TCM – International experiences from Germany

TCM – International experiences from Germany
photo: TCM WORLD repro/MUDr. Ivan Erben
flag 24 / 11 / 2020

When using ear acupuncture, we often observe a sudden and clear subjective improvement, says the Czech doctor MUDr. Ivan Erben

Version in CN language below

 

MUDr. Ivan Erben described what the career and work of a student of the Czech Medical Faculty, who remained working in the neighbouring state of Germany (Bayreuth) immediately after graduation. He also actively uses ear acupuncture at the clinic, and has experience that it is also very beneficial in his field, ie intensive care medicine and anesthesiology. Read about acupuncture in German healthcare in our interview.

 

When did you first encounter acupuncture and other TCM methods?

In essence, immediately after joining our department. We offer an acute pain treatment service for the entire hospital. We use a comprehensive range of techniques from invasive peripheral nerve catheters and neuroaxial block, through intravenous pumps to additional modalities such as oils, aromatherapy and acupuncture. However, ear acupuncture as such did not experience a real boom at our clinic until 2017.


Do you evaluate them as an effective support for Western treatment, good prevention, placebo ...?

We almost always use acupuncture in the treatment of acute pain in combination with other modalities, and mostly in the second line. Typically in patients where the standard treatment of pain in terms of grading analgesics according to WHO I., II. and III. degrees do not appear to have an optimal effect. In these cases, we will be happy to try additional treatment, with the patient's informed consent, even due to less dangerous side effects. And it is often just ear acupuncture that we observe a sudden and clear subjective improvement.

 

Is there an accredited acupuncture education in Germany?

Yes, there is a German professional society for acupuncture. It offers various graded courses G1 to G15. To successfully complete it, you must reach a certain credit level (I suspect it is 200) in at least 24 months. The vast majority of it is filled with theory, the rest is focused on practical skills and presentation of case studies. Finally, you must pass an exam at the medical chamber.

 

Is acupuncture and other methods official part of medical care, operated in hospitals, resp. medical centers?

Yes, as I have already mentioned, we perform ear acupuncture to treat mainly postoperative pain and PC 6 stimulation on the wrist to prevent postoperative nausea (vomiting).

 


Is it covered to any extent by health insurance companies? 

As part of outpatient practice, I know that the insurance company pays for acupuncture for pain caused by degenerative diseases of the lumbar and perhaps also the thoracic spine. If the patient is privately insured, the range covered is even larger.

 

Do you continue to study sources on how to use TCM methods? In Munich, for example, there is a renowned course.

 

Not yet. My field of activity is mainly intensive care medicine, anesthesia and emergency medicine. However, from this year on, they are gradually focusing on the field of palliative medicine, and I am convinced that there could be potential for some TCM methods in this area.

How often do you encounter an interest in acupuncture and TCM methods in Germany?

Both for doctors (to provide, study) and for patients (to supplement treatment). There is interest from patients. Of course, we tell them that this is an invasive type of treatment, which has both side effects and contraindications. The whole process necessarily requires the informed consent of the patient. But in case of pain, people often do almost anything to relieve them. That is why we seldom encounter categorical rejection. Among other colleagues, including our head, there is a fundamentally positive view of the benefits of ear acupuncture. Some of them are real fans, they also deal with the issue outside of working hours. And mainly thanks to them, we managed to introduce this treatment method in our department.

By JAN HOVORKA

 

中医:德国的经验

捷克医生伊凡·埃尔本医学博士说,利用耳朵针灸,就会经常看到突然和明显的主观改善

 

伊凡·埃尔本医学博士介绍了刚毕业之后移民到捷克邻国德国的拜罗伊特去工作的捷克医学学院毕业生的生涯和工作情况。在医院里,他积极地应用耳朵针灸以及有经验,耳朵针灸对他本人的专业,即重症医学和麻醉学,有很大的贡献。阅读我们介绍针灸于德国医疗卫生制度情况的采访。

 

您是什么时候第一次接触到针灸和其他中医疗法?

基本上刚来我们科工作的时候。我们给整个医院提供疼痛的急性治疗服务。我们使用广泛的一系列技术,从侵入性的周围神经导管和神经轴阻滞到静脉注射泵到一些补充方式,如精油、芳香疗法和针灸。不过在我们医院里,耳朵针灸2017年后才遇到了真正的繁荣。

 

您对其有何评价?是个西医疗法的有效支持、好的预防、安慰剂吗?

治疗急性疼痛的时候,我们使用针灸几乎都是与其他疗法方式互相陪同的,针灸主要在第二条战线中。典型的病人是标准止痛治疗按照世界卫生组织第一、二、三级的止痛剂加强显示不理想效果的病人。在这种情况下,病人知情同意后,我们很乐意试一下补充治疗,也是因为它副作用不太危险。经常就是耳朵针灸,让我们看到突然和明显主观改善的。

 

德国有认可的针灸专业教育吗?

是的,有德国针灸专业协会。该协会组织各个级别的培训班从G1到G15。为了成功的毕业就需要至少24个月内得到指定的学分数(我觉得是200个学分)。其中大部分课程是理论,剩余的课程集中于实践技能和病案讨论。最终要在医生协会通过一门考试。

 

针灸和中医的其他疗法是否在医院、医务所或医疗中心的治疗当中作为一个组成部分?

是的,我已经提到过,我们主要用针灸于治疗手术后的疼痛,还用PC6手腕刺激作为手术后恶心的预防。

 

针灸是否到一定的程度被医疗保险公司赔偿?

在门诊实践范围内,据我所知,保险公司赔偿腰部也许也有可能连胸部脊椎退化疾病所产生疼痛的针灸治疗。要是病人还有私人保险,所赔偿的范围还要广大。

 

您还继续学习有关怎样利用中医疗法的资源吗?比如,慕尼黑有名声好的培训班。

还没有学过。我的工作领域主要是重症医学、麻醉学和紧急医学。不过从今年开始,我也一步一步地集中于姑息医学以及认为在这个领域会存在着一定的中医疗法使用的潜能。

 

在德国,您多经常遇到对针灸和中医疗法的兴趣?不仅在医生当中(提供中医治疗、学中医),而且也在患者当中(补充治疗)。

患者的兴趣是存在的。我们当然告诉他们这是一种具有副作用和禁忌症象的侵入性治疗。整个过程一定需要病人的知情同意。疼痛的情况下,人家经常为了减轻他们疼痛愿意做任何事情。于是,断然拒绝是我们少见的情况。

在其他同事们当中,包括我们科主任,多数人对耳朵针灸的贡献基本上有肯定的态度。有些人是真的针灸迷,他们连在业余时间内集中于针灸有关的问题。我们科引用了针灸疗法尤其是这些人的贡献。

 Translantion: Mgr. Vaclav Laifr, PhD

 

 

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