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Acupuncture, A treatment alternative for headache in general? Or for particular headaches?. Dr Joakim Carleson, DDS, PhDs Department of Physiology Karolinska Institutet Stockholm, Sweden. Acupuncture?. TCM = Traditional Chinese Medicine Or the Western approach. What is acupuncture?.
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Acupuncture, A treatment alternative for headache in general? Or for particular headaches? Dr Joakim Carleson, DDS, PhDs Department of Physiology Karolinska Institutet Stockholm, Sweden
Acupuncture? • TCM = Traditional Chinese Medicine • Or the Western approach
Traditional Chinese Medicine • Yin and Yang?
Traditional Chinese Medicine • The five elements!
Traditional Chinese Medicine • Meridians!
Traditional Chinese Medicine • TCM diagnos!
Traditional Chinese Medicine • TCM Diagnos
Traditional Chinese Medicine • De Qi!
The Western approach • Ergoreceptor activation
The Western approach • Mechanisms
The Western approach • Manuell and Low Frequent stimulation • ( 2 Hz).
The Western approach • Central effects – b-endorfins
The Western approach • Central effects – 5-HT, NE
The Western approach • Central effects – nerv activity
The Western approach • Manuell or High Frequency stimulation • 80 Hz
The Western approach • Central effects – GABA and Dynorfin mediated.
The Western approach • Peripheral effects on tissue
The Western approach • Sensory neuropeptides • Interactions with autonomic nerves • Interactions with immune cells
Principles of Treament • Local points – segmentell effects • Distal points – Extrasegmentell effects
Principles of Treament • Local points – segmentell effects
Principles of Treament • Distal points – Extrasegmentell effects
Effects on vascular headaches • Sensory neuropeptides and vascular reaction • Pre-emptying of sensory neuron • Substance P &Calcitonin gene-related peptide • Modulation of neural activity
Effects on muscular tension-headaches • Segmentell effect on autonomic and motorfibers. • Extra-segmentell effect on pain threshold
Conclusion • Placebo • Treatment period • Peripheral effect • Central effect
The meaning of Yin and Yang • Everything is in balance, also the nervous system Thanks for your attention!