mardi 19 juillet 2016

The liquid drug in Mesopuncture, N°1:‘Acupuncture Effect’.

The liquid drug in Mesopuncture, N°1:‘Acupuncture Effect’.
Mesopuncture or Acupuncture Point_ AP fluid stimulus was started by Chinese medicine, at the end of the past century
Since recent decades, in case of acute, chronic or persistent and rebellious pain, Chinese medicine has proposed and initiated, a liquid drug, injected/deposited into the selected APs or Mesopuncture already stimulated by acupuncture needles or Classical Acupuncture producing an Acupuncture Effect by needle.

The ‘Acupuncture Effect’ in Mesopuncture
Injected or deposited in the AP, the liquid drug, stimulates the therapeutic properties attributed to this AP, by Chinese medicine, through its action on the human body energy:
·         This ‘Acupuncture Effect’ by fluid stimulus like the acupuncture needle stimulus, in the human body causes in Acupuncture, a therapeutic effect thanks to rebalancing the altered energy, it is the Acupuncture Effect of variable duration depending on the stimulus duration and covering, in the human body, an area local, regional and more rarely, general.
·         This Acupuncture Effect is the therapeutic and energetic action, resulting of the AP stimulus either by needle or by liquid drug. This therapeutic effect, this energetic effect, described by the Chinese medicine since millennia, by which Acupuncture treats the health disorders, is the Acupuncture Effect produced in this case, by a fluid stimulus.
·         This 'Acupuncture Effect ' of fluid origin is used to add or enhance by a liquid stimulus the classic metal stimulation or classical acupuncture; it is superimposed to the ‘Acupuncture Effect’ created by acupuncture needle including the needle used to inject the liquid drug or by external stimulus applied at the skin surface.

The Acupuncture Point_ AP
·         This liquid drug creates by fluid stimulus the ‘Acupuncture Effect’, specific of the AP stimulated whatever the stimulus. It should be remembered that the 'Acupuncture Effect' obtained by the AP stimulus is independent of the stimulus (liquid or metal or another), but dependent from the AP selected, from the therapeutic properties attributed to this AP, by Chinese medicine, in the treatment of the energy imbalance, origin of all diseases in Acupuncture.

'Acupuncture Effect', fundamental property of all liquid drugs selected for Mesopuncture, could be perhaps, due to the:
-* Physicochemical structure of the liquid drug used or more precisely, due to
-*Mechanical action produced into the AP by the volume of liquid drug injected or deposited, for example, by distension or irritation of connective tissue composing the AP.

The liquid drugs
·         All liquid drugs of the Pharmacopoeia, selected by the Therapist for use in Mesopuncture, with/without known pharmacological effect are stimuli of the APs either when they are directly injected into the AP located in the connective tissue or deposited at the skin surface on the level of the AP and reaching the AP already located.
In the latter case, the liquid drug crosses the skin by iontophoresis to reach the connective tissue where APs are located (knowing that the path from the epidermis to the connective tissue belongs to the AP, also). 
·         Stimulus duration of the AP depends on the liquid drug and particularly on its physicochemical structure.

In this group of AP stimulus with/without needles, it may be mentioned other therapeutic techniques used in Acupuncture and active, it seems, by physical action: Catgut burial in APs, titanium implants or permanent needle for Auriculotherapy; Distilled water injection in Auricular points.

vendredi 15 juillet 2016

The liquid drug in Mesopuncture, N°2:‘Pharmacological effect’.


The liquid drug in Mesopuncture, N°2:‘Pharmacological effect’.

 Mesopuncture, fluid Stimulus of the Acupuncture Point_ AP: The Pharmacologic Effect.                                     
Started by Chinese medicine, at the end of the last century:
 ‘Pharmacological effect’ of the liquid drug in Mesopuncture- 
The Acupuncture Point _ AP is stimulated by liquid drugs of the Pharmacopoeia, liquid drugs without or with pharmacological properties producing the Pharmacologic Effect added to the property of producing the Acupuncture Effect by this AP stimulus.
In effect, generally, the liquid drug used in Mesopuncture, is selected according to its ‘Pharmacological Effect’; it completes the Acupuncture Effect from both the metal needle stimulus and its own Acupuncture Effect.

It is possible to describe, among all liquid drugs, two categories of liquid drugs according to their Pharmacological Effect:
**-* Some liquid drugs, injected/ deposited, among those used in Mesopuncture for their Acupuncture Effect, are neutral, ‘without’ obvious pharmacologic effect known or described in the Western pharmacopoeia, but with a physical or mechanical action of filling, irritation, which stimulates the AP and produces the Acupuncture Effect only.
A particular mention concerns Hyaluronic Acid, used for long-term stimulus of the AP, without pharmacological action.  

 In this group of liquids drugs, at origin of AP fluid stimulus only, without obvious or very low pharmacological action known, we may find: Distilled water or saline… trace elements, homeopathy etc.
·         Using only liquid drugs without pharmacological properties to stimulate the APs is the goal often sought by the Therapist, in the initial period of integration of Mesopuncture, in his daily treatment. These liquid drugs are inactive in Mesotherapy.

**-* The majority, of these liquid drugs, has its own pharmacologic properties, due to the physicochemical structure of its molecule.
These pharmacological properties preserved when the liquid drug is used in Mesopuncture, produced the Pharmacological Effect.
By using liquid drugs of the pharmacopoeia for restoring the body's energy balance (the Acupuncture Effect) which, additionally, act by their own pharmacologic properties preserved (the Pharmacologic Effect in Mesopuncture), the Patient can, thus, benefit of the therapeutic virtues of liquid drugs of our pharmacopeia.
The liquid drugs with pharmacological effect are eligible for Mesotherapy.

These pharmacological properties preserved when the liquid drug is used in Mesopuncture, constitute the Pharmacological Effect.
By using liquid drugs of the pharmacopoeia for restoring the body's energy balance which, additionally, act by their own pharmacologic properties preserved (the Pharmacologic Effect in Mesopuncture), the Patient can, thus, benefit of the therapeutic virtues of liquid drugs of our pharmacopeia.
The liquid drugs with pharmacological effect are eligible for Mesotherapy.

This liquid drug with pharmacologic properties stimulates the AP and creates, the ‘Acupuncture Effect’, by fluid stimulus due to mechanical action or physicochemical structure of its molecule. This ‘Acupuncture Effect’ of fluid origin, is superimposed to the ‘Acupuncture Effect’ created by acupuncture needle or by external stimulus applied at the skin surface.

This selection of liquid drugs by the Therapist may also take into account, two criteria both depending on the physicochemical structure of the liquid drug. 
1-First criterion, Synergy or lack of synergy
Synergy of action between the western therapeutic effect of the liquid drug producing the Pharmacologic Effect and the Acupuncture Effect produced either when this liquid drug stimulates the AP or when the needle stimulates this same AP.
This drug is precisely chosen for being the pharmacological treatment of the same health or aesthetic disorder, in western medicine.

·         This liquid drug produces also, the therapeutic/energetic effect or ‘Acupuncture Effect’ when, keeping its therapeutic/pharmacological properties it is injected into this AP.  
·         This same ‘Acupuncture Effect’ is produced when the needle is inserted into this AP as stimuli of the AP
After both the metal needle insertion and liquid drug injection into the AP, we can note:
·          ‘Acupuncture Effect’ of the AP stimulated both by metallic needle and liquid drug, Acupuncture Effect described and known since millennia on health or aesthetic disturbances, which is the goal of this treatment.  
·         ’Pharmacological Effect ‘of this liquid drug, injected into the AP.
These three Effects:  ‘Acupuncture Effect’ by needle, ‘Acupuncture Effect‘ by liquid drug, ‘Pharmacological Effect’ by liquid drug are synergistic and are a complete treatment of the health or aesthetics disorder both by acupuncture and western medicine.

But, if the ‘Acupuncture Effect' created by the liquid drug injected into the AP is, often, synergistic with the pharmacological properties of the liquid drug injected into, this is not the rule because the choice of the liquid drug obeys a second criterion: the duration of action of the AP stimulation (Acupuncture Effect) which is also the duration of pharmacological action (pharmacological Effect) of the liquid drug used.

It should be remembered that
·         The 'Acupuncture Effect' obtained by the AP stimulus is independent of the stimulus (liquid or metal or another), but dependent from the AP selected, from the therapeutic property attributed to this PA, by Chinese medicine, in the treatment of the energy imbalance, at origin of diseases in Acupuncture.
·         Acupuncture Effect and Pharmacological Effect are of same duration, both depending on the physicochemical structure of the liquid drug injected/deposited into the AP, this duration of its pharmacological action is mentioned in the pharmacopoeia.
Duration of both effects of this liquid drug is often greater than the stimulus duration from the acupuncture needle and often much higher.

In Western pharmacy, we possess long acting drugs for several weeks but with a specific pharmacological effect, in rheumatology, for example. The duration of action of this injectable medication is 3-4 weeks.
In the AP, selected for its anti-inflammatory action, injection of few drops of this drug will produce two effects, of same duration, both dependent on the physicochemical structure of this medication:
·                    On the one hand, the liquid stimulus of AP producing the ‘Acupuncture Effect’ is of 3-4 weeks of duration.
·                    On the other hand, the preserved Pharmacological Effect is of identical duration, 3-4 weeks.
It is not ethically possible to use this long acting medication, outside rheumatologic indications, for long lasting stimulation, for long lasting Acupuncture Effect, because of possible side effects, deontologically inexcusable because this liquid drug is unjustified in this indication.
Indeed, ethically, it cannot be used for long lasting Acupuncture Effect for a Patient not having a formal rheumatologic indication for this product.

A particular mention concerns Hyaluronic Acid, used for long-term stimulus of the AP, without pharmacological action. Also, Hyaluronic acid can be used for patients pusillanimous, pressed and active.

The duration of action of Hyaluronic acid is of few months, it has no pharmacological action targeted outside of a physical action of filling. It can be used for stimulation of long-term or even of very long duration, as are employed catguts or ear implants in titanium...

dimanche 3 juillet 2016

Side effect of Mesotherapy or how to ensure that it is not Mesopuncture

    Side effect of Mesotherapy or how to ensure that it is not Mesopuncture.
Collateral but beneficial effect of Mesotherapy... or is difficult to confirm that the liquid drug was not deposited/injected into an Acupuncture Point_AP.

Mesotherapy is defined by Mesotherapy Points _ MPs, which are micro-reservoirs, without any histological or anatomical structure of a liquid drug, active on the condition in treatment, injected on the superficial hypodermis/dermis or  deposited at the epidermis, of random location but facing the altered region of the body.
The points of Mesoterapia_ PMs, are created not preexist, therapist, on the entire surface of the skin covering the altered region of the body. Mesotherapy Points MPs are created not pre-exist, by the therapist, on the entire skin surface covering the altered body region.
In the COATING (nappage) version of a given skin área, no free skin space is found without PMs: PMs cover the entire skin surface of the given area. But whatever the way the MPs are created, on the same skin surface, are located, Acupuncture Points_ APs, systematized of local action.
In fact, in the same skin area, we can find three types of Acupuncture Points _ APs, of systematized location described for millennia: APs of local, regional or general action.
Only APs of local action, can be stimulated, simply, without having to resort to the foundations of Chinese medicine.
In this way, it will be easier to attribute to Mesotherapy the eventual improvement of the health/aesthetic disorder, noticed in the patient, if the PAs have not been requested: The side effect, beneficial for the patient, of Mesotherapy, to not being able or not knowing how to locate the APs, is to add to his own pharmacological treatment of Mesotherapy, an energy dimension due to the activation of APs by the liquid drug injected/deposited involuntarily into the PAs, of local action.
 The Mesopuncture
the introduction of a drug into the AP acts at the same time, as in Mesotherapy, by its pharmacological effect, and, unlike Mesotherapy, by its stimulating effect of the PA or Acupuncture Effect, two effects due to its physicochemical structure; Moreover, this acupuncture effect of the drug will last so long that the pharmacological effect of the drug described in the pharmacopoeia lasts. This acupuncture effect is added to the preserved own pharmacological effect of the drug.66
Note
For the western Pharmacopoeia, injecting a liquid drug into a cutaneous point is equivalent to a local liquid drug administration of with a particular metabolism.
 Conclusion
To give the patient the possibility during the same treatment session to take advantage of both a current treatment of Mesotherapy, and a much older treatment of Acupuncture, it is necessary to provide to the therapists on the one hand reliable documentation and on the other hand a specific vector for this treatment
Training, online, allows recognizing
·       On the one hand, the location in the skin of the APs in order to use the skin space between two APs for creation of Mesotherapy Points _MPs
·        On the other hand, the treatment the PMs either only or
in addition to this PMs treatment, the APs treatment  to which can be applied Acupuncture and Mesopuncture, without impeding prone or supine decubitus.