Acupuncture Ancient Treatment for Modern Illnesses

Acupuncture: Ancient Treatment for Modern Illnesses Acupuncture: Ancient Treatment for Modern Illnesses History  Originated in China over 2000 years ago; Huang-Di Nei Jing and Nan Jing, classic Chinese medical texts, were written ~ 80 B.C. 1958 Mao T’se Tung rescued Traditional Chinese medicine from Marxist thinkers and declared it a ―national treasure‖ and reintegrated TCM   1971 John Reston, Nixon aide and NYT reporter, received acupuncture treatment for post-appendectomy pain 1979 The World Health Organization (WHO) issues a list of 41 diseases amenable to acupuncture therapy (http://www.who.int/medicines/library/trm/acupuncture/acupunct ure_trials.pdf)  Acupuncture: Ancient Treatment for Modern Illnesses Frequently Asked Questions: 1. 2. 3. 4. 5. 6. 7. What is acupuncture? Does it hurt? Is it safe? How deep do the needles go? What does it treat? How many treatments do I need? Is it covered by insurance? Meridians or Energy Pathways Acupuncture: Ancient Treatment for Modern Illnesses Do the Needles Hurt? Acupuncture: Ancient Treatment for Modern Illnesses Acupuncture: Ancient Medicine for Modern Illnesses Acupuncture Use and Safety  Acupuncture has been adapted in several countries including Japan, Korea, France, Germany, and the United Kingdom Many university teaching hospitals now offer acupuncture services for patients e.g. UPMC, AGH, Harvard Medical,   425 million visits to providers of unconventional therapy vs. 388 million visits to PCP’s. (Eisenberg et al. NEJM 1990) 2 major prospective studies looking at the safety of acupuncture were reported in the BMJ in 2001; In those two studies of 32000 and 34000 treatments no serious adverse events were reported  Acupuncture: Ancient Treatment for Modern Illnesses Acceptance of Acupuncture and Research Studies  UPMC is one of 13 medical schools with integrated medicine centers including clinical research studies and rotations for medical students WebMD also has several articles endorsing acupuncture for certain illnesses Acupuncture is used in over 800 drug dependency programs in the U.S.; endorsed by former Surgeon General C. Everett Koop, MD Current brain imaging research indicates certain brain activation and deactivation when administering acupuncture stimulation NCCAM, a NIH subsidiary, supports and funds alternative and complementary medicine research studies Acupuncture is also effective on other animals which debunks the purely placebo hypothesis.      Acupuncture: Ancient Medicine for Modern Illnesses Dr. Freddie Fu’s experience with acupuncture  Experiencing is believing for most acupuncture converts, which was the case for Dr. Freddie Fu, chairman of the orthopedic surgery department at UPMC and head of sports medicine. Fu said acupuncture helped improve the range of motion in his left leg, which was broken when a motorist in August 2001 hit him on his bicycle as he was riding through Homewood. Fu was so impressed with the therapy he made it available at the UPMC Center for Sports Medicine on the South Side. ―We see tons of patients for therapy and non-operative things that Western techniques may not be able to treat," said Fu. "I think definitely there's a place for acupuncture. Surgery is not for everyone and a lot of people don't like taking pills for pain or allergies. With acupuncture, patients induce their bodies' systems and defenses to heal themselves." (Source: Pittsburgh Post Gazette— Oct. 14, 2003)   World Health Organization Endorses Acupuncture              Allergic rhinitis/Chronic sinusitis Dysentery, acute bacillary Facial pain Hypotension, primary Leukopenia Morning sickness Pain in dentistry Renal colic Sprain Adverse rxns to radiation and chemotherapy Biliary colic Dysmenorrhea, primary Headache               Low back pain Nausea and vomitting Periarthritis of shoulder Rheumatoid arthritis Stroke Depression Epigastralgia, acute Hypertension, essential Knee pain Malposition of the fetus Neck pain Postoperative pain Sciatica Tennis elbow (Source: http://www.who.int/medicines/library/trm/acupuncture/acupuncture_trials.pdf) NIH Consensus Statement on conditions treatable with Acupuncture           Addiction Fibromyalgia Menstrual Cramps Post-op dental pain Adult post-op pain Nausea and vomiting from chemotherapy Asthma Headache Myofascial pain Stroke rehab Carpal tunnel syndrome  Low back pain  Osteoarthritis  Tennis elbow  (Source: http://odp.od.nih.gov/consensus/cons/107/107_intro.htm) Acupuncture: Ancient Medicine for Modern Illnesses Cupping Herbal Medicine Nutrition Tuina Moxabustion Tai Chi Exercise Acupuncture: Ancient Treatment for Modern Illnesses What is Acupuncture and How Does it Work?  Acupuncture is the insertion of very fine sterile needles into specific ―acupuncture‖ points It has measurable effects on the autonomic nervous system: vascular, endocrine, neurotransmitters; Gate Control theory; Bioelectric theory; Neuromodulation e.g. PC6 and fMRI study   Concepts include Yin and Yang theory, Qi and Blood, and Channels and Network vessels Acupuncture helps to rebalance proper flow of Qi and maintain homeostasis  Acupuncture: Ancient Treatment for Modern Illnesses Diagnosis  Palpation is one of the most important: variations in temp, hardness or softness of tissues, dryness, dampness, discoloration, lumps and bumps, sensations of tenderness or pain Abdominal palpation for tenderness and radial pulse reveals amount, strength, smoothness, and flow of Qi and blood in various parts of the body   Visual examination of complexion, emotional affect, body language; tongue looking at shape, coat, color reveals state of Qi in the body Questioning includes: sleep quality, mood, urination, dietary preferences, functioning of senses, digestion and elimination, condition of skin and hair, energy level, exercise and work habits, and menstrual cycle and childbearing history for women  Acupuncture: Ancient Treatment for Modern Illnesses Treatment Methods  Number, depth and technique of needle insertion depends on disease condition and state of health of patient; Non-insertion method can be used esp. for pediatric cases Needles retained for seconds, 20, 40 minutes or sometimes longer Other modalities: moxibustion, cupping, gua sha, mild electrical stimulation, dietary/nutritional therapy, exercise, trigger point therapy, sotai (Japanese style PT), and tuina (acupressure)    The number of treatments varies on condition, chronicity of the problem, current health of patient; One treatment for simple problems and up to scores (20+) for very complex cases Acupuncture: Ancient Treatment for Modern Illnesses Expectations  Acupuncture is not a panacea for all ills for all people; different people respond better or worse to different types of healthcare modalities Does insurance cover acupuncture? Currently insurance (in PA) does not; however some secondary insurance do. Please check policy If there is no change (better or worse) within 4-5 treatments, I refer the patient to another type of practitioner or one with more experience with your specific problem    After treatment, one or combination of the following 1. no change, 2. feel much better or very relaxed; 3. exacerbation of symptoms—‖healing crisis‖ Acupuncture: Ancient Treatment for Modern Illnesses Useful Web Links    www.acuteh.com www.acufinder.com www.acupuncturetoday.com   www.tcmstudent.com www.aaom.org Acupuncture: Ancient Treatment for Modern Illnesses Conditions acupuncture is NOT recommended          Difficulty breathing, shortness of breath Dizziness Acute chest/upper abdomen pain or pressure Sudden weakness or severe pain Sudden bleeding Falls Suicide attempts Severe infection Heart failure THE END Acupuncture: Ancient Treatment for Modern Illnesses Background and Education        Graduate of: Vanderbilt University, Nashville, TN; Boston University, Boston, MA New England School of Acupuncture graduate; Masters of Acupuncture Board Certified. National Commission for the Certification of Acupuncture and Oriental Medicine (NCCAOM); all licensed acupuncturists in PA are registered by the Bureau of Professional and Occupational Affairs Diplomate, China Academy of Traditional Chinese Medicine, Beijing, China Swain Sports Medicine Fellow; Boston University Crew Team Acupuncturist Research Consultant, Harvard Medical School, Boston, MA UPMC, Center for Integrative Medicine, Pittsburgh, PA Acupuncture: Ancient Treatment for Modern Illnesses What it Qi? Qi is Life Force, or Energy Qi is essential for living Qi circulates throughout your body within a series of pathways called Meridians  Qi nourishes every cell, tissue, and organ of your body  All functions of body and mind are manifestations of Qi  Health is determined by a sufficient, balanced and continuous flow of Qi  ―If Qi is stagnant then Illnesses will follow, if Qi is flowing freely, then there will be health‖ –Chinese Medicine proverb    Acupuncture: Ancient Treatment for Modern Illnesses Main Objectives for Acupuncture Treatment      Relieve Pain, e.g. post-op pain, overuse injuries Eliminate signs and symptoms of Illnesses and disease e.g. hypertension, allergies, sinusitis Boost Immune Health e.g. shorten duration of colds and flu (herbal medicine and nutrition) Prevent Illnesses e.g. stress relief Maintain and Optimize Your Health e.g. nutrition counseling and supplement recommendations Illnesses, Pain, and Disease From a Chinese Health Perspective Qi nourishes your entire body  When the flow of Qi is disrupted, Illnesses, pain and disease can occur  An acupuncturist detects and corrects an imbalance of Qi  Therapeutic techniques restore the proper quality, quantity, balance and flow of Qi  When Qi is balanced and flowing throughout your body, there is health!  Acupuncture: Ancient Treatment for Modern Illnesses Case Studies 1. 40 y/o female admin. asst. w/ chronic fatigue (6+ yrs)—20 tx’s, nutritional therapy, and yoga has improved ~ 80% 51 y/o male electrician w/ chronic sinusitis and angina (2 yrs)— 6 tx’s plus herbal therapy has improved ~ 60% 2. 3. 16 y/o male student/athlete w/ chronic knee pain (8 months)— 2 tx’s has improved 100% 57 y/o female cleaning lady w/ fibromyalgia, chronic sinusitis and pain—10 tx’s has improved ~ 70% (return to work w/ more ease) 4. Acupuncture: Ancient Treatment for Modern Illnesses Brigham and Women’s Hospital, Harvard Medical School, Acupuncture Research Team Acupuncture: Ancient Treatment for Modern Illnesses How to make an appointment for acupuncture therapy Set up a 15 minute consultation 2. Schedule an initial intake and treatment 3. Develop a treatment plan and explain treatment expectations 1. Reasons To Try Acupuncture         Safe, No side-effects Effective Holistic Preventative Strengthens the entire body Based on clinical observation and study One of the oldest, continuously practiced healthcare system, over 4000 years old IT WORKS! An Acupuncture Lifestyle   Acupuncture and Chinese Medicine is a balanced and holistic approach toward achieving good health and wellbeing Adopting and Acupuncture lifestyle can be supported by incorporating other tools into your life that can contribute to the holistic effects this ancient medicine has to offer Exercise: Yoga, tai chi, cardio, and weights  A balanced, healthy diet  Nature, Religion, Spirtuality  Herbs, Vitamins, and Minerals  Acupuncture: Ancient Treatment for Modern Illnesses Mission Statement: To treat people’s Illnesses and enhance their quality of life through education about their health as well as provide natural healing methods such as acupuncture, exercise, and vitamin and herbal supplements Acupuncture: Ancient Treatment for Modern Illnesses At Acupuncture Health Network, I provide patients with a safe environment to voice their health concerns and allow the healing process to take place without use of medications. I take the time to educate patients about how they can take natural approaches to addressing their health issues. Acupuncture: Ancient Treatment for Modern Illnesses Sources   Acupuncture Entering the Mainstream, www.WebMD.com, 2003. National Institutes of Health Consensus Panel. Acupuncture. National Institutes of Health Consensus Development Statement. Bethesda, MD: November 3-5, 1997. Available online at http://odp.od.nih.gov/consensus/cons/107/107_statement.htm. British Medical Association Board of Science and Education. Acupuncture: Efficacy, Safety and Practice. London: Harwood Academic, 2000. http://www.aomalliance.org/publications/newsletter/articles/hwolfe.htm Acupuncture and Oriental Medicine Alliance, www.aomalliance.org, 2003 The Web That Has No Weaver, Ted Kaptchu OMD, Congdon and Weed, 1983 http://www.mgh.harvard.edu/DEPTS/pubaffairs/releases/040401acupuncture.htm www.nccaom.org MRI Shows That Acupuncture Treatments Reduce Pain, WebMD, 2003.      