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Yoga medicine Chuttikai medicine 4. Varma medicine Acupunture medicine 5.
Surgical medicine Surgical medicine In 5th Century A. There he stayed at the foot of a hill by name Sungshan and introduced an self defencing art by name Shaolin. Therefore, he was recognized as an important leader in Philosophy and Spiritual principles.
In the Temple of Shaolin in China his picture was drawn with foot notes at the bottom. Varmam and other Related systems Varmam is a basic medical practice which has been deviated in various fields of medicine such as siddha, ayurveda, naturopathi, acupuncture, acupressure etc.
In ayurveda and siddha it is widely used along with its massage techniques. Ayurveda practitioners practice this technique as pancha karma, which is very famous as kerela pancha karma. Varmam and Siddha Medicine: Varmam is the basic of siddha medicine because thri dosha is rectified only with the help of varma.
Saint Agasthia was the prime and pioneer of all siddhars. Saint Agasthia and his deciple Theraiar also wrote several Varma books. The idea that empathy is restricted to those who practice unscientific medicine seems both condescending to doctors, and it verges on an admission that empathy is all that alternative treatments have to offer. There is now unanimity that the benefits, if any, of acupuncture for analgesia, are too small to be helpful to patients.
If, indeed, sham acupuncture is no different from real acupuncture, the apparent improvement that may be seen after acupuncture is merely a placebo effect.
Furthermore, it shows that the idea of meridians is purely imaginary. All that remains to be discussed is whether or not the placebo effect is big enough to be useful, and whether it is ethical to prescribe placebos.
Some meta-analyses have found that there may be a small difference between sham and real acupuncture. Madsen et al. The crucial result was that even this bigger difference corresponded to only a point improvement on a point pain scale. The acupuncture and no-acupuncture groups were, of course, neither blind to the patients nor blind to the practitioner giving the treatment.
It is not possible to say whether the observed difference is a real physiological action or whether it is a placebo effect of a rather dramatic intervention. Though it would be interesting to know this, it matters not a jot, because the effect just is not big enough to produce any tangible benefit.
Publication bias is likely to be an even greater problem for alternative medicine than it is for real medicine, so it is particularly interesting that the result just described has been confirmed by authors who practice, or sympathize with, acupuncture.
Vickers et al.
The patients were being treated for a variety of chronic pain conditions. The results were very similar to those of Madsen et al. Again there was a somewhat larger difference in the nonblind comparison of acupuncture and no-acupuncture, but again it was so small that patients would barely notice it.
Comparison of these 2 meta-analyses shows how important it is to read the results, not just the summaries. Although the outcomes were similar for both, the spin on the results in the abstracts and consequently the tone of media reports was very different.
But, by ignoring the problems of multiple comparisons, the authors were able to pick out a few results that were statistically significant, though trivial in size.
Despite this unusually negative outcome, the result was trumpeted as a success for acupuncture. However, that knowledge is irrelevant for patients.
All that matters for them is whether or not they get a useful degree of relief. It seems that they do not. There is now unanimity between acupuncturists and nonacupuncturists that any benefits that may exist are too small to provide any noticeable benefit to patients.
That being the case, it is hard to see why acupuncture is still used. Certainly, such an accumulation of negative results would result in the withdrawal of any conventional treatment.
Good quality trials have not been done for all of them, but results suggest strongly that it is unlikely that acupuncture works for rheumatoid arthritis, stopping smoking, irritable bowel syndrome, or for losing weight. There is also no good reason to think it works for addictions, asthma, chronic pain, depression, insomnia, neck pain, shoulder pain or frozen shoulder, osteoarthritis of the knee, sciatica, stroke or tinnitus, and many other conditions.
Acupuncture is no better than a toothpick for treating back pain. Their Figure 2 shows that there is a modest improvement in pain scores after treatment, but much the same effect, with the same time course is found regardless of what treatment is given, and even with no treatment at all.
We found a similar pattern of improvement in symptoms following any treatment, regardless of whether it was index, active comparator, usual care, or placebo treatment. Although the article by Wang et al. It would certainly be odd if a treatment that had been advocated for such a wide variety of conditions turned out to work only for PONV. Nevertheless, let us look at the evidence. Even taken at face value, a relative risk of 0.
The meta-analysis showed, on average, similar effectiveness for acupuncture and antiemetic drugs. Ninety percent of trials were open to bias from this source. Twelve trials did not report all outcomes. The opportunities for bias are obvious. In fact, almost all trials of alternative medicines seem to end up with the conclusion that more research is needed.
After more than trials, that is dubious.
What would you think if a new pain pill was shown to relieve musculoskeletal pain in the arms but not in the legs? The most parsimonious explanation is that the positive studies are false positives. It seems very unlikely that the money that it would cost to do another trials would be well-spent. A small excess of positive results after thousands of trials is most consistent with an inactive intervention.
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