TCM Kongress Rothenburg o.d.T.

TCM Kongress Rothenburg o.d.T.

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Die Schule der Mitte, Gastro- und Neurogastroenterologie, Li Gao: Pi Wei Lun

Aus dem Klassenzimmer über die Praxis in die Forschung. Die Bedeutung syndrombasierter Diagnose- und Behandlungsysteme

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Wissenschaftliche Untersuchungen
Freitag, 31.05.2019
alle Erfahrungsstufen
Ist theorieorientiert

From classroom to practice to research. The importance of systems of pattern-based diagnosis and treatment – where are we at and what is needed?
Most acupuncturists practice some form of traditional acupuncture, using traditional concepts with diagnoses framed in these terms. In TCM this is called ‘bianzheng’, in Japanese Meridian Therapy ‘sho kettei’. The diagnoses are called ‘patterns’ since they combine various signs and symptoms following the systems of thinking and methods of data collection (four diagnoses) specific to that style of practice. The pattern informs what treatment to apply. Thus, to test that style of practice in clinical trials it is necessary to incorporate these diagnostic patterns and their methods of data gathering.
What evidence do we have to date that applying treatment based on these patterns is effective or more effective than simply needling points based on symptoms? Almost none. What evidence do we have that practitioners use these methods reliably (that they agree with each other)? Very little. This has important ramifications for what we teach, what we practise as well as what is tested in scientific studies. After a brief discussion of these issues the lecturer will outline steps that are needed to improve this situation so that pattern-based treatments can be incorporated more in clinical trials and other scientific studies in ways that can answer the question of whether basing treatment on them is effective and worthwhile. He will also outline situations where pattern-based treatment may be more valuable than other forms of acupuncture.
The lecturer has been working on scholarly and scientific investigations of pattern-based diagnoses in traditional acupuncture since the late 1980s. He is a member of iPING - the international Pattern Identification Network Group (collaborating with Korean, Chinese, European and Australian researchers) and has conducted studies and written about this area of research over the years. He has recently completed several small studies and is also working with the group on a series of papers to inform the field and research community about needs and methodologies for research on pattern-based treatments.

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