However, The Treatment, Diagnosis And Even The Etiology Is Radically ...
However, the treatment, diagnosis and even the etiology is radically different from Western concepts and ignores these hypersensitivity classifications. Instead, the disease is treated as resulting from qi, yin or yang deficiencies or derangements. The scientific literature is, at present, inconclusive and contradictory on the efficacy of TCM methods. An analysis of the results is beyond the scope of this paper but, briefly, one double-blind, randomized, placebo-controlled trial of acupuncture for treatment of allergic rhinitis (Type II) showed that active acupuncture was more effective in reducing symptom scores than sham acupuncture [22]. But, after measuring the concentration of IgA, IgG and IgM and total and differential white blood cell counts, it was seen that a course of acupuncture and transcutaneous stimulation analgesia (performed for major abdominal surgery) did not affect the body's immune system [23]. In another single-blind randomized, controlled clinical trial of 49 healthy subjects, patients were not able to distinguish between the effects of real or sham acupuncture [24]. But another study has shown that acupuncture influences leukocyte migration in chronic spastic bronchitis [25]. Another study has shown that Type IV hypersensitivity to trinitrochlorobenzene was suppressed upon the use of electroacupuncture and that opioid receptor-mediated mechanisms are involved in this immune response [26]. A later study implicated the pituitary gland and the neuroendocrine system to be involved in the suppression [27]. Conclusive proof or refutation of the efficacy of acupuncture and other treatment modalities must await further controlled, clinical trials and experimentation. References [1]Holgate ST, Church MK, Lichtenstein LM (2000) Allergy, 2nd edition, Mosby, London. [2]Coombs RRA and Gell PGH (1968). Classification of allergic reactions responsible for clinical hypersensitivity and disease. In: Clinical aspects of immunology (Coombs RRA, Gell PGH, eds). Blackwell Scientific publications, Oxford [3]Bochner BS, Undem BJ, Lichtenstein LM (1994) Immunologic aspects of asthma. Ann Rev Immunol 12: 295-335. [4]Morley M (1993) Immunopharmacology of asthma. Trends in Pharm Sci 14: 275-85. [5]Weiss KB, Gergen PJ, Hodgson TA (1992). An economic evaluation of asthma in the United States. N Engl J Med 326: 862-6. [6]Rang HP, Dale MM, Ritter JM (1995) Pharmacology, 3rd edition. Churchill Livingstone. [7]Dorland WAN (2003) Dorland's Medical Dictionary, 30th ed. WB Saunders Co. [8]Janeway Jr CA, Travers P, Walport M, Shlomchik MJ (2001) Immunobiology: the immune system in health and disease, 5th edition. Garland Publishing, New York. [9]Fye KH and Sack KE (1991) Rheumatic diseases. In: Basic and clinical immunology, 7th ed. (Stites DP and Terr AI eds). Appleton & Lange.
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