Why and How does Acupuncture Work

The most frequent question I get as I’m treating patients is how does this work? It’s a difficult explanation as their is no direct Western medicine equivalent to the concept of Chi or life energy. However, we do know that there is an energy source within our body. In an oversimplification, we can ask. What makes the blood flow? You may say, the heart pumping. Ok. What makes the heart pump? Electrical impulses. What makes the electrical impulses? You get the idea. There has to be something to set it all in motion. And that is your Chi. Some people liken it to a biolectrical field. It doesn’t matter the words, it is what it is.

If you want to get an idea of your own Chi. Try this exercise. Put your hands up with fingers apart and without touching the other hand, pump the hands together. There is a kind of resistance or pressure you can feel between your fingers as you slowly pump your hands together. The stronger your Chi, the more you can feel the energy being created as you move your hands together.

The article I quote and articulates that because the concepts behind acupuncture have been so difficult to understand, it has “taken quite a long time for Western medicine to embrace acupuncture even though it was introduced in the early 1970’s after contacts with China improved.”

Dr. Richard Niemtzow, MD, PhD, MPh is a physician who is trained in acupuncture. (I actually had the opportunity to train with him many years ago using a protocol for macular degeneration). He has developed a technique called “Battlefield Acupuncture” and has been teaching American Air Force physicians serving in Iraq and Afghanistan (2009) to use this for pain relief. His technique uses points in the ear that blocks pain signals from reaching the brain.

“This is one of the fastest pain attenuators in existence,” said Dr. Niemtzow, who is the Consultant for complementary and alternative medicine for the Surgeon General of the Air Force, and is affiliated with Uniformed Services University of the Health Sciences in Bethesda. “The pain can be gone in five minutes.”

In the article Professor Tsuei mentions: “In 1972 the respected New York Times columnist James Reston underwent an emergency appendectomy while in China. He later wrote about acupuncture treatment for post-operative pain that was very successful. This report attracted attention and many American physicians and researchers went to China to observe and learn acupuncture techniques.”

There continues to be an interest in research to help understand the mechanism of action with acupuncture. Of note was a North Korean researcher, Kim Bonghan, who published papers in the early 1960’s and his research was confirmed by the Japanese researchers Fujiwara and Yu in 1967. Unfortunately his research took almost 40 years to be confirmed through studies done on rats, rabbit and pigs with Stereo-microscope photographs and electron microsopy. If you click on the link for this article below you will be able to see the amazing photo showing the stereomicroscopic image of acupuncture meridians.

Although many of these studies are old by our standards, they are significant as they are some of the first studies to be published outside of China. “Russian researchers in 1991 at The Institute for Clinical and Experimental Medicine in Novosibirsk, USSR, in a research project lasting several years, discovered how the human body conducts light. They found that the light conducting ability of the human body exists only along the meridians, and can enter and exit only along the acupuncture points. Dr. Kaznachejew, a professor of physics said:

“This seems to prove that we have a light transferal system in our body somewhat like optical fiber. It appears that the light can even travel when the light canal is bent, or totally twisted. The light appears to be reflected from the inner surface, appearing to go in some sort of zigzag track. You can explain this through traditional electromagnetic light theory as it is used in optical fiber communications.”

“This finding has been confirmed by a 1992 study in the Journal of Traditional Chinese Medicine and a 2005 study in the Journal of Alternative and Complementary Medicine where moxibustion and infrared thermography were used to trace meridian pathways.”

“There might be a “light body” after all.”

Studies:

A Randomized Controlled Trial of Auricular Acupuncture for Cocaine Dependence.S. Kelly Avants, PhD; Arthur Margolin, PhD; Theodore R. Holford, PhD; Thomas R. Kosten, MD Arch Intern Med. 2000;160:2305-2312.

Immunomodulatory Effects of Acupuncture in the Treatment of Allergic Asthma: A Randomized Controlled Study.Stefanie Joos, M.D. Department of Anaesthetics, University of Heidelberg, Heidelberg, Germany.

Research:

Meridians conduct light by Dr. Sergei Pankratov, Moskow, Published by Raum and Zeit, Germany,1991.Translated from the German by Wolfgang Mitschrich

Bonghan Channels in Acupuncture By David Milbradt, LAc, Acupunture Today

Bonghan Duct and Acupuncture Meridian as Optical Channel of Biophoton

Curtin University of Technology These C fibres transmit low-grade sensory information over very long distances by using Merkel cells as intermediaries.

Scientific Evidence in Support of Acupuncture and Meridian Theory Professor Julia J. Tsuei M.D., F.A.C.O.G.

Medical acupuncture gaining acceptance by the US Air Force

Acupuncture is promising treatment for cocaine addiction, Yale researchers find

 

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Research Shows Acupuncture Effective for Chronic Pain

http://www.medpagetoday.com/PrimaryCare/AlternativeMedicine/34673

Of course this research comes as no surprise, but it’s nice to read that the authors of a meta-analysis concluded that “acupuncture provides more relief from various types of chronic pain than does usual care and should be considered a valid therapeutic option.” Research based on my patient base suggests the same results.

During my monthly call in radio show, people always have questions on pain. Whether it be neck, shoulder, back or migraine pain, many want to know if there are other options to hydrocodone, topomax, or even extra strength tylenol.

Part of the problem with acupuncture research is that results show benefits but the mechanism of action is very hard to define or measure. In Western style research, scientists like to be able to explain how and why the treatment works. The difficulty in part is trying to measure an abstract form of energy, we can Qi (chi). You can feel Qi, but cannot readily see it or measure it beyond feeling for it in the pulses. In spite of the mechanism of action not being completely understood, results of this study showed that acupuncture treatment for pain relief was statistically better when compared to sham acupuncture and even higher for no acupuncture.

Many researchers like to attribute the beneficial results of acupuncture due to placebo effect. To challenge that point, I often refer to veterinary acupuncture which started many years ago on race horses who were lame. More often than not, the horses and now dogs and cats, move better after being treated with acupuncture. No matter how lovable and smart our animals are, they do not have the capacity to fake it (to please their owners). Either they are limping or they are not after a treatment. The results speak for itself.

Because it is so difficult to define the mechanism of action, many researchers continue to report that treatments remain “highly controversial.” But to be fair, many results are inconclusive due to poor study parameters such as too few subjects and inconsistency of quality and reliability of studies. But it’s also worth considering whether positive results of studies should be disregarded solely due to uncertainty as to mechanisms of action.

This study however, included almost 18,000 subjects and “conducted an individual patient data meta-analysis based exclusively on high quality randomized trials that their findings should be considered “both clinically and scientifically important.” In addition, their finding of “true acupuncture having significantly greater effect than the sham procedure indicates that the effects of the procedure do extend beyond placebo.” They conclude that this is “of major importance for clinical practice,” meaning that acupuncture should be considered “a reasonable referral option for patients with chronic pain.”

Dr. Avins, one of the authors of the study wrote: “The ultimate question is: does this intervention work (or, more completely, do its benefits outweigh its risks and justify its cost)?” “For acupuncture, the current meta-analysis offers “some robust evidence” that acupuncture does provide greater chronic pain relief than usual care, mechanisms of effect aside.”

For many of my patients, this research will be consistent with their experience. But Chinese medicine will only be considered a valid form of medicine with medical doctors when clinically solid studies show clear benefit. More and more studies are being conducted that show thousands of years of medicine from China as being a consistently effective and safe option of treatment for many health concerns. If you are interested in reading more research on acupuncture, you can look at studies from the National Institutes of Health Complementary and Alternative Medicine Office.

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Acupuncture For Stress Relief, Acupuncture & KSEV Houston

Check out this great video where I apply a stress-relieving acupuncture treatment to radio host Marc McCoy. Live on the radio! I also explain acupuncture, why it works so well on stress and the purpose of each needle applied. Enjoy!

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