世界卫生组织承认针灸疗效了?

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who是医疗卫生领域国际权威组织,它曾在上世纪八九十年代和本世纪初向全世界推荐针灸,并于02年发表《关于针灸临床对照试验报告的回顾与分析》一文。这是否意味着who承认了针灸的疗效?


来自Android客户端1楼2017-09-06 16:03回复
    网上截取的部分译文


    来自Android客户端2楼2017-09-06 16:08
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      @逛大街打酱油 认为该文可供参考,我的意见是仅供参考。意思差不多


      来自Android客户端3楼2017-09-06 16:11
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        有些网络文章只翻译部分内容,断章取义,光从字面意思理解容易令人产生误读。如果只看2楼字面意思,会误以为有些方面,针灸疗效已被充分验证,毋庸置疑。


        来自Android客户端5楼2017-09-06 17:36
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          网上找的部分原文,没有核实过,供参考:
          3. Diseases and disorders that can be treated with acupuncture
          The diseases or disorders for which acupuncture therapy has been tested in controlled clinical trials reported in the recent literature can be classified into four categories as shown below.
          1. Diseases, symptoms or conditions for which acupuncture has been proved-through controlled trials-to be an effective treatment:
          Adverse reactions to radiotherapy and/or chemotherapy
          Allergic rhinitis (including hay fever)
          Biliary colic
          Depression (including depressive neurosis and depression following stroke)
          Dysentery, acute bacillary
          Dysmenorrhoea, primary
          Epigastralgia, acute (in peptic ulcer, acute and chronic gastritis, and gastrospasm)
          Facial pain (including craniomandibular disorders)
          Headache
          Hypertension, essential
          Hypotension, primary
          Induction of labour
          Knee pain
          Leukopenia
          Low back pain
          Malposition of fetus, correction of
          Morning sickness
          Nausea and vomiting
          Neck pain
          Pain in dentistry (including dental pain and temporomandibular dysfunction)
          Periarthritis of shoulder
          Postoperative pain
          Renal colic
          Rheumatoid arthritis
          Sciatica
          Sprain
          Stroke
          Tennis elbow
          2. Diseases, symptoms or conditions for which the therapeutic effect of acupuncture has been shown but for which further proof is needed:
          Abdominal pain (in acute gastroenteritis or due to gastrointestinal spasm)
          Acne vulgaris
          Alcohol dependence and detoxification
          Bell’s palsy
          Bronchial asthma
          Cancer pain
          Cardiac neurosis
          Cholecystitis, chronic, with acute exacerbation
          Cholelithiasis
          Competition stress syndrome
          Craniocerebral injury, closed
          Diabetes mellitus, non-insulin-dependent
          Earache
          Epidemic haemorrhagic fever
          Epistaxis, simple (without generalized or local disease)
          Eye pain due to subconjunctival injection
          Female infertility
          Facial spasm
          Female urethral syndrome
          Fibromyalgia and fasciitis
          Gastrokinetic disturbance
          Gouty arthritis
          Hepatitis B virus carrier status
          Herpes zoster (human (alpha) herpesvirus 3)
          Hyperlipaemia
          Hypo-ovarianism
          Insomnia
          Labour pain
          Lactation, deficiency
          Male sexual dysfunction, non-organic
          Ménière disease
          Neuralgia, post-herpetic
          Neurodermatitis
          Obesity
          Opium, cocaine and heroin dependence
          Osteoarthritis
          Pain due to endoscopic examination
          Pain in thromboangiitis obliterans
          Polycystic ovary syndrome (Stein-Leventhal syndrome)
          Postextubation in children
          Postoperative convalescence
          Premenstrual syndrome
          Prostatitis, chronic
          Pruritus
          Radicular and pseudoradicular pain syndrome
          Raynaud syndrome, primary
          Recurrent lower urinary-tract infection
          Reflex sympathetic dystrophy
          Retention of urine, traumatic
          Schizophrenia
          Sialism, drug-induced
          Sjögren syndrome
          Sore throat (including tonsillitis)
          Spine pain, acute
          Stiff neck
          Temporomandibular joint dysfunction
          Tietze syndrome
          Tobacco dependence
          Tourette syndrome
          Ulcerative colitis, chronic
          Urolithiasis
          Vascular dementia
          Whooping cough (pertussis)
          3. Diseases, symptoms or conditions for which there are only individual controlled trials reporting some therapeutic effects, but for which acupuncture is worth trying because treatment by conventional and other therapies is difficult:
          Chloasma
          Choroidopathy, central serous
          Colour blindness
          Deafness
          Hypophrenia
          Irritable colon syndrome
          Neuropathic bladder in spinal cord injury
          Pulmonary heart disease, chronic
          Small airway obstruction
          4. Diseases, symptoms or conditions for which acupuncture may be tried provided the practitioner has special modern medical knowledge and adequate monitoring equipment:
          Breathlessness in chronic obstructive pulmonary disease
          Coma
          Convulsions in infants
          Coronary heart disease (angina pectoris)
          Diarrhoea in infants and young children
          Encephalitis, viral, in children, late stage
          Paralysis, progressive bulbar and pseudobulbar


          6楼2017-09-06 17:54
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            下图红线部分所说的对照试验其实仅仅是指发表在98年与99年初的杂志上的文献,所得结论也仅仅是基于这些研究。所以这一结论也绝非千真万确,毫无争议。


            来自Android客户端7楼2017-09-06 18:08
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              下图是who发表的相关内容,绿色圆圈部分是说楼上结论是基于98年,99年初的研究



              来自Android客户端8楼2017-09-06 18:13
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                上图紫线部分是说who也承认关于针灸试验方法学方面一直争论不休,很难推出一个大家都能接受的评价


                来自Android客户端9楼2017-09-06 18:17
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                  如今,近20年已经过去,《回顾与分析》中当时认为相对比较有把握的一些观点,如今已经被很多研究否定


                  来自Android客户端10楼2017-09-06 18:21
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                    随便举一个例子,二楼截图中认为对照试验研究结果表明针灸治疗放化疗后的不良反应有效,但今天的很多研究(后面会举例)得出截然不同的结论


                    来自Android客户端11楼2017-09-06 18:25
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                      下面介绍8楼划绿线部分:who特意强调,所得结论是基于搜集到的对照试验报告,仅能作为参考。


                      来自Android客户端12楼2017-09-06 18:29
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                        至此,我们可以认为,网上许多人把who推荐针灸视为针灸治疗有效有力证据,将who当时一些基于有限研究所得结论看成是医学界目前公认观点,这是错误的。


                        来自Android客户端13楼2017-09-06 18:46
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                          反对中医必须用行动,用自己的钱包投票。根本没必要和中医骗子争论什么,任谁承不承认中医,我不消费它就是了,中医粉你们白费心造谣了。


                          来自手机贴吧17楼2017-09-06 20:41
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                            原来如此


                            来自Android客户端19楼2017-09-07 05:02
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