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A comment paper on dry Needling to Board of Physical Therapy, Virginia, From: http://www.townhall.virginia.gov/L/viewcomments.cfm?commentid=47915

Commenter: Mark Seem, PhD, LAc *                                                     12/28/15

Oppose ‘Dry Needling’ by Physical Therapists

I am a licensed Acupuncturist in the States of New York and Maryland for the past three decades and more. I developed a classical Chinese acupuncture approach to integrating acupuncture needling of myofascial pain and related disorders, where release of tight knotted muscles, often called ‘trigger points’ after the work of Dr. Janet Travell. I shared this classical acupuncture technique with her by treating a complex old whiplash syndrome for her Myotherapy traveling companion and friend who was an expert at acupressure to release such trigger points, when Travell taught with Maryland neurologist Robert Gerwin, MD in 1990, who had never seen acupuncture needling of trigger points before, nor had Dr. Travell. He wondered what he was doing lecturing to a group of half acupuncturists, and I asked contrariwise how he felt comfortable teaching physical therapists, who had no required training in the use of such solid filiform needles in their entry-level programs there. He was not able to make the demonstration I did that night for Dr.Travell and her trigger-point bodywork expert colleague as he had a dinner to go to. Whenever I successfully needled in classical Chinese style muscle channel shallow technique, with a 1 inch needle inserted half way into the soft tissue that I had compressed with my non-needling hand as the Japanese often do, easing up now and again to give the deeper muscle room to react, it would twitch often dramatically that was visible to Dr. Travel and me and very palpably experienced by her colleague who even remarked that it felt just like deep trigger point injections done by Dr. Gerwin who directed the training in the Travell  Seminar Series when elderly Dr. Travell was no longer able. Myotherapists ran the parallel training for physical therapists in the manual therapy technique sections of that course, where physicians taught the trigger point  injection techniques. Physical therapists, according to Travell’s instructions, who are licensed to practice ischemic compression that can be almost as effective as trigger point injections, and much less risky than using thick 3-5 inch long syringes, were very pleased with these powerful manual techniques hey are licensed to practice based on the same manuals. Medicare and Medicaid standards for coding for trigger point injections call for coding for a few, or multiple, trigger point injection sites; as well as coding for what medication filled the syringe – usually lidocaine or even cortisone as the case may be, and sometimes homeopathic solutions that medical doctors and their ‘physician extenders’ use as well.

Travell and Simons’ 2 volume seminal text on this practice always provide manual therapy ‘ischemic compression’ technique options, so there is no reason for any well trained physical therapist who takes such a 50-75 hour program practicing on peers to ever need to learn needling techniques, which Travell did not favor ever being taught to other than medical doctors, dentists and osteopathic physicians given the danger of hitting nerves and also important organs when needling over the torso on the front, back or side.

After Dr. Gerwin heard Dr. Travell and her colleague report on the similarity in efficacy of my one acupuncture session to trigger point injection, and he saw the thin short Japanese Serein needles I gave him to check out, he looked for externs and found an osteopathic resident trained in such acupuncture release of trigger points. Subsequently he met and partnered eventually with a physical therapist who claims to have learned such needling with acupuncture needles in the Netherlands where he is from. I taught that technique to physical therapists in the Netherlands who were the main licensed providers, along with physicians in my classical acupuncture seminars for the Anglo-Dutch Institute comprehensive acupuncture and traditional Chinese medicine program, as well as to physical therapists and physicians in rehabilitative medicine in the UK, and they all concurred no one should do acupuncture treatment of such myofascial conditions without proper acupuncture training. They also agreed that ‘dry needling’, which is to say the use of an empty syringe with no medication was nonsensical, even though Dr. Hong, an acupuncturist who like Dr. Gunn went on to become a physical and rehabilitation medicine physician, dropping any reference to that earlier acupuncture training as Dr. Baldrey in the UK, and Dr. Ma in Colorado have done, to cover up their original comprehensive acupuncture training. Hong’s research study had 3 options – actual trigger point injections of lidocaine into myofascial trigger points; injection of saline solution instead; and dry needling with no fluid injected. While no insurance company would ever provide coverage for such dry-needling, Hong was able to show that all 3 techniques worked equally well, with post-injection soreness the mildest as expected in those who received lidocaine, an anesthetic, and greater for those who were injected with cortisone, and the greatest with those injected with a ‘dry’ syringe.

Travell and Simons had already come to the conclusion that the twitching evoked in acute myofascial trigger point conditions was the actual therapeutic mechanism, as the twitching stretched the tight contracted muscle fibers [trigger points] within the sorest part of such muscles, and so stretching created by the injection, accompanied by some soothing fluid, even saline solution, with lidocaine seeming to make that stretching release last the longest, explained the mechanism for such often dramatic relief.

While a more time consuming technique, ischemic compression release which all entry-level physical therapists have learned, allows them to approximate the release from the more risky trigger point injections, at a fraction of the cost of such surgically coded injections. They can also use electro-stimulation techniques on such trigger points conditions with equally good results, and there are even ultra-sound, and laser devices hey are licensed to use.

The only reason physical therapists could possibly have for wanting to use acupuncture needles, then, since they are not at a loss for their own manual therapy techniques and FDA legal regulated devices, is to be able to tell their patients who ask if what they do is as effective as the ever more popular 2000 year old originally Chinese acupuncture, where no potentially harmful medications are ever ‘injected’, making it a primary nonpharmacological therapy among those physical and occupational therapists are licensed to practice, as appeared for pain management conditions in the accreditation manual update of the Joint Commission that accredits some 20,500 mainstream and integrative medicine hospital and integrative medicine outpatient facilities and programs, where acupuncture was also on that list, where physical therapy does not figure, for behavioral healthcare, mood and mental disorders, including psychosomatic and organ functional problems like IBS or Reflux that physical therapists are not trained to treat.

In short, unless the Board would consider it appropriate for licensed acupuncturists to be able to practice all of the licensed manual therapy techniques a trained physical therapist may practice, since we learn our own East Asian acupressure-related techniques, or the same licensed chiropractic and osteopathic manipulations those providers may practice, if we learn far simpler release techniques within our acupuncture scope of practice, without the same level of osteopathic or chiropractic training in their required entry-level well supervised training treating the public that the short trigger point [acupuncture] dry-needling courses may never provide for legal reasons, I submit that the approval for physical therapists to practice using FDA regulated medical devices known as acupuncture needles, for those licensed in acupuncture to use such needles or for licensed surgeons, is irresponsible in the extreme and opens the Pandora’s box for all licensed therapists to start using other licensed therapist’s FDA regulated techniques and devices.

Finally, the high likelihood that the 20,000 licensed acupuncturists in this country will have had enough, and will file a federal class-action suit with the FDA to penalize these poorly trained self-professed trigger point ‘dry-needlers’ [illegal acupuncturists] is high and poses a serious risk for the Board and for each physical therapist the state licenses, where the implicit final determination of entry-level competence in physical therapy does not include national or state training, standards or assessment of any level of competence in such lucrative CEU short courses that are only good for the course owners themselves.

I suspect that passing such a bill will leave licensed acupuncturists no choice but to mount a powerful full disclosure public relations attack on your Board and on any physical therapists who practice such shoddily learned acupuncture techniques without a license in acupuncture. And the door will be open for them to advertise that they practice physical therapy acupuncture and trigger point needling, beating the physical therapists at their own game while legally billing for what physical therapists must be illegally checking off as a manual [rather than intramuscular] therapy, which is another kind of fraud altogether that your Board would do well to investigate.

I thank you for considering these comments based on 38 years teaching, supervising and practicing licensed acupuncture, after what is now a master’s degree accredited 3 year program of some 1906 hours of training minimum, with 500 hours in the practice of acupuncture.

Sincerely,

Mark Seem, PhD, LAc.

Founder and Past President, Tri-State College of Acupuncture

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Dr. Gene Bruno: The beginning of the acupuncture profession in the United States (1969–1979) — acupuncture, medical acupuncture and animal acupuncture | PDF |

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我进中南海教太极拳

[复制链接]http://www.xiaojiacn.net/bbs/forum.php?mod=viewthread&tid=1992

 

摘自:《档案春秋》200503期 作者:顾留馨

【相关链接】

顾留馨,上海人,生于1908,早年参加革命。上海解放后,曾任黄浦区第一任区长。他还是一位享誉海内外的武术师,在历届全国武术比赛中,多次任副总裁判、总裁判。除此之外,他曾担任《中国大百科全书》体育卷编委、上海市体育宫主任、上海市体育科研所副所长,以及市武术协会主席、中国武术学会委员。11957年应邀赴越南为胡志明主席以及越南军委、体委干部教授过太极拳;著有多部太极拳专著。1990617,顾留馨同志因患癌症在华东医院病世,享年83岁。本文系顾留馨同志的儿子顾元庄根据其父1985年的录音整理。

初会江膏

19587月中旬,国家体委调我去北京教授首长太极拳,当时我正在业余整理武术理论和史料,就随身携带了两箱武术书和工具书立即启程。17日到了北京。 

第二天,中南海李志绥大夫来联系,:“首长是女性,因长期工作紧张,致神经极度衰弱,日夜不能合眼,怕吵声,怕深呼吸,但头脑是清楚的,做过大手术,曾去苏联治病两年,情况未改善,医生已失去信心,劝做气功疗法,她又不耐静坐,现在劝她练太极拳,同意了,才请你来教,主要使她情绪稳定,有所寄托。李大夫希望我能够注意运动量,订出学习计划。
我随即翻阅一些书籍作笔记,订出个月的教学计划,送到中南海去。后来据国家体委干部司反映,李志绥大夫认为我的教学方案很科学,因材施教,不像上次有位老师那么蛮干,我才知道有人去中南海教过拳。隔天,李大夫又来联系,约定明天开始教拳,并讲明要教的是毛主席夫人江青。到了那天,李志绥大夫和护土于丽姜接我到中南海毛主席家中,中医章次公也同去诊病。 

江青接见时精神甚好,她首先表示欢迎,又说由于身体不好,今天才开始练拳。江青先说了自己的病晴病源,说对静坐没多大耐性,因此听从医生的劝告学太极拳。江青要求讲讲太极拳有哪几种流派,哪一种流派较好?我说各派太极拳各有特点,仅形式繁简不同,锻炼原则是一致的。以杨式太极拳为舒展大方,流行较广。简化太极拳是国家体委根据杨式而简化的,这次准备用一个月时间教简化太极拳江青听了摇头说要学就学杨式老套路,不要简化的,时间长一些动作复杂些不要紧。” 

这样计划打乱了,我就教她杨式太极拳,江青拿出笔记本一点一点记。但时间一长,江青就显得疲倦了。 

开头几次,因江青体弱,腿部无力,仅能练3分钟,即需坐下休息。江青说:“我只能维持20分钟谈话,就要躺在沙发上休息,因此多年来不能接见宾客。” 

这样每次都由李志绥大夫或保健局黄树则局长接送我出入中南海,一般上午11时或下午3时练习,李志绥和护士吴旭君、于丽姜起陪练,有时去江青的疗养处万寿路别墅中练习。 

练了一段时间后,江青对我说:“西洋舞蹈光是旋转动作,体操机械化,不如中国太极拳心静用意,整体细致,练起来兴趣好。太极拳比较柔和,全身内外各部位协调,我决定以后要把太极拳改编成舞蹈,不但拳操改成舞蹈,就是你们的推手方法,也可以改成舞蹈动作。我听了就想,怎么刚学了不久,就想发明创造呢?有一次护土笑着说江青练太极拳入了迷,连昨天打杜洛克的时候也在做太极拳手势呢!” 

有一次,江青留黄树则和我午餐,江青谈到《静静的顿河》小说和电影都有问题;丑化了革命者,宣扬了坏蛋。主席和她都有这看法。江青还介绍黄树则在延安时也搞文艺、写文章,现改行为卫生工作者。江青接着说:“主席多少年来一直在考虑重大问题,从未空闲过,不但考虑国内问题,还考虑国际共运问题。许多同志对主席思想,不很好研究,因此不理解,我对主席的思想,还不能紧紧跟上。主席说过,自然界生存竞争,物竞天择是很残酷的。” 

江青开始只能练三分钟,后来能坚持五分钟,虽然运动量很小,但到五分钟,还是坚持不住躺在沙发上休息了。练了十多次,还未学完第,江青已有两次感到不舒服。李志绥大夫和我商量是不是江青不适宜练拳,才又发病了?我认为既然别的疗法都试过了,我对太极拳疗效还是有信心的,只要坚持练下去,会有效果;我们应从运动量上、动作简化上研究一下。我向江青提出为适应她的体力条件想把动作变通一下,但江青说:“那不必,不要听医生的,我身体不行,但意志是坚强的,会坚持下去的。” 

终于有一天练拳后,江青坐在沙发上休息时说:“老师,我这个学生身体太不争气,如果在几年前,我可以当个好学生把太极拳练好,现在不行,病又发了,练拳后觉得很有趣,但又觉得腰脚很酸。你不要误会,这不是练拳的原因,现在我想休息几天,目前只能暂停,但我的心是不死的,以后还会请你来教;我很感激你的认真负责,很对不起你远道而来,回去替我向荣高棠致谢,也向上海市体委致谢。”(她不知道国家体委已留我下来)当时,我极为不安,我没教好,教失败了!我只能说:“等你身体好些,再通知我。我回去还得好好研究教法和生理学的书。、接着,江青请我、李大夫、护士起吃午饭,席间,她表示一定要把太极拳学会、练好。 

 

 

2#

  楼主| 发表于 2008-1-2 09:26:35 | 只看该作者
见到邓大姐和叶帅

87,李志绥大夫来电说,江青今日去北戴河,请我明天也动身。第二天我带了一箱书乘火车去北戴河,到车站一位女青年来接我,一定要帮我提箱子。我说重得很,你拿不动的。她坚持提箱子。看得出她的体力不错。后来才知道她是邓颖超的护士,叫郑淑云。 

我到北戴河第二天,保健局通知我去看电影。在个礼堂里,我一看场中到的人还不多,都坐在后面,我这个人平时看戏看电影都喜欢坐在前面和中间,所以就按习惯坐在第二排中间坐下。但我看到医生、保健局长等人都坐到后面去,感到很奇怪:他们为什么不坐前面来?等了一会儿,人多了,最后刘少奇进来了,他向中间的座位走过来,看到我一个人坐在那儿,向我点点头打了招呼,坐在我前面排座位。这时我才想到,这是首长的座位,但既然已坐下了也就看下去吧。散场后,我问黄树则局长:“你们怎么直往后走也不招呼我一声?”他说:“看戏嘛,这个没问题。我说今后要跟你们在起。他讲这是党中央在召开中央委员会议。我说今后再也不能坐到前面去了。以后看戏时,我跟黄局长,医生就坐到楼上,有一次遥见毛主席进场看京戏。 

第三天上午十点半,护士了曼丽接我去河边一处休息室里,见到江青与她的女儿。江青介绍说她的女儿叫李讷,今年十八岁,现在放暑假,她有头痛病,所以也要她学拳。这次江青的精神好多了,江青诜我已打定主意,学完全套后,将把太极拳改为舞蹈形式,舞蹈也可以吸收太极拳的锻炼要领,医疗睦的拳套,可改为对称运动,打架的动作可改掉。当天下午四点钟,我正在看针炙书时,护士陪李讷来,又继续练简化太极拳。她想一天练二遍,快点把太极拳练好。李讷走后,我仍然看书,过了刽儿,郑淑云陪了一位年纪大的女同志来访。这位女同志自我介绍说我叫邓颖超,是来请教太极拳的。她提出一些问题,询问怎样练疗病效果比较好,我一一作了回答。邓颖超说你的文章我们都看过了,觉得你对太极拳很有研究,文笔很好,知识也广博。我想请你教太极拳,但目前你在教江青,我先让郑淑云跟你练,她学过简化太陂拳,你认真纠正她的动作,她再来纠正我,以后有时间再当面请教,纠正姿势。总理夫人谦和慈祥的话语,使我十分感动。 

邓颖超看到我案头有四本陈鑫著《陈氏太极拳解说》,就随手翻阅。我介绍这是陈家沟陈氏太极拳的经验积累,到第八代的陈鑫才有著作阐发。邓颖超便向我借去看,并对郑淑云说:“你拜顾老师为师,学好简化太极拳。郑淑云当场向我鞠一躬,称我顾老师。邓颖超说:“我曾扭伤过,请大夫按摩,也练过个月太极拳,是郑淑云教的,过去受过寒,有时发冷颤病。有一次,我正在练拳,一位身材魁梧的军人走上来说:“我是叶剑英,打扰你了,我想请教你一下太极拳。能结识久闻大名的叶帅,是令人高兴的事。有两次他专门找我谈太极拳。他认为太极拳很的医疗体育项目,太极拳的好处是呼吸与动作协调。他练静坐盘坐,精神上虽好,但对增强体质没什么帮助,因此体质仍弱。在北戴河时期,每天清晨,我还教黄树则局长、机关管理局赖局长、吴洁大夫、谭书田等十来人打拳,邓颖超也时常来观看,并关照我纠正郑淑云的姿势。他们常常喜欢问动作的技击作用,我跟他们试了几下攻防方法,出手发劲,他们感到很惊奇,也很高兴。有一次,李志绥大夫对我讲:“江青练拳以后,觉得腰酸,她恐怕练拳有问题,最好能将拳操适应她的体质。我便把运动量放得到、些,针对腰疼,把转腰的动作改成不转腰。这样江青再来练时,我就讲了新的锻炼方法:用移动步子代替转腰,把架子改得小一点,运动量随洲、了。江青不以为然地说:“李大夫误会了,腰痛不是主要的问题,问题是我的腿没有劲,因此练上三、五分钟就累了。我还是要坚持练下去,把杨式太极拳练到第一节就告个段落,等我温习一段时间再请你继续教下去。” 

下午李讷到我住所来,我问:“你的拳是否给主席看过?”李讷说:“我父亲看我练了拳,笑着说:‘你练得很像舞蹈。”’我说:“这是主席对你的鼓励,也是对你的批评,因为你练习得像舞蹈,不像太极拳。” 

829日晚上,
江青设宴请黄树则、吴洁大夫和我,江青说:“这段时间练拳时有几次腰疼,暂时不练太极拳了,希望北京医院对太极拳、按摩做研究。但是我还是要把太极拳练好,段时间再请顾老师来教下去。江青最后说:“这次很对不起顾老师,要是十年前,一定官能做好学生,但心未死,今后一定要练下去。江青得知我回北京后要参加1958年全国武术运动会的裁判工作,就说:“可以早些回去,做准备工作。第二天,我便离开了北戴河。


全国比赛裁判工作结束后,上海武术集训队队员盼望我回去,体委杜前副主任来信中也说,上海要开展武术工作,希望我教完拳后马上回上海。我考虑再三,就向荣高棠提出此事,荣高棠说:“如果定要回去,那就先去贺龙家教拳后再回去吧!” 

 

3#

  楼主| 发表于 2008-1-2 09:28:52 | 只看该作者
在贺龙元帅家里

19589X日到107,我在贺龙家教拳。那时贺龙住在东交民巷个大院里,离国家体委不远。那是个初秋凉爽的晚上,刚走进大门,就有人引进,走进客厅,贺龙和薛明正从楼梯上走下来,贺龙夫妇同我亲切握手,热情招呼我坐下。薛明很文静,身体看来很弱,话语不多。薛明说:“因为长期工作过累,看文件时突然晕倒,躺在床上有三个月,经过针炙、药物治疗,现在能走路了,但仍然感到很虚弱。我当时就决定教她简化太极拳,而不是杨式。 

我一共去贺龙家八次,有七次贺龙都在边上观看练拳,休息时和我促膝谈心,对武术工作问长问短,极为关心。那天,我们边谈边练近二个小时,贺龙始终认真听,仔细看,临走时,他还十分关心我下次来的交通、吃饭问题,提出要用车子接。第二天上午,我在做太极拳动作时,因结合腹式呼吸运动,腹中咕咕作响。待我做完动作,贺龙风趣地说:“练太极拳时腹中能讲话,练气功拳不仅腹中讲话,还要吐气发声。我说陈式太极拳是吐气发声和有发劲动作的。说着,我当场练了半套陈式太极拳。贺龙看后很内行地说这是一种能够打架的拳,是属于气功拳一类。我家祖上几代人都会武术,练的是武当派拳术。武当派是张三丰创造的,一个人对付八,九个人不成问题,连老太婆都欺负不得,可有真本事。我根据自己的考据,:“张三丰是道教领袖,《明史》上没有说他会拳术,到清初才有这说法。贺龙听了,朝我一望,换了话题说:“武术是宝贵的文化遗产,要认真地批判继承下来,要批判江湖上的一套,那是武术的糟粕,技术上的好东西定要继承,不要降低技术水平,要有搏斗的本领。我钦佩贺龙的真知灼见,隆得武术运用在战场上是拼性命的,不是给人看看玩玩的,来不得半点虚假,要讲真功夫。 

有一次,我们坐在客厅的长沙发上,兴致勃勃地交谈着,贺龙说:“我年轻时绦鞘艮猛,后来搞军队工作,受了伤,现在膝关节有病,转动时不稳,腰转不过来,要转身就得蹦起来大翻身。说着,他就从沙发上站起来,摆成高架子骑马势,双足一蹦,做了个原地纵跳的转身动作,由面南变成面北的姿势。贺龙体格魁梧健壮,这一蹦起势猛快,落地沉着有劲,显示出武术老功夫的底子。当他坐下,又说道:“我现在打网球、乒乓球,腰腿有病,不能练拳,只练太极拳的云手一个式子。” 

我曾经向贺龙提到病人练习技击性强、动作和呼吸能结合的杨式太极拳,在上海三十年来的成就,已为群众公认,现在许多医生对患慢性病者劝练太极拳;中国武术技术性强的拳种太多,国家体委武术科要提倡这类武术也伤脑筋。贺龙听了就说:“疗病的套能不能和技击性强的一套统一起来,可以研究。他又接着说:“中国体育史如果没有民族武术贯串起来,一部体育史就干巴巴了。武术上提倡什么,反对什么,旗帜要鲜明。武术要注意武术化,不要化武术,可以参考舞蹈、体操、技巧,使动作优美,但如果把武术化成舞蹈、体操、技巧,就不是武术了,挂羊头卖狗肉是不行的。” 

护士陈菊陪着薛明起练习简化太极拳,删门常常参照简化太极拳的挂图来研究我所教的动作,所以学得很快,练了八次就完毕了。看来陈菊是学过体操或舞蹈的,她的动作协调优美,掌握要领也快。 

国庆过后,107日下午,我最后一次来到贺龙家作客,贺龙和以往一样,聚精会神地观看我们练习。练习完毕,稍事休息,我起身向贺龙夫妇辞行,虽然我再三请他俩留步,他俩仍笑容满面地一直送我到门口,还几次三番地说:“辛苦了,再见庠苦了,再见!” 

我万万没想到,这是我最后见到贺龙慈祥的面容和聆听他亲切的教导。时光过去近30,每当我回忆贺龙对武术工作独到的见解,积极主张推广实用性武术,为国防服务的观点,我就格外缅怀这位两把菜刀闹革命的老英雄。 

4#

  楼主| 发表于 2008-1-2 09:30:41 | 只看该作者
  请江青带话给毛主席
  
  1959年冬末,我因全运会时生病,正患感冒,体力未恢复。1224北京卫生部王春林来电,要我即去广州,江青在那里等我温习太极拳。此时,我正在大抓上海武术工作,公务繁重,我希望通过组织为好。王春林说:早已通知了。” 

  28日,我到了广州。前来接我的小殷告诉我:江青的身体比以前好些,神经系统的病仍是主要的,怕烦,怕声,怕人讲话罗嗦,因此你见面时讲话要轻,要扼要,江青认为你在上海有工作,常请你来不好,这次考虑再三才请你来的。下次去杭州疗养,江青想要你当天来回,我们认为这样你太辛苦,去杭州时还是希望你住一个时期,省力些。” 

  当天下午五点钟,小殷陪我去招待所湖内江青的住所,摆设十分豪华。江青见了表示欢迎,休息一会儿,她先练给我看,动作不稳,恐怕是影响呼吸的原因之一,体力不能耐久也是一个原因,几个姿势她练了九分钟,然后她看我练了十一分钟。江青说我的架子低,动作是圆形、连贯的,她的动作是方的,有停顿处,架子也高,这是功夫上的问题。准备学个月,到第二个十字手,然后自己练一个时期,再请你教完全套。我当时提出她提腿太高,她说:这样我容易完成动作,如果学你缓缓迈步,体力不够,你的练法是功夫拳,是打架的动作。” 

  晚饭时,江青问道:体育宫是市级还是区级?”我回答说:是市体委直属单位,市级的,我专管武术。江青又问:你有几个孩子?”我说:有五男二女,大儿1946年参军,小女也14岁了。江青笑着说:太多了,生活负担太重了,看不出你已有五十多岁了,这是练拳的好处。我说:头发也白了。江青说:我视力不好,现在不能看书报,当面看人连面孔者怀清楚,头发白不白都看不出。我说:这主要是体力关系,健康恢复后,视力会改善的。” 

  第二天下午五点,再去江青处,江青说:第二天练拳以纠正姿势为目的,过二天元旦放假休息一下,从13开始学新的动作。她觉得练拳时,手硬还发抖,不柔软,也不均匀。我领了她练一遍,是九分钟,这时江青说:腿有些痛。我说:看来还是要降低运动量。江青说:不,要按照你的练法。我觉得江青这个人很要强,一方面知道运动量高了,一方面还是要学我的样子练,因此,我在隔天写了一份江青练太极拳的原则,仍然强调轻松舒服,步子不要太大。 

  第三天是下午一点钟开始练的,江青学了新的动作,她看了我写的锻炼原则表示赞同。此时有一人来找江青,对我寒喧说:我是陶铸,久仰你是太极拳专家。我一时不知说什么好,仅说:陶书记过奖了。江青对我笑笑,她一定看出我是不会讲话的人。 

  第四天下午三点钟,小殷安排我同叶大夫见面,叶大夫是四川人,1956年到北京,有一次贺龙在四川视察时,因右臂不能抬起,请叶大夫用针灸治疗见效,薛明有几个月躺在床上不能动,也由叶大夫针灸治疗,陈云也经过他的针灸,这次专程到广州给江青针灸,陈家康大使曾带叶大夫到也门,给国王,王后等人针灸治病,很有疗效,国王原想把叶大夫留下来……。正在谈话时,郑淑云来了。她说邓颖超一直在坚持练拳,身体很好。郑淑云说:江青身体太差,练太极拳是否适当,要考虑。殷曼丽也说江青昨天起情绪很低落,消化功能也不好。我表示这一段时期江青最好不要看书报,寒假这个时期,让李讷也来这里,可能对她的情绪会好些。我同叶大夫交换了意见,希望大家配合起来,综合治疗,叶大夫也欢迎经常合作。当时我是这样想的,对于江青的治疗是出于对毛主席的尊重,我们一定要想办法通过医疗体育来恢复江青的健康。 

  在此时期,我抽空去参观黄花岗烈士公园,并拜访广州市武术协会几位拳师,还拜访了八十四岁的伤科医生,南拳名家林荫堂老师。 

5#

  楼主| 发表于 2008-1-2 09:31:03 | 只看该作者
  1960年春节前夕,广东省委设宴,江青要我和叶大夫,警卫员去参加。江青,邓颖超,以及广东省党政领导都到了,我与叶大夫同桌,由省长陈郁当主人。陶铸敬酒时向我打了招呼,说你的太极拳打得很好,我也想学,只是工作太忙,将来有机会一定请教。
  宴会上,我意外地与广东省委书记雍文涛重逢。抗日战争前,我在上海从事抗日救亡运动时期,与雍文涛,顾准编在一个党小组。二十年未见,今在广州相遇,甚为欢愉,世事沧桑,也令人感慨不已。 

  宴会上,江青邀请我跳舞,我说:年青时跳过舞,现在都忘了。叶大夫也说不会跳舞,我们要去看电影。江青说:那就各便吧!”隔天,护士讲,江青昨天跳舞甚久,不感疲劳,我很高兴她的体质有所增强。 

  记得刚到广州不久,有一次看电影时,我见到邓颖超在同人讲话,我不便问候,可她见到我就主动走上前来招呼说:老师,我一直想找机会请你纠正简化太极拳的动作。后来,由郑淑云领我到湖内另一座洋楼,邓颖超已等候在住处。我首先谈了太极拳的要点,一边讲一边纠正邓颖超的动作,这样练了二次。邓颖超说我练了四个月的太极拳,腿力和腹肌有所增强,手指有时仍有麻木和针刺的感觉。你的知识和学问是渊博的,希望你多总结经验,写成文章,使学习太极拳者得到教益。” 

  1960118,有好几辆轿车驶进内湖别墅,同时空军多人也住进来,我估计是党内要人来广州,晚上内河的探照灯也电亮了,隔天,飞行员韩海兰、赵彬刚等四人晓得我在教江青,来找我练拳,我很乐意教他们,教了陈式的套路,并跟他们试一下推手的方法,使他们坚定学习的信心。他们要研究散打的方法,我用粘随反侧震弹劲的方法,给他们试打,他们很兴奋。认为太极拳散打另有一功,他们学了几天,因为要去汉口,就来辞行说,将来到上海时会找我继续学习打法。 

  邓颖超和江青住在内河,护士小殷,小韩,小顾等都学简化太极拳。小殷学得较用心,她希望我写出江青练拳时应注意事项,我写了六点意见交给小殷,让她在适当的时候转交江青。一次,邓颖超约我去谈话,说我这几天面色好多了,要我讲解简化太极拳的要领,见我不善言语,她亲切地说:喝点茶,吃糖果,慢慢地讲好了。接着起练了简化太极拳,告别时,邓颖超问:老师,这次你又要快回上海了,有什么想法,对我讲好了。我一时语塞,想不出有什么要求提出,就说:我没有什么想法。” 

  1960130日中午12点半,小殷陪我到江青的住处。江青练杨式第二节,我再练一次第二节给她看。江青说:我现在的记忆很差。也不能多练,多练身体要垮掉。当天晚上,江青请我吃晚饭,警卫员李连成、几位护士一同进餐,小殷的未婚夫来探望小殷,也请来吃饭。江青问我什么时候入党,家里情况怎么样,她听后说:解放以前,你的生活也不容易的。现在已练了牛套拳,你出来一个月了,先回去照顾一下工作,待我练熟些,下次再请你来,我可以学会全套了,这次又辛苦你,我考虑常常请你来,很不安,但是今后还得请你来。你有什么意见或想法,尽管对我说。我说:我没有别的想法,我觉得太极拳疗效很好,也有健身技击作用,全国还没有普遍开展,能不能请你向主席讲一下,主席能讲句话,各省市推行太极拳就不一样,太极拳也能更多更好地为人类健康服务。江青高兴地说:老师,你放心,我一定把你的话带给主席。
  
  我在上海的酸甜苦辣
  
  回上海不久,市体委人事室来人通知,柯庆施要我教太极拳,可先住进衡山饭店,去柯家方便些。我说:柯庆施练拳每次时间不会多,约定时间就行了。这样既不影响工作,又不必住饭店。当时我单纯地为节约和照顾体育宫武术班起见,但这想法错了,柯庆施是市委第一书记,公务繁忙,我住近了,可以随叫随到,我考虑不周,因此柯庆施后来没有学拳。

我在上海的酸甜苦辣

回上海不久,市体委人事室来人通知,柯庆施要我教太极拳,可先住进衡山饭店,去柯家方便些。我说:“柯庆施练拳每次时间不会多,约定时间就行了。这样既不影响工作,又不必住饭店。”当时我单纯地为节约和照顾体育宫武术班起见,但这想法错了,柯庆施是市委第一书记,公务繁忙,我住近了,可以随叫随到,我考虑不周,因此柯庆施后来没有学拳。

隔不多久,陈云副总理的秘书和医生到体委点名要我教拳,陈副总理因神经衰弱去杭州疗养,要我随去三个月。我因另有任务,无法前往。

秘书回去汇报后,对我说“陈副总理讲了,顾老师目前不能随去,他派警卫员留在上海学这套路,回去教他,顾老师有空子,再去教他。”

陈云的警卫员张全福到体育宫从我学习杨式,说要学和江青一样的套路。我问明陈副总理仅为神经极度衰弱,不比江青还有腰痛等病,就讲明拳套要为病人服务,各人的体力条件不同,病情不同,除运动量可调整外,个别动作可适应学者情况变动。张全福练过杨式,学起来较快,约半个月后他去杭州教陈副总理。

这次我用呼口令教分解动作,以便她容易记,江青也很满意,江青原先只能练三分钟,现能持续十分钟,虽然有时练后会出虚汗。据护士介绍,江青情绪时好时坏,教时要轻声,最好少讲话,多做示范动作,但江青情绪好的时候多,每次能练上十分钟,她自己也讲,每天还复习一二次,这说明体力确有进步。

有一次,江青说:“顾老师,有人说你练的是南派太极拳,不是正宗的,是这样么?”我联想到李雪峰的话,很不以为然,就解释说:“杨式太极拳现在是以杨澄甫的架势为正宗,凡是把杨澄甫的架式修改走了样就不是正宗,杨澄甫在北方,南方教了近千名学生,哪有南派北派之分?有些人好吹自己是正宗,说别人不是正宗,无非是名利思想作怪!

在单独教护士练拳时,吴旭君谈到江青认为我这次的动作,有颤动处,个别复杂的动作没有了。我说:“江青很聪明细心,能看出问题,我注意就是。”

练了多次,江青总能坚持十分钟,有几次练到一半,有人来讲,毛主席来了,江青就停下来,到另一间去和毛主席讲话了,有一次,护土嘱我勿走动,因毛主席在庭中休息,我遥见毛主席正安详地坐在藤椅上,毛主席进屋后,我们才练拳。那时,毛主席虽来了几次,但都未和我们见面,据于丽姜说,毛主席曾看江青练的太极拳,也对江青说:“你练的象舞蹈,不象太极拳。”

总的来说,这次江青练拳,情绪不高,但她还是把下半套杨式学完了。531日是最后一课,我看了江青练拳,江青也看我练了一遍,江青说“又把你拖了一个月,套路学完了,但不熟练,以后怎样温习,再说吧!”这样就结束了第四次教学任务,黄树则送我和一位医生至车站,挥手告别!

在我多年的业余教学生涯中,值得一提的是教宋庆龄副主席打太极拳给我留下亲切而难忘的回忆。宋副主席是1960年找我习拳的,她当时住在上海淮海西路一座花园住宅里,一见面,宋副主席用流利的上海浦东话同我亲切交谈,她说:“沈钧儒先生教我的健身法叫‘摇橹法’,动作就跟船夫摇橹—样。”跟宋副主席—起学的还有她的秘书隋某,华东医院派去的医生、护士等。教完“简化太极拳”后不久,她要去外地视察,就结束了教学。

自从向江青提出请毛主席对太极拳讲句话不久,在一次偶然的机会里,我听说毛主席在关于卫生工作的一份批示中写道:“凡能做到的,者腰提倡,做体操,打球类,跑跑步,爬山,游水,打太极拳及各种各色的体育运动。”毛主席又在一次大区工作会议上也讲了:“你们年龄都大了,身体也不好,太极拳这项运动对老年人的强身健康有好处,我希望你们回去以后,有机会的话找个老师跟着学习。”

1961年夏季。时值三年自然灾害时期,我因编写“五式太极拳”,写武术文章,教拳,还要开展上海武术工作,公务十分繁重,因营养不良,睡眠不足,人已瘦得脱形。宋季文副市长找我去他办公室,说:“江青来沪疗病,要你去温习太极拳,那边是新建的别墅,你可住在那里,顺便也休养一下。”在西部一座大花园里,市公安局长黄赤波及保卫处长王济普都在,黄赤波说:“江青今天不在,以后再通知。”以后未通知我去。

1962年秋,我寄太极拳书给江青和邓颖超,信中说我仍在总结太极拳锻炼经验,还在提倡推手比赛,希望能形成体育项目,想不到几年来走上武术专家的道路,五十多岁的人了,能为党做好一件工作,于愿已足!

1966年文革初期,我因1961年在体育报上发表一组武术故事《习文备武——谈我国古代文人学土的武术活动》,被当作“借古讽今”的文字,太极拳源流上又犯了为太极拳名家“树碑立传”,宣扬其技术成就等等,被打成“三反分子”。

回想起当年知道毛主席提倡打太极拳,使我备受鼓舞,这段时间,我忙中偷闲,写了不少文章,以极大的热情宣传、推广太极拳,在体育宫,我邀请太极拳各流派的著名拳师开办武术班、太极拳班,以1963年为例,开办32个班,学员人数全年共1180人。不料,在“文革”也成了一项罪行,那时我已调入上海市体育科学研究所工作,科研所某君,投井下石,在一次批斗会上,竟然血口喷人,诬陷我培养几万名武术打手,为蒋介石反攻大陆作复辟准备。我的处境愈来愈糟。

 

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美國中醫專業正名勢在必行

二零一三年三月十七日

1984年,舊金山市舉行美國第一批中醫博士畢業典禮。(陳大仁提供)
【大紀元2013年05月03日訊】古老的中國醫術早在一百多年以前已經隨著華裔勞工來美而帶到美國來,少數老中醫也一直默默地在華人社會中行醫,不過這些中國醫術從未被主流醫學界所重視或接受。七十年代初,首先是針灸術,後來接著是中醫各科陸續在美洲大陸的公開傳播,這個過程實際上只有近四十年的歷史。一九七一年七月,美國知名記者、《紐約時報》華盛頓分社社長羅斯頓先生應中國周恩來總理的邀請到北京參觀訪問,期間因患急性闌尾炎入住北京協和醫院急診手術,並因術後反應接受過針灸治療。羅斯頓用他在北京的親身經歷,對中國針灸術的神奇療效向美國公眾發了一個十分生動而有說服力的報導。可以說,這是現代西方主流傳媒對東方傳統醫學所作的第一次正式的報導。羅斯頓一九七一年七月二十六日在《紐約時報》頭版發表的這篇特別通訊,立即在美國,隨即也在西方世界,掀起了一股強烈的「針炙熱」,古老的中國針灸醫術開始受到美國公眾的熱烈歡迎,許許多多美國病家爭相到中國城那些簡樸的中醫診所來體驗針灸的神奇,它標誌著美國近代中醫歷史的正式開始……

早期中醫在美國面臨的挑戰

但是中醫在美國畢竟是一種外來文化,必然受到西方傳統勢力的抗衡和壓制。事實上當時在加州行醫的一些老中醫不時會受到某些政客、警察,乃至個別西醫的騷擾、威脅、誹謗。一些前輩甚至以「無牌行醫」的罪名被拘押起訴。因為根據加州當時的法律規定﹕只有執照西醫師才能從事針灸操作(用器具穿刺人體),而任何非西醫人士進行針灸均屬違法。為使非西醫的中醫師可以合法進行針灸治療,必需修改法律。因此,中醫事業的開拓者們首先要解決的就是合法行醫的權利問題。

「竹林七賢」發動艱辛的針灸合法化運動

七十年代初,三藩市地區的中醫前輩們為了保障自己的行醫權利,更好服務美國公眾,開始逐步組織起來,發動了艱辛的針灸職業合法化運動。一九七二至一九七三年間,當時比較活躍的幾位中醫師,如卞伯歧醫師、李衛來醫師、李奈祖醫師、李愈之醫師、黃天池醫師、周敏華醫師和余庚南醫師等開始常常聚會,商議發起籌組一個中醫專業團體,進而有組織地推動立法運動。

他們於一九七四年正式成立了「加州中醫藥針灸學會」,這是加州第一個以華裔中醫師為主體的爭取職業合法化的組織。他們通過病家朋友的協助,主動和政界人士接觸,終於成功委託當時的加州參議員馬斯可尼先生和韓裔宋參議員等在參議院提出由中醫界自己參與策劃的針灸立法SB86法案,並於一九七五年取得成功。這七位前輩後來被大家譽為「竹林七賢」,深受同業們敬重。

「針灸職業合法化提案」

馬斯可尼(MOSCONI)參議員的母親患有坐骨神經痛症,被卞伯歧醫師治癒,使這位政治家決心支持中醫立法。他在一九七三年提出了SB2117法案(允許非西醫的針灸師在西醫的診斷和介紹的條件下從事針灸治療工作。)和SB2118法案(規定在加州醫務處中設立一個新的行政機構,稱為「針灸顧問委員會」,專司檢核註冊針灸師的考試和管理。)經過中醫界和針灸病家們的努力遊說,這兩個法案在一九七四年初先後通過參、眾兩院,但是最後被當年的雷根州長予以否決,宣告失敗。

新法案雖然沒有成功,但期間激烈的議會辯論和繁重的政客遊說,使大家認識到組織起來的必要性,許多早期在加州地區行醫的前輩們紛紛加入「加州中醫藥針灸學會」的隊伍,進一步擴大了推動中醫立法運動的聲勢。中醫界人士當時在三藩市著名大律師格羅司門先生、灣區工會領袖莫利思列斯先生和吉姆瓊斯先生、病家海倫美爾女士、沙加緬度著名僑領鄧世發先生等十分知名的社會人士的公開協助下,積極團結病家、聯絡媒體、爭取政要,要求針灸行醫的合法地位。


1980年,布朗州長簽署AB3040法案,執照針灸師開始合法從事傳統中醫師業務。(陳大仁提供)

一九七五年州長布朗先生簽署歷史性法案一九七四年十二月六日,中醫界成功委託馬斯哥尼參議員再次在參議院提出針灸法案。參議員將一九七三年的SB2117和SB2118兩案的內容合併為『針灸職業合法化提案』SB86,規定中醫師在一定條件下合法從事針灸治療。該案在一九七五年一月開始辯論,經過長達近半年時間的曲折歷程,直到六月二十七日才成功地通過了上下議院的全部審議過程,並於六月三十日上午十時送交州長辦公室。七月十二日,當時剛剛上任不久的民主黨藉州長布朗先生終於將這條歷史性法案簽署成為法律,並立即生效,開創了中醫在加州合法行醫的新紀元。


1975年,布朗競選州長獲勝,隨即簽署針灸合法化法案,開創公開傳播中醫新紀元。(陳大仁提供)

針灸能代替中醫嗎?

但是當時有關新立法的所有法律文件一律都用「針灸」(ACUPUNCTURE)一詞來表述中醫,這給今天的專業定位在社會上造成相當大的混淆,也在專業內、外遺留爭議。不過今天我們從歷史的觀點理解,當年這種有意識的「誤導」實際上體現了中醫前輩和立法顧問們的政治智慧。

其實,在草擬新立法文本時,多數業者,特別是卞伯岐、李衛來和周敏華等醫師都曾堅持要用「中醫」一詞立法,並向律師格羅司門先生解釋其深遠影響。不過律師經過慎重考慮,鑒於社會上存在著不同族裔的行醫者,建議用「針灸」一詞替代「中醫」,便於被當時各族醫師們所接受。這是一個很有策略性的決策,它不僅大有助於化解「無牌行醫」的訴訟,也順利消除了不同族裔之間的嚴重分歧,既引導我們打贏了官司,也帶領我們爭取職業立法取得成功。用「針灸」一詞替代「中醫」當時有一個重要的原因,那就是要迴避當時韓國人要稱韓醫,日本人要稱漢醫的嚴重紛爭。針灸一詞不帶種族標籤,各族醫師都可以接受,因而彼此合作,有力地推動當時的針灸合法化運動。

但是正如格羅司門(GROSSMAN)大律師於一九七六年在《少年中國報》上公開發表的歷史性文獻〈中醫師在加州的搏鬥〉一文中指出:「針灸職業合法化提案」「還不是絕對的完美」,在當時的歷史條件下,它僅僅為中醫事業在加州的發展打開了門戶。由於必須接受一些必要的妥協,不合理的限制還有待我們逐步加以克服。經過全體中醫師和各族裔中醫針灸組織數十年的共同努力,今天我們已經完全改變了加州中醫事業的面貌。

從中醫立法的發展歷史可以清楚看到名義上的「針灸師」是如何逐步演變成為事實上的「中醫師」的過程:

一九七九年的AB1391取消針灸師診治病人必需先經西醫,牙醫,足醫或整脊醫師診斷或轉診的規定,使針灸師成為獨立的醫務工作者。

一九八〇年的AB3040將針灸執業範圍擴充至包括電針療法,東方式按摩(推拿)及艾灸療法,並授權針灸師開中藥處方。此提案還將針灸顧問委員會升格為針灸考試委員會。

一九八四年的SB2179 提案規定健保組織(HMO)或自身保險或殘障保險計畫以外的醫療保險計畫,包括非營利醫院等集體性的醫療保險計畫都必需具備供選購的針灸福利。

一九八七年的SB840將針灸師在工傷保險系統中列為醫師(PHYSICIAN),有權診治因工受傷的雇員。

特別是一九九九年的SB466 和 2001年的SB341,明文界定並擴大中醫師可以使用的行醫手段。例如:可以使用營養物品、草藥以及膳飲輔助食品等,特別註明中醫師在臨床治療中可以處方使用各種植物、動物及礦物產品。除了過去已經取得合法地位的電針療法、艾灸療法與拔罐療法,以及使用東方式按摩(推拿)、呼吸技術(氣功)、醫療體育(太極拳等)等各治療手段等項外,再增加一項磁療法。


1997年,舊金山市舉行美國第一批中醫骨傷專科醫師畢業典禮。(陳大仁提供)

 從中醫專業教育課程和執照考試制度的發展歷史也可以清楚看到名義上的「針灸師」 是如何逐步演變成為事實上的「中醫師」的過程:

美國的正規中醫教育開始於七十年代初,基礎比較薄弱。加州的中醫教育一直走在全國的最前列,隨著加州中醫專業地位的不斷提高,(例如:成為完全獨立的專科醫療職業,成為第一線醫務工作者,後來在工傷補償系統中被列為醫師等項進步。)社會對中醫師的學術要求也自然逐步提高,而加州的中醫院校多年來也一直在逐步提高教育程度。教學總學時的要求從七十年代的不足2,000學時,到八十年代的2,348學時,乃至九十年代的3,000學時左右。目前許多院校開始提供博士學位課程 (總學時在4,000學時以上),其質素已經達到國際上中醫專業高等教育的同等水平。

同時,加州針灸局核准的所有中醫院校都被要求必須提供中醫師必須修讀的的全套課程,包括:西醫基礎學科的生物化學、人體解剖學、生理學、病理學等,以及中醫基礎學科的中醫基礎理論課、各家學說、中藥學、方劑藥、針灸學、氣功等。臨床學科則必須有內科、外科、骨傷科、婦產科、兒科、皮膚科、眼科、五官科、針灸、推拿、物理治療、運動鍛鍊等。

加州針灸局主持的針灸執照考試,其內容完全按照傳統中醫師資格的要求,包括:中醫理論、診斷、治療,方藥,以及內、外、婦、兒、骨傷和五官等臨床科目,還包括相當一部分的西方生物醫學,甚至醫學法律、臨床法規、倫理等內容。這就是一個中醫全科考試,實際上和中國大陸的中醫高等教育相當的一種資格。

中醫專業至今仍然無法正名的兩大障礙:

正如我們多年來一再強調﹕美國一直沿用的「針灸師」(ACUPUNCTURIST)這一職業名稱具有相當大的誤導成分,因為它在很大程度上不能正確反映當前中醫師服務的實際業務,因而造成社會,尤其是西方社會的許多混淆。隨著中醫立法逐步完善,專業教育逐步提高的同時,我們在專業正名方面的努力也從未放鬆。

就中醫界內部而言,雖然韓裔和日裔中醫師也都認識到「針灸」一詞在加州有明顯的局限性和誤導性。但是出於他們的民族主義的理念,至今無法接受「中醫」一詞。好在我們的華裔前輩具有寬大的胸懷,並沒有用中國的民族主義來與之對抗。他們用智慧的妥協解決了這個矛盾。大家都同意使用「東方醫學」(ORIENTAL MEDICINE)一詞來表達我們的專業,從而維護了團結,共同推動立法和教育的進步。

八十年代開始的中醫博士學位教育使用的就是DOCTOR OF ORIENTAL MEDICINE或 OMD。雖然ORIENTAL一詞多少隱含有對東方民族的歧見,不過三十多年來各族中醫業者,包括白人業者,對此並未曾提出過非議,這一名稱或頭銜也得到官方或中醫教育系統的接受。多數中醫團體和院校,包括華裔和非華裔的組織或機構,現在都還在延用這個名詞,例如:CAOMA, CSOMA, AAAOM, OCOM, PCOM, ECTOM, NCCAOM, ACAOM, CCAOM等等。目前,在主流媒體、在民間、在中醫院校、特別是在華裔中醫團體的英文文件中一般都直接用CHINESE MEDICINE來代替「東方醫學」,或與東方醫學互換使用。不過在有關中醫針灸的法律文件中正式使用CHINESE MEDICINE 或TCM一詞目前尚無法被其他亞洲族裔所接受。這個問題看來還有待通過世界衛生組織水平的國際協商才有機會最終解決。

近年來隨著中醫藥國際化進程日益加快,中醫藥學正在各國迅速發展,目前已傳播到160多個國家和地區,逐漸形成一支數量可觀、涵蓋多個學科、以中醫醫師為主體的中醫藥專業技術人員隊伍。為適應中醫藥國際化的發展趨勢和要求,世界中醫藥學會聯合會參照世界衛生組織的要求,特別制定了《國際中醫醫師專業技術職稱分級標準》,為中醫正名提供了一個權威性的規範。基於中醫起源於中國的世界共識和中國國際地位的日益提高,隨著全世界業界同仁,尤其是美國華裔中醫師們的不懈推動,中醫正名的目標應該在不久的將來可以得到解決。

其實,中醫正名還有一個更大的關卡,那就是來自西醫公會的阻力,因為他們基本上壟斷了「MEDICINE」一詞,不准其他醫療專業使用。2002年,加州中醫界曾委託趙美心議員提出的AB1943,只不過規定加州官方有關中醫針灸事務的法律文件一律統稱之為「針灸與東方醫學」ACUPUNCTURE AND ORITENTAL MEDICINE,以反映中醫界的實際現狀,卻立即遭到西醫公會的強力反對。此項要求甚至無法通過衛生委員會的初步審議而被刪除。隨後,於2006年中醫界又委託眾議院教育委員會哈福議員提出「成立亞洲醫學局法案」 AB2821,簡單地要求將目前的『針灸局』改稱「亞洲醫學局」BOARD OF ASIAN MEDICINE。然而西醫公會還是堅持不讓中醫界使用「醫學」一詞,提案很快就被封殺。顯然,一個只有碩士水平的專業要爭取「醫學」的名銜,阻力必然是很大的。

中醫正名的工作任重道遠,還要我們繼續團結奮鬥:

經過業界全體同仁近四十年的辛勤耕耘和各族裔中醫針灸組織的共同奮鬥,加州執照針灸師已經升格成為「第一線醫務工作者」(PRIMARY HEALTH CARE PROFESSIONAL),甚至在工傷系統中正式列為「醫師」(PHYSICIAN),可以獨立診治內、外、婦、兒、骨傷各科病患。毫無疑問,我們已經是事實上的中醫師。今天加州的中醫事業已經建立起一套比較完善和相當嚴謹的規章條例、教育體制和考試制度;還得到其他醫療職業者,如西醫、整脊醫、心理醫師等的初步肯定;也在廣大消費者中培育起一定的專業信譽。加州中醫正在逐步納入主流醫療體系。這個成果來之不易,應當十分珍惜。為了保證加州中醫事業可持續地健康發展,我們認為極有必要堅定地保持尚未正名的「加州針灸局」的高度專業性。

中醫藥在美國是外來文化,這個專業的力量現在還相當弱小。因此,中醫界不容分裂,我們必須團結一致。同時,中醫學是一門完整的浩瀚系 統,中醫學不容分割。中醫業者要納入主流社會,還必須尊重西方文化,效法西方教育體制和醫療體制的傳統:先修取博士學位,再考取行醫 執照,然後進一步提高成為專科證書醫師。中醫界在當前的立法問題上,在各族裔 中醫業者和中醫團體還有很大的意見分歧的情況下,我們認為應該繼續協商和溝通,沒有達成共識之前似乎不宜匆忙地強行立法。中醫入 主流,教育是關鍵。我們的當務之急是趁布朗擔任州長的寶貴時機, 加緊再次策劃一個中醫專業教育法案,修改入門標準,規定所有中醫從業人員必須修取博士學位後方可參加執照考試,實 現中醫教育與美國其他醫療專業的教育體制相匹配。如此方有利於中醫正名的推動,而全體中醫師的基本權益也才能得到較為可靠的保障。

(責任編輯:鄒宸)

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Toy Avenue

Well-respected Chinese herbalist and landowner Toy Wah Hing was born in Sacramento in 1869.(There also are avenues names Wah and Hing.) The family name, however, was Yee. His father was Yee Fung Cheung, a Chinese herbalist who treated Leland Stanford’s wife, Jane, when she was deathly ill. Stanford called him Dr.Hing, and he came to assume that name, said Melvin Hing, a great-grandson of Yee. Toy Wah Hing also too up the name and herbalist trade, but also invested in large tracts of land, including the land from Auburn in Placer County to areas south of the city of Sacramento. His herbal practice sometime ran afoul of authorities  who accused him of possessing morphine, heroin and opium when he was raided in 1920. Nevertheless, his family, including 16 chilren, was the only Chinese family lived in downtown, and he was the first Chinese man in town to own a car. Grandson Melvin Hing remembers going around to collect rents in the 1930s in an “old jalopy”. Toy Wah Hing’s land holdings included an area now know as Woodbine, where in 1915, he plotted out streets named Toy, Wah and Hing. The streets were plotted on a map. They did not appear on the grounds for years. Song, a street named for his wife, was never built. Three other streets were named Yee, Lock and Sam, the herbalist’s  Chinese names…….(until now, only Lock was built, Fan’notes). Toy Wah Hing’s home was at 725 J street.

Carlos Alcala.Sacramento Street Whys: The Whys Guy’s Wise Guide to Sacramento Street names. Big Tomato Press. Sacramento. 2007 page 71-72.

Yee Fung Chung, Sacramento Pioneer.

Yee Fung Chung came to Sacramento during the gold rush. In 1862,Jane Stanford, the wife of Sacramento businessman and California governorLeland Stanford, became sick…..After moving to Virginia City, Noveda, in 1869, he bagan using his second birth name Wah Hing, a name he utilized until returning to Sacramento. The exact date of his return is unknown, but advertisements for his business at 1209 Third Street, under the name of Yee Wah Hing, appeared in 1901, and he opened an office at 725 J street in 1905. His son, Yee Lok Sam, adopted the name T. Wah Hing in about 1897, continueing his father’s business on third street, but he resumed the name Yee Lok Sam in 1910. Yee Lok Sam’s son Henry grew up in the United States and later continued the family tradition of herbal medicine at another office on J street.

William Burg. Sacramento’s K street, where our City was born. The History Press.Charleston.2012.Page 37-38. (03/25/13 searched)

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Dr. Ralph Coan: a hero in establishing acupuncture as a profession in the United States

Journal of Integrative Medicine: Volume 11, 2013   Issue 1

http://www.jcimjournal.com/jim/FullText2.aspx?articleID=jintegrmed2013007

1.         Arthur Yin Fan (McLeanCenter for Complementary and Alternative Medicine, PLC. Vienna, VA22182, USA )

2.         Ziyi Fan (McLeanCenter for Complementary and Alternative Medicine, PLC. Vienna, VA22182, USA )

DOI: 10.3736/jintegrmed2013007 Fan AY, Fan Z. Dr. Ralph Coan: a hero in establishing acupuncture as a profession in the United States. J Integr Med. 2013; 11(1): 39-44. Received July 23, 2012; accepted August 25, 2012. Open-access article copyright ? 2013 Arthur Yin Fan et al. Correspondence: Arthur Yin Fan, PhD, MD, LAc; Tel: +1-703-499-4428; Fax: +1-703-547-8197; E-mail: ArthurFan@ChineseMedicineDoctor.US

Figure 1  A recent photograph of Dr. Ralph Coan This photograph was taken during the interview. He had recently partially recovered from a stroke while also suffering from heart disease.

1 Introduction

Dr. Ralph Coan is not well known to the general public. Originally, we had wanted to interview him as he was the medical director of the first acupuncture center in the United States that opened in the early 1970s[1]. We wanted to know more about that center’s history. Prior to visiting Dr. Coan, we found an article written by Dr. Sherman Cohn that mentioned Dr. Coan. The article noted that Dr. Coan was the founder of the American Association of Acupuncture and Oriental Medicine, which is the national association of acupuncturists and Chinese medicine practitioners in the United States[2]. While interviewing Dr. Coan on February 18, 2012, it became apparent that he truly is a leading light in establishing acupuncture as a profession in the United States.?Dr. Coan is 75 years old and retired several years ago from his busy medical practice in Kensington, Maryland, USA. As he had recently partially recovered from a stroke while also suffering from heart disease, he could not talk much (Figure 1, Dr. Coan was in the interview). To collect further information about him, we also consulted his former colleagues and relatives, and researched articles written about him.

 

2 An acupuncture believer

“I put an advertisement in the Washington Post stating Looking for a Physician Position. To my surprise, I immediately got a call in the same day. He said, ‘Are you interested in working in an acupuncture clinic? If so, please come.’ I was not familiar with acupuncture before this. However, I had to get a job to support my family after I left the United States Army. At that time, most of the medical doctors (MDs) and politicians did not believe in acupuncture; some media treated acupuncture as a ‘quack’ profession. I started the work with great suspicions. It was at the beginning of 1973.” Dr. Coan recalled 40 years later.

Dr. Coan graduated from the Georgetown University School of Medicine in Washington, D.C. in 1963 as an honors student, had a one-year internship in the University of Chicago Hospitals, and completed his residency at WalterReedArmyHospital in Washington, D.C. He joined the United States Special Army and served at Fort Bragg, North Carolina, in the Canal Zone, Panama, at Lowry Air Force Base, Colorado, and Walter Reed in Washington, D.C. In 1972, Dr. Coan left the Army after serving for eight years due to the end of the Vietnam War. He was one of the three earliest staff physicians, with six Chinese medicine doctors or acupuncturists, to work for the Acupuncture Center of Washington, the first legal acupuncture center in the United States[1]. At that time, Western-trained MDs performed the diagnoses and decided which patients needed acupuncture, and the Chinese medicine doctors would perform acupuncture treatment under the MDs’ supervision. The first MD director of the Center was Dr. Arnold Benson, a New York internist and one of the three founders. Dr. Coan became the second MD director a year later, since Dr. Benson was busy and could not work full-time. As the staff director and co-founder, Dr. Yao Wu Lee recalled that Dr. Coan worked part-time initially, then became a full-time doctor, and at last, served as the MD director, while Dr. Chingpang Lee, a Chinese medicine doctor, served as the office manager.

“I was not sure whether acupuncture was safe and effective, so I wanted to do a little research by myself before I finally decided to work there. I collected the contact information of the first 50 contiguous patients and examined them — the Center had an official copy; I collected by myself secretly. Over approximately two months, I called all of those patients. The results were very encouraging: more than 80% of the patients told me that they got better without any obvious adverse effects. I became a believer, so I decided to work full-time there. I stayed in that Center for approximately 10 years.” Dr. Coan said.

At that time, there were very few acupuncture clinics, and patients came from throughout the United States as well as from many other countries. The Center was immensely popular and had to split into two separate clinics: the Acupuncture Center of Washington and the WashingtonAcupunctureCenter. At their peak popularity, both clinics saw about one thousand patients per day. Within one year, there were thirteen acupuncture clinics open in Washington, D.C., leading it to become a capital of acupuncture. The acupuncture business was so successful that buses full of patients came from New York, New Jersey, and other cities daily to visit the Center[1]. Such scenes and the effectiveness of acupuncture amazed many open-minded MDs like Dr. Coan[2]. However, the booming acupuncture business aroused anxiety and unease within conservative Western style medical institutions and drug manufacturers. In 1974, the Washington, D.C. Board of Medicine gave the Center orders to close acupuncture offices six times. To save the acupuncture profession, as well as the Center, the directors decided to respond. From mid-1974 to the early 1975, they were involved in two lawsuits in the Superior Court of the District of Columbia. The court conducted a serious hearing on acupuncture. Judge Fred Ugast listened to the testimonies of the Washington, D.C. Board of Medicine, the Acupuncture Center of Washington and WashingtonAcupunctureCenter, as well as the public for three months. Dr. Coan was one of the key MDs who attended the hearing and played an important role[2,3].

Dr. Coan remembered very clearly, “One day I was in court. I testified that in Washington, D.C. there were no MDs or dentists trained in acupuncture. It is impossible to get rid of acupuncturists in an acupuncture practice, because they are the experts. Then, Judge Fred Ugast let the doctor who was in charge of the Washington, D.C. Medical Board in. The judge asked him, ‘Dr. Robinson, your regulation wants to limit the right to practice acupuncture to licensed physicians and dentists in Washington, D.C. Do you know how many Western-trained doctors in Washington, D.C. were trained in acupuncture? How many patients need acupuncture everyday?’ The doctor replied, ‘I don’t know.’ Then the judge said, ‘Oh, you can go now.’”

“I predicted that we would win the case. At last, the judge announced that the new Washington, D.C. regulation which wanted to limit the right to practice acupuncture to licensed MDs and dentists is unconstitutional. The rights of physicians to choose proper treatment based on his best judgment, acupuncturists to perform acupuncture, and patients to get professional acupuncture services have been protected. So, acupuncturists could continue to perform acupuncture as long as it is under a MD’s supervision.”

Dr. Coan was a diligent doctor and held at least six qualifications in subspecialties of internal medicine, such as endocrinology and infectious diseases, which is many more than what doctors today may have. He worked with those acupuncturists in his office from 1972 until late 1990s. He said, “I am a believer of acupuncture, although I did not insert any acupuncture needles into any patient. When my family members were sick, I always suggested them to use acupuncture first. Acupuncture works!”

3 A pioneer in acupuncture research

There was very little acupuncture research reported in the 1970s and 1980s, Dr. Coan was one of the pioneers in conducting acupuncture clinical trials. When I mentioned his name to Dr. Lixing Lao, a well-known researcher in acupuncture and Chinese herbology, and a Chinese medicine doctor at the Center for Integrative Medicine of the University of Maryland, he gave Dr. Coan very high praise, “Dr. Coan was an important acupuncture researcher with historical status. His two papers in acupuncture clinical trials on neck pain and low-back pain have been cited by many researchers today.”

In mid-September, 1973, the National Institutes of Health (NIH) held a special workshop for acupuncture scientific study. Dr. Benson and Dr. Coan reported their clinical observation of acupuncture’s effectiveness in 36 cases of rheumatoid arthritis (RA)[4] which was conducted by Dr. Coan.

The presentation at this NIH meeting showed that during the first six weeks after the center was established in December 1972, there were 64 patients with RA who were treated with acupuncture. The first follow-up was conducted three months later. They were able to contact 55 patients, of whom 36 had been given 5 to 24 acupuncture treatments (average 6.6). Of the 36, 25 patients (69%) reported improvement, including less need for pain medications and in some cases, reduction of the nodules which occur on arthritis sufferer’s joints. Of 19 patients who had fewer than 5 treatments, only 5 cases (16%) reported improvement. The second follow-up was conducted six months later, which showed continued improvement by 16 of 27 patients (59%) from the original group. The average age of patients in this study was 55 years, and they had been suffering from RA for an average of 11.5 years.

Many newspapers in the United States reported this news, which encouraged more patients to try acupuncture.

An article entitled The acupuncture treatment of low back pain, a randomized controlled study[5] was reported by Dr. Coan and his colleagues in 1980. The study was conducted within the Acupuncture Center of Washington and Acupuncture Center of Maryland.

Acupuncture treatment was effective for the majority of patients with lower back pain, which was shown by the use of short-term controls and long-term controls, although the latter were not intended in the study design. After acupuncture, there was a 51% pain reduction in the average pain score in the immediate treatment group. The short-term controls and the delayed treatment group showed no reduction in their pain scores at the comparable follow-up period. Later, the patients in the delayed treatment group were also treated by acupuncturists, and 62% of patients reported less pain. When these two treatment groups were compared at 40 weeks with long-term controls (inadequate treatment group), the inadequate treatment group still had the same pain scores, on the average, as when they enrolled in the study. Both treatment groups, on average, had 30% lower pain scores. Furthermore, 58% of patients in the treatment groups felt that they had definitely improved at 40 weeks, while only 11% of the inadequate treatment group felt definite improvement at 40 weeks. There was a significant difference between the groups.

Another article entitled The acupuncture treatment of neck pain, a randomized controlled trial[6] was reported in 1981 by Dr. Coan and his colleagues.

Thirty patients with cervical spine pain syndromes, course of disease 8 years on average, were assigned randomly equally into treatment and control groups. After 12 weeks, 12 of 15 (80%) of the treatment group felt improvement, some dramatically, with a mean 40% reduction of pain score, 54% reduction of pain pills, 68% reduction of pain hours per day and 32% less limitation of activity. Two of 15 (13%) of the control group reported a slight improvement after 12.8 weeks. The control group had a mean 2% worsening of the pain score, 10% reduction in pain pills, no lessening of pain hours and 12% less limitation of activity.

Such study design may be seen as flawed if judged by today’s criteria. However, they were considered impressive by the researchers at that time, especially the studies were the first time in history endorsed by NIH, the United States Food and Drug Administration (FDA), and the American Medical Association (AMA), whichis the main stream medical society. The reports had been documented in the United States Congress in 1979 and was one of key documents used for FDA relabeling acupuncture needle as a medical device from an investigational device in 1994. The later two studies were conducted by local acupuncturists and MDs using their own money, time and labor, with great difficulty, and totally followed the restrict NIH clinical trial rule (control, and random) at that time, which might be the only case in the United States medical research history. Dr. Coan was invited to give lectures throughout the United States. Such studies do therefore have some value. Dr. Coan said, “Acupuncture is a process of a needle piercing the body, to some extent, it is similar to a small operation. As a clinical doctor, I strongly believe it cannot be compared with so-called ‘sham’ acupuncture (which is used as a placebo, mimicking that in medication’s clinical trials; however, it is a real piercing or similar to that). We used the methods of comparing the effectiveness and adverse effects before and after acupuncture in the same patient group, or between the treatment group and waiting-list group. Like an operation, how can we compare the cut of a scalpel with the ‘sham scalpel cut’?”

I agree with him. Indeed, acupuncture is very different from medication; the design of the study should not be the same as the drug model, the so-called “golden criteria”.

4 A key person in establishing acupuncture as a profession in Maryland

“I was an MD who had witnessed so many patients getting better after acupuncture treatment and became an acupuncture believer. In the 1970s, I had strong motivation — I felt that I should do something to push the acupuncture profession forward in the United States. I decided to change something at the local level first. I convinced ten more local acupuncturists, and established a professional organization Acupuncture Association of Washington Metropolitan (AAWM). I was its president for more than 10 years. We met every Saturday morning to share news with each other and discuss the role of the acupuncturists. One day, we met in SuburbanHospital (which was the affiliated hospital of NIH). We were aware that the first quarter of each year is the legislation season in every state, so we decided to remove the obstacle in law for acupuncture in Maryland.” Dr. Coan recalled.

The members of AAWM included local acupuncturists mainly from Hong Kong and Taiwan of China and Korea, such as Grace Wong, In-Su Kim, Hansheng Gu (Hanson Koo) and Sumei Zhang. They met once a month in China Garden Restaurant on Wisconsin Avenue, Bethesda, Maryland. The basic procedure was: ate lunch together (about half hour), and then discussed something new and what needed to be done — like most societies today but we met more often and sometimes held seminars. Maryland was one of the earliest states that allowed acupuncturists to practice acupuncture (Fan notes: similar to the nurses working under the supervision of MD, without license) in the United States in 1973. However, in the early 1980s the Board of Medicine with the conservative Western-trained doctors did not want acupuncturists to have a license and wanted to deprive the acupuncturists’ rights. During 1981 to 1982, Dr. Coan and his colleagues were involved in acupuncture licensing legislation in Maryland.

“At that time, there was a five-person committee representing the Governor and State of Maryland in the hearing. The MD’s representative who attended that hearing was a very, very famous neurosurgeon from JohnHopkinsHospital, a ‘top guy’ in the Western medical field, who did not like acupuncture and tried to block the acupuncture licensing legislation.” Dr. Coan reminisced about the great achievement, “I am a nasty person. I knew him well and I knew he would oppose acupuncture. So I brought three local patients who had surgery from him, which is a secret weapon I used later all the time.” The neurosurgeon told the committee: “acupuncture is just a no-use therapy, especially for neurological issues, such as spinal disc problems that cause back pain and sciatica; only surgery could cure such disorders.” Then it was Dr. Coan’s turn. Dr. Coan brought out patients and asked them, “Do you know that doctor (the neurosurgeon)?” The patients replied, “We were patients of his and had operations from him.” “Did the operations help?” Dr. Coan asked. “No, after the operation, the pain got worse. However, acupuncture stopped the pain.” one of patients replied. The surgeon felt embarrassed and left the hearing immediately. And then Dr. Grace Wong, Dr. Coan’s partner and a well-known acupuncturist, made testimonies for acupuncture. So, acupuncture licensing legislation was passed very smoothly and successfully in Maryland in 1982 [Fan notes: due to the special political environment in Maryland, the Acupuncturist Licensing Act was changed to Acupuncturist Registering Act in 1982. So, the legislation passed in that year was the Acupuncturist Registering Act. The Acupuncturist Licencing Legislation was passed at last in 1994, 12 years later].

“You should understand it is so important to bring patients with you when you try to make testimonies in court and convince people about acupuncture. The patients will give you great support,” Dr. Coan said.

Dr. Lixing Lao once was Dr. Coan’s colleague. He recalled, “I participated in the events of AAWM, because I taught a point-locating class for National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) acupuncture examination preparation for the Tai Sophia Institute in 1986 as a part-time job, while I was a PhD candidate of physiology in the University of Maryland. Tai’s teaching, focusing on five-element acupuncture from England, is very different in content from traditional Chinese medicine (TCM), the main stream of current Chinese medicine. Dr. Yin-sue Kim attended that class and invited me to participate in Dr. Coan’s monthly events. I actually joined them in 1987. One day, we got interest to start an acupuncture school with focus on TCM in Maryland. So, several people became involved in this topic. After the normal meeting completed and other acupuncturists left, we discussed the school issue. The school was started in late 1991, and the first class was in 1992.”

The school was called the Acupuncture School of Maryland, and later, Maryland Institute of Traditional Chinese Medicine (MITCM). After eight years of preparation, the school was initially started in a Catholic elementary school where it held lectures in the evening. After several years, it moved into a professional building in Bethesda, Maryland, which was very close to a metro station, and had all lectures during normal hours. “I was the founder and the first president of the school, and ran the school by myself for two years. My daughter worked there as a secretary.” Dr. Coan said. According to Dr. Lao, Dr. Coan spent a lot of energy, time, and even his own money for the school. Before the school could become financially independent, Dr. Coan lent his money to the school for support. The teachers at the school, mostly from mainland China and well-trained in TCM, included Drs. Lixing Lao, Jingyuan Gao, Eugene Zhang, and more. “Dr. Lao and Dr. Gao were fantastic teachers and scholars, when I was the president there, I attended their lectures for two years. I should give them my heartfelt praise,” Dr. Coan said. The first graduates were twelve students in December 17, 1994. MITCM was very sound in its academic and financial condition. It was a prestigious TCM school on the east coast. However, it closed at the end of 2002.

During the 1980s to 1990s, Drs. Coan, Wong, Lao and Bob Duggan (the founder of Tai Sophia Institute) worked as the main board members in the Acupuncture Board of Maryland for many years. The Board is a state government agency that is in charge of acupuncture licensing and administrates acupuncturists’ practice.

5 The founder of the American Association of Acupuncture and Oriental Medicine

Almost ten years passed from the opening of the first acupuncture center of the United States in 1972. In more and more states, such as Nevada, Maryland and Massachusetts, acupuncture legislation got passed. More and more patients considered acupuncture as an option, and more and more students studied acupuncture and Oriental medicine in the United States and became acupuncturists. These led to the birth of a national organization for the acupuncture profession[2].

Dr. Coan and Louis Gasper, PhD, were co-founders of the American Association of Acupuncture and Oriental Medicine (AAAOM). Dr. Gasper, who died in 2004, was a professor at Los AngelesInternationalUniversity. They sent letters nationally to invite people to attend the first AAAOM meeting at the Los AngelesInternationalUniversity on June 27, 1981. Neither Dr. Coan nor Dr. Gasper practiced acupuncture; however, they are acupuncture believers. The 75 attendees included MDs and dentists who used acupuncture, acupuncturists (non-MDs), and MDs who did not use acupuncture themselves but supervised acupuncturists, like Dr. Coan, as well as friends of acupuncture or those with interest in acupuncture, like Dr. Gasper. The first board was elected at that meeting, and consisted of seven members: two MDs, four acupuncturists, and another doctor without indicating designation. Dr. Coan served as the treasurer. At that time, MDs were the largest groups represented at that meeting. The second AAAOM meeting, held at the Del Coronado Hotel in San Diego in March, 1982, had a much higher attendance than the first. Most of attendees were acupuncture and Oriental medicine (AOM) practitioners. In the third AAAOM meeting, held at the Shoreham Hotel in Washington, D.C. in May, 1983, non-MD AOM practitioners strongly protested MD members’ intentional delay of AOM development, tension between the MD acupuncturists or supervisors, and the non-MD practitioners surfaced without resolution, resulting in all of the MD members walking out of AAAOM except for Dr. Coan. In that difficult time, Dr. Coan was elected as the new president of the AAAOM, which just became AOM practitioners’ own organization. “I was president of the second board and then vice-president of AAAOM for over ten years. During those years, I helped thirteen states finalize acupuncture legislations,” Dr. Coan said.

“I gave testimonies in person in twelve states’ hearings for acupuncture legislation, gave testimony over the phone for Alaska (I did not go there, it is too far),” Dr. Coan said. He wrote the name of thirteen states for us on a paper with his hand, slight-shaking due to the stroke: Alaska, Delaware, Maryland, Missouri, New Hampshire, New Jersey, New York, North Carolina, Rhode Island, Utah, Vermont, Virginia, and Washington, D.C.

“In Utah, there were twelve MDs who were strongly against acupuncture that attended the acupuncture legislation hearing. A representative of the AMA came too. The side that is in favor of acupuncture had only two people in attendance: one acupuncturist and me. The MDs tried to make the law to block all non-MD acupuncturists to perform acupuncture. The reason is that such non-MD acupuncturists had not had the appropriate medical education as MDs. I asked, ‘In your MDs’ clinics, there are nurses who use needles. How many years were these nurses required to study in Nurse Schools?’ They replied, ‘Three years.’ ‘Acupuncturists have education and training for four to six years, longer than the nurses. If the nurses have right to use needles, acupuncturists should be overqualified to use the needles under the supervision of a MD.’ I protested. And then, a MD stood up and said, ‘acupuncture is not useful to treat carcinoma. Acupuncture will cause carcinoma patients delay in getting the right treatments. So, acupuncture will harm patients.’ I stood behind the sponsor who wanted to introduce the acupuncture legislation and gave him the reply of our side. He responded according to my words, ‘Okay, you said acupuncture harms patients. Could you call your clinic and let your secretary use expedited mail to mail me a real medical record which indicates that acupuncture harmed your patients by tomorrow? I will pay the shipping fee.’ The doctor could say nothing. So we won the hearing, and acupuncture legislation passed.” Dr. Coan smiled, “Acupuncturists should remember, never say you could treat cancer (by acupuncture only, although you may help such patients to some extent). In the hearings, the MDs always used this as an example to block acupuncture legislations.”?Regarding Vermont, Dr. Coan said, “During the hearing there were also only two people in favor of acupuncture: a local acupuncturist and me. We won. The weather there that year was extremely cold, and this lady (the acupuncturist) had no money to pay for a hotel for me. So, I stayed in her house, without any heating, for one night. I used ten cotton blankets. That is an unforgettable experience.”

“In 1988 in Virginia, there were five surgeons in attendance who tried to block legislation which allows acupuncturists to practice acupuncture; I went there with In-Su Kim, a Korean acupuncturist, to fight with them,” Dr. Coan recalled. According to a report from a newspaper[7], at that time in VirginiaState, the law made by MDs only allowed licensed MDs to practice acupuncture. Such MDs only had 100 hours of study and 100 hours of practice in acupuncture training. The acupuncturists, mostly with 4 to 6 years extensive training, could not practice acupuncture. Dr. Coan protested in the statehouse, “This law is unjust, unfair, and immoral.”

Per the arrangement of Dr. Coan, on June 22, 1979, George Brown, Jr., an acupuncture skeptic, had acupuncture during a hearing in Congress of the United States. Dr. Grace Wong, Dr. Coan’s partner, did acupuncture on him for smoking cessation; it was very successful. At that time, Brown was the Chairman of the House Science, Research, and Technology subcommittee. It was a breaking news, reported in many newspapers[8].

As another pioneer in the acupuncture profession, Dr. Finando, commented on Dr. Coan[9], “He campaigned and lobbied anywhere and everywhere to lobby for acupuncture.” Not only did he campaign and lobby for acupuncture anywhere and everywhere, his mother influenced by him, also became a volunteer lobbyist for acupuncture.

It is true that Dr. Coan is a great hero of the acupuncture profession, even though he did not insert an acupuncture needle in any patient. He is an MD, but he has contributed his dedication and whole life to support and promotion of acupuncture; all of this as a volunteer.

6 Acknowledgements

The authors would like to thank Dr. Lixing Lao, Dr. Yick-chong Chan, Dr. Sherman Cohn, Ms. Judy Coan-Stevens and Mr. John Coan who provided some detail information about Dr. Ralph Coan, and Ms. April Enriquez for English editing. The interviewer was Dr. Arthur Yin Fan.

7 Competing interests

The authors declare that they have no competing interests.

References

1.         Fan AY. The first acupuncture center in the United States: an interview with Dr. Yao Wu Lee, WashingtonAcupunctureCenter[J] J Chin Integr Med, 2012, 10(5) : 481-492.

2.         Cohn S. Acupuncture, 1965-85: birth of a new organized profession in the United States (pt. 2). Am Acupuncturist. 2011; Spring: 22-25, 29.

3.         Superior Court of the District of Columbia Civil Division. Civil action No. 11005-74. Urie, Coan v. Washington. cited by the records: Lewis v. District of Colombia Court of Appeals (1978). [2012-06-26]. http://www.tx.findacase.com/research/wfrmDocViewer.aspx/xq/fal.19780427-0003.dc.htm/qx.

4.         Sawislak AB (UPI). Two-third of 36 patients treated with acupuncture had pain relief. Williamson Daily News, 1973-09-20 (15).

5.         Coan RM, Wong G, Ku SL, Chan YC, Wang L, Ozer FT, Coan PL. The acupuncture treatment of low back pain: a randomized controlled study[J]. Am J Chin Med, 1980, 8(1-2) : 181-189.

6.         Coan RM, Wong G, Coan PL. The acupuncture treatment of neck pain: a randomized controlled study[J]. Am J Chin Med, 1981, 9(4) : 326-332.

7.         Criticism of acupuncture laws called racist by Asian groups. Afro-American. 1988-08-16(3C). [2012-06-26]. http://news.google.com/newspapers?id=LEpAAAAAIBAJ&sjid=WvUFAAAAIBAJ&pg=2980,674502&dq=ralph+coan+in+su+kim&hl=en.

8.         How to prevent mildew. The Spokesman Review. 1979-06-23(10). [2012-06-26]. http://news.google.com/newspapers?id=yeURAAAAIBAJ&sjid=Ie4DAAAAIBAJ&pg=5438,3626027&dq=wong+grace+acupuncture&hl=en.

9.         Finando S. AOM pioneers and leaders 1982-2007, a commemorative book of challenge and courage. Vol. 1. AAAOM, NCCAOM, CCAOM & ACAOM. 2007: 29-32. [2012-06-26]. http://www.aaaomonline.info/docs/pioneers_and_leaders_vol1.pdf.

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只能称针灸师 美国加州业者推立法为中医师正名

2012年09月10日 10:48 来源:中国新闻网  http://www.chinanews.com/hr/2012/09-10/4171203.shtml

  中新网9月10日电 据美国《世界日报》报道,美国加州中医界将州参、众议会通过的SB628法案视为一大胜利,在该法案下,拥有博士(Dr.)学位的合格针灸师可改称为针灸医师。中医界表示,他们下一步是推动“中医师”头衔,中医师在美国一直以针灸师名义行医。

 

在SB628法案下,凡取得针灸师执业资格前,已获得博士学位者,其正式职衔可改为“针灸医师”。无博士学位者则续称为“针灸师”,在回学校进修取得博士学位后,职衔可改为“针灸医师”。

事实上,从针灸师升格为针灸医师的背后是中医界十几年的努力。中医政治联盟主席刘美嫦表示,过去西医批评中医教育水平不够,所以中医界逐步推动硕士和博士学位,并且同时从立法角度为医师正名。她说,根据目前加州针灸管理局的规定,针灸师完成硕士学位即可获发针灸师执照,要提高为医师就得通过更高的学位考试。

全美有3万合格针灸师,一半在加州。

针灸与东方医学学院院长巫文硕说,据他了解,美国之所以用针灸师而非中医师的头衔,是因为在尼克松访问中国前一年,一名纽约时报记者到中国采访时,染上肠胃炎开刀,当地医师以针灸为他麻醉,他回到美国后大篇幅报导针灸,所以美国人对中医的概念就是针灸。

巫文硕指出,美国针灸师的行医范围包括中药、推拿、太极、气功,这都是法律允许的,实质上等同于中医师。他认为,名正言顺固然重要,但提升中医的内涵更重要,与其争取正名,还不如努力将学生水平提高。(赖至巧)

 

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