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Case reports of acupuncturists and massage therapists at Mayo Clinic: New allies in expediting patient diagnoses 梅奥诊所针灸师和按摩治疗师的病例报告:加快患者诊断的新盟友
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-08-09 DOI: 10.1016/j.explore.2025.103237
Jennifer L. Hauschulz , Juan Yang , Alexander Do , Jason J. Calva , Sara E. Bublitz , Jacinto C. Orozco-Street , Liza J. Dion , Michael R. Mueller , Brent A. Bauer

Background

Massage therapists (MTs) and licensed acupuncturists (LAcs) are increasingly embedded within interdisciplinary care teams in both inpatient and outpatient settings. While not traditionally viewed as diagnostic providers, their extended, hands-on interactions with patients enable them to observe subtle physical and behavioral changes that may support early clinical recognition of underlying health issues.

Objective

To present a case series in which MTs and LAcs identified abnormal clinical findings during routine care, prompting timely referrals that led to new or expedited diagnoses.

Methods

Seven patient cases were retrospectively reviewed in which observations made by MTs and LAcs—such as localized swelling, tissue changes, or unexplained symptoms—led to further medical evaluation and diagnosis. Each case illustrates the value of sustained patient contact, therapeutic rapport, and clear interdisciplinary communication, supported by structured documentation and referral protocols.

Results

In all seven cases, the MTs and LAcs played a pivotal role in accelerating clinical evaluation. Their observations contributed to the identification of conditions ranging from cellulitis, pneumonia, and melanoma to complex diagnoses such as multiple myeloma and arterial occlusion. Effective collaboration with nursing and physician teams through electronic medicine record documentation, internal messaging, and direct paging enabled appropriate and timely escalation of care

Conclusion

MTs and LAcs, while practicing within their professional scope, can enhance diagnostic awareness through careful observation and patient-centered communication. When supported by institutional infrastructure and interdisciplinary trust, these providers serve as valuable contributors to early detection and care coordination. This case series underscores the importance of formally integrating integrative health practitioners into diagnostic workflows to improve patient outcomes and safety.
背景按摩治疗师(MTs)和执业针灸师(LAcs)越来越多地融入到住院和门诊的跨学科护理团队中。虽然传统上不被视为诊断提供者,但他们与患者的长期实际互动使他们能够观察到细微的身体和行为变化,这可能有助于早期临床识别潜在的健康问题。目的介绍一个病例系列,其中MTs和lac在常规护理中发现异常临床表现,促使及时转诊,导致新的或快速诊断。方法回顾性分析7例患者,通过MTs和lac观察到的局限性肿胀、组织改变或无法解释的症状,进行进一步的医学评估和诊断。每个病例都说明了在结构化文件和转诊协议的支持下,持续的患者接触、治疗融洽和清晰的跨学科沟通的价值。结果在所有7例病例中,MTs和LAcs在加速临床评价中发挥了关键作用。他们的观察有助于识别蜂窝织炎、肺炎、黑色素瘤以及复杂的诊断,如多发性骨髓瘤和动脉闭塞。通过电子病历文件、内部消息传递和直接传呼等方式与护理和医生团队进行有效协作,实现了适当和及时的护理升级。结论:mts和lcs在其专业范围内执业的同时,可以通过仔细观察和以患者为中心的沟通来提高诊断意识。在机构基础设施和跨学科信任的支持下,这些提供者可以成为早期发现和护理协调的宝贵贡献者。本病例系列强调了将综合医疗从业人员正式纳入诊断工作流程以改善患者预后和安全性的重要性。
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引用次数: 0
Effect of acupressure on management of dyspnea and quality of life in palliative care patients 穴位按压对姑息治疗患者呼吸困难及生活质量的影响
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-08-09 DOI: 10.1016/j.explore.2025.103236
Vildan Kocatepe , Dilek Yıldırım , Özlem Oruç , Zahide Aksoy

Background and purpose

Management of dyspnea is important in patients diagnosed with lung cancer. The aim of the study was to determine the effect of acupressure on dyspnea level and quality of life in palliative care patients with dyspnea symptoms.

Material and Methods

This randomized controlled experimental study was conducted with 57 experimental and 58 control patients hospitalized in the palliative care unit between May 2023 and January 2024. Data were collected using the Modified Borg Scale (MBS), and FACIT-Pal (Functional Assessment of Chronic Illness Therapy-Palliative care) Quality of Life Scale. In the study, acupressure was applied to the dyspnea acupressure points (Lu1, Lu10, P6) for 3 minutes, twice a day, every day for 14 days in the experimental group. Standard care was administered as control.

Results

In the study, when the MBS scores of the patients in both groups were compared, it was found that the MBS score of the experimental group after acupressure application on Day 1 (4.553± 1.189 vs. 5.224±1.351), Day 7 (3.907±1.211 vs. 5.581±1.074) and Day 14 (3.048± .973 vs. 5.357±.983) was statistically significantly lower than the control group (p<0.001). In addition, when the MBS scores of the experimental group were compared before and after acupressure within the group on Days 1, 7 and 14, it was determined that there was a statistically significant decrease (p<0.001). In the study, it was found that the FACT-PAL scores of the experimental group were higher than the control group on Day 14 (137.583±13.627 vs. 123.333±10.116, p=0.006). On Day 14, the respiratory rate of the experimental group after acupressure application was statistically significantly lower than the control group (21.365±3.652 vs. 23.166±4.477).

Conclusions

The results of this study show that acupressure reduces vital signs (oxygen saturation, heart rate, respiratory rate, systolic and diastolic blood pressure), dyspnea, and improves quality of life in palliative care patients.
背景与目的对肺癌患者进行呼吸困难的处理是非常重要的。本研究的目的是确定穴位按压对有呼吸困难症状的姑息治疗患者呼吸困难水平和生活质量的影响。材料与方法本随机对照实验研究于2023年5月至2024年1月在姑息治疗病房住院的57例实验患者和58例对照患者进行。采用改良博格量表(MBS)和FACIT-Pal(慢性疾病治疗-姑息治疗功能评估)生活质量量表收集数据。在研究中,实验组在呼吸困难穴位(Lu1、Lu10、P6)上按压3分钟,每天2次,每天14天。标准治疗作为对照。结果比较两组患者的MBS评分,发现实验组穴位按压后第1天(4.553±1.189比5.224±1.351)、第7天(3.907±1.211比5.581±1.074)、第14天(3.048±0.973比5.357±0.983)的MBS评分均显著低于对照组(p < 0.001)。另外,比较实验组在组内穴位按压前后第1、7、14天的MBS评分,确定有统计学意义的下降(p<0.001)。在研究中发现,实验组在第14天的FACT-PAL评分高于对照组(137.583±13.627比123.333±10.116,p=0.006)。第14天,实验组按压后呼吸频率低于对照组(21.365±3.652 vs. 23.166±4.477),差异有统计学意义。结论穴位按压可降低患者生命体征(血氧饱和度、心率、呼吸频率、收缩压和舒张压)、呼吸困难,改善姑息治疗患者的生活质量。
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引用次数: 0
Bridging cosmos and clinic: Ethnobotanical investigations of Indian astro-herbalism 连接宇宙和临床:印度天文草药的民族植物学研究
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-08-08 DOI: 10.1016/j.explore.2025.103235
Prasanna R. Deshpande
This letter proposes a multidisciplinary research program to scientifically investigate Indian astro-herbalism, a culturally significant yet undocumented practice linking planetary influences to plant-based remedies. Despite skepticism, this approach has historically yielded effective drugs. The program will involve ethnographic mapping, phytochemical profiling, mechanistic studies, and preclinical/clinical evaluations of astrologically associated herbs like Asparagus racemosus and Bacopa monnieri. This inquiry aims to identify pharmacologically active compounds aligned with traditional indications, contributing to ethnopharmacology and biocultural drug discovery, and aligning with WHO's call for integrating traditional medicine into modern healthcare.
这封信提出了一个多学科的研究计划,以科学地调查印度的天文草药,这是一种具有重要文化意义但未被记录的实践,将行星影响与植物疗法联系起来。尽管存在质疑,但这种方法在历史上已经产生了有效的药物。该项目将涉及人种志制图、植物化学分析、机理研究以及与占星学相关的草药(如总状芦笋和假马齿苋)的临床前/临床评估。这项调查的目的是确定符合传统适应症的药理活性化合物,促进民族药理学和生物文化药物的发现,并与世卫组织将传统医学纳入现代卫生保健的呼吁保持一致。
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引用次数: 0
Ultrasound-guided acupotomy for post-stroke equinovarus foot beyond the rehabilitation golden period: Two CARE-compliant case reports 超声引导下针刀治疗中风后马内翻足康复黄金期:2例符合care的病例报告
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-08-07 DOI: 10.1016/j.explore.2025.103234
Jiwoo Kim , Taeseok Ahn , Jihyun Moon , Youngjo So , Hyeon-gyu Cho , Sangho Ji , Sunny Kang , Myungjin Oh , Sangkwan Lee , Cheol-Hyun Kim

Background

Post-stroke equinovarus foot (EVF) is a common and disabling complication of stroke, characterized by ankle plantarflexion and inversion due to muscle spasticity. It often results in abnormal gait patterns, increased risk of falls, and diminished quality of life. Although various interventions have been proposed, targeted and effective treatments remain limited.

Case Presentation

We report two patients with post-stroke EVF: a 54-year-old male 10 months after ischemic stroke, and a 37-year-old female 2 years after hemorrhagic stroke. Both exhibited spasticity of the gastrocnemius and tibialis posterior muscles, leading to asymmetrical gait and impaired mobility.

Intervention and Outcomes

Each patient underwent four sessions of ultrasound-guided acupotomy over two weeks, targeting the affected spastic muscles under real-time imaging. Quantitative gait analysis demonstrated significant improvements in the step length ratio (Case 1: 0.67 0.87; Case 2: 0.68 0.85). Secondary improvements were also observed in gait velocity, lateral symmetry, balance parameters, and Modified Ashworth Scale scores. No adverse events were reported during or after treatment.

Lessons and Implications

These cases suggest that ultrasound-guided acupotomy may serve as a precise and minimally invasive treatment for post-stroke EVF by selectively releasing spastic muscles while preserving surrounding structures. Further research is warranted to validate these findings in larger cohorts and through controlled study designs.
脑卒中后马蹄内翻足(EVF)是一种常见的卒中致残性并发症,其特征是由于肌肉痉挛导致踝关节跖屈和内翻。它通常导致异常的步态模式,增加跌倒的风险,并降低生活质量。尽管提出了各种干预措施,但有针对性和有效的治疗方法仍然有限。我们报告两例脑卒中后EVF患者:一名54岁男性在缺血性脑卒中后10个月,一名37岁女性在出血性脑卒中后2年。两者都表现出腓肠肌和胫骨后肌的痉挛,导致步态不对称和活动能力受损。干预和结果每位患者在两周内接受超声引导下的四次针刀治疗,在实时成像下针对受影响的痉挛肌肉。定量步态分析显示步长比显著改善(病例1:0.67→0.87;病例2:0.68→0.85)。在步态速度、横向对称性、平衡参数和修正Ashworth量表评分方面也观察到二次改善。治疗期间或治疗后无不良事件报告。这些病例表明,超声引导下的针刀可以通过选择性地释放痉挛肌肉,同时保留周围结构,作为卒中后EVF的精确和微创治疗。进一步的研究需要在更大的队列和通过对照研究设计来验证这些发现。
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引用次数: 0
Protective effect of energized structured water on bioenergetic function and oxidative stress in H9c2 cells 通电结构水对H9c2细胞生物能量功能和氧化应激的保护作用
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-08-05 DOI: 10.1016/j.explore.2025.103232
Sachithra S. Ranaweera , Juan P. Zuniga-Hertz , Ramamurthy Chitteti , Andrei V. Chernov , Hemal H. Patel
The energized structured water (ESW) concept supposes water can be imbued with energetic frequencies or vibrations, improving its quality and providing various health benefits. While some studies claim benefits, the mechanisms and effects of ESW are not well understood. This study investigates the impact of ESW on cellular bioenergetic function and oxidative stress in H9c2 cells. H9c2 cells were pretreated with ESW or control water (CW) at equivalent dilutions. Mitochondrial function was assessed using the Agilent Seahorse XF Pro Analyzer. Cell viability and reactive oxygen species (ROS) production were evaluated under H2O2-induced oxidative stress conditions. Differential gene expression analysis and Gene Ontology (GO) enrichment were conducted to identify significantly affected genes and biological processes in ESW-treated H9c2 cells. Results demonstrated that ESW pretreatment significantly increased maximal and spare respiratory capacity in H9c2 cells. In addition, ESW treatment increased the glycolytic ATP production without affecting mitochondrial and total ATP production. ESW treatment enhanced cell viability and reduced ROS production in cells exposed to H2O2-induced oxidative stress. Based on differential gene expression analysis, 717 genes including Myh1, Akr1b8, Hmox1, Kcng1, Ugt1a6, Clu, Gaa, Ftl1, Hspb7, and Gba1 were up-regulated and 422 genes including Hist1h2an, Slfn4, Rpl22l1, Polr2k, Il1rl1, Ndufb1, Atp5mkl1 were down-regulated by ESW compared to the controls. GO analysis indicated that ESW treatment significantly affects biological processes related to cellular stress response pathways. These findings suggest that ESW treatment may enhance cellular bioenergetics and stress resistance in H9c2 cells, potentially through modulation of gene expression related to stress responses and energy metabolism.
能量结构化水(ESW)概念假设水可以充满能量频率或振动,提高其质量并提供各种健康益处。虽然一些研究声称有好处,但对ESW的机制和影响尚未得到很好的理解。本研究探讨了ESW对H9c2细胞生物能量功能和氧化应激的影响。用等量稀释的ESW或对照水(CW)预处理H9c2细胞。使用Agilent Seahorse XF Pro分析仪评估线粒体功能。在h2o2诱导的氧化应激条件下,研究了细胞活力和活性氧(ROS)的产生。通过差异基因表达分析和基因本体(GO)富集,鉴定esw处理的H9c2细胞中受显著影响的基因和生物过程。结果表明,ESW预处理可显著提高H9c2细胞的最大呼吸量和备用呼吸量。此外,ESW处理增加了糖酵解ATP的产生,但不影响线粒体和总ATP的产生。在暴露于h2o2诱导的氧化应激的细胞中,ESW处理提高了细胞活力,减少了ROS的产生。差异基因表达分析显示,与对照组相比,ESW上调了Myh1、Akr1b8、Hmox1、kcn1、Ugt1a6、Clu、Gaa、Ftl1、Hspb7、Gba1等717个基因,下调了Hist1h2an、Slfn4、Rpl22l1、Polr2k、Il1rl1、Ndufb1、Atp5mkl1等422个基因。氧化石墨烯分析表明,ESW处理显著影响与细胞应激反应途径相关的生物过程。这些发现表明,ESW处理可能通过调节与应激反应和能量代谢相关的基因表达来增强H9c2细胞的生物能量学和抗逆性。
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引用次数: 0
The effect of lavender essential oil aromatherapy on anxiety and fatigue in patients with implantable cardioverter defibrillator: randomized controlled trial 薰衣草精油芳香疗法对植入式心律转复除颤器患者焦虑和疲劳的影响:随机对照试验
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-08-05 DOI: 10.1016/j.explore.2025.103233
Sebiha Aktaş Us , Sultan Taşcı , Abdullah Orhan Demirtaş

Objective

This study aimed to investigate the effect of lavender essential oil aromatherapy on anxiety and fatigue levels in patients with implantable cardioverter defibrillator (ICD).

Design

A single-blind, randomized controlled trial.

Setting

Conducted in the cardiology outpatient clinic of a university hospital. Weekly home visits were made to both groups for data collection and follow-up.

Sample

Eighty-six ICD patients were randomly assigned to intervention (n = 43) or control (n = 43) group.

Interventions

Participants were randomized weekly to intervention or control weeks, with age and gender balance achieved through weekly matching. The intervention group inhaled lavender essential oil for two minutes every night before bedtime for four weeks. The control group received only routine care.

Measurements

Data were collected using a patient identification form, Piper Fatigue Scale (PFS), Spielberger State-Trait Anxiety Inventory short forms (STAIS-5 and STAIT-5), and Visual Analog Scale (VAS) for fatigue. Ethical approval and informed consent were obtained. Analyses were performed using SPSS 25 and G*Power.

Results

No significant difference was found between the groups at the beginning. However, at follow-up at weeks 2, 3, and 4, the intervention group showed significantly greater reductions in anxiety and fatigue scores, except for the emotional and cognitive PFS subdimensions (p<0.05).

Conclusion

Aromatherapy with lavender oil may help reduce anxiety and fatigue in ICD patients and support the use of complementary care strategies in this population.
目的探讨薰衣草精油芳香疗法对植入式心律转复除颤器(ICD)患者焦虑和疲劳水平的影响。设计一项单盲、随机对照试验。实验环境:在一所大学医院的心脏病科门诊进行。每周对两组进行家访,收集数据并进行随访。86例ICD患者随机分为干预组(n = 43)和对照组(n = 43)。干预参与者每周被随机分配到干预周或控制周,通过每周匹配达到年龄和性别平衡。干预组连续四周每晚睡前吸入薰衣草精油两分钟。对照组患者仅接受常规护理。采用患者识别表、Piper疲劳量表(PFS)、Spielberger状态-特质焦虑量表短表(STAIS-5和STAIT-5)和视觉模拟疲劳量表(VAS)收集数据。获得了伦理批准和知情同意。采用SPSS 25和G*Power进行分析。结果两组在开始时无显著性差异。然而,在第2周、第3周和第4周的随访中,干预组在焦虑和疲劳评分上的下降幅度更大,除了情绪和认知PFS子维度(p<0.05)。结论薰衣草精油芳香疗法可能有助于减少ICD患者的焦虑和疲劳,并支持在该人群中使用补充护理策略。
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引用次数: 0
“The effect of acupressure on fatigue in individuals with chronic fatigue syndrome” 穴位按压对慢性疲劳综合征患者疲劳的影响
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-07-29 DOI: 10.1016/j.explore.2025.103231
Doğukan Kurç , Ayşe Arzu SAYIN ŞAKUL , Esra ATILGAN

Background and Aim

Patients with Chronic Fatigue Syndrome (CFS) often experience fatigue that greatly affects their quality of life. We aimed to investigate the effectiveness of acupressure in alleviating CFS symptoms in office workers.

Methods

We conducted a randomized controlled trial with 39 participants (28 women, 11 men; average age 29.54 ± 1.27). Participants were divided into treatment and control groups. The acupressure group received 10 sessions over 4 weeks, targeting specific acupoints (Li4, HT7, L9, P6, Gb20, Anmian, Du20, Yin-Tang, Sp6). Each point was stimulated for 30–90 s until numbness was felt; otherwise, stimulation lasted 90 s, totaling approximately 30 min per session. The control group did not receive any treatment. We assessed fatigue using the Fatigue Severity Scale (FSS), quality of life using the Short Form-36 (SF-36), and depressive symptoms using the Beck Depression Scale (BDS) before and after treatment. Data were analyzed using SPSS 22.0.

Results

We observed a significant reduction in fatigue severity in the acupressure group compared to the control group, where fatigue severity increased (p = 0.009). The acupressure group also demonstrated significant improvements in depressive symptoms (p = 0.000) and various quality of life sub-parameters: physical function (p = 0.02), physical role difficulty (p = 0.002), emotional role difficulty (p = 0.007), energy (p = 0.002), and mental health (p = 0.05).

Conclusion

Acupressure effectively alleviates CFS symptoms, highlighting its clinical potential as an accessible complementary therapy for office workers with CFS. These findings support integrating acupressure into routine clinical practice and encourage further investigation into its long-term benefits.
背景和目的慢性疲劳综合征(CFS)患者经常感到疲劳,这极大地影响了他们的生活质量。我们的目的是探讨穴位按压在缓解办公室工作人员CFS症状中的有效性。方法采用随机对照试验,共纳入39例受试者(女性28例,男性11例;平均年龄(29.54±1.27)。参与者被分为实验组和对照组。穴位按压组在4周内进行10次按摩,针对特定穴位(Li4、HT7、L9、P6、Gb20、安面、杜20、阴堂、Sp6)。每个穴位刺激30 ~ 90 s,直至感觉麻木;否则,刺激持续90秒,每次大约30分钟。对照组不接受任何治疗。我们在治疗前后使用疲劳严重程度量表(FSS)评估疲劳,使用短表36 (SF-36)评估生活质量,使用贝克抑郁量表(BDS)评估抑郁症状。数据采用SPSS 22.0进行分析。结果我们观察到,与对照组相比,穴位按压组的疲劳严重程度显著降低,对照组的疲劳严重程度增加(p = 0.009)。穴位按压组在抑郁症状(p = 0.000)和各种生活质量子参数方面也有显著改善:身体功能(p = 0.02)、身体角色困难(p = 0.002)、情绪角色困难(p = 0.007)、精力(p = 0.002)和心理健康(p = 0.05)。结论穴位按压可有效缓解CFS症状,作为一种可及的辅助疗法,具有临床应用潜力。这些发现支持将指压纳入常规临床实践,并鼓励进一步研究其长期效益。
{"title":"“The effect of acupressure on fatigue in individuals with chronic fatigue syndrome”","authors":"Doğukan Kurç ,&nbsp;Ayşe Arzu SAYIN ŞAKUL ,&nbsp;Esra ATILGAN","doi":"10.1016/j.explore.2025.103231","DOIUrl":"10.1016/j.explore.2025.103231","url":null,"abstract":"<div><h3>Background and Aim</h3><div>Patients with Chronic Fatigue Syndrome (CFS) often experience fatigue that greatly affects their quality of life. We aimed to investigate the effectiveness of acupressure in alleviating CFS symptoms in office workers.</div></div><div><h3>Methods</h3><div>We conducted a randomized controlled trial with 39 participants (28 women, 11 men; average age 29.54 ± 1.27). Participants were divided into treatment and control groups. The acupressure group received 10 sessions over 4 weeks, targeting specific acupoints (Li4, HT7, L9, P6, Gb20, Anmian, Du20, Yin-Tang, Sp6). Each point was stimulated for 30–90 s until numbness was felt; otherwise, stimulation lasted 90 s, totaling approximately 30 min per session. The control group did not receive any treatment. We assessed fatigue using the Fatigue Severity Scale (FSS), quality of life using the Short Form-36 (SF-36), and depressive symptoms using the Beck Depression Scale (BDS) before and after treatment. Data were analyzed using SPSS 22.0.</div></div><div><h3>Results</h3><div>We observed a significant reduction in fatigue severity in the acupressure group compared to the control group, where fatigue severity increased (<em>p</em> = 0.009). The acupressure group also demonstrated significant improvements in depressive symptoms (<em>p</em> = 0.000) and various quality of life sub-parameters: physical function (<em>p</em> = 0.02), physical role difficulty (<em>p</em> = 0.002), emotional role difficulty (<em>p</em> = 0.007), energy (<em>p</em> = 0.002), and mental health (<em>p</em> = 0.05).</div></div><div><h3>Conclusion</h3><div>Acupressure effectively alleviates CFS symptoms, highlighting its clinical potential as an accessible complementary therapy for office workers with CFS. These findings support integrating acupressure into routine clinical practice and encourage further investigation into its long-term benefits.</div></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"21 5","pages":"Article 103231"},"PeriodicalIF":2.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Synergy of spiritual ambience, sattvic dietary regimen, homely care, and conventional medical therapy in the holistic rehabilitation of a terminally ill patient with post-traumatic complications: A case report 精神氛围、健康饮食、家庭护理和传统医学治疗在创伤后并发症晚期患者整体康复中的协同作用:1例报告
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-07-21 DOI: 10.1016/j.explore.2025.103229
Anand Pratap Singh , Rocktotpal Konwarh , Kavita Tyagi , Abhinav Singh , Raghavendra Patil , Mintu Moni Sarma , Ramesh C. Deka , Suvendra Kumar Ray

Objective

To explore the integration of pharmacotherapy with a holistic approach incorporating a spiritual ambience, sattvic diet and homely care, in medical intervention of a complex multi-systemic post-trauma terminally ill patient.

Case Presentation and Outcomes

A 45-year-old female, declared terminally ill and presenting with progressively worsening symptoms twenty days post-road traffic accident, sought care at Baba Kinaram Hospital (BKH) on July 31, 2024. She exhibited severe hypoxia, severe respiratory distress, dilated cardiomyopathy (LVEF 35 %), dizziness, and neurological deficits, having received previously a dire prognosis from several multi-specialty hospital treatments. At BKH, despite minimal facilities, similar pharmacotherapeutic interventions were administered. These were uniquely augmented by an immersive spiritual ambience, a prescribed sattvic diet offered as 'prasad' (consecrated food) and dedicated homely care within an Ashram-like setting guided by the principles of selfless service (Sanskrit: Niskam Sewa) and ‘Knowledge is to serve’ (Sanskrit: Vigyanam Sewarthaya). Following six days of inpatient treatment and a six-month follow-up, the patient showed remarkable clinical improvement. This included stabilization of oxygen levels, resolution of dizziness and headache, recovery of independent gait, and a significant increase in left ventricular ejection fraction to 68 %. This profound recovery, achieved with largely consistent medication but within a distinct holistic framework, underscores the critical role of the spiritual environment, specific dietary interventions, and supportive care alongside medical treatments for severe trauma patients. A questionnaire-based survey at discharge assessed the patient perceptions of hospital staff, medication, spiritual environment, homely care, and the diet's impact on her recovery. Patient perceptions of general health, costs, medication reliance, and six-month post-discharge sattvic diet adherence were also evaluated.

Conclusion

This report highlights the benefits of a patient-centred, holistic care model. Integrating psychological, social, and spiritual dimensions beyond physiological parameters, this approach significantly enhances overall health outcomes and advocates for holistic dietary and spiritual elements in managing complex post-traumatic symptoms.
目的探讨精神氛围、心性饮食和居家护理相结合的药物治疗在复杂多系统创伤后绝症患者的医疗干预中的应用。病例介绍和结果一名45岁女性,在道路交通事故发生20天后被宣布患有绝症,症状逐渐恶化,于2024年7月31日在Baba Kinaram医院(BKH)就诊。她表现出严重缺氧、严重呼吸窘迫、扩张性心肌病(LVEF 35%)、头晕和神经功能障碍,此前接受过几次多专科医院治疗,预后很差。在BKH,尽管设施很少,但也进行了类似的药物治疗干预。这些都独特地增强了沉浸式的精神氛围,在无私服务(梵文:Niskam Sewa)和“知识就是服务”(梵文:Vigyanam Sewarthaya)的原则指导下,在道场般的环境中提供“prasad”(神圣的食物)和专门的家庭护理。经过6天的住院治疗和6个月的随访,患者的临床表现明显改善。这包括氧水平的稳定,头晕和头痛的缓解,独立步态的恢复,左心室射血分数显著增加到68%。这种深刻的康复,在很大程度上是通过一致的药物治疗实现的,但在一个独特的整体框架内,强调了精神环境、特定的饮食干预和对严重创伤患者的医疗辅助护理的关键作用。出院时进行问卷调查,评估患者对医院工作人员、药物、精神环境、家庭护理和饮食对其康复的影响的看法。患者的总体健康状况、费用、药物依赖性和出院后6个月的满足性饮食依从性也被评估。结论:本报告强调了以患者为中心的整体护理模式的好处。这种方法综合了生理参数之外的心理、社会和精神层面,显著提高了整体健康结果,并倡导在管理复杂的创伤后症状时采用整体饮食和精神因素。
{"title":"Synergy of spiritual ambience, sattvic dietary regimen, homely care, and conventional medical therapy in the holistic rehabilitation of a terminally ill patient with post-traumatic complications: A case report","authors":"Anand Pratap Singh ,&nbsp;Rocktotpal Konwarh ,&nbsp;Kavita Tyagi ,&nbsp;Abhinav Singh ,&nbsp;Raghavendra Patil ,&nbsp;Mintu Moni Sarma ,&nbsp;Ramesh C. Deka ,&nbsp;Suvendra Kumar Ray","doi":"10.1016/j.explore.2025.103229","DOIUrl":"10.1016/j.explore.2025.103229","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the integration of pharmacotherapy with a holistic approach incorporating a spiritual ambience, <em>sattvic</em> diet and homely care, in medical intervention of a complex multi-systemic post-trauma terminally ill patient.</div></div><div><h3>Case Presentation and Outcomes</h3><div>A 45-year-old female, declared terminally ill and presenting with progressively worsening symptoms twenty days post-road traffic accident, sought care at Baba Kinaram Hospital (BKH) on July 31, 2024. She exhibited severe hypoxia, severe respiratory distress, dilated cardiomyopathy (LVEF 35 %), dizziness, and neurological deficits, having received previously a dire prognosis from several multi-specialty hospital treatments. At BKH, despite minimal facilities, similar pharmacotherapeutic interventions were administered. These were uniquely augmented by an immersive spiritual ambience, a prescribed <em>sattvic</em> diet offered as <em>'prasad'</em> (consecrated food) and dedicated homely care within an <em>Ashram</em>-like setting guided by the principles of selfless service (Sanskrit: <em>Niskam Sewa) and ‘Knowledge is to serve</em>’ (Sanskrit: <em>Vigyanam Sewarthaya</em>). Following six days of inpatient treatment and a six-month follow-up, the patient showed remarkable clinical improvement. This included stabilization of oxygen levels, resolution of dizziness and headache, recovery of independent gait, and a significant increase in left ventricular ejection fraction to 68 %. This profound recovery, achieved with largely consistent medication but within a distinct holistic framework, underscores the critical role of the spiritual environment, specific dietary interventions, and supportive care alongside medical treatments for severe trauma patients. A questionnaire-based survey at discharge assessed the patient perceptions of hospital staff, medication, spiritual environment, homely care, and the diet's impact on her recovery. Patient perceptions of general health, costs, medication reliance, and six-month post-discharge sattvic diet adherence were also evaluated.</div></div><div><h3>Conclusion</h3><div>This report highlights the benefits of a patient-centred, holistic care model. Integrating psychological, social, and spiritual dimensions beyond physiological parameters, this approach significantly enhances overall health outcomes and advocates for holistic dietary and spiritual elements in managing complex post-traumatic symptoms.</div></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"21 5","pages":"Article 103229"},"PeriodicalIF":1.9,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transcranial photobiomodulation as an adjunctive therapy for persistent anxiety and depression in patients undergoing psychotherapy, EMDR, and/or SSRI treatment: A case series 经颅光生物调节作为心理治疗、EMDR和/或SSRI治疗患者持续焦虑和抑郁的辅助疗法:一个病例系列
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-07-18 DOI: 10.1016/j.explore.2025.103228
Jana Jamail , Leslie Fuller

Background

Recurrent depression and anxiety can be resistant to monotherapies, including psychotherapy, eye movement desensitization and reprocessing (EMDR), and selective serotonin reuptake inhibitors (SSRIs). Transcranial photobiomodulation (TPBM), a non-invasive neuromodulation therapy that uses near-infrared light, has shown antidepressant effects in animal studies and randomized clinical trials.

Objective

To evaluate the potential therapeutic effect of TPBM as an adjunctive intervention for patients experiencing persistent anxiety and depression despite receiving psychotherapy, EMDR, and taking SSRIs.

Methods

Three adult female participants experiencing chronic anxiety and depression completed a 12-week TPBM protocol using a Neuronic 1070 nm helmet (10 Hz, 75–100 % intensity, 10–15 min daily). All participants were concurrently undergoing CBT and EMDR; two were taking SSRIs. Outcome measures included the GAD-7, DASS-21, and Cognifit cognitive testing at baseline, week 6, and week 12. Participant feedback was collected at all intervals.

Results

All three participants completed the protocol with over 92 % adherence. Two participants reported improved sleep quality and reduced irritability. All three participants showed reductions in DASS-21 depression scores, although GAD7 anxiety and DASS21 anxiety and stress outcomes varied. One participant reported no perceived benefit despite objective improvement, highlighting the potential influence of cognitive attribution patterns.

Conclusion

TPBM may serve as an effective adjunctive therapy for anxiety and depression in patients undergoing conventional interventions with minimal improvement. Further studies with larger samples and control groups are needed to validate these preliminary findings.
复发性抑郁和焦虑可能对单一疗法有抵抗性,包括心理治疗、眼动脱敏和再加工(EMDR)和选择性血清素再摄取抑制剂(SSRIs)。经颅光生物调节(TPBM)是一种使用近红外光的非侵入性神经调节疗法,在动物研究和随机临床试验中显示出抗抑郁作用。目的评价TPBM作为一种辅助干预方法,对接受心理治疗、EMDR和SSRIs治疗的持续性焦虑和抑郁患者的潜在治疗效果。方法3名患有慢性焦虑和抑郁的成年女性受试者使用Neuronic 1070 nm头盔(10 Hz, 75 - 100%强度,每天10 - 15分钟)完成了为期12周的TPBM方案。所有参与者同时接受CBT和EMDR;其中两人服用ssri类药物。结果测量包括基线、第6周和第12周的GAD-7、DASS-21和cognift认知测试。每隔一段时间收集参与者的反馈。结果3名患者均完成了治疗方案,依从性超过92%。两名参与者报告说睡眠质量有所改善,易怒程度有所降低。尽管GAD7焦虑和DASS21焦虑和压力结果有所不同,但所有三名参与者的DASS-21抑郁评分均有所下降。一名参与者报告说,尽管客观改善,但没有感觉到任何好处,这突出了认知归因模式的潜在影响。结论tpbm可作为一种有效的辅助治疗方法,对接受常规干预的焦虑和抑郁患者改善甚微。需要对更大样本和对照组进行进一步的研究来验证这些初步发现。
{"title":"Transcranial photobiomodulation as an adjunctive therapy for persistent anxiety and depression in patients undergoing psychotherapy, EMDR, and/or SSRI treatment: A case series","authors":"Jana Jamail ,&nbsp;Leslie Fuller","doi":"10.1016/j.explore.2025.103228","DOIUrl":"10.1016/j.explore.2025.103228","url":null,"abstract":"<div><h3>Background</h3><div>Recurrent depression and anxiety can be resistant to monotherapies, including psychotherapy, eye movement desensitization and reprocessing (EMDR), and selective serotonin reuptake inhibitors (SSRIs). Transcranial photobiomodulation (TPBM), a non-invasive neuromodulation therapy that uses near-infrared light, has shown antidepressant effects in animal studies and randomized clinical trials.</div></div><div><h3>Objective</h3><div>To evaluate the potential therapeutic effect of TPBM as an adjunctive intervention for patients experiencing persistent anxiety and depression despite receiving psychotherapy, EMDR, and taking SSRIs.</div></div><div><h3>Methods</h3><div>Three adult female participants experiencing chronic anxiety and depression completed a 12-week TPBM protocol using a Neuronic 1070 nm helmet (10 Hz, 75–100 % intensity, 10–15 min daily). All participants were concurrently undergoing CBT and EMDR; two were taking SSRIs. Outcome measures included the GAD-7, DASS-21, and Cognifit cognitive testing at baseline, week 6, and week 12. Participant feedback was collected at all intervals.</div></div><div><h3>Results</h3><div>All three participants completed the protocol with over 92 % adherence. Two participants reported improved sleep quality and reduced irritability. All three participants showed reductions in DASS-21 depression scores, although GAD7 anxiety and DASS21 anxiety and stress outcomes varied. One participant reported no perceived benefit despite objective improvement, highlighting the potential influence of cognitive attribution patterns.</div></div><div><h3>Conclusion</h3><div>TPBM may serve as an effective adjunctive therapy for anxiety and depression in patients undergoing conventional interventions with minimal improvement. Further studies with larger samples and control groups are needed to validate these preliminary findings.</div></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"21 5","pages":"Article 103228"},"PeriodicalIF":2.2,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “Critical analysis of the article – A double-blind, randomized, placebo-controlled trial of individualized homeopathic medicinal products in the treatment of nocturnal enuresis in children” “文章的批判性分析-个体化顺势疗法药物治疗儿童夜间遗尿的双盲、随机、安慰剂对照试验”的更正。
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-07-15 DOI: 10.1016/j.explore.2025.103227
Parth Aphale , Himanshu Shekhar , Shashank Dokania
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引用次数: 0
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Explore-The Journal of Science and Healing
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