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pathology
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Lymphangiectasis, Intestinal
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immunology
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pathology
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Multiple Endocrine Neoplasia Type 2b
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pathology
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Nervous System Diseases
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pathology
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Quality Control
7.Experimental study of effect of low power laser irradiation on wound healing by difference of irradiation method (II).
Munenori TAWA ; Midori YAMAKAWA ; Syoji SHINOHARA ; Hisasi KOUDA ; C. Hong WU ; Hirosi SUZUYAMA ; Masakazu SAKITA
Journal of the Japan Society of Acupuncture and Moxibustion 1990;40(4):398-401
The author had reported that laser irradiation with energy density 4J/cm2 at every other days was most effective for wound healing.
But there is a report which described that laser irradiation with energy density under 4J/cm2 was effective for wound healing too.
Then, the effect of irradiation with under 4J/cm2 He-Ne laser on wound healing was studied. Twenty-four wister rats were subjected to this experiment.
A open wound, 20mm in diameter as deep as muscle layer were made on the back of anesthetized animals.
To find the suitable energy density of laser irradiation, the wound was irradiated with He-Ne laser by energy density of 4J/cm2, 2J/cm2 and 1J/cm2 every other day until the wound completely healed.
The wound healing was much more accelerated by irradiation with energy density of 4J/cm2 than the other group.
This result suggested that laser irradiation with energy density 4J/cm2 at every other days is most effective for wound healing.
8.Prevalence, awareness, treatment and control of hypertension in population older than 15 years of age in Beijing, 2013-2014.
C X WANG ; X G WU ; H J LIU ; S C GUAN ; C B HOU ; H H LI ; X GU ; Z Y ZHANG ; X H FANG
Chinese Journal of Epidemiology 2018;39(2):179-183
Objective: To investigate the rates on prevalence, awareness, treatment and control of hypertension in population older than 15 years of age in Beijing, 2013-2014. Methods: A cross-sectional survey was conducted in Beijing between 2013-2014. Stratified multistage random sampling method was used to select representative sample of 13 057 Chinese individuals aged over 15 years, from the general population. Blood pressure was measured for three readings at sitting position after resting for at least five minutes with an average reading recorded. A standardized structured questionnaire was developed to collect history of hypertension and antihypertensive treatment. Results: A total of 4 663 community residents aged over 15 years were hypertensive among the 13 057 individuals, with the standardized prevalence rate as 32.7%, in Beijing area. The age-standardized prevalence rates of hypertension appeared 34.6% in men and 30.8% in women. The age-and sexstandardized prevalence of hypertension rates were 33.3% in urban and 24.6% in rural areas. The prevalence of hypertension increased with age and appeared higher in men than in women, in urban than in rural residents. Among the hypertensive patients, rates of awareness, treatment and control were 66.8%, 64.6% and 31.6%, respectively. Conclusion: High prevalence of hypertension with low rates on awareness and treatment and control, appeared in the general population of Beijing. Related strategies should be developed regarding prevention, control and management of hypertension, to reduce the burden of this disease.
Adolescent
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Adult
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Age Distribution
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Aged
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Antihypertensive Agents/therapeutic use*
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Asian People/statistics & numerical data*
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Awareness
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Blood Pressure
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Blood Pressure Determination
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China/epidemiology*
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Cross-Sectional Studies
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Female
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Health Knowledge, Attitudes, Practice
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Humans
;
Hypertension/epidemiology*
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Male
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Middle Aged
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Prevalence
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Rural Population
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Sex Distribution
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Surveys and Questionnaires
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Urban Population
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Young Adult
9.Experimental study of effect of low power laser irradiation on wound healing by difference of irradiation method. (I).
Munenori TAWA ; Shoji SINOHARA ; Tosikatsu KITADE ; Hisasi KOUDA ; C. Hong WU ; Yosimoto KIYOSITA ; Hirosi SUZUYAMA ; Masakazu SAKITA
Journal of the Japan Society of Acupuncture and Moxibustion 1989;39(2):256-261
The effect of irradiation with low power He-Ne laser on wound healing was studied. 42 wister rats were subjected to this experiment.
A open wound, 20mm in diameter as deep as muscle layer were made on the back of anesthetized animals.
To find the suitable energy density of laser irradiation, the wound was irradiated with He-Ne laser by energy density of 4J/cm2 or 10J/cm2 every other day until the wound completely healed. The wound healing was much more accelerated by irradiation with energy density of 4J/cm2 than that of 10J/cm2 and none-irradiated contorol group.
To find the suitable interval of laser irradiation, the wound was irradiated every other days, every 4 days or every other days in early stage until the wound completely healed. From this study, the wound healing was much more acceralated by irradiation at every other days than the others.
This result suggested that laser irradiation with energy density 4J/cm2 at every other days is most effective for wound healing.
10.Outcome and prognosis of children with vesicoureteral reflux.
Xiao-chuan WU ; Zhu-wen YI ; K C TSE ; Cheng-zhi LIU ; Wei-ming LAI ; Meng-huai ZHAO
Chinese Journal of Pediatrics 2003;41(11):854-855