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Virginia Institute of Traditional Chinese Medicine

In their recent report in the Annals of Internal Medicine, Ee et al1 state that Chinese medical acupuncture was no better than non-insertive sham acupuncture for women with moderately severe menopausal hot flashes in a randomised controlled trial. The authors conclude that they “cannot recommend skin-penetrating acupuncture as an efficacious treatment of this indication”.1 In my opinion, the authors might have misinterpreted the results.

The ‘sham acupuncture’ used in this clinical trial was the Park sham device, which is supposed to serve as a placebo treatment. It uses a 0.35×40 mm blunt needle supported by a plastic ring and guide tube (base unit) attached to the skin with a double-sided adhesive ring. The needle telescopes into itself and shortens on manipulation, giving the visual and physical impression of insertion into the skin.1 Although the blunt needle does not insert into the skin, it does cause considerable pressure and thereby mechanical stimulation…

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In their recent report in the Annals of Internal Medicine, Ee et al1 state that Chinese medical acupuncture was no better than non-insertive sham acupuncture for women with moderately severe menopa…

Source: Fan AY. Trial suggests both acupuncture and acupressure are effective at reducing menopausal hot flashes. Acupunct Med doi:10.1136/acupmed-2016-011119.

In their recent report in the Annals of Internal Medicine, Ee et al1 state that Chinese medical acupuncture was no better than non-insertive sham acupuncture for women with moderately severe menopausal hot flashes in a randomised controlled trial. The authors conclude that they “cannot recommend skin-penetrating acupuncture as an efficacious treatment of this indication”.1 In my opinion, the authors might have misinterpreted the results.

The ‘sham acupuncture’ used in this clinical trial was the Park sham device, which is supposed to serve as a placebo treatment. It uses a 0.35×40 mm blunt needle supported by a plastic ring and guide tube (base unit) attached to the skin with a double-sided adhesive ring. The needle telescopes into itself and shortens on manipulation, giving the visual and physical impression of insertion into the skin.1 Although the blunt needle does not insert into the skin, it does cause considerable pressure and thereby mechanical stimulation, especially given the small diameter at its tip. This Park sham device should arguably be relabelled as an acupressure device, instead of a form of sham acupuncture treatment. Indeed, this type of device and needling method is historically recognised as an active form of treatment; it is otherwise known as a Di needle (鍉针 or Di Zhen, a style of pressing needle that does not penetrate the skin), as documented in The Spiritual Pivot: Nine Needles and Twelve Source Points (Ling Shu: Jiu Zhen Shi Er Yuan) in the second part of the Yellow Emperor’s Inner Classics, which was published 2000 years ago.2 For this reason, the trial design contained an obvious weakness; it compared acupuncture with acupressure, rather than acupuncture with truly inert sham acupuncture.

According to the trial’s results, hot flash scores decreased after both interventions by about 40% between baseline and the end of treatment (10 sessions, ending after 8 weeks) and these effects were sustained for 6 months. Statistically, there is no evidence that acupuncture was better than acupressure (called ‘sham acupuncture’ in the paper) in its impact on quality of life, anxiety or depression.1 This can equally be interpreted as evidence that both acupuncture and acupressure effectively decrease hot flashes and related symptoms, as well as quality of life, if we compare the results immediately after treatment (8 weeks) and at the 3- and 6-month follow-up, with baseline in the same group (self-control) or comparator group (as a waiting list-like control).

As regards the placebo effect, evidence from the literature3 and a review of multiple trials4 shows that patients receiving placebo interventions exhibit an average decrease of 21–25% in hot flash frequency and intensity. Therefore, a 40% decrease in hot flash symptom scores with either acupuncture or acupressure treatment is notably higher than that expected with a placebo and likely to be clinically significant. Further research with a more appropriate control group is needed. Meanwhile, however, if a patient declines or cannot tolerate conventional drug treatment, then it would not be unreasonable to offer either acupuncture or acupressure as an alternative treatment for this condition.

References 1. Ee C, Xue C, Chondros P, et al. Acupuncture for menopausal hot flashes: a randomized trial. Ann Intern Med 2016;164:146–54. doi:10.7326/M15-1380 [Medline] 2. Wu JN (translator). Ling Shu or The Spiritual Pivot. University of Hawaii Press, 2002. 3. Loprinzi CL, Michalak JC, Quella SK, et al. Megestrol acetate for the prevention of hot flashes. N Engl J Med 1994;331:347–52. doi:10.1056/NEJM199408113310602 [CrossRef][Medline][Web of Science] 4. Sloan JA, Loprinzi CL, Novotny PJ, et al. Methodologic lessons learned from hot flash studies. J Clin Oncol 2001;19:4280–90. [Abstract/FREE Full text]

Fan AY. Trial suggests both acupuncture and acupressure are effective at reducing menopausal hot flashes. Acupunct Med doi:10.1136/acupmed-2016-011119.

http://aim.bmj.com/content/early/2016/04/19/acupmed-2016-011119.full

http://mp.weixin.qq.com/s?__biz=MzIzODE0OTgxNg==&mid=402419755&idx=1&sn=af13cefcba27bdfeaf83a208e39fbbb3&scene=1&srcid=0304XtTj8wAsTsYCB817q5aV#rd

Translation:Li,Dongcheng

Boy: i’d like to teach you about dry needling.

男:我想教你干针

A technique that physical therapist created to treat muscle pain.

这是一项物理治疗师创立的治疗肌肉疼痛的技术。

I insert a needle into the trigger point rapidly to release the muscle.

我将一根针快速地刺入激痛点来缓解肌肉疼痛。

Girl: I already learned that technique in acupuncture school.

女:我已经在针灸学校学习过这项技术了。

We call it lifting and thrusting Ashi points.

我们称它为提插阿是穴。

Seventy-five percent of my profession use it on a daily basis and treatment.

我们这个行业里百分之七十五的针灸师每天都在使用这个技术来治疗病人。

Boy: But dry needle is not acupuncture we use medical terms not mystical words from thousands of years ago.

男:但是干针不是针灸,我们使用的是医疗术语,不是几千年前神秘的术语。

I learned to dry needle in a weekend course taught by a physical therapist

我通过物理治疗师举行的周末培训课程来学习干针技术的。

Girl: Acupuncturists use medical terms to the Chinese were where the skeletal system the road about treating the muscle trigger points with needles in a book published in 220 AD.

女:针灸师用的是中国的医疗术语,一本公元220年出版的中医书籍里面就有关于遵循骨骼经络系统用针治疗肌肉激痛点的论述。

Boy: Ok but I am NOT doing acupuncture my teacher my teacher told me it was not acupuncture.

男:哦,但是我不做针灸。我的老师告诉我说干针不是针灸。

And I don’t call it that so it can’t be the same thing

并且我不叫它针灸,因此他们并不是一回事。

Girl: Needing into trigger points was one of the 100 different needling techniques.

女:刺入激痛点只100种不同针刺技术之一。

I learned during my three thousands master degree program in acupuncture.

我是在3000年小时的针灸硕士学位项目里面学的这些技术。

Boy: I use this often on patients you did not learn about westernmedicine concepts.

男:我经常给病人用干针,你没有学过西医的概念。

And dry needling is based on western medicine so it can’t bethe same thing

并且干针是基于这些西医的,因此干针和针灸并不是一回事。

Girl: Yes I did my degree required hundreds of hours on Western clinical science.

女:我学习了西医,在我的针灸硕士学位项目学习里面要求了几百个小时的西医临床知识的学习。

Including anatomy, physiology, clean needle technique blood borne pathogens and contraindications.

包含解剖,生理学,洁针技术,血源性病源,以及禁忌症等。

Boy: Ok I am not required to learn those things if I want to dry needling.

男:哦, 如果我想做干针,我没有被要求必需学习这些。

I just have to take a 12-hour continuing education classover the weekend and I can needle patient that same day.

我只上了周末12个小时的继续教育培训班,然后当天我就可以针刺病人了。

Girl: Using a needle to break the skin surface is included in myscope of practice by the legislature by law.

女:使用针刺入皮肤表面是包含在我的职业范围里面的,这是法律规定的。

I must complete a Master degree and register with thelicensing board to treat

我必需完成硕士学位才可以注册针灸执照,然后才可以治疗病人。

Boy: Needling is not included in my scope but the physical therapy board said it was okay as long as I feel competent in whatever training I choose to do that weekend course was enough.

男:针刺不是我的职业范围,但是物理治疗局说只要我感觉我培训后具备这方面的能力就可以了。并且说周末的培训足够了。

Girl: That doesn’t sound safe even the doctors in my state must complete a three hundred our approved program and register with the board have medicine before they can do medical acupuncture.

女:这听起来很不安全。即使西医生也必须完成西医局规定的300小时培训,然后才可以做医疗针灸。

Boy: But since I don’t call it acupuncture that should be okay right.

男:但是既然我不叫它针灸,我应该没事,对吗?

I don’t need to have any specific training to needle into the skin like a doctor does.

我不需要任何向西医生那样特定的培训来将针刺入皮肤。

Girl: Well the doctors already know how to use needles but theymust still do an additional 300 hours if they want to lift and thrust Ashimuscle points no matter what they call it

女:即便西医生已经知道如何使用注射针,如果他们想做提插针刺阿是穴或激痛点,无论怎么称呼它,他们仍要必需完成额外300小时的培训。

Boy: But it works so well on my patient. I want to be able to doit and to build their insurance company for the procedure.

男:但是在病人身上,针刺真的效果很好。我想做这个,并且想要求保险公司设立这个支付项目。

Girl: Yes it does work well that is why I went to acupuncture school to learn this and many other techniques. So that I can choose the mostappropriate technique for their issue.

女:是的,它当然效果很好,这也是我为什么去针灸学校学习它和其他许多技术的原因。那么我就可以选择最适合我病人的技术以便解除他们的疾苦。

Boy: There are many needle techniques besides dry needling thatmight help resolve muscle pain.

男:除了干针外,还有更多的针刺技术可以解除肌肉疼痛吗?

Girl: Yeah, many. Why don’t you stick to manual therapy and referyour client to me for needling. We can both help the same patient by doing whatwe were trained to do best.

女:是的,很多。为什么你不坚持做物理治疗,如果病人想针刺,就推荐给我。这样,我们就可以利用我们各自所学来帮助同一个病人。

https://v.qq.com/iframe/player.html?vid=c130399g2bk&width=670&height=502.5&auto=0&encryptVer=6.0&platform=61001&cKey=2g2txVsOMqfEpLZHWCWzkW3B9xsgC/JgBV4r4kYJnfL9CZzGEJ+Cp63z9/BGbA0W

46 reviews of McLean Center for Complementary and Alternative Medicine, about Dr.Arthur Yin Fan, from http://www.bookfresh.com
Simply Amazing
3/2/2016
Deborah L. says: Dr. Fan is simply amazing. Regular PT failed my daughter and both. Dr. Fan far exceeded expectations. Love the atmosphere in the office
Thankful
12/30/2015
Kay S. says: Dr Fan is a super amazing Acupuncturist.. His Chinese Herbs have helped to save my life.. Dr Fan’s acupuncture opened up my meridian to the point where I even got pregnant. I had a healthy baby girl. Dr Arthur Fan knows exactly what he is doing when it comes to treating his patients with Acupuncture . He not only listens , but he treats his patients according to their diagnosis w his super excellent Chinese Herbs💗
PERFECT
11/28/2015
Gwen D. says: Dr. Fan is wonderful. He listens and is very patient and understanding of your issues. I highly recommend him.
Amazing
10/19/2015
Abdou Y. says: I have just started a treatment for a knee pain that has been threatening my ability to work out. Just after 2 visits to Dr. Fan’s center, I can only say that I feel way better than before as I don’t feel anymore about 70% of the pain. I can’t wait for the next sessions as I now hope for a complete healing. I was skeptical at first since I was stranger to acupuncture but not I can say it works.
Excellent
9/1/2015
Lynn D. says: I saw Dr. Fan yesterday for the first time and already feel like I have some improvement in my mood and stress level. Wonderful.
Doctor who cares
8/26/2015
Kasandra M. says: I just started seeing Dr Fan and I appreciate that he is looking at finding the cause of medical issues rather than masking symptoms. I have seen countless doctors and this one finally gives me hope. I have started feeling some relief with my various conditions and I know I have a long road ahead but Dr Fan is very kind, explains things and really targets where the issues are. I am so happy to have found him.
Great insight
7/24/2015
Barbara B. says: Dr. Fan listens more than most conventional doctors and is more attuned with what is going on with your health. His treatments are specialized and individualized to you. He has addressed specific concerns ranging from back discomfort, swollen joints, headaches, and colds, to helping to guide you to an overall sense of quiet and calm. Regardless of what ails you, a cupping session is a must.
Dr Fan Is Amazing
7/3/2015
Yuuna K. says: Dr. Fan is an outstanding doctor. He is trained in both western medicine as well as Chinese traditional medicine. He brings years of experience practicing both disciplines. He is amazing with acupuncture, diagnosis, and treatment suggestions. My body responded very positively to his acupuncture treatment. I would recommend him to other patients considering Chinese Traditional Medicine.
Post-Stroke Dystonia
6/9/2015
Sameer Y. says: I have an odd condition, and Dr. Fan is handling it with patience and success.
Excellent Doctor
4/7/2015
Robin S. says: I am fortunate to have found Dr. Fan who has helped me with a variety of issues: poison ivy, arthritis and allergies among them. His medical expertise is evident as he explains what is happening in the body and how acupuncture can support healing. His knowledge is balanced with kindness and compassion supported by an office environment that provides positive energy. I highly recommend Dr. Fan, particularly if other approaches to a problem have not brought relief.
Incredible!
4/6/2015
Eileen W. says: I was diagnosed with dystonia which affects my neck movement ability. Specialists such as neurologists, rehabilitation doctors suggest Botox injections which has side affect and not a long term solution. I had acupuncture in nearby NYC area and not much improvement. I found Dr. Fan and had great improvement under his treatment. And Dr. Fan is extremely kind and patient. Many thanks to Dr. Fan! Eileen
Very Helpful
4/6/2015
Gwen D. says: Dr. Fan amazes me with his ability to help me with multiple things. I have seen him in the past on other issues, and he has helped me greatly. I tend to be very stressed out and when I am with Dr. Fan, I feel my anxiety level drop. He is kind, understanding and extremely knowledgeable. Dr. Fan his assistant, Sarah, are excellent.
Very astute in diagnosis and treatment
2/8/2015
Scott B. says: I daresay, Dr. Fan has added years to my life. Very early in my chronic lymphocytic leukemia Dr. Fan intervened with a combination of herbs and acupuncture that has kept my cell counts stabilized since 2009–and at a juncture where it is too early for western medicine to intervene. From my vantage, Dr. Fan is most astute for both his skills of diagnosis and week-by-week treatment. Incidentally, for anyone with an interest, I recommend the book “Between Heaven and Earth: A Guide to Chinese Medicine,” by Beinfield and Korngold.
Magical Doctor
1/23/2015
Deborah L. says: I have been going to Dr. Fan now for years when I have a medical issue I’m confident he can treat. When I experienced back issues years ago, I saw a orthopedic doctor, tried a chiropractor, physical therapy and pain medication. It was then I decided to give acupuncture a try. How fortunate that I found Dr. Fan. A very informed physician who was gentle and caring. After only a few treatments which included cupping, I was cured. To this day years later, I have not had any back issues. He is now treating me for acid reflux. I so recommend his treatment – just amazing.
Alternative medicine treatment for hypertension,insomnia and others
11/26/2014
May T. says: Dr Fan treated my hypertension and a myriad of other aches and pains. His knowledge of western and Chinese medicine blends a wholistic approach in his treatment. He is patient and gentle as a doctor. Determined to avoid getting on medication to treat hypertension, I started a diet and exercise regime but only to limited results. Only after I began accupuncture did my blood pressure begin to normalize. My husband also sees him for insomnia which has helped.
Dr. Fan has done wonders!
11/2/2014
Al P. says: Dr. Fan has done wonders for both my wife and me. My wife had lingering multiple small blood clots in her lower leg area. Her vascular surgeon had told she needed to be on blood thinners for the rest of her life. Plus, she would have to wait for the clots to reobsorb back into her blood. Inside two weeks of treatment from Dr. Fan, the clots were gone. After my knee replacement the swelling was not going down. I was told that at my age it would take a much longer time frame. Three weeks of visits to Dr. Fan the swelling was completely reversed. We both whole heartedly recommend Dr. Fan.
Larry A
9/12/2014
Larry A. says: I believe I am very fortunate to have found Dr. Fan. I could not be happier and I am a severe critic, so I believe Dr. Fan is tops. Dr. Fan took his time to explain the procedures before they happened and made sure I understood the message he was telling me. Thank you Dr. Fan
Feeling much better
9/4/2014
Phannee W. says: Having been a patient of Dr. Fan for a while, I am very grateful that he has cured most of my ailments and I would highly recommend him to other patients for acupuncture treatment..
Great Service and Very good doctor
9/2/2014
Maryam Z. says: I have really bad leg pain and I went to see Dr. Fan and explained him my situation. He took great interest in my leg pain and overall health issues and gave me a treatment plan which will help me to deal with my pain until its treated completely. He was not interested in money aspect of my treatment but was more keen to find a cure for my leg pain. I am very happy with his treatment strategy and after 3 sessions, I already to start feeling better.
Great!
8/13/2014
Gwen D. says: Dr. Fan is a wonderful doctor. He is interested in his patients, listens carefully to your issue, and proceeds with the treatment. I have seen Dr. Fan before and he was concerned about the symptoms I had experienced previously; making sure that was cleared up. His assistant is also very committed to the patients and practice. The office has a lovely peaceful aura, I felt good just walking in.
Good oriental medicine and doctor
7/23/2014
Eric T. says: I had went to see Dr. Fan because of pain and numbness in my hands, elbow, and wrist. The doctor at urgent care could not do anything but give my anti-inflammatory. But after seeing Dr. Fan and being treated with acupuncture and medicine he gave me, the symptoms have lighted and is decreasing daily. I would recommend that people with issues that most western medical doctors cannot treat to at least pay Dr. Fan a visit to see if anything can be done.
Five Star
4/27/2014
Al P. says: Both my wife and I have been seeing Dr. Fan for almost a year. He has been able to allow me to delay a total knee replacement for almost a year. And I am certain he will allow me to delay the operation until I am in a better position to have the operation on my terms. He also, in one treatment cleared my Carole tunnel node that was sticking out over an inch and stop the pain entirely. Dr. Fan has saved me from a repetitive operation on my wrist.
Professional and curteous
4/25/2014
Dr. Jerome W. says: Just started, so far everything is fine. I will have more to say when I an further into my treatment.
Made huge difference!
4/23/2014
Takeo Y. says: I had a great experience with Dr. Fan. Aggravated shoulder pain due to lifting heavy stuff on top of the old pain I had been suffering for a while was removed mostly after 3 sessions of acupuncture and cuppings. Will definitely go back to seek for his treatment if the needs arises.
Excited to finally experience alternative medicine
4/22/2014
Carmela & Brent B. says: For me and my husband, it was all positive energy and results. I can’t wait to complete the recommended treatment (2 times a week for 4 weeks), I know Dr. Fan will make a difference! My husband was satisfied after his first time treatment yesterday (4/21/14). After his 40 mins session, he felt like he slept for days and no pain all day.
Always awesome
2/7/2014
Diane H. says: Dr. Fan is wonderful. He has helped me overcome a paralyzed leg (skiing accident), increased the mobility of a surgically repaired shoulder, relieved migraines, and relieved vertigo induced by a concussion. He’s amazing!
Highly recommended!
1/16/2014
Meschelle L. says: I have been seeing Dr. Fan regularly for about 8 months. Acupuncture and Chinese herbs were new to me and I have greatly appreciated Dr. Fan’s knowledge, skills, and approach/demeanor. He and his office team are highly professional and organized as well. Dr. Fan has helped me tremendously with both benzodiazepine withdrawal and rheumatoid arthritis. I plan to make acupuncture and Chinese herbs a regular accompaniment to my healthcare from now on.
Outstanding
12/19/2013
Caron D. says: Dr. Fan has been successfully treating me for something western medicine hasn’t been able to achieve. He is very knowledgable, gentle, thorough and runs a very sanitary and organized office. I highly recommend Dr. Fan.
Outstanding !!!!
10/20/2013
Phil S. says: My wife and I have been going to Dr. Fan for years off and on for various treatments, proof is in the treatment when the pain associated with the condition, goes away. Dr. Fan is extremely helpful and knowledgeable about how to treat a problem. Very compassionate and takes the time to explain the his treatment plan.
Great Experience
10/19/2013
Gwen D. says: This was my first visit, I too was impressed with Dr. Fan’s compassion, understanding and patience with me. Both Dr. Fan and his assistant were wonderful. I am so glad that my friend recommended him.
The best doctor of Chinese medicine in the DC areas
10/9/2013
Jane C. says: I had shingles and the pain was awful. After a brief antivirus treatment my primary doctor at Kaiser Permanente could only give me strong pain killers (generic Percocet) to dull the pain. I was warned that the pain could last for months. So I turned to Dr. Fan for help. Within a week, my pain was gone under Dr. Fan’s care. I am very grateful to Dr. Fan!
Professional and attentive
9/25/2013
Dianna P. says: I have seen Dr. Fan only once so far, but can report that my experience was very good. I had acupuncture and felt better afterwards. I will continue to see him as I believe in the holistic approach to staying well.
More than accupuncture…
9/3/2013
Bill S. says: I have been seeing Dr. Fan for amost 2 years. The accupuncture has helped in so many ways. But, Dr. Fan will talk to you and get to know you. He has recommended teas, herbs and lifestyle changes that have been so benefitial to me. He is a wonderful wholistic healer. WRS
Chinese Medicine works
7/21/2013
Ruth B. says: Dr. Fan’s thoughtful analysis of our conditions each week help us with everything from swollen ankles to allergies to getting greater function in a hip replacement area to blood abnormalities. He and his office staff are pleasant, welcoming, and reassuring.
Dr. Fan is the best!
6/8/2013
Karen D. says: I feel very fortunate to have met Dr. Fan; he is very knowledgeable and skilled in his art. I sought Dr. Fan’s care for what a previous doctor diagnosed as facial nerve damage. Dr. Fan assessed the situation as chronic inflammation, and I have had a remarkable reversal. I couldn’t be more pleased with my transformation, and I highly recommend Dr. Fan. His staff is awesome too; thank you so much, Dr. Fan!
A Real Treasure
4/17/2013
George L. says: I have been a patient of Dr. Fan’s for some time now, and consider him to be a real treasure. Based on the effectiveness of his treatment, he is obviously a master acupuncturist and herbalist. He takes care to explain the nature of the treatment and to answer any questions related to it. I can wholeheartedly recommend Dr. Fan to anyone interested in acupuncture.
Great, compassionate doctor
3/30/2013
Anastasia C. says: Dr. Fan understood my problem and approached it with the utmost care. I’m very appreciative of the wonderful experience being his patient has been.
Mike B says:
3/5/2013
Michael B. says: I have seen Dr. Fan but one time, received accupuncture and something new to me, cupping. The cupping seems to have made my lower back pain, that I have been experiencing 24/7 for about four months, disappear. I have no fantasies about this being a forever thing, but I am optimistic that future visits will have nothing but positive effects on the many trouble spots of my body. Thank you Dr, Fan!
Keeps me balanced
3/1/2013
Jan Y. says: Dr. Fan keeps me balanced and when I have congestion he opens up my sinuses. Doesn’t matter what I go in for, he always seems to have a solution.
Great Dr of alternative medicine
12/22/2012
Sarah T. says: Sarah T. says: Dr Fan is very professional and extreamly knowledgeable about alternative and conventional medicine. He takes time to fully interview me each time I see him, regarding my symptoms and progress. Dr Fan fully understands herbal medicines and I trust his recommendations. I am seeing some success for my balance issues and expect to see additional progress. Thank you Dr Fan.
Thank You Dr. Fan !!
12/3/2012
William S. says: Both I and my wife have been seeing Dr. Fan for most of 2012. We are thoroughly satisfied with Dr. Fan’s kindness, awareness and manner in which he works with us. We could not think of a better environment in which to receive this kind of help. I have recommended Dr. Fan to others and, they are very well satisfied as well. Thank you Dr. Fan!!!
Richard & Arlene
10/16/2012
Arlene R. says: Dr. Fan was recommended to us and my husband went first. Richard came home relieved of his pain so he than he took me in to see Dr. Fan. I been having back and hip pain for 20 years and now after 3 sessions I can sleep on my right hip with no pain. The best customer service to both of us, he gives us great advice on health care. I don’t know why I waited so long to see him!! I highly recommend Dr. Fan and my husband and I always feel very relaxed while getting our treatment together and we love the music that just soothes our whole being!!!
Great !
5/29/2012
Bill S. says: WRS – I am a new patient. I have seen Dr. Fan twice. My initial evaluation was very informative. Dr. Fan discussed alternatives and diet. My first few days were much better. On the second visit, I was complaining of back pain. When I wakled to my car after the accupuncture treatment I realized… “hey!! no more pain!!”. I recommend McLean Center for Complementary & Alternative Medicine and Dr. Yin Fan.
THE BEST DOCTOR IN ALEXANDRIA
4/17/2012
Simara C. says: I have severe back pain and I have to say that everytime I come to see Dr. Fan, he really takes care of me and makes the pain go away. I usually get spasms where sometimes I can’t even move and/or walk straight. He is always concerned, he gives very good advice and is extremely skilled and helpful. His technique is amazing and I never feel whenever he puts the needles in. The cupping is also amazing- which most of the time are done by his great assisstant, April. Dr. Fan along with April give the best customer service and the best treatment. His office is very pleasant, always clean and organized and I always feel very relaxed while I’m getting my treatment with the chinese music he has in every patient room. I feel very lucky to be his patient and I plan to keep going to him as long as I need to.
Wonderful!
3/19/2012
Susan G. says: I am very happy to have found Dr. Fan over a year ago. He is very patient, gentle and understanding and uses his knowledge to help with various issues, like neck and back pain. His assistant is also kind and skilled.
Sarah & Scott
2/8/2012
Sarah L. says: I was very impressed at Dr. Fan’s level of organization and ability to handle multiple clients. He conducted a thorough interview of both my husband and myself and provided treatment. Dr. Fan was very knowledgeable and the things he suggested made sense. He and his assistant are very compassionate and thoughtful individuals and we feel fortunate to have found him.

The Illegal and Unsafe Practice of Acupuncture 

 

Under the Term “Dry Needling”,

 

10 Facts You Should Know

 

Here are 10 facts you should know about the illegal and unsafe practice of acupuncture under the term “dry needling:”

1. “Dry needling” is acupuncture.

“Dry needling” was first described over 2,000 years ago in China’s earliest and most comprehensive extant medical treatise, the Yellow Emperor’s Inner Classic (Huangdi neijing), where it discusses in detail using tender or painful points, also known as “trigger points” or “motor points,” to treat pain and dysfunction, particularly of the neuromusculoskeletal system. Simply described, “dry needling” involves inserting an acupuncture needle into a tender or painful point and then appropriately manipulating (rotating and/or pistoning) it for therapeutic purposes.

 

2. Tender or painful points, also known as “trigger points” or “motor points,” are acupuncture points.

Tender or painful points are located in muscles and connective tissues, and, as their name suggests, are identified through tenderness or pain on palpation. This was, in fact, one of acupuncture’s earliest forms of point selection. China’s preeminent physician, Sun Si-Miao (581–682 C.E.), called these tender or painful points “ashi” points. In Chinese, ashi means Ah yes!(That’s the right spot.). So, when the tender or painful point is pressed, the patient feels an unexpected local and/or referred “wince-pain” and says Ah yes! That’s the right spot. Incidentally, in a 1977 study published in Pain (the official journal of the International Association for the Study of Pain), Melzack, Stillwell and Fox established that “every trigger point [reported in the Western medical literature] has a corresponding acupuncture point.”* A number of studies subsequently published in the Western medical literature have reached this same basic conclusion.

 

* Source: Melzack R, Stillwell DM, Fox EJ. Trigger points and acupuncture points for pain: correlations and implications. Pain. 1977 Feb;3(1):3–23.

 

3. “Dry needling” is not “manual therapy;” it is acupuncture.

It is important to emphasize that “dry needling” is an invasive, acupuncture needle intervention (that is, it is acupuncture, a specialized form of minimally invasive surgery), whereas manual therapy is a noninvasive, hands-on intervention (for example, massage, mobilization/manipulation). Manual therapy certainly does not include the practice of surgery in any form.

 

4. “Dry needling” is not a “technique;” it is acupuncture.

To make clear, the act of inserting an acupuncture needle into the body, under any pretense, or for any purpose whatsoever, is the practice of acupuncture.

 

5. Physical therapists and other allied health professionals who are not licensed by law to practice acupuncture cannot legally purchase acupuncture needles.

The Food and Drug Administration (FDA) classified acupuncture needles as Class II medical devices subject to strict regulations under the federal Food, Drug, and Cosmetic Act (FDCA) and FDA’s regulations. Individuals purchasing or receiving acupuncture needles who are not licensed by law to practice acupuncture are directly violating both civil and criminal provisions of the FDCA intended to protect public safety. 21 U.S.C. § 331(a)–(c), (g). These include the FDA’s requirements that acupuncture needles can only be sold to “qualified practitioners of acupuncture.” 61 Fed. Reg. 64616 (December 6, 1996). FDA prescription labeling requirements themselves specifically prohibit the sale of acupuncture needles to anyone who is not a qualified practitioner of acupuncture. The required FDA prescription labeling on the package from which acupuncture needles are to be dispensed states: “Caution: Federal law restricts this device to sale by or on the order of qualified practitioners of acupuncture as determined by the States.” 21 CFR § 801.109(b)(1) (emphasis added). Any individual who is not licensed by law to practice acupuncture is directly violating the FDCA and FDA’s civil and criminal prohibitions when they purchase or receive acupuncture needles for use in “dry needling.”

 

6. Physical therapists and other allied health professionals who are not licensed by law to practice acupuncture are using acupuncture needles to perform “dry needling.”

Physical therapists and other allied health professionals who are not licensed by law to practice acupuncture would have you believe that they are not using acupuncture needles to perform “dry needling,” when they are, in fact, using acupuncture needles, which are clearly labeled as such on the dispensing package.

 

7. Physical therapists and other allied health professionals who are not licensed by law to practice acupuncture are not qualified to perform “dry needling.”

“Dry needling” is far outside both physical therapists’ and other allied health professionals’ scope of practice and their scope of education and training. In most states, to become a licensed acupuncturist, an applicant must complete a minimum of 1,905 hours of education and supervised clinical training (1,245 hours of education and 660 hours of supervised clinical training). Yet physical therapists and other allied health professionals who are not licensed by law to practice acupuncture are inserting acupuncture needles (up to four inches or more in length) into unsuspecting patients with as little as a weekend workshop in acupuncture.

 

8. There are real risks associated with the use of acupuncture needles by physical therapists and other allied health professionals who lack the education and supervised clinical training of licensed acupuncturists.

These real risks include, but are not limited to, blood vessel, nerve and organ injury from inappropriate acupuncture needle angle and depth of insertion or from inappropriate acupuncture needle manipulation; and infection and cross infection from nonsterile acupuncture needles, poor hygiene in acupuncture needle handling, and inadequate skin preparation.

 

9. There have been recently reported cases of injury or harm from the use of acupuncture needles by physical therapists and other allied health professionals who lack the education and supervised clinical training of licensed acupuncturists.

In one such case, Emily Kuykendall, a high school teacher from Maryland, had suffered nerve damage from the use of acupuncture needles by a physical therapist. In another such case, Kim Ribble-Orr, a former Olympic athlete from Canada, had suffered a punctured lung and a pneumothorax (the presence of air in the cavity between the lungs and the chest wall, causing collapse of the lung) from the use of acupuncture needles by a massage therapist.

*If you or someone you know has suffered injury or harm from the use of acupuncture needles by a physical therapist or other allied health professional who lacked the education and supervised clinical training of licensed acupuncturists, we want to hear from you. Our phone number is 775-301-5255.

 

10. It is illegal for physical therapists or any other providers to submit claims for payment to Medicare for “dry needling” (a non-covered service) as “physical therapy” (a covered service).

Since “dry needling” is acupuncture, it is not a covered service. Use of acupuncture needles is not a covered service, whether an acupuncturist or any other provider renders the service. 42 U.S.C. § 1395y(a)(1). Its billing under Current Procedural Terminology (CPT) codes 97112 (neuromuscular reeducation) or 97140 (manual therapy techniques) is a misrepresentation of the actual service rendered and is considered fraud by Medicare. 31 U.S.C. §§ 3729–3733.

*If you suspect Medicare fraud, call the Medicare Fraud Hotline at 1-800-HHS-TIPS (1-800-447-8477). TTY users should call 1-800-377-4950.

*Information on this page is used with consent from the National Center for Acupuncture Safety and Integrity

http://www.acupuncturesafety.org/10Facts

 

 

 

转自  http://www.th55.cn/history/ldmy/1409/281342.html

刘邓大军是中原野战军的别称,该军曾经建立了晋冀鲁豫根据地,千里跃进大别山,创造了许多战争奇迹。中医学有两种著名的内科治病方法,一是针灸,一是药物,相传已几千年了。鲜为人知的是,该军卫生部副部长鲁之俊十分重视利用针灸为军民服务,并发挥了重要的作用。
领袖:中西医结合好
1935年10月,党中央和中央红军到达陕北后,当时毛泽东身体十分瘦弱,一只胳膊抬不起来,关节痛(肩周炎)复发,影响工作和休息。延安著名中医李鼎铭建议服中药,有的西医对此不信任,认为中医不行。毛泽东说:“李鼎铭先生提出来了么,试一试,看看效果如何。”李鼎铭开了3帖中药,让毛泽东服用。不久,毛泽东的胳膊果然不痛了,还能做几下简单的单杠运动。毛泽东高兴地说:“还是中西医结合好!”以后,毛泽东有病时常请李鼎铭先生开药方,有时还请李为他按摩治疗。毛泽东还常常从李鼎铭那里借来《黄帝内经》《金匮要略》等中医经典著作阅读,以了解中医治病的奥秘和机理。毛泽东在与李鼎铭交往过程中,李鼎铭进言中西医团结合作的观点,促进了毛泽东关于中西医合作,结成医疗统一战线,更好地为人民服务的思想形成。此后,毛泽东把李鼎铭先生介绍给朱德、周恩来、林伯渠、谢觉哉、王稼祥等许多中央领导治病,时常在有关会议上谈中医药的好处,要求人们尊重中医,支持中医。
1940年11月,在纪念白求恩逝世周年大会上,毛泽东应邀来到中国医科大学,在新落成的学校大礼堂里对全体师生讲话中说:“要好好学习白求恩对病人极端负责的精神,在治疗工作中不能马虎大意”,并讲述必须团结中西医的重要意义。
1942年夏季的一个下午,毛泽东的保健医生黄树则随傅连障去看望毛泽东,毛泽东详细询问延安有多少中医,调查过没有。然后殷切地嘱咐他们:“要和中医老先生多来往来往,交交朋友。”傅连唪汇报了最近李富春同志向卫生部门传达毛主席关于团结中西医的指示,“我们已经开过几次中西医座谈会,讨论学习。”毛泽东强调说:“西医中医,要交朋友,不要不相往来。这一条很重要。”当问到黄树则读过中国古代哪些医书时,黄树则如实回答:“我读得很少。”毛泽东说:“你应该拿三个月时间,把主要的中医书都读上一遍。”
1944年4月,毛泽东正式提出“中西医合作,开展群众卫生运动”。同年5月24日,毛泽东在延安大学开学典礼上的讲话中又说:“近来延安疫病流行,我们共产党在这里管事,就应当看得见,想办法加以解决。我们边区政府的副主席李鼎铭同志是中医,还有些人学的是西医,这两种医生历来就不大讲统一战线。我们大家来研究一下,到底要不要讲统一战线?我不懂中医,也不懂西医,不管是中医还是西医,作用都是要治好病。治不好病还是医术问题,不能因为治不好病就不赞成中医或者不赞成西医。能把娃娃养大,把生病的人治好,中医我们奖励,西医我们也奖励。我们提出这样的口号:这两种医生要合作。”

“针神”到延安
1941年4月,针灸名医任作田主持的延安针灸疗病所,在延安城南门外的马家湾成立了。这在当时属于因人设事,人尽其才。
任作田(1886-1950年),乳名任东立,近代医家。1886年生于辽宁省辽阳县,原籍文安县大围河公社东柏木桥人,1922年至1923年,他任过黑龙江省拜泉县县长,后因被贪腐官员绥兰道尹常润亭排挤愤而辞职,专门从事社会慈善事业。
1906年,任作田在辽阳县做警察分局的文书时,一天十二三个小时忙个不停,月薪七八元,家庭生活由他妻子蔡更新和母亲支持。他干的工作,又常与日本浪人冲突,事情一报到上级就不了了之。这样天长日久,他总忘不了在日俄战争中死去的父亲、家中苦难的妻母、国家的懦弱、同胞的灾难,忧思成疾,气愤伤身,息了慢性胃炎和支气管炎。自2l岁至24岁,尚可勉强工作,25岁至27岁,业已食不下咽,行路困难。此时中西医药无效,任作田已奄奄一息。幸遇一位锦县姜文远老先生,此人精通针灸术,一连给他诊治了8个月,才使其得以痊愈。姜文远一面行医,一面将他一生的针灸技巧与经验传述给任作田。姜文远去黑河前嘱咐任作田,离开案牍工作,免去许多劳心伤脑的无谓气愤,做个医生治病救人。任作田立马请了长假,日夜学道学医。有时外出给人治病,只收车费及病人痊愈后的随意酬劳。
由于任作田的针灸技术得其恩师姜文远的精要秘传,医术精湛,加上为人乐善好施,被当地群众尊崇为“针神”。
1931年,日本侵占东北后,他参与组织难民垦荒队,经绥远(今内蒙古)、榆林、绥德,历经坎坷进入延安,被安排在边区政府保安处工作。为响应机关简政号召,他决定自谋职业,利用自己的一技之长,创立民办公助的针灸疗病所。
由于任作田针灸技法高超,态度和蔼,服务周到,开业不久,原先一个窑洞的诊所已拥挤不堪,在边区政府有关部门的帮助下,同年6月搬迁到七里铺新修建的四孔窑洞。另外,调配其次子任进之协助其开展针灸临床和出诊工作,再加两位同志担任司药。
这是当时延安唯一的针灸诊疗所,两年时间里,依靠传统针灸疗法,治疗各种疾病和疑难杂症的临床治愈率达到80%以上,在干部群众中享有很高的声誉。中央、边区和军队的很多领导人,都在这里治愈了多年不治的痼疾。
鲁之俊拜师
1944年10月,任作田参加边区文教大会,参加中西医合作讨论,襟怀坦荡,主动抛开宗派和保守观念,破除门户之见,带头公开医技,主动传技于人,努力开办医学教育,普及针灸疗法,愿意和西医同志合作研究针灸学说。会场上当时就有包括白求恩国际和平医院院长鲁之俊在内的几位西医报名,表示愿意向他学习针灸疗法。任作田不顾年高体弱、门诊量大,破例收下拜他为9币的高级西医为门生。在此基础上,又进一步扩大规模,举办多次针灸培训班。
鲁之俊虽然报名表示愿意学习传统针灸疗法,但碍于医院工作繁忙,实际上前一个月都没有正式从师学习。一个月后,国际和平医院有一位住院很久的面部神经麻痹病人,经过西医多种方法治疗都无效。病人要求到院外针灸,鲁之俊院长同意了。4天后,病人回到医院,面部竟然完全恢复正常。鲁之俊和内科主任德国医生汉斯•米勒都觉得惊奇。这更促使鲁之俊坚定学习研究针灸的决心。从此以后,他就去离医院约20里路远的任作田处学习针灸了。
鲁之俊(191卜1999),江西黎川人,1928年考入天津北洋军医学堂,随校迁移北平,1933年毕业于北平陆军军医学校,接受过比较系统的西医理论和临床实践教育。曾任广西军医院医师、广东军医总院外科主治医师兼德文翻译,以及广东重伤医院外科专科医师等职。
1939年1月,鲁之俊从广州出发,经桂林、贵阳、重庆、西安,奔赴延安。先后担任八路军卫生学校教官,八路军医院医务主任、院长。1939年12月,为纪念白求恩大夫不幸殉职,中央决定将八路军医院更名为“白求恩国际和平医院”,鲁之俊继续担任院长职务,坚持临床外科医疗工作。他曾参与为周恩来延河坠马右肘受伤会诊治疗的工作。
进入任作田针灸疗病所,鲁之俊发现针灸治疗的病症很广泛,尤其是对多发性关节炎、各种疼痛、妇科病和眼病,都有良好的效果。真理所存,师之所在。鲁之俊学习针灸热情高涨,几乎达到着迷的程度。门诊用针灸,病房用针灸,对中国医科大学实习的学生也教授针
灸,并且,努力将自己学习掌握运用针灸的经验体会,与西医科学理论相对照,索证,求解,寻找中西医汇通的途径。
任作田在向西医传授针灸技|法的同时,虚心学习现代医学知识,既当先生,又当学生,与西医相互学习,共同攻关。他提出“练心、练指、练法”的针灸练习三要素,总结出“八法”“十术”的用针技法,将自己多年积累的临床实践经验毫无保留地贡献出来,与西医学员们共同探讨针灸疗法的科学规则和医学原理。特别是与鲁之俊合作,对80例患者进行临床观察,包括半身麻痹、顽固痒疹、肺结核盗汗、急慢性胃炎、眼结膜炎、咽喉炎、风湿性关节炎等病症,治疗都获得显著疗效。涉及内科、外科、妇科、儿科、五官科等多个西医门类,经过中西医比照研究,认为“针灸方法有刺激血液环境、增加白血球、兴奋神经机能、增强新陈代谢的作用,使疾病消除,与苏联发现的神经系治疗方法,在理论上有共同之处”。
1945年6月,鲁之俊在《解放日报》上发表《针灸治疗的初步研究》一文。鲁之俊对其中的63个案例进行具体分析研究,经过针灸治疗,痊愈者9人,近愈者7人,有明显疗效者26人,疗效无法确定者17人.无效者4人。通过对各种不同医疗结果的病症、病史、病情分析,总结出针灸疗法对于主要由神经系统引起的疾病具有显著疗效,其医学原理在于针灸可以调整自主神经、消退各类炎症、增加^体抵抗能力、帮助诊断,从而证明针灸疗法符合医学科学原理。文章中,他援引苏联脑科学研究成果创立“神经病理”学说,确认中国传统医学上的“针灸”“是一种刺激神经的治疗法”。最后,他强调,根据医书所载,针灸可以治疗102种疾病,“差不多内科病都包括在内,并且有不少急性传染病据经验也有效。而现在我们只是开始做了初步的试验,至于更广的应用范围和效力的确定,理论上进一步的说明、技术操作等,这还需要我们医务界同志以更大的努力进行钻研,需要我们虚心地,以十分重视和诚恳的态度向中医们学习。”文章结尾处,鲁之俊向任作田表示致敬,“在此特向富有针灸经验的中医任作田老医师对我的赤诚的指教表示钦敬!”
1945年7月,陕甘宁边区政府特别褒奖任作田、鲁之俊两位医生,分别授予“中西医合作模范医生”光荣称号。

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