Acupuntura

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…………¿Se acuerdan de mi hija Alicia? Se la presenté en la primera columna de esta sección: es una niña de seis años, siempre dispuesta a aprender y descubrir cosas nuevas. Y aunque últimamente está muy ocupada aprendiendo nombres y características de dinosaurios cuya existencia yo ni siquiera sospechaba, o trayendo a casa sus deberes de Matemáticas con notas del profesor como “¡brillante!” o “¡perfecto!”, de vez en cuando sigue poniendo en práctica sus dotes para detectar afirmaciones pseudocientíficas. O, como ella las llama con toda propiedad, “tonterías de los mayores”.
…………Eso pasó, por ejemplo, el otro día, cuando estaba ojeando una revista. De repente levantó la vista, puso su cara de no creerse algo, y me preguntó: “Papi, ¿qué es la a-cu-pun-tu-ra?”
…………“Es que te clavan agujas por el cuerpo para curarte algo”, dije poniendo mi mejor cara de póker. Pero, o yo soy un pésimo jugador de naipes o el instinto de Alicia sigue en plena forma, porque enseguida me contestó: “¿Y cómo te pueden curar clavándote agujas? ¡Qué tontería!”
…………Claro, a un adulto le puedes explicar que la idea es que las agujas se claven en determinados puntos correspondientes a “los meridianos” por los que fluye “la energía vital”, reestableciendo así el equilibrio energético. Pero es muy difícil que un niño se trague esas bobadas, y más cuando empieza a preguntarte dónde están esos meridianos (“Eh… Son invisibles”), qué es esa energía (“Pueees… eso, energía vital”) y cómo se sabe que esas cosas existen (“Alicia, ¿no estarán poniendo un episodio de Bob Esponja en la tele?”).
…………Y es que, en efecto, los fundamentos teóricos de la acupuntura son tan tontos que hasta un crío de seis años (vale, ya casi siete) puede darse cuenta de que no se tienen en pie. “Los meridianos” no existen, “la energía vital” es una filfa, y los efectos curativos de clavar agujas son sencillamente inexistentes. Pero, a pesar de eso, la acupuntura goza de un cierto prestigio dentro de las llamadas “terapias alternativas”, incluso entre algunos partidarios de la medicina científica. Y es que existen algunas evidencias de que podría funcionar como método para paliar el dolor.
…………Claro, el hecho de que la acupuntura pueda producir un cierto efecto analgésico no convierte de repente en válidas todas esas chorradas sobre meridianos y el ‘chi’. De hecho, los mecanismos que se han propuesto para explicar ese supuesto efecto consisten básicamente en que las células dañadas por los pinchazos reaccionan liberando endorfinas, sustancias con propiedades analgésicas que, de rebote, aliviarían otros dolores del organismo. Con lo que nos encontraríamos con una divertida paradoja: no estaríamos ante un logro de la acupuntura, sino ante un simple efecto secundario.
…………En apoyo de esta tesis hay diversos estudios, desde algunos consistentes en pinchar a unos pobres ratones y medir la concentración de endorfinas en su sangre antes y después del pinchazo (eso sí, sin pararse a pensar que, por su tamaño, más que un pinchazo los pobres estaban recibiendo el equivalente a una estocada hasta la bola) hasta otros que han permitido comprobar que los pacientes que recibieron acupuntura ‘verum’ (pinchándoles en “los puntos” de acupuntura, vamos) y los que recibieron los pinchazos al buen tuntún experimentaron exactamente los mismos efectos analgésicos.
…………Lo malo, ¡ay!, es que hay otros estudios con acupuntura simulada en la que las agujas (o, en un caso especialmente llamativo, palillos de dientes) no llegan a penetrar en la piel del paciente: se retraen de nuevo en “su mango”, de modo que la persona que recibe el tratamiento nota una sensación como si le estuvieran pinchando sin que realmente lo estén haciendo. En estos casos no hay destrucción de tejido celular y la liberación de endorfinas, si se desencadena, debería ser mucho más reducida en comparación con la acupuntura ‘verum’. Y, sin embargo, los pacientes siguen notando el mismo grado de reducción del dolor.
…………¿Qué es lo que pasa? Pues que quizá no debamos buscar la solución al efecto analgésico de la acupuntura en los inexistentes meridianos ni en las más endorfinas, mucho más reales pero ausentes en el caso de la acupuntura simulada. La clave quizá esté en lo que resulta idéntico en todos esos casos: la ceremonia. Desvestirse, tumbarse en una camilla, que un señor oriental de bata blanca te clave agujas (o simule que te las clava) mientras tú solo puedes ver el póster con los meridianos que hay en la pared de enfrente, estarte quietecito mientras supuestamente se va equilibrando tu energía… Todos esos factores quizá sean suficientes para provocar esa reducción del dolor por puro efecto placebo, sin necesidad de imaginarnos otras explicaciones.
…………Lo cual explicaría también, por cierto, por qué a pesar de que esas dudosas evidencias sólo justificarían un efecto analgésico siga habiendo gente convencida de que la acupuntura le curó cualquier otra cosa, desde la adicción al tabaco hasta la incontinencia urinaria. Al fin y al cabo, el efecto placebo es una de las causas más poderosas del “amimefuncionismo”, esa proclamación solemne de que, por muy tonta que sea una de esas pseudoterapias, “a mí me funciona”.
…………Ante lo cual, por cierto, yo tengo mi propia contrarréplica: a mí no me funciona. O, para ser exactos, no me funcionó cuando mis padres se empeñaron en que siguiera un tratamiento de acupuntura para la alopecia. El resultado fue más bien pobre, como pueden comprobar mirando mi caricatura, aquí arriba a la derecha.
…………Pero eso sí, desde que se lo conté, Alicia aún se está riendo.

13 comentarios

  • Responder marzo 15, 2013

    Gato Pardo

    Su neófita opinión causa estos comentarios.

    http://www.portalesmedicos.com/foros_medicina_salud_enfermeria/ubbthreads.php/posts/157973

    Pero su simpleza de un tema tan variado y amplio; es lo que sorprende.

  • Responder marzo 15, 2013

    Yossua

    Solo sus tonterías de una rama del saber humano. Como desmentir a tales muestras.

  • Responder marzo 16, 2013

    Fernando Frías

    Gato Pardo, Yossua, pero ¿habéis leído de verdad esos comentarios? “Mente occidentalizada”, acusaciones de desconocimiento pero sin contenido…

    La verdad, esperaba alguna referencia a estudios clínicos bien realizados, o una crítica a los que menciono y que son ampliamente conocidos. Pero lo que me encuentro es lo mismo que dice cualquier charlatán que se molesta cuando alguien osa criticar su fe.

    ¿No hay ninguna defensa de la acupuntura con argumentos de verdad? ¿Algo que no sea una simple pataleta?

  • Responder marzo 23, 2013

    Ana

    Me ha encantado su artículo.

    Me parece totalmente surrealista que las pseudo-ciencias, en muchas ocasiones, tengan un lugar en la sanidad y educación públicas.

    Es esperanzador encontrarse con voces críticas.

  • Responder febrero 16, 2015

    XRumerTest

    Hello. And Bye.

  • Responder noviembre 26, 2015

    uvyusdoni

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  • Responder noviembre 27, 2015

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  • Responder noviembre 28, 2015

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