This paper argues that contemporary acupuncture increasingly misrepresents its own foundations by attempting to validate itself through anatomical and biomedical frameworks foreign to its original epistemology. The central thesis is that acupuncture is not, and never was, a medical intervention in the modern sense, and therefore does not require proof of the physical existence of meridians or acupuncture points. Drawing on early Chinese medical and Daoist sources, particularly the Huangdi Neijing and its Lingshu, the paper demonstrates that (...) acupuncture emerged as a ritualized shamanic technology grounded in cosmology, spirit mediation, and symbolic intervention rather than proto-physiological anatomy. Meridians are shown to function as relational pathways of influence within a responsive, meaning-laden body, not as material structures awaiting discovery. The paper further explains why randomized controlled trials consistently underestimate acupuncture’s effects, arguing that the RCT framework systematically dismantles the ritual, relational, and symbolic conditions under which acupuncture operates. A phenomenological and anthropological reframing is proposed as a more coherent and intellectually honest foundation for understanding acupuncture’s efficacy, clinical role, and cultural persistence. (shrink)

Modern acupuncture is usually presented as a technical medical procedure: channels, points, qi flow, diagnosis, needle manipulation. Yet classical and later Chinese medical sources preserve a stranger and more spiritually charged picture. In these texts, healing is not always performed through needles alone, but through a combination of intention, visualisation, sacred speech, incantation, ritual authority, and the expulsion of pathogenic or demonic influences. This article examines that older ritual layer by drawing on passages from the Huangdi Neijing, especially the (...) Su Wen and Ling Shu, and on later Ming dynasty sources, principally Yang Jizhou’s Zhenjiu Dacheng. Together these texts suggest that acupuncture was born within a wider field in which the boundary between medicine, shamanism, Taoist ritual, and spiritual exorcism was porous. Rather than treating this as a primitive stage superseded by rational medicine, we may understand it as evidence of a more integrated therapeutic worldview, one in which body, voice, spirit, and cosmos were held as inseparable. When we think of acupuncture today, we picture a clinical room, sterile needles, anatomical charts, and a practitioner trained in diagnosis, channel theory, and point selection. The atmosphere is calm, quasi-medical, minimalist. The practitioner may speak softly, but we do not imagine him chanting incantations over inserted needles, invoking ancient sages, or commanding illness to leave the body. Yet classical and later Chinese medical literature preserves precisely such a world. In that world, needles were not merely instruments of mechanical stimulation. They were ritual tools, inserted into a living field of qi, intention, spirit, and cosmic resonance. They were sometimes accompanied by spoken or sung formulas. The practitioner sometimes visualised divine figures. Disease was sometimes addressed almost as an intruder, a malign presence, a spirit, an influence that had to be expelled. This older layer of acupuncture is rarely discussed in modern clinical practice. It tends to be quietly omitted because it does not fit the image of acupuncture as a respectable, evidence-based, regulation-friendly therapy. But historically, Chinese medicine was never purely technical. It stood at the intersection of cosmology, ritual, body practice, moral cultivation, and spiritual power. To recover this dimension is not to romanticise it, nor to advocate uncritical revival of every ancient practice. It is to insist that the history of acupuncture is more complex than modern textbooks suggest. Behind the modern needle lies an older world of sacred speech. (shrink)

Using medical imaging techniques, such as fMRI, the stimulation of certain acupuncture points can be shown to correlate with activity in corresponding regions of the brain. Identical activity is also seen if the acupoint is stimulated with a pulse of ultrasound rather than a needle. This article reviews the advantages offered by ultrasonic acupuncture and the impact on the practice of acupuncture.

This paper is an investigation of the degree of incommensurability between Western scientific medicine and traditional Chinese medicine, focusing on the practice and theory of acupuncture. We describe the structure of traditional Chinese medicine, oriented around such concepts as yin, yang, qi, and xing, and discuss how the conceptual and explanatory differences between Western medicine and traditional Chinese medicine generate impediments to their comparison and evaluation. We argue that the linguistic, conceptual, ontological, and explanatory impediments can to a large (...) extent be overcome, and conclude that the dramatic differences between Western and traditional Chinese medicine do not provide insurmountable barriers to rational evaluation of acupuncture. We conclude with a discussion of the intentional and emotional aspects of conceptual change. (shrink)

Evidence that placebo acupuncture is an effective treatment for chronic pain presents a puzzle: how do placebo needles appearing to patients to penetrate the body, but instead sitting on the skin’s surface in the manner of a tactile stimulus, evoke a healing response? Previous accounts of ritual touch healing in which patients often described enhanced touch sensations suggest an embodied healing mechanism. In this qualitative study, we asked a subset of patients in a singleblind randomized trial in irritable bowel (...) syndrome to describe their treatment experiences while undergoing placebo treament. Analysis focused on patients’ unprompted descriptions of any enhanced touch sensations and any significance patients assigned to the sensations. We found in 5/6 cases, patients associated sensations including “warmth” and “tingling” with treatment efficacy. The conclusion offers a “neurophenomenological” account of the placebo effect by considering dynamic effects of attentional filtering on early sensory cortices, possibly underlying the phenomenology of placebo acupuncture. (shrink)

In the moment -- Being yourself -- Keeping it simple -- Pulses -- Mistakes -- Patients -- Success and failure -- Two challenges -- The next stage.

Objective: This meta-analysis evaluated the efficacy of acupuncture in improving cognitive impairment of post-stroke patients.Design: Randomized controlled trials investigating the effects of acupuncture compared with no treatment or sham acupuncture on post-stroke cognitive impairment before December 2019 were identified from databases. The literature searching and data extracting were independently performed by two investigators. Study quality was assessed using the Cochrane Handbook for Systematic Reviews of Interventions. Meta-analyses were performed for the eligible RCTs with Revman 5.3 software.Results: Thirty-seven (...) RCTs were included in this meta-analysis. Merged Random-effects estimates of the gain of MMSE or MoCA were calculated for the comparison of acupuncture with no acupuncture or sham acupuncture. Following 2–8 weeks of intervention with acupuncture, pooled results demonstrated significant effects of acupuncture in improving PSCI assessed by MMSE or MoCA.Conclusion: The results suggest that acupuncture was effective in improving PSCI and supported the needs of more rigorous design with large-scale randomized clinical trials to determine its therapeutic benefits. (shrink)

The article examines the current state of the mathematical education of the students-philosophers that depends on language of the humanitarian mathematics, evidence of its statements and methodological problem of the cognition of the mathematical facts. One of important tasks of philosophy of mathematical education consists in motivation of the need for training mathematics of students-philosophers. The main criterion of the usefulness of mathematics for philosophers is revealed in the ways of justification of its truth and completeness of reasoning of mathematical (...) statements. This reflects the attractiveness of mathematical knowledge for philosophers that is characterized by the fact that the truth is revealed along with a proof in mathematics. One of the main so-called ‘acupuncture points‘ of mathematical education of philosophers, as the author believes, is the language of modern mathematics. In General, the linguistic aspect is very important in modern science. The second ‘acupuncture point‘ of mathematical education of philosophers is the level of evidence claims. Third, according to the author, is responsible for knowledge of mathematical truths, is involved in not only our existence, but also transcendental knowledge. In the context of philosophy of the future of modern civilization, mathematics is indispensable as a necessary element of scientific and philosophical picture of the world. To support the conclusions the author draws a broad philosophical and scientific context. (shrink)

Participants are often not informed by investigators who conduct randomised, placebo-controlled acupuncture trials that they may receive a sham acupuncture intervention. Instead, they are told that one or more forms of acupuncture are being compared in the study. This deceptive disclosure practice lacks a compelling methodological rationale and violates the ethical requirement to obtain informed consent. Participants in placebo-controlled acupuncture trials should be provided an accurate disclosure regarding the use of sham acupuncture, consistent with the (...) practice of placebo-controlled drug trials. (shrink)

Objective: We aimed to analyze the characteristics and psychological mechanism of depressive symptoms in elderly patients with alcohol dependence under the COVID-19 epidemic and to observe the effect of acupuncture combined with emotional therapy of Chinese medicine treatment on depressive symptoms in elderly patients with alcohol dependence.Methods: Sixty patients were randomly divided into two groups. One group was treated by a set of emotional therapy of Chinese medicine treatment for 12 weeks. One group was treated by a set of (...) acupuncture combined with emotional therapy of Chinese medicine treatment for 12 weeks. We compared the curative effect between the control group and the treatment group, the mean alcohol consumption, the SF-36 scores before and after treatment, and the scores of Hamilton Depression Scale before and after treatment of 3, 6, and 9 weeks.Results: Based on the cognitive behavior model, the characteristics and psychological mechanism of depression in elderly patients with alcohol dependence under the COVID-19 epidemic situation were summarized. The total effective rate of the control group was 60%, and that of the treatment group was 100%. After 12 weeks of treatment, there were significant differences in PF, RF, physical pain, general health status, energy, and mental health between the treatment group and the control group. Before and after treatment, there were significant differences in PF, RF, physical pain, general health, energy, emotional function, and mental health of the treatment group. The PF, energy, and mental health of the control group were significantly different before and after treatment. There was no significant difference between the treatment group and the control group in the scores of Hamilton Depression Scale before treatment. There was significant difference between the treatment group and the control group in the scores of Hamilton Depression Scale at 3, 6, and 9 weeks after treatment.Conclusion: Attention, cognition, emotion, behavior, and physical response reinforce each other, creating a vicious cycle that reinforces and sustains the depressive symptoms of elderly alcohol dependence under the COVID-19 epidemic, and acupuncture combined with emotional therapy of Chinese medicine treatment for improving the depressive symptoms of elderly alcohol dependence during the epidemic period of COVID-19 has a brilliant therapeutic effect. (shrink)

Acupuncture, the traditional Chinese practice of needling to alleviate pain, offers a striking case where scientific accounts in two cultures, East and West, diverge sharply. Yet the Chinese comfortably embrace the apparent ontological incommensurability. Their pragmatic posture resonates with the New Experimentalism in the West--but with some provocative differences. The development of acupuncture in China (and not in the West) further suggests general research strategies in the context of discovery. My analysis also exemplifies how one might fruitfully pursue (...) a comparative philosophy of science that explores how other cultures investigate and validate their conclusions about the natural world. (shrink)

This article traces exchanges of personnel, knowledge, and practice of Traditional Chinese Medicine (TCM) between China and the Soviet Union during a brief window of Sino-Soviet friendship in the 1950s and 1960s. It argues that TCM theory was reshaped by incorporating Pavlovian theories to modernize and validate acupuncture through a theory of mechanisms of higher nervous activity, with the framework of holism, specific research methods, and concepts such as “biologically active points” becoming sedimented within the TCM system. In turn, (...) Soviet medicine embraced acupuncture, with its use enduring long after the Sino-Soviet split of 1959, in keeping with the internationalist spirit of the Soviet Scientific Technological Revolution. The article challenges theories of Soviet scientific exchange as “imperial scavenging,” demonstrating that China was as much an active agent in these interactions, with both sides making use of each other’s expertise for their own ends, often with mutual respect and enthusiasm. (shrink)

Influential in shaping the practice of Chinese medicine, acupuncture is an ancient form of healing based on theories of traditional medicine. The clashes between western science and traditional knowledge have ushered Chinese medicine into a new era, so has acupuncture. The major challenges facing researchers are whether it is feasible to scientificize acupuncture and how to do so if feasible. Causing unprecedented responses at home and abroad, the publication of The New Acupuncture ( Xin zhenjiu xue (...) ???? ) by Zhu Lian (1909-1987) in 1951 dramatized the already heated discussion. This medical treatise was considered as the pioneer in scientification of acupuncture in mainland China since 1949. The purpose of this paper is to (1) put Zhu Lian’s The New Acupuncture and its relevant discussions back into the historical context of Chinese medicine in mainland China and Hong Kong in the 1950s, and (2) analyze the arguments set forth by her and other practitioners so as to get a clearer picture of how the issue on scientificizing acupuncture was being dealt with. (shrink)

The use of complementary and alternative medicine is increasing in the Western world. However, there is no clear evidence of effect of alternative therapies. Moreover, there is no consensus between practitioners and researchers as to the right way of assessing the efficacy of alternative therapies. To investigate practitioners’ perspective on evidence and ways of assessing efficacy twelve in-depth interviews were conducted in Denmark with acupuncturists, including physicians practising acupuncture, acupuncturists with a health-related background, and acupuncturists without a health-related background. (...) Two themes predominated the study, first, the interviewees’ general reflections on how it is possible to establish knowledge about an effect of acupuncture; and second the interviewees’ reflections on the use of randomized controlled trials in acupuncture, including obstacles and alternatives to conducting randomized controlled trials. Further, two conceptions of what constitutes evidence were identified: a biomedical conception and an experience-based conception. Most interviewees were sceptical about the use of randomized controlled trials in acupuncture. Two reasons, especially, were given for this scepticism. First, practical and instrumental reasons concerning the specific elements of the randomized controlled trial or relating to limited resources; and second, value-based reasons are concerning the nature of acupuncture. However, the interviewees were really opposed only to a certain kind of randomized controlled trial, the so-called explanatory trial. They would actually welcome a pragmatic trial. The study gives valuable insight into an under explored field and provide a platform for further investigation, and a better informed discussion of the subject. (shrink)

Acupuncture, like many alternative health care modalities, allows for and encourages a bodily experience of transformation. Clients (as well as practitioners) often experience a new body in the making. Within the context of ethnographic work focusing on the emergent bodies of acupuncturists and their clients, this paper focuses on the third, and perpetually more hidden, member of this ethnographic triad: the anthropologist. How do anthropologists position themselves in relation to alternative health care? Where is the anthropologists' body in relation (...) to an alternative health modality like acupuncture? Certainly fieldwork is never solely a discursive venture. Where are our bodies when we are doing fieldwork? (shrink)

ObjectivesAcupuncture therapy has been used for cognitive impairment-related diseases, however, there are still few studies on the overall trend of acupuncture therapy on cognitive impairment based on bibliometric analysis. The purpose of this study was to explore the research trend of the impact of acupuncture on cognitive impairment in the past 15 years, analyze the research trends and hotspots, and provide new ideas and theoretical basis for future research directions.MethodsFrom the Web of Science Core Collection, the relevant literature (...) on the treatment of cognitive impairment with acupuncture from 2007 to 2022 was retrieved. Then, based on the CiteSpace and VOSviewer software of the Java platform, the cooperation between countries and institutions in this field, the co-citation of journals and documents, and the cooperation between authors and authors, etc. were analyzed. In addition, the co-occurrence and burst analysis of keywords are also carried out, and a visual knowledge map is drawn.ResultsAs of August 08, 2022, a total of 394 records related to the treatment of cognitive impairment with acupuncture were identified. The analysis results show: The number and rate of annual publications have steadily increased, with some fluctuations from year to year. The countries that contribute the most to this field are China and the USA. Among them, Beijing University of Chinese Medicine and Capital Medical University are tied for first place in terms of the number of published papers. Tao Jing is the most prolific author and the number one cited author.ConclusionsThe number of publications on acupuncture for cognitive impairment is expected to increase rapidly in future research, suggesting a bright future for the field. Future research hotspots will focus on pain, injury, protocol, diagnosis, guidelines, etc. It is also necessary to strengthen cross-regional and cross-country cooperation among various academic groups. (shrink)

This chapter aims to be an update of Needham’s approach to acupuncture, in which the career and work of Jaung-Geng Lin, the first physician of Chinese medicine to be elected an academician at Academia Sinica, is introduced. Instead of focusing on Professor Lin’s characteristic diligence, this chapter casts him and his achievements in a larger context that attempts to render this non-biomedical tradition scientific, with experiments and standards. It argues that what has made Professor Lin and his team an (...) undeniably successful research enterprise has been his professional training in 1970s Taiwan, his insights as a practicing acupuncturist, and his networking, which has turned acupuncture into an inviting field for scientific research and a respectable clinical specialty. Tracing Professor Lin’s research career, therefore, offers an opportunity to capture a refashioning that, as Needham might have expected, is pushing acupuncture toward being an ecumenical medicine in future. (shrink)

The authors and contributors share their knowledge and advice on the mechanisms and emerging applications of acupuncture to the clinical practice of anesthesiology and pain medicine.

There will be multiple opportunities for you to expand and build on your basic medical and anesthesia training—lean into this as it can result in manifestly better care for your patients at all points in your career. The author describes how she incorporated acupuncture into her practice.

Chakras are a basic concept of yoga but typically are ignored by scientific research on yoga, probably because descriptions of chakras can appear like a fanciful mythology. Chakras are commonly considered to be centers of concentrated metaphysical energy. Although clear physiological effects exist for yoga practices, no explanation of how chakras influence physiological function has been broadly accepted either in the scientific community or among yoga scholars. This problem is exacerbated by the fact that yoga is based on subjective experience, (...) and practitioners often shun objective descriptions. This essay builds on earlier work hypothesizing that intercellular gap junction connections provide a physiological mechanism underlying subtle energy systems described in yoga as well as other disciplines such as acupuncture. Three physical aspects of chakras are distinguished that are integrated through gap junction mechanisms and are proposed to have arisen during embryological development. Furthermore, electrical conductance associated with a high concentration of gap junctions could generate phenomena that, when subjectively experienced, have the radiant qualities attributed to chakras. This theory provides a scientific rationale for previously unexplained details of chakra theory and offers a new orientation to conceptualizing and studying such subjective phenomena. (shrink)

This paper argues that it is morally irresponsible for modern medical providers or health care institutions to support and advocate the integration of CAM practices (i.e. homeopathy, acupuncture, energy healing, etc.) with conventional modern medicine. The results of such practices are not reliable beyond that of placebo. As a corollary, it is argued that prescribing placebos perceived to stand outside the norm of modern medicine is morally inappropriate. Even when such treatments do no direct physical harm, they create unnecessary (...) barriers to patients' informed understanding of their health. (shrink)

This paper is a critique of ‘integrative medicine’ as an ideal of medical progress on the grounds that it fails to realise the cognitive value of alternative medicine. After a brief account of the cognitive value of alternative medicine, I outline the form of ‘integrative medicine’ defended by the late Stephen Straus, former director of the US National Centre for Complementary and Alternative Medicine. Straus’ account is then considered in the light of Zuzana Parusnikova’s recent criticism of ‘integrative medicine’ and (...) her distinction between ‘cognitive’ and ‘opportunistic’ engagement with alternative medicine. Parusnikova warns that the medical establishment is guilty of ‘dogmatism’ and proposes that one can usefully invoke Karl Popper’s ‘critical rationalism’ as an antidote. Using the example of Straus, I argue that an appeal to Popper is insufficient, on the grounds that ‘integrative medicine’ can class as a form of cognitively-productive, critical engagement. I suggest that Parusnikova’s appeal to Popper should be augmented with Paul Feyerabend’s emphasis upon the role of ‘radical alternatives’ in maximising criticism. ‘Integrative medicine’ fails to maximise criticism because it ‘translates’ alternative medicine into the theories and terminology of allopathic medicine and so erodes its capacity to provide cognitively-valuable ‘radical alternatives’. These claims are then illustrated with a discussion of ‘traditional’ and ‘medical’ acupuncture. I conclude that ‘integrative medicine’ fails to exploit the cognitive value of alternative medicine and so should be rejected as an ideal of medical progress. (shrink)

Acupuncture, herbs, and bodywork are fast becoming accepted as complements to standard healing methods. This riveting personal story of the unconventional education of an alternative healer provides extraordinary insight into how and why such methods work. Blending Chinese medicine, the martial arts, and Native American knowing, Daniel Santos challenges us to view the body and its healing in an exciting new way.

Pains that persist long after damaged tissue hasrecovered remain a perplexing phenomenon. Theseso-called chronic pains serve no useful function foran organism and, given its disabling effects, mighteven be considered maladaptive. However, a remarkablesimilarity exists between the neural bases thatunderlie the hallmark symptoms of chronic pain andthose that subserve learning and memory. Bothphenomena, wind-up in the pain literature andlong-term potentiation (LTP) in the learning andmemory literature, are forms of neuroplasticity inwhich increased neural activity leads to a longlasting increase in the excitability (...) of neuronsthrough structural modifications at pre- andpost-synaptic sites. Moreover, the synapticmodifications of wind-up and LTP share a commonmechanism: a glutamate N -methyl-D-aspartate(NMDA) receptor interaction that initiates a calciummediated biochemical cascade that ultimately enhancessignal processing at the -amino-3-hydroxy-5-methyl-4-isoxazoleproprionic acid (AMPA) receptor. This paper arguesthat chronic pain, which has no adaptive value, canbe accounted for in terms of the highly adaptivephenomenon of activity-dependent neural plasticity;hence, some cases of chronic pain can beconceptualized as a memory trace in spinal neurons. (shrink)

Debates about the ethics and effects of placebos and whether ‘placebos’ in clinical trials of complex treatments such as acupuncture are adequate rage. Yet there is currently no widely accepted definition of the ‘placebo’. A definition of the placebo is likely to inform these controversies. Grünbaum’s characterization of placebos and placebo effects has been touted by some authors as the best attempt thus far, but has not won widespread acceptance largely because Grünbaum failed to specify what he means by (...) a therapeutic theory and because he does not stipulate a special role for expectation effects. Grünbaum claims that placebos are treatments whose ‘characteristic features’ do not have therapeutic effects on the target disorder. I show that with four modifications, Grünbaum’s definition provides a defensible account of placebos for the purpose of constructing placebo controls within clinical trials. The modifications I introduce are: adding a special role for expectations, insisting that placebo controls control for all and only the effects of the incidental treatment features, relativizing the definition of placebos to patients, and introducing harmful interventions and nocebos to the definitional scheme. I also provide guidance for classifying treatment features as characteristic or incidental. (shrink)

This book provides a richly documented account of the historical, cultural, philosophical and practical dimensions of feng shui. It argues that where feng shui is entrenched educational systems have a responsibility to examine its claims, and that this examination provides opportunities for students to better learn about the key features of the nature of science, the demarcation of science and non-science, the characteristics of pseudoscience, and the engagement of science with culture and worldviews. The arguments presented for feng shui being (...) a pseudoscience can be marshalled when considering a whole range of comparable beliefs and the educational benefit of their appraisal. Feng shui is a deeply-entrenched, three-millennia-old system of Asian beliefs and practices about nature, architecture, health, and divination that has garnered a growing presence outside of Asia. It is part of a comprehensive and ancient worldview built around belief in chi the putative universal energy or life-force that animates all existence, the cosmos, the solar system, the earth, and human bodies. Harmonious living requires building in accord with local chi streams; good health requires replenishment and manipulation of internal chi flow; and a beneficent afterlife is enhanced when buried in conformity with chi directions. Traditional Chinese Medicine is based on the proper manipulation of internal chi by acupuncture, tai-chi and qigong exercise, and herbal dietary supplements. Matthews has produced another tour de force that will repay close study by students, scientists, and all those concerned to understand science, culture, and the science/culture nexus. Harvey Siegel, Philosophy, University of Miami, USA With great erudition and even greater fluidity of style, Matthews introduces us to this now-world-wide belief system. Michael Ruse, Philosophy, Florida State University, USA The book is one of the best research works published on Feng Shui. Wang Youjun, Philosophy, Shanghai Normal University, China The history is fascinating. The analysis makes an important contribution to science literature. James Alcock, Psychology, York University, Canada This book provides an in-depth study of Feng Shui in different periods, considering its philosophical, historical and educational dimensions; especially from a perspective of the ‘demarcation problem’ between science and pseudoscience. Yao Dazhi, Chinese Academy of Sciences, China. (shrink)

In Japan, the beginnings of modern education for the blind date back to 1878 in Kyoto, two years before the first initiatives in Tokyo. Inspired by the methods of education for the blind created in Europe and the United States, the first schools for the blind taught reading and writing using convex characters, in addition to general knowledge and the traditional professions of the blind. In 1890, the six-dot braille developed by Louis Braille was successfully adapted to the Japanese language. (...) After the Second World War, much progress was made in the special education system: schooling for the youngest blind children, specific education methods for children with low vision, provision for multi-disabled children with visual impairment, access to higher education establishments, and the development of mainstream schooling. Since 2007, there has been a transition towards a new system of inclusive education, which continues to this day. Schools for the blind are now facing new issues and challenges. (shrink)

Electroacupuncture (EA) and electroconvulsive therapy (ECT) are often used in the management of schizophrenia. This study sought to determine whether additional EA and ECT could augment antipsychotic response and reduce related side effects. In this retrospective controlled study, 287 hospitalized schizophrenic patients who received antipsychotics (controls, n = 50) alone or combined with EA (n = 101), ECT (n = 55) or both (EA+ECT, n = 81) were identified. EA and ECT were conducted for 5 and 3 sessions per week, (...) respectively, with a maximum of 12 sessions for ECT during hospitalization. The Scale for the Assessment of Positive Symptoms (SAPS) and Scale for the Assessment of Negative Symptoms (SANS) were used to assess the severity of psychotic symptoms. Clinical response on SAPS and SANS, weight gain, and adverse events were compared. Survival analysis revealed that the ECT and EA+ECT groups had markedly greater clinical response rate than controls on SAPS [72.7% and 90.1% vs. 64.0%; relative risk (RR), 1.974 and 2.628, respectively, P ≤ 0.004] and on SANS (67.3% and 70.4% vs. 42.0%; RR, 1.951 and 2.009, respectively, P ≤ 0.015). A significantly greater response rate on SANS than controls was also observed in the EA group (64.4% versus 42.0%; RR = 1.938, P = 0.008). EA-containing regimens remarkably reduced weight gain and incidences of headache, insomnia, dry mouth, and electrocardiographic abnormalities. These results suggest that EA and ECT can serve as additional treatment for enhancing antipsychotic response and reduce the side effects in hospitalized patients with schizophrenia. (shrink)

This sequel to the widely read Zen and the Brain continues James Austin's explorations into the key interrelationships between Zen Buddhism and brain research. In Zen-Brain Reflections, Austin, a clinical neurologist, researcher, and Zen practitioner, examines the evolving psychological processes and brain changes associated with the path of long-range meditative training. Austin draws not only on the latest neuroscience research and new neuroimaging studies but also on Zen literature and his personal experience with alternate states of consciousness.Zen-Brain Reflections takes up (...) where the earlier book left off. It addresses such questions as: how do placebos and acupuncture change the brain? Can neuroimaging studies localize the sites where our notions of self arise? How can the latest brain imaging methods monitor meditators more effectively? How do long years of meditative training plus brief enlightened states produce pivotal transformations in the physiology of the brain? In many chapters testable hypotheses suggest ways to correlate normal brain functions and meditative training with the phenomena of extraordinary states of consciousness.After briefly introducing the topic of Zen and describing recent research into meditation, Austin reviews the latest studies on the amygdala, frontotemporal interactions, and paralimbic extensions of the limbic system. He then explores different states of consciousness, both the early superficial absorptions and the later, major "peak experiences." This discussion begins with the states called kensho and satori and includes a fresh analysis of their several different expressions of "oneness." He points beyond the still more advanced states toward that rare ongoing stage of enlightenment that is manifest as "sage wisdom."Finally, with reference to a delayed "moonlight" phase of kensho, Austin envisions novel links between migraines and metaphors, moonlight and mysticism. The Zen perspective on the self and consciousness is an ancient one. Readers will discover how relevant Zen is to the neurosciences, and how each field can illuminate the other. (shrink)