Acupuncture. Roy L. Schneider Regional Hospital & Charlotte Kimelman Cancer Institute (CKCI)

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1 Acupuncture Roy L. Schneider Regional Hospital & Charlotte Kimelman Cancer Institute (CKCI) Irina Aleynikova, MCOM, LAc Midwestern Regional Medical Center Cancer Treatment Centers of America

2 About Me Graduated from Belarus Institute of Medicine with a traditional Western medical doctor s degree Certified in Su Jok Acupuncture (1992) Certified in Auricular Acupuncture (1992) Licensed in Chinese Medicine with Masters Degree In Oriental Medicine (2004) Working at the Cancer Treatment Centers of America since

3 Background Traditional Chinese medicine goes back over 4,000 years A combination of: Herbology Acupuncture Food Cures Manipulative Therapy (qigong and tai-ji) 2012 Rising Tide 3

4 Early Origins Emperor and doctor Fu Xi Shi from 4000 B.C. Invented 9 types of stone needles Indian Ayurvedic Medicine South African Bantu Tribes Scratch various body parts Eskimo People Simple stone stimulation of skin Brazilian Tribe Tiny blowpipe arrows to the body 4

5 Further Development European colonization of Indochina Translation into Latin and French by Jesuit priests Use in Chinese Culture Acupuncture practiced side-by-side with modern Western Medicine Often value Chinese Medicine over Western Medicine 5

Into Western Medicine Dr. Franklin Bache, Benjamin Franklin's great grandson, wrote the first US medical acupuncture article in 1825, entitled Memoir on Acupuncturation Dr.

6 Into Western Medicine Dr. Franklin Bache, Benjamin Franklin's great grandson, wrote the first US medical acupuncture article in 1825, entitled Memoir on Acupuncturation Dr. Edward Warren's 1863 medical and surgical text discussed the use of acupuncture and acupressure

Sir William Osler Called the father of modern medicine One of the four founding professors of Johns Hopkins Hospital In 1892, he wrote in The Principles and Practice of

7 Sir William Osler Called the father of modern medicine One of the four founding professors of Johns Hopkins Hospital In 1892, he wrote in The Principles and Practice of Medicinethat "for lumbago, acupuncture is, in acute cases, the most efficient treatment" and that for sciatica "acupuncture may be used 7

8 Rise in America Recognized by the World Health Organization as a valid medical approach not only for pain problems Largely unknown in the United States until President Nixon visited China in 1972 Dr. M Smith at Lincoln Hospital in New York (1973): Application of auriculoacupuncture for withdrawing addicts from opiate drugs, crack cocaine, alcohol and nicotine 8

9 Comparison Many incurable disease from Western medicine can be treated successfully by Chinese medicine Western Medicine Focus on treatment of symptoms, rather than causes Useful in first aid and surgeries Chemical drugs with serious side effects Chinese Medicine Treats causes rather than symptoms Useful in chronic cases of internal and skin diseases Longer lasting, less drastic, and milder side effects 9

10 Physical Exam Similar to traditional Western medicine More emphasis on appearance of patient Observe complexion Gauge smell Listen to voice Take pulse Look at tongue ges/media/medical/hw/hwkb17_071.jpg 10

11 Overview of Principles Based upon system of 12 meridians 6 yingor Zangorgan and 6 yang or Fu Ying/ Zang Yang / Fu Lung Large Intestine Spleen Stomach Heart Small Intestine Liver Gall Bladder Kidney Urinary Bladder Pericardium Triplet Warmer 11

12 Meridians Develop in embryonic stages of life Paired in longitudinal fashion Each pair completes a circuit Treatments plans are based on circuits eridians.jpg

13 Lung Meridian The Lung begins in the thumb and travels upward to connect with your lung, past your diaphragm, intestine and stomach 13

14 Large Intestine Begins in your index finger, travels up to the arm, angles to your shoulder, neck, upper back and ends on the side of your nose. It travels internally past your lungs, diaphragm, and down into the intestine 14

15 Ying and Yang Describe meridians, but also all aspects of life Passive and active Earth and heaven Body and mind Dark and Light Feminine and Masculine Striking a balance is THE fundamental principle of clinical practice If yang is deficient, it will cause chill sensations in superficial regions If yingis deficient, it will cause internal heat 15

16 Five Elements Theory Wood Liver, tendons, and eyes Fire Heart, blood vessels, tongue Earth Spleen, flesh, and mouth Metal Lung, skin, hair and nose Water Kidney, bones, and ears 16

17 Disorders of Energy, Blood, and Body Fluids All 3 types of disorders also follow principles of ying and yang Each associated with deficiencies and excesses 17

18 Disorders of Energy Two Categories Deficiency = shortage Low functioning, and decline Excess = too much Congestion and blockage 18

19 Disorders of Blood Three disorders Blood Deficiency Anemia, neurosis, parasites, chronic waste disease Blood coagulation Coronary disease, external injuries, and carbuncles Hot blood Measles, scarlet fever Aplastic anemia and leukemia Allergic Purpura 19

Disorders of Body Fluids Refer to the water in the body under normal circumstances Normal function = hydrate and lubricate internal organs Divided into 2 types of fluids Clear Fluids Circulate

20 Disorders of Body Fluids Refer to the water in the body under normal circumstances Normal function = hydrate and lubricate internal organs Divided into 2 types of fluids Clear Fluids Circulate muscles, skin/hair, eyes, ears, nose mouth Turbid Fluids Nourish brain and marrow Feed bone and joints 20

21 Causes of Disease Six external energies Wind, cold, summer heat, dampness, dryness and fire Attack the human body through nose, mouth or skin External Wind Causes common cold through injurious wind Internal Wind Causes vertigo, fainting, twitching, trembling, numbness, dry mouth and eyes Internal Cold Weakens yang energy causing water transformation leading to things like retention of urine 21

22 More Causes External Cold Causes blockage of yang energy, leading to the common cold, fever, headache Western Medicine and most people do no recognize diseases caused by over-exposure to certain climates Moderate exposure of climates benefits health, unless it corresponds with underlying excess in the body 22

Scientific Explanation Western medical literature has several explanations for the effect of acupuncture on the body: Endorphin theory Electrical Theory Circular Theory

23 Scientific Explanation Western medical literature has several explanations for the effect of acupuncture on the body: Endorphin theory Electrical Theory Circular Theory Neurotransmitter Theory /hearthis_ill/pap13e_ch15_illustr_audio_mp3_am/simulations/h ear/sympathetic.html 23

24 New Form of Acupuncture Microsystem based on somatotropic fields Greek: soma- body and tropos- location Involve mapping the body to one area Ear Auricular therapy Scalp Yamamoto New Scalp acupuncture Hand & Foot Korean Su JokAcupuncture Oral Cavity Oral Acupuncture 24

25 Origins of Auricular Therapy Women in ancient Egypt who did not want any more children sometimes had their external ear pricked with a needle or cauterized with heat Hippocrates, the father of Greek medicine, reported that doctors made small openings in the veins behind the ear to facilitate ejaculation and reduce impotency problem 25

26 Auricular Therapy In 1957, Dr. Paul Nogier: Ear had a triple innervations Each innervations supported an embryological derivate: Endoderm Mesoderm Ectoderm In 1972, HL Wen Opiate detoxification 26

27 Yamamoto New Scalp Therapy Very popular form of microsystem acupuncture Basic zone of scalp represent locomotorsystem and sense of organs Each specific Y zone, or 12- points each,represents the respective main channels of Traditional Chinese Medicine 27

28 Korean Acupuncture Developed by Dr. YooTae Woo, a trained Traditional Chinese Medicine doctor In Austria, Korean Acupuncture has been an integrated component of medical training for the Acupuncture Diploma of Austrian medical Board of Registration since Hand is ideal treatment site because the patient does not need to get undressed Treatment can have rapid effect because hands supplied with numerous nerve endings 28

29 Korean Hand Acupuncture Hands represented in a large area of cerebral cortex Effect of treatment can be gauged with pulse diagnosis and palpation Seeds can be used for treatment stems of chestnut or walnut seeds of buckwheat, radish, and beet 29

30 Oral Acupuncture Also discovered in the 1970s Intercorrelationof the enoralacupointsare identical with those of five groups of teeth One particular meridian couple is represented in each one of five dental groups as well as in the adjacent acupoints Retromolarpoints (situated behind wisdom teeth) are effective in treating dysfunctions of the locomotor system 30

31 Treatment in Cancer Cooperative effort between physician and acupuncturist Acupuncture helps improve side-effects from chemo and radiation therapy Relieves pain, fatigue, neuropathy, nausea, constipation, hiccups, xerostomia, hot flashes Helps promote healthier living Smoking cessation 31

32 References Hecker, H., & Peuker, E. (2006). Introduction. In Microsystems acupuncture: The complete guide : Ear--scalp--mouth--hand. Stuttgart: Thieme. Lu DP, Lu GP. An Historical Review and Perspective on the Impact of Acupuncture on U.S. Medicine and Society. Medical Acupuncture 2013;25(5): doi: /acu Lu, H. (1999). Chinese natural cures. New York, NY: Black Dog & Leventhal. Ma KW. The roots and development of Chinese acupuncture: from prehistory to early 20 th century. Acupunct Med 1992;10(Suppl):92 9. Patterson M (1974) Electro-acupuncture in alcohol and drug addictions. Sacks L (1975) Drug addiction, alcoholism, smoking, obesity treated by auricular staplepuncture. Am J Acupunct 3: Smith M (1979) Acupuncture and healing in drug detoxification. Am J Acupunct 7: Stager, W. H. (2009). Acupuncture and the osteopathic family physician. Osteopathic Family Physician, 1(3), Thieme Almanac: Acupuncture and Chinese Medicine. New York: Thieme Medical, Print. 32

Acupuncture. The Art of Healing with Needles

Acupuncture. The Art of Healing with Needles Acupuncture The Art of Healing with Needles What is Acupuncture? Strategic placement of needles to stimulate acupoints on meridians to restore proper flow of Qi and Blood and balance of Yin and Yang to