School: aaaom.edu

Saturday, March 19, 2016

New York Times Recommends Acupuncture

Letter of Recommendation: Acupuncture


When I was younger, I frequently met people who evangelized for universal LSD consumption. A wider perspective, the acid-eaters tried to explain. A benevolent system. They always seemed half-dead to me, some part of them already partaking in the next world, turned away even as they stared into my face and tried to explain. I once watched one of them almost overdose on laughing gas, leering, muttering nastily at my head, his face blue as day. It was indecent, his romance with death. It should have been private. They all just seemed as if they’d willingly trade life for what might be nothing. They seemed infected by the same unexamined certainty as the religious and the insane, mistaking it for some greater ontological understanding.
And then one day I thought I should visit the acupuncturist on Hyperion Avenue. I’d driven past it every day for months. I don’t remember why it suddenly seemed like a good idea. I mean, I remember generally. I was troubled. Things were going wrong. I could produce no reason for it. I thought I might be carrying a backlog of sadness, that it had begun to corrode my life from the inside.
Because I have chronic inflammatory demyelinating polyneuropathy, an autoimmune disorder affecting the peripheral nerves, I’ve had so many venipunctures that the crooks of my elbows are pitted with scars. They look about the same as the scars of my friend who shot heroin for seven years. I’ve had four central lines in my subclavian vein, two on each side. One end tunneled under the skin and then fed into the vein; the other end flopped around on the surface. One of them stayed in for a year. I did six months of the flushing and dressing changes for the line myself. I’ve watched my blood go in and out, lost count of the gallons of other people’s plasma I’ve used, dirtied with autoantibodies, bled back out. I’ve given myself dozens of shots in my legs. All of which is to say that I wasn’t afraid of needles.
Acupuncture points, their location on the body and the body part they treat:
‘‘Bubbling Spring,’’ on the foot: head.
‘‘Calf’s Nose,’’ on the knee: knee.
‘‘Great Hammer,’’ on the spine: back.
‘‘Palace of Toil,’’ on the hand: mouth.
‘‘Cloud Gate,’’ below the clavicle: lungs.
‘‘Spirit Court,’’ on the head: nose.
I was, however, afraid that I might lose my grip on reality and go delicately insane, right there on the table. My nightmares were already bad enough. I preferred to keep my inner terror invisible and unknown. I respected fear, didn’t need to transcend it, but mine was distributed oddly. There were certain things I was an ace at — I’m still a first-rate hospital patient — but it had been six years since I’d driven on a freeway. I was taking pills to get out of bed and more pills to get back in. Small, daily things were becoming impossible.
Probably the decision took place in some barely knowable part of my reasoning mind; once made, I found it easy to find the number of the place online and then drive there, park, go inside, take in the obligatory dribbling fountain and pamphlets about tinctures and powders. The acupuncturist was white, white-haired, beaming, intelligent. I went into a little room. The sheets were softer than any I’d ever felt. Eight hundred thread count? Nine hundred? Is that even a thing? It was like lying on the underside of a giant cat.
Pulses were taken; my tongue was observed. Apparently, my liver chi was trapped, which was getting the organ hot and burning up my heart energy. I didn’t care about the words. I just wanted to keep hoping this person would be able to help me. He had worked in the film industry for years and years, and started studying acupuncture when he was 40. Forty! You could start something at 40; I was 40 then. It was a revelation. I planted my face into the headrest.
Lying there, prone, holding in my flesh a number of those little pins you can’t quite feel, I caught the glimmer of an understanding that the slight concentration of energy in and around my body at that moment could just barely be distinguished from the rest of the universe. I began to understand that what I called my self was physically de­limited not by my body but by a concentration of energy in and around it. I tried to determine how far out into the air it reached. Four inches? I couldn’t sense a boundary. It haloed me and faded into the surrounding space.
You hardly feel the needles. It’s your weakening grip on reality that’s scary.
I began to understand that there was no such thing as death, if death meant the absolute end of something that once existed and no longer did. Imagine instead a gradual dissipation of the energy once concentrated in the general shape of the living entity. A person. A tree. A fruit on the tree. Pick the fruit and the energy stays in the center of it for some time. I’m already partaking in death along with everything else that ever lived and that lives now.
All of this flooded into my understanding in about 10 seconds. I was tingling. I was more permeable than I once thought. Bones and meat and blood, but now, also, the air. The energy all around. Once the needles were removed, I felt high for days.
Since then, I don’t think I’ve changed much. The vocabulary of the acid-eaters still makes me cringe, particularly when I hear myself using it. This is the burden of the cynic. If your cynicism disappears, even for a moment, you are dismissed by fellow cynics; worse, you court self-disdain.
Which is the real world, the world of doubt and disbelief or the world of unbelievable free-flowing magic? Or is it a steady oscillation between the two?
It has been more than a year, and I still feel better.

Click here for the source.

Friday, March 18, 2016

Dogs Love Acupuncture



Dog cured of crippling arthritis thanks to ground-breaking acupuncture treatment
An adorable pooch has a new lease of life after he was cured of his crippling arthritis - thanks to acupuncture.
Poorly pup Louis was on his last legs as painful arthritis left him unable to move - and devastated owner Victoria Thomas thought it meant the end for her pet.
But the nine-year-old Labrador-Collie cross-breed has got a spring in his step again, after a few sessions of animal acupuncture.
Since Louis has been visiting 608 Vet Practice in Solihull, West Midlands, for regular sessions, he's gone from tired old hound to a lively pooch.
Victoria, 68, believes the "miracle" treatment saved her pooch's life - and he's now bounding around like a puppy again.
Victoria, from Birmingham, who adopted Louis he was a puppy, said: "Louis has been suffering with arthritis for nearly three years now, and it's only got worse as he's got older - he suffers all over his body.
"He was in a lot of pain, and getting very depressed - it was horrible to watch him like that.
"He couldn't even get to his feet on his own, we had to physically lift him - it was very distressing to see him in so much pain.
"When we initially had him examined he was put on a course of treatment which did no good, and then another which made him very sick, and finally a third - but even that didn't really help much, it only took the edge off.
"I happened to be talking to someone at the rescue centre where we got Louis, and they asked if I'd tried acupuncture.
 To read more, click here.

Wednesday, March 16, 2016

Abbott pioneers acupuncture in the ER



Abbott pioneers acupuncture in the ER
By Jeremy Olson Star Tribune
Abbott Northwestern Hospital is reporting success using acupuncture in its emergency room to treat conditions ranging from car accident injuries to migraines to kidney stones, and hoping to prove that the traditional Chinese treatment can reduce doctors’ reliance on addictive opioids to manage patients’ pain.
The Minneapolis hospital was the first in the nation to staff its ER with an acupuncturist two years ago, as part of a broader campaign to promote Eastern remedies as complements to Western mainstream medicine.
After tracking 182 patients, it reported this month that pain scores in those who received acupuncture alone dropped by the same amount as those who also received analgesic painkillers.
“No matter what I’m treating them for, many patients report feeling calmer, more relaxed, less anxious,” said Adam Reinstein, the acupuncturist in Abbott’s ER.
Coordinating with doctors and nurses on weekdays, Reinstein finds patients willing to receive acupuncture. He then places needles strategically in their skin to provide overall pain relief and relaxation, or to target pain in specific body parts.
The free service is designed to supplement whatever other care patients receive, but Reinstein said there have been cases when it pre-empted the need for prescription painkillers and shortened patients’ ER stays. Now the goal is to measure just how much acupuncture in and of itself makes a difference.http://apps.startribune.com/circulars/images/blank.gif
Acupuncture Specialist Adam Reinstein met with cancer patient Julie Valley before giving her an acupuncture treatment at the Abbott Northwestern emergency room, Monday, March 7, 2016 in Minneapolis, MN. The hospital is reporting success posting an acupuncturist in its ER to provide pain relief to patients.
The study published by Reinstein and Jeffery Dusek of the Penny George Institute for Health and Healing this month in the journal Pain Medicine found equivalent pain relief in patients who received acupuncture alone, but also reductions in their anxiety. The “observational” study had limits, though, including the chance that the acupuncture recipients might have been more likely to recover faster in the first place, and that there was no comparison group who only received painkillers.
Now Dusek is pursuing a federal grant for a more definitive study of 750 patients.
Proving acupuncture could sometimes replace opioids would be meaningful because there is growing evidence that the drugs are being overused and causing addictions and overdose deaths, said Dr. Chris Kapsner, the medical director of Abbott’s ER.
Minnesota overdose deaths have risen sixfold, according to state death records, a trend that has corresponded with rising prescription rates.
“We’re cognizant that there is a huge epidemic” of opioid overuse, Kapsner said, “and we’re doing our best not to be part of the problem, but to be part of the solution.”
Five slender needles
Reinstein had already provided acupuncture for a car accident victim last week when he knocked on the door of Julia Valley’s ER room. The breast cancer patient from Bloomington reported crushing pain and swelling in her left shoulder — a side effect of chemotherapy treatments that caused veins to collapse and become clogged.
Awaiting painkillers, Valley gladly agreed to acupuncture; the hospital’s research shows that nine of 10 such ER patients agree to the treatment.
Reinstein selected the hand opposite from Valley’s injured shoulder, cleansed it, and nimbly placed five needles between her wrist and thumb.
“Is that it?” asked Valley, who was anticipating stings. “Wow!”
“That’s it,” Reinstein replied. “We try not to do anything that causes more pain.”
American views on acupuncture have changed over the past 30 years, from deeming it quackery to embracing its place in health care — even if its mechanisms are loosely understood. Studies nationally have proved it effective at reducing nausea from chemotherapy and addressing certain types of chronic pain.
Acupuncture is usually provided in meditative outpatient clinics rather than emergency departments full of bright lights, beeping alarms and anxious patients. Reinstein said the goal of ER treatment is different as well: immediate relief rather than long-term recovery or healing.
‘I can feel it!’
Acupuncture involves the shallow insertion of needles to stimulate junctures in the body — often nerves, muscles or connective tissues. Traditional whole-body teaching holds that “meridian” lines along the body possess therapeutic value for specific organs; the line of pressure points connected to the heart, for example, is said to extend from the shoulders down the arms.
Reinstein said he is conservative and targets “distal” edges of the body such as hands, ears or ankles — away from injury sites — because ER patients aren’t always familiar with acupuncture or are agitated.

http://apps.startribune.com/circulars/images/blank.gif
Julia Valley recently received acupuncture treatment for pain at the Abbott Northwestern. emergency room.
Valley, 34, was surprised by the calm she felt after treatment. “I can feel it!” she exclaimed.
“A lot of patients fall asleep during treatment,” Reinstein replied, “though not so much in the emergency room.”
In addition to proving that acupuncture relieves pain, Reinstein and colleagues hope to prove that it reduces ER costs and that insurers should cover it.
Insurers such as Blue Cross and Blue Shield of Minnesota generally cover acupuncture, but only for nausea related to chemotherapy and surgery, or treatment of pain once traditional efforts have failed.
Reinstein said placebo effects could explain some of his results; simply listening to patients and attending to them could reduce anxiety. It’s also unclear why some patients benefit and others don’t.
But acupuncture has few side effects — unless the needles aren’t clean or are pushed in too far — so ER doctors have encouraged its use while awaiting data that proves its value, Reinstein said.
“It’s not about Western medicine” vs. Eastern medicine, he said. “It’s not about the medication. It’s not about acupuncture. It’s about, what can we do to make the patient feel better?”

Friday, March 11, 2016

Acupuncture for Stress Urinary Incontinence



Acupuncture for Stress Urinary Incontinence
BACKGROUND:  Acupuncture is a potential conservative therapy for women with stress urinary incontinence (SUI). There is limited evidence to support its effectiveness due to the poor quality of existing studies.
METHODS:  We performed a pilot randomized, controlled trial to preliminarily assess the efficacy of electroacupuncture (EA) in women with pure SUI. A total of 80 women with pure SUI were randomly assigned to receive EA with deep needling at BL33 and BL35 (n = 40) or sham EA with non-penetrating needling at sham acupoints (n = 40) three sessions per week for 6 weeks. The women were followed for 24 weeks. The primary outcome was the change from baseline in the amount of urine leakage measured by a 1-hour pad test after 6 weeks. The secondary outcomes included the 72-hour incontinence episode frequency (IEF), International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) score, and patient self-evaluation of therapeutic effect. Adverse events (AEs) were monitored throughout the trial.
RESULTS:  The median decrease from baseline of urine leakage measured by the 1-hour pad test was 2.5 g [interquartile range (IQR): 1.80-14.6 in the EA group, which was greater than the median decrease of 0.05 g (IQR: -2.80-+0.50) in the sham EA group after 6 weeks (p<0.01). The differences between groups in the decrease from baseline of 72-hour IEF became statistically significant at week 30 with a median decrease of 3.25 g (IQR: 1.25-5.69) in the EA group, and a median decrease of 1.00 g (IQR: -0.69-+2.88) in the sham EA group (p = 0.01). The participants in the EA group showed greater decreases in ICIQ-SF score and higher ratings in the help they received from the treatment than those in the sham EA group at weeks 6,18 and 30 (all p<0.05). No obvious AEs were observed in either group.
CONCLUSION:  EA may effectively and safely relieve urinary incontinence symptoms and improve quality of life in women with pure SUI. EA demonstrated more than a placebo effect. Since this is a pilot study, results should be interpreted with caution.
Xu H, Liu B, Wu J, Du R, Liu X, Yu J, Liu Z. A Pilot Randomized Placebo Controlled Trial of Electroacupuncture for Women with Pure Stress Urinary Incontinence. PLoS One. 2016 Mar 9;11(3):e0150821.

Tuesday, March 8, 2016

Acupuncture for Cervicogenic Headache



Acupuncture for Cervicogenic Headache
To compare the efficacy difference between triple acupuncture method at cervical Jiaji (EX-B 2) and conventional acupuncture for cervicogenic headache. A total of 66 patients were randomly divided into a triple acupuncture group and a conventional acupuncture group, 33 cases in each one. The acupoints selected in the two groups were identical, including C1 to C7 of cervical Jiaji (EX-B 2) as well as Baihui (GV 20), Qiangjian (GV 18), Naokong (GB 19), Fengchi (GB 20), Fengfu (GV 16), Tianzhu (BL 10), etc. The conven- tional acupuncture was performed at acupoints on the head in the two groups; triple acupuncture was performed at cervical Jiaji (EX-B 2) in the triple acupuncture group while perpendicular acupuncture was performed with a depth of 25 to 40 mm in the conventional acupuncture group. The treatment was given once a day. Five treatments were considered as one session and totally two sessions were required. The changes of simplified McGill scale before and after acupuncture were observed in the two groups, and the efficacy of the two groups was compared. After acupuncture, the simplified McGill scale was both reduced in the two groups (both P < 0.01), and there was no significant difference between the two groups after treatment (all P > 0.05). The cured and markedly effective rate was 75.8% (25/33) and the total effective rate was 93.9% (31/33) in the triple acupuncture group, which were superior to 57.6% (19/33, P < 0.01) and 84.8% (28/33, P < 0.05) in the conventional acupuncture group respectively. The efficacy of triple acupuncture method at cervical Jiaji (EX-B 2) is superior to that of conventional acupuncture for cervicogenic headache.
Chu H, Hu B. Triple acupuncture method at cervical Jiaji (EX-B 2) for cervicogenic headache: a randomized controlled trial. Zhongguo Zhen Jiu. 2016 Jan;36(1):29-32.