Summary:
According
to the NIH Consensus Statement on Acupuncture, Volume 15, Number
5, November 3-5, 1997 (available on the world wide web at http://odp.od.nih.gov/consensus/cons/107/107_statement.htm
), acupuncture focuses on a holistic,
energy based approach to the patient rather than on a disease oriented
diagnosis and treatment model. Mechanisms that provide a Western
scientific explanation for some of the effects of acupuncture are
beginning to emerge. This is encouraging and may provide novel insights
into neural, endocrine, and other physiological processes. Acupuncture
practice is based on a very different model of energy balance. (Acupuncture.
NIH Consens Statement 1997 Nov 3-5; 15(5): 1-34.)
Medical Acupuncture
involves a consultation with a medical doctor to review medical
records, take a medical history, perform an examination, review
lab tests and x-rays, and determine if acupuncture is an appropriate
course of action. Medical acupuncture is a limited series of 10
sessions, each session is performed by a medical doctor, each of
which consists of testing the meridians of the body, and treating
those meridians that are out of balance, with the goal of balancing
the body’s energy and energizing the body’s healing
forces. Acupuncture is a safe, effective treatment for many painful
conditions.
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What is Acupuncture?
Acupuncture
is a component of the health care system of China that can be traced
back for at least 2500 years. The general theory of acupuncture
is based on the premise that there are patterns of energy flow through
the body that are essential for health. Disruptions of this flow
are believed to be responsible for disease. Acupuncture may correct
imbalances of flow at identifiable points close to the skin. (Acupuncture.
NIH Consens Statement 1997 Nov 3-5; 15(5): 1-34.)
Acupuncture
has been used by millions of American patients and performed by
thousands of physicians, dentists, acupuncturists, and other practitioners
for relief or prevention of pain and for a variety of health conditions.
(Acupuncture. NIH Consens Statement 1997 Nov 3-5; 15(5): 1-34.)
What is the role of Acupuncture?
The World Health Organization lists a variety of medical conditions
that may benefit from the use of acupuncture or moxibustion.
Such applications include prevention and treatment of nausea and
vomiting; treatment of pain; and addictions to alcohol, tobacco,
and other drugs; treatment of pulmonary problems such as asthma
and bronchitis; and rehabilitation from neurological damage such
as that caused by stroke. (Acupuncture. NIH Consens Statement 1997
Nov 3-5; 15(5): 1-34.)
There is evidence of efficacy for post operative dental pain. There
are reasonable studies (although sometimes only single studies)
showing relief of pain with acupuncture on diverse pain conditions
such as menstrual cramps, tennis elbow, and fibromyalgia. This suggest
that acupuncture may have a more general effect on pain. however,
there are also studies that do not find efficacy for acupuncture
in pain. (Acupuncture. NIH Consens Statement 1997 Nov 3-5; 15(5):
1-34.)
Assessing the usefulness of a medical intervention in practice
differs from assessing formal efficacy. While it is often thought
that there is substantial research evidence to support conventional
medical practices, this is frequently not the case. This does not
mean that these treatments are ineffective. The data in support
of acupuncture are as strong as those for many accepted Western
medical therapies. (Acupuncture. NIH Consens Statement 1997
Nov 3-5; 15(5): 1-34.)
One
of the advantages of acupuncture is that the incidence of adverse
effects is substantially lower than that of may drugs or other accepted
medical procedures used for the same conditions. As an example,
musculoskeletal conditions such as fibromyalgia, myofascial pain,
and tennis elbow, or epicondylitis are conditions for which acupuncture
may be beneficial. These painful conditions are often treated with,
among other things, anti-inflammatory medications (aspirin, ibuprofen,
etc.) or with steroid injections. Both medical interventions have
a potential for deleterious side effects but are still widely used
and are considered acceptable treatments. The evidence supporting
these therapies is no better than that for acupuncture. (Acupuncture.
NIH Consens Statement 1997 Nov 3-5; 15(5): 1-34.)
In addition,
ample clinical experience, supported by some research data, suggests
that acupuncture may be a reasonable option for a number of clinical
conditions. Examples are postoperative pain and myofascial and low
back pain. (Acupuncture. NIH Consens Statement 1997 Nov 3-5; 15(5):
1-34.)
How does Acupuncture
work?
Acupuncture
can cause multiple biological responses. These responses can occur
locally or at a distance, mediated mainly by sensory neurons to
many structures within the central nervous system. This can lead
to activation of pathways affecting various physiological systems
in the brain as well as in the periphery. A focus of attention has
been on the role of endogenous opiods in acupuncture analgesia.
Considerable evidence supports the claim that opiod peptides are
released during acupuncture and that the analgesic effects of acupuncture
are at least partially explained by their actions. That opiod antagonists
such as naloxone revere the analgesic effects of acupuncture further
strengthens this hypothesis. Stimulation by acupuncture may also
activate the hypothalamus and the pituitary gland, resulting in
a broad spectrum of systemic effects. Alteration in the secretion
of neurotransmitters and neurohormones and changes in the regulation
of blood flow, both centrally and peripherally have been documented.
There is also evidence of alterations in immune functions produced
by acupuncture. (Acupuncture. NIH Consens Statement 1997 Nov 3-5;
15(5): 1-34.)
What types of
Acupuncture are there?
There is
traditional acupuncture, auricular therapy, and MRA (Meridian Regulatory
Acupuncture).
What is Meridian
Regulatory Acupuncture
Meridian
Regulatory Acupuncture (MRA) is the type of Acupuncture practiced
by Dr. Phelps
MRA is the method
of acupuncture devised by Dr. Lupo T. Carlota, MD, Dip. Ac. over
29 years ago.
MRA acupuncture
is a simplified, highly refined, scientific system of acupuncture
therapy that was developed for western trained physicians.
MRA is simplified
because it utilizes only 64 acupuncture points as opposed to the
over 1000 acupuncture points used in traditional acupuncture. MRI
uses only one hair thin needle as opposed to many needles in traditional
acupuncture.
MRA is scientific
in that it’s methods are measurable, reproducible, predictable,
and verifiable.
What is the
theory behind MRA?
MRA is
based on scientific theory (Quantum Theory of Acupuncture) and employs
advanced technology (the Ultramatic Unit)
MRA postulates
that the living body is a bioelectrical unit, and that the body
has a bioelectrical system called the Bioplasmic System. The Bioplasmic
system sub serves every chemical, physical, and psychological interaction
in the body. It is this system through which MRA works, ultimately
by releasing endorphins. The meridians are the channels through
which the Bioplasmic System is accessed. Acupuncture points are
the points at which the meridians are accessed. Treatments consist
of balancing the meridians.
What is the
goal of MRA?
The goal of MRA is to re establish the harmonious interplay of
the meridians, which are linked to the autonomic nervous system,
and which are channels or pathways of mild bioelectrical impulses
(Bioplasmic energy). The goal of MRA is to balance the meridians,
in order to harness the healing forces of the body.
Practically speaking, what is involved in MRA therapy?
Initially,
there is a consultation, during which time medical records are reviewed,
a history is taken, an examination is performed, and tests are reviewed.
At this initial consultation a determination is made of whether
or not acupuncture is an appropriate treatment.
If after an
initial consultation MRA is thought to be an appropriate treatment,
there is a 10 session treatment course, with a morning and afternoon
session, for 5 days. Each session consists of measuring the status
of each of the body’s meridians, determining which meridians
need balancing (bioelectrically), then balancing the meridians which
need balancing (inputting the correct amount of electric energy).
Usually the effect of treatment can be felt by the end of the 10
treatment course. Medications are not used. After the 10th session,
treatment is complete. The patient is returned to their primary
care physician for ongoing health maintenance.
What are the
risks of Acupuncture?
The occurrence
of adverse events in the practice of acupuncture has been documented
to be extremely low,. However, these events have occurred on rare
occasions, some of which are life-threatening (e.g., pneumothorax).
Therefore appropriate safeguards for the protection of patients
and consumers need to be in place. Patients should be fully informed
of their treatment options, expected prognosis, relative risk and
safety practices. Use of acupuncture needles should always follow
FDA regulations. (Acupuncture. NIH Consens Statement 1997 Nov 3-5;
15(5): 1-34.)
Conclusions
There are
other situations such as addiction, stroke rehabilitation, headache,
menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis,
low back pain, carpal tunnel syndrome, and asthma for which acupuncture
may be useful as an adjunct to treatment, or an acceptable alternative,
or be included in a comprehensive management program.
Findings from
basic research have begun to elucidate the mechanisms of action
of acupuncture, including the release of opiods and other peptides
in the central nervous system and the periphery and changes in neuroendocrine
function.
There is sufficient
evidence of acupuncture’s value to expand its use into conventional
medicine and to encourage further studies of its physiology and
clinical value. (Acupuncture. NIH Consens Statement 1997 Nov 3-5;
15(5): 1-34.)
For an extensive
bibliography on acupuncture, visit http://www.nlm.nih.gov/pubs/cbm/acupuncture.html