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פרסומי חברים

בית ספר חמישי לרפואה בגליל – בית ספר נוסף או בית ספר חדש? ההזדמנות שאסור שנחמיץ!
דר' עופר כספי

 

במרץ 2009 החליטה הממשלה על הקמת בית ספר חמישי לרפואה בישראל. אוניברסיטת בר-אילן נבחרה להקים את בית הספר החדש בצפת. האם הקמת בי"ס נוסף הינה רק אמצעי לפתרון המחסור החזוי ברופאים בישראל? ד"ר כספי רואה בכך הזדמנות פז ליצור שינוי מהותי בתפיסת החינוך הרפואי בישראל, ובמאמר זה פורס את חזונו. למאמר המלא:
 
Chronotherapy in traditional Chinese medicine.
Samuels N

The circadian rhythm of illness has been emphasized for thousands of years in Traditional Chinese Medicine (TCM), using this knowledge to schedule therapies such as acupuncture during appropriate hours of the day. This paper reviews the time periods (two hour segments) that apply to each organ system according to TCM (lungs, large intestine, stomach, heart, kidneys and liver), and elaborates on how recent medical research has found similar relevant biorhythms in these very same organ systems.
 

Am J Chin Med. 2000;28(3-4):419-23.

Acupuncture for Cancer Patients: Why Not?
Samuels N

Acupuncture is a complementary medical treatment whose use in cancer patients has been recommended by the American Cancer Society (ACS) for the treatment of cancer and treatment-related symptoms. Pain, nausea, breathlessness, vasomotor symptoms and limb edema have all been found to respond to this treatment modality. Accordingly to traditional Chinese medicine (TCM), acupuncture "disperses" the stagnation of energy which is thought to cause the tumor to form. As such, many acupuncturists are unwilling to treat cancer patients for fear of "dispersing" the tumor, as well as further compromising patients' immunity with this immunosuppressive treatment modality. Though it is true that care should be taken not to insert acupuncture needles in the vicinity of the tumor, there is no reason to fear "dispersal" of the tumor when using distant points, since this concept is one of TCM and not conventional medicine. In addition, the immunomodulatory effects of acupuncture, both via the release of pituitary beta-endorphin and ACTH, as well as alleviating patient stress through relief of symptoms, are anti-carcinogenic. The medical establishment in Israel should consider recommending acupuncture for cancer patients.
 

Harefuah. 2002 Jul;141(7):608-10, 666.

Treatment of Migraine
Samuels N

N Engl J Med. 2002 Sep 5;347(10):764-6

דיקור סיני (אקופונקטורה) לבחילות: איך זה עובד?
[Acupuncture for nausea: how does it work?]
Samuels N.

Nausea, the unpleasant feeling that one is going to vomit, results from the stimulation of the Chemoreceptor Trigger Zone (CTZ) and Vomiting Center in the brain. Conventional medical therapy is not always effective, and medications often have severe adverse effects. Acupuncture is a treatment in which thin needles (diameter of 0.20-0.30 mm) are inserted into various points along the skin, according to energy channels (meridians) established thousands of years ago. The anti-emetic effects of acupuncture apparently stem from the resultant increase in hypophyseal secretion of beta-endorphins and ACTH, with subsequent inhibition of the CTZ and vomiting center. Acupuncture also affects the upper GI tract, decreasing acid secretion and repressing gastric arrhythmias. Clinical research has found this treatment modality to be effective for nausea, whether it be due to morning sickness in pregnant women, motion sickness in travellers, postoperative nausea or chemotherapy-induced nausea in cancer patients.

Harefuah. 2003 Apr;142(4):297-300, 316.