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An Evidence-Based Approch to Oriental Medicine: the Example of Acupuncture
Ernst, Edzard INSTITUTE OF ORIENTAL MEDICINE KYUNG-HEE UNIVERSIT 1999 JOURNAL OF ORIENTAL MEDICINE Vol.4 No.1
Acupuncture has stood the test of time and therefore does not require testing scientific methods. This belief is as widespread as it is wrong. Today it is generally considered essential that all therapeutic interventions are tested rigorously to determine their efficacy, regardless of whether they are mainstream or alternative, modern or traditional. In the course of this exercise, many insufficiently tested mainstream treatments are now being evaluated. Only if a positive conclusion is reached, will a given mainstream therapy continue to be a part of routine healthcare. Those treatments which are as yet outside routine care(e.g.acupuncture) also require proper evaluation. Only of this process comes to a positive conclusion, will acupuncture be seriously considered for integration into routine care.
Panax ginseng: An Overview of the Clinical Evidence
Edzard Ernst 고려인삼학회 2010 Journal of Ginseng Research Vol.34 No.4
This overview is focused on Panax ginseng, one of the most commonly used herbal remedies. The currently available data regarding its clinical efficacy is somewhat confusing, despite the fact that many clinical trials and systematic reviews have been published. The risks of Panax ginseng seem to be only minor. Numerous mechanisms of action have been described. Future studies of this fascinating herbal remedy seem warranted but they should overcome the methodological limitations of the previous research.
Panax ginseng: An Overview of the Clinical Evidence
Ernst, Edzard The Korean Society of Ginseng 2010 Journal of Ginseng Research Vol.34 No.4
This overview is focused on Panax ginseng, one of the most commonly used herbal remedies. The currently available data regarding its clinical efficacy is somewhat confusing, despite the fact that many clinical trials and systematic reviews have been published. The risks of Panax ginseng seem to be only minor. Numerous mechanisms of action have been described. Future studies of this fascinating herbal remedy seem warranted but they should overcome the methodological limitations of the previous research.
Acupuncture in obstetrics and gynecology: an overview of systematic reviews.
Ernst, Edzard,Lee, Myeong Soo,Choi, Tae-Young Institute for Advanced Research in Asian Science a 2011 The American journal of Chinese medicine Vol.39 No.3
<P>Acupuncture is often recommended for obstetrical and gynecological conditions but the evidence is confusing. We aim to summarize all recent systematic reviews in this area. Western and Asian electronic databases were searched for systematic reviews of any type of acupuncture for any type of gynecological conditions. Our own files were hand-searched. Systematic reviews of any type of acupuncture for any type of gynecological conditions were included. Non-systematic reviews and systematic reviews published before 2004 were excluded. No language restrictions were applied. Data were extracted according to predefined criteria and analysed narratively. Twenty-four systematic reviews were included. They relate to a wide range of gynecological conditions: hot flashes, conception, dysmenorrhea, premenstrual syndrome, nausea/vomiting, breech presentation, back pain during pregnancy, and procedural pain. Nine systematic reviews arrived with clearly positive conclusions; however, there were many contradictions and caveats. The evidence for acupuncture as a treatment of obstetrical and gynecological conditions remains limited.</P>
Is Cupping an Effective Treatment? An Overview of Systematic Reviews
이명수,김종인,Edzard Ernst 사단법인약침학회 2011 Journal of Acupuncture & Meridian Studies Vol.4 No.1
Several systematic reviews (SRs) have assessed the effectiveness of cupping for a range of conditions. Our aim was to provide a critical evaluation and summary of these data. Electronic searches were conducted to locate all SRs concerning cupping for any condition. Data were extracted by two authors according to predefined criteria. Five SRs met our inclusion criteria, which related to the following conditions: pain conditions, stroke rehabilitation, hypertension, and herpes zoster. The numbers of studies included in each SR were small. Relatively clear evidence emerged only for one indication, that cupping may be effective for reducing pain. Based on evidence from the currently available SRs, the effectiveness of cupping has been demonstrated only as a treatment for pain, and even for this indication doubts remain.
Is yoga effective for pain? A systematic review of randomized clinical trials
Posadzki, Paul,Ernst, Edzard,Terry, Rohini,Lee, Myeong Soo Elsevier 2011 Complementary therapies in medicine Vol.19 No.5
<P><B>Highlights</B></P><P>► The evidence that yoga alleviates pain is positive and encouraging. ► Due to the low quantity and quality of the existing evidence any definite claims should be treated with caution. ► More research seems warranted to more extensively explore the effectiveness of yoga interventions.</P> <P><B>Summary</B></P><P><B>Objective</B></P><P>The objective of this systematic review was to assess the effectiveness of yoga as a treatment option for any type of pain.</P><P><B>Method</B></P><P>Seven databases were searched from their inception to February 2011. Randomized clinical trials were considered if they investigated yoga in patients with any type of pain and if they assessed pain as a primary outcome measure. The 5-point Jadad scale was used to assess methodological quality of studies. The selection of studies, data extraction and quality assessment were performed independently by two reviewers.</P><P><B>Results</B></P><P>Ten randomized clinical trials (RCTs) met the inclusion criteria. Their methodological quality ranged between 1 and 4 on the Jadad scale. Nine RCTs suggested that yoga leads to a significantly greater reduction in pain than various control interventions such as standard care, self care, therapeutic exercises, relaxing yoga, touch and manipulation, or no intervention. One RCT failed to provide between group differences in pain scores.</P><P><B>Conclusions</B></P><P>It is concluded that yoga has the potential for alleviating pain. However, definitive judgments are not possible.</P>
Acupuncture for pain: An overview of Cochrane reviews.
Lee, Myeong Soo,Ernst, Edzard Chinese Association of the Integration of Traditio 2011 CHINESE JOURNAL OF INTEGRATIVE MEDICINE Vol.17 No.3
<P>Cochrane reviews have the reputation for being more transparent and rigorous than other reviews. The aim of this overview was to evaluate and summarize Cochrane reviews of acupuncture for the treatment of any type of pain.</P>