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What is Acupuncture?
Acupuncture is ancient, Chinese, and anything but
a secret. According to the Food and Drug Administration
(FDA), an estimated 9-12 million acupuncture treatments
are performed each year in the United States. The
practice of acupuncture accounts for approximately
$500 million in health-care expenditures annually.
How it Works?
Acupuncture is one of several therapies that constitute
Traditional Chinese Medicine. The ancient view holds
that the basis of good health is the harmonious
balance of qi,(pronounced "chee"), or
vital energy, in the body. According to this paradigm,
energy moves through the body along 14 main pathways
called meridians, and when the flow along one or
more meridians is obstructed the result may be disease
or injury. By stimulating points in the body-most
commonly with needles-an acupuncturist seeks to
restore balance to the normal energy flow and, consequently,
to relieve pain or treat disease. Although acupuncture
has been practiced for 5000 years, until recently
nearly all the evidence of its effectiveness was
anecdotal. In the last decade, however, research
has revealed physiologic mechanisms for some of
its effects. For example, it is well documented
that the stimulation of acupuncture points affects
both the central and peripheral nervous systems.
It triggers the release of endorphins and enkephalins-chemicals
that have pain-relieving properties similar to those
of opiates. More recent research suggests that it
may also trigger the release of certain neural hormones
including serotonin.
What it's Good For?
Acupuncture has been plied against a wide variety
of physical ailments. However, only a few of these
applications have been tested in a controlled clinical
trials - the "gold" standard for evaluating
treatments in Western medicine. In many of these
studies, patients were randomized to treatment either
with acupuncture, or "sham acupuncture",
essentially a placebo treatment in which acupuncture
needles were inserted in the "wrong" points.
Well designed and properly executed studies have
demonstrated that acupuncture may be effective in
treating the following: Menstrual Cramps, Chronic
Low Back Pain, Neck Pain and Substance Abuse.
What to Expect
If you decide to have acupuncture, you can expect
your first visit to be something like your initial
appointment with a medical doctor. You will fill
out a questionnaire on your health history and be
interviewed by the practitioner. You are likely
to be asked about your digestive system, sensitivity
to temperature, eating, sleeping habits, urine color,
and stress. Females will be asked about their menstrual
cycle. During the interview the acupuncturist will
evaluate you're your skin color, body language,
tone of voice, and tongue. They will also test your
pulses on both wrists. After the acupuncturist decides
how to treat you, he/she will dab rubbing alcohol
on each point at which a needle will be inserted.
Generally, 10-12 surgical steel needles will be
used. They are about 2 inches long and as fine as
a hair. With a few quick taps the practitioner will
insert he needles to a depth of up to an inch. The
sensation you experience will depend on the needles'
locations, the depth and angle of insertion and
your sensitivity threshold. Some people describe
a slight tingling or mild electric shock. Others
report a vague tugging or aching feeling that lasts
no longer than a few minutes. A sense of fullness
and heaviness in the muscles or limb is also common.
The needles are left in for between 15 and 60 minutes.
The acupuncturist may twirl the needles to enhance
their effect. Sometimes some of the needles will
be connected to a low voltage electrical source
to increase the stimulation of certain points. A
course of therapy generally requires 10 sessions
or more. Treatments are performed over several days
or weeks.
Choosing an Acupuncturist
It is recommended to choose an acupuncturist who
has completed at least a 2 year course of study
through a recognized acupuncture school. They should
also be certified by the National Commission for
the Certification of Acupuncturists.
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