Robert Doane, EAMP, L.Ac. · medicine are contained in this incredible text; it provides surprisingly accurate and detailed information on the human body, with some of the ideas clearly

SCIENTIFIC EXPLANATION OF

ACUPUNCTURE

Robert Doane, EAMP, L.Ac. Owner, Acupuncture & Wellness Center, P.S.

Fellow, American Academy of Pain Management

Doane US / Doane Europe Tel: (360) 394-4357 Fax: (360) 394-7972

Website: www.doane.us & www.doane.eu

Email: [email protected]

© 2013 Doane US/Doane EU, 18870 8th Ave NE, Poulsbo, WA 98370

Shall not be copied, duplicated or distributed in any form or to be used for teaching without prior written consent of Doane US and/or Doane EU.

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HISTORY OF CHINESE MEDICINE

Huangdi Neijing (Yellow Emperor‟s Internal Classic)

The oldest compilation of Chinese medical knowledge, circa approx. 300 B.C.

Two volumes: Suwen & Lingshu (18 scrolls)

Covers anatomy, physiology, pathology, diagnostic techniques, treatment modalities, needle therapy and herbal medicine



“Most of the basic ideas of physiology and medicine are contained in this incredible text; it provides surprisingly accurate and detailed information on the human body, with some of the ideas clearly equivalent to those of modern Western physiology.”

Dr. Donald Kendall

Author, Dao of Chinese Medicine

HISTORY OF CHINESE MEDICINE



MISTRANSLATION OF THE HUANG DI NEI JING

& THE SCIENTIFIC EXPLANATION OF ACUPUNCTURE

If you cannot confidently explain to your patients

how this medicine works, they will never truly

believe in the healing power of this medicine.

Do not sell yourself short and be known as the

“energy healer”.



CURRENT POPULAR MYTHOLOGY

REGARDING ACUPUNCTURE

Chinese medical colleges in the United States teach that Qi means “energy”, and that this non-physical energy circulates through non-physical vessels in the body called “meridians”.

According to this theory, the explanation for patient improvement via acupuncture is simply chalked up to the theory that the patient‟s “energy” is more balanced, thus he or she feels better.



CURRENT POPULAR MYTHOLOGY

REGARDING ACUPUNCTURE

This concept has no historical basis.

This concept is not backed up by language

experts.

This concept does not withstand

intellectual scrutiny.



MISTRANSLATION OF HUANG DI NEI JING

• 3 Main Western Translators

• 1. Dr. Willem ten Rhijne (1683)

• 2. Georges Soulie de Morant (1939)

• 3. Ilza Veith (1949)

Translations by Dr. Rhijne & Ilza Veith were fairly accurate.

The translation by de Morant was not, however, his is the most common translation used in the West regarding Chinese Medicine.




The main mistake made by de Morant was

his translation of the concept of “Qi” and the

concept of the vessel system.

The total number of possible uses of Qi in a medical

sense are: air, breath, vapor, steam, gas, weather,

manner, demeanor, temper, force, vital substance

(ying, wei, shenjing, and qi) and the function of

something

Georges Soulie de Morant translated Qi as “energy”




The vessel system or “Jing Mai”, elaborately described in the Neijing, is a description of the major longitudinal blood vessels in the body; three on each arm & leg, totaling 12 in all.

The word “Jing” means longitudinal and the word “Mai” means vessel. The ancient Chinese word for blood is “Xue”, or “Xue Mai”, meaning blood vessel.

Georges Soulie de Morant translated these vessel systems as “meridians”; non-physical channels in the body conducting non-physical energy through them.




This error on the part of de Morant has done great damage to the understanding of Chinese medicine in the west.

Georges Soulie de Morant took a physical medicine based on post mortem anatomy, just as Western medicine does, and reduced it to a psychic medicine concerned with the flow of energy through the body, rather then the flow of blood, oxygen (Qi), and nutrients.

He realized in 1955 that it was blood vessels and not meridians that supplied energy to the cells.



HOW ACUPUNCTURE WORKS

Chinese medicine: Four aspects of a body that need to be functioning well in order to be healthy

• Qi (Oxygen) delivery to the tissues

• Vascular System

• Organ System

• Nervous System



If there is an obstruction in the blood flow to a particular area of the body, that area of the body will be negatively affected, resulting in disease or malfunction.

Any area of the body that is damaged due to trauma or an internal disorder will have difficulty recovering if there is a reduction in blood flow to that area.




Chinese medicine: #1 etiology of TCM: Blood Stasis

Vascular functioning decreases as we age

Body loses its ability to heal itself because

all the healing agents of the body are found

in the blood

Blood is not circulating sufficiently to the

affected area

Acupuncture helps increase your vascular

functioning

Major symptoms will disappear





ACUPUNCTURE

Pain Pathway

To feel pain, 2 nerves are involved

1. Sensory Pain Nerves (Nociceptors) – Tells the

brain there is pain: “ouch”

2 types

• A Delta Fibers: sharp, burning pains

• C Fibers: dull, throbbing pains

Sends signals to L5 Up the spine

Tract of Lissauer Midbrain (r.2)



Pain Pathway

To feel pain, 2 nerves are involved

2. Proprioceptive Nerve Fibers

Tells the brain the location of the pain:

where the “ouch” is at

Fires continuously at the affected area

Sends signals up the back of the

spine Midbrain




ACUPUNCTURE

Pain Pathway

• Midbrain releases endorphins / enkephalins that bind

to pain receptors along the spine and the capillary

beds where the pain exists in order to reduce pain

Patients with chronic pain

• Proprioceptive neural threshold is too low

• Signal to midbrain is weak

• Patient cannot pinpoint the EXACT location of pain

• Midbrain does not release endorphins / enkephalins




ACUPUNCTURE


ACUPUNCTURE/NEEDLE THERAPY

Minute tissue trauma activates blood coagulation system to produce bradykinnin and plasmin

Bradykinnin triggers local pain sensory fibers and corresponding proprioceptive nerves

Plasmin activates C3 triggering the immune complement system to sustain vasodilatory phase by histamine, leukotrienes, prostaglandins, and kinin protease which sustains needling response

Inactivation phase breaks down histamine, releases cortisol, promotes tissue healing




ACUPUNCTURE/NEEDLE THERAPY Acupuncture creates a strong stimulation and

“re-boots” the proprioceptive nerve pathway

The sensation created by the needles „jumps‟ the

neural signal threshold and stimulates the brain to

release endorphins / enkephalins

After a few hours, the signal gets weak again

The next day, needle the patient and stimulate the

signal again

Keep needling and jumping the threshold until the body

REMEMBERS and RE-ESTABLISHES the normal threshold to

signal the brain



CHINESE MEDICINE AND THE

VESSEL SYSTEM

The ancient Chinese identified all the significant blood

vessels of the body.

Many of the blood vessels are named by the

anatomical region and associated internal organ they

serve.

12 pairs of matched longitudinal arteries and veins (six

pairs on each half of the body) comprise the organ

related main distribution vessels called Jingmai. Kendall, Donald, “The Dao of Chinese Medicine”, P.144



TRADITIONAL ACUPUNCTURE POINTS AND

THEIR ASSOCIATED VESSELS



© Wikimedia.org

COLLATERAL VESSELS

The collateral branches of the Jingmai are

called Luomai. They supply tissues in the

superficial and deep areas of the body.



©The Dao of Chinese Medicine, Donald Kendall

FINE VESSELS

Collateral vessels divide further into fine

vessels called Sunmai. The Sunmai

comprise arterioles, capillaries, and

venules.

The sunmai communicate between the

outflowing arteries and the return flow

venous supply, thereby ensuring

continuous blood circulation.



Vessels along with associated nerves provide

the anatomical means of communication

between the internal and external body and

also the means of treatment modalities.

Because there are more veins than arteries, the

ancient Chinese identified five pairs of

superficial venous networks that are not

associated with the internal organs. These

veins, plus two deep major veins, are classified

as singular vessels (jinmai).



About 70 percent of blood is now known to be

in the slow-moving systemic veins, 11 to 12

percent are found in the fast-moving systemic

arteries, and 5 to 6 percent is contained in the

systemic capillaries. The remainder is in the

lungs (8 percent) and the heart (5 percent).

Kendall, p.144, Dao of Chinese Medicine



The organization of the body's vessel system in

terms of major longitudinal distribution and

collateral vessels comprises the “theory of the

jingluosunmai” in ancient Chinese. The

structure and function of the vascular system in

Chinese medical theory is identical to that in the

modern Western view, except the Chinese

place greater emphasis on branching vessels in

the superficial and deep body, and the

relationship of the vessels to each other.



The first substantial introduction of Chinese

medical theory in Europe was done by Dr.

Willem ten Rhijne in the late 1600”s. He was a

Dutch physician and his curiosity was aroused

by four Chinese diagrams he had acquired,

showing small spots on the human body,

arranged longitudinally along the surface. He

said this about the diagrams and what he had

learned about Chinese medicine while traveling

in Japan:



“The Chinese and Japanese structure of the

vessels is nonetheless netlike. You may

deduce the Chinese origin of the illustrations

from the fact they are not entirely in accord with

correct anatomy, an art the Chinese do not

value, except for the structure of the blood

vessels and the circulation of the blood.” He

was keenly aware that the Chinese were talking

about blood vessels and not imaginary

meridians.”

Donald Kendall, p.145, The Dao of Chinese Medicine





ACUPUNCTURE POINTS

In Chinese the word for an acupuncture point is jie. Jie means a node or critical juncture. They are a plexus of arterioles, venules, and nerve

tissue located above the main distribution vessels of the body.

Clinically, nodal sites are important because they are used to influence circulation and induce restorative physiological reactions.



Nodes on the arm and leg lie on lines that follow blood

vessels, lymphatic and neural pathways. On the trunk

of the body, nodes are organized in relation to

segmental innervation levels, where nerves and blood

vessels penetrate muscle fascia.

On the face and head they lie in proximity to cranial

nerves and upper cervical nerves, once again

alongside blood and lymphatic vessels.

There are approximately 670 of these nodal sites in the

body.

Kendall, p. 183, Dao of Chinese Medicine

ACUPUNCTURE POINTS



The ancient Chinese discovered the vascular

system, with its blood flow flowing away from

the heart and then back to it via the lung where

the blood (xue) is re-oxygenated with Qi (vital

air) 2000 years before the Europeans did.

This remarkable feat, combined with a thorough

anatomical examination of the body and its

organs, has established Chinese Medicine as

the oldest, most sophisticated physical

medicine on earth.



The gifts to modern medicine by the

ancient Chinese are several:

The understanding that efficient

blood flow and the proper functioning

of the heart are essential for

longevity.



The quality of thought and emotion

are determined by the quality and

function of the organ system.



Highly oxygenated, highly nutritious

blood coursing through the body is

the key to good health.



The peripheral nervous system can

be stimulated to increase blood flow

throughout targeted areas in the

body.



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SPEAKER CONTACT INFORMATION

Robert Doane Doane US / Doane EU

18870 8th Ave NE, Suite 108

Poulsbo, WA 98370

(360) 394-4357

[email protected]



Robert Doane, EAMP, L.Ac. · medicine are contained in this incredible text; it provides surprisingly accurate and detailed information on the human body, with some of the ideas clearly

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