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Acupuncture: The Art of Needling People

Jimmy F. Joye, Jr. MD Associate Clinical Professor of Medicine USC Department of Medicine

History of Acupuncture
Predates written history One of the three pillars of Chinese medicine Huang Di Nei Jing
Earliest written account 2nd century B.C. Actually 2 books in one

History Continued
1822
Missionaries brought Western Influence Acupuncture no longer taught in Imperial Medical College

Early 20th century


Schools threatened, most closed Instruction continued in secret.

History Continued
1949
Communist takeover Closed China to most western influences Caused revival of Chinese Medicine Trained a corps of Barefoot Doctors

History in The West


1774
Publications in France Experiments began Source for most of western exposure

1825

Memoir on Acupuncturation Bache Bache experimented on prisoners in Pa.

1825

History Western Continued


Civil War

Citations in the Field Surgeons Manual

1892

Sir William Osler


James Reston Acupuncture analgesia studied

1971

1977-84

History Western Continued


1990s

NIH began exploring uses for acupuncture


Asthma Back pain Nausea etc.

1991
1500 Physicians 8000 Nonphysicians

Definitions
Acupuncture
Acus - needle Punctura - puncture

Acupoints

Specific points utilized in treatments

Qi
Vital energy That which animates life

Definitions Continued
Meridian
Channels through which Qi flows 12 bilaterally symmetrical 2 midline anterior/posterior Associated with fascial planes

Definitions Continued
Yin

Yang

Inside Dark side of mountain Cold Passive Feminine

Outside Sun side of mountain Hot Active Masculine

Definitions Continued
Yin Organs

Yang Organs

Lung Spleen Liver Pericardium Heart Kidney

Large Intestine Stomach Gall Bladder Triple Heater Small Intestine Urinary Bladder

Types of Acupuncture
Chinese Japanese Homuncular
Ear Hand Scalp

Mechanisms of Acupuncture
Chaos theory Fractal mathematics Gate theory Bioelectric circuits Endogenous opiates Peptide molecules

Treatment Types
Sedation Tonification
Moxabustion Electrical stimulation Heat lamp Laser

Balancing

Treatment Modalities
Tendinomuscular subsystem

Acute injury Direct contact with organs Dense histopathological processes

Shu-Mu subsystem

Distinct Meridian subsystem

Curious Meridian subsystem

Coordinate between meridians

Treatment Modalities Cont.


Balancing
5 Phases Simple Triangular Equilibration Evolution Triangular Equilibration Contrary and Inverse

Applications
Organ problems
Asthma Diarrhea, nausea Kidney and bladder problems Colds Pain, especially joint and low back

Applications Continued
Functional Problems
Fatigue Impotence Dizziness

Mixed Organ and Functional


Depression Lethargy

Related Therapies
Cupping Plum Blossom Needles Gua Sha PENS