The Points Of International Standardization Present Situation Analysis And Countermeasure Research

The diagnosis and treatment of auricular acupuncture points (AAP), one of the most popular therapies in micro-acupuncture system in the subject of acupuncture-moxibustion, was a therapy of acupuncture-moxibustion, which was proved to have prominent clinical therapeutical effect and extensive application scope. There were different auricular schools in China, America, France, Germany and Italy. China, the origin of AAP, started the standardization of AAP in the late1980s. China published the following standards, Nomenclature and Location of AAP (GB/T13734-92), Nomenclature and Location of AAP (GB/T13734-2008to replace the former one), Auricular acupuncture-the3rd part of The Manipulation Techniques criterion of Acupuncture-moxibustion, Health Care Massage on the Ear-The TCM Health Care Manipulation Techniques. The World Federation of Acupuncture-moxibustion Societies published her profession international standard of acupuncture-moxibustion-Nomenclature and Location of AAP. At the same time, France proposed the universal nomenclature of Auriculotherpy. Experts from America, France, Germany, Italy proposed their projects respectively, having the intention to compete for ISAAP.Objectives:To supply enough literature evidences for developing a unified project of ISAAP and maintain the leadership of tradional Chineses medicine, acupuncture-moxibustion and AAP in international research.Methods:From searching the Chinese database of CNKI and VIP, forein languages databases of pubmed and NSTL and the German Journal of Acupuncture (DZA in Germany) from the year of1990to April,2012, and from collecing the document of internation symposium of AAP, the reference was formed. The key word was "auricular points","auricular acupuncture points","ear points" or "auriculotherapy". This research sorted out systematically the development of auricular acupuncture points (AAP) home and abroad from the perspective of literature collection, clarified the process of the boost of international standardization of auricular acupuncture points (ISAAP), made an analysis of the existing condition of ISAAP and supplied countermeasures, based on comparing, contrasting the document of all previous symposium of ISAAP and integrating the latest research, in the purpose of giving enough literature evidence and making a unified plan for ISAAP. Results:AAP was a hot field for scientific research ghome and abrod. The basic and clinical research of AAP was undertaken in China, America, France and Germany. The clinical research of AAP was done in Italy, Austria, Switzerland, Spain, England, Holland, Japan, Russian, African countries. AAP was applies extensively around the world. The process of the boost of IS AAP included three stages. Firstly, it is the period between the year1982and1990, several symposiums on ISAAP were organized by WHO, which accelerlated the course of ISAAP. Secondly, it was the time from the year of1990to2009when AAP was developed on a large scale in different countries or regions. Therefore, it could be called the development stage of ISAAP. China once published the national standard of nomenclature and location of AAP in1991and revised it and re-published in2008. However, AAP research was truly communicated internationally and the scientific achievement was not really shared internationally. The3rd stage was the phase from2010to now, the world federation of Acupuncture-Moxibustion Societies (WFAS) recommended a document ISAAP-Nomenclature and Location of AAP. It was the1st international traditional Chinese medicine standard. It provided a solid basis for ISAAP and a draft to international standard organization (ISO). The3rd part was analysis of the existing condition and countermearsure. Based on grasping the latest development of AAP home and abroad, main academic shools of AAP and the process of ISAAP and the problems of boosting the process ISAAP, it was suggested that experts needed to unearth the common points of different countries or regions, provide evidence on different ideas and list the proposal as a recommendation in the standard.Conclusions:1. Nomenclature and location of AAP, an ocupational international standard, published by WFAS, embodied the crystallization of AAP research home and abroad. It was recognized by experts. It was believed that it would effect as a language communication in international academic communication and dissemination of AAP, promote the fundamental research, clinical research and spread of AAP, for the purpose of being an extensively accepted therapy by the people around the world.2. The following points were put forward to promote the process of ISAAP. Firstly, insisting on the emphasizing of auricular anatomy, wide spread, the principle of nomenclature, practical and accurate record. Secondly, a common language should be built among the international experts in the field of AAP. Thirdly, common points should be dug out completely. Fourthy, the international standard of channel points should be imitated on the different locations of AAP. Fifthly, the auricular zone should be firstly made a concensus, on which it was based, clinical application of AAP should be emphasized and the clinical and preclinical research of specificity should be improved and integrated with international advanced scientific method in order to note the specifieness of AAP. Finally, China could accept that the triangular fossa can be divided into6zones, and that cavum conchae can be divided into9zones for the reason that in the international standard published by WFAS, the lung zone was much too big. Four tagents could be made in order to make the circle (heart) be an inscribed circle, which can divide the cacvum caonchae into9sub-zones. It was easy to communicate internationally.