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The_3

    The

    WorldJ.Acup-Mox.Vo1.11,No.2,June,2001?59? ;5CoMMENTS

    ;Ahhoughchloasmapatientshavenosubjec- ;tivesymptoms,thetawnyspotscontaminates ;patient’s1ooksandbringsthemsomepsycholog-

    ;icfl1burden.Theauthorsprickedtheaforemen- ;tionedotopointsandappliedherba1medicine ;powdertothem,aimingatplayingthesynergis. ;ticactionofotopointstimulationandherba1 ;medicinesinbalancingy/nandyang,regulating ;qiandblood,promotingbloodcirculation,im. ;provingendocrineandstrengtheningimmuno. ;function.

    ;REFERENCE

    ;1杨鼎成,.临床疾病诊断依据,治愈,好转标准.第四军医

    ;大学.1983,403--404.

    ;TheRoleoftheNewly-constitutedINARM ;(InternationalNetworkofAcupunctureResearchMethodology)

    ;PettiFBParacelsolnstitute-VlppolitoNievo

;6100153Rome,It?b

    ;Foroverseventyyearsacupuncturehascompetedwithmodernmedicineinthetreatmentofvari-

    ;ousphysiologicaldisorders,widelydisplayingitsclinicaltherapeuticefficacythatnodoubtgivesitthe

    ;samedignitvastheothermedicine.Inthelastfortyyearstheverificationmadeinthisfieldhasalmost

    ;dramaticallyimposedtheneedtodevelopflproperscientificresearchtojustifytheacupuncturelntro.

    ;ductioninsidethenationalhealthsystemsinthedevelopedcountries.Thescientificapproachforboth

    ;clinicalresearchandbasicresearchhasimmediatelyhighlightedthegreatdifficultiesbroughtaboutby

    ;thebasiccontradictionsbetweentheconceptualandtechnica1structureofacupunctureononesideand

    ;thescientificmethodologyofmodernmedica1sciencesontheotherside.Thefollowingobstacleshave

    ;beenspotted:(1)Tohaveflunivoca1definitionofpathology,whichmeansto1imitinflunivocalstatic

    ;definitionoftheconceptofever-lovingpathologicalmodification;(2)Torespectflstrictrandomiza-

    ;tion.whileflcompleteacupunctureclinica1treatmentmustbetakenintoconsi

deration:f1.thepatho-

    ;1ogicalchanges;b.thepatient’scondition;c.theenvironmentalinfluence.Withsuchvariants,itis-

    ;practicallyimpossibletorandomizeflgroupofpatientsthathaveflsignificantnumberofhomogeneous

    ;elements;(3)Toapplydouble-blindstudies;(4)Todefinestandardtherapeuticprotocols;(5)To

    ;depersonalizethetherapeuticact;(6)Toestablishexactfinalrelationsofcause-effectwithintheindis-

    ;solubleinterlacementofinnumerablepathophysiologicalmechanismsdescribedbyacupuncture.Yet

    ;thiswholerangeofproblemshavenotrevealedthatscientificresearchinacupunctureisimpossible.In

    ;fact.toovercomesuchinconveniences,syndromeshavesince1ongbeendefinedtosomehowrestrictthe

    ;rangeofvariabilityofpathologicalmodifications.Anywaysuchsyndromescannotreallyspreadthe

    ;wholepotentialitythatacupuncturecanexpressiffreelyapplied.Theresultthatcanbeobtainedisto

    ;1imittheareaofactionofacupuncture,includingits1eve1ofresponseandefficacy.Butanotherfacthas

    ;beenbroughtintolight.thatistheabsolutenecessitytomodifytheresearchmet

hods,inorderto

    ;adaptittotheacupunctureepistemictheory,whichtendstoappearmoreandmoreasadistinctscien.

    ;titlediscipline.Thedefinitionofthenewmethodrequiresthecontributionofnumerousexperiences

    ;andthereforetheworkneedsaswidernetworksaspossible.INARM(internationalNetworkof

    ;Acupuncture.moxibustionResearchMethodology)wasfoundedwiththeobjectivetostartthiskindof

    ;work.Scholarsal1overtheworldarewelcometoparticipateinthenetwork. ;

    ;

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