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Acupuncture
is system of complementary medicine in which fine needles are inserted
in the skin at specific points along what are considered to be lines
of energy (meridians) and is used in the treatment of various physical
and mental conditions.
Acupuncture
alleviates pain and can increase immune response by balancing the
flow of vital life energy throughout the body. It is a complete
system of healing and provides effective treatment for numerous
conditions, from the common cold and flus to addiction and chronic
fatigue syndrome. It is also effective as an adjunctive treatment
for AIDS.
Uses
Acupuncture
is promoted as a treatment for pain - and there is absolutely no
question that it does in fact provide short-term benefit for many
of the people who try it. By some estimates, between 50 and 70 per
cent of patients with chronic pain receive at least temporary relief
when treatment with acupuncture, and some experience long-term relief
as well. However, doctors are still debating whether this type of
therapy has any effect beyond that of a placebo (a fake treatment
with no real activity). It is a difficult question to resolve because
most placebos are actually quite potent. Dummy pills typically achieve
a relief rate of 30 to 35 per cent, and a sham procedure, accompanied
by suitably impressive instruments and rituals, can be effective
more than 50 per cent of the time. Indeed, in tests comparing genuine
acupuncture with an imitation, patients receiving the fake treatment
usually enjoy just about as much relief (50 per cent) as those given
the real thing. Of course, if your only concern is pain relief (as
opposed to a cure of the underlying problem), it doesn't really
matter whether acupuncture's effects are physical or merely psychological
as long as you feel better. And there is, in any event, mounting
proof of acupuncture's genuine value. According to an expert consensus,
well-performed scientific studies have provided evidence of acupuncture's
efficacy in relieving pain after dental surgery and in reducing
the nausea and vomiting associated with pregnancy ('morning sickness'),
chemotherapy and anesthesia. Other research suggests that acupuncture
may be useful - along with other, more conventional therapies -
for asthma, osteoarthritis, low back pain, headache (both tension
and migraine), menstrual cramps, carpal tunnel syndrome, fibromyalgia
and other conditions that cause chronic pain. Two other intriguing
areas are currently under research. One is the use of acupuncture
in easing withdrawal from addiction to hard drugs and alcohol; acupuncture,
especially of the outer ear, is in use at many detoxification clinics
in the United States. (Similar results have not been observed for
tobacco addiction, however). Another possibility is that acupuncture
therapy may speed rehabilitation and limit damage after a paralyzing
stroke.
Procedure
for Treatment
The
'puncture' in acupuncture refers to insertion of tiny needles at
certain very specific points on the surface of the body. The treatments
vary widely, depending on the individual practitioner and the style
of acupuncture. There are several 'schools', including Chinese,
Korean, Japanese and a Westernized version (based on neurology,
not Oriented medical philosophy) called trigger-point therapy. Most
practitioners of Oriental- style acupuncture perform at least a
partial physical examination at the first visit (including extensive
pulse-taking and, possibly, examination of the tongue and palpation
of the abdomen). They also tend to take a very detailed medical
history, including nutritional habits and other environmental factors.
The actual insertion of the hair-thin, disposable needles has been
described as feeling like a mosquito bite. After insertion, the
needles may be stimulated by twirling them or connecting them to
a mild electrical current (there is no risk of electrical shock).
This stimulation may cause a mild tingling or aching sensation referred
to as de qi. The needles may be inserted from a fraction of an inch
up to about one inch deep. They can either be withdrawn a few seconds
after insertion or kept in place for up to 30 minutes.
Treatment
Time: Typically, you should allow 20 minutes to 1 hour per session.
The initial visit may take longer.
Treatment Frequency: This varies according to the problem.
You may start out with several treatments per week, then taper to
weekly or less often. Duration of therapy may range from a few treatments
for acute, temporary problems to regularly scheduled treatments
over several months for chronic conditions. Benefits
Acupuncture
has been practiced in China for several thousand years, although
this traditional healing art didn't catch Americans' interest until
the early 1970s, when a Western reporter in Beijing received acupuncture
for postoperative pain (after undergoing an appendectomy under conventional
general anesthesia). How acupuncture works remains a mystery. According
to ancient Chinese medical theory, the life force (called qi or
ch'i and pronounced 'chee') flows through the body via 14 invisible
channels (called meridians), regulating all physical and mental
processes. Opposing forces within the body, called yin and yang,
must be balanced to keep ch'i flowing properly. The meridians supposedly
run deep within the body's tissues and organs, surfacing at some
360 places identified as acupuncture points, sometimes called acupoints.
Certain meridians are identified with organs such as the bladder
or liver, and the points all along such meridians - even in the
hands or feet - are believed capable of affecting the associated
internal organs. Stimulating these points is said to balance and
restore the flow of ch'i. An explanation proposed by Western scientists
is that acupuncture may trigger the release of natural pain-killing
substances within the body called endorphins, thus blunting the
perception of pain. It may also alter the body's output of neurotransmitters
such as serotonin and norepinephrine, and of inflammation-causing
substances such as prostaglandins. Like the manipulation of ch'i,
however, this explanation has yet to be conclusively documented.
Whatever the cause may be, the pain-relieving effects of acupuncture
seem to have a delayed onset; they increase slowly, even after removal
of the needles, and may become more evident after several treatments.
The effects may diminish after acupuncture treatments are ended.
Who
Should Avoid This Therapy?
In
general, there are no medical conditions that rule out the use of
acupuncture except, perhaps, a morbid fear of needles. People at
risk of easy bruising or excessive bleeding (for example, patients
with clotting disorders and those taking a blood-thinning medication)
would be prudent to avoid acupuncture, since there is a slight risk
of damage to blood vessels. Pregnant women should avoid needle insertion
on or near the abdomen.
Side-effects
Acupuncture
has no inherent side-effects. However, careless application of the
technique can present certain hazards. There have been documented
cases of hepatitis B transmission and serious bacterial infection
due to improperly sterilized needles, a problem that has been controlled
by the widespread use of disposable needles. Improperly performed
acupuncture can also cause bleeding (if a blood vessel is punctured)
or injury to organs, nerves or tissue, making it important to consult
a skilled and reputable practitioner.
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