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Traditional Chinese Medicine is a whole medical system, with its own set of practices with regards to diagnosing and treating patients.
Health in Chinese Medicine theory (Discover Acupuncture - A Complete Healing Guide, 2006) is a balance and flow of life energy or forces: the strong and smooth flow of the qi, a metaphysical vital life force, and equilibrium of the opposing yin and yang forces. Acupuncturist Daniel Deng also appears in the documentary and says that although there are traditionally 365 acupoints (where the qi can be manipulated), up to 2000 points can be used to correct an imbalance which may result from too much or too slow a flow of qi or if the qi is being diverted to the wrong organ. There are different variations of acupuncture, all of which manipulate the flow of qi in the meridians. Other rarer variations of acupuncture include laser acupuncture, which uses laser to stimulate acupoints (Discover Acupuncture - A Complete Healing Guide, 2006), electro-acupuncture, which uses electricity (Watson, et al., 2005), auricular acupuncture, which is acupuncture done solely on the ears, and moxibustion, which involves smouldering a substance called moxa on the needles while it is inserted in the skin (Acupuncture Today, 2011). A systematic review of studies of CAM use in cancer patients (Cohen, et al., 2005) concluded that although studies on pain control are generally promising, there is conflicting evidence, but the antiemetic (anti-nausea) effects of complementary acupuncture are very promising.
Further evidence to suggest that complementary acupuncture is effective in palliative care was concluded by a pilot study in Canada (Lim, et al., 2011) that shows that acupuncture reduced pain by an average of 30% after each acupuncture session, in contrast to 5% reduction of pain in a nurse-led conventional supportive care group.
A larger (n=90) randomised controlled trial (RCT) comparing complementary auricular acupuncture and placebo auricular acupuncture (Alimi, 2003) showed that pain intensity after two months of treatment was decreased by 36% the ear acupuncture group and by 2% in the placebo group.
Based from these studies, one can conclude that acupuncture is best given as a complementary therapy as opposed to an alternative therapy.
But it is not enough to see that it can work effectively to control the pain as this is unreliable. A study done on the side effects of morphine and pirinitramide showed that 75% of patients feel sedated, 30% of patients feel nausea, 16% have vomiting and 9% of patients have itching as a side effect (Breitfeld, et al., 2003). Based from self-care books about acupressure (Shen, 1996), by massaging the relevant channels (meridians), acupoints and carefully chosen pain-relief points, pain is relieved, removing Qi-blood stagnation, opening the channels and restoring the balance of yin and yang. These books as well as the Oxford Handbook of Palliative Care (2005) also say that acupressure and tui-na massage increases quality of life in palliative care by relieving nausea, anxiety, depression and low mood, and this is corroborated by Cassileth, et al. Research at the Chang Gung Institute of Technology in Taiwan (Jane, et al., 2009) concluded that massage aids in the pain relief of metastatic bone pain both immediately and in the long term. The general consensus is that massage therapy works well to alleviate most of the symptoms of palliative care and would make a good adjunctive therapy for those who need pain relief, and this is corroborated by a report from the American Massage Therapy Association (2009), backed up by numerous reliable RCTs. Current evidence shows a lack of conclusive evidence for massage efficacy but shows that it is one of the safest therapies in TCM, and its suitability for palliative care pain relief warrants further studies comparing acupressure and tui-na massage with conventional care in RCTs. Although the nature of the therapy seems to be painful, the converse is true, and in fact, the microcirculatory effects of gua sha treatment seem to be part of its inexplicable physiological effects of pain relief (Nielsen, et al., 2007). Just like massage therapy, there is a lack of evidence for its efficacy since it seems to be very much enshrouded in cultural practices. An RCT done in Germany (Braun, et al., 2011) concludes that gua sha is beneficial in the short term for chronic neck pain, but more evidence is needed to verify its long-term capabilities.
A case study on one person (Schwickert, et al., 2007) reported that a patient found gua sha effective in the treatment of migraine.
Current evidence shows a lack of conclusive evidence for the efficacy of gua sha in pain relief palliation. Herbal medicine is based on concepts of yin and yang as well as the six excesses (Watson, et al., 2005). One book (Leung, 2007) says that Chinese herbal medicine is effective as a supporting care for cancer patient to reduce symptoms, including pain, and mentions studies that show an efficacy of reducing pain by over 90%, however the study that was mentioned cannot be found on search engines both online and for journals, which may show that this source is unreliable. Indeed, many pain relief herbal medicines used in TCM are actually toxic (Xu & Wang, 2002). Although unlikely to be used by TCM practitioners in the UK, some traditional remedies involve the use of powdered leeches and centipedes (Acupuncture Today, 2011), which both have toxic properties.
Evidently, one of the greatest issues of Chinese herbal medicine is its basis in cultural practice. The customer must consider the repayment conditions, as an example the check, rate of curiosity along with repayment dates pay day uk there are five reasons to take a loan online best place to buy a used car : easy.
His research interests mainly focus on the translational research in Chinese medicine, including pharmacological and clinical evaluation on rheumatoid arthritis with TCM pattern diagnosis and interventions, and development of new drugs based on Chinese medicines.
Prof Lu has published more than 30 books and over 500 articles, including 200 articles in SCI journals such as Nature Medicine, Nature Communication, Biomaterials, Briefings in Bioinformatics, Clinical Pharmacology and Therapeutics, Scientific Reports, Journal of Proteomic Research.
Li D, Liu J, Guo B, Liang C, Dang L, Lu C, He X, Cheung HY, Xu L, Lu C, He B, Liu B, Shaikh AB, Li F, Wang L, Yang Z, Au DW, Peng S, Zhang Z, Zhang BT, Pan X, Qian A, Shang P, Xiao L, Jiang B, Wong CK, Xu J, Bian Z, Liang Z, Guo DA, Zhu H, Tan W, Lu A, Zhang G. Tan Y, Liu X, Zhou K, He X, Lu C, He B, Niu X, Xiao C, Xu G, Bian Z, Zu X, Zhang G, Zhang W, Lu A. Zhang B, Fu Y, Huang C, Zheng C, Wu Z, Zhang W, Yang X, Gong F, Li Y, Chen X, Gao S, Chen X, Li Y, Lu A, Wang Y. Jiang M, Zha Q, Zhang C, Lu C, Yan X, Zhu W, Liu W, Tu S, Hou L, Wang C, Zhang W, Liang Q, Fan B, Yu J, Zhang W, Liu X, Yang J, He X, Li L, Niu X, Liu Y, Guo H, He B, Zhang G, Bian Z, Lu A. Fatima S, Shi X, Lin Z, Chen GQ, Pan XH, Wu JC, Ho JW, Lee NP, Gao H, Zhang G, Lu A, Bian ZX. Jiang F, Liu B, Lu J, Li F, Li D, Liang C, Dang L, Liu J, He B, Badshah SA, Lu C, He X, Guo B, Zhang XB, Tan W, Lu A, Zhang G.
Li P, Huang C, Fu Y, Wang J, Wu Z, Ru J, Zheng C, Guo Z, Chen X, Zhou W, Zhang W, Li Y, Chen J, Lu A, Wang Y. Chen GQ, Tang CF, Shi XK, Lin CY, Fatima S, Pan XH, Yang DJ, Zhang G, Lu AP, Lin SH, Bian ZX. Liu J, Dang L, Li D, Liang C, He X, Wu H, Qian A, Yang Z, Au DW, Chiang MW, Zhang BT, Han Q, Yue KK, Zhang H, Lv C, Pan X, Xu J, Bian Z, Shang P, Tan W, Liang Z, Guo B, Lu A, Zhang G. Liang C, Guo B, Wu H, Shao N, Li D, Liu J, Dang L, Wang C, Li H, Li S, Lau WK, Cao Y, Yang Z, Lu C, He X, Au DW, Pan X, Zhang BT, Lu C, Zhang H, Yue K, Qian A, Shang P, Xu J, Xiao L, Bian Z, Tan W, Liang Z, He F, Zhang L, Lu A, Zhang G. Deng Y, Yang M, Xu F, Zhang Q, Zhao Q, Yu H, Li D, Zhang G, Lu A, Cho K, Teng F, Wu P, Wang L, Wu W, Liu X, Guo DA, Jiang B. Kwan HY, Niu X, Dai W, Tong T, Chao X, Su T, Chan CL, Lee KC, Fu X, Yi H, Yu H, Li T, Tse AK, Fong WF, Pan SY, Lu A, Yu ZL. He YX, Liu J, Guo B, Wang YX, Pan X, Li D, Tang T, Chen Y, Peng S, Bian Z, Liang Z, Zhang BT, Lu A, Zhang G. Our combined classroom and clinical training methods encompass traditional as well as modern approaches to TCM. TSTCM delivers the high standard of education required to meet licensing requirements in Canada and the United States. Development of Molecular Targets for Drug Discovery from TCM for Neurodegenerative Diseases. AYInvestigation of the Efficacy and Safety of TCM in the Treatment of Neurodegenerative Diseases including PD and AD based on Randomized Controlled Clinical Trials, as well as the Interaction of TCM and Western Medicine. Understanding the Neuroprotective Effects and Underlying Mechanisms of TCM on Neurodegenerative Diseases including PD and AD. Studying the Protective Effects and Underlying Mechanisms of TCM on Vascular Endothelial Cells by in Vitro and in Vivo Models. Description: Accredited Chinese Acupuncture school founded by Taoist Master Zhang to perpetuate the teachings of the Tao Te Ching and the 6 Taoist Arts of the Zhou Dynasty.
According to an interview with Dr Zheng Jin, a senior doctor of TCM, it is a complete medicine system comparable to modern western medicine.
These forces and energies are unproven and do not exist from a conventional scientific point of view. To treat pain, a combination of one or more of these treatments is given: acupuncture, Chinese herbal medicine, tui-na massage or acupressure, gua sha scraping therapy and qi gong (which is not appropriate in a palliative care setting due to its exercise and self-care nature and therefore will be discounted). Roger Jahnke (Chinese Medicine practitioner and author of TCM book The Healer Within), involves the insertion of needles at particular points on meridians to clear blockages through the meridians, which are linked to organs of the body (Discover Acupuncture - A Complete Healing Guide, 2006).
He says that in TCM, fine, sterilised needles are inserted in a painless and bloodless procedure. Cupping therapy, an alternative to acupuncture, is the use of a vacuum or a partial vacuum inside a cup placed upturned on the skin to cause local hyperaemia (the increase of blood flow to the skin), which promotes the free flow of qi and stimulated points. Laser acupuncture is used mainly for ligament pains and orthopaedic diseases (Schuller & Neugebauer, 2008). The antiemetic effects of acupuncture can be used as an adjuvant (an add-on to analgesics), which would help to increase general well-being and increase quality of life.

In general, total symptom scores reduced by 22% after each acupuncture visit in contrast to 14% after each supportive care visit. This is more statistically significant than Lim, et al., especially as the groups were blinded from the therapy given. 2005 are all studies done on complementary acupuncture (done in conjunction with conventional medicine) that show promising evidence for acupuncture in pain relief. This is a conclusion that is supported by Minton & Higginson (2007) and other small studies reviewed by Cassileth, et al.
Due to the heterogeneous nature of pain, although some patients may respond well to complementary acupuncture and need less medication, others may require the same amount of analgesics, which means that the side effects of analgesics would remain the same. Just as acupuncture involved stimulating the acupoints, acupressure involves firm manual pressure on these points to act like the needles. Another book (Shone, 2011) says that the aim of massage for pain relief is to relieve muscle tightness and spasms, increase blood flow, stimulate or relax the nervous system and release toxic substances from the body in order to reduce stress.
The systematic review Ernst (2009) determines that massage can alleviate a wide range of symptoms found in palliative care including pain. Metastatic bone pain is a feature of advanced cancer, which terminally ill cancer patients would have.
Based from this data, I have taken into account other types of massage that is used in palliative care pain relief and extrapolate from the data. As the nature of the therapy involves forming petechiae, gua sha should be contraindicated in patients with clotting disorders and scraping should not be done on sites of ulcers or tumours.
Although the RCT has a small sample size (n=48), it corroborated with other evidence that gua sha is a safe treatment, having not reported any adverse events.
Due to the nature of the therapy, the lack of evidence and unsuitability for a palliative care setting, current evidence does not warrant further studies on gua sha and should not form part of pain relief in palliative care in the NHS.
As TCM aims to treat the excesses rather than the physiological cause of the disease, the chemicals in the herbs used can have adverse effects that do not aid in treating the condition. Misidentification of herbs could occur easily due to language barriers, which could lead to toxicity and contamination, especially since a mix of herbs is usually given. Also he is the director of Chinese Medicine Standardization Office in State Administration of Traditional Chinese Medicine (SATCM), and the director of Chinese Medicine Standard Research Center in CACMS. Also he is actively involving the research on the standardization of Chinese medicine and strategic plan research for Chinese medicine development in China. A single marker choice strategy in simultaneous characterization and quantification of multiple components by rapid resolution liquid chromatography coupled with triple quadrupole tandem mass spectrometry (RRLC-QqQ-MS).
New strategy for drug discovery by large-scale association analysis of molecular networks of different species.
Toward targeted therapy in hemotherapy-resistant pancreatic cancer with a smart triptolide nanomedicine. A systems pharmacology approach to investigate the mechanisms of action of Semen Strychni and Tripterygium wilfordii Hook F for treatment of rheumatoid arthritis. Molecular network-based analysis of guizhi-shaoyao-zhimu decoction, a TCM herbal formula, for treatment of diabetic peripheral neuropathy. 5-Hydroxytryptamine promotes hepatocellular carcinoma proliferation by influencing β-catenin. Progress and Challenges in Developing Aptamer-Functionalized Targeted Drug Delivery Systems.
Tetramethylpyrazine identified by a network pharmacology approach ameliorates methotrexate-induced oxidative organ injury. Conotoxin αD-GeXXA utilizes a novel strategy to antagonize nicotinic acetylcholine receptors.
The Crosstalk of Pathways Involved in Immune Response Maybe the Shared Molecular Basis of Rheumatoid Arthritis and Type 2 Diabetes. Enhanced evidence-based chinese medicine clinical practice guidelines in Hong Kong: a study protocol for three common diseases.
Aptamer-functionalized lipid nanoparticles targeting osteoblasts as a novel RNA interference-based bone anabolic strategy. Metabolomics profiling to investigate the pharmacologic mechanisms of berberine for the treatment of high-fat diet-induced nonalcoholic steatohepatitis. Multi-scale modeling of cell survival and death mediated by the p53 network: a systems pharmacology framework. Gender-Related Differences in Outcomes on Acupuncture and Moxibustion Treatment Among Depression Patients. A delivery system specifically approaching bone resorption surfaces to facilitate therapeutic modulation of microRNAs in osteoclasts. Enhanced evidence-based Chinese medicine clinical practice guidelines in Hong Kong: a study protocol for three common diseases. Lipidomic-based investigation into the regulatory effect of Schisandrin B on palmitic acid level in non-alcoholic steatotic livers. Src inhibitor reduces permeability without disturbing vascularization and prevents bone destruction in steroid-associated osteonecrotic lesions in rabbits. This is an opportune time for you to be considering a career in Traditional Chinese Medicine (TCM) and Acupuncture, as the Ontario government is currently in the process of regulating the profession to meet increasing demand for more patient-centered health care. More and more patients are looking for alternative and complementary treatments such as acupuncture and TCM to treat illness, promote health, and prevent disease. TCM is a distinct and comprehensive medical system that has been practiced for thousands of years in China. Our curriculum, instructors, and teaching methods are designed to give you the most comprehensive and rewarding educational experience possible. They are innovative and effective – all provided within a supportive and inspiring environment. So, join us at the Toronto School of Traditional Chinese Medicine and let us help you on your journey to a challenging and rewarding career! LI Min obtained her Bachelor's degree from the Henan University of Traditional Chinese Medicine (TCM), China, in 1985, her Master's degree in Chinese Medicine at the Guangzhou University of Chinese Medicine, China, in 1988 and her PhD degree in Cardiology at the School of Medicine, Tokai University, Japan, in 2001. In TCM, diseases and conditions, like pain, occur because of an imbalance of the yin and yang, or the stagnation or excessive build up of the qi (Ergil, 2009); the ultimate aim is to restore that equilibrium. In the documentary, Jahnke says that acupuncture is an ancient therapy, developed over thousands of years, and it is slowly being embraced by western.
They are then rotated whilst inside the skin to manipulate the meridians and numbness and tingle, along the meridians and on the point may be felt. This is useful for muscle aches and pains as the therapy causes tense muscle tissue to relax. These variations of acupuncture are rarely used and there have been little to no evidence of their efficacy in palliative pain relief or their side effects. As most palliative care patients have cancer, this study may be more reliable than the Liguori, et al.
The study revealed that acupuncture had an immediate effect on all symptoms, but nurse-led supportive care had a larger positive effect six weeks after the initial session.
These conclusions are also corroborated by a systematic review (Lee, et al., 2005) which stated that the Alimi, 2003 trial was of very high quality due to its randomised, controlled and single-blinded nature. However, a study done on alternative acupuncture (done to replace conventional medicine) shows that acupuncture is relatively ineffective compared to therapeutic massage and self-care (Cherkin, 2001) for chronic low back pain. What is important is that acupuncture as a complementary therapy would help to increase the quality of life of the patient by also reducing the need for analgesics as it has been determined that acupuncture has less significant side effects (though it may have less efficacy) than conventional care, as this is a major tenet in palliative care. This is also corroborated by evidence in 2010 (William), which showed a 21% reduction fentanyl needed during surgery. Having a history over 4,000 years old (Watson, et al., 2005), acupressure is used mainly in treatment of lymphoedema, anxiety, insomnia, back pain and insomnia, all of which can feature in a palliative care patient. However, the evidence is not compelling due to the limitations of studies that the review looked into.
The main physiological effect on the body is formation petechiae, which are red or purple marks that occur as a result of minor blood vessels like capillaries breaking at the skin surface.

From this study, it seems that herbal medicine cannot be used (at least until rigorous clinical studies are done) as a complementary therapy as the efficacies of conventional medication may be reduced, as well as possibly increasing their side effects. For example, chuan xiong and yan hu suo are both herbs, from rhizomes and tubers respectively, which both cause nausea and vomiting. Furthermore, the quality of the herbs is not regulated, and until there is a system of checking and maintaining the quality of herbs and their safety, TCM herbal medicine must not be used in palliative care pain relief. Analgesic effect of auricular acupuncture for cancer pain: A randomized, blinded, controlled trial. Randomized trial comparing traditional Chinese medical acupuncture, therapeutic massage, and self-care education for chronic low back pain.. Ltd (National Pharmaceutical Engineering Centre for Solid Preparation), one of four centres in China in the field of Traditional Chinese Medicine industry.
One is the General Guidelines for Clinical Practice guideline in Chinese Medicine issued by Chinese Association of Chinese Medical Sciences, and other 2 related to Chinese medicine Coding Systems issued as national standards.
It is composed of fundamental theory, unique diagnostic methods, and a variety of treatment modalities, including acupuncture, Chinese herbal medicine and tuina massage.
In order to do so, qi must be manipulated using therapies by accessing and influencing meridians, which are lines of energy through which qi flows. Also in the documentary is Chris Zaslawski, director of the College of TCM at the University of Technology in Sydney, Australia. This tingling or electrical sensation has been mentioned in an interview with Anne de Carteret (see Appendix). Cupping therapy seems to be unsuitable for palliative pain relief as a result of the bruising and hyperaemia that occurs and this thus therapy would be contraindicated in most patients. The study, which was reliable due to its use of randomly-assigned comparison groups, also concluded that acupuncture is more cost-effective than conventional care. This RCT had a large sample size (n=262) and compared a group who received acupuncture with a group who received therapeutic massage and a group who received self-care educational materials.
Tui-na massage is exactly the same as acupressure, but it is a type of massage that stimulates meridians and is not exclusively based on pressing on points. A later systematic review (Sertel, et al., 2010) showed that massage therapy significantly relieved pain of cancer patients. Jin’s herbs were formulated in China, using only plant matter (flowers, leaf stalks, seeds and roots), which is essentially a form of phytotherapy, based on cultural practice.
It has been shown that the effects of Chinese herbal medicine are similar to conventional medication but without the side effects of conventional drugs, and it has been found that Chinese herbal therapy may reduce the adverse effects of conventional analgesics, both in frequency and in incidence, which would enhance cancer patients’ quality of life.
Some herbs like garlic, ginger, gingko and ginseng possess anticoagulant effects; many palliative care patients use heparin, warfarin, aspirin or other anticoagulants so there are many hidden dangers due to interactions and overdoses. Ru xiang, frankincense, is also used for pain relief, but it can lead to vomiting and abdominal pain as it can be toxic. Effectiveness of traditional Chinese "gua sha" therapy in patients with chronic neck pain: a randomized controlled trial.
Acupuncture as Palliative Therapy for Physical Symptoms and Quality of Life for Advanced Cancer Patients. Effects of a full-body massage on pain intensity, anxiety, and physiological relaxation in Taiwanese patients with metastatic bone pain: a pilot study.
Comparison of pharmacological treatment versus acupuncture treatment for migraine without aura - analysis of sociomedical parameters.
The York acupuncture safety study: prospective survey of 34000 treatments by traditional acupuncturists. Electroacupuncture as an adjunctive treatment to control neuropathic pain in patients with cancer.
The effect of Gua Sha treatment on the microcirculation of surface tissue: a pilot study in healthy subjects. A randomised controlled trial of acupuncture care for persistent low back pain: cost effectiveness analysis. Gua Sha bei Migrane in der stationaren Entzugsbehandlung von medikamenteninduziertem Kopfschmerz.
An investigation into the effect of Cupping Therapy as a treatment for Anterior Knee Pain and its potential role in Health Promotion. Lu is also the member of Hong Kong Chinese Medicine Development Committee, the member of Hong Kong Chinese Medicine Administration Committee, the member of Biology and Medicine Panel in Hong Kong Research Grant Committee (RGC). As the head or deputy head, he led a team and completed several strategic research reports, including Health China 2020, the 13th Five Year Planning on Chinese Medicine Research in NSFC, strategic planning for Chinese medicine standardization (both domestic and internal). An increasing quantity of research is proving its effectiveness and more and more people are experiencing the benefits of this ancient and natural system of medicine. He says that acupuncture uses stainless steel needles to manipulate the channels of energy and change the balance of yin and yang. Up to 15 needles may be used in one session, where the needles are left in the skin for up to 15 to 20 minutes.
Evidence is warranted for laser and auricular puncture, which both have a low incidence of side effects; however, this may due to its lack of use, as opposed to randomised controlled trials (RCTs) with large sample sizes showing little to no side effects. After 10 weeks, massage came out best, with acupuncture only slightly more effective than the self-care group.
A significant decrease in symptom severity was seen for pain, as well as fatigue, depression, anxiety and insomnia, both of which contribute to the psychological aspect of pain. Further evidence to support the efficacy of acupressure for pain relief is determined by a reliable Cochrane review (Furlan, et al., 2008) which showed that acupressure provides more relief from low-back pain than classic massage.
Another study on the safety and efficacy of massage therapy for cancer patients (Corbin, 2005) also concludes that massage therapy is the easiest to integrate into conventional care and its strongest benefits are for stress and anxiety reduction (up to 52% anxiety reduction), but it also has benefits in pain control and other cancer symptoms (an average of 50% in reduction of all symptoms).
There are around 300 different herbs, of which up to 15 different types can be selected for the treatment.
Furthermore, the variety of the route of administration (topical, oral and intravenous) of Chinese herbal therapy makes it suitable for treating pain in cancer patients. Integrative Pain Medicine: The Science and Practice of Complementary and Alternative Medicine in Pain Management. Acupuncture: Role in Comprehensive Cancer Care - A Primer for the Oncologist and Review of the Literature. Cost effectiveness analysis of a randomised trial of acupuncture for chronic headache in primary care.
Over the years, he obtained more than 60 patents from his research activities.He was invited to serve as Visiting Scholar in a number of institutions including Lund University in Sweden, Ohio State University in the United States, Hong Kong Polytechnic University and Hong Kong University of Science and Technology. Although acupuncture is safe in general, there have been some side effects when practitioners are not practising the therapy correctly including bruising, fainting and bleeding around the acupoint. Again, this study had a small sample size (n=20), but further provides evidence supporting acupuncture in palliative care.
Life satisfaction was higher during complementary palliative acupuncture than conventional palliative care, and stayed high 12 weeks after treatment, showing that the acupuncture group had a better quality of life than the control conventional care group. Based on his outstanding research achievement, Prof Lu was invited as guest speakers in various international academic conferences. Similar results were found in a study of patients in a hospice (Leng, 1999) in which 62% of patients with pain (n=50) had an excellent or good response to acupuncture, which is corroborated by a similar trial in 2008 (Kaufmann & Salkeld, 2008), in which there were also improvements in psychological, social, and spiritual domains, which are important factors to take into account. Is there a role for acupuncture in the symptom management of patients receiving palliative care for cancer?
LI’s clinical specialty is in Chinese medicine treatment of neurodegenerative diseases, including Parkinson's disease (PD), Alzheimer's disease (AD) and vascular dementia (VD), as well as on cardio-cerebrovascular diseases.

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