ブリスベン鍼灸漢方クリニック QIRAKU

English page
2/665 Brunswick Street, New Farm Brisbane
TEL: 0415-586-121

症状一覧

当クリニックが得意とする一般症状

当クリニックでは、鍼灸、温鍼、漢方などを組み合わせて、様々な症状に対応します。以下はよく診る症状ですが、 このリストに載っていない症状も数多くあります。詳しくは 、 鍼灸のエビデンス または WHOで鍼灸療法の適応とされた疾患 を見ていただくか、お問い合わせください。

  • 消化器系症状(IBS、便秘、下痢、胃炎 等)
  • 筋骨格系疾患(腰痛、膝の痛み、むちうち、肩こり、テニス肘 等)
  • 神経系疾患(頭痛、自律神経失調症、不安症、不眠 等)
  • 未病(何となくだるい、食欲が落ちた、手足が冷える等、病院に行く程ではない不調)
  • 皮ふ疾患(ニキビ、アトピー 等)
  • 子どもの症状(夜泣き、おねしょ、キーキー声 等)

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当クリニックが得意とする女性の症状

当クリニックが最も得意とする、女性系の症状の一覧です。

  • 妊活サポート(自然妊娠のための体作り、IVFサポート)
  • 生理痛
  • その他の生理の問題(PMT、生理不順、無生理等)
  • 妊娠中の諸症状(つわり、腰痛等)
  • 安産のサポート
  • 産後ケア(産後の疲れ、乳腺炎、母乳が少ない等)
  • 更年期障害(ホットフラッシュ、不眠、イライラ等)

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鍼灸のエビデンス(科学的根拠)

鍼灸の最新のシステマティックレビューとメタアナリシス(最もエビデンスレベルが高い研究)を集めて、エビデンスレベルをまとめたレポートが2017年に報告されました。 検証した122の症状のうち、8つの症状でエビデンスレベルが高く、38の症状で中程度のレベルであると確認されました。
症例報告など、結果を比較する対照がない研究は、結果が良くてもエビデンスレベルが低いと見なされます。 今後質の高い研究が進むにつれて、その他の症状に対する効果も科学的に明らかになっていくと考えられます。
The acupuncture Evidence Project: A Comparative Literature Review (2017) (PDF, 1.42MB)

エビデンスレベルが高い症状:

エビデンスレベルが中程度の症状:

  • 急性の腰痛 14, 16
  • 急性脳梗塞 56, 57
  • 外来麻酔 76
  • 不安症 34, 35
  • アロマターゼ阻害薬による関節痛 73, 74
  • 大人の喘息 89, 90, 91
  • 妊娠中の腰痛または骨盤の痛み 48, 49, 50
  • 癌の痛み 41, 42
  • 癌に関連した疲労 67, 68, 69, 70, 71
  • 便秘 29
  • 開頭術の麻酔 75
  • うつ(抗うつ剤との併用) 37, 43, 44
  • ドライアイ 77
  • 高血圧(降圧剤との併用) 80, 81, 82
  • 不眠症 45, 46
  • 過敏性腸症候群(ストレスが引き起こす下痢や便秘などの症状:IBS) 78, 89
  • 陣痛 47
  • 肘側面の痛み 83, 84
  • 更年期のホットフラッシュ 63, 64, 65, 66
  • 知覚の閾の調整 97
  • 首の痛み 85, 86, 87
  • 肥満 53
  • 閉経周辺期および更年期の不眠症 65, 66
  • かかとの痛み 1, 2
  • 脳卒中後の不眠症 61
  • 脳卒中後の肩の痛み 62
  • 脳卒中後の痙縮 59, 60
  • 外傷後ストレス反応(PTSD) 36
  • 前立腺の痛み / 慢性の骨盤の痛み症候群 51, 52
  • 大腸癌切除後の回復 72
  • むずむず脚症候群 54
  • 統合失調症(抗精神病薬との併用) 37, 38
  • 坐骨神経痛 94, 95, 96
  • 肩インピンジメント症候群(初期段階)(エクササイズとの併用) 88
  • 肩の痛み 88
  • 禁煙(3か月まで) 39
  • 脳卒中リハビリテーション 58
  • 顎関節の痛み 40

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WHO(世界保健機関)で鍼灸療法の適応とされた疾患

2002年にWHOが発行した公式報告書、Acupuncture: Review and Analysis of Reports on Controlled Clinical Trialsでは、臨床対照試験の結果から、 鍼が有効とされる症状がリストされています。
WHOの報告書はエビデンスとしては古く、前述した2017年の鍼灸のエビデンスのレポートが最新です。

  • 神経系疾患
    • 神経痛・神経麻痺・痙攣・脳卒中後遺症・自律神経失調症・頭痛・めまい・不眠・神経症・ノイローゼ・ヒステリー
  • 運動器系疾患
    • 関節炎・リウマチ・頚肩腕症候群・頚椎捻挫後遺症・五十肩・腱鞘炎・腰痛・外傷の後遺症(骨折、打撲、むちうち、捻挫)
  • 循環器系疾患
    • 心臓神経症・動脈硬化症・高血圧低血圧症・動悸・息切れ
  • 呼吸器系疾患
    • 気管支炎・喘息・風邪および予防
  • 消化器系疾患
    • 胃腸病(胃炎、消化不良、胃下垂、胃酸過多、下痢、便秘)・胆嚢炎・肝機能障害・肝炎・胃十二指腸潰瘍・痔疾
  • 代謝内分泌系疾患
    • バセドウ氏病・糖尿病・痛風・脚気・貧血
  • 生殖、泌尿器系疾患
    • 膀胱炎・尿道炎・性機能障害・尿閉・腎炎・前立腺肥大・陰萎
  • 婦人科系疾患
    • 更年期障害・乳腺炎・白帯下・生理痛・月経不順・冷え性・血の道・不妊
  • 耳鼻咽喉科系疾患
    • 中耳炎・耳鳴・難聴・メニエル氏病・鼻出血・鼻炎・ちくのう・咽喉頭炎・へんとう炎
  • 眼科系疾患
    • 眼精疲労・仮性近視・結膜炎・疲れ目・かすみ目・ものもらい
  • 小児科疾患
    • 小児神経症(夜泣き、かんむし、夜驚、消化不良、偏食、食欲不振、不眠)・小児喘息・アレルギー性湿疹・耳下腺炎・夜尿症・虚弱体質の改善

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  76. Liodden I, Norheim AJ. Acupuncture and related techniques in ambulatory anesthesia. Curr Opin Anaesthesiol. 2013 Dec;26(6):661-8.
  77. Yang L, Yang Z, Yu H, Song H. Acupuncture therapy is more effective than artificial tears for dry eye syndrome: evidence based on a meta-analysis. Evid Based Complement Alternat Med. 2015;2015:143858.
  78. Manheimer E, Wieland LS, Cheng K, Li SM, Shen X, Berman BM, et al. Acupuncture for irritable bowel syndrome: systematic review and meta-analysis. Am J Gastroenterol. 2012 Jun;107(6):835-47; quiz 48.
  79. MacPherson H, Tilbrook H, Agbedjro D, Buckley H, Hewitt C, Frost C. Acupuncture for irritable bowel syndrome: 2-year follow-up of a randomised controlled trial. Acupunct Med. 2016 Mar 15.
  80. Wang J, Xiong X, Liu W. Acupuncture for essential hypertension. Int J Cardiol. 2013 Nov 20;169(5):317-26.
  81. Li DZ, Zhou Y, Yang YN, Ma YT, Li XM, Yu J, et al. Acupuncture for essential hypertension: a meta-analysis of randomized sham-controlled clinical trials. Evid Based Complement Alternat Med. 2014;2014:279478.
  82. Zhao XF, Hu HT, Li JS, Shang HC, Zheng HZ, Niu JF, et al. Is Acupuncture Effective for Hypertension? A Systematic Review and Meta-Analysis. PLOS ONE. 2015;10(7):e0127019.
  83. Gadau M, Yeung WF, Liu H, Zaslawski C, Tan YS, Wang FC, et al. Acupuncture and moxibustion for lateral elbow pain: a systematic review of randomized controlled trials. BMC Complement Altern Med. 2014;14:136.
  84. Tang H, Fan H, Chen J, Yang M, Yi X, Dai G, et al. Acupuncture for Lateral Epicondylitis: A Systematic Review. Evid Based Complement Alternat Med. 2015;2015:861849.
  85. van der Velde G, Yu H, Paulden M, Cote P, Varatharajan S, Shearer HM, et al. Which interventions are costeffective for the management of whiplash-associated and neck pain-associated disorders? A systematic review of the health economic literature by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Spine J. 2015 Nov 26.
  86. Trinh K, Graham N, Irnich D, Cameron ID, Forget M. Acupuncture for neck disorders. Cochrane Database Syst Rev. 2016(5):Cd004870.
  87. Moon TW, Posadzki P, Choi TY, Park TY, Kim HJ, Lee MS, et al. Acupuncture for treating whiplash associated disorder: a systematic review of randomised clinical trials. Evid Based Complement Alternat Med. 2014;2014:870271.
  88. Dong W, Goost H, Lin XB, Burger C, Paul C, Wang ZL, et al. Treatments for shoulder impingement syndrome: a PRISMA systematic review and network meta-analysis. Medicine (Baltimore). 2015 Mar;94(10):e510.
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