Pain_Management_by_Acupuncture.ppt

7/23/2019 Pain_Management_by_Acupuncture.ppt

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Pain Management by Acupuncture

Continue Education Course of@Advanced Acupuncture, Inc.

2007


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Acupuncture Pain Management

Part I !"eory

#vervie$ of scientific bases of acupuncture

Mec"anisms of pain management

Current researc"es and c%inica% tria%s

Pain &cores and eva%uation met"ods


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&cientific 'ases of

Acupuncture (euro"umora%

Morp"ogenetic

(erve )ef%e* !"eory

!"e gate contro% t"eory

of pain

Endorp"in


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(euro"umora% Approac"

Acupoint+brain+organ

Acupuncture stimu%ates

to brain corte* and

nerve system, t"en

contro% t"e c"emica% or

"ormone re%ease to t"edisordered organs.


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Morp"ogenetic !"eory

&"ang C. C"ina, -/ Acupuncture points are

singu%ar points in surface

bioe%ectric fie%d !"e ro%e of e%ectric fie%d in

gro$t" contro% andmorp"ogenesis

#rganiing centers "ave

"ig" e%ectric conductance Acupuncture points

originate from organiingcenters


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(erve )ef%e* !"eory

+Is"i1a$a and u3ita et a%, 4apan, -50s

Autonomic nervous systeme*tending t"ru t"e interna%

organs iscera+mutinous ref%e*

Cutanous 6iscera ref%e*

Acupuncture uti%ie t"ese

ref%e*es for restoring t"e"omeostasis of t"e bodyand accera%ate t"e "ea%ing

process.


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!"e ate Contro% !"eory

8rs Me%ac1 and 9a%%, -:5 Mode% for acupuncture pain

re%ief

&pecific nerve fibers t"attransmit pain to t"e spina%cord ;substantia ge%atinousui revea%ed

auditory corte* activation


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Effects of acupuncture on t"e

'rain+auditory corte*


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9"y acupuncture "as

fe$er side effectsD May indirect ad3ust t"e process

and restore norma% function byactivating t"e net$or1 of

organiing centers in t"eorganism

!"e activation of t"e se%f+organiing activity is %ess %i1e%yto cause t"e side effects resu%tedfrom direct%y antagoniing a

pat"o%ogica% process $"ic" oftenover%ap $it" ot"er norma% and

beneficia% p"ysio%ogica%processes.


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!"e ro%e of e%ectric fie%d in gro$t"

contro% and morp"ogenesis

En"anced ce%% gro$t" to$ardcat"ode and reduced ce%% gro$t"to$ard anode in e%ectric fie%ds of

p"ysio%ogica% strengt" ast gro$ing ce%%s tend to "ave

re%ative negativity po%arity.

!"e po%arity is due to t"eincreased negative membrane

potentia% generated bymitoc"ondria at "ig" rate ofenergy metabo%ism


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Efficacy, effective, safety and costs of

acupuncture for c"ronic pain

Eva%uated ?0,:7 patientsover -0,000 p"ysicians and

received -0 acupuncturefor pain

)esu%ts acupuncture $as aneffective and safe treatment

!"e effects attributed to

specific or nonspecificmec"anisms and depend ont"e diagnosis+resu%ts a %argeresearc" initiative.


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Mec"anisms of acupuncture for

Pain re%ief Po%ymoda% receptors

;PM)s< in t"e acupuncture

points are sensitied for t"eimmediate action.

Action mediated by

endogenous opioids

Potent stimu%us foractivating t"e ana%gesic

systems


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!"erapeutic Mec"anisms of Acupuncture+8r.8. Fenda%%, -/0

-. Inserting a need%e provo1es an acute defensive

inf%ammatory response

2. Afferent nociceptive ;pain< neurons distribute to t"e dorsa%"orn of t"e spina% cord

?. !rigger t"e gamma %oop efferent in t"e ventra% "orn and

activate neurons t"at cross over t"e spina% cord to t"e brain

. Activate somatic motor nerves

5. !o musc%es, and autonomic motor nerves to perip"era%

b%ood vesse%s and to t"e interna% organs


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Acupuncture Pain Management

Part II: Clinical applications

8ifferentia% diagnosis and treatment for>eadac"e = migraines, !rigemina% neura%gia,

Carpa% !unne% &yndromes, Art"ritis, (ec1

pain, ibromya%gia, %umbago and sciaticneura%gia.


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Etio%ogy of >eadac"e

'%ood esse%s t"at becomedi%ated en%arged or constricted

Musc%es in t"e nec1 and "ead

become tig"t or tense Musc%es around t"e eyes t"e

become strained due to over$or1

&inuses became s$o%%en due toa%%ergies or infections

(erves t"at transmit abnorma%pain signa%s

4oints in t"e 3a$ and nec1 areoverused or damaged.


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!ypes of >eadac"e

+9estern Medicine

I. ascu%ar "eadac"e ;Migraineseadac"e of nasa% vasomotor reactions

. >eadac"e of de%usiona% conversion or"ypoc"ondriaca% states


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Migraine >eadac"e

C%assic Migraine

Common migraine

C%uster "eadac"e

>emip%egic and

op"t"a%mop%egic

migraine o$er "a%f "eadac"e


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>eadac"e

Princip%e acupuncture points 20

!aiyang

i

20

iv ?

/

! ?


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!CM C%assification of

"eadac"e-. >eadac"e due to invasion

of pat"ogenic $ind into

t"e c"anne%s andco%%atera% >eadac"e occurs often,

especia%%y on e*posure to$ind.

!"e pain may e*tend to t"enape of t"e nec1 and bac1region.

!ongue $"ite coating, pu%sef%oating


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"eadac"e2. >eadac"e due to

upsurge of %iver+yang >eadac"e distension of t"e "ead,

irritabi%ity, "ot temper, diiness,

b%urred vision,

!ongue red $it" t"in and

ye%%o$ coating

Pu%se t"in $iry and rapid.


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"eadac"e?. >eadac"e due to

deficiency of Gi and

b%ood ingering "eadac"e,

diiness, b%urred vision,

%assitude, pa%e comp%e*ion

!ongue pa%e $it" t"in

$"ite coatingH

Pu%se t"in and t"read


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!rigemina% (eura%gia ;!(erniated 8is1

;bu%ging

Pain_Management_by_Acupuncture.ppt

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