GENERAL CONCLUSIONS
AP has little
value as a SOLE THERAPY in acute surgical cases (such as rumen
overload, severe acidosis, life-threatening bloat, abomasal or
intestinal torsion, intussusception, displacement; rupture of
internal organs etc.; fractures or severe trauma etc), acute toxaemia (coliform
or clostridial mastitis), ulcers, severe organic pathology (such
as fibrosis of liver (Senecio, ragwort poisoning) or kidneys
(severe chronic urinary infections)). There is little evidence of
useful effect of AP in cancer. However, trials in laboratory
animals indicate some positive results and definite effects on immunostimulation.
Similarly, in nutritional deficiencies (minerals, vitamins etc), environmental
errors (calf house too airtight, ammonia smell etc), AP
therapy will have little success on its own. Errors of nutrition
and environment must be corrected.
AP can only work
as a SOLE THERAPY when there is sufficient reserve capacity in
the body's defence systems to repair the damage. However, because AP
can influence all organs and functions to some extent (if the
input, integration and output pathways are intact), it can be
used as a COMPLEMENTARY therapy to almost any other form of therapy (surgical,
chemotherapeutic, physical etc).
In life-threatening
conditions or in severe cases (such as acute, virulent
infections), AP is usually combined with western therapy,
such as intra- venous Ca salts in hypocalcaemia, antibacterials
in bacterial infection, surgery in foreign-body reticulitis and
pericarditis etc.
AP in cattle and
pigs can use the TCVM system, the transposition system, or
(more commonly in western practice) combinations of both systems.
This is because some important TCVM points have poorly documented
equivalents in the human system. Western vets usually find the
transposition system easier to learn than the TCVM system, whereas
Eastern vets, who can understand the Chinese written characters
may find the TCVM system easy to learn.
At its present state of
development and in spite of its shortcomings and minor discrepancies
with the TCVM system, the transposition system is very
valuable in large-animal AP.
In the choice of points
for therapy, one must IDENTIFY the organs, parts or functions which
are affected. A careful search for Reactive POINTS associated
with the affected parts helps the diagnosis and indicates the basic AP
points for treatment. Also, the best combination of points to
help the patient will usually include some Local Points, Shu
and Mu points, points according to the NERVE SUPPLY and
(occasionally) Distant Points for the affected area, or on
a Channel linked to the area, or points for the SYMPTOMS.
Beginners should
concentrate on learning the position and uses of points in the paravertebral
area (HuaToJiaJi, BL and GV Channel points)
and the CV points. Study of points on other Channels can
follow later. Beginners who lack experience and those who lack
confidence in their own selection of points for therapy may use Cookbook AP,
such as outlined in APPENDIX 2 and 3 of the paper on the CHOICE
OF POINTS FOR PARTICULAR CONDITIONS. Cookbook AP, though
frowned upon by those fully trained in traditional methods, gives
good results especially in the less complex cases.
The best method of
stimulating the AP points is mainly a matter of personal
experience and preference. Point injection is one of the quickest
and most practical methods and is useful in many cases.
Large-animal AP
is still a developing field. Despite centuries of use, many
problems remain to be solved and more rigorous diagnosis and
documentation of therapy and results is necessary.
Provocation experiments,
such as those by Kothbauer (cows) and Schupbach (pigs) and the clinical association
of reactive AP points with pathological disorder of
specific organs (Piper, Greiff, Cain, Turnbull, Kothbauer,
Westermayer) will refine further the transposition system into a
highly effective diagnostic and therapeutic method.
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ACKNOWLEDGEMENTS
Dozens of veterinary
colleagues in USA, Europe and Australasia have helped me to study AP
since 1973. In particular, colleagues from the International
Veterinary Acupuncture Society (IVAS) have shared their experiences
of large animal AP with me. There are too many names to
list them all but some must be mentioned:
Dr. Ichiro Asakura,
Kyoto, stimulated me to write the original paper for a training
course for large-animal vets in Tokyo (1985).
The large-animal parts
of this seminar are based mainly on the works of Drs. Walter Greiff, Yann-Ching
Hwang, Alan Klide, Oswald Kothbauer, Jen Hsou Lin, Sheila White and
the late Erwin Westermayer. Without them, this paper would not
exist !
The human aspects of AP
are based mainly on the works of Drs. Chien Chung, Willem Khoe,
Ronald Melzack, Louis Moss, Janet Travell and on many anonymous
Chinese authors of standard human texts. Drs. Felix Mann and
Pekka Pontinen sent me copies of their works on human AP.
Their ideas were used.
Drs. Shelly Altman,
Marvin Cain, David Gilchrist, David Jaggar, Luc Janssens, Jukka Kuussaari,
Jacques Milin, Dane Piper, Allen Schoen, John Turnbull and the
late Drs. Satoru Ishizaki and Grady Young gave me great help and
material over the years.
Heartfelt thanks to all
of those people and to many more unnamed and especially to my wife Mena
and our children (Oisin, Conor, Killian, Fionnuala and Ailin) for
their patience when "Daddy is busy !".
...CONTINUE (TABLES)...