Acupuncture is a treatment based on Chinese medicine, a system of healing that dates back thousands of years. At the core of Chinese medicine is the notion that a type of life force, or energy, known as qi (pronounced “chee”) flows through energy pathways (meridians) in the body. Each meridian corresponds to one organ, or group of organs, that govern particular bodily functions. Achieving the proper flow of qi is thought to create health and wellness. Qi maintains the dynamic balance of yin and yang, which are complementary opposites. According to Chinese medicine, everything in nature has both yin and yang. An imbalance of qi (too much, too little, or blocked flow) causes disease. To restore balance to the qi, an acupuncturist inserts needles at points along the meridians. These acupuncture points are places where the energy pathway is close to the surface of the skin.
The earliest recorded use of acupuncture dates from 200 BCE. Knowledge of acupuncture spread from China along Arab trade routes towards the West.
Acupuncture gained attention in the United States after President Nixon visited China in 1972. Traveling with Nixon was New York Times reporter James Reston, who received acupuncture in China after undergoing an emergency appendectomy. Reston was so impressed with the post-operative pain relief the procedure provided that he wrote about acupuncture upon returning to the United States.
In 1997, the U.S. National Institutes of Health (NIH) formally recognized acupuncture as a mainstream medicine healing option with a statement documenting the procedure’s safety and efficacy for treating a range of health conditions. While awareness of acupuncture is growing, many conventional physicians are still unfamiliar with both the theory and practice of acupuncture.
There are hundreds of clinical studies on the benefits of acupuncture. Many of these clinical studies were performed in China. Acupuncture has been used successfully in the treatment of conditions ranging from musculoskeletal problems (back pain, neck pain, and others) to nausea, migraine headache, anxiety, and insomnia.
The effects of acupuncture are complex. How it works is not entirely clear. Research suggests that the needling process, and other techniques used in acupuncture, may produce a variety of effects in the body and the brain. One theory is that stimulated nerve fibers transmit signals to the spinal cord and brain, activating the body’s central nervous system. The spinal cord and brain then release hormones responsible for making us feel less pain while improving overall health. In fact, a study using images of the brain confirmed that acupuncture increases our pain threshold, which may explain why it produces long-term pain relief. Acupuncture may also increase blood circulation and body temperature, affect white blood cell activity (responsible for our immune function), reduce cholesterol and triglyceride levels, and regulate blood sugar levels.
In addition to asking questions, the acupuncturist may take your pulse at several points along the wrist and look at the shape, color, and coating of your tongue. The acupuncturist may also look at the color and texture of your skin, your posture, and other physical characteristics that offer clues to your health. You will lie down on a padded examining table, and the acupuncturist will insert the needles, twirling or gently jiggling each as it goes in. You may not feel the needles at all, or you may feel a twitch or a quick twinge of pain that disappears when the needle is completely inserted. Once the needles are all in place, you rest for 15 to 60 minutes. During this time, you will probably feel relaxed and sleepy and may even doze off. At the end of the session, the acupuncturist quickly and painlessly removes the needles.
For certain conditions, acupuncture is more effective when the needles are heated, using a technique known as “moxibustion.” The acupuncturist lights a small bunch of the dried herb moxa (mugwort) and holds it above the needles. The herb, which burns slowly and gives off a little smoke and a pleasant, incense-like smell, never touches the body. Another variation is electrical acupuncture. This technique consists of hooking up electrical wires to the needles and running a weak current through them. In this procedure, you may feel a mild tingling or nothing at all. Acupuncturists trained in Chinese herbal preparations may prescribe herbs along with acupuncture.
There are several different approaches to acupuncture. Among the most common in the United States today are:
The number of acupuncture treatments you need depends on the complexity of your illness, whether it is a chronic or recent condition, and your general health. For example, you may need only one treatment for a recent wrist sprain, while a long-term illness may require treatments for several months to achieve good results.
Acupuncture is particularly effective for pain relief and for nausea and vomiting after surgery or chemotherapy. In addition, both the World Health Organization (WHO) and the NIH recognize that acupuncture can be a helpful part of a treatment plan for many illnesses. A partial list includes: addiction (such as alcoholism), asthma, bronchitis, carpal tunnel syndrome, constipation, diarrhea, facial tics, fibromyalgia, headaches, irregular menstrual cycles, polycystic ovarian syndrome, low back pain, menopausal symptoms, menstrual cramps, osteoarthritis, sinusitis, spastic colon (often called irritable bowel syndrome), stroke rehabilitation, tendinitis, tennis elbow, and urinary problems, such as incontinence. You can safely combine acupuncture with prescription drugs and other conventional treatments, but it is important for your primary care physician to monitor how acupuncture treatments may be affecting your conventional therapies.
Electricity has been used to treat medical conditions for many years. Acupuncture points have distinct electrical properties when compared to surrounding tissue. The bioelectrical impedance of acupoints seems to vary between healthy and diseased states. Electroacupuncture according to Voll is a methodology that uses a calibrated ohmmeter to measure bioelectric impedance on certain acupuncture points located on the hands and feet in response to changes in the physiological functions of organs and structures of the body. This process also evaluates bioelectric impedance of acupuncture points when substances, such as medicines, herbs, supplements, and homeopathics are placed in the same electrical circuit with the patient.