ABOUT ACUPUNCTURE
What Is Acupuncture?
Acupuncture is an effective form of medical treatment that has evolved into a complete, holistic health care system. Practitioners of acupuncture and Chinese medicine have used this non-invasive treatment method to help millions of people achieve and maintain wellness.
Acupuncture promotes natural healing. It enhances recuperative power and immunity, supports physical and emotional health, and improves overall function and well-being. It is a safe, painless, and effective way to treat a wide variety of medical conditions.
What is Qi?
At the core of this ancient medicine is the philosophy that Qi (pronounced “chee”), or vital energy, flows throughout the body. Qi animates the body and protects it from illness, pain, and disease. A person's health is influenced by the quality, quantity, and balance of Qi.
How does Qi move?
Qi flows through specific pathways called meridians. There are fourteen main meridians in the body, each connected to specific organs and glands. The diagram to the left shows the meridian pathways within the body.
Meridian pathways are like rivers flowing inside the body. Just as rivers transport life-giving water to nourish the land, plants, and people, meridian pathways bring life-giving Qi to nourish every cell, organ, gland, tissue, and muscle in the body.
How is Qi disrupted?
An obstruction to the flow of Qi is like a dam. When Qi becomes backed up in one part of the body, the flow is restricted in other areas. This blockage can be detrimental to health, cutting off vital nourishment to the body’s organs, glands, and tissues.
Physical and emotional trauma, stress, lack of exercise, overexertion, seasonal changes, poor diet, accidents, or excessive activity are just a few factors that can influence the quality, quantity, and balance of Qi.
Normally, when a blockage or imbalance occurs, the body can quickly return to a state of health and well-being. However, when disruptions are prolonged or excessive, or if the body is in a weakened state, illness, pain, or disease can develop. Blockages in the flow of Qi can lead to various signs and symptoms or health concerns.
What does an acupuncturist do?
During the initial exam, a full health history is taken, and questions are asked about health, symptoms, and lifestyle. A physical exam is conducted, including pulse and tongue diagnosis.
Gathering this information allows the practitioner to diagnose and detect any imbalances of Qi that may be contributing to a person's health problems. Based on this diagnosis, the acupuncturist creates a tailored treatment plan.
Once the imbalances are identified, the acupuncturist places fine, sterile needles at specific acupoints along the meridian pathways. This safe and painless insertion of the needles helps unblock obstructions and restore balance to Qi. When Qi can circulate freely throughout the body, it nourishes cells, organs, glands, tissues, and muscles, helping to eliminate pain and restore balance and harmony. This process also enhances the body's natural ability to heal itself, ultimately leading to optimal health and well-being.
Modern Research & Acupuncture
Acupuncture has been employed as a health care modality for over 5,000 years. Modern science has begun to understand the secrets of this ancient medicine with the support of new studies conducted by leading scientists, hospitals and medical research facilities from all over the world. Today, acupuncture is receiving wide acceptance as a respected, valid and effective form of health care.
- In China, a February 2013 study conducted by the Clinical Journal of Pain concluded that low back pain, the most common musculoskeletal problem, can be relieved by acupuncture with little to no adverse side effects. [1]
- In a systematic review published by Spine Journal, acupuncture has been shown to have significantly favorable effects on chronic low back pain. In the systematic review, 32 different studies were compared, and 25 of those studies provided relevant data to come to this conclusion. Actual acupuncture treatments were compared with sham acupuncture treatments throughout the study in order to obtain the results. [2]
- In addition to its effectiveness in pain control, acupuncture has a proven track record of treating a variety of endocrine, circulatory and systemic conditions. The BMJ in 2013 reported acupuncture and moxibustion can increase the success rate of in-vitro fertilization and increase the number of viable pregnancies when embryo implantation has failed. The additional benefits were listed as receiving no adverse side effects and contraindications as a result of receiving acupuncture and moxibustion treatment. [3]
- In Italy, a 2016 study involving 190 breast cancer patients proved acupuncture can eliminate the need for additional drugs and is an effective method in improving the quality of life of women who have breast cancer. Acupuncture was shown to be an effective force in managing hot flashes the women received as a result of the cancer. [4]
- A 2016 study published by The Cochrane Review concluded acupuncture treatments can not only relieve the pain associated with headaches, but it can help to control or prevent migraines before they happen. Out of the 22 trials conducted, considerable evidence was shown that in addition to prophylactic drugs, acupuncture should be highly considered for migraine treatment and prevention.[5]
Acupuncture works as an effective alternative and adjunct treatment modality. It is a safe, effective and natural approach to help regain and maintain health and well-being.
horn, “gating out” painful stimuli.26
CURRENT RESEARCH RELATING TO ACUPUNCTURE:
- Acupuncture & In Vitro Fertilization (IVF): A 2016 research study published in Evidence-Based Complementary and Alternative Medicine concluded the fertility awareness was increased in women who received a multiphasic fertility protocol for acupuncture. In addition, the study found women who received this acupuncture protocol also had an overall improved well-being. [6]
- Acupuncture & Insomnia: In the treatment of insomnia, acupuncture has been shown to improve sleep efficiency and sleep disorders compared to those who do not receive acupuncture treatment. Long-term improvements in sleep were also seen from the acupuncture treatment, according to clinical research from Henan University of TCM, Zhengzhou. [7]
- Acupuncture & Fibromyalgia: Acupuncture can be a great form of treatment for individuals with fibromyalgia. In 2016, The BMJ published a study concerning the effects of acupuncture on patients who have fibromyalgia. The study found acupuncture to be effective in the realm of managing pain experienced as a result of having fibromyalgia. In order to get the results real acupuncture treatment was compared with the likes of placebo sham acupuncture. The study even went on to strongly recommend those with fibromyalgia seek acupuncture treatment in order to help manage their pain. [8]
- Acupuncture & Women’s Reproductive Health: A recent review concluded that acupuncture treatment may help women who are trying to conceive. A review of more than 300 papers on acupuncture found evidence of benefits for reproductive function of women. The results supported acupuncture for menstrual irregularity, menstrual pain, ovulatory dysfunction and infertility. [9]
- Acupuncture & Irritable Bowel Syndrome: According to a study published by The BMJ, acupuncture has been found to produce significant results for those suffering from irritable bowel syndrome. Participants in the study were subjected to different intervals of acupuncture treatment. Overall, patients were selected to receive random amounts of acupuncture up to as much as 10 weekly sessions. [10]
- Acupuncture & Depression: The effects of laser acupuncture were tested in a study published by the Journal of Affective Disorders. The study aimed to see if laser acupuncture had positive effects on those experiencing depression. The results from the study turned out to be very promising. Twelve laser acupuncture sessions were conducted in total, and the results showed that the participants showed reduced symptoms of depression after getting laser acupuncture. [11]
- Acupuncture & Hypertension: A recent meta-analysis published in Evidence-Based Complementary and Alternative Medicine found that acupuncture lowers blood pressure in patients who are taking medication for hypertension or high blood pressure. The trials included 386 patients with hypertension and found weekly acupuncture treatment for six to 10 weeks lowered systolic and diastolic blood pressure. [13]
- Acupuncture & Pain Relief for Cancer Patients: Findings published in Integrative Cancer Therapies found that 90 percent of participants at MD Anderson Cancer Center in Houston, Texas, reported pain had significantly decreased by the end of 10 acupuncture treatments, and 42 out of 52 participants who had pain related to cancer rated the acupuncture study as “very useful.” [14]
- Acupuncture & Migraines: A study published in the Journal of Alternative and Complementary Medicine found that traditional Chinese acupuncture as well as Yamamoto new scalp acupuncture significantly decreased patients’ migraine frequency and severity. The study involved 80 patients who suffer from migraine headaches and concluded that participants had improvement in their ability to do daily activities after treatment. [15]
- Acupuncture & Asthma: A 2017 study recently published by The Journal of Alternative and Complementary Medicine demonstrated acupuncture’s effectiveness at treating asthma. Acupuncture was used in conjunction with normal asthmatic treatments in order to see if there were increased relief effects. There was an increased quality of life shown in patients who received both forms of treatment at the same time. [17]
- Acupuncture & Wrist/Ankle Pain: A meta-analysis published in Evidence-Based Complementary and Alternative Medicine found acupuncture treatment was more effective in reducing wrist and ankle pain than Western medicine. The analysis looked at seven studies of wrist-ankle acupuncture that included 723 participants. The authors stated that wrist-ankle acupuncture is a safe therapy that has helped patients relieve pain. [18]
- Acupuncture & Osteoarthritis (OA): A recent review of 1,763 participants found that acupuncture treatment significantly reduced pain in patients compared to patients who did not receive the treatment. Patients with osteoarthritis who received acupuncture reported gains in mobility and a better quality of life. The trials found that longer treatment periods resulted in higher reductions in pain. [19]
Acupuncture & Allergic Rhinitis: In a 2016 study from the Mucosal Immunology Research Group, acupuncture treatment was shown to benefit those suffering from allergies in multiple ways. The study concluded acupuncture was effective in reducing nasal itch, eye itch and sneezing those with allergies suffer from. [20]
Acupuncture is recognized by leading national and international health organizations to be effective in the treatment of a wide variety of medical problems including:
- Abdominal pain (in acute gastroenteritis or due to gastrointestinal spasm)
- Adverse reactions to radiotherapy and/or chemotherapy
- Allergic rhinitis (including hay fever)
- Bell’s palsy
- Cancer pain
- Chronic gastritis
- Diabetes mellitus, non-insulin-dependent
- Dysmenorrhoea
- Earache
- Epistaxis
- Facial pain
- Facial spasm
- Female infertility
- Fibromyalgia and fasciitis
- Headache
- Hepatitis B virus carrier status
- Herpes zoster
- Hypertension
- Induction of labor
- Insomnia
- Knee pain
- Leukopenia
- Low back pain
- Male sexual dysfunction, non-organic
- Malposition of fetus
- Nausea and vomiting
- Neck pain
- Obesity
- Osteoarthritis
- Pain in dentistry
- Peptic ulcer
- Periarthritis of shoulder
- Polycystic ovary syndrome
- Postoperative pain
- Premenstrual syndrome
- Prostatitis
- Raynaud syndrome
- Renal colic
- Retention of urine, traumatic
- Rheumatoid arthritis
Current theories on the mechanism of acupuncture
1) Neurotransmitter Theory
Acupuncture affects higher brain areas, stimulating the secretion of beta-endorphins and enkephalins in the brain and spinal cord. The release of neurotransmitters influences the immune system and the antinociceptive system. [21, 22, 23]
2) Blood Chemistry Theory
Acupuncture affects the blood concentrations of triglycerides, cholesterol, and phospholipids, suggesting acupuncture can both raise and diminish peripheral blood components, thereby regulating the body toward homeostasis. [23]
3) Autonomic Nervous System Theory
Acupuncture stimulates the release of norepinephrine, acetylcholine, and several types of opioids, affecting changes in their turnover rate, normalizing the autonomic nervous system and reducing pain. [24, 25]
4) Vascular-interstitial Theory
Acupuncture affects the electrical system of the body by creating or enhancing closed-circuit transport in tissues. This facilitates healing by allowing the transfer of material and electrical energy between normal and injured tissues. [25]
5) Gate Control Theory
Acupuncture activates non-nociceptive receptors that inhibit the transmission of nociceptive signals in the dorsal horn, “gating out” painful stimuli. [26]
Resources:
- “Acupuncture for Acute Low Back Pain: A Systematic Review,” The Clinical Journal of Pain, published February, 2013.
- “Effectiveness of Acupuncture for Nonspecific Chronic Low Back Pain: A Systematic Review and Meta-analysis,” Spine Journal,, 2013; Vol 38 (24).
- “Influence of acupuncture on the outcomes of in vitro fertilisation when embryo implantation has failed: a prospective randomised controlled clinical trial,” British Medical Journal, published March 19. 2013.
- “Acupuncture As an Integrative Approach for the Treatment of Hot Flashes in Women With Breast Cancer: A Prospective Multicenter Randomized Controlled Trial (AcCliMaT),” Journal of Clinical Oncology, published March 28, 2016.
- “Acupuncture for the prevention of episodic migraine,” The Cochrane Review, published June 28, 2016.
- Suzanne Cochrane, Caroline A. Smith, Alphia Possamai-Inesedy, and Alan Bensoussan, “Prior to Conception: The Role of an Acupuncture Protocol in Improving Women’s Reproductive Functioning Assessed by a Pilot Pragmatic Randomised Controlled Trial,” Evidence-Based Complementary and Alternative Medicine, vol. 2016, Article ID 3587569, 11 pages, 2016. doi:10.1155/2016/3587569
- Source: Copyright © 2014 World Journal of Acupuncture-Moxibustion House. Published by Elsevier (Singapore) Pte Ltd. All rights reserved.
- Vas J, Santos-Rey K, Navarro-Pablo R, et al Acupuncture for fibromyalgia in primary care: a randomised controlled trial Acupuncture in Medicine Published Online First: 15 February 2016. doi: 10.1136/acupmed-2015-010950
- Cochrane S, Smith CA, Possamai-Inesedy A, Bensoussan A. Int J Womens Health. March 2014; 6: 313–325
- MacPherson H, Tilbrook H, Agbedjro D, et al Acupuncture for irritable bowel syndrome: 2-year follow-up of a randomised controlled trial Acupuncture in Medicine 2017;35:17-23.
- Quah-Smith, Im, Caroline Smith, John D. Crawford, and Janice Russell. “Laser acupuncture for depression: A randomised double blind controlled trial using low intensity laser intervention.” Journal of Affective Disorders 148, no. 2-3 (2013): 179-87. doi:10.1016/j.jad.2012.11.058.
- J. Traditional Chinese Medicine, 2003 Sept.; 23 (3): 201-202.
- Li D, Zhou Y, Yang Y, Ma Y, Li X, Yu J, Zhao Y, Zhai H, Lao L. Evidence-Based Complementary and Alternative Medicine 2014 March, Epub
- Garcia MK, Driver L, Haddad R, Lee R, Palmer JL, Wei Q, Frenkel M, Cohen. Integr Cancer Ther. 2014 Mar;13(2):133-40. doi: 10.1177/1534735413510558. Epub 2013 Nov 25.
- Rezvani M, Yaraghi A, Mohseni M, Fathimoghadam F. J Altern Complement Med. 2014 May; 20(5):371-4. http://dx.doi.org/10.1089/acm.2013.0120. Epub 2013 Dec 28.
- J. Rehab. Med., 2008 Jul.; 40 (7): 582-588.
- Brinkhaus Benno, Roll Stephanie, Jena Susanne, Icke Katja, Adam Daniela, Binting Sylvia, Lotz Fabian, Willich Stefan N., and Witt Claudia M.. The Journal of Alternative and Complementary Medicine. April 2017, 23(4): 268-277. https://doi.org/10.1089/acm.2016.0357
- Zhu LB, Chan WC, Lo KC, Yum TP, Li L. Evid Based Complement Alternat Med. 2014 July 14, Epub http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4123534/
- Manyanga T, Froese M, Zarychanski R, Abou-Setta A, Friesen C, Tennenhouse M, Shay BL. BMC Complement Altern Med. 2014 Aug 23; 14(1): 312.
- Effect of acupuncture on house dust mite specific IgE, substance P, and symptoms in persistent allergic rhinitis
- McDonald, John Leslie et al.
- Annals of Allergy, Asthma & Immunology , Volume 116 , Issue 6 , 497 – 505
- Neuro-acupuncture, “Scientific evidence of acupuncture revealed”, Cho, ZH., et al., 2001.v
- Acupuncture – A scientific appraisal, Ernst, E., White, A., 1999, p. 74.
- Acupuncture Energetics, “A Clinical Approach for Physicians”, Helms, Dr. J., 1997, pgs 41-42, 66.
- Anatomy of Neuro-Anatomical Acupuncture, Volume 1, Wong, Dr. J., 1999, p. 34.
- National Institute of Health Consensus Conference on Acupuncture, “Acupuncture Activates Endogenous Systems of Analgesia.”, Han, J.S., 1997 (Bethesda, MD).
- Neuro-acupuncture, “Scientific Evidence of Acupuncture Revealed”, Cho, ZH., et al., p.116.
First Visit
Initial visits generally last from 30 to 90 minutes. Your acupuncturist will take a detailed health history, perform a physical exam, and provide you with your unique treatment plan.
During your first exam, your acupuncturist will spend time getting to know you and your health concerns. You may be asked a wide range of questions about your symptoms, eating, exercise, sleep habits, emotional states, and anything that may offer insight into your health.
Your practitioner will also employ diagnostic tools that are unique to acupuncture and TCM, such as tongue and pulse diagnosis.
Your Treatment Plan
Once your acupuncturist has gathered enough information, you’ll receive a comprehensive diagnosis and a treatment plan that will explain:
- Your underlying imbalances
- Your timeline of care
- What types of treatment you will receive
Getting the Most Out of Treatment
For the best treatment results, keep a few things in mind:
- Please show up on time
- Don’t eat a large meal before your visit
- Wear loose, comfortable clothes
- Be sure to discuss any questions or concerns with your acupuncturist
- Refrain from overexertion, drugs, or alcohol for at least six hours after treatment
- Follow your treatment plan between visits
- Keep all of your appointments, as each visit builds upon the previous ones
How Treatment Works
To treat any Qi imbalances, fine, sterile needles will be inserted at specific acupuncture points along the meridian pathways. Your acupuncturist will concentrate on acupuncture points related to specific organs, based on your unique issues and symptoms.
Your acupuncturist may include other related therapies in your treatment plan, such as cupping, Gua Sha, or moxibustion. Herbal remedies are another important aspect of acupuncture and TCM, and it is important to understand and follow your practitioner’s directions in order to get the most benefit from these treatments.
Your Role in the Healing Process
Your actions are a key component of your treatment plan. Focusing on your health and committing to a healthy lifestyle are the best steps you can take for your well-being. Together, you and your acupuncturist can heal your imbalances and help you achieve harmony and balance.
Even after your symptoms are resolved, acupuncture can assist you in maintaining your health and possibly prevent future imbalances. The more you incorporate acupuncture and TCM into your life, the more you’ll learn to nurture your body, mind, and spirit.
Acupuncture Is Not an Instant Fix
True healing takes time and dedication. Depending on your current health and symptoms, you could feel better right away, or you may need treatments for weeks, months, or years to achieve the results you want. Your acupuncturist can give you an idea of what to expect. With a little patience and an open mind, you’ll be on your way to health and vitality.
Acupuncture and TCM offer a safe and effective holistic healthcare system. This natural approach can both resolve symptoms and enhance your overall health.
By taking the right steps and planting the seeds of health, you are on the road to a healthier you!
WHAT TO EXPECT
During the initial exam, a full health history is taken. Questions are asked regarding health, symptoms, and lifestyle. An appropriate physical exam is conducted, including pulse and tongue diagnosis.
Gathering this information enables the practitioner to effectively diagnose and detect any specific imbalances of Qi that may have contributed to a person's health problems. The practitioner can then create a well-structured treatment plan.
Once the imbalances of Qi are detected, an acupuncturist will place fine, sterile needles at specific acupoints along meridian pathways. This safe and painless insertion of the needles can unblock the obstruction and balance Qi where it has become unbalanced. Once this is done, Qi can freely circulate throughout the body, providing adequate nourishment to cells, organs, glands, tissues, and muscles. This can eliminate pain and restore balance and harmony, as well as the body’s ability to heal itself—ultimately leading to optimal health and well-being.
Acupuncture and Chinese medicine are safe, effective, and drug-free therapies that can help address a wide variety of common ailments and problems.
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