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14-September-2008 18:02:36 - acupuncture The neutrality and factual accuracy of this article are disputed. Please see the relevant discussion on the talk page. December 2007 Medicine or the Medicine Portal may be able to help recruit one. If a more appropriate or portal exists, please adjust this template accordingly. March 2008 Medical acupuncture is acupuncture performed by a doctor or licensed health care professional who has training in the medical/health sciences who has also had training in acupuncture. Such a doctor or health professional may use one or the other approach, or a combination of both, to treat an dysfunction or illness.1 Medical Acupuncture Medicine: CAM NCCAM: Alternative Medical Systems2 NCCAM: Energy Medicine3 Modality: Professionalized Culture: East/West Manipulative and body-based methods - Acupressure Body work Bowen Technique Manipulative therapy Massage therapy Manual lymphatic drainage Rolfing Structural Integration Shiatsu Tui na NCCAM classifications Alternative Medical Systems Mind-Body Intervention Biologically Based Therapy Manipulative Methods Energy Therapy See also Complementary and alternative medicine Alternative medicine Complementary medicine Glossary of alternative medicine Contents 1 History of medical acupuncture 1.1 Battlefield acupuncture 2 Differences between Classical Chinese Acupuncture, Traditional Chinese Medicine and Western Medical Acupuncture 2.1 Choosing where to needle 3 Mechanism 4 See also 5 References 6 External links History of medical acupuncture Medical acupuncture was created for Western practitioners such as medical doctors, physiotherapists, chiropractors and osteopaths who wish to use acupuncture based practices without the lengthy study of traditional Chinese Medicine theory that is usually required for acupuncturists.citation needed This Western version of medical acupuncture is lesser known than the traditional Chinese, but is increasing in popularity as otherwise mainstream medical practitioners in the West are seeing and taking more interest in alternative medicine.citation needed Medical acupuncture can also be seen as an attempt by conventional, evidence-based medicine to understand the effects of acupuncture from a Western, scientific perspective rather than within the paradigm of Chinese traditional medicine. The British Medical Acupuncture Society4 publishes a quarterly peer reviewed journal, Acupuncture in Medicine,5 which is listed on Medline and Index Medicus. The term acupuncture is a Western one, derived from Latin and meaning puncturing with needles. It was first used by the Dutchman Wilhelm Ten Rijn, who wrote a monograph in Latin on the subject De Acupunctura at the end of the 17th century. Traditional Chinese medicine had an influence on Europe due to exchange via the Silk Road trade routes. Goods and ideas both travelled between cultures in this way. Acupuncture continued to attract interest from physicians outside Asia in the 18th and 19th centuries, though generally without much reference to its Oriental roots. This interest has continued down to the present, receiving considerable interest after President Nixon's visit to China in 1972, when surgeons witnessed surgical operations being carried out using acupuncture analgesia instead of anaesthetics. As a result of this interest, traditional Chinese medicine has become a global phenomena. With this interest came a desire by medical professionals to learn acupuncture without the difficult theory. Some traditional Chinese medicine theories include reference to philosophies of Taoist cosmology and to some Westerners these philosophies border on shamanism and mysticism, which they reject. In the United Kingdom most practitioners of acupuncture are medical acupuncturists, either medical doctors or allied health professionals. The British Medical Acupuncture Society provides training for medical doctors and allied health professionals. Many countries have similar organisations, and the International Council of Medical Acupunturists ICMART represents medical acupuncturists from over 80 countries.6 Battlefield acupuncture The US Army trains medics in the use of acupuncture for pain relief for use in battle or major disasters. Forty Department of Defense doctors are licensed acupuncturists and provide training for hundreds of army medical specialists.7 Differences between Classical Chinese Acupuncture, Traditional Chinese Medicine and Western Medical Acupuncture This article or section may contain original research or unverified claims. Please improve the article by adding references. September 2007 The main differences between Classical Chinese Acupuncture, Traditional Chinese Medicine and Western Medical Acupuncture are as follows. Classical Chinese Acupuncture is the form of acupuncture that has been practiced for thousands of years and is based on Taoist thought and elements of naturalism. Traditional Chinese Medicine TCM is the revised form of acupuncture and herbal medicine that was revived by Mao Zedong during the Cultural Revolution. Despite the misnomer, acupuncture based on Traditional Chinese Medicine is actually a modern form of acupuncture that has been well-integrated with western medical concepts of anatomy and physiology and has been used in hospitals alongside Medical Doctors in China for well over fifty years. This modern form of acupuncture is also situated in hospitals in Korea, Japan and parts of Europe. Medical Acupuncture is a contemporary form of acupuncture that was developed by Medical Doctors in the United States and, recently, Great Britain over the last twenty years. The traditional theory of points and meridians is either ignored altogether or is radically reinterpreted because there is supposedly no physically verifiable anatomical or histological basis for the existence of acupuncture points or meridians. The concepts of disease are derived from modern Western pathology instead of Oriental medical theory which predates use of the scientific method, and has received various criticisms based on western thinking. Medical acupuncture is understood to work via the western biomedical understanding of anatomy, physiology and biochemistry. The principal differences between classical and medical acupuncture can be summarized as follows: CLASSICAL WESTERN MEDICAL Follows procedures based on thousands of years' experience Largely ignores the traditional theories and technique Based on traditional observations and theory Based on western concepts of anatomy and physiology Often described with Taoist metaphor and everyday language Based on western biomedicine These differences are theoretical, but there are also practical differences. Whereas traditional acupuncture practitioners, at least today in the West, tend to work wholistically and address deficiencies or overall energy imbalances often inserting several or large numbers of needles and maybe leaving them in place for 20 minutes or longer, some Western acupuncturists use many fewer needles sometimes only one and practise brief insertion from two or three minutes right down to one second. Brief needling techniques are also used by those traditionally trained, though they may be less common. Medical acupuncture lends itself to use in a busy practice where there is little time to spend on each patient. It also has the advantage that it can be learned much more easily than traditional acupuncture by modern health practitioners such as doctors, physiotherapists, osteopaths, chiropractors, and podiatrists. Such people do not have to learn another system of thought or technique; rather, they see acupuncture as an extension of what they are already doingcitation needed. Some traditionalists state that western medical acupuncture is a watered-down version of real acupuncture, having at best a limited degree of effectiveness in certain situations. In some jurisdictions, the practice of needle insertion based on local physical symptoms, and without traditional acupuncture training, is called 'dry needling' to distinguish it from traditional acupuncture. There is relatively little research to support the use of acupuncture, traditional or modern, and very little comparative research comparing various approaches. Choosing where to needle The founding president of the American Academy of Medical Acupuncture has written that: The choice of needle patterns can be based on traditional principles such as encouraging the flow of qi pronounced chee, a subtle vivifying energy, through classically described acupuncture channels, modern concepts such as recruiting neuroanatomical activities in segmental distributions, or a combination of these two principles.8 The concept of trigger points is commonly used to decide on insertion points for the needles. These are tender areas, mostly in muscles, from which pain and other sensations may radiate to distant areascitation needed. In Traditional Chinese Medicine TCM these are considered Ah Shi points, or spontaneously tender points, which are often appropriate for needling as part of a treatment. Another idea is to base the needling on body segments. The spinal cord is arranged segmentally, with pairs of nerve roots emerging from it along its length. These nerve root pairs supply the skin in a series of stripes, so that it is possible to say which spinal segments supply sensation to different parts of the body. A similar arrangement exists at deeper levels, so that we may speak of myotomes related to the muscles and sclerotomes related to the bones and jointscitation needed. In some versions of medical acupuncture the needles are inserted in segments that are related to the internal organs that one wishes to treat. This is very similar to the TCM approach of using tendino-muscular meridians or regions, which closely match the same areas. Other simplified ways of choosing where to needle also exist. However, some medical acupuncturists think that it often makes relatively little difference where the needles are inserted, at least in quite broad terms. Certainly there seem to be some patients who react very strongly to needling and some in whom the actual site of treatment seems not very importantcitation needed. A traditionally-trained acupuncturist, however, might consider this belief heresy, and consider this randomcitation needed approach potentially harmful or even dangerous. There are also many techniques of electroacupuncture mostly developed by Japanese and European acupuncture researchers, one which uses only 24 points. Each meridian has a so-called test point, a tonification point, and a sedation point. A machine records the electrodermal current at the identified test point for each meridian. The values are placed into a chart. Based on the clustering of the values of the test points for each meridian - the practitioner is able to identify meridians which are hyperfunctioning and hypofunctioning. If the meridian is hypofunctioning - then the tonification point is needled to increase the electronic impulse flowing through said meridian. If the meridian is hyperfunctioning, then the sedation point is needled to decrease the electronic activity in the meridian. The process is called balancing the meridians. There are no complex points to remember, just 24 points on the bilateral meridians. Mechanism Two attempts at western medical explanation of analgesic and pain control action have been suggested: The gate theory of pain, first put forward some thirty years ago by Patrick Wall and Robert Melzack, postulates the existence of gates or filters in the spinal cord that can modulate increase or decrease transmission of pain information within the nervous system. The second explanation is based on the existence of natural opiates pain-relieving substances such as endorphins and enkephalins in the central nervous system and elsewhere in the body Scientific research in recent decades have shown that these theories, although they support some of the possible partial mechanisms of pain relief from local and distal needling, are not quite accurate even on the pain control mechanism of acupuncture. See also Dry needling References ^ Doctor, What's Acupuncture all about ^ Whole Medical Systems: An Overview NCCAM Backgrounder ^ Energy Medicine: An Overview NCCAM Backgrounder ^ BMAS - The British Medical Acupuncture Society. Retrieved on 2008-03-30. ^ Acupuncture in Medicine, Home page. Retrieved on 2008-03-30. ^ International Council of Medical Acupuncture and Related Techniques. Retrieved on 2008-03-30. ^ US Army and Battlefield Acupuncture. Red Orbit 1 April 2008. ^ An Overview Of Medical Acupuncture. Joseph M Helms, M.D., modified from Essentials of Complementary and Alternative Medicine Jonas WB, Levin JS, eds. Baltimore, Md: Williams Wilkins; in press. External links American Academy of Medical Acupuncture Articles on modern acupuncture by Anthony Campbell Biomedical Acupuncture Institute UK Physiotherapy Acupuncture Site McMaster University Medical Acupuncture Program, Ontario, Canada The British Medical Acupuncture Society v d e Acupuncture Concepts Acupuncture point · Meridian · Qi · Regulation of acupuncture · Scientific theories regarding acupuncture Types Auriculotherapy · Dry needling · Electroacupuncture · Medical acupuncture Category · Portal Retrieved from http://en..org/wiki/Medical_acupuncture Categories: Articles needing expert attention since March 2008 | Acupuncture | Manipulative therapyHidden categories: Accuracy disputes from December 2007 | NPOV disputes from December 2007 | Medicine articles needing expert attention | Pages needing expert attention | All articles with statements | Articles with statements since January 2008 | Articles that may contain original research since September 2007 | All articles that may contain original research | Articles with statements since December 2007 Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages Português This page was last modified on 9 August 2008, at 14:38
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