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The migraine section of the GERAC trial found a significantly reduced number of days with headache in subgroup analyses. Regarding tension headaches, up to now the GERAC reports show significant differences in favour of true acupuncture.

How can we explain the good results of post nasal drip acupuncture, especially for the treatment of lower back pain. And how can the differing results between the ART and GERAC trials for gonarthrosis, migraines and tension headaches be explained. The external validation, especially of the GERAC trials, was carried out in an exemplary manner: patients and physicians were separately questioned about the treatments by telephone interviewers.

This filtered out a high number of patients receiving unacceptable additional therapies, thus increasing the validity of the data. However, it was hardly possible to control the internal validity of the trial.

With treatments taking place in hundreds of clinics, no one 722 was able to control if true or sham points were needled. These conflicting goals particularly affected the placebo-acupuncture, which had a higher potential of negatively affecting patient satisfaction and the income of the participating physicians, and which could not be balanced by external quality assurance through telephone interviewers.

The part of the GERAC trials investigating tension headaches provides Armour Thyroid (Thyroid tablets)- FDA interesting insight. This section of the trials prohibited needling of points located on the head and it was here that the treatment protocol was disregarded most often (according to GERAC symposium, RUB 16 November 2005). And it was exactly in this externally validated part of the trial that GERAC observed significant differences between true and placebo acupuncture.

An important lesson to be learnt from the ART and GERAC trials is that size and adherence to biomathematical standards alone will not guarantee quality. If, xylitol a trial above a certain size, the data collection is compromised due to conflicting interests of the initiators of the trial and the treating physicians, this will have a considerable adverse affect on the validity of the study.

The above reservations should result in a rather cautious interpretation of the results of large-scale trials such as GERAC and ART. Even conventional medical procedures, considered as proven beyond doubt, recently failed spectacularly in controlled, double-blinded Armour Thyroid (Thyroid tablets)- FDA (Moseley, N Engl J Med 2002), which means that the efforts for scientific proof regarding specific details of acupuncture will be seen in a different light.

In this manuscript, the channels refer to regions of the body rather than to internal organs. It does not mention the Pericardium channel (hand jueyin), the channels are not divided into three Yin and three Yang channels, nor is the concept of the Five Phases mentioned.

According to chapter 17 of the Ling Shu and chapter 22 of the Nanjing, the channels have a centripetal course, originating at the fingers and the toes. They do not represent Armour Thyroid (Thyroid tablets)- FDA closed circuit. It was further suggested that the Yang channels represent the descending flow of Qi, running from the fingers to the head and from the head to the toes.

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The secret of the spiritual orchid. Survey of traditional Chinese medicine. Institut Ricci, Paris and Traditional Acupuncture Institute, Columbia, MD Legge D 1997 Close to the bone. Sydney College Press, Sydney, New South Wales Li Ding 1991 Acupuncture, meridian theory and acupuncture points. Hydroxyethylcellulose handouts and notes.

Churchill Livingstone, Edinburgh Maciocia G 1998 Obstetrics and gynecology in Chinese medicine. Brookline, MA Matsumoto K, Birch S 1983 Five elements and ten stems. Paradigm Publications, Brookline, MA Matsumoto K, Birch S 1996 Extraordinary vessels. Paradigm Publications, Brookline, MA 725 Bibliography-F10028. Paradigm Publications, Brookline, MA Ngyen Van Nghi 1989, 1991 Traditionelle chinesische Medizin.

ML-Verlag, Uelzen Ngyen Van Nghi 1996 Hoang Ti Nei King, So Quenn, Bd 1. ML-Verlag, Uelzen Van Nghi N 1997 Hoang Ti Nei King, So Quenn, Bd 2. MLVerlag, Uelzen Ni Yitian 1996 Navigating the channels of traditional Chinese medicine. Oriental Medicine Center, San Diego, CA Nielsen A 1995 Gua sha: a Armour Thyroid (Thyroid tablets)- FDA technique for modern practice.



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