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FACT
Focus on Alternative and Complementary Therapies

Acupoint and meridian massage in asthma - pathy or bunkum?

Sadil V1, Sadil S2, Dolejsi I1, Eckmayr J3
1(Head: Dr. Viktor Sadil), Department of Physical Medicine
2Kurheim der VA der Österreichischen Eisenbahnen, Rablstrasse 7, Bad Schallerbach, A-4701, Austria
3Department of Pulmonary Diseases (Head: Dr. K. Mayer), General Hospital of the Sisters of Mercy of the Holy Cross, Grieskirchner Strasse 42, Wels, A-4600, Austria

Objective

After two patients had shown us photocopies of a note published in one of Austrian’s tabloids claiming that Akupunktmassage nach Penzel “cures” asthma, we decided to evaluate the effects of this therapy on pulmonary function tests in a modified double blinded, randomized prospective study.

Material and methods

Only patients with stationary asthma were chosen for the study. After informed consent, 39 patients were randomly assigned to two groups. The verum treatment consisted of transcutaneous stimulation along the course of the meridian(s), according to the actual state of Yin and Yang (22 patients). Placebo treatment consisted of doing the contrary: we increased hyperactivity where there had already been hyperactivity and vice versa (17 patients). As there was no evidence found in literature confirming the effects (or side effects) of Penzel’s therapy, our ethics committee approved the study without restrictions. Therapy was limited to 5 sessions. Before and after each therapy pulmonary function tests were made (17 parameters). In addition, patients had to evaluate the effect on a 10 cm-visual analogue scale.

Results

No differences between the verum and placebo group have been found as far as the pulmonary function test parameters are concerned. In the verum group for example the mean FEV1 was 2.12 before and 2.18 after therapy. In the placebo group the mean FEV1 was 2.10 and 2.12 respectively. In VAS evaluation both the verum and placebo group showed some improvement: the difference was +0.8 cm and +0.5 cm in the verum and placebo group respectively. These differences were significant (p=0.035).

Conclusion

As no significant differences in pulmonary function tests could be shown, the effects of acupoint and meridian massage in asthmatic patients seem to depend mainly on a placebo response as far as the pulmonary function tests are concerned. As patients experienced both the verum and placebo treatment as beneficial, Penzel’s therapy may be an effective but expensive additional treatment in the holistic approach to asthma.

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