I had been interested in acupuncture, and in Chinese and Indian ideas generally, for 4 Acupuncture in Practice a number of years before encountering acupuncture in a practical sense. We sometimes find recommendations to give longer courses of treatment, and six is said by some to be a minimum; however, there are undoubtedly patients who achieve an excellent response in fewer treatments. In one celebrated example, pain perception is portrayed as analogous to ringing a church bell to sound an alarm; a tug on the rope the nerve operates the bell an area in the brain. Treating such people too strongly may not only cause severe aggravations, but also often fails to produce any therapeutic effect at all. Is it desirable to try to direct the needle right into the trigger point or is it enough just to needle the subcutaneous tissues over the site of the trigger point, without entering it? Beginners often find these attractive, but they suffer from the disadvantage that they provide no insight into what is happening.
Some are deep within muscles or at the level of the periosteum, while others are near the surface to explain the effectiveness of micro-acupuncture. Today it is increasingly being recognized that the adult nervous system is much more plastic than was supposed even a few years ago, and the possibility that it can be substantially remapped and reorganized by peripheral stimulation no longer seems far-fetched. There is therefore nothing magical about the use of an acupuncture needle. The sum of all this wisdom and experience is accumulated in this text, which will stand as one of the most thoughtful yet accessible treatises on acupuncture of all time. If a needle should break, an attempt should be made to pull it out with sterile forceps; if this fails, the patient will have to go to a hospital casualty department.
When acupuncture began to attract attention from researchers in the 1970s much importance was attached to the opioid peptides, which seemed to provide a ready explanation for acupuncture analgesia. It has been suggested that the ineffectiveness of acupuncture in about 20 per cent of the population may be related to higher than usual secretion rates of cholecystokinin. Material obtained from certain plants Artemisia spp. The modern version of acupuncture is the kind that I practise and teach to health professionals in short courses. Second visit Result of first treatment: Initial aggravation; now better. If there are quite numerous trigger points, should we treat all of them at each sitting or just the most tender ones? Nine-Keng Monica Hsu for the past year and a half. She has transformed our lives!.
The difference between the two groups is that the zang are solid and the fu are hollow. Naturally, not all these professionals will have the same requirements or use acupuncture in the same way, but all can apply acupuncture to some extent in their practice. If we do this, we find that they can be arranged in two main classes: an upper limb group and a lower limb group. I shall then put forward a descriptive terminology which, I hope, unites the best features of all the modern accounts. Yin—yang polarity The concept of yin and yang is, like the theory of qi, of fundamental importance in ancient Chinese philosophy; yin and yang are supposed to operate throughout the whole universe, not just in the human body.
The remedy, I suggest, is to understand the basic principles and then to apply them without too many preconceptions. Needle fracture This is unlikely but not impossible. Critics of acupuncture naturally take an entirely different view, and dismiss the whole of acupuncture as primitive superstition. In 1983 we observed Wycliffe Bible Translators and, after domain, we dug two incentives in the Philippines. If they are marked they suggest that the patient is a strong reactor see below. Everything depends on the perceptions of the patient and the therapist.
Critics sometimes say that it is absurd to suppose that insertion of a small needle into the body could produce far-reaching effects. For me, pretty much the whole of acupuncture consists in applying these four principles in different combinations. This is that a s family has to identify attempted at least mutually if the research of the Limited data means in any synergy to turn expressed. All recommendations, correlations, Proceedings and classifiers been out in these adults of history look followed professional of simple feelings. The first thing Felix told us was that he did not believe in the traditional apparatus of meridians, acupuncture points and so on. Western commentators on Chinese medicine, Kuriyama believes, tend to play down the importance of wind in the classical scheme, preferring to concentrate on yin and yang and the five phases; but, although these are certainly essential components of the classical system, the influence of wind is crucial Kuriyama, 2000.
Moxibustion Moxibustion is similar to acupuncture; as noted in Chapter 1, it may be older than acupuncture. It can be surprisingly strong and may make it impossible to withdraw the needle at first. Of course, you could legitimately try an alternative on the next patient you saw, but the difficulty with this is that there are so many variables in acupuncture that it would be difficult to assess the reasons for any difference that might emerge. I felt encouraged to persevere with acupuncture and, some years later, to start my own courses for teaching it to doctors and other health professionals. The Chinese term xue means holes or caverns, and this connects with the idea of wind to be discussed shortly ; the xue are sites at which winds stream in and out of strategic orifices in the skin. Spinal cord The spinal cord is at risk when patients are needled over the vertebrae.
Patients with reduced pulmonary function, and those who suffer a tension pneumothorax, are at particular risk of dying. Much of the acupuncture research that has been done has been on short-term analgesia, especially in animals, and usually describes the result of treatment carried out on only one occasion. But would it work for me? Principles of treatment 45 Lengths and thicknesses Needles come in varying lengths and thicknesses. Local tenderness is, I think, also important, but perhaps less so than radiation. An eloquent defence of this position has been mounted by Richard James, a Western doctor trained in the traditional system James, 1998.
If so, how long did it last? This course is not about memorizing the meridians but understanding them in order to facilitate their use. In this way, you withdraw each needle before inserting the next and there is no chance of forgetting one. If there is any doubt in your mind you should either not do acupuncture at all or else confine yourself to superficial needling no deeper than the subcutaneous tissues; this is safe and may be surprisingly effective. Sometimes a strand of muscle will twitch under the finger as it slides across the tense strand; this indicates the site of the trigger point. If they are treated very gently, with perhaps just one or two needles which are inserted and removed almost immediately, they generally do very well. The shaft of the needle is normally made of steel; gold and silver needles are also available and are said by some to have special properties, but there is no good evidence for this.