Acupuncture For Cynics

Acupuncture For Cynics

Have You Always Been Curious About Acupuncture, But Were Never Quite Sure Where To Stick The Needles? If you associate acupuncture with needles, pain and weird alternative medicine then you are horribly misinformed about the benefits of the world's oldest form of medicinal treatment.

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Isdn Versus Classical Chinese Acupuncture And Triggerpoint Medicine

Acupuncture is one of the oldest techniques of sports medicine. From its beginnings more than 2500 years ago, traditional Chinese acupuncture was an indispensable part of Chinese martial arts. All the martial arts masters were also masters of acupuncture, and they used acupuncture to treat injuries incurred in the practice of martial arts. Contemporary ISDN is not the same as traditional acupuncture. The cornerstone of Chinese acupuncture, which has guided clinical acupuncturists for at least 2500 years with remarkable efficacy, is the so-called meridian theory the theory that energy flows through pathways, or meridians, in the body. Careful research has shown that the notion of meridians is in fact invented, though it is derived from a combination of physiologic and anatomic features of the nervous, cardiovascular, endocrine, and immune systems. Although ISDN originated in traditional Chinese methods, it has developed from the ancient empirical approach to become a modern medical art...

Using Dry Needling Acupuncture for preventing Injury and Enhancing Athletic performance

Preventive measures are the best way to decrease the incidence and severity of injury in sports, and many research programs and treatment methods have been developed for this purpose. However, the potential of dry needling acupuncture for preventing sports injuries has not yet been seriously recognized by sports medicine professionals. Dry needling therapy is a specific modality for soft tissue dysfunction. Needling and needling-induced lesions activate built-in biologic self-regulatory mechanisms to normalize pathophysiology of soft tissues. Soft tissue accounts for about 50 of human body mass and is a part of every anatomic entity as either a structural or functional element any pathologic insult, internal or external, can cause or be manifested as soft tissue dysfunction. Therefore dry needling acupuncture is a modality that can be used in almost every clinical condition that involves soft tissue dysfunction, ranging from postexercise syndrome, delayed-onset muscle soreness,...

HAND acupuncture THEHau mtroductioh

Acupuncture In this treatment, acupuncture needles simulate points on the Four types (No. 26, 28, 30, and 32) of regular acupuncture needles with a length of 0.5-1.0 cun are usually used in clinical (1) Before acupuncture is used, both the skin of rh, v (2) Acupuncture is contraindicated in patients who are either in extreme hunger or have eaten too much who are overtired drunk or physically weak who have a nervous disposition or have ius't recovered from serious illness. In these cases, acupuncture mav cause tainting. 1 I (4) Acupuncture should not be applied to points on the skin with frostbite or inflammation because it may spread infection. prick the acupuncture p mall hole. Finally, a dry cotton of blood are squeeze the hole t0 st0p the bleeding. The (1) Moxa cone method A moxa cone is put on a selected acupuncture point and its tip is lit. After two-thirds of the cone has been burned, the residual moxa is replaced by a new cone to repeat the...

Pinning Down a Solution Acupuncture

Some people with fibromyalgia announce feeling considerable relief after undergoing acupuncture, the careful insertion of special pins at specific points of the body by a trained practitioner. Others, however, have said that acupuncture had no effect on them, and some have reported that the experience made them feel worse. Several key clinical studies on acupuncture have shown that acupuncture is effective against the pain of fibromyalgia. For example, in a study on fibromyalgia patients reported in 2006 in Mayo Clinic Proceedings, the researchers placed 25 of the patients in the acupuncture group and 25 in the control group receiving simulated acupuncture. The researchers found that the symptoms of fatigue, anxiety, and pain were significantly reduced in the acupuncture group compared to the control group. It's worth noting that some studies find that patients don't obtain significant relief from their FMS symptoms with acupuncture. According to the Centers for Disease Control and...

Understanding acupuncture

The Chinese have explanations about acupuncture that are fairly complicated and may make little sense to the Western mind. So here I stick to one possible explanation of acupuncture that may be feasible and more understandable to the average American. That explanation is that, if and when acupuncture works, the pins that are inserted in certain identified points may stimulate the production of endorphins (pain-fighting brain chemicals). When endor-phins go up, pain goes down. Because your pain actually preceded the acupuncture treatment, why weren't those endorphins already working beforehand Didn't your body know that it was hurting and shouldn't it have marshaled your endorphins to get to work No one knows why pain sometimes seems to get stuck in the on mode. But acupuncture may give your system that extra little jolt that's enough to stimulate the endorphins to rush to the hurting area. Acupuncture is only a temporary fix at best. But then, few remedies that are associated with...

Safety Issues in Dry Needling Acupuncture practice

As with any medical procedure, the practice of dry needling acupuncture always entails some risk. Clinicians should be aware of this possibility and be well prepared for it in treating patients, beginning with the first session. The research on safety issues in the field of dry needling is currently very limited, and the author used acupuncture literature that is applicable to dry needling practice.

Hand Acupuncture Therapy

This book describes in detail the principles of hand acupuncture therapy, the location of the hand acupuncture points, hand observation diagnosis and the clinical application of hand acupuncture therapy for some common diseases. This book, dealing with an important branch of Traditional Chinese Medicine, stresses the practical application of the

The Identification Of The Acupuncture Point

Fig Rabbit Skin

Chinese acupuncture points, the most acceptable hypothesis was to consider either a skin surface effect related to the secretion of sweat glands, as pointed out by some researchers, or more consistently to consider the possibility of a specific subcutaneous structure, since cleaning the skin with ether acetone did not change either the electrical properties or the detection of points on fresh cadaver skin (Fig. 2.5). More precise investigations were performed by Claudie Terral using both direct and sinusoidal (alternating) current. For this investigation, a curve plotter was built allowing recording of the instantaneous variability of intensity as a function of applied sinusoidal voltage of the electrical equivalent circuit changes. All those parameters were visualized on the oscilloscope with the output voltage in the X axis and the output current in the Y axis. A special exploratory electrode was designed, equipped with a strain gauge bridge measuring the pressure on the skin. It...

Dry needling acupuncture is not the acupuncture of traditional chinese medicine tcm

Traditional Chinese acupuncture developed about 3,000 years ago as an empirical clinical procedure. We have inherited much valuable experience from this ancient healing art, but this does not equal and cannot replace modern medical training, even though physiologically, traditional acupuncture is a type of dry needling therapy. Confusion about traditional acupuncture can be avoided if we understand more of the history of its development. The distinguished scholar Professor Chen Fang-zheng, senior researcher of the Chinese Academy of Science and former director of the Institute of Chinese Culture at the Chinese University of Hong Kong, wrote in his recent book Heritage and Betrayal A Treatise on the Emergence of Modern Science in Western Civilization (San Lian Shu Dian Press, Beijing, April 2009) that modern science could not evolve in Chinese culture as it did in the West because the ancient Chinese did not develop a method of logical enquiry into the objective world but focused only...

Neurochemical Mechanisms Of Acupuncture Analgesia

The neurochemical mechanisms of acupuncture analgesia have been investigated extensively in many Chinese, Japanese, South Korean, and North American universities. Han's10 laboratory at Beijing Medical University and Pomeranz's1,11 laboratory at the University of Toronto have contributed solid scientific data explaining the neurochemical processes of acupuncture analgesia. The explanation of acupuncture analgesia is simplified for the purposes of this textbook. For example, after pain impulses reach the spinal cord,

Electrical Acupuncture

Electrical acupuncture stimulates specific peripheral nerves, which send strong impulses to the spinal cord and brain. With different stimulating frequencies, electrical acupuncture can induce different endorphins at different levels of the CNS. Endorphins have many physiologic functions, such as modulating pain mechanisms to relieve pain, relaxing cardiovascular systems, and improving immune activity by reducing physiologic stress. Electrical acupuncture stimulation, therefore, results in accelerated self-healing. Endorphin mechanisms are nonspecific. Electrical acupuncture and needling stimulate the secretion of endorphins however, chiropractic manipulation, massage, physical exercise, meditation, and taking a vacation can also have the same result to some degree. Nevertheless, electrical acupuncture provides special clinical mechanisms that greatly enhance the effects of ISDN. When a needle is inserted into damaged or unhealthy soft tissue, the needling process and the...

NrATlON name and indications 0p l0c hand acupuncture points

Section 1 Hand Acupuncture Pointe e Three Hand Yin and Three thl Hand Yang Meridians Amon* the 12 regular meridians those that pass through the hand are The hand Taiyin lung hand Shaoym heart, hand Jueyin pericardium, hand Taiyang small intestine hand Yangming large destine and hand Shaoyang Sanjiao meridians. The acupuncture points on those meridians are listed as follows (see Fig. 3 and Fig. 4).

A brief history of dry needling acupuncture

Like any medical procedure, dry needling acupuncture has gone through a period of development and may now be considered to be reaching its maturity. Dry needling as a medical technique has been observed in various human civilizations for over two millennia. From historical literature, we know that it appeared in Egypt, Greece, India, Japan, and China. The Chinese, as we know, systematically preserved this technique, developed its medical value, and formulated the well-known acupuncture Dr. Ronald Melzack found that more than 70 of the classic meridian acupoints corresponded to commonly used trigger points.3 Then the discovery of homeostatic trigger points by Dr. H.C. Dung, Professor of Anatomy at the University of Texas Health Science Center at San Antonio, advanced our understanding of the connection between homeo-static trigger points and the principle of the central innervation of trigger points (see Chapters 7 and 8). Travell herself paid attention to Dung's work (personal...


Acupuncture is based upon TCM and is one of the main therapies used by TCM physicians, but also practiced by naturopaths, osteopaths, and a variety of healthcare professionals. Acupuncture involves the placement of needles at specific points along meridians with the goal of restoring the balance of yin and yang and proper chi or qi flow to promote health. Persons with PD receiving acupuncture report a reduction in pain and sometimes improved sleep and mood and increased energy. Reduction of pain has consistently been reported by persons receiving acupuncture for a variety of conditions. Stimulation of the nerve fibers with the acupuncture needles is thought to activate the nervous, lymphatic, and electromagnetic pathways and result in a release of hormones that reduce pain as well as stimulate the immune system and improve circulation. Treatments often last 40 to 90 minutes while laying on one's back with needles in place and to be effective may need to be done a minimum of one to...

The Comorbidity Of Anxiety And Depression On The Auricle

For the general practitioner it is useful to try to differentiate these conditions and co-morbidity is often found in patients asking to be treated with acupuncture. I tried therefore to make a contribution to this issue and examined the sectors of high value in 90 out of 357 randomly selected patients belonging to two groups of 30, each with self-rated anxiety and depression the third group was a control group of 30 subjects not declaring any of these symptoms. As reported in Chapter 9, the patients were blindly examined by me after reporting their symptoms on a form and having them checked by an independent assessor.

Electrical Skin Resistance

In fact, the very strong influence of the stratum corneum had been noted extremely early in articles seeking to locate acupuncture points by electrical methods. McCarrol and Rowley18 deliberately damaged the stratum corneum by applying a very high pressure (2 kg mm2) at the tip of the searching electrode, observing a dramatic drop in skin impedance, which, in one case, amounted to 94 of the impedance measured previously using a tip loaded with 0.1kg mm2. Their experiment was conducted at 1000 Hz, but no details of the tip's dimension are given. Their conclusion was that when trying to locate an acupuncture point by measuring skin conductance with a small electrode, the chances are that we are simply measuring the integrity of the stratum corneum. Therefore, we can suspect that any macroscopic variations are probably due to accidental stratum corneum abrasions. As an alternative assumption, acupuncture points may be associated with areas of thinner or more hydrated stratum corneum....

Esr Sources Of Variability

Well known to those who make that variation their specific field of investigation, such as researchers on the psychogalvanic effect, but not so well known to acupuncture practitioners, who usually take only one measurement for any specific spot, and several measurements in rapid succession.

For Pain Provoked By Palpation

The patient asked for treatment with steroids but I convinced him to try ear acupuncture first. Performing PPT, I found a sensitive point on the scapha corresponding to the representation of the elbow. NCT on this point lowered pain at palpation of the lateral epicondyle (Fig. 8.4A) and a temporary sterile single-use steel implant (ASP) was placed there. Two more ASPs immediately beneath improved pain at pronation of the arm and dorsiflexion of the wrist (Fig. 8.4B). This treatment with three grouped implants in all was efficacious enough to make steroid treatment unnecessary. The patient received similar therapy 15 days later with lasting results.

New Project For Validating Auricular Diagnosis

It is possible that every practitioner may find or treat varying types of symptoms in his patients, according to his experience and interest in specific fields of medicine. Nevertheless my impression is that acupuncture for musculoskeletal pain is the most common application for the majority of therapists.

Results Of A Survey Carried Out On 109 Medical Doctors

A total of 136 colleagues, practicing members of the Federazione Italiana Societa di Agopuntura (FISA), participated in a survey which I organized in 2002 for identifying the most important factors in the evaluation of adequate acupuncture treatment.55 on ear acupuncture auriculotherapy Ear acupuncture textbook on ear acupuncture Ear acupuncture textbook Ear Acupuncture Compiling Group of Nanjing Military Headquarters52 The aim was to develop a possible scale to be used for systematic reviews on acupuncture. 6. Do you apply formula acupuncture recommended by the textbooks for treating specific disorders Table 10.2 Diagnostic methods and selection of auricular points according to 109 physicians practicing ear acupuncture Table 10.2 Diagnostic methods and selection of auricular points according to 109 physicians practicing ear acupuncture acupuncture Finally, the majority of the practitioners (52.3 ) do not like formula acupuncture, but at least one-third sometimes choose the set of...

The Representation Of The Eye On The

However, the most interesting evolution in the identification of points areas related to eye disorders concerns two points reported in 1959 by Dr Xu Zuo-Lin of Beijing in the first Chinese clinical validation on ear acupuncture (see Fig. 1.11). The points were located on the posterior-lateral and anterior-internal edge of the intertragic notch and called by the author respectively astigmatism and glaucoma. The points were then placed definitely on the external border of the intertragic notch and renamed Eye 1 and 2 by the Chinese Academy of Traditional Medicine. Their common and unique indication was 'pseudomyopia',

The Chinese Contribution To The Inspection Of The Outer

As noted in Chapter 1, the application of the principles of TCM to ear acupuncture by Chinese therapists favored an original development of this discipline. If we consider the four different diagnostic methods proposed by TCM, besides pulse and tongue diagnosis, we find examination of the patient at the top, followed by the interview, auscultation and smelling and palpation of the body. It is not by chance that palpation has been ranked last an aphorism written by the famous physician Pien Chueh in his book Nan Jing (Difficult Classic) was It is interesting to recall the different stages in the Chinese experience the first was the confirmation of the ear's somatotopic representation of the different anatomical parts of the body through inspection, for example deformation or cartilaginous hypertrophy of the inferior crus of the anthe-lix in case of lumbar spondylosis or prolapsed intervertebral disk. Next came the proof that acupuncture treatment of dyschromia, telangiectasia, etc....

Select personal points as soon as possible

Auricular Acupuncture Images

In the case shown in Figure 10.9A, the 30-year-old female patient came to my practice with an urticaria spreading over the thighs and abdomen, which was presumed to be caused by her intake of amoxi-cillin. The rash had been present for a few hours and itching was scored verbally by the patient as between 7 and 8 on a scale of 10. With PPT I identified seven tender points, two on the scapha and five scattered on the helix of sectors 17-21. Acupuncture Acupuncture My goal was to find out an auricular point with the same efficacy as PC6 (neiguan). As reported by a recent systematic review,56 PC6 stimulation may be beneficial for various conditions involving nausea and vomiting, even if the added value to modern antiemetics remains unclear. However, few acupuncturists expressed their opinion on the fact that the application of only one needle (two, considering the symmetrical stimulation on both sides) is really unusual in acupuncture. Experts in TCM and practitioners of westernized...

The Discovery Of Auriculotherapy

Auricular Acupuncture

A century later auricular cauterization was brought back to light and ear acupuncture had a new lease of scientific life. The years 1950-51 were important ones for the French physician Paul Nogier of Lyons (1908-1996). Nogier was impressed by the scar on the anthelix borne by some patients who had been treated for sciatica by healers in south-eastern France. The unanimous tale of these patients was that of a rapid recovery from pain within hours, or even minutes, after treatment. An evident connection between cauterization and the alleviation of pain could not be denied and Dr Nogier, without preconception, started treating patients in the same way. At first he applied cauterizations and later a less harmful method such as pins or acupuncture My children's tutor, aged 65, with high blood pressure around 180 mmHg, one evening this year told me she had had a pain in her right foot the whole afternoon. The pain was rather curious, short, intense, returning every two or three minutes. We...

The pressure pain test

Nogier nevertheless realized that the most readily available technique for determining the reactivity of auricular reflex points was palpation and pressure pain test (PPT) applied to specific areas of the auricle. He wished, however, to approach this topic scientifically, so with his collaborator Bourdiol set up an experiment which is easy to realize and reproduce and which is now part of the history of ear acupuncture1 (Fig. 5.1). The procedure was as follows This experiment by Nogier and Bourdiol was repeated by Alimi2 applying functional magnetic resonance imaging (fMRI). The aim of the study was to examine the hypothesis that there are specific neurophysiological connections between ear acupoints and the central nervous system (CNS). A dynamometric clamp was calibrated at 2 kg cm2 to induce a nociceptive stimulation of the thumb. To identify the auricular reflex points, instead of the pressure-probe an electronic microvoltmeter (Pointoselect DT+, manufactured by Schwa-medico) was...

Allergic Conditions On The Auricle

Auricular Acupuncture

Summing up this section, it has to be said that we are far from having interpreted the whole range of allergic disorders on the auricle. It would also be interesting to carry out diagnostic research into the various diseases in which autoimmunity is demonstrated or supposed it is possible that such a systematic study could give us useful information for increasing the therapeutic potentialities of ear acupuncture.

Point Zero And The Principle Of Alignment According To Paul Nogier

Nogier Ear Acupuncture

Of the palm of the hand, proposed by Nogier himself, seems unacceptable as its innervation stems from the plexus brachialis (originating from the ventral branches of the last four cervical spinal nerves and most of the ventral branch of the first thoracic spinal nerve). Nevertheless, if we look at the body acupuncture points which are in topographic correspondence to the auricular point TH9 and the palm of the hand, we find respectively point Ganshu (BL18), and point Laogong (PC 8). The former is located 1.5 cun laterally to the border of the spinous process of TH9 the latter is located between the second and third metacarpal bones where the middle finger touches the palm, closing the hand. Beyond the interpretation of these points according to traditional Chinese medicine (TCM), we can limit ourselves to considering only the different groups of therapeutic indications which are reported in the most important acupuncture textbooks. The reader may well be surprised to notice that the...

Migraine And Tensiontype Headache

Acupuncture Nodes

It is important for the practitioner trying to treat these disorders with acupuncture to be familiar with this classification in order to make a differential diagnosis between the first two categories because of their prevalence in the general population. The custom of maintaining the common term 'headache' in acupuncture textbooks is still widespread, even today. This results in auricular charts not reporting different points or areas for treating the two different types of headache. In the Chinese standardized map, for example, the term

Laser Auriculo Diagnostic

Acupuncture Points For Eating Disorders

Paul Nogier (1908-1996) would today be very proud to see how many 'adoptive children' he has around the world. In my opinion, ear acupuncture is one of the most intriguing discoveries of the last 50 years. Two lessons have ensued from Nogier's experience the first is that even a single physician, without expensive and sophisticated instruments, can perform good research, following his clinical instinct and rigorously analyzing his observations. The second is that every revolutionary approach in the field of medicine has to struggle before being accepted by the scientific community. Over the last 20 years the great increase in complementary alternative methods has brought an equally increasing request among therapists and patients for evidence-based information on their efficacy. Ear acupuncture is no exception, and a full knowledge of the range of its possibilities needs to be brought to light. First, despite great interest in ear acupuncture throughout the world, there is still a...

Smoking Habit And Eating Disorders

Acupuncture Points For Eating Disorders

Two of the fields in which ear acupuncture has often been applied are those of tobacco addiction and obesity. In this paragraph they will be considered together because they have some common features such as depressive mood, compulsory behavior and craving which have often been the object of treatment with acupuncture. Even if the systematic reviews on both subjects are inconclusive as regards their efficacy over time, it is nevertheless noteworthy that auricular stimulation on one or more points has been added to almost every smoking cessation and weight loss program.

Trigeminal Neuralgia On The

Toothache And Ear Pain

The Chinese report only one point area related to trigeminal neuralgia, the cheek (LO5, 6i mianjia) between the eye and the internal ear area. Other areas related to the trigeminal system are the tooth (LO1 ya), anterior ear lobe (LO4 chuiqian) and jaw (LO3 he), which all have toothache as a therapeutic option interestingly stomach (CO4 wei) also has the same indication. The experienced acupuncturist will not be surprised by this indication as he knows that the Stomach meridian starts from the face and with its first seven points covers the neural territory of the second and third trigeminal branch. A further area for treating pain in general is Shen men, which was used extensively in the past in auricular acupuncture hypalge-sia for surgical purposes (see Ch. 1).

Possible associations between a subjects dominant side and the asymmetrical distribution of auricular points

Dominant Anterior

In all these cases the problem of cerebral asymmetry and the subject's dominant side has been frequently advanced by practitioners regularly applying ear acupuncture. The first were Nogier5 and Bourdiol,8 who introduced the concepts of 'dominant auricle' and 'auricular laterality'. They supposed that in right-handers the dominant ear (also called the 'active ear') was the right ear and that it had a more pronounced sympathetic activity. The left was therefore the non-dominant ear (also

Tzzzz zreach P 0f he 10

Section 3 Points and Areas of Hand Holographic Embryo System for Local Acupuncture In recent years, several schools of acupuncture in the holographic embryo system have been established with different views. However. the opinions of the different schools can be organized into three groups On the basis of personal experience and study, the author thinks that the last group is the most reasonable and scientific in its clinical practice and theoretical foundations. After rectifying and modifying the progress achieved by the specialists in the third group, the author has organized the hand holographic embryo system for local acupuncture as follows

Falsepositive And Falsenegative Auricular Diagnosis

In several further studies we (Romoli and Van der Windt) tried to control this interference by excluding from the clinical trial patients who had taken antidepressants or benzodiazepines less than 12 hours previously or NSAIDs less than 6-8 hours previously.7 The aim was to avoid a false-negative detection of auricular points in the group to be treated with ear acupuncture, but the temporal range proposed was based only on clinical impressions. It is indeed rather difficult, outside an experimental setting, to calculate the real half-life of a drug in every patient. For instance, it is interesting to notice how unpredictable the interference of nimesulide is on PPT and ESRT in patients with musculoskeletal pain disorders. Some subjects still show a reduced number of tender points 48 or 72 hours after the intake of 100 mg of nimesulide. The auricular findings in these patients are, however, consistent with their statement that they are able to control pain only with two or three doses...

The Validation Of Auricular Diagnosis

The term auricular diagnosis was first proposed officially by Terry Oleson in 1980.1 His study, conducted at the department of anesthesiology at the UCLA School of Medicine in Los Angeles, belongs to the history of ear acupuncture. Its aim was to evaluate the claims by French and Chinese acupuncturists that a somatotopic mapping of the body is represented upon the external ear. Forty patients were examined by a physician to determine which of 12 reported areas of their body suffered musculoskeletal pain (Fig. 9.1). Each patient was then covered with a sheet to conceal any visible physical problems. A second physician afterwards carried out a blind examination of the patient's auricles for areas of higher tenderness or reduced electrical skin resistance. The ear points corresponding to body areas where the subject reported musculoskeletal pain were designated as 'reactive points', while 'non-reactive points' corresponded to areas of the body where the patient experienced no discomfort....

The electrical skin resistance test

There is a major difference between body and ear acupuncture as regards the purpose of detecting points with reduced ESR. In body acupuncture the exact location of points may be necessary for basic research aimed at differentiating the resistance of a true meridian point from that of nearby chosen points for comparison. The exact identification of a meridian point by means of an electronic device may be useful for a beginner or for a physician wishing to identify the points with the lowest ESR in the belief that such points are also the most effective. In parallel with this strategy there is the custom followed by several practitioners who palpate the anatomical area corresponding to a specific meridian point, selecting for treatment the most sensitive spot.

The representation of the ovary on the ear

As frequently happens on the auricle, the reflex points of different anatomical structures may stratify on the same area. This is the case, for example, with thrombophlebitis of the right vena poplitea which generally sensitizes an area overlapping the representation of the ovary. This area, however, corresponds also to an important acupuncture point for gynecological disorders, such as SP6 sanyinjao whose tenderness at pressure may be reduced by the needle contact test (NCT) (see Ch. 8).

The Representation Of Tinnitus On The Auricle

Many people experience chronic tinnitus (at least 10 in the Western world) and it is therefore possible that they might seek remedy through acupuncture when conventional treatment has proven ineffective. Systematic reviews of the literature,58 however, based on evidence derived from rigorous randomized controlled trials, converge on the equal ineffi-cacy of acupuncture for this complaint. It is therefore important for the practitioner to be cautious about treating a patient with acupuncture alone, and outside a cognitive-behavioral program, even in those cases presenting one or more auricular tender points.

The Topography Of The Identified Auricular Pointarea

Figure 9.3 shows the right ear of a 64-year-old male patient who asked to be treated with acupuncture because he suffered with recurrent backache, especially on the right side. The inspection of the right auricle did indeed show a little hyperemia of the anthelix corresponding to the thoracolumbar junction and some telangiectasia on the representation of the Chinese knee. My attention was attracted, however, by a linear telangiectasia crossing the liver area. PPT identified two tender points on it which were furthermore aligned with point A 52-year-old female patient suffered with migraine and was treated successfully with ear acupuncture. Occasionally she suffered also with Meniere's disease. During a vertigo attack a sensitive area was found overlapping the representation of the internal ear according to the Chinese. Of the four tender points one coincided with the scar of a second piercing of the ear lobe. Beyond the treatment of the tender points I advised the patient to take off...

Stress Response Areas

The first group, which I called the 'stress group', showed an average of 2.2 life events compared to 0.9 in members of the control group (P< 0.001) measuring the number of events scoring a higher objective impact (3-5), as proposed by several studies, I obtained an average of 1.8 events compared to 0.8 in the control group (P< 0.001). All 70 subjects were submitted to 4 weekly sessions of ear acupuncture and to a control after 6 weeks. The stress group had on average 5.3 tender points compared to 2.4 of the control group the higher sensitization of the first group was significantly different (P< 0.001). At the baseline the total score of the SRT was, as expected, higher in the stress group but the treatment reduced the SRT score significantly at each session from the first to the third. In the control group, however, it was reduced significantly only after the first session. The first information I obtained from this study, published several years before those of Wang,27,28 was...

For Muscular Hypertonus Our Experience With Craniomandibular Disorders

Digastric Muscle And Bruxism

I have always been interested in finding an ideal research model in which the stimulation of one auricular point could change the hypertonus of a given muscle. One day, by chance, while examining a patient with bruxism with Dr Renzo Ridi, we found the right key the patient, sitting in the dentist's chair, presented neck stiffness he had had since awakening. I tried to relax his muscles with ear acupuncture but surprisingly I did not find any sensitive point on the commonly accepted representation of the neck and the cervical vertebrae. After a base recording I pressed the sensitive point with the tip of the algometer as usual in the PPT, and we were excited to notice that the first two muscles in particular lost their tension, measured in mV, during the following minutes. This fortunate case was the first of a series which led us finally to devise a randomized controlled trial (RCT) for demonstrating the value of ear acupuncture in reducing muscular hypertonus. of auricular...

Advantages And Limits Of Auricular Diagnosis With Esrt

The necessity to attribute hierarchical importance to the identified points is also time-consuming, supposing, as mentioned above, that points with the lowest ESR are also those with higher therapeutic value. As proposed by some manufacturers, each point should be measured in respect to baseline, readjusting it each time against a so-called 'zero' value of a part of the ear believed to be free of acupuncture points.1 This strategy may be misleading, however, as no part of the ear, in my opinion, can with any safety be considered free of somatotopic representations.

Plate I Serial Anatomy And Experimental Research

Plate ID Experimental demonstration of thalamic inhibition for pain signals by acupuncture using stereotactic frame for rabbit (upper left). Electrode implantation into the parafascicular thalamic nucleus (upper right, see arrow). Thalamic signal during painful stimulation of hind limb of rabbit before acupuncture (lower left) and after acupuncture (lower right). (Unit 103, INSERM, Montpellier, France.) Plate ID Experimental demonstration of thalamic inhibition for pain signals by acupuncture using stereotactic frame for rabbit (upper left). Electrode implantation into the parafascicular thalamic nucleus (upper right, see arrow). Thalamic signal during painful stimulation of hind limb of rabbit before acupuncture (lower left) and after acupuncture (lower right). (Unit 103, INSERM, Montpellier, France.)

The Combination Of Diagnostic Methods For Selecting Points To Treat A Review Of The Literature

It is possible to produce a detailed review of the long sequence of books published on ear acupuncture since the publication of Paul Nogier's historic treatise in French (1969) and in English (1972). A probably incomplete list of texts in English, French, German, Italian and Chinese is reported in Table 10.1.2-53 These different authors have detailed a variety of diagnostic methods, according to their skill, experience and will to describe a particular method. If we exclude the books featuring only one specific method we get an average of 2.2 methods per author. There are some major differences to note when comparing authors oriented more toward either the French or the Chinese schools of ear acupuncture. The former do not give primary importance to inspection and include the vascular autonomic signal (VAS) phenomenon among their diagnostic procedures. Physicians following the Chinese school, on the other hand, attribute major importance to inspection and do not follow any method...

For Deactivating Myofascial Trigger Points And Improving Range Of Motion

The treatment and subsequent disappearance of a majority of active and latent MTPs seems of great importance in a rehabilitation program. Among the different techniques proposed are the classical 'stretch and spray' and injections with a small amount of local anesthetic or simply with dry needles. According to Melzack et al,11 acupuncture points and MTPs show a high degree of correspondence between both the spatial distribution and the associated pain patterns. In my opinion ear acupuncture can show an analogous correspondence,

The Nervous System

Longer possible to discover new morphological structures within the brain, but the extremely complicated multimedia interconnections that we can increasingly better identify through revolutionary modern methods of imaging are still to be fully understood. A good example is the acupuncture point, which physically and structurally exists without any doubt, but which is difficult to integrate logically in the plan of human construction. The maps we make of neural pathways and centers, in our common tendency to represent them, are in fact very far from being a true representation of nervous organization in reality it is increasingly difficult to envisage a 'holistic conception' of the nervous system. However, some very precise laws of functioning have been defined and accepted. This means that we cannot speculate on the role of a particular nervous structure without precise scientific arguments and evidence. This is, for example, the case with the reticular formation for many teachers...

Sleep Disorder Areas

As particularly the elderly are affected by sleep disorders, accurate screening and appropriate therapy could improve general health and well-being provided pharmacotherapy is used cautiously and conservatively.34 It is therefore possible for a physician to be asked to treat such disorders with non-conventional methods such as acupuncture. With auricular diagnosis the therapist may identify some recurrent areas of the ear which can be included in the treatment for improving the patient's quality of sleep. According to DSMIV, primary insomnia must be distinguished from mental disorders that include it as an essential or associated factor, such as depressive disorders.


This is the first study aimed at systematically searching the different auricular areas involved in mental disorders. The identified clusters of points correspond only partially to the areas drawn by the different schools of acupuncture for the treatment of emotional psychosomatic problems. 4. Further extensive and systematic study of these areas and their combination is urgently required to find the best therapeutic solutions for our patients with mental disorders. This effort may open up interesting perspectives on a promising application of acupuncture that to date has remained underestimated.

Case Study

Auricular Point Chart

The second case was a male patient aged 57 who drove on average 4-5000 km a month, smoked cigarettes and had a persistently disorderly lifestyle. One month before I saw him he started to suffer from moderate neck pain with some radiation to both arms. A first ECG was negative and the patient's family doctor prescribed nimesulide and benzodiazepines. With the analgesic medication the remission of pain lasted only 6 hours. Examining the patient's neck I found a stiffness which he also associated with a whiplash he had suffered a few years before. On inspection of the left ear I noticed an incisure of the anthelix and with PPT I found three tender points which could be associated with a cervical-brachial syndrome (Fig. 5.41, red points) however, ear acupuncture and manipulation of the cervical-thoracic tract of the spine did not yield satisfactory A further area associated with this kind of dysfunction to remember is 'Liver Yang' of the early Chinese ear acupuncture authors, carrying the...

For Migraine

My reasons for distinguishing this pain from musculoskeletal pain is that migraine is a neurovascu-lar pain which manifests itself on the trigeminal territory and tends to relapse over time. Migraine is a disabling disorder with a high social and economical impact which requires a careful strategy of prophylaxis for reducing the number of attacks and preventing the chronic abuse of painkillers. Here acupuncture can gain ground with honor as an alternative treatment or for use in combination with pharmacological therapy.2-8 Besides body acupuncture, using formulae or personalized sets of points, ear acupuncture also seems to have an interesting role. Its main difference is that at every ear acupuncture session it is necessary to make a diagnosis and to find out which points to treat. Migraine requires a very accurate localization of the points especially in the case of an attack, the algometer should be used with a light hand in order not to overly bother the patient.

Arbes Agopuntura

Auricular acupuncture stimulation measured on fMRI. Med Acup 2002 2 18-21. Mayhew E, Ernst E. Acupuncture for fibromyalgia - a systematic review of randomized clinical trials. Rheumatology 2007 5 801-4. Ablin JN, Shoenfeld Y, Buskila D. Fibromyalgia, infection and vaccination two more parts in the etiological puzzle. J Immunol 2006 27 145-52. Chen P. Modern Chinese ear acupuncture. Brookline Paradigm 2004. Abbate S. Chinese auricular acupuncture. Boca Raton CRC Press 2004. Romoli M, Giommi A. Ear acupuncture in Wang SM, Kain ZN. Auricular acupuncture a potential treatment for anxiety. Anesth Analg 2001 92 548-53. acupuncture to reduce preoperative anxiety. Anesth 47 Rouxeville Y, Meas Y, Bossy J. Auriculotherapie-Acupuncture auriculaire. Paris Springer 2007. 48 Oleson TD. Auriculotherapy manual. Chinese and Western systems of ear acupuncture. 3rd ed. Edinburgh Churchill Livingstone 2003. 58 Park J, White AR, Ernst E. Efficacy of acupuncture as a...

Case Study 1

A 70-year-old male patient had a fall when on a bus and strained his right biceps brachii muscle. Soon he began to suffer with anterior shoulder pain, weakness, restricted elevation of the arm and also some autonomic phenomena such as numbness of the forearm. After several sessions of physiotherapy had brought no benefit he asked to be treated with acupuncture. 200 Auricular acupuncture diagnosis

Looking At All Your Treatment Options

In Chapter 12, I cover alternative remedies and treatments that may help you feel better, such as herbs, supplements, Botox treatments (not just for facial wrinkles anymore ), acupuncture, tai chi, and other complementary medicine choices, as well as some treatments that you really should steer clear of and some advice on how to tell the good guys from the scammers out there.

Ixthe Efficacydriven Approach

National Institutes of Health have openly endorsed the approach of accepting traditional methods of healing as safe measures and then putting them to proper clinical trials (12). The recognition of acupuncture as a practical, effective means of pain control started in 1997 (11). The subsequent formation of a special section devoted to research on complementary alternative treatment followed. NCCAM was properly formed and given a substantially large budget.

The importance of the early diagnosis of the prostate cancer

Several options of treatment are available to treat ED, as psychosexual counseling, medication, use of physiotherapy (exercises to the pelvic floor muscles, electrotherapy, acupuncture and external vacuum devices), intracavernous injection therapy, vascular surgery, and use of a penile prosthesis. The etiology of the ED, the acceptability for the patient, the available information about methods and the success rate have been used to determine the choice of intervention. The clinical interventions used in the physiotherapy provide noninvasive methods that are easy to perform, painless, and inexpensive 6, 39, 41, 50, 51 .

Physiotherapy procedures in the management of the patient with prostate cancer

Alternative and complementary techniques have also been considered as an option to be used for treating ED. One of these techniques that is related to the physiotherapy is the acupuncture. Acupuncture is safe and involves the insertion of thin needles into different areas of the body known as acupuncture points. Traditionally, acupuncture has been often used to restore and maintain health through the stimulation of these specific points on the body. As this stimulation could modulate the NO, it is possible to consider that acupuncture might be effective for treating ED. Although, in some studies the acupuncture has been used successfully to treat ED, there is sufficient evidence that acupuncture is an effective intervention for treating ED 55 .

Force and Stress on the Skeletal System

Nevertheless, there are limits to how far the skeletal framework can sustain internal and external stress. It is not uncommon that a sudden powerful muscle contraction or a repeated external force can cause bone fracture. One of the purposes of dry needling acupuncture therapy is to lower the stress in muscles so that they can absorb more force during sporting activity and thereby prevent or reduce stress-related injuries to the musculoskeletal system.

Table 61 Some Experts Recommendations on CAM Therapies

Antioxidants (anyone actively undergoing chemotherapy or radiation) Soy (phytoestrogens) (women with breast or endometrial cancer) Acupuncture (sometimes not advisable in people with a low platelet count herring, mackerel)* Vitamin E supplementation Soy supplementation (men with prostate cancer) Shark cartilage (studies are inconclusive) Acupuncture improve sleep, relieve pain, and diminish symptoms of anxiety or depression. Some CAM therapies can help with treatment-related side effects, such as nausea or hot flashes. In some instances, they may also improve immune function. For example, studies have shown benefit from hypnosis for cancer pain and nausea from relaxation therapy, music therapy, and massage for anxiety and from acupuncture for nausea and pain. Cancer patients most commonly try special dietary regimens, herbs, homeopathy, hypnosis, imagery, meditation, megadoses of vitamins, relaxation, and spiritual healing. Progressive muscle relaxation, imagery, hypnosis, prayer, and...

Table 62 Complementary and Alternative Medicine Therapies Tested in Cancer Patients That Might Be Helpful

Etc.) Aloe vera Green tea Panax ginseng Melatonin Hypnosis Acupuncture Massage Waiting Room, Despite holism's many and correct emphases on responsibility, I have learned never to get sick at a holistic medical convention. Healers of every sort, shape, and size will pour out of the woodwork to save you from karmic death, nervous 'breakthroughs,' or lower back pain. They'll apply shiatsu, acupressure, acupuncture, rolfing, and polarity. And if none of these work, there's always a coffee-granule enema. Dr. Brenner goes on to say that the cures in New Age medicine are often suspect. NIH Consensus Statement, Acupuncture, November 3 5, 1997, p. 19. M. S. Goldstein, Complementary and Alternative Medicine Its Emerging Role in Oncology, Journal of Psychosocial Oncology 21 (2003) 4. J. K. Silver and J. Audette, Pharmacological Agents and Acupuncture in Rehabilitation, in Rehabilitation of Sports Injuries Scientific Basis, ed. Walter R. Frontera (Malden, MA Blackwell Science, 2003), p. 198.

Deductible medical expenses

Medical expenses that could be deducted for 2001 were acupuncture, ambulance, artificial limb, artificial teeth, expenses to modify your home to provide medical care for your child, chiropractor, crutches, dental treatment, HMO fees, hearing aids, hospital services, insurance premiums, laboratory fees, special school or tutor for child with learning disabilities, lodging costs for family when child is hospitalized, meals at hospital, physicians services, medicines, nursing care, operations, osteopath, oxygen, psychiatric care, psychological care, therapy, transplants, transportation to obtain medical care, trips for medical care, wheelchair, and x-rays.

Considering Alternative Remedies and Treatments

Knowing whether an alternative therapy can really help you Using herbs and supplements Pinning your hopes on acupuncture Hoping for relief with homeopathy Getting Botox injections Trying tai chi Whether alternative therapies come in the form of herbs and supplements, acupuncture, Botox injections, or another alternative solution, many people with fibromyalgia fervently hope that they'll work. Sometimes, people find that these remedies work very well or at least seem to. For further information on alternative medicine, go to the Web site of the National Center for Complementary and Alternative Medicine at http You can read more on such topics as acupuncture, dietary supplements, herbs, and other choices.

Complementary and Alternative Therapies

The fine line to be negotiated when selecting CAM therapies is protection for finances when recommended therapies include benign but costly ineffective or untested treatments. Alternately, persons who have tried CAM therapies with no relief may feel guilty for not improving. A stellar CAM provider, like a stellar allopathic (standard Western medicine) provider, will reassure patients that if therapies are not effective it is not the patient's fault. Continuing to use and promote an unproven therapy that shows no ongoing health advantage to the patient is always unacceptable in any practice of medicine. Well-tested CAM therapies for FM include acupuncture, chiropractic, electrical therapies, and various vitamins, herbs, and nutraceuticals. Although their mechanisms of action have yet to be fully elucidated, they may be due in some part to stress reduction and their ability to elicit the relaxation response. Patients also might learn to elicit the relaxation response without...

Dislocation of the Shoulder

Immediate medical attention is needed right after the injury. Dry needling acupuncture should be used at all phases of this injury for pain, swelling, restoration of mobility, and postsurgical rehabilitation. The dry needling acupuncture treatment should include neck and shoulder. Treatment involves needling the anterior shoulder capsule, the insertions of the middle and inferior glenohumeral ligaments, and the trapezius, deltoid, and other shoulder muscles, especially those originating on the scapula. One session every day for swelling and two sessions per week for pain of the soft tissues are recommended.

Joint Separations of the Shoulder Girdle

Dry needling acupuncture treatment is very effective in reducing pain, swelling and tenderness immediately after the injury and during all phases of healing and rehabilitation. Two or three needles should be inserted into the swollen ligaments and surrounding tissues. There should be one session every day for swelling and two sessions per week for pain.

Rotator Cuff Tendonitis

As with other soft tissue pain, dry needling acupuncture can be used in all phases of this injury and when surgery is required. Treatment involves needling in the painful or tender area and its associated muscles and is provided usually twice per week for recovery and immediately after the surgery. Regular weekly treatment of the shoulder with dry needling acupuncture can prevent this injury and improve the joint movement.

Treatment Of Opioid Withdrawal Detoxification

Because opioid withdrawal is time-limited and rarely life-threatening, many nonmedical treatments have also been used, including ACUPUNCTURE and herbal medicines. Another nonmedical treatment that has been used in addicts is transcutaneous electrical nerve stimulation (TENS). It is thought that both acupuncture and TENS may be helpful because they stimulate the parts of the central nervous system that release natural opioids. At present, further research is needed because opioid addicts are very suggestible and may feel better after acupuncture or TENS because of the placebo effect.

Muscle Strain of the Back

Of all the medical modalities available, dry needling acupuncture is most effective in reducing pain and stiffness and in restoring the normal function of the spine. The core system affects all peripheral movement, which means that spinal disorder affects the movement of the limbs therefore the treatment should be systemic. In addition to the lumbar region, the shoulders, neck, hips, iliotibial bands, hamstring muscles, and calf muscles should all be treated together. Two treatment sessions per week are recommended.

Ligament Sprain of the Back

Recovery from ligament sprain of the back takes longer than recovery from muscle sprain of the back. Dry needling acupuncture therapy is very helpful in alleviating this condition. Needles can be applied to the painful, tender, and swollen region. In most cases, direct needling of the ligament is impossible, and the treatment may focus on the sensitive area. When treating the condition, the practitioner should not ignore the neck, shoulders, hips, and lower limbs. Two treatment sessions per week are recommended.

Complementary and Alternative Medicine Pain Therapies

Complementary and alternative medicine therapies may help with pain, and many are focused on relieving this symptom. As noted in Chapter 6, CAM is a reasonable option if the risks are minimal and the cost is not prohibitive. Many of the CAM treatments that have been shown to be helpful in cancer patients are offered at hospitals and centers that have oncology clinics. For example, acupuncture and massage are

Trochanteric Bursitis

Dry needling acupuncture is an effective treatment for this injury. Needles can be applied directly into the inflamed bursa and into related muscles on the hip, thigh, and lower leg. In addition, the treatment is used to balance the entire musculoskeletal system. Two treatment sessions per week should be provided.

Iliotibial Band Syndrome

Dry needling acupuncture is an effective treatment for this injury. Needles can be applied directly into the inflamed, tender, swollen, and painful area on the iliotibial band and into related muscles on the hip, thigh, and lower leg. In addition, the treatment is used to balance the entire musculoskeletal system. Two treatment sessions per week should be provided.

Ligament Sprains of the Knee

Dry needling acupuncture is a helpful therapy for healing this type of injury. Needles can be applied directly into the inflamed, tender, swollen, and painful area and into related muscles on the thigh and lower leg. In addition, the treatment is used to balance the entire musculoskeletal system. Two treatment sessions per week should be provided. If surgery is required for repairing the ligament and the meniscus, dry needling acupuncture can be used before and after surgery to reduce pain and swelling.

Chondromalacia Patellae Runners Knee

Dry needling acupuncture provides symptomatic relief. Needles can be applied directly into the inflamed, tender, swollen, and painful area and into related muscles on the thigh and lower leg. If surgery is required, dry needling acupuncture can be used before and after surgery. In addition, the treatment is used to balance the entire musculoskeletal system. Two treatment sessions per week should be provided.

Achilles Tendon Rupture

Dry needling acupuncture is very effective in reducing the repetitive stress in both tendons and calf muscles if used regularly. In cases of acute rupture, dry needling acupuncture is very helpful in conjunction with other modalities, including surgery. Weekly de-stressing treatment is suggested for prevention, and two treatment sessions per week should be provided for treating the symptoms. Dry needling acupuncture should be provided immediately after the injury.

Injuries to the Head and Face

Dry needling acupuncture therapy is very helpful in reducing pain and other symptoms after injuries to the head and face, including concussion. Treatment should be provided immediately after the injury while further examination and other medical procedures are being considered.

Upper Extremity Injuries

Dry needling acupuncture, in conjunction with conventional modalities, is helpful in treating all these injuries, specifically for soft tissue. Daily treatment should be provided to reduce swelling, and two sessions per week should be administered for pain and other symptoms.

Overtraining Syndrome

Dry needling acupuncture is very effective for preventing and treating overtraining syndrome because it improves both musculoskeletal physiology and neuroendocrine physiology. Athletes should receive weekly de-stressing treatment before any signs develop. If symptoms appear, two treatment sessions should be provided. The treatment protocol should include restoration of homeostasis and symptomatic treatment. Other conventional modalities should be considered as well.

Alternative Treatments

When traditional ways of treating cancer through surgery, chemotherapy, and radiation do not seem to be working or become difficult to take, some patients turn to alternative treatments. These may include radical diets, herbal remedies, yoga, acupuncture, and homeopathy. (Homeopathy is a method of treating a disease by giving patients a minute amount of a substance that causes symptoms similar to those resulting from the disease.)

Adverse Effects And Reactions Allergies And Toxicity

No adverse effects and reactions of biologically active substances in SS have been registered. Many years of using OSS in Korean herbal acupuncture has revealed no serious side effects. Administration of OSS at doses of 0.1 0.2 ml along the route of the sciatic nerve in mice produced no negative effects on the general state of the experimental animals, or skin irritation at the injection site (Popov et al., 2009). In addition, there were no toxic reactions or side effects when SSE was given orally. TCS did not affect cell viability, thus suggesting that it would be safe and possess potential for development (Zhao et al., 2009).

Spontaneous Pneumomediastinum

Dry needling acupuncture therapy is very effective in preventing and treating all the symptoms related to this condition. The usual weekly de-stressing treatment is used for prevention. Symptom-focused treatment should be provided to the athlete in two sessions per week. Other conventional modalities should be considered while dry needling acupuncture therapy is administered.

Efficacy Of 12step Based Treatment

This section contains the following articles An Overview Acupuncture Approaches based on Behavioral Principles Aversion Therapy Behavior Modification Cognitive Therapy Contingency Management Family Therapy Group Therapy Hypnosis Long-Term versus Brief Minnesota Model Nonmedical Detoxification Outpatient versus Inpatient Pharmacotherapy, An Overview Psychological Approaches Self-Help and Anonymous Groups Therapeutic Communities Traditional Dynamic Psychotherapy and Twelve Steps, The.

Trying One Medication or Therapy and If It Doesnt Work Giving Up

An array of other therapies may improve your symptoms as well, such as acupuncture, icing or heating the painful areas, using Botox injections, and many other options. Some people may try one form of therapy, and if they get no relief, they give up. But another therapy could provide them with considerable symptomatic relief. (Read about acupuncture and icing and heating in Chapter 11 turn to Chapter 12 for more on alternative remedies such as Botox injections.)

Suprascapular Neuropathy

Dry needling acupuncture is very effective in healing suprascapular neuropathy. As usual, the location of the tender areas should be carefully identified and treated twice a week. Before any shoulder weakness is experienced, the injury can be effectively prevented by de-stressing treatment once a week to reduce chronic stress of the girdle musculature and the entire kinetic chain.

Patellar Tendinitis

Dry needling acupuncture is very effective in preventing and treating overuse-related patellar tendinopathy. For prevention, the athlete should receive weekly de-stressing treatment of the entire musculoskeletal system. For treatment of the injury, the location of the tender areas should be carefully identified and treated twice a week. Swelling and contusions should be treated once every day.

Defining Alternative Therapies

Identify a specific condition and attempting to treat the condition with specific medications, rehabilitative therapies, and sometimes surgery. The terms conventional and allopathic are often used when referring to Western-based therapies. A larger variety of terms are used when referring to alternative therapies. These include alternative, Eastern medicine, complementary medicine, CAM, integrative, functional, natural, and holistic medicine. In essence, what all of these terms imply is a form of therapy not considered to be a standard Western medical approach. Hence, the list of alternative therapies is infinite and might include a variety of treatments such as aroma therapy, magnet therapy, chelation, acupuncture, and meditation. Because there is such a vast array of different alternative approaches, it is important to define the specific therapy such as a particular herbal remedy or exercise when discussing and assessing the response to a therapy rather than using the term...

Feeling Good Today Means Youre Well

Fibromyalgia is a frustrating kind of disease because it's so unpredictable. Today, you feel lousy tomorrow, you feel worse the next day, you feel okay or even close to normal. When you tell people that you're finally having a good day, many will assume that at long last, you're all better. Many people have a hard time grasping a medical problem that has a lot of ups and downs to it, especially when there aren't any external signs of illness that you can point to. But that's the nature of the illness. As with many chronic illnesses, fibromyalgia isn't something you just get over. However, you can cope with the disease in many ways to minimize your pain, such as getting better sleep, exercising (when you're well enough to exercise), taking medications, and using therapies such as acupuncture and other options.

The Need For Evidencebased Research

Many users of CAM fail to question the potential harm or benefit of such therapies. There is a tendency of laypersons and many alternative medicine practitioners to view anything labeled as alternative, natural, or holistic as safe. This is a false assumption and should not be made regarding any therapy. There is nothing natural about chelating minerals out of or injecting glutathione or acupuncture needles into a person's body. Conventional medicine demands that its prescribed treatments be carefully scrutinized by evidence-based research, mostly in the form of randomized, double-blind, placebo-controlled clinical trials. These trials scientifically examine both the short and long-term adverse events and potential efficacy of the treatment and also determine detailed guidelines and standards for prescribing a particular therapy. A large discrepancy exists between the popularity of CAM and the concern or interest among its many users and prescribers for good evidence-based research....

Cervical Spondylosis Spur Formation

Dry needling acupuncture is very helpful for cervical spondylosis in mild to moderate cases, although long-term treatment is required in many cases. Treatment follows the same protocol as for other neck problems and should consist of both specific and nonspecific approaches. Two treatment sessions per week should be sufficient.

Physiology of Acu Reflex Points

Needling therapy, presented as integrative systemic dry needling (ISDN) therapy in this book, is an integration of modern approaches to needling. It represents a synthesis of the theories and techniques of Janet Travell and C. Chan Gunn with other dry needling techniques and classical acupuncture. According to modern medical training, there is no conflict between these needling therapies, and each therapy has its advantages and limitations. This synthesis integrates the different clinical wisdoms and in this way enables clinicians to go beyond the limitations of each modality.

Biceps Brachii Muscle Strain and Bruising

Dry needling acupuncture is very helpful for muscle strains and bruising. Two to three needles per square centimeter can be applied every other day to the affected muscles where there is tenderness, pain, and discoloration. If the injury is on the chest area, the usual recommendations for safety should be followed to avoid puncturing the organs below.

Lower Extremity Injuries Ankle Sprains

Dry needling acupuncture is very effective in reducing pain and swelling. The treatment should be provided immediately after the injury. Injured ligaments should be identified and treated. The treatment should be delivered once every day or every other day during the first week after injury. In addition to the ankle area, muscles of the lower extremity and the core system should be treated twice a week. Even after the initial pain and swelling have been greatly reduced, the athlete should continue rehabilitation for some time before returning to the sport.

Applications To Health Promotion And Disease Prevention

Safflower has long been applied for empirically treating cerebral ischemia and depression in traditional Chinese medicine (Zhao et al., 2009). OSS has been mainly used in Korea herbal acupuncture for many years as an analgesic remedy (Popov et al., 2009). However, until recently we did not know which active components are in the oily preparation. OSS can be used as a local anesthetic in pharmacopuncture for the treatment of pain syndromes of various etiologies. Pharmacopuncture, the administration of drugs into acupuncture points, is widely used in eastern medicine. Injections are performed using very low doses, as the drugs are addressed directly into acupuncture points, which increases their therapeutic efficacy. In comparison with intramuscular injections, pharmacopuncture is not only more effective, but also allows a significant reduction in drug load on the patient's body, and has few or no side effects. One of the main advantages of pharmacopuncture is the rapid relief of pain....

Cervical Radiculitis Pinched Nerve

With proper treatment, the prognosis of cervical radiculitis is generally good in mild and moderate cases. More serious or prolonged cases necessitate surgery to relieve compression of the nerve root. Nevertheless, dry needling acupuncture is a very helpful modality, although long-term treatment is needed for recovery in some cases, and the patients should be informed of this.

Homoeopathy as the Mother of Medicine

815 Biological therapies, according to Reckeweg, included diet, fasting, massage (gymnastics, sports, physical exercise), hydrotherapy, acupuncture, chiropractic, correction of posture, treatment with leeches and cupping, urine therapy, non-specific protein therapy, haematogenic oxidation therapy, oxygen insufflation, cellular therapy, hormone therapy, antibiotics therapy (elimination of homotoxins), inoculations, surgical measures, cytostatics, roentgenotherapy, neural therapy. Reckeweg (1975), pp. 667, 582.

Fibular Peroneal Tendinitis

Dry needling acupuncture is an effective treatment for this injury. Needles can be applied directly into the inflamed, tender, swelling, and painful tendons. The origin and belly of the muscles should be needled along with their insertion. In addition, the treatment is used to balance the entire muscu-loskeletal system. Two treatment sessions per week should be provided.

Pectoral Muscle Tendinitis

Elbow injuries may occur in all kinds of training and sports as a result of overuse or trauma. Dry needling acupuncture can be used in all cases of elbow injury for accelerating soft tissue healing, especially as an adjunct to other treatment modalities ranging from physical therapy to surgery.

Fractures of the Clavicle and Humerus

A sudden blow to the clavicle resulting from the collision of two athletes (in sports such as football) or a fall on an outstretched arm can cause fractures of clavicle or humerus. Immediate medical care is needed, but dry needling acupuncture can be used to reduce swelling and pain immediately after the accident and before surgery. Dry needling acupuncture can be used in all phases of rehabilitation from the fracture, regardless of whether surgery is needed. Fine 15-mm-long needles should be used in the painful or swollen region. Special attention should be paid to safety practice so as to avoid injury to the lung below. The author recommends one session every day for swelling and two sessions per week for pain.

Traditional Chinese Tibetan And Ayurvedic Medicine

China and the Indian subcontinent have developed what are probably the two most widely known systems of traditional health care traditional Chinese medicine (TCM) and Ayurvedic medicine. TCM refers to an ancient healing system that is thought to predate current Western medicine by over 2,000 years.4 It encompasses a range of seemingly disparate techniques and materials, including widely popular areas such as acupuncture, massage, and herbal preparations, as well as the more esoteric areas of moxibustion and qi gong. Ginseng (Panax ginseng) is probably the most famous medicinal herb used in traditional Chinese medicine, and the one best know to Westerners. Many other herbs, such as ma huang and gingko biloba, have been used in Chinese medicine for over 3,000 years but are only now enjoying great popularity in Western industrialized countries.

Posterior Tibial Tendinitis

Dry needling acupuncture is very effective for treating this injury. Needles can be applied directly into the inflamed, tender, swelling, and painful tendon and into the origin and belly of the muscle. In addition, the treatment is used to balance the entire musculoskeletal system. Two treatment sessions per week should be provided.

Thoracic Outlet Syndrome

The diagnosis of thoracic outlet syndrome is not easy. Nevertheless, dry needling acupuncture is very effective in preventing and treating these symptoms. For prevention, the athlete should receive regular weekly de-stressing treatments. Treatment of the symptoms should include the neck, shoulders, upper limbs, upper and lower back, hips, and lower limbs. Two treatment sessions per week are required.