Nei Guan
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Nei Guan
Nei guan (P6, Chinese: 内关) is an acupoint, a point of the skin that is stimulated with various techniques in the practice of acupuncture. It is located on the anterior forearm, two cun above to the wrist crease, between the tendons of palmaris longus and flexor carpi radialis muscles, along the pericardium meridian. Therapeutic uses and scientific validation The Cochrane Collaboration, a group of evidence-based medicine (EBM) reviewers, reviewed the use of ''Nei guan'' (Acupoint P6) for nausea and vomiting, and found it to be effective for reducing post-operative nausea, but not vomiting, when combined with an antiemetic. However, the review acknowledged concerns about study limitations, unexplained variation in effects between studies, and an insufficient number of studies. The Cochrane review included various means of stimulating P6, including acupuncture, electro-acupuncture, transcutaneous nerve stimulation, laser stimulation, acustimulation device and acupressure; it did ...
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Acupoint
Acupuncture is a form of alternative medicine and a component of traditional Chinese medicine (TCM) in which thin needles are inserted into the body. Acupuncture is a pseudoscience; the theories and practices of TCM are not based on scientific knowledge, and it has been characterized as quackery. There is a range of acupuncture variants which originated in different philosophies, and techniques vary depending on the country in which it is performed, but can be divided into two main foundational philosophical applications and approaches, the first being the modern standardized form called eight principles TCM and the second an older system that is based on the ancient Daoist '' wuxing'', better known as the five elements or phases in the West. Acupuncture is most often used to attempt pain relief, though acupuncturists say that it can also be used for a wide range of other conditions. Acupuncture is generally used only in combination with other forms of treatment. The global ac ...
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Acupuncture
Acupuncture is a form of alternative medicine and a component of traditional Chinese medicine (TCM) in which thin needles are inserted into the body. Acupuncture is a pseudoscience; the theories and practices of TCM are not based on scientific knowledge, and it has been characterized as quackery. There is a range of acupuncture variants which originated in different philosophies, and techniques vary depending on the country in which it is performed, but can be divided into two main foundational philosophical applications and approaches, the first being the modern standardized form called eight principles TCM and the second an older system that is based on the ancient Daoist '' wuxing'', better known as the five elements or phases in the West. Acupuncture is most often used to attempt pain relief, though acupuncturists say that it can also be used for a wide range of other conditions. Acupuncture is generally used only in combination with other forms of treatment. The global ac ...
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Cun (length)
A ''cun'' (), often glossed as the ''Chinese inch'', is a traditional Chinese units of measurement, Chinese unit of length. Its traditional measure is the width of a person's thumb at the knuckle, whereas the width of the two forefingers denotes 1.5 cun and the width of four fingers (except the thumb) side-by-side is 3 cuns. It continues to be used to chart acupuncture points on the human body, and, in various uses for traditional Chinese medicine. The cun was part of a larger decimal system. A cun was made up of 10 fen (unit), fen, which depending on the period approximated lengths or widths of millet grains, and represented one-tenth of a chi (unit), chi ("Chinese foot"). In time the lengths were standardized, although to different values in different jurisdictions. (See chi (unit) for details.) In Hong Kong, using the traditional standard, it measures ~3.715 cm (~1.463 in) and is written "tsun". In the twentieth century in the Republic of China (1912–194 ...
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Palmaris Longus
The palmaris longus is a muscle visible as a small tendon located between the flexor carpi radialis and the flexor carpi ulnaris, although it is not always present. It is absent in about 14 percent of the population; this number can vary in African, Asian, and Native American populations, however. Absence of the palmaris longus does not have an effect on grip strength. The lack of palmaris longus muscle does result in decreased pinch strength in fourth and fifth fingers. The absence of palmaris longus muscle is more prevalent in females than males. The palmaris longus muscle can be seen by touching the pads of the fourth finger and thumb and flexing the wrist. The tendon, if present, will be visible in the midline of the anterior wrist. Structure Palmaris longus is a slender, elongated, spindle shaped muscle, lying on the medial side of the flexor carpi radialis. It is widest in the middle, and narrowest at the proximal and distal attachments.'' Gray's Anatomy'' (1918), see infob ...
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Flexor Carpi Radialis
In anatomy, flexor carpi radialis is a muscle of the human forearm that acts to flex and (radially) abduct the hand. The Latin ''carpus'' means wrist; hence flexor carpi is a flexor of the wrist. Origin and insertion The flexor carpi radialis is one of four muscles in the superficial layer of the anterior compartment of the forearm. This muscle originates from the medial epicondyle of the humerus as part of the common flexor tendon. It runs just laterally of flexor digitorum superficialis and inserts on the anterior aspect of the base of the second metacarpal, and has small slips to both the third metacarpal and trapezium tuberosity. The tendon of the flexor carpi radialis is visible on the anterior surface of the forearm, just proximal to the wrist, when the wrist is flexed. It is the tendon seen most lateral, closest to the thumb. Nerve and artery Like most flexors of the anterior compartment of the forearm, FCR is innervated by the median nerve, specifically by axons from c ...
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Pericardium
The pericardium, also called pericardial sac, is a double-walled sac containing the heart and the roots of the great vessels. It has two layers, an outer layer made of strong connective tissue (fibrous pericardium), and an inner layer made of serous membrane (serous pericardium). It encloses the pericardial cavity, which contains pericardial fluid, and defines the middle mediastinum. It separates the heart from interference of other structures, protects it against infection and blunt trauma, and lubricates the heart's movements. The English name originates from the Ancient Greek prefix "''peri-''" (περί; "around") and the suffix "''-cardion''" (κάρδιον; "heart"). Anatomy The pericardium is a tough fibroelastic sac which covers the heart from all sides except at the cardiac root (where the great vessels join the heart) and the bottom (where only the serous pericardium exists to cover the upper surface of the central tendon of diaphragm). The fibrous pericardiu ...
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Meridian (Chinese Medicine)
The meridian system (, also called channel network) is a concept in traditional Chinese medicine (TCM). Meridians are paths through which the life-energy known as " qi" (''ch'i'') flows. Meridians are not real anatomical structures: scientists have found no evidence that supports their existence. One historian of medicine in China says that the term is "completely unsuitable and misguided, but nonetheless it has become a standard translation." Major proponents of their existence have not come to any consensus as to how they might work or be tested in a scientific context. History The concept of meridians are first attested in two works recovered from the Mawangdui and Zhangjiashan tombs of the Han-era Changsha Kingdom, the ''Cauterization Canon of the Eleven Foot and Arm Channels'' ''Zúbì Shíyī Mài Jiǔjīng'') and the ''Cauterization Canon of the Eleven Yin and Yang Channels'' ''Yīnyáng Shíyī Mài Jiǔjīng''). In the texts, the meridians are referenced as ''mà ...
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Cochrane Collaboration
Cochrane (previously known as the Cochrane Collaboration) is a British international charitable organisation formed to organise medical research findings to facilitate evidence-based choices about health interventions involving health professionals, patients and policy makers. It includes 53 review groups that are based at research institutions worldwide. Cochrane has approximately 30,000 volunteer experts from around the world. The group conducts systematic reviews of health-care interventions and diagnostic tests and publishes them in the Cochrane Library. According to the Library, articles are available via one-click access, but some require paid subscription or registration before reading. A few reviews, in occupational health for example, incorporate results from non-randomised observational studies as well as controlled before–after (CBA) studies and interrupted time-series studies. History Cochrane, previously known as the Cochrane Collaboration, was founded in ...
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Evidence-based Medicine
Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients". The aim of EBM is to integrate the experience of the clinician, the values of the patient, and the best available scientific information to guide decision-making about clinical management. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients. Background, history and definition Medicine has a long history of scientific inquiry about the prevention, diagnosis, and treatment of human disease. The concept of a controlled clinical trial was first described in 1662 by Jan Baptist van Helmont in reference to the practice of bloodletting. Wrote Van Helmont: The first published report describing the conduct and results of a controlled clinical trial was by James Lind, a Scottish naval surgeon who conducted rese ...
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Antiemetic
An antiemetic is a drug that is effective against vomiting and nausea. Antiemetics are typically used to treat motion sickness and the side effects of opioid analgesics, general anaesthetics, and chemotherapy directed against cancer. They may be used for severe cases of gastroenteritis, especially if the patient is dehydrated. Some antiemetics previously thought to cause birth defects appear safe for use by pregnant women in the treatment of morning sickness and the more serious hyperemesis gravidarum. __TOC__ Types * 5-HT3 receptor antagonists block serotonin receptors in the central nervous system and gastrointestinal tract. As such, they can be used to treat post-operative and cytotoxic drug nausea & vomiting. However, they can also cause constipation or diarrhea, dry mouth, and fatigue. ** Dolasetron (Anzemet) can be administered in tablet form or in an injection. ** Granisetron (Kytril, Sancuso) can be administered in tablet (Kytril), oral solution (Kytril), inj ...
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Bandolier (journal)
''Bandolier'' was an independent healthcare journal about evidence-based healthcare, written by Oxford University scientists. It was started in 1994 and the National Health Service paid for its distribution to all doctors in the UK until 2002. Publication of the printed version ceased in 2007. New material was published online through 2010. Publication ceased in 2010. In October 2016 back issues of the journal (online version) became available at its own website. It is no longer hosted on Oxford University's site. The NHS Executive and National electronic Library for Health continue with some support for the electronic site. See also * Cochrane Collaboration Cochrane (previously known as the Cochrane Collaboration) is a British international charitable organisation formed to organise medical research findings to facilitate evidence-based choices about health interventions involving health profess ... References External links * Former website {{Pharmaceutical ...
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Gastroesophageal Reflux Disease
Gastroesophageal reflux disease (GERD) or gastro-oesophageal reflux disease (GORD) is one of the upper gastrointestinal chronic diseases where stomach content persistently and regularly flows up into the esophagus, resulting in symptoms and/or complications. Symptoms include dental corrosion, dysphagia, heartburn, odynophagia, regurgitation, non-cardiac chest pain, extraesophageal symptoms such as chronic cough, hoarseness, reflux-induced laryngitis, or asthma. On the long term, and when not treated, complications such as esophagitis, esophageal stricture, and Barrett's esophagus may arise. Risk factors include obesity, pregnancy, smoking, hiatal hernia, and taking certain medications. Medications that may cause or worsen the disease include benzodiazepines, calcium channel blockers, tricyclic antidepressants, NSAIDs, and certain asthma medicines. Acid reflux is due to poor closure of the lower esophageal sphincter, which is at the junction between the stomach and the esoph ...
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