1 Medical Acupuncture Medical Acupuncture In Modern Medicine In Modern Medicine Dr. Vinay Varma Dr. Vinay Varma
1
Medical Acupuncture Medical Acupuncture In Modern MedicineIn Modern Medicine
Dr. Vinay VarmaDr. Vinay Varma
2
AIMAIM To project RIGHT IMAGE of Acupuncture
To MAKE AWARE the Medical Professionals & general public about the safety of the procedure, its indications and its limitations.
To REVERSE the unfavorable attitudes of medical professionals
To let you know : ACUPUNCTURE ANALGESIA is a “VALUABLE ADDITION ” for QUALIFIED ANESTHETIST
To CREATE interest & stimulate colleagues to add ACUPUNCTURE to their practice
3
Reasons why traditional acupuncture had been given the cold shoulder by the medical profession
• Pressure from the pharmaceutical industry
• Lack of knowledge about acupuncture
• Lack of therapeutic promise
• That acupuncture was considered unsafe
• That acupuncture was too expensive
• That it had nothing to do with perceived problems concerning the conduct of research
4
WHAT IS ACUPUNCTURE ?
In Latin, acus = needle, pungra = to prick,To prick a needle for treatment is acupuncture.
The combination of acupuncture and moxibustion is known in Chinese as CHEN CHIU [ needle & heat therapy ]
Acupuncture point means a specific spot on the body surface where needling is done to get particular therapeutic response.
5
ORIGIN 7000 B.C. - Indian Medical Classics “Vedas” or “NEEDLE THERAPY”
3000 B.C. - SUCHI VEDA – “Art of piercing with a needle” 180 points known as “MARMA”
4th Century B.C. “Nei Ching”
Acupuncture was more developed by the Chinese than the Indians & PRESENTED IT IN A MORE COMPLETE FASHION
Western Medical Science took interest in Acupuncture only after Mr. Nixon’s visit to China in 1971 WITH Mr. James Reston of the New Yark Times
6
Acupuncture is Not a Drug, It is a
Complete Science OR Healing System Analgesic, Anti-inflammatory Enhancing the immune system Anti-spastic Anti-shock and anti-paralytic abilities of the body
Acupuncture HASTENS SPEED OF NATURAL RECOVERYAcupuncture effects can not be explained by single theory
7
HOW ACUPUNCTURE WORKS ?
Chinese concept of (w)holism. This concept views human beings not only in relation to our own integral totality of body mind, and spirit, but also as microcosmic expressions of a universe whose characteristics are inherent in every organism & in every process.
Health is viewed as the maintenance of harmony between ourselves and this universe while illness in an expression of disharmony.
8
Qi (pronounced Chi ) - the vital force (primordial energy). A free and balanced flow of Qi in the body expresses harmony and health while a blockage of this energy indicates illness.
Qi travels along certain pathways called meridians. There are TWELVE PAIRED & TWO UNPAIRED meridians, named pertaining to particular organ.
Acupuncture points and meridians demonstrated in 1933 by a special technique called by Kirlian Photography ( Kirlian & Kirlian of USSR )
Acupuncture points - low electrical resistance
Most of acupuncture points correspond to motor points of muscles
9
HOW ACUPUNCTURE WORKS ?
GATE CONTROL THEORY: Ronald Melzack & P D Wall, London ( 1965 )
ENDORPHINE THEORY: Dr. Bruce Pomeranz, Prof. of Neurobiology of Toronto University
CHEMICAL OR HUMORAL MECHANISMS
BIO-ELECTRICAL PHENOMENON 1973
10
The Mind is the BIGGEST pharmaceutical industry in
the WORLD
and it needs proper STIMULUS and WILL
11
ZUSANLI (St. 36 ) QUCHI ( L I 11 ) HEGU ( L I 4 )SANYINJIAO ( SP 6 )
Many acupuncture points have specific effects on insertion of needles.
12
CLASSIFICATION
Symptomatic Acupuncture
Classical Acupuncture
Acupuncture Anesthesia - acupuncture assisted anaesthesia - Stimulation for 30 minutes before surgery enabled a reduction of chemical anaesthetic by up to 50%
BODY ACUPUNCTURE
AURICULAR ACUPUNCTURE , SCALP ACUPUNCTURE
KOREAN HAND ACUPUNCTURE
13
ACUPUNCTURE AS TODAY
In CHINA, 800 DISEASES are being treated with ACUPUNCTURE THERAPY
At least 140 countries in the world.
Many prestigious hospitals, universities, and Medical schools around the world have now established Departments for Acupuncture Research, Therapy and Analgesia
SRI LANKA – Best training Centre out side China separate Minister for Traditional Medicines & Acupuncture
14
ACUPUNCTURE AS TODAY
US Government – opened the office of Alternative Medicine at the National Institute of Health
The FDA approved Acupuncture needles for use by licensed practitioners in 1996
Rehabilitation Clinic, Workers’ Compensation Board of British Columbia Canada have Acupuncture department
The PAIN CLINIC at the OSAKA MEDICAL COLLEGE – Japan’s largest & oldest
15
ACUPUNCTURE IN INDIA
MUSHROOMING OF FAKE ACUPUNCTURIST IN INDIA BECAUSE OF LACK OF PROPER INSTITUTIONS
DR B K BASU MEMORIAL RESEARCH & TRAINING INSTITUTE CALCUTTA – OLDEST & RECOGNIZED BY WEST BENGAL GOVT – 1996 ONE MONTH TRAINING for Medical Officers. THREE GOVT. CLINIC IN CALCUTTA
DR. KOTNIS ACUPUNCTURE MEDICAL COLLEGE, PUNJAB
S D M COLLEGE OF NATUROPATHY & YOGIC SCIENCE – UJRE
16
INDICATIONS
Theoretically it is possible to help or cure by acupuncture any disease that can be affected by a physiological process.
The W. H. O. at the Interregional Seminar, Beijing 1979,
Upper Respiratory Tract: Acute sinusitis / Acute rhinitis / Common cold / Acute tonsillitis
Respiratory System: Acute bronchitis / Bronchial asthma
Disorders of the Eye: Acute conjunctivitis / Central retinitis / Myopia ( in children ) / Cataract
Disorders of the mouth: Toothache, post-extraction pain / Gingivitis Acute and chronic pharyngitis
17
Gastro intestinal Disorders: Spasm of the oesophagus and cardia / Hiccough / Gastroptosis Acute and chronic gastritis / Gastric hyperacidity Chronic duodenal ulcer ( pain relief ) / Acute and chronic colitis Acute bacilliary dysentery / Constipation / Diarrhoea / Paralytic ileus
Neurological & Musculo-skeletal Disorders:
Headache and migraine / Trigeminal neuralgia
Facial palsy , Meniers’s disease
Neurogenic bladder dysfunction / Nocturnal enuresis
Interconstal neuralgia / Cervicobrachial syndrome
Frozen shoulder, tennis elbow / Sciatica, Low-back pain / Osteo-arthritis
18
Acupuncture should be practiced as a BRANCH OF MEDICINE
PAIN - Musculoskeletal , neuropathic pains, post-operative and post-injury & sports injuries - highly effective - Results are long lasting without side effects which is the main advantage
Non-progressive paralysis: Acupuncture “HASTENS” the speed of natural recovery and should be combined with rehabilitation & physiotherapy techniques to improve quality of life
Indications in MEDICAL PRACTICE
19
Depression, anxiety, feelings of being "run down", including pre -menstrual tension and menopausal symptoms.Allergic reactions such as asthma, hayfever, and eczema.Sinus problems and chronic catarrh.Abdominal and Bowel problems such as peptic ulcer, colitis, chronic and intermittent bouts of diarrhoea or constipation, irritable bladder, and bed wetting in children.Stopping smoking and eating disorders (compulsive eating, bulimia, anorexia) and also DRUG ADDICTION.
Indications in MEDICAL PRACTICE
20
Remember that before starting acupuncture, be sure of the diagnosis and that all the necessary tests have been carried out which might point to any serious or potentially serious condition, perhaps requiring other forms of treatment
Indications in MEDICAL PRACTICE
21
COMPLICATIONS
Complications of acupuncture ( accidents ) can occur from improper technique, lack of skill, or failure to observe certain guidelines and are very much PREVENTABLE
1. PAIN on insertion of the needle may be because of Bad acupuncturist / Bad needle / Bad posture / Bad patient
2. BLEEDING sometimes occurs on withdrawal of the needle
3. FAINTING – common as with any injection
22
COMPLICATIONS COMPLICATIONS ( contd.)( contd.)
4. THE FORGOTTEN NEEDLE 5. BENT, BROKEN OR STUCK NEEDLE 6. INFECTION – if needles are not sterilized
properly. PERSONAL SET of needles are used to take away the fear of AIDS/ HEPATITIS B
7. INJURY TO INTERNAL ORGANS OR VITAL STRUCTURES
23
COMPLICATIONS COMPLICATIONS ( contd.)( contd.)
OVER CORRECTION OF CERTAIN PHYSIOLOGICAL PARAMETERS,
COMPLICATION FROM ELECTRO – ACUPUNCTURE
ADDICTION TO ACUPUNCTURE
ABORTION: certain points in first trimester may induce abortion
24
Please DO NOT BLAME Acupuncture, if you have found failures,
CAUSES FOR FAILURES :
The wrong doctor
The wrong diagnosis
The wrong selection of case
The wrong selection of points & technique
Inadequate treatment
25
So, one should know the LIMITATIONS FIRST.
“CURE” depends on many factors
Diseases which are incurable - QUALITY OF LIFE may be IMPROVED and RELIEF from PAIN
Acupuncture, in other words, should be used as part of the patient’s overall treatment programme, not as a final resort
26
Where to go for Where to go for Acupuncture ?Acupuncture ?
Acupuncture should be practised as a BRANCH OF MEDICINE
So go to a practitioner who is fully QUALIFIED to treat western medical conditions, as well as being fully trained in acupuncture
27
……..TO CONCLUDEAcupuncture is ONE OF THE BEST OF MODALITY for treating the sick
Evidence-based acupuncture is a SIMPLE METHOD for no-drug pain control and should be TAUGHT IN MEDICAL SCHOOLS and made available to all physicians
Acupuncture will NEVER REPLACE conventional medical treatment
As we learn more about it, the possibilities of using acupuncture alongside 'orthodox' medicine will increase
28
WEBSITES LINKSWEBSITES LINKS
www.acupuncture.com
www.medical-acupuncture.comhttp://nccam.nih.gov/http://education.vsnl.com/acupuncture
29
THANK YOU VERY MUCH !
YOUR SMILEIS MY PRIDE