Journal of alternative and complementary medicine (New York, N.Y.)最新文献

{"title":"Risk of Developing Coronary Artery Disease in Patients with Type 2 Diabetes Receiving Traditional Chinese Medicine Therapy.","authors":"Hsin-Sheng Fang,&nbsp;Chih-Ching Liu,&nbsp;Chun-Hua Jia,&nbsp;Yen-Hsun Chen,&nbsp;Chung-Yi Li","doi":"10.1089/acm.2014.0079","DOIUrl":"https://doi.org/10.1089/acm.2014.0079","url":null,"abstract":"<p><strong>Objectives: </strong>To compare risk of developing coronary artery disease (CAD) between diabetic patients receiving Traditional Chinese Medicine (TCM) therapy and those treated by Western medicine (WM).</p><p><strong>Methods: </strong>This prospective cohort study included 13,655 diabetic patients receiving solely TCM and 435,165 patients treated exclusively by WM. Study patients were identified from Taiwan's National Health Insurance (NHI) ambulatory claims in 2000-2001. These patients were then linked to the 2000-2008 NHI inpatient claims, searching for possible new onset of hospitalization for CAD. A Cox proportional hazard model and logistic regression model were used to assess the hazard ratio of CAD admission and odds ratio (OR) of higher rates of admission for CAD in relation to TCM.</p><p><strong>Results: </strong>During 9 years of follow-up, 2607 diabetic patients with TCM were hospitalized for CAD, representing a cumulative incidence rate of 19.1% and an incidence density of 50.5 per 1000 person-years. The corresponding figures for patients treated by WM were 24.1% and 72.7 per 1000 person-years. Compared with the patients treated by WM, those treated by TCM were associated with a slightly reduced, but insignificantly, adjusted OR of CAD admission (0.96; 95% confidence interval, 0.92-1.01). Moreover, the adjusted OR for a higher rate (≥0.212 admission per person-year) of CAD admission for the patients with TCM was also insignificantly decreased at 0.97.</p><p><strong>Conclusions: </strong>After adjustment for prior co-morbidity score, risk or rate of CAD admission did not significantly differ between diabetic patients receiving TCM therapy and those treated by WM, suggesting that TCM is as efficacious as WM in preventing diabetes from being complicated with CAD.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"604-9"},"PeriodicalIF":2.6,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2014.0079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39977811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward topological descriptions of the therapeutic process: part 3. Two new metaphors based on quantum superposition, wave function \"collapse,\" and conic sections.","authors":"Lionel R Milgrom","doi":"10.1089/acm.2013.0212","DOIUrl":"https://doi.org/10.1089/acm.2013.0212","url":null,"abstract":"<p><strong>Introduction: </strong>Quantum theoretical discourse has previously illustrated (1) the therapeutic process as three-way macro-entanglement (between patient, practitioner, and remedy, called PPR entanglement), and (2) depicted the Vital Force (Vf) as a quantized spinning gyroscope. Combining the two via semiotic geometry leads to a topological description of the patient's journey to cure. In this present article, two new metaphors for the homeopathic therapeutic encounter are described, based on (1) a quantum mechanical model of adaptive mutation (QMAM), and (2) the illuminated geometric patterns generated by a light source attached to a spinning gyroscope.</p><p><strong>Methods: </strong>(1) QMAM demonstrates how quantum superposition between DNA and mutant adaptations could arise and how environmental pressure \"collapses\" the DNA wave function to a particular state. In QMAM for the therapeutic process, isolation helps induce coherence between patient, practitioner, and remedy, generating a quantum-like superposition of patient \"unwell\" and \"well\" states. (2) The light beam from a precessing gyroscope sweeps out an ellipse, which becomes circular, the faster the gyroscope spins on its axis and the less it precesses. Ellipses have two foci that, as a metaphor for the state of a patient's Vf, are seen to represent the patient's \"unwell\" and \"well\" states.</p><p><strong>Results: </strong>Superposition of the patient's \"unwell\" and \"well\" states generated by the QMAM metaphor can \"collapse\" to the cured state, following decoherence at the end of therapeutic process. Similarly, the curative therapeutic process may be thought to \"spin up\" the patient's Vf, so the precessing ellipse's foci (i.e., the patient's \"unwell\" and \"well\" states) merge into a \"circular\" curative state.</p><p><strong>Conclusions: </strong>The two new metaphors may be seen as equivalent and semiotic simplifications of the previous more complex topological description of the patient's \"journey to cure.\"</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"452-60"},"PeriodicalIF":2.6,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2013.0212","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40293224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for pseudoaldosteronism with rhabdomyolysis caused by consumption of drugs containing licorice and differences between incidence of these conditions in Japan and other countries: case report and literature review.","authors":"Tetsuhiro Yoshino,&nbsp;Tatsuo Yanagawa,&nbsp;Kenji Watanabe","doi":"10.1089/acm.2013.0454","DOIUrl":"https://doi.org/10.1089/acm.2013.0454","url":null,"abstract":"<p><strong>Background: </strong>The pathogenesis of licorice-induced pseudoaldosteronism is thought to involve the inhibition of 11β-hydroxysteroid dehydrogenase type 2 by glycyrrhetinic acid. Some risk factors have been reported, but differences between Japan and other countries have not been reported.</p><p><strong>Case presentation: </strong>A 79-year-old woman was hospitalized because of pseudoaldosteronism with rhabdomyolysis caused by ingestion of herbal medicines containing licorice. She had been prescribed shakuyakukanzobushito (decocted, 3 g of licorice) and keishikajutsubuto (decocted, 2 g of licorice) for the treatment of lower back pain and had been taking antihypertensive agents for the treatment of essential hypertension. After taking the herbal medicines for 2 weeks, the patient developed weakness of the extremities and pain in both thighs. On admission, she had hypertension, oliguria, an elevated serum creatine kinase level, hypokalemia, alkalemia associated with metabolic alkalosis, low plasma renin activity, and low plasma aldosterone levels. Intravenous and oral potassium supplementation and the administration of spironolactone resulted in the normalization of her condition within approximately 2 weeks.</p><p><strong>Discussion: </strong>An analysis of case reports of pseudoaldosteronism with rhabdomyolysis revealed that in Japan, most cases occurred in elderly women with essential hypertension and were caused by drugs such as herbal medicines. In contrast, in other countries, many cases involved younger men, and the dominant causes were foods containing licorice. The use of herbal medicines is increasing all over the world, and when a patient with risk factors is prescribed an herbal medicine containing licorice, careful follow-up is required.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"516-20"},"PeriodicalIF":2.6,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2013.0454","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40303172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hemodynamic observations of tumo yoga practitioners in a Himalayan environment.","authors":"Rinad S Minvaleev,&nbsp;Alfred R Bogdanov,&nbsp;Rinat R Bogdanov,&nbsp;David P Bahner,&nbsp;Paul E Marik","doi":"10.1089/acm.2013.0159","DOIUrl":"https://doi.org/10.1089/acm.2013.0159","url":null,"abstract":"<p><strong>Background: </strong>Few attempts have been made to evaluate the physiology of traditional Eastern health practices. The goal of this study was to evaluate the hemodynamic effects of the mysterious Buddhist practice of tumo. Tumo is a meditative practice that produces inner heat through the alleged cultivation of body energy-channels.</p><p><strong>Methods: </strong>This study was performed by members of an international expedition to the Himalayan Mountains in the Republic of India. The study was performed in an unpopulated outdoor mountainous area at an altitude of 16,400 ft with ambient temperatures between -10 and -15(°)C. Two (2) cohorts of subjects were studied: healthy non-yogi volunteers and tumo practitioners. All of the subjects were stripped down to their underclothes and exposed to the subzero atmospheric temperatures for 5 minutes. The volunteers were then passively rewarmed while the tumo practitioners performed tumo for up to 10 minutes. Blood pressure, heart rate, and stroke volume index (SVI) and cardiac index were measured noninvasively using a NICOM™ hemodynamic monitor, while carotid blood flow and biventricular performance were determined echocardiographically at each stage of the experiment. The total peripheral resistance index (TPRI), left ventricular ejection fraction (LVEF), and tricuspid annular plane systolic excursion (TAPSE) were determined using standard formula.</p><p><strong>Results: </strong>Fourteen (14) subjects (six volunteers and eight tumo practitioners) completed the study. There was one female subject in each group. With cold exposure, the SVI and carotid blood flow decreased while the TPRI increased significantly in both groups. In the volunteer group, these changes retuned to baseline with rewarming. Following tumo, the cardiac index (4.8±0.6 versus 4.0±0.5 l/m(2); p<0.01), carotid blood flow (445±127 versus 325±100 mL/min/m(2), p<0.01), LVEF (68±5 versus 64±7%; p<0.05) and TAPSE (2.9±0.4 versus 2.4±0.5 cm; p<0.01) were significantly higher when compared with baseline, while the TPRI was significantly lower (1786±189 versus 2173±281; p<0.01).</p><p><strong>Conclusions: </strong>Tumo was associated with a hyperdynamic vasodilated state with increased biventricular performance. We postulate that tumo results in a massive increase in sympathetic activity with activation of brown adipose tissue and marked heat production. The increased heat production may explain the paradoxical vasodilatation in tumo practitioners exposed to subzero temperatures.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"295-9"},"PeriodicalIF":2.6,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2013.0159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40263798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of topical corrosive black salve.","authors":"Kristin L Eastman,&nbsp;Lynne V McFarland,&nbsp;Gregory J Raugi","doi":"10.1089/acm.2012.0377","DOIUrl":"https://doi.org/10.1089/acm.2012.0377","url":null,"abstract":"<p><p>Black salve is a compound derived from various inert ingredients, but it can be transformed into a corrosive ointment by the addition of bloodroot (Sanguinaria canadensis) or zinc chloride. Black salve products have been advertised as a natural remedy for many ailments, ranging from bee stings to skin cancer. This article reviews the current literature surrounding this compound, which in its corrosive form can be dangerous for use without medical supervision. Patients should be educated about the lack of objective evidence supporting the clinical efficacy of black salve as a skin cancer treatment, as well as the possible cosmetic defects resulting from tissue necrosis secondary to the effects of bloodroot and zinc chloride.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"284-9"},"PeriodicalIF":2.6,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2012.0377","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40277794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Hatha yoga on blood pressure, salivary α-amylase, and cortisol function among normotensive and prehypertensive youth.","authors":"John C Sieverdes,&nbsp;Martina Mueller,&nbsp;Mathew J Gregoski,&nbsp;Brenda Brunner-Jackson,&nbsp;Lisa McQuade,&nbsp;Cameron Matthews,&nbsp;Frank A Treiber","doi":"10.1089/acm.2013.0139","DOIUrl":"https://doi.org/10.1089/acm.2013.0139","url":null,"abstract":"<p><strong>Objective: </strong>Evidence is accumulating, predominantly among clinical trials in adults, that yoga improves blood pressure (BP) control, with downregulation of the hypothalamic-pituitary-adrenal (HPA) axis and the sympathetic nervous system (SNS) projected as underlying mechanisms. This pilot study assessed whether Hatha yoga has the potential to reduce BP among youth and whether dampening of the SNS and/or HPA activity is a likely pathway of change.</p><p><strong>Design: </strong>Thirty-one seventh graders were randomly assigned to a Hatha yoga program (HYP) or attention control (AC) music or art class. Baseline and 3-month evaluations included resting BP; overnight urine samples; and saliva collected at bedtime, upon awakening, and at 30 and 60 minutes after awakening for α-amylase and cortisol assays.</p><p><strong>Results: </strong>Twenty-eight (14 in the HYP group and 14 in the AC group) students were assessed both before and after the intervention. BP changes from pre- to post-intervention were -3.0/-2.0 mmHg for the HYP group and -0.07/-0.79 mmHg for the AC group (p=0.30 and 0.57, respectively). Changes in systolic BP (SBP)/diastolic BP (DBP) for the prehypertensive (75th-94th percentiles for SBP) subgroup analyses were -10.75/-8.25 mmHg for the HYP group (n=4) versus 1.8/1.0 mmHg for the AC group (n=5) (p for SBP=0.02; p for DBP=0.09). Although no statistically significant group differences were observed with changes in SNS or HPA awakening curves (area under curve for α-amylase and cortisol, respectively), a small to moderate effect size was seen favoring a reduction of α-amylase activation for the HYP group (Cohen d=0.34; prehypertensive d=0.20).</p><p><strong>Conclusions: </strong>A school-based Hatha yoga program demonstrated potential to decrease resting BP, particularly among prehypertensive youth. Reduced SNS drive may be an underlying neurohormonal pathway beneficially affected by the program. A large-scale efficacy/effectiveness randomized clinical trial is warranted.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"241-50"},"PeriodicalIF":2.6,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2013.0139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40300744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anisotropic tissue motion induced by acupuncture needling along intermuscular connective tissue planes.","authors":"James R Fox,&nbsp;Weili Gray,&nbsp;Cathryn Koptiuch,&nbsp;Gary J Badger,&nbsp;Helene M Langevin","doi":"10.1089/acm.2013.0397","DOIUrl":"https://doi.org/10.1089/acm.2013.0397","url":null,"abstract":"<p><strong>Objectives: </strong>Acupuncture needle manipulation causes mechanical deformation of connective tissue, which in turn results in mechanical stimulation of fibroblasts, with active changes in cell shape and autocrine purinergic signaling. We have previously shown using ultrasound elastography in humans that acupuncture needle manipulation causes measurable movement of tissue up to several centimeters away from the needle. The goal of this study was to quantify the spatial pattern of tissue displacement and deformation (shear strain) in response to acupuncture needling along an intermuscular connective tissue plane compared with needling over the belly of a muscle.</p><p><strong>Design: </strong>Eleven (11) healthy human subjects underwent a single testing session during which robotic acupuncture needling was performed while recording tissue displacement using ultrasound. Outcome measures were axial and lateral tissue displacement as well as lateral shear strain calculated using ultrasound elastography postprocessing.</p><p><strong>Results: </strong>Tissue displacement and strain extended further in the longitudinal direction when needling between muscles, and in the transverse direction when needling over the belly of a muscle.</p><p><strong>Conclusions: </strong>The anisotropic tissue motion observed in this study may influence the spatial distribution of local connective tissue cellular responses following acupuncture needle manipulation.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"290-4"},"PeriodicalIF":2.6,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2013.0397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40281828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of classroom animal-assisted activities on social functioning in children with autism spectrum disorder.","authors":"Marguerite E O'Haire,&nbsp;Samantha J McKenzie,&nbsp;Sandra McCune,&nbsp;Virginia Slaughter","doi":"10.1089/acm.2013.0165","DOIUrl":"https://doi.org/10.1089/acm.2013.0165","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to implement and evaluate a classroom-based Animal-Assisted Activities (AAA) program on social functioning in children with autism spectrum disorder (ASD).</p><p><strong>Design: </strong>This was a multisite, control-to-intervention design study.</p><p><strong>Settings/location: </strong>The study was conducted in 41 classrooms in 15 schools in Brisbane, Australia.</p><p><strong>Subjects: </strong>Sixty-four (64) 5- to 12-year-old children diagnosed with ASD comprised the study group.</p><p><strong>Intervention: </strong>The AAA program consisted of 8 weeks of animal exposure in the school classroom in addition to 16 20-minute animal-interaction sessions.</p><p><strong>Outcome measures: </strong>Teacher- and parent-reported child behavior and social functioning were assessed through standardized instruments at three time points: upon study entry (Time 1), after an 8-week waiting period during the week prior to the AAA program (Time 2), and during the week following the 8-week AAA program (Time 3).</p><p><strong>Results: </strong>Significant improvements were identified in social functioning, including increases in social approach behaviors and social skills, and decreases in social withdrawal behaviors, from before to after the AAA program, but not during the waitlist period. Over half of parents also reported that participants demonstrated an increased interest in attending school during the program.</p><p><strong>Conclusions: </strong>Results demonstrate the feasibility and potential efficacy of a new classroom-based Animal-Assisted Activities model, which may provide a relatively simple and cost-effective means of helping educators and families to improve the social functioning of children with ASD.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"162-8"},"PeriodicalIF":2.6,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2013.0165","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40263113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of far-infrared irradiation on myofascial neck pain: a randomized, double-blind, placebo-controlled pilot study.","authors":"Chien-Hung Lai,&nbsp;Ting-Kai Leung,&nbsp;Chih-Wei Peng,&nbsp;Kwang-Hwa Chang,&nbsp;Ming-Jun Lai,&nbsp;Wen-Fu Lai,&nbsp;Shih-Ching Chen","doi":"10.1089/acm.2013.0122","DOIUrl":"https://doi.org/10.1089/acm.2013.0122","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to determine the relative efficacy of irradiation using a device containing a far-infrared emitting ceramic powder (cFIR) for the management of chronic myofascial neck pain compared with a control treatment.</p><p><strong>Design: </strong>This was a randomized, double-blind, placebo-controlled pilot study.</p><p><strong>Participants: </strong>The study comprised 48 patients with chronic, myofascial neck pain.</p><p><strong>Intervention: </strong>Patients were randomly assigned to the experimental group or the control (sham-treatment) group. The patients in the experimental group wore a cFIR neck device for 1 week, and the control group wore an inert neck device for 1 week.</p><p><strong>Main outcome measurement: </strong>Quantitative measurements based on a visual analogue scale (VAS) scoring of pain, a sleep quality assessment, pressure-pain threshold (PPT) testing, muscle tone and compliance analysis, and skin temperature analysis were obtained.</p><p><strong>Results: </strong>Both the experimental and control groups demonstrated significant improvement in pain scores. However, no statistically significant difference in the pain scores was observed between the experimental and control groups. Significant decreases in muscle stiffness in the upper regions of the trapezius muscles were reported in the experimental group after 1 week of treatment.</p><p><strong>Conclusions: </strong>Short-term treatment using the cFIR neck device partly reduced muscle stiffness. Although the differences in the VAS and PPT scores for the experimental and control groups were not statistically significant, the improvement in muscle stiffness in the experimental group warrants further investigation of the long-term effects of cFIR treatment for pain management.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"123-9"},"PeriodicalIF":2.6,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2013.0122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40258208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The art of doing almost nothing: how a core Taijiquan principle can help us to understand turning points in therapeutic processes.","authors":"Andy Maun","doi":"10.1089/acm.2013.0258","DOIUrl":"https://doi.org/10.1089/acm.2013.0258","url":null,"abstract":"<p><p>Health care professionals usually strive to reach turning points in therapeutic processes in order to help patients manage a problem or difficult situation. The professional aligns with the patient's needs through what can be described as \"the art of doing almost nothing\": listening, noticing, thinking, waiting, witnessing, and preventing harm. This process is similar to the Taijiquan principle of alignment illustrated in the yin-yang symbol taijitu. For both therapeutic process and Taijiquan, mastery is characterized through the phenomenon that the closer one gets to the turning point, the less visible are the practitioner's efforts in terms of observable action.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"77-8"},"PeriodicalIF":2.6,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2013.0258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40258209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}