Korostyshevskiy Vladislav
Brooklyn, NY.
Med Acupunct. 2018 Aug 1;30(4):204-208. doi: 10.1089/acu.2018.1269.
Various types of headache comprise a widespread health problem. Among the possible treatment options, acupuncture is one of the most effective, with the least number of adverse effects. While the locations of acupuncture points have long been established, slight and specific modifications in point locations, as well as needling angles and depths in each individual case, can increase the effectiveness of acupuncture treatment for some types of headaches. Two typical "cases," which are composites of several similar cases, are discussed. One case is a 31-year-old Caucasian woman with persistent headaches for 8 months and the other case is a 52-year-old Caucasian woman with frequent headaches for years. In both cases, usual care provided only temporary relief; acupuncture treatment was more effective. The patients' headaches went away-as they usually do for months or even years after only several treatments, provided that the acupuncture practitioner finds the points to stimulate that can reproduce each individual patient's exact symptoms of his or her headache. In treatment of headaches, the effectiveness of acupuncture can be increased if the acupuncture practitioner identifies, or modifies, the point selection and/or location to identify active points. As the acupuncture practitioner examines the active points, he or she can monitor the treatment's progress by palpating the points while observing and communicating with the patient about whether or not the headache is being reproduced.
各类头痛构成了一个普遍存在的健康问题。在可能的治疗选择中,针灸是最有效的方法之一,且副作用最少。虽然穴位位置早已确定,但在每种具体情况下,对穴位位置、针刺角度和深度进行细微而特定的调整,可以提高针灸治疗某些类型头痛的效果。本文讨论了两个典型“病例”,这两个病例是几个类似病例的综合。一个病例是一名31岁的白人女性,持续头痛8个月;另一个病例是一名52岁的白人女性,多年来经常头痛。在这两个病例中,常规护理只能提供暂时缓解;针灸治疗则更有效。患者的头痛消失了——通常在仅经过几次治疗后的几个月甚至几年里都是如此,前提是针灸师找到能够再现每个患者确切头痛症状的刺激穴位。在头痛治疗中,如果针灸师识别或调整穴位选择和/或位置以确定有效穴位,针灸的效果会提高。当针灸师检查有效穴位时,他或她可以在观察并与患者交流头痛是否再现的同时,通过触诊穴位来监测治疗进展。