Advice Pool - Health and Fitness

Does acupuncture really work?

As practitioners we struggle from time to time with the thought that maybe, just maybe, acupuncture does not work. Since this is our livelihood, the thought that acupuncture might not work is a fri

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

ghtening thought.

Unfortunately, a lot of patients have the view that their condition of ten years standing should be eliminated in, at the most, two treatments. I personally find this most peculiar since the same patient has o

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

ten only come to me after they have had ten unsuccessful treatments with a physiotherapist or chiropractor.

However, if we can persuade a patient to continue their treatment to at least six treatments, some quite impressive res

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

ults can be achieved. Sometimes indeed, a great result can be achieved in even a shorter time span, but it is always advisable to expect that a minimum of six treatments is necessary for continued relief. One of my patients came

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

on a walking stick for her treatment. Apparently the condition had struck out of the blue and now she could not walk unaided. She came weekly for ten treatments and by the tenth treatment she no longer needed her walking stick a

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

nd was pain free.

Sadly however, it is often hard to know if the treatment was a success or not, because patients are prone to canceling their subsequent appointments after just one session, for two reasons, either because the

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

reatment was a success or because it was a failure in their eyes.

What patients do not realize is that acupuncture can be a very subtle treatment. The beneficial effects are not necessarily evident on the day of treatment. The

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

treatment in fact can continue to take effect sometimes a month after the session.

One patient came to me for treatment on a toe that had been extremely sore for a year. I gave her one treatment and made an appointment for her

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

o return the following week. The next appointment was subsequently canceled and I was told that there had been absolutely no change to her condition. Therefore I was quite surprised when she rang me six months later for another

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

appointment. When I asked her how her toe was faring, she said that exactly three weeks after her treatment she had woken up one morning and her toe was completely pain free.

One problem that all therapists seem to face from ti

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

e to time is the healing crisis. This often takes effect the day after the treatment. If the patient has a very toxic condition, during the process of healing there is a temporary increase in symptoms. This is because the body i

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

s struggling to realign itself. Unfortunately the healing crisis can last for a few days or even weeks and the symptoms can be identical to the disease itself. Sadly, the practitioner gets the blame for giving a bad treatment as

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

the patient rushes off to yet another type of therapist for relief. When the healing crisis eventually ends, the new therapist will be given the praise.

Of course it is very difficult for the acupuncturist to explain that a hea

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

ling crisis is part of the cure. It just looks like they are making excuses for themselves.

I have sometimes however seen a seemingly miraculous cure in front of my eyes.

I once received a call from a lady who told me that she

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

thought her husband had just suffered a stroke. I raced over to her house, needles at the ready, and I had to agree with her diagnosis. Her husband’s right eye and the right side of his mouth were drooping. His speech was also s

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

lurred. I inserted a couple of needles in the liver and kidney channels in his feet and when the last needle was inserted I looked at his face. In just those few seconds his eye and mouth had returned to normal and his speech wa

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

no longer slurred.

Another miraculous cure occurred when I treated a dog which had not eaten for three days and whose eyes had rolled back in its head, leaving only the whites of the eyes visible. The dog could no longer walk

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

and the owners had been encouraged by the vet to put it down. I used one needle only, and this was in an acupuncture point at the very top of the head. The dog lay silently for ten minutes, and then stood up, shook the needle ou

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

and walked over to its food bowl. It then proceeded to eat a bowl full of food and afterwards raced out into the garden where it stood barking with joy.

These are just a few examples of treatments that have been very successfu

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

l for me. My suggestion is therefore for patients to let their acupuncturist give them an effective treatment. Do not expect your symptoms to miraculously disappear in one session. Of course, if they do, please tell your friends

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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