健康管理Holistic

#指標管理：

彼得潘整體健康照護體系每年指標。彼得潘整體健康照護體系每月指標。

產品服務管理 .行銷策略管理.財務金融管理.人力資源管理.資訊科技管理.研究發展管理.

經營發展委員會.                                                  品質管理委員會.

@彼得潘整體健康研究與統計:

成效追蹤部份，原儀器檢測數值加上基本體態身高H(cm)，體重BW(kgw)，體脂BF(%)，內臟脂VF(cm2)，骨骼肌率SM(%)，基礎代謝率BMR(kcal).基本生命徵象血壓BP(mmHg)，心率HR（b/m），心律Arrthymia，體溫BT(C)，血氧O2(%)，血糖Glu(mg/dl).，醣化血色素HgA1C(%)，血色素HB(g/dl)，血白蛋白ALB(g/dl)，腎絲球過率率eGFR(cc/min/1.73m2)，尿蛋白UPCR(mg/gm)，三酸甘油脂TG（mg/dl）低密度膽固醇LDL(mg/dl)，血管硬化指數Homocystein(umol/l)肝功能SGOT+SGPT(u/l)，總膽色素T.Bil.(mg/dl) .公衛防治重點憂鬱症的心情溫度計BSRS(score)，失智症的失智前期量表AD8(score)，簡短生活品質評估量用SF36(score)，癌症防治用免疫功能淋巴球指數C3+C4+C8(%)及微核磁共振檢測Metatron(report)（ 不用微核磁共振則用體質酸毒檢測）等.

自律神經功能總活性指標,LF%(低頻成份(%),即交感神經活性指標),HF%(高頻成份(%),即副交感神經活性指標,LF/HF(交感/副交感神經平衡指標),及5分鐘內不規則心跳次數(心律不整) 等，那更有深度.

研究統計則利用健保資料庫，醫院診所醫資系統，自設平台，可做基本敘述型統計.或設計原始次級資料可以轉成Excel匯入到專用統計軟體等做敘述統計及推論統計.

@注意資訊安全與電腦資料保護法.

#攜帶型腦頻率調諧器－BT11 & BT Pro簡介

(Cranial Electrotherapy Stimulation 簡稱CES)     潘忠興 醫師

我已經使用Cranial Electrotherapy Stimulation 已經十多年,病患對腦波頻律調節器Brain tuner的好評!讓我覺得好東西不與好朋友分享就是罪過!

案例一:說她一直睡不著,看了許多醫師,吃了許多藥,也睡不著.竟然做了三十分鐘的腦波頻律調節器,劇烈的頭痛好了,回去竟然不要吃一堆藥就睡著了.

腦調諧(Brain Tuner)器，又稱BT腦頻率調諧器，其原型機是由中國針灸專家－溫博士，首創的他於1980年代，在香港的一間診所試驗數百名，包括多數是關於各種毒品、酒精、尼古丁、海洛因等成癮的病人，溫博士希望他們在自覺或不自覺之下，應用腦調諧器以試圖緩解他們的壓力，和平衡他們的精神狀態。溫博士認為當一個人依賴藥物時，腦似乎是放棄了自己具有生產鎮痛劑－內啡肽(Endorphins)的功能。溫博士發現當一個人尋求藥物時，但只要在身體－特別是頭部附近區域，輸入一微弱電磁信號，主動灌入大腦alpha波,調節繁亂的腦波,則可刺激大腦進行生產和分泌內啡肽。令人驚訝的是，病人在3到10天內完全喪失對上述藥物的渴望，且無任何戒斷症候群(withdrawal symptoms)症狀！ BT腦頻率調諧器，是美國、台灣東西整體醫學研究所、紐西蘭和澳大利亞等，經數十年來不斷的改進和研發的產品，主要在激發人體天生之正常頻率alpha，促進人體天生自癒潛能的發揮，使人達到真正健康的目標！

攜帶型腦頻率調諧器－BT11 的功效：本院有執行十年以上的臨床經驗,它既有效又省錢.

   1) 幫助抑鬱症 。                11) 定心和冷靜。
   2) 刺激你的記憶功能。      12) 降低神經緊張。
   3) 放棄吸煙。                     13) 更深入和更舒適的睡眠。
   4) 唾棄藥物。                     14) 改善性能力。
   5) 幫助睡眠模式。             15) 改進的心識能力。
   6) 改善焦慮。                     16) 增進短期的記憶力。
   7) 幫助和降低恐慌症發作  17) 增加心識和體力的能量。
   8) 遠離藥品。                     18) 減少負面行為模式。

   9) 能夠集中。                     19) 提高阿爾法(α)腦波模式。

   10) 深度放鬆。                   20) 改進注意的廣度和專心度。  

攜帶型腦頻率調諧器－BT的使用需知：

使用者或病人在使用中，不會感受到電磁信號。但某些設備的電源控制，當電流出現不穩的時候，使用者或病人會有輕微疼痛；但如果接觸部位潮濕時，則將產生更強大的刺痛感覺。如局部的部位需要治療，則可將BT11腦頻率調諧器置放在身體之其它部位。  

BT-使用手冊: 

1. 將耳垂夾夾上耳垂前，先確認耳垂是否乾淨。
2. 將耳垂用鹽水或口水塗抹，以增加耳垂與電極之導電性。
3. 壓主機之 開/關 按鈕一次，開啟主機。
4. 綠色指示燈設定在 輕微/5分鐘，將閃爍，這表示在告訴你選擇需要的時間，如壓主機之上/下鈕選擇需要的時間。
5. 只要您已經選定壓 開/關 鈕確定。
6. 指示燈會回到綠色選項 輕微/5分鐘，指示燈將停壓此選項。此時你準備選擇需要的強度。
7. 快速壓 上/下鈕 以增加強度，每一次的增量需要4至6次的按壓(不要壓太快)。主機指示燈將提升至下一個強度水平。
8. 這就是你目前所需的時間和強度。
9. 可在任何時間關機，你只要按住 開/關 鈕3秒，則所有的電力將會關閉。
10. 電池在完全充電的情況下，可連續使用數個星期。
11. 充電時，將充電器插入主機的充電孔，USB插頭插入整流器接頭。最好連續充電24-48小時
12. 你亦可用6伏特500mA的充電器，快數充電，且需數小時就可完全充電。 

#SCIENTIFIC ARTICLES 
JOURNAL OF NEUROTHERAPY

Cranial Electrotherapy Stimulation Review

A Safer Alternative

to Psychopharmaceuticals in the Treatment of Depression 

Marshall F. Gilula, MD Daniel L. Kirsch, PhD  

ABSTRACT. The use of Cranial Electrotherapy Stimulation (CES) to treat depression and anxiety is reviewed. The data submitted to the Federal Drug Administration (FDA) for approval of medication in the treatment of depression are compared with CES data. Proposed method of action, side effects, safety factors, and treatment efficacy are discussed. The results suggest there is sufficient data to show that CES technology               

has equal or greater efficacy for the treatment of depression compared to

antidepressant medications, with fewer side effects. A prospective research study should be undertaken to directly compare CES with antidepressant medications and to compare the different CES technologies with each other. [Article copies available for a fee from The Haworth Document Delivery Service: 1800•HAWORTH. E•mail address: <docdelivery@ haworthpress.com> Website: <http://www.HaworthPress.com> Ó 2005 by The Haworth Press, Inc. All rights reserved.] 

1. Cranial electrotherapy stimulation, CES, depression and patient safety, efficacy comparisons, treatment effectiveness

Cranial Electrotherapy Stimulation (CES) is in the Federal Drug Ad• ministration’s (FDA) recognized category for medical devices using microcurrent levels of electrical stimulation applied across the head via transcutaneous electrodes for the treatment of depression, anxiety and in• somnia. The treatment of depression with CES began in the United States

in the early 1960s and is prescribed routinely by a few thousand physicians and mental health practitioners, but has yet to achieve full accep• tance. That is possibly because sufficient information has not been made available to practitioners regarding the safety and efficacy of CES as a treatment for depression. Using an electromedical device requires an ad• ditional learning curve for both practitioners and patients who are accus• tomed to the pharmaceutical model of intervention. Ingesting a capsuleor a tablet does not require the attention to detail demanded by choosing the correct device, waveform parameters, electrode locations and place• ment techniques. Ideally, both modalities require patient education, con• sistent follow•up, and determinations of compliance. The goal of this review is to compare the treatment efficacy of CES and medication in published studies.

Marshall F. Gilula is Senior Patient Safety Fellow, Center for Patient Safety, De•

partment of Anesthesiology, University of Miami, Jackson Memorial Hospital.

Daniel L. Kirsch is Chairman, Electromedical Products International, Inc., a medi•

cal device manufacturing firm with a product line that includes CES devices, the sub•

ject matter of this paper.

Address correspondence to: Marshall F. Gilula, Center for Patient Safety, Jackson

Memorial Hospital, The Institute–Fourth Floor, 1611 NW 12th Avenue, Miami, FL

33136 (E•mail: mgilula@mindspring.com).

Journal of Neurotherapy, Vol. 9(2) 2005

Available online at http://www.haworthpress.com/web/JN

Ó 2005 by The Haworth Press, Inc. All rights reserved.

doi:10.1300/J184v09n02_02                    

#The Research Studies section starts with an article on CES and chi, homeostasis and the bioelectrical system. Following this are some articles by Ray Smith, Ph.D. that are recently completed summary studies or meta-analyses of different cogent CES topic areas. Following these articles are broad range database literature search results. I hope you enjoy these readings.
And an extensive Research / Studies Section provides much of the solid scientific documentation for the claims

Possible range of benefits are based on 20 years of experience and observation

Reduced Pain
Ability to Focus
Lucid Dreaming
Deep Relaxation
Alzheimer's Disease
Chronic headaches
Centering and Calmness
Reduced Nervous Energy
Deeper, more Restful Sleep
Better Sexual Performance
Improved Mental Abilities
Traumatic head injuries
Short Term Memory Improvement
Increased Mental and Physical Energy
Reduced Negative Behavior Patterns
Heightened Alpha Brainwave Patterns
Improved Attention Span and Concentration

#A pilot study of cranial electrotherapy stimulation for generalized anxiety disorder.

#At present, there are over 125 research studies on CES in humans and 29 experimental animal studies. The overwhelming majority of the scientific research is extremely positive. No significant lasting side effects have been reported. Harvard University School of Public Health, Department of Health Policy and Management found: "The meta-analysis of anxiety showed CES to be significantly more effective than sham (P<.05)

#Is CES safe?
CES has an unblemished safety record. A broad reading of published literature on the subject shows no negative effects or major contraindications from its use, either in the U.S. or in other parts of the world. The National Research Council has deemed CES a non-significant risk modality.
The unit's sole source of current are three common 1.5 volt batteries. Its intensity is limited —no more than is required to run a small toy or a penlight. Even when turned to maximum intensity, it is not harmful. It is suggested, however, that until you become fully acclimated to your unit, you maintain the intensity at a lower setting

# 問題與回答:

@某教授醫師提問:
Brain tuner腦波頻律調節器如果1980年代那麼有效，為何後續沒有被推廣與研究？

彼得潘醫師答:
Brain tuner這類型的研究也非常多可以以幾個關鍵字來查:Cranial Electrotherapy Stimulation,Transcutaneous electrical stimulation...等
A至於有無副作用的部分,因為是由弱電產生頻率如Alpha,Theta,Delta,Zenta,Schumann等波來調理,基本上不論是研究或是我的經驗幾乎沒有.唯一有的副作用都是操作不當的問題.
當然我們是醫師,不是只有幾個案例就算數,講究的更嚴謹的研究設計!但實際執行醫療又不能像做研究一個一個治療因子慢慢試,那病人早就跑了!
況且有做過研究的人都知道,研究有好的研究也有垃圾研究.
有忠於真理的研究,也有虛偽操弄的研究.