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Sensation and perception of pain according to the theory of constitution in Tibetan Medicine
ARTICLE IN PRESS 240
Abstracts / European Journal of Integrative Medicine 1 (2009) 223–260
A cohort of 30 inpatients (age 50–87), with acute low back pain and without other acute pathologies, have been evaluated with medical interviews, examination and parameters such as Schober’s test and costo-vertebral mobility. They have been prospectively treated with an injectable anthroposophical potentised acqueous extract of Arnica planta tota Rh D3, administered locally subcoutaneously once a day for 6 days. After hospital treatment, the patients have been randomised in 2 groups: 15 patients (group C) did not receive any further treatment and 15 patients (group A) received further 3 months of arnica ampules treatment. The acute treatment and the consolidation treatment were well tolerated. All patients improved during acute treatment with no side effect. Patients without consolidation treatment presented again symptoms and signs after 3 months. Patients receiving consolidation treatment kept improving. Treatment with anthroposophical injectable low-potency A. montana showed to be safe, effective and cost-effective in acute and consolidation treatment of low back pain.
diet and behavior play a central role in medical theory, diagnosis and therapy. The theory of constitution is an important diagnostic method to differentiate between constitutional disorders and humoral diseases. The three main constitutions in Tibetan Medicine are differentiated as follows: wind constitution, bile constitution and phlegm constitution, followed by four mixed constitutions. Constitution implies a variation of general and specific weaknesses in psychological and physical aspects. Therefore constitution also varies in the sensation and perception of pain. In Tibetan Medicine pain in general is considered as a symptom of infection or inflammation, which has heated the ‘nerves’ and blocked the local wind. That penetrates or burns the body’s tissues in general and specific locations. The body consciousness perceives the pain through wind and the nervous system. The transmission of the sensation of pain is depending on the stimulation ability of the system. Wind constitutions tend to experience a strong sensation of pain, a low tolerance and hypersensitivity. Their sensation of pain underlies often changes in perception and is strongly dependent on the general current emotional and mental state of the patient. But also a pathologic sense of touch and neurological disturbances and disorders are among the tendencies of a wind constitution. The disease pattern ‘Wind in the Heart’ (Nying-rLung) exemplifies the connection between mind, wind and pain. Bile constitution has a semistrong sensation of pain. Due to the tendency to inflammatory disorders it tends to lead to sharp pains. Migraine is a typical pain caused by bile. Phlegm constitution has a low sensation of pain and a great tolerance. Phlegm causes non-inflammatory disorders. Fibromyalgia is an example for pain resulting from a phlegm disorder. The theory of constitution is a useful tool in the patient’s process of understanding and accepting his/her own disease and helpful in preventive medicine.
10.1016/j.eujim.2009.08.033
10.1016/j.eujim.2009.08.034
PO-031
PO-032
Sensation and perception of pain according to the theory of constitution in Tibetan Medicine
Quantitative sensory testing as a neurobiological tool for measuring ‘‘specific’’ effects of naturopathic reflex therapies in chronic pain
S. Maric Institut fu¨r Ost-West Medizin, A¨rztliche Ausbildung Tibetische Medizin, Bad Homburg, Germany Based on a holistic humoral medical theory and practice, Tibetan Medicine, Sowa Rigpa, opens access to a deep understanding of specific concepts of chronic diseases. The threefold humoral theory of the interaction of wind (rLung), bile (tripa) and phlegm (bedken) can only be revealed by the core of Tibetan Medicine, its body mind concept. Constitutional weakness as well as the patient’s
F. Musial, D. Spohn, G. Dobos Innere Medizin V, Naturheilkunde und Integrative Medizin, Alfried Krupp von Bohlen und Halbach-Stiftungsprofessur fu¨r Naturheilkunde, Essen, Germany Evidence from recent RCTs has shown that naturopathic reflex therapies such as massage, acupuncture, Gua Sha, cupping, wet packs, etc. are helpful in reducing symptoms of chronic pain [1]. These bodily oriented therapies are likely able to influence chronic pain not only through brain
Abstracts / European Journal of Integrative Medicine 1 (2009) 223–260
A cohort of 30 inpatients (age 50–87), with acute low back pain and without other acute pathologies, have been evaluated with medical interviews, examination and parameters such as Schober’s test and costo-vertebral mobility. They have been prospectively treated with an injectable anthroposophical potentised acqueous extract of Arnica planta tota Rh D3, administered locally subcoutaneously once a day for 6 days. After hospital treatment, the patients have been randomised in 2 groups: 15 patients (group C) did not receive any further treatment and 15 patients (group A) received further 3 months of arnica ampules treatment. The acute treatment and the consolidation treatment were well tolerated. All patients improved during acute treatment with no side effect. Patients without consolidation treatment presented again symptoms and signs after 3 months. Patients receiving consolidation treatment kept improving. Treatment with anthroposophical injectable low-potency A. montana showed to be safe, effective and cost-effective in acute and consolidation treatment of low back pain.
diet and behavior play a central role in medical theory, diagnosis and therapy. The theory of constitution is an important diagnostic method to differentiate between constitutional disorders and humoral diseases. The three main constitutions in Tibetan Medicine are differentiated as follows: wind constitution, bile constitution and phlegm constitution, followed by four mixed constitutions. Constitution implies a variation of general and specific weaknesses in psychological and physical aspects. Therefore constitution also varies in the sensation and perception of pain. In Tibetan Medicine pain in general is considered as a symptom of infection or inflammation, which has heated the ‘nerves’ and blocked the local wind. That penetrates or burns the body’s tissues in general and specific locations. The body consciousness perceives the pain through wind and the nervous system. The transmission of the sensation of pain is depending on the stimulation ability of the system. Wind constitutions tend to experience a strong sensation of pain, a low tolerance and hypersensitivity. Their sensation of pain underlies often changes in perception and is strongly dependent on the general current emotional and mental state of the patient. But also a pathologic sense of touch and neurological disturbances and disorders are among the tendencies of a wind constitution. The disease pattern ‘Wind in the Heart’ (Nying-rLung) exemplifies the connection between mind, wind and pain. Bile constitution has a semistrong sensation of pain. Due to the tendency to inflammatory disorders it tends to lead to sharp pains. Migraine is a typical pain caused by bile. Phlegm constitution has a low sensation of pain and a great tolerance. Phlegm causes non-inflammatory disorders. Fibromyalgia is an example for pain resulting from a phlegm disorder. The theory of constitution is a useful tool in the patient’s process of understanding and accepting his/her own disease and helpful in preventive medicine.
10.1016/j.eujim.2009.08.033
10.1016/j.eujim.2009.08.034
PO-031
PO-032
Sensation and perception of pain according to the theory of constitution in Tibetan Medicine
Quantitative sensory testing as a neurobiological tool for measuring ‘‘specific’’ effects of naturopathic reflex therapies in chronic pain
S. Maric Institut fu¨r Ost-West Medizin, A¨rztliche Ausbildung Tibetische Medizin, Bad Homburg, Germany Based on a holistic humoral medical theory and practice, Tibetan Medicine, Sowa Rigpa, opens access to a deep understanding of specific concepts of chronic diseases. The threefold humoral theory of the interaction of wind (rLung), bile (tripa) and phlegm (bedken) can only be revealed by the core of Tibetan Medicine, its body mind concept. Constitutional weakness as well as the patient’s
F. Musial, D. Spohn, G. Dobos Innere Medizin V, Naturheilkunde und Integrative Medizin, Alfried Krupp von Bohlen und Halbach-Stiftungsprofessur fu¨r Naturheilkunde, Essen, Germany Evidence from recent RCTs has shown that naturopathic reflex therapies such as massage, acupuncture, Gua Sha, cupping, wet packs, etc. are helpful in reducing symptoms of chronic pain [1]. These bodily oriented therapies are likely able to influence chronic pain not only through brain