Mar 04


Acupuncture is emerging to have a critical role in the care of cancer patients, according to a prominent US doctor.

Acupuncture, massage and other alternative therapies have a place in cancer care, a U.S. doctor says.

Gynecologic oncologist Dr. Julian Schink of Chicago’s Northwestern Memorial Hospital and the Robert H. Lurie Comprehensive Cancer Center of Northwestern University says offering integrative oncology services as well as counseling and stress management are part of their larger aim of providing for cancer patients’ needs from every angle.

“When a patient is diagnosed with cancer many of them want to fully participate in their recovery, but don’t know where to begin. This program gives them control over their treatment,” Schink says in a statement.

Integrative oncology services — offered by Northwestern Memorial Physicians Group’s Center for Integrative Medicine and Wellness include acupuncture, massage, energy healing and naturopathic medicine.

“Our goal is to treat the whole person, not just their illness,” Dr. Melinda Ring, medical director of the Center for Integrative Medicine and Wellness, says. “Research suggests that a holistic approach can alleviate stress and anxiety, as well as the physical pain and discomfort patients often experience while undergoing cancer treatments by activating the body’s innate healing process.”

Schink points out integrative oncology services help manage the side effects associated with conventional therapies that would otherwise cause patients to end or curtail treatments prematurely.

Mar 02

Acupuncture is making its way into the everyday lives of the great state of North Carolina!

The room is dim, peaceful. Soothing music plays in the background, but otherwise all is silent. You lie, sheathed in a sheet, on a padded table, with thin metal needles studding multiple parts of your body a proverbial pincushion. And youve never been more relaxed in your life.

If this sounds familiar, chances are youve experienced the ancient art of acupuncture, which originated in Asia thousands of years ago and has been used in the United States for about two centuries. In the state of North Carolina, acupunctures history is briefer at least officially. Just ask Page Paterson, who was there at the very beginning.

License 001

“When I first went to school, there was no law in North Carolina about it,” says Paterson, a licensed acupuncturist who holds a masters in acupuncture and currently operates out of the Wilmington Acupuncture and Counseling Center. “The acupuncturists across the state went to the attorney general, who told us to get a license in another state. When theres enough of you, he said, you can lobby.”

So it came to be that in 1989, Paterson opened up a practice jointly in Wilmington and in Chapel Hill. “There was no other acupuncturist here; in Chapel Hill, I joined an existing practice. I worked two days a week in Chapel Hill,” Paterson says. She built her Wilmington clientele by giving talks at the Sun and Moon bookstore, no longer in operation, and by word of mouth. “In five years, I was busy enough that I sold my practice in Chapel Hill.”

Paterson wasnt alone. Across the state, an ever-growing group of physicians wanted to use homeopathy in their practice, and an increasing number of acupuncturists were calling North Carolina home. The time had come to lobby for licensure, and, as luck would have it, the process took just one year. In 1994, Page Paterson became the very first acupuncturist licensed in the state of North Carolina, a distinction to which the framed certificate on her office wall, with its distinctive “001,” attests. “We wrote a good law,” she says, smiling.

That year, Paterson joined an elite group of six other individuals who received their acupuncture licenses. Today, according to the Community Acupuncture Network (CAN), around 400 licensed acupuncturists reside in the Tarheel State. Seventeen of them call Wilmington home (source: North Carolina Acupuncture Licensing Board). While our states acupuncturists constitute a mere fraction of the 27,965 U.S. licensees (as of July 2009), its a far cry from the seven pioneers who successfully lobbied for licensure sixteen years ago.

The last two decades have seen a dramatic increase in the United States acceptance of acupuncture as a complementary treatment method for all types of ailments, including fibromyalgia, migraines, infertility, cancer pain, asthma, drug addiction, osteoarthritis, and more. In 1996, the Food and Drug Administration (FDA) removed acupuncture needles from their “experimental medical device” list. The U.S. Department of Education now recognizes the Accreditation Commission for Acupuncture and Oriental Medicine, which has links to approximately 50 acupuncture schools. Multiple sources, including the National Institute of Health, have conducted studies and summits on the techniques efficacy and effectiveness.

Despite these developments, theres still a long way to go. “If youre thinking of doing acupuncture, be sure you go to a licensed acupuncturist. In North Carolina, chiropractors and doctors can do acupuncture without training for it specifically, and its covered by insurance,” Paterson warns. Insurance coverage or the lack of it can be a significant impediment to receiving acupuncture treatment. “Progress Energy covers acupuncture, and so do a few other companies. But Blue Cross Blue Shield NC isnt required to cover it,” she explains. Instead of traditional insurance coverage, they offer acupuncturists a compromise: lower your rates for our customers, and well include you on our list of providers. Its a compromise that Paterson and others like her, including local acupuncturist Daerr Reid of East Coast Acupuncture cant afford to make.

Feb 25

Acupuncture can greatly reduce depression during and after pregnancy, recent studies have shown.

Two studies released in the past few days address the the prevalence and treatment of depression during and after pregnancy.

The first, published online by the journal Pediatrics, finds that a startling percentage of low-income, urban mothers show symptoms of postpartum depression. Researchers at the University of Rochester Medical Center screened 198 mothers of children between the ages of 2 weeks and 14 months who brought their children for checkups at the center’s outpatient pediatric clinic. More than half of those mothers — 56 percent — met the clinical criteria for a diagnosis of some degree of depression.

Postpartum depression is thought to affect 14 percent of new mothers in the United States, and while it is known to be higher in low-income populations, these numbers surprised researchers.

“This is an unexpected, very high proportion,” said Dr. Linda H. Chaudron, one of the authors of the journal article and an associate professor of psychology, pediatrics and obstetrics and gynecology.

A second study, published yesterday in the journal Obstetrics & Gynecology, looks at depression during pregnancy. It is thought to occur at similar rates as postpartum depression and has also been linked to low-birth weight and delayed cognitive and emotional development in children.

Researchers at Stanford University tested alternative treatments and antidepressants for pregnant women and found that acupuncture specifically designed to treat depression is a potential substitute. Sixty-three percent of women who received that treatment responded well, compared with only 44 percent who received massage therapy or acupuncture that was not specifically designed for depression. The study did not compare any of these treatments with antidepressants or psychotherapy.

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Feb 21

Acupuncture can be an effective way of boosting your immune system.

This ancient Chinese therapy uses needles inserted at various locations on the body to relieve pain and restore well-being. And it works on flu symptoms, says Daniel Schwartz, a licensed acupuncturist and practitioner of Chinese herbal medicine in Dartmouth.

“Acupuncture and Chinese herbal medicine can be helpful to build the immune system and assist the body to get rid of pathogens,” says Schwartz, who has been practicing for more than 25 years.

Schwartz says Chinese medicine has been “addressing these problems for a long, long time,” citing references that date back to 220 A.D. “Today’s practitioners have all those years of experience to help them make the right decisions.”

The location of the acupuncture needles he applies — called acupuncture points — are customized to “suit each individual’s needs,” he says. He might use a different point for treating a cough than he would for a high fever or even a runny nose.

Using acupuncture and Chinese herbs to strengthen a person’s immune system is “very individual and specific,” Schwartz says. Some people have stronger immune systems than others; these people would require less treatment, but “generally, to build one’s immune system, a course of four weekly treatments initially, followed by regular ‘tune-ups,’ could be quite helpful.”

Schwartz’s treatment for H1N1, as with other flus and colds, is highly individualized and would “depend on the symptoms that patient is experiencing at that time, and as the symptoms change, so does the treatment.”

He’s treated more people in the last few years, though not initially for cold and flu symptoms, he says. But once they’ve tried his treatments, people “do come back” when they’re suffering from flu and cold symptoms.

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Feb 19

Acupuncture has been shown to be effective in lessen menstrual cramps, as the latest study indicates.

Acupuncture may be helpful in alleviating menstrual cramps, which affect up to half of all young women, an extensive review of past studies has found.

Health

In a review of 27 studies that involved nearly 3,000 women, researchers from the Oriental Hospital at Kyung Hee University Medical Center in South Korea found that acupuncture may be more effective than drugs or herbal medicines.

“There is convincing evidence on the effectiveness of using acupuncture to treat pain as it stimulates the production of endorphins and serotonin in the central nervous system,” the researchers wrote in a statement.

Endorphins are compounds produced naturally by the human body during exercise and excitement and they result in a feeling of well-being. Serotonin is a brain chemical.

“Compared with pharmacological treatment or herbal medicine, acupuncture was associated with a significant reduction in pain,” they added in their paper, which was published in the latest issue of the BJOG: An International Journal of Obstetrics and Gynaecology.

The U.S. National Institutes of Health has cited acupuncture as a possibly effective way of dealing with menstrual cramps.

The causes for many cases of menstrual cramps are unknown and for some women, the pain — accompanied by bloating, nausea, vomiting, diarrhea, dizziness and headache — can become more severe or may last longer as they grow older.

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Feb 18

Researchers at Rush University Medical Center have found acupuncture to be an effective tool in relieving pain for children who suffer from chronic illnesses.

Doctors at Rush University Medical Center are offering pediatric patients diagnosed with chronic illnesses acupuncture therapy to help ease the pain and negative side effects like nausea, fatigue, and vomiting caused by chronic health conditions and intensive treatments. The confluence of Chinese and Western medicine at Rush Children’s Hospital is part of a study to analyze and document how acupuncture might help in reducing pain in children and increase quality of life.

“Treating children with acupuncture is a new frontier,” said Dr. Paul Kent, pediatric hematology and oncology expert, Rush Children’s Hospital. “We are looking to see if there is an effective pain management therapy we can offer that does not have the serious side effects that can be caused by narcotics and other serious pain medications.”

The lack of options for pain management in children has been reported as one of the most difficult aspects of providing care to pediatric patients. Research indicates that up to 70 percent of pediatric patients experience pain and those with chronic illnesses often do not have adequate relief or prevention of pain.

“Acupuncture could be a potential solution to this dilemma of controlling pain in pediatric patients,” said Angela Johnson, Chinese medicine practitioner at Rush.

Acupuncture is the use of tiny, hair-thin needles which are gently inserted along various parts of the body. The therapy is based on the premise that patterns of energy flowing through the body are essential for health. This energy, called Qi, flows along certain pathways. It is believed that placing the tiny needles at points along the pathways reduce pain and improve the healing process.

The National Institute of Health (NIH) has published a statement concluding that acupuncture is effective for treating adults for nausea following chemotherapy and for pain after dental surgery. The agency also said that the therapy might be useful in treating other health issues such as addiction, migraines, headaches, menstrual cramps, abdominal pain, tennis elbow, fibromyalgia, arthritis, low-back pain, carpal tunnel syndrome and asthma. In some pediatric studies, both patients and parents have stated that acupuncture treatments were both helpful and relaxing.

Feb 17

Women who suffer from period pain now have a new option, acupuncture. Researchers have identified acupuncture treatment could provide relief from pain from period pain.

Acupuncture may be an effective way of alleviating severe period pain, a review of existing studies suggests.

South Korean researchers concluded there was “promising evidence” for acupuncture in treating cramps, but stressed more work was needed.

Acupuncture is a less contentious form of complementary medicine than some, but its value is still disputed.

The team noted there was little difference in two studies between real and sham acupuncture in treating pain.

Period pain can be severe in some women and may be accompanied by nausea, diarrhoea, migraine and backache. Common treatments include pain killers, applying heat and exercise – although a recent study questioned the efficacy of the latter.

This latest review, published in the British Journal of Obstetrics and Gynaecology, involved 27 studies – which included nearly 3,000 women. They addressed a variety of forms of acupuncture – from classical to acupoint injection.

Traditional acupuncturists insert needles in acupuncture points located along what they describe as “energy meridians” – a concept for which many scientists say there is no evidence. Sham acupuncture places needles away from these points.

It is not clear whether either form alleviates pain as a result of the placebo effect – the very ritual of undergoing acupuncture – or cause subtle changes in the nervous system and brain activity which can be beneficial.

Nice backs needles

The analysis by the team from Kyung Hee Medical Centre found that patients with severe period pain reported a greater reduction in their symptoms when using acupuncture compared with pharmacological treatments.

But they stressed there were methodological flaws in some studies, and that the findings did need to be interpreted with caution. Nevertheless, there was “promising evidence”, they wrote.

In the UK, the National Institute for Health and Clinical Excellence (Nice) has backed the use of acupuncture in the treatment of low back pain – a move welcomed by some but criticised by those who say there is little evidence for its efficacy.

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Feb 13

This Valentine’s day why not try couple’s acupuncture? This can bring you closer to your partner and bring your energy together.

Last month, I wrote a “Living Well and Beautifully” post about the preventive value of acupuncture, which uses hair-thin needles to affect and balance the flow of Qi (pronounced “chee), or “vital energy,” in the body. But in honor of Valentine’s Day and lovers everywhere, I’ve got a new proposition: Why not use acupuncture to get closer to each other?

We’ve all heard of couples’ massage, where the two are simultaneously attended to by therapists working in the same room. Well, the same principle applies here–but instead of merely relaxing, the couple receives acupuncture at the same time to help balance their energies, boost their personal connection and enhance their relationship.

A quick primer, in case you don’t know how acupuncture works. A trained practitioner inserts needles at specific points along the body’s energy pathways (called “meridians”) to restore the body’s proper energy flow. When the Qi is flowing in harmony, the body is naturally in a state of good health; when it’s not, Qi can become obstructed, throwing the whole system out of balance. What acupuncture does is that stimulates specific areas on the body associated with “out-of-balance” organ functions and their pathways to bring back balance.

For guidance on how this works for couples, I talked to Caroline Jung, L.Ac,. MSOM, a board-certified acupuncturist at the Tiffani Kim Institute Medical Spa. At our facility, couples can relax in a dimly-lit room where treatment tables are covered in plush red blankets and fresh flowers adorn the space, creating a romantic feel. Couples are welcome to talk while the acupuncturist administers the treatment–which Caroline says “makes it an even better experience. It really enhances it because you’re sharing what you’re feeling with the other person.”

The acupuncturist focuses on opening the flow of the “heart channel,” which corresponds with joy, and the “liver channel,” which corresponds with anger and stress. Says Caroline: “When you reduce the stress, it relaxes all the muscles. Working on channels that traverse the reproductive areas of the body” also bring real benefits to couples. (But don’t worry–those needles get inserted into the legs, hands and earlobes, but NOWHERE near the genitals!)

So what benefits will you get? Increased overall blood circulation. Increased Qi flow. And better regulation of the body’s hormones. All these enhance and support the body’s reproductive system, and when these are regulated and in balance, couples are likely to have optimal fertility and an enhanced libido. Perfect timing for Valentine’s Day, I say! (If clients want, they can follow this joint acupuncture session with a couples’ massage to continue the shared relaxation experience.)

Feb 05

More evidence is presented in a recent study on the effectiveness of acupuncture in relieving joint symptoms in breast cancer treatment.

Acupuncture May Improve Joint Symptoms in Breast Cancer Patients Treated with Aromatase Inhibitors
For women treated with aromatase inhibitors for early breast cancer, acupuncture may help to relieve the joint pain and stiffness that sometimes accompanies these drugs. The results of this study were published in the Journal of Clinical Oncology.

The majority of breast cancers are hormone receptor-positive. These cancers are stimulated to grow by the circulating female hormones estrogen and/or progesterone. Treatment of hormone receptor-positive breast cancer often includes hormonal therapies that suppress or block the action of estrogen. These therapies include tamoxifen [Nolvadex®] as well as agents known as aromatase inhibitors. Tamoxifen acts by blocking estrogen receptors, whereas aromatase inhibitors suppress the production of estrogen in postmenopausal women.

Joint pain and stiffness are one of the potential side effects of aromatase inhibitor therapy. Successful management of this side effect could improve quality of life and reduce the likelihood that patients will discontinue aromatase inhibitor therapy.

Acupuncture is a form of traditional Chinese medicine that aims to improve health by stimulating specific points of the body.[1]

To explore the effects of acupuncture on aromatase inhibitor-associated joint pain, researchers conducted a study among 43 women.[2] All of the study participants were receiving an aromatase inhibitor for early breast cancer, and all reported musculoskeletal pain.

Study participants were assigned to receive either true acupuncture or sham acupuncture twice a week for six weeks. Sham acupuncture involved superficial needle insertion at nonacupoint locations.

Women treated with true acupuncture experienced improvement in joint pain and stiffness over the course of the study. No such improvement was observed among women treated with sham acupuncture.

The results of this study suggest that acupuncture may help women manage the joint pain and stiffness that can accompany aromatase inhibitor treatment.

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Feb 01

Many of us are suffering from lack of sleep, this article explains how traditional Chinese medicine can help have a more restful evening.

This month HuffPost Living has featured an abundance of great articles on the importance of sleep, with excellent tips on how to enhance your slumber from experts in a variety of fields.

An approach that can also aid in the quest for a good night’s sleep is that of Chinese Medicine. This ancient healing system has offered relief to the sleep challenged for thousands of years. While new to many, Chinese Medicine is mainstream in China, and it is used today for a wide range of conditions by an estimated one-fourth of the world’s population.

The Roots of Traditional Chinese Medicine

Chinese Medicine is considered the oldest, most continuously practiced, professional, literate medicine in the world. Written records date back over 2000 years, although the medicine is believed to go back even further. Some experts believe Chinese Medicine is at least 5000 years old.

Chinese Medicine employs acupuncture, herbal medicine, nutritional therapy, tuina (pronounced “twee nah”) massage, acupressure, and qigong.

The Huangdi Neijing (The Yellow Emperor’s Inner Canon) is considered the Bible of Chinese Medicine, emphasizing medical theory and acupuncture. Some scholars estimate that it dates back to the first century B.C. In addition, The Shen Nong Ben Cao Jing (The Divine Farmer’s Materia Medica Classic) details the medicinal uses of 365 herbs and is believed to have been compiled around 200 A.D. Many of the protocols mentioned in these ancient texts are still used today.

Chinese Medicine and the West

The development of East-West relations has promoted the use and interest of Chinese Medicine in the United States. During the past 30 years, the practice of Chinese Medicine has dramatically increased here. The National Institutes of Health (N.I.H.) has reported that visits to Chinese Medicine practitioners in the U.S. tripled from 1997 to 2007.

At the same time, the United States is seeing an increase in the practice of integrative medicine. University centers and hospitals are offering Chinese Medicine. Integration has been common in China, where Chinese Medicine is often practiced side-by-side with Western Medicine.

The Chinese Medicine Approach to Sleep

Insomnia comes in various forms, such as trouble falling sleep, difficulty staying asleep, and having dream-disturbed sleep. When a Chinese Medicine practitioner is gathering information to put together a treatment plan, the pattern of the sleep disturbance as well as health and lifestyle issues will be taken into consideration.

A Chinese Medicine practitioner might use the term “calm the shen” when describing a treatment principle. “Shen” is best translated as the spirit of the person in a nonreligious sense. When evaluating Shen, the Chinese Medicine practitioner is looking for the emotional state and presence (or lack) of radiance, calm, and balance. Often with sleep disturbances, the patient will be experiencing patterns of stress, anxiety, or agitation. Chinese Medicine would call this “disturbed shen.”

Treatment for insomnia from a Chinese Medicine practitioner could include one or more of the following therapies: acupuncture, herbal medicine, nutritional counseling, Chinese massage (acupressure/tuina), and qigong.

Acupuncture

Acupuncture is the insertion of needles into specific points of the body to reduce pain, to promote relaxation, and to treat various health concerns. Insomnia and sleep disorders are common reasons why people visit an acupuncturist.

The World Health Organization (W.H.O.) lists insomnia as a condition for which the therapeutic effect of acupuncture has been shown. Continuous research is underway to evaluate the effectiveness of acupuncture for sleep issues. The Journal of Alternative and Complementary Medicine published a review of randomized controlled trials of acupuncture treatment for insomnia. After looking at 46 randomized trials, the conclusion was that acupuncture appears to be effective in the treatment of insomnia, and larger, rigorously designed trials are warranted.

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