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Patients may present with a complaint that may simultaneously be identified in Phase 1, 2, and/or 3. Some question
if this is “logical”. However, we routinely see this multi-layered pathophysiology present even in conventional medicine.
For example, when a patient experiences low back pain, many clinicians will find and treat a point on the inferior
antihelix, corresponding to the Phase 1 lumbar region. This corresponds to the functional and energetic aspect of the
pathophysiology, as may be seen with the patient’s current strain or pain being experienced; it is a very energetic or
functional problem. Additionally, the clinician may also find a Phase 2 point representing the dense or degenerative
nature of the patient’s low back problem, perhaps indicative of facet arthropathy, degenerative disc disease, or similar
pathology. Finally, a Phase 3 point may be identified if the pathophysiology of the low back problem is of an intermediate
or inflammatory nature for the latter. Clearly many patients present with two or three of these projections, rather than
simply in the Phase 1 projection, representing that pathophysiology may be expressed as one or more phases at any
given time. Importantly, treatment of each Phase point that is active will lead to enhanced clinical response.
In conclusion, treatment of Phase 1, 2, and/or 3 points, when active, will lead to enhanced clinical response to
treatment, rather than treating only the common Phase 1 points of the “inverted fetus” projections. While there is no
indication nor need to treat the points in each phase if they are not active, it is critical to treat each point of the 3
phases, whichever are active, for optimal clinical effect.
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COMBINING ACUPUNCTURE, MOXIBUTION AND ORTHOMOLECULAR MEDICINE METHODS IN THE
TREATMENT OF VITILIGO
Emil Iliev
Department of Acupuncture, Medical University, Sofia, Bulgaria
Vitiligo (Baibo Feng) is a relatively common dermatological disease with unclear pathogenesis and etiology, which
can be hardly treated with the methods of Western Medicine. The Traditional Chinese Medicine has no fluent concept
of its etiology as well. Most of the Chinese Traditional Medicine scientific sources recommend internal treatment to
affect the three main pathogenetic patterns: syndrome due to stagnation of Liver Qi, syndrome due to deficiency of
liver and kidney; and the syndrome due to blood stagnation in meridians.
Objectives: Our study represents the effect of combined treatment regimen, which includes acupuncture and
moxibustion in association with topical and oral application of Vitix ® , a medication, containing ortomolecular
substances. 32 subjects were enrolled in the study (23 women, and 9-men) that was conducted for a period of 3
months. Two courses of 15 acupuncture sessions were applied with a break of 30 days.
The results showed good response in 14 patients, moderate improvement in 3, and no response in the rest of the
subjects. One patient had vitiligo and sclerodermia circumscripta (morphea), which both responded well to therapy.
Conclusions: The combined method of TCM treatment could be used with some success in the complex
therapeutic algophythm for vitiligo patients.
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