What styles of acupuncture
are practiced?
What will my first treatment be like?

photo credit: bruce
alan johnson
Acupuncture is a safe and effective holistic medicine
backed by more than two thousand years of practice and research.
It is practiced all over the world both as a primary and adjunctive
(alternative) treatment for a wide range of conditions.
The clinical success of acupuncture is related
- at least in part - to the wide range of diagnostic signs and symptoms
which are taken into effect when looking at an imbalance. For instance, if
you come in telling me that your doctor has diagnosed you with a
condition such as arthritis of the knees, I may look at your tongue,
check your pulse, ask about your diet and lifestyle, palpate your
spine, your abdomen... these are all part of gathering diagnostic
information which allows me to develop a treatment strategy that
is unique to you and your experience of a particular condition.
The beauty of this medicine is that there's no
'one single answer', no 'one treatment' for a particular condition,
because Chinese medicine doesn't just treat symptoms. We include
YOU- your particular expression of this particular condition- as
part of our approach. We look at your body's particular
way of expressing your particular symptoms as clues to what the root
imbalance is within, and treat this underlying issue as well.
What styles of
Acupuncture are practiced?
Little did I know when I began my acupuncture education,
there are many schools of thought and theory. Some of them even seem
to operate within entirely different paradigms, with entirely different
principles: while it was complex to learn, it's precisely this scope
of possible approaches to your condition that makes the actual practice
of acupuncture an art form.
In the simplest of terms, here are some basic overviews
of the schools of theory/thought that I learned while attending TriState
College of Acupuncture in NYC that I will be employing while treating
you:
This style of acupuncture was developed by Dr. Mark
Seem, founder of TriState College of Acupuncture. A fundamental premise
of this particular style is that muscular and organ dysfunction is
a 2-way street. Whether the issue is somato-visceral (meaning that
the somatic- muscular/tendon/ligment- dysfunction that goes untreated
will ultimately affect the organ that is related to the area of the
body experiencing the dysfunction) or viscero-somatic (meaning that
the organ dysfunction occurring at the deeper level will 'communicate'
with the surface musculature and tissue, creating pain and discomfort
on the surface of the body) if you can touch one, you will
by association affect the other. This style is highly effective for
both muscular pain/dysfunction (the 'somatic' aspect of the somato-visceral
spectrum) as well as deeper deficiencies/excesses (the 'visceral'
aspect of somato-visceral spectrum). In effect, by 'reading' the
surface of the body through palpation and treating what is found
through related meridians and tight musculature, one can 'shake out
the blanket' and smooth out the communications along this continuum
and both release the tension and pain on the surface of the body,
while nourishing and relieving the deeper issues occurring below
the surface.
- Traditional Chinese Medicine (TCM):
TCM is
the general term for the style of acupuncture which most
acupuncturists are trained in, at least initially, and the
style which most people practice. As this is the most foundational
grouping there is a broad range of techniques used and treatment
protocols. Most recent clinical studies regarding acupuncture
usually use treatment techniques and/or protocols based on
TCM Theory.
Simply put, the approach with TCM is there's
a specific combination of acupuncture points that will address
the combination of signs and symptoms being exhibited. Tongue and
pulse diagnosis are a significant part of determining the origins
and treatment of your condition.
Other protocols, such as cupping, gua sha,
or moxibustion (the burning of herbs near specific points) are
often a part of the treatment.
- Japanese Acupuncture:
Japanese
Acupuncture is a style of acupuncture which requires
additional training above and beyond general TCM Theory and
Practice. The techniques within Japanese acupuncture are
generally aimed at using the least amount of stimulation
to create the greatest effect. To contrast with TCM, Japanese
acupuncture typically uses thinner needles and less stimulation
by using more shallow needle insertions. Additionally, while
not entirely unique to Japanese acupuncture, practitioners
tend to use the abdomen as a diagnostic tool more often than
other styles of acupuncture.
- Auricular Acupuncture:
Auricular
Acupuncture may be considered both an adjunctive technique
and a speciality area. Auricular acupuncture uses the ears
as a microcosm, or representation, of the entire body. By
diagnosing with and treating the ears, one can treat any
conditions anywhere in the body, including psychological
issues. One area where Auricular acupuncture is used extensively
is in drug and alcohol detox centers where the NADA
Protocol is used to help people deal with addictions.
What
will my first Acupuncture treatment be like?
In general people find acupuncture to be an incredibly
relaxing experience, even for those who have some initial hesitation
about needles. Our First
Acupuncture Treatment page contains indepth information about
your initial treatment. In general your first treatment involves
quite a bit of discussion, as the practitioner gathers as much information
as possible to clearly understand and diagnose your issues from an
oriental medicine viewpoint. The needling during the first treatment
may be limited so you can become accustomed to the experience and
the practitioner can see how you respond.
Your First Visit
Generally, your first visit is longer than your
followup visits or at the very least it entails quite a bit of questioning.
Some practitioners will not treat at all on the first visit, while
others have very succinct questions and begin treating once they
have made a diagnosis.
The intial questioning is a very important part of the care your
acupuncturist can provide to you. While many of the questions may
seem entirely irrelevant to your condition, for example asking the
quality of your bowel movements when you came in for back pain or
your psychological state when you came in for menstrual problems,
there are very good reasons behind
the questions. The answers you provide to the questions, along with
other basic diagnostic tools such as looking at your tongue and
feeling your pulse allow
the acupuncturist to tailor the treatment specifically to you.
This individualization of the treatments is one
of the strong points of oriental medicine. It is why people may experience
broad changes within themselves after receiving acupuncture for a
specific complaint. It also means that the treatments can be modified
over time if they are not proving effective.
Your Diagnosis and Treatment
After the initial questioning, and the checking
of your pulse and tongue, your practitioner will form a diagnosis,
treatment plan and begin the acupuncture treatment. In most cases,
the initial treatment is fairly conservative to ensure that you are
comfortable and to allow your acupuncturist to see how you respond
to acupuncture
Prognosis and Treatment Plans
A definitive prognosis is always difficult to formulate,
especially following an initial consultation. After the first 2-3
treatments, however, your acupuncturist should have a good understanding
of your condition and be able to offer you a reasonable idea of how
many treatments you will need.
While many people will feel some change in their
condition immediately or within the first 2-3 treatments, others
with more serious or recalcitrant conditions will need many months
of treatment before a significant change occurs. If you are not noticing
any changes it does not mean that acupuncture is not helping you.
Many times the changes are slow and somewhat subtle as the entire
body begins to rebalance from the condition. During these intial
stages an acupuncturist can usually guage the relative effectiveness
of the treatments through precise questioning and by monitoring subtle
changes in your tongue a/or pulse.
In the most general terms possible, 1 month of
treatment may be necessary for each year that a condition has been
active. For example, if you have had dysmenorrhea for the past 5
years you may need approximately 5 months of treatment before you
will see a resolution. If you are experiencing acute backpain, you
may receive immediate relief of the acute pain but may need further
treatments to account for the underlying factors which led to the
acute flareup.
As part of your overall treatment plan, your practitioner
may also prescribe lifestyle and dietary changes to help you rebalance
your body and mind. Our eastern nutrition page contains information
about diet from an oriental viewpoint. Exercises such as Tai Chi
or various styles of Qi Gong are often recommended, although simple
activities such as walking or bicycle riding are also beneficial. |