TITLE: Acupuncture Treating Cancer Cachexia

ISSUE DATE: November 12-15, 2000
LAST NAME: Saputra
NAME: Koosnadi
NATIONALITY: Indonesia
ADDRESS: Acupuncture Research Laboratory in Health Services, J1. Indrapura 17
ABSTRACT: abbreviation
B-4.
TITLE: Acupuncture Treating Cancer Cachexia
AUTHOR(S): Koosnadi Saputra, MD. PhD. Radiologist, Acupuncturist
KEYWORDS: Acupuncture, Cancer Cachexia
ABSTRACT:
In voluntary weight loss is a well known complication of cancer it eventually lead to cachexia, a state is characterized by low body weight, fatique, lethargy, weakness and anaemia. Patophysiology of cancer cachexia was that of a competition between host and growing tumor for nutrients, amino acid in particular.
Factor and mechanism that are thought to play a major role are the precense of an increased systemic inflamatory state, the circulation of tumor derived proteolitic and lipolytic factor, an increased cori cycle cell activity and decreased food intake.
Electrical stimulation in Zusanli (ST36), Taixi (KI3) and Hegu (LI4) influences the activity of the endocrine glands through the direct innervation, coordination and regulating of the glandular activity is release of hypothalamic, pituitary and peripheral endocrine hormones by thymus, adrenal glands decreasing plasma leptin, serotonin, corticotrophin releasing factor and increasing apetite regulation, another effect is normalize gastro intestinal mobility, increasing food absorbtion, decreasing liver gluconeogenesis and peripheral prostaglandin.
In alternative cancer treatment clinic Surabaya during August 1999 to August 2000 has data: Five biggest malignancy (N=60), 55% late stage.
Breast Cancer 16.6%
Gynaecology 15.0%
Lung 13.0%
Liver & GI 11.6%
Thyroid 10.0%
Other's 33.5%
The result is
4 times treatment for 70% patients ¡ª good reaction is naucea and GI disturbance disappear.
8 times treatment for 40% patients ¡ª increasing body weight
Clinical research of the acupuncture to treat cancer cachexia is advantages, safety and the same reaction as cancer pain relieve.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0111 LOCATION SEOUL

TITLE: Acupresure method to increase prolactin hormon in Iactation period

ISSUE DATE : November 12-15, 2000
LAST NAME: Saputra
NAME: Koosnadi
NATIONALITY: Indonesia
ADDRESS: Acupuncture Research Laboratory in Health Services, J1. Indrapura 17
ABSTRACT: abbreviation
B-5.
TITLE: Acupresure method to increase prolactin hormon in lactation period
AUTHOR(S): Koosnadi Saputra, Lestari Kanti Wiludjeng, SK. Poerwani, Agustin Idayanti, KR. Sugijono, Didik Budijanto, Herty Maryani
KEYWORDS: Acupresure, prolactin, lactation
ABSTRACT:

Objectives
This study examined the relation ship between the acupuncture of lactating mothers and linked the influence of hormone prolacting

Methods
The type of the study was experimental. This study involved 20 lactating mothers for interventions and 18 lactating mothers for control taking by simple random sampling. The intervention study were conducted in Mother and Child Hospital Surabaya as intervention and BKIA Santo Paolo Hospital Surabaya as control study.
For the intervention study, first we trained the health worker about the technical acupressure on meridian Yingchuang (St. 16), Ruzhong(St. 17), Rugen(St. 18), Shanzhong(Cv.17), Zusanli(St.36) and Hegu(Li.4). The lactating mothers were trained by the health worker about technical acupressure on the same meridian.
They do this exercise two times a day for duration 11 days (00.00 am. at the hospital and 16.00 pm.) at home. For the control group we didn't give this intervention. The blood examination (Hemoglobin EDTA) and hormone prolctin by Radioimmunoassy procedure (Coat A Count Prolactin) for pre at first time visited and post visited (at 12th days) give this intervention for two groups.

Results: The significant test (T test) for two groups were 37.1389 ng/ml at p=0.0034.

Conclusion:
The Technical acupressure on the meridian Yingchuang (St.16), Ruzhong(St.17), Rugen(St.18), Shanzhong(Cv.17), Zusanli(St.36) and Hegu(Li.4) for lactating mothers raising prolactin hormone its mean the production of breast feeding were increased.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0117 LOCATION SEOUL

TITLE: Acupuncture as a Complementary Treatment Among Heroin Addicts in Surabaya

ISSUE DATE: November 12-15, 2000
LAST NAME: Budianto
NAME: Ignatius Darmawan
NATIONALITY: Indonesia
ADDRESS: Acupuncture Research Laboratory in Health Services, J1. Indrapura 17
ABSTRACT: abbreviation
B-6.
TITLE: Acupuncture as a Complementary Treatment Among Heroin Addicts in Surabaya
AUTHOR(S): Ignatius Darmawan Budianto, MD. Psychiatrist
KEYWORDS: Acupuncture, Heroin Addiction
ABSTRACT:
There were many patients as drug users in Surabaya during the last years. Being treated with the conventional medication such as detoxification with Naloxone, etc. The author observed that acupuncture might play a role in maintaining the treatment for a certain period of time and also because it was cheaper. So we hoped that the relapse rate could be reduced or decreased by this method.
The points used were:
1. Ear acupuncture: Heart and Lung points (E100, E101), Shenmen(MA TF-1)
2. Body acupuncture: Hegu(LI4), Zusanli(ST36), Neiguan(P6), Shenmen(H7), Baihui (GV20), Taichong(LR3), Fengchi(GB20)
Among 28 patients who had been treated with acupuncture since january 2000, 98% had shown good results.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0110 LOCATION SEOUL

TITLE: Signal Transduction Profile of Acupuncture Points

ISSUE DATE: November12-15, 2000
LAST NAME: Saputra
NAME: Koosnadi
NATIONALITY: Indonesia
ADDRESS: Acupuncture Research Laboratory in Health Services, J1. Indrapura 17
ABSTRACT: abbreviation
A-5.
TITLE: Signal Transduction Profile of Acupuncture Points
AUTHOR(S): Koosnadi Saputra, MD. PhD. Radiologist, Acupuncturist
KEYWORDS: Signal transduction, Profile, Acupoints
ABSTRACT:
Background
The study of signal transduction profile of acupuncture points by biophysics, biomoleculer and nuclear medicine technique is very important to described scientific based on acupuncture points and meridians. Based on mapping meridians by single photon emission tomography to trace migration activity pattern of the isotope technitium pertechnetate various minimal dose injection(25-200 micro Ci), a biophysics research on signal transduction was done.
Material and method
Object: Human volunters, animal laboratory (mice, rat and rabbit)
Equipment: SPECT(Single Photon Emission Computerized Tomography) Sopha Medical French; Computerize software epquipment to measure electrical voltage profile product Dept. of Physic Airlangga University Surabaya. Long duration research for 10 years(1990-1999), location of research in Acupuncture research laboratory and Dr. Soetomo hospital - Dept. of Nuclear medicine, Surabaya Indonesia.
Result
Measurement of electrical voltage profile in acupuncture points by computerize software equipment after energy stimulation: mechanical, electrical, thermis, laser and sound produce intercellular process of energy and influencing ion flow and increased the electrical voltage profile in active cells in acupuncture points. Specific blockage to acupuncture points by calcium ion antagonist injection shown role of calcium ion in electrically active cells in acupuncture points.
Basic research of biomoleculer as scientific framework to match western thinking and eastern phylosophy. Acupuncture points, meridian system and visceral organ have similarity in there biomoleculer signal transduction model. Specific blockage by calcium ion antagonist decreased voltage profile and electron transmission from acupuncture points, but increasing migration activity isotop technetium pertechnate.
Conclusion
This phenomenon energy pathways from acupuncture points through meridians shown functional intercellular small molecule passage and electron transmission to explain signal transduction profile of acupuncture points and indicate promissing to develope medical technology in diagnostic, therapy and pharmaco kinetic in the future.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0112 LOCATION SEOUL

TITLE: Electrical Voltage Profile as an Indicator Organ Disfunction

ISSUE DATE: November 12-15, 2000
LAST NAME: Suhariningsih
NAME:
NATIONALITY: Indonesia
ADDRESS: Acupuncture Research Laboratory in Health Services, J1. Indrapura 17
ABSTRACT: abbreviation
A-6.
TITLE: Electrical Voltage Profile as an Indicator Organ Disfunction
AUTHOR(S): Suhariningsih, PhD.Eng.
KEYWORDS: Acupuncture point, Electrical voltage profile, Liver disfunction
ABSTRACT:
An observational comparative study on volunteers was performed to prove the relationship between liver acupuncture points and liver disfunction, by measuring its electrical voltage using biophysical methods.
Measurement of absolute electrical voltage on biologycal system may not represent true cell activity, because cell do activities in continuous process, so cell activity may change with time. Therefore it is said that healthy or unhealthy can't be measured through absolute value, because healthy or unhealthy is a process of changing activities. In biophysics process is the time function, that's why the measurement of electrical voltage absolute on acupuncture points is less exactly because it doesn't show change cell activities, beside that absolute evaluation depend strongly on individual and even for the same individu is not constant. To know the change of acupoint activities it must be measured electrical voltage profile as a function of time. The voltage measurements were done every 2 second during 5 minutes, data in form of electrical voltage profile obtained may better represent cell activity.
Fast Fourier Transform was used in this study to analyze the signal electrical voltage profile. The data were also analyzed by employing Manova.
The result of this study on 42 healthy, 42 chronic hepatitis, and hepatic cirrhosis volunteers showed that, the voltage as a function of time on the left and right BL. 18 are acupuncture points can be used to differenciate healthy people and patients suffering from chronic hepatitis, and hepatic cirrhosis condition.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0113 LOCATION SEOUL

TITLE: Electrical Impedance Profile of Acupuncture Points in Health Condition, Chrenic Hepatitis and Hepatic Cirrhosis

ISSUE DATE: November 12-15, 2000
LAST NAME: Suhariningsih
NAME:
NATIONALITY: Indonesia
ADDRESS: Acupuncture Research Laboratory in Health Services, J1. Indrapura 17
ABSTRACT: abbreviation
A-7.
TITLE: Electircal Impedance Profile of Acupuncture Points in Health Condition, Chronic Hepatitis and Hepatic Cirrhosis
AUTHOR(S): Suhariningsih, PhD.Eng.
KEYWORDS: Acupuncture point, Electrical impedance, Electrode 2 mm
ABSTRACT:
Skin is not only the outer cover of the body but the most important organ of the body, and skin impedance contains much information (Yamamoto, 1994). Therefore the bioelectrical measurement through acupoints is expected to be able to hand over information about organ condition.
The research of skin impedance and its analyse on acupoint has been done Suhariningsih (1997, 1998), by using LCRmeter, HP4284A, test fixture HP1604LS by constant current method. The research result shows that diameter electrode 1 mm and 2 mm can be developed its function as an indicator of organ disfunction.
The purpose of the research is to prove that electrical body on healthy person is difference with unhealthy person, that is by comparing electrical impedance profile (diameter electrode 2 mm) on healthy person and liver disfunction.
This research was carried out through measurement of electrical impedance on acupuncture point of healthy person(42), chronic hepatitis(42), and hepatic cirrhosis(31) by non invasive method. Measurement was done every 2 second during 5 minute, so that the data in form of electrical impedance profile was obtained.
The result of this study showed that electrical impedance can be used to differenciate healthy person and liver disfunction.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0114 LOCATION SEOUL

TITLE: Treatment of Allergic Rhinitis with Laserpuncture in Children

ISSUE DATE: November 12-15, 2000
LAST NAME: Suyanto
NAME: Eko
NATIONALITY: Indonesia
ADDRESS: Acupuncture Research Laboratory in Health Services, J1. Indrapura 17
ABSTRACT: abbreviation
A-8.
TITLE: Treatment of Allergic Rhinitis with Laserpuncture in Children
AUTHOR(S): Eko Suyanto, MD., Pediatric.
KEYWORDS: Allergic Rhinitis, Laserpuncture
ABSTRACT:
Background
Despite rapid medical advances and the availability of new pharmaceutical products, the incidence of allergic rhinitis is increasing exponentially world wide, especially with industrialization, rural to urban drift, population increase and change in life style.
Drug consumption is increasing and family and national costs are escalating. These have a significant impact on patients, employee, health care bodies and national economy. Allergic rhinitis also causes very high missed workdays, missed school days and reduced activity days. So far no intervention has been shown to be really effective.
Method
The diagnosis of allergic rhinitis is made on clinical basis. From 1997 to 1999, 88 pediatric patients were fulfilled the criteria of diagnosis and complete to study, consisted of 45 male and 43 female-ages were between 2 to 15 years.
Helium Neon Laser of 630 mm wave length, 5 m Watt was irradiated through fiber optic to acupoints: Baihui (GV20), Yintang (Ext 1), Yingxiang(LI20), Hegu(LI4) and Zusanli(St36). Each acupoint were irridiated for one minute, twice a week and 14 sessions constituted one course of treatment. During the treatment all medication were suspended, but allergen controle was advised.
Result
After one course of treatment 81 patients, 41 male and 40 female, were cured. The total effective rate was 81%. Sinus radiographic examination were performed on 7 ineffective cases and the result revealed sinusitis maxillaris in 2 patients, polypnasi in one and 4 patients were normal.
Conclusion
Laserpuncture is suitable for children because it is painless, while its effectiveness is comparable with other modalities. Laserpuncture can be a promissing alternative in treating children with allergic rhinitis.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0115 LOCATION SEOUL

TITLE: Treatment of Mild to Moderate Broncheal Asthma with Laserpuncture in Children

ISSUE DATE: November 12-15, 2000
LAST NAME: Suyanto
NAME: Eko
NATIONALITY: Indonesia
ADDRESS: Acupuncture Research Laboratory in Health Services, J1. Indrapura 17
ABSTRACT: abbreviation
A-9.
TITLE: Treatment of Mild to Moderate Broncheal Asthma with Laserpuncture in Children
AUTHOR(S): Eko Suyanto, MD., Pediatric.
KEYWORDS: Bronchial Asthma, Laserpuncture
ABSTRACT:
Background
Asthma is a leading cause of chronic illness in childhood and is the most frequent admitting diagnosis in children's hospital. Pharmacologyc therapy is the mainstay of treatment of asthma. Status asthmatius is a clinical condition indicated for ICU because of its severity and death may happen.
Method
From 1997 to 1999, 34 cases (14 boys, 20 girls) with mild to moderate asthma completed the study. Helium neon laser of 630 mm wavelength, 5m Watt was irradiated to acupoints: Tiantu(CV22), Shanzhong(CV17), Dingchuan(ext 17), Feishu(BL13), Zusanli(St36).
Each acupoint were irradiated for one minute, three times a week and 14 sessions constituted one course of treatment. Symptomatic medications were only used when required and allergen controle was advised.
Result
After one course of therapy, 33 patients showed much improvement. No asthmatic attack occurred during the treatment, asthmatic wheezing and moist rales dissappeared and the use symptomatic medications decreased until zero.
Only one patient(girl, 12 years old) continued to have moderate attack almost every day
Conclusion
Beside pharmacologic therapy, laserpuncture on certain acupoints can be an ajunct or an alternative in treating mild to moderate asthma in pediatric patients. Further follow up is needed to clearify this finding.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0116 LOCATION SEOUL

TITLE: Acupuncture Treating Obesity

ISSUE DATE: November 12-15, 2000
LAST NAME: Septriana
NAME: Maya
NATIONALITY: Indonesia
ADDRESS: Acupuncture Research Laboratory in Health Services, J1. Indrapura 17
ABSTRACT: abbreviation
A-10.
TITLE: Acupuncture Treating Obesity
AUTHOR(S): Maya Septriana, Chemist; Agustin Idayanti, MD.
KEYWORDS: Acupuncture, Obesity
ABSTRACT:
Obesity one of the problem in health status in modern people, and necessary caused psycho emotional factors. Obesity is the over body weight condition is compare to ideal weight and the sign is deposit fat tissue in the body, mostly acumulate sub cutan, intra and retroperitioneal and thoracic cavity.
Acupuncture to treat obesity patient has various theory and various points selection for thousand patient in acupuncture clinic Surabaya during 1999. In 1999, there are 220 patients acupuncture treatment with obesity cases.
The acupuncture points used were : Tianshu(ST.25), Zusanli(ST35) and Zhangmen(LR13)
Result
Prosentation for unmarried patient that success to loss weight are 66.18% and married 60.53%. For simple obesity, 52.78% to the loss weight and 60.71% for every obesity. Therapy intensity of the patient to come in the clinic is influence to success they loss body weight, less than 5 times(48%), 5 until 10 times (72.34%) and more than 10 times(64.71%).