High Frequency Ozone Therapy Based on Acupuncture
Transkript
High Frequency Ozone Therapy Based on Acupuncture
High Frequency OzoneTherapy Basedon Acupuncture Systematics Summary After witnessinga dramatic demonstrationof pain relief following High Frequency Ozone Therapy (HFOT) at a medical conference in Cermany,the author reports on his use of the treatment in 50A cases.Pain relief was the reason for 76.4% of l:reatments.The condition of no patient in the 500 uo'sened [o]lourng th"rapr and lB paticnt, t u t t c t i n g l r o m m a l i g n d n ld i ' p d s e a l l o b l a i n e d beneficial symptomaticrelief. the HiEh Frequent O/one Thchp) rpprrdtu< use< a \ arictt o{ elc. lrodp\ rangingfrom ,imple probesto p l a b o r d t cb t u ' h o t t o m b d e \ i r c s l o r a p p l i , a u o n directly on the skin surface or ae ally above it. Treatmentis most effectiveif given thrcugh a layer of natural textile (w.)ol or aotton). Stinulation through synthetic material, howeve4 may provoke of the bladder meridian on the left of the lower cervicaland tbe thoracic vettebtae,acupuncture poinl clettodc No. 14$dj usedin rne mit rozoneof 81.10C , 8 . 2 0a n d 2 1 , T E . l 0a n d 1 5 , 1 1 . 4 , 1 0 , 1 1 , and l4 Jb or rhe lpfr. and a tout-ptontsed bru,h -a e/e,/rodp No. ' rr 'hp qamcuorps aq lhe c/e, lrode No.8 bilaterally.The procedurelastedl4 minutes and was completedby the applicationol electrode No.2 in the regionof the kidneys.With what result? F r o mt h e t i m e o f t h a t t r e a t m e n tu n t i l t h e f i n a l temovalof her bandages, my wife felt no pain,and e p i t h e l i a l i s a t i o nc c u r r e d2 d a y se a r l i e rt h a n expecreo. Keywords Acupuncturc,Audit, Burns, High frequencyozone therapy,Malignancy,Scalpacupuncture. lntroduction F i r s to f a l l , l e t m e a c q u a i n ty o u w i t h m y o w n i n t r o d u c t i o nt o h i g h f r e q u e n c yo z o n e t h e r a p y IHFOI), whi, h mori!dtedm\ intcfc\t'1 rhe cLrbjcrt. l n t h ea , r t u m o n l 9 B q .\ ^ h i l eI ! ^ . r sp d r t i ( i p d t i ni ngd medicalconference (Cermany), in Baden-Baden my wife sustained2nd degreeburnsto the dorsLlmof her left hand and the lower third of her left forearm due to a jet of steaminsteadof warm water from an inadequatelyadjustedelectricheaterin our hotel. However,despite immediatetreatmentat the burns unit of the local hospital,5hefelt continuousstrong burningpain at the site of injuryand in the whole uppef left extremity. At the congresscentre Cunter Messerschmidthad been discussinB HFOT and its beneficialanalgesic " f l e ,r , . I t h e r e f o r e a q k e dh i m r o g , v ea p r a r - i r o l demonstralion on my w ife.Wilhourthe needfo' he. to remove bandaging,he treatedareasof the body coveredwith non-synthetic fabric.After an initial aerial applicationol brushelectrode No.B (Figure2) over the upperleft limb and 'capula,whereFart:of l h e l a r 8 pi n r c . t i n e i p l F e n e r g i ( e ar n d s m a l l Figute t. High Frequency oxygen Therapy apparatus: intestinemeridiansare passing,and alongthe path TEFRAN53 standardttlwith hand and flat electrodes. Novenbs 1998 Vol 16 Na.2 89 Acupuncturc in Medicine q Clinical use Fromclinical experience,HFOT can be usedas a partof complexdiagnostics, particularly: ? 1 . l n a m o d i f i c a t i o no f A k a b a n e ' st e s t ( w h i c h electricalcurrenton involvesheator highfrequency the toesand fingersto diagnoseenergyimbalance (1/, HFOTcan be betweenleftand rightmeridians) u s e di n c l a s s i c aal c u p u n c t u rteo f i n d f u n c t i o n a l i ^ l b a l a n r eo r o n e o r m o ' e m e r i d i a a p a i r s . D e c r e a s e ds e n s i t i v i t yf o u n d , b y m e a n s o f f o r instarce rod electrodeNo.54 in initial or terminal microzones of individualmeridiansin the upperand givesevidenceof so calledrelative lowerextre.nities e m p t i n e s so f t h e r e l e v a n tm e r i d i a n ;i n c r e a s e d In a similarwa, sensitivity showsa relative/u//ness. it is even possibleto examinethe differencesof zonesparavertebrally and, segmentally harmonious microzones. in fact,of anypairof acupuncture 4 -ffi No.58 --------------- 2 . I n c l i n i c a lp r a c t i c eH F o T i s u s e ds i m i l a r l yf o r test;ngdisordersof sensitivityas well as in their t r e a t m e n tf,o r e x a m p l ei n p a t i e n t sw i t h p a i n f u J of vertebraloriginor radicularirritation, syndromes a f t e r c e r e b r ov a s c u l a te m e r g e n c i e ss, c l e r o s i s m u l t r p l e r ", n d a f t " , - o r p m o r e . e r i o u ' . n i u r . e . : of mobility. baseddisorders evenneurologically t No.3 Comb electrcde Figure2. High tuequencyoxygen Therapyapparatus: Technical details I n m y l o n g - t e r m e x p e r i e n c ew i t h t h e L r s eo f I haveregarded acupuncture and relatedtechniques behindtheir rl]echanisms of the scientificreasoning action as alwaysof the greatestprioritytor me. In this case,there is a non-invasivetreatmentwith The alternatingelectriccurrentsof high frequency. discoverywas madeby Tesla,and researchhasbeen carriedout by the Nobel prize-winnefNernst,and Mann, Kahanneand by d Arsonval,Nagelschmidt, others(/ 101.Theyfoundihat it wasnot the intensity or voltageof highfrequencyelectriccurrent,but the numberof impulsesa secondthat is importantboth for the outcome of treatmentand for its safety.The h u m a n b o d y i s a b o u t 6 0 7 0s a l t s o l u t i o n ,t h e electrolyte balanceof which can be disturbedby an electric electriccurrent.High frequencyalternating persecond cLrrrents of morethan20,000oscillations (periodof alternatingpolarity)do not in pfactice provoke ionic movement within the body, thus electrical ifritation does not of itself have u n d e s i r a b leel e c t r o l y t i c o n s e q u e n c eTsh. e h i g h frequencyapparatusTeftaN53 StandardIIl, madeby Messerschmidt,Betlin (Figure?) has a frequencyof from 1okHzto 3CHz at 150,000V0.0654,and 1 2 per secondwith a consumption million discharges l kW in 99 houfs of activity. of Acupuncturei n Medicine Casereport A (0 )pdr-oldfen-alpnad hdd s-\F e i|.Juriesir a t r a f f i c a c c i d e n ti n l t a l y , i n c l u d i n ga s p l i n t e r e d of fiactureof C5 and 6. She underwentoperations t h e h e a d a n d c e r v i c a ls p i n e ,w i t h f o u r m o n t h ' s h o s p i t a l i s a t i oi n l t a l y a n d a f u r t h e r3 w e e k si n C z e c h o s l o v a k if ao l l o w e d b y 7 m o n t h s i n a r e h a b i l i t a t i o na n d s p a c e n t f e .B e c a u s el u r t h e r improvementseemed improbable, she was dischargedhome with paraplegia:no sensationin t h e l o w e r l i m b s ,i n a b i l i t yt o c h a n g eh e r l y i n g o r of both upper sittingposition,practicalinsensitivity limbsand minimalmovementin somefingersonly. An experimentaltreatmentwas startedwith the combinationof Yamamotonew scalpacupuncture (YNSA)f?2-77)and electrostimulation, plus HFOT to chosenacupuncturepointson the trunk, upper l i m b s a n d l o w e r l i m b s ,w i t h m a n u a lm e d i c i n e , exercises twice a humoraltherapy, and rehabilitation week. After nearlyone year of treatment,the patient is able to eat usingher own hands,she can move in her head,trunk,and and hasreasonabldsensation upperlimbs,she is ableto sit withoutsupport,and sensationin both lower limbs has been returning, althoughtheirmovementis still not undervoluntary her conditionhasimproved control.Psychologically s u b s t a n t i a l lm y ,u c h t o t h e b e n e f i to f h e r f a m i l y . Therapycontinues. for,and removing 3. HFOTcan be usedin searching or relieving disturbingfields, that is: sites with pathologically atypical, changediissue,whichcaLrse often sub{hreshold,afferentstimulatingactivity outsidetheir segmentalinnervation,and provoke 90 November1998 Vol 16 Na.2 variousfunctionaldisordersand pains that often 5. After a short applicationof HFOT the smell of p r o v e r e s i s t a n tt o r o u t i n e t h e r a p y i n c l u d i n g o z o n e i s a l r e a d ya p p a r e n tf r o m t h e s k i n . T h e (/B).Aftentionhasbeenpaid mainlyto penetrationof highJrequencyalternatingelectric acupuncture disturbingfields in the form of blocks ano otner currentand ol someozoneinto an organismenables .hdn8p\to motor:egment:of he spine.in dojdrenl overloadedatoms and cells to obiain again the . n d a t t h e s i t e so f n e re 5 5 a r ye l c . l r i ( d r c th a r g ef o r m a i n t a i n i n go r n d s d 'li n u c e : .i n t h F o r d l ( a v i t y a variousscars.The locationof a disturbing field may reslorinB lhc orgdnism) homoeostdsi5 and immunrty b e s h o w n l : y a e r i a l e l e c t r o d e N b . l u s e i j and,from the view point of biocybernetic medicine h o m o l a t e r a l l ya,n d i t s a c t i v i t yi s d e t e r m i n e db y h d i n t d i n r n go p t i m d rl e g J l a r i oonl b o d i l yf i r n r r i o n s p a s s i n gt h e f o r e f i n g e ro v e r t h e m a r g i n so f t h e l h r o u g h l h e d i r e ( t i o n a n d l r d n 5 m i s s i o n of trapeziusmuscleon the contralateralside. If the information,e.g. via the centfal nervoussystem) disturbingfield is active and deep, some degreeof / l q 2 0 ) a m o n 9 . to l h e t < .r e v i ! i n gm e t a b o l i r m . musciecontractionoccurs;after deactivation,no enrichingblood with a(li\e o\vgen and optimiqing contractionis seen.HFOT inducesa bioelectfical irqconlpo.ilion.lherebyimpro!ingthe nouri.hment reactionwhich repolarises and nofmalises damaged of tissuesffom the central nervoussystemto the i o n s a n d t h e i r e x c h a n g es o t h a t p a t h o g e n i c skin,stimulating nerveactivity,improvi;gmotorand d i f f e r e n c e si n e l e c t r i cp ' o t e n t i a lasr e b a l a " n c e d .sensoryfunctions,and restoringthe balance of the Complaintssometimesceasealmost at once, or v e g e t a t i v en e r v o u ss y s t e m .T h a t i s s e e n i n t h e withina few hours. n o r m a l r < a t i oonf b l o o o p r e s s u r e s. l e e p a n d p 5 ) r h o l o g : . am l o t i \ a l i o ne , s p e c i a l l ;i n t h o s e 4. Thereare currentlyB standardelectrodes(FEure2) s L r t i e r ' n Igr o m e \ h a u s t i o n ,s t r e s 5o r e m o l i o n d l a n d 5 3 n o n s t a n d a r d I. n c o n t a c ti r r a d j a t i o n , d e p r e s s i ow n h o e x p e r i F ne( f e e l t n g so t r e l i e f , s u b , e r t i r ef e e l i n g so f t p n t o r r e . p o n d r n g w i r h t h e satisfaction, calmand restoration. \ e r s d t r o nr d Fg i ' o f d ( u p u n c t u r,et i n gi n g needlin8 Dependingon which electrodeis used,and the , recpylpelinS.itcl'inB,ti( kling feelingof heat'can intensiryrhythm,direction, method and duration of be pro!okpd.This gire' evidcnteof focr.ed non- stimulation, we achievetonifying.neutralor sedative n o c i c e p t i v ea f f e r e n ts t i m u l a t i o n( f l o w o f n e r v e e f f e c t .a rt o r d r r g r o r h p t r a d i l i o n apl r i n ci p l e so l i m p u l s e s )f r o m a r e l e v a n tm i c r o z o n e ,p a r t o f a r ! p u n ( t u r es l i m u l d t i o ni n . (l u d i n gT u i n d - l h e r a p y m e r i d i a n ,b o d y a r e a o r f r o m s o m e a c u p u n c t u r e (Chinesemassagebasedon trad;tionalacupltncture m i ( r o s ) s l e m .I h i . d c t i v i t yi s t h c m o 5 t m p o r t d n l merjdian sysiematics)(21) and rclated techniques. l a rl o ' i n p a i n p a l l i d l i o nl .l i q t r a n \ m i t t efdr o m t h c The fincstoverthre5hold affercntimpulsea(tivity is receptorsvia Ad., AF or A6 nerve fibres into the p r o v o ( e dw i l h a . e l e \ , a nitn l e n 5 i t vo f c u r r e n tb ' (laminae1 and 5) in the dorsal direclcontart ol the eleclrodewith a patient\ skin. gelatinosa substantia s p i n a l h o r n ( F i g u r c 3 ) . T h e b a s i c a n a l g e s i c li the ele.lrodeend is slighllydislantfrom the slin m e c h a n i s mo s f b o t h a c u p u n c t u r ea n d H F O T a t (1-3mm),sparkdischarges occurand ihereis greater sp.naland:uprasprnal levelsareshownin figures4 i n t e n s i t yo f a f f e r e n t a t i o nE. v e n s t r o n g e rl o c a l and 5irritation, and thus more conspicuousafferentation, gelaiinosa(Rolandi) Substantia Laminaelands I I of Acupuncture Pointj AP-->nerve fibres Conespondingrecepiors NeNe vascularbundles I Non-nociceptive afJerent Needling (flowof nerveimpulse, t I Kcl' Chemical DNIC(Diffuse Noxious Inhibitorycontrol) I l')**"tiu*, Corresponding receptors ercrtationacti!ity ""--"> Figure 3. Basic nechanEns of acupuncture action at a peipheral level. Novembet1998 Val t6 No.2 91 Acupuncturc in Medicine Short e n k € p n a r n e rcS D \ n o r p - i nc D l n o r p hn B ----->Met enkephalin I Releaseblock of L slutamate odio.o ?.\on opLre re.ePto\(K.nddr +O dl) D_pod'd'o opdl' dn. no rvFlndl.d nervefibres(conductlngPain) l - \ rd e l l u l d ' +tr""| t.'.F 'm R 'N Al 'm e s' s e 'n u e' r I b o n u . l e r ca c r d ) l E :n h d:n c es>5v . t h. e s' o .f endorpnrns > nociceptive(pain)afierenl FirstGhlrt-lived)phaseof ac!p'rnqlur€analgesla t L o n g l a n i nagc u p ! n c t u r e acupuncture Short-Lived e oxious DNIC (DiffusN Figure4. Basi. mechanisnsofacuPunclureactionalspinallevel Neocortex tI ", " ------>Complexmodulatinginfluence --\ Serotonln, Llmbiteystem ------t' Metenkephaljn, (lncaudare nucleus)' mRNA Aetyhholine t I Diencephalon- > Brainstem- -> Met enkephalin,serotonln,ll endorphin,mRNA tI 2 n d s o m a t o s e n s i tzi voen el n h i b i t s of th€ Thalamus NucleusParafascicularis Low frequencyel€ciroacup!nctureinhiblts motorzone ofbrain coftex-t_lnhlbitlon ot ofthe Tha amus NucleusP.rafascicularis p-endorphin,Seotonin,mRNA {'ubs proddoor I afferentexcitationactlvity actionaI supn spinallevel Figurc5. Basicmechanisnsof acuPunctDre i s o r o v o k e dt h r o u e h a t e x t i l e l a y e r { ) 1n a t u r a l maierials(e.g.wool ;r cotton).The thickerthe layer, t h e s t r o n g e i t h es t i m u l a t i o nS. t i m u l a t i otnh r o u g h s y n t h e t i C m a t e r i a l os n , t h e o t h e r h a n d ,u s u a l l y provokespain. Pmctical considerati ons The durationof the HFoT applicationin the course o f o n e t h e r a p e u t i cs i t t i n gc a n b e f r o m 2 t o 3 0 minutes,but most often it is between B and l5 minutes.The number of sittingsand the intervals b e t w e e nt h e m d e p e n do n t h e c h a r a c t e ro f t h e principleslt diseaseand on traditionalacupuncture treatment individualised be a strictly always should patientsrequirea slowermethod pattern.Sensitive usinq a lower intensityof stimulation,where the is often time'ofapplicationfor individualelectrodes frequently, direci more are applied ind they doubled patients with used in HFOT can be skin. to the joints. metal including of all types, endoprostheses C l a s sv a c u u me l e c l r o d e s h o u l dn o t b e p l a c e d immediatelyafter use on a cold surfacesuch as Acupuncture i n Medicine glass,marble,or metal.They should be cleansed with alcohol,petrol,or water plus cleaningagent, they sterilisethernselves but need not be sterilised: by ozone dischargeafterswilchingon the generator' Contraindications s HFOT include R e l a i i v ec o n t r a i n d i c a t i o nt o n r a p p l r a r i o r d u r i n g i m m e d i d l . l )a [ l e rr d k i n Bd b d . \ , ' ^ i t h m o i s l h . r r ro, r i m m p d : r l e l )a f l c r u . n B alcoholsolutions toilet lotionor otherconcentrated with hypersensitive becauseof fire hazard.Patients skin requirelonger intervalsbetweentherapeutic and shorterperiodsof therapy. sittinRs, The-useof a cardiacpacemakerhad been regarded However,following as an absolutecontraindication. '1 le(hni(Jl improvpmenl dnd in, led.ed\dlel) boll_ HFOTequipnpnland patemake':.ne hare rprilipd that none of the B standardHFOT electrodesof the Tefta N53 Standard/// caused interferencewith an i m p l a n t e dd o u b l ec h a m b e rc a r d i o s t i m u l a t o f Company, Synchronyll - 2022 T DDDR (Siemens USA). California, Sylmar, 92 Norcnbet 1998 \ol t 6 No 2 p s y c h o l o g i c acl o n d i t i o no f 1 B p a t i e n t sw i t h malignantdisease,particularlyafterchemotherapy or radiotherapy. However,assessment of the part that HFOThas playedln the irnprovement of patientsis oftcn difficultwherea multipletreatmentmodality approachhasbeenadopted,as in the followingcase repo|I. P R O B T E MTSR E A T EW D ITHHICH FRIQUINCY OZONE THERAPY DiaBnosis r20 lla (62 Ob/a) 16 l7 t5 17 Casercpoft for A patientaged 53 underwentpanhysterectomy Eb o wl o l n lp a n year later had advanced uterine cafcinoma. One she j o i n t Hip pain within the abdomrnalancl deveLopcdmetastases thoraciccavities.Shewas treatedwith 5 successive c o u r s e so f c h e m o t h e r a p ya t t h e O n c o l o g y 21 D e p a r t m e n ot f t h e C i n i c o f C y n a e c o l o g ya n d 27 FacultyHospital,Brno.lr.mediatelyaft€r Obstetrics, her firsl treat..entand discharge from hospitalshe )a 6.4y,) C c r e b r ov a s c ur r r c c i d e . l lossof hair,severeheadaches, sufleredsubstantial 5 indigestion and insomnia.Followingone treatment Y N S A c o m b i n e dw i t h m a s t e rp o i n t so f u s i n g t0 b o d y a c u p u n c t u r em, a n u a lm e d i c i n e , t r a d i t i o n a l 18 i3.6?6) humoral trcatment and HFOT(includingapplication (2.1%) 12 of comb elecfrodeNo.l), the loss of hair almost 1 A Q . A %) Deainess.nd Linnilus c o m p l e t e l ys t o p p e d ,a n d a l l t h e s u b j e c t i v e 500 O00%) ' o m p l a i n . . d . . a p p " " p 6 . A f l p r b o r - o ! 1a B . r Far allpatienE:ozane thet.p, was in ad.litia, ta atllcl m a g n e t o t h e r a p (y2 2 - 2 5 )M e t r o n o m a p p a r a t u s traatme nt, seIe.teLt Lo (C LudwigBijrtelsMedizintechnik, Horb, Cermany) (FiEure6) she startedthe nlghf regirnewith the a p p a r a t ucsl o s et o h e r h e a d ,a n d h e r s l e e pa l s o i m p r o v e dl t h i s r e gi m e clinical rcsults u s e sw a v e s o r a w e a K Detailsof the first500 palientstreatedby the authof magneticfield variedat 5 w i t h H F O T a r e g i v e n i r ] I a b l e 1 . T h e r e s u l t so f s e c o nd i n t e r v al s f r o m thefapyare dependentmainlyon the proportionof 3.3Hz to 1 0 kH z ) . of a disease, its organicand functionalcomponents T h e r e a f t e r , f o l l o w i ng chronicit, the patient'sage, life-styleand general d i s c h a r g ef r o m h o s p i t a l healthand fitness.It seemsthat HFOTis bestusedin after each course of combinationwith other treatment.This shouldbe c h e m o t h e r a p ys,h e w a s l a s i s ,b u t s o m e d e l e r m j n e do n a n i n d i v i d u a b imrnediately treatedwith in have proved particularly effeclive combinations r e g i m e .T h i s t h e a b o v e n o n p r a c t i c e . Y N S A c a n b e u s e d a s a clinical appearedto significantly p h a r m a c o l o g i c apl r e m e d i c a t i a nb e f o r e H F O T improvethe qualityof the t r e a t m e n ft o r p a t i e n t sw i t h a p e r i p h e r apl a i n restof her life, until or as the rnain therapy componentto their disease, r e c e n t l ys h e c o l l a p s e d p l a y s p a t h o l o g i c a a l c t i v i t y a n w h e r ea u t o n o m i c and died afterthreedays role in pain perception. HFOT is often important ffom metastatictumor in each tfeatment successfulif Biven at the end of I atus her brain. n a+netothet aw appa microsystem sessionwhen body acupunctureand jn acupuncture are combinedwith othertherapies, particular: i. manualmedicineand cuppingfor patientswith conclusion of Theskin is an importantorganfor the application musculoskeletalpain, influence whole ln this therapies that will the body. p a t i e n t s n e u r o i i . m a g n e t o t h e r a p yf o r with contextHFOTcan be comparedwith Tuinatherapy, vegetative disorders, electricalnewe stimulation(TENS), trans-cutaneous ili. neuraltherapyin non-responders, soft lasertreatmentand others. electropuncture, of HFOT i\r rnagnetotherapy and Tuinamodjfication However, HFOT has the advantage of beingsimple patients with psychosomatic diseases for some r e q u i r i n g o n l y a b r i e f p e r i o do f t o u s e a n d physical mental conditions. and in severe and application. author s FollowingHFOTtreatmentnot one of the High frequency ozone therapy cannot be so patientshas reporteddeterioration of probLems c o n s i d e r e da p a n a c e a ,b u t i n t h e a u t h o rs positively, leasl far.Treatment haseveninfluenced at experience and from his clinical resultsthis non for a shorttime, someof the pathological signsand invasjve therapy can prove a helpful addition to s y m p t o m s ,a n d t h e B e n e r a l p h y s i c a l a n d Novenber 1996 Vol l6 Na.2 93 Acupuncture in Medicine auf di-" Funktion de. Kardiostimulaiionssvstcm other treatmente , s p e c i a l l yi n s o m e p a i n t u l 2: 104 7 EnahtunEsheilkunde. of health,for conditionsand functionaldisturbances nit analgetlsche 2 l . L ! d w i g W U m l a u fR ( 1 9 9 4 1E d ? h r u n g em patientsof all ages. $ i ' l . n. e - .o " r V . ^ _ " r F . h p " r i " f o l b n " , , o n \ u n \ ' d " ' "-o p l'""1,,p1P u dn r r c q u " n l t "r " r n . t i r ' t j 2 4 . U m l a u f R ( 1 9 9 4 )O l 6 i b € m a g n e t l c d m p o l e m z i n 6 h o p o h l e d uS. l a t i n . . l l l 0 l rl 4 5 2 5 . U m l a u l R { 1 9 9 8 ) E r f a h r u n g e nm i t ! e r s c h l € d e n e n Magneifeldcrb n e i c h r o i i s c h e nS c h m e r z s y n d r o m e n Eia h tt1 gshei Ikunde. 3 : 12 7-:12 M y t h a n k si o t h e C a r d i o l o g i c aCl i n i c , F a c u l t yH o s p i i a ,B r n o Bohlnice for iheir cooperation in testing the safetyof HFOT MUDr Richard Umlauf CSc Fiignerova35 CZ 613 00 Brno, CzechRepublic 1 . 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Akupunktur.l1(3):5A 3 1 6 .U m l a l f R ( 1 9 9 1 )T h e i n l l e n c e o f n e w s c ap a c u P u n c t u r e a c c o r d i n gt o Y a m a m o t oo n c h a n g e so f p a i n t h r e s h o l d . Acupjncturc in Medicine.90):25-7 l 7 . U m l a u f R { 1 9 9 s )E x p e r i e n coef m o d i f i e dY a m a m o t so c a l p acupunct!re with simulta.eousrehabiitation .nd soft las€r t h e r a p yi n c h i l d r e nw l t h c e r e b r a lp a s \ . A c u p u n c t u t ci n Medlcine. 13(2):857 l 8 . B e c k e H ( 1 9 9 1 ) N o n r e s p o n d e r sd e r A k u p u . k t u r komplementiire Neuraltheraple.DeuGche Zeitsch.ift tUI AkupunktuL3,1(2):437 l 9 . U m l a u f R ( 1 9 8 8 ) M e c h a n i s n y p t t s o b e n ia k u p u n k t u r y , aurikulatatapiea naznosti jejich atlivncni. Universityof iE 20.Umlaut R 0990) Zu den Crundnechanisnen dcl Akupunkturwnkung und M.iEl ichkeiten ihrcr Beeinttussung. Karl F HauSVer ag, Heidelberg 2 l . 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