Feeds:
Posts
Comments

Posts Tagged ‘华盛顿’

http://news.xinhuanet.com/overseas/2017-09/27/c_1121734808.htm

如果说传统中医作为一个整体在美国还处境艰难,那么针灸的命运要好得多。经过业内人士长达40多年的努力,美国50个州中有46个州以及华盛顿特区已立法让针灸行医合法化。由于美国阿片类止痛药物滥用与成瘾危机日益严重,针灸在美国面临着大发展乃至被主流医学界所接受的良机。

一周前,美国35个州、华盛顿特区以及美属波多黎各的检察长联名发出公开信,呼吁美国健康保险计划联合会的1300个会员公司修改保险政策,将针灸等非药物止痛疗法纳入在内。此前,美国马里兰州、华盛顿州、阿拉斯加州等已将针灸纳入医疗保险体系。

美国针灸界26日发表一份21页的英文白皮书,列举一系列科研证据,表明针灸能作为一线疗法安全有效地治疗急性与慢性疼痛。

“针灸的春天也许来了,”在华盛顿特区从业的执照针灸师樊蓥对新华社记者说,“这次美国的阿片类药物危机,将让非药物疗法正式有了一席之地,包括针灸、整脊和医疗按摩,但也不能说没有春寒。”

自去年3月时任美国总统奥巴马提出止痛药物滥用问题,在新泽西州行医的执照针灸师李永明就意识到“这或许是一个针灸新时代的开始”。他第一个提出,美国正在开展“新鸦片战争”,这个说法在华人针灸师内部得到广泛认同。

“在各种非药物疗法中,针灸治疗疼痛效果最好,对替代阿片类止痛药最具特异性,所以这对针灸界无疑是个好消息和发展机遇,几十年不遇,为针灸进入主流医学提供了良机,”李永明说。

对于美国各州检察长的呼吁,他乐观地认为,美国保险公司照办的概率很大,一个原因是针灸成本不高,而“阿片类药物中毒急诊住院治疗平均每次9万多美元。够一个针灸师一年的工资。保险公司是要算成本的”。

全美中医药学会会长田海河强调,美国各州检察长的公开信只是一个提议,采纳与否不知道,但这确实可能意味着针灸在美国大发展的机遇即将来临,接下来的问题是怎么抓住机遇。

田海河说,目前美国有4.5万名针灸师,首先技术一定要过硬,能有本领去帮助病人止痛,使病人没有理由、没有借口去用止痛药,也就不会成瘾。“我们要有这个金刚钻,才能揽这个瓷器活。”

他还提醒,即使各州检察长的提议被接受,美国还有很多提供针灸治疗的私人诊所与个体医生并不在医疗保险体系内。保险体系内的一些医生也提供针灸服务,但称之为“干针”,认为这与中医无关。“干针”反而有可能抢先利用这个机遇,这是需要针灸师们解决的问题。

“如果针灸能被纳入医保范围内,这太好不过了。但这将是一个漫长的过程。结果不是等来的,需要我们提供科学证据,证明针灸止痛安全、有效,”田海河说。

对于各州检察长的提议,美国健康保险计划联合会通信与公共关系主管凯瑟琳·唐纳森告诉新华社记者,他们已在探索加强使用已被证明有效止痛的非药物疗法。

唐纳森说:“对于许多患者而言,诸如针灸、瑜伽和锻炼等疗法都是有效的一线疗法,但这视患者个体的不同情况而言,必要时再改而使用药物疗法。”

那么,美国学术界目前到底怎么看待针灸呢?

美国国家补充和综合健康中心官网在对针灸的介绍中指出,只要由有经验的、受过培训的针灸师施针,针消过毒,总体是安全的,但不当施针能引发严重副作用。一系列研究表明,针灸可能有助减轻腰痛、颈痛和骨关节炎疼痛,也有可能帮助减少紧张性头痛发生频率并预防偏头痛。

美国国家科学、工程和医学学院也于今年7月发布一份题为《疼痛管理与阿片类药物流行》的报告指出,近几十年来针灸止痛已成为普遍做法,包括针灸在内的一些非药物干预手段是止痛的有力工具。

2015年,美国医疗保健机构凯泽·珀默嫩特公司曾在6000多名会员慢性疼痛患者中开展问卷调查,结果发现,32%的患者接受了针灸治疗,47%的患者接受了整脊治疗,21%的患者说同时使用这两种疗法。

研究第一作者、凯泽·珀默嫩特公司健康研究中心的查尔斯·埃尔德对新华社记者说,针灸是帮助治疗慢性肌肉骨骼疼痛的一种重要手段,有越来越多的科学证据支持使用针灸止痛。因为慢性疼痛很难治疗,所以针灸治疗就显得很重要。

“通常我们使用的药物效果不佳或者副作用太大,所以医生和患者都期待替代疗法,”埃尔德说,“针灸的作用应该在我们的医保体系里继续增强,这将很有意义。比如,俄勒冈州现在要求医疗保险覆盖包括针灸在内的补充医学方法治疗背痛患者。我预计我们将来会看到更多这样的要求。”

Read Full Post »

Cervical dystonia case

Read Full Post »

Jun 3, 2014 A Madam e-mail To ArthurFan@ChineseMedicineDoctor.US
Dear Dr. Fan,
I spoke with you recently over the phone about my diagnosis of oromandibular dystonia. You had asked that I send you some background, as well as my address to send an herbal remedy to that you have found works well for dystonia patients.

I was diagnosed around 9 years ago by two neurologists (Lahey Cliinic, Mass General) with task-specific oromandibular dystonia. I was doing radio broadcasting (weather reporting) for a couple of years, which involved repetitive phrases and likely- at least in part- brought on the condition. I first developed symptoms while doing the reports in a recording booth, although my conversational speech was normal (behind the microphone I had symptoms, and stepping away from the microphone I had no symptoms). The symptoms intensified over time and I eventually had to quit the broadcasting. My conversational speech eventually became impaired, and it took at least a year (or more) for the condition to go mostly back into remission. I stayed away from the broadcasting until around 10 months ago, and have only been doing a small amount of broadcasting (two hours or so) a week. I started noticing symptoms returning while working in a research lab (that is my primary job and where I spend most of my time). It was a stressful year for me, as I was trying to get a couple of projects finished so I could publish the work- I had invited a colleague of mine to be a co-first author on this work, and we ended up having many stressful, intense conversations about the work that involved constant voice projection (the lab is loud because of background noises). I’m not sure if it was a combination of stress/anxiety coupled with voice projection, and perhaps also coupled with the little bit of broadcasting I had started doing again that brought the condition back. I was also volunteering for a couple of hours a week at a preschool- which involved more voice projection. I first developed symptoms while in the lab, talking with my colleague.

Years ago when the dystonia first appeared, I received scalp acupuncture treatments based on a protocol published in a Chinese journal that showed success in 19 early Parkinson’s patients. This was successful in relieving my symptoms. I’m on the same protocol again and am receiving treatments three times a week. I had published an article in Natural Solutions Magazine (formerly Alternative Medicine Magazine) in collaboration with my acupuncturist. Below my signature is an excerpt from the article.

I was wondering if you could send me information that I could pass along to my acupuncturist that details the protocol that you use with your dystonia patients? I would also be grateful to receive the herbal remedy that you have found works well for oromandibular dystonia. My address is(omitted in this article):

Thank you kindly for your time.
Best wishes,
E
(Excerpt from the published article):
I had been placed on a Bell’s Palsy acupuncture protocol for several months, since this was- at the time- the only neurological disorder my acupuncturist was familiar with, and unfortunately one that is characteristically very different from dystonia. I was about to quit the acupuncture since it wasn’t bringing me any real benefit, when I asked her if she knew of any protocols used to treat Parkinson’s disease- the closest disorder to dystonia that I knew of. Although researchers have not found a direct link between dystonia and Parkinson’s disease, there is great interest in some of the symptom crossover, and research groups are actively trying to better understand the overlap between the two movement disorders. Since Parkinson’s and Dystonia are both neurological and result in similar signs and symptoms, it was possible that a Parkinson’s acupuncture protocol could be adapted to a dystonia patient.

My acupuncturist found a journal article that outlined a protocol that involves both body and scalp acupuncture, and which is used to treat Parkinson’s patients.1 Acupuncture can help relieve symptoms by altering blood hormone levels. In Traditional Chinese Medicine (TCM), Parkinson’s and dystonia are believed to be caused by genetics, aging, damage from excessive emotions, faulty diet, and chronic disease. Parkinson’s and Dystonia in TCM are seen as an inability of the blood and yin to nourish sinews and vessels, resulting in contraction, stiffness, and rigidity. The liver in TCM is what governs the sinews, and if the blood and yin become deficient, yang can become hyperactive, resulting in liver wind. These disorders mainly take root in the liver, but can lead to more complex presentations such as phlegm accumulation, qi and blood stagnation, and spleen and kidney deficiency. In TCM, you treat the root cause; in this case, treatment would involve settling the liver and extinguishing wind, and the manifestations, such as phlegm, stagnation, and/ or deficiency. One small study, An Acupuncture Protocol for Parkinson’s Disease,2 showed a total amelioration rate of 84.2 percent when scalp acupuncture was incorporated into an acupuncture treatment.

 

Arthur Yin Fan,CMD,PhD,LAc Jun 3,2014(E-mail) To A Madam (e-mailed me above)

Hi, E,

You may still use scalp and body acupuncture you mentioned. Take time. And also use some local points.

For herbal medicine, we have two:
(1) Pattern based herbology, heal tea.
(2) Dystonia focused herbal pills. It is called Liu Jun San capsule (100 capsule/per bottle, use 3#, 3 times a day).
It was a Chinese FDA (local branch) approved for hospital use (my former hospital).

 

A Madam Jun 3,2014 To Arthur Yin Fan,CMD,PhD,LAc

Dear Dr. Fan,

Thank you very much. I would like to try the dystonia focused herbal pills (if this is what you would recommend for my condition). I had seen a Youtube video of a gentleman with oromandibular dystonia that you had helped, whose symptoms looked (and sounded) identical to my own (lower left lip spasms, pursing of the lips, difficulty speaking). Did he take the dystonia focused herbal pills, or the pattern based herbology, heal tea?
Thank you again,

E

From: A Madam To: ArthurFan@ChineseMedicineDoctor.US
Sent: Thursday, July 10, 2014 8:19 AM
Subject: Request for more dystonia-specific herbal capsules

Dear Dr. Fan,
The herbal capsules that I received from you (Liu Jun San, 3 bottles in early June) seem to be working very well for me. My condition within two weeks of taking them went into a near remission. I still have symptoms, however my conversational speech has dramatically improved and I am even still able to do some radio broadcasting each week. I have also been doing scalp acupuncture, which might be synergistic with the capsules. I was also taking herbal teas prepared by my acupuncturist for several weeks prior to taking the capsules- She said there was some overlap in the ingredients in the teas versus what is in the capsules.

I would like to order another shipment of Liu Jun San for next month. I would actually be interested in continuing to take these capsules indefinitely, as I believe they might be effective in suppressing my symptoms. Is it possible for me to receive an automatic shipment every month, with the money taken out of my credit card each month automatically?

Thank you kindly.
Best wishes,
E

  • Jul 11 at 9:46 PM  To  Arthur Yin Fan,CMD,PhD,LAc
Wonderful! Thank you so much!
I was at a party this evening, by the way, and I was discussing my condition with someone. She said she never would have known if I hadn’t told her. I really am doing so much better- Thank you!
E

Read Full Post »

Today, a friend told me she had acupuncture in our center for two and half weeks, lost weight 6 pounds.

Acupuncture adjusted her appetite and mood.

Read Full Post »

Yesterday, a 44 years old lady came and hugged me very tightly for three minutes. And then told me she got pregnant naturally after my acupuncture treatment.

She said she should be my no.76 clients got pregnant–because she had seen there was a notes on the office board-75 pregnancy since 2007.

Read Full Post »

J Sex Med. 2010 Feb;7(2 Pt 2):981-95. Epub 2009 Nov 12.

The ACTIV study: acupuncture treatment in provoked vestibulodynia.

Source

Elements of Health Centre, Victoria, Canada.

Abstract

INTRODUCTION:

Provoked vestibulodynia (PVD) is a distressing genital pain condition affecting 12% of women. Treatment modalities vary and although vestibulectomy has the highest efficacy rates, it is usually not a first-line option. Acupuncture has a long history in the traditional Chinese medicine (TCM) system and operates on the premise that pain results from the blockage or imbalance of important channels. The main principle of treatment is to move Qi and blood to cease genital pain.

AIM:

To explore effect sizes and feasibility in a pilot study of acupuncture for women with PVD.

METHODS:

Eight women with PVD (mean age 30 years) underwent 10 1-hour acupuncture sessions. Specific placement of the needles depended on the woman’s individual TCM diagnosis. TCM practitioners made qualitative notes on participants’ feedback after each session. Main Outcome Measures. Self-reported pain (investigator-developed), pain-associated cognitions (Pain Catastrophizing Scale [PCS], Pain Vigilance and Awareness Questionnaire), and sexual response (Female Sexual Function Index) were measured before and after treatment sessions 5 and 10. Qualitative analyses of TCM practitioner notes were performed along with one in-depth case report on the experience of a participant.

RESULTS:

A repeated measures analysis of variance revealed significant decreases in pain with manual genital stimulation and helplessness on the PCS. An examination of effect sizes also revealed strong (though nonsignificant) effects for improved ability to have intercourse and sexual desire. Qualitative analyses were overall more positive and revealed an improvement in perceived sexual health, reduced pain, and improved mental well-being in the majority of participants.

CONCLUSIONS:

Effect sizes and qualitative analyses of practitioner-initiated interviews showed overall positive effects of acupuncture, but there were statistically significant improvements only in pain with manual genital stimulation and helplessness. These findings require replication in a larger, controlled trial before any definitive conclusions on the efficacy of acupuncture for PVD can be made.

Read Full Post »

My patients and many others sometime want to know what is the difference between IVF and acupuncture in infertility treatments.

Actually, the difference is significant.

1. IVF, using artificial procedure to help the infertility couple to get baby(s). It is a procedure with the external help(doctors) and get “pregnancy”, like a game.  And, sometime, using donor’s egg or sperm. The result could know in one month. If you see the patient has bleeding after some days post the procedure(embryo transferring), the IVF is failed.

2. Acupuncture, adjusts the hormones and improving the function, which makes patient become a normal people. And then she could get pregnancy in any cycle.

Yesterday, one patient told me she got pregnancy after our acupuncture treatments.

 

Read Full Post »

Fertil Steril. 2012 Mar;97(3):599-611. Epub 2012 Jan 11.

Effects of acupuncture on pregnancy rates in women undergoing in vitro fertilization: a systematic review and meta-analysis.

Source

Institute of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People’s Republic of China.

Abstract

OBJECTIVE:

To evaluate the effect of acupuncture on in vitro fertilization (IVF) outcomes.

DESIGN:

Systematic review and meta-analysis.

PATIENT(S):

Women undergoing IVF in randomized controlled trials (RCTs) who were evaluated for the effects ofacupuncture on IVF outcomes.

SETTING:

Not applicable.

INTERVENTION(S):

The intervention groups used manual, electrical, and laser acupuncture techniques. The control groups consisted of no, sham, and placebo acupuncture.

MAIN OUTCOME MEASURE(S):

The major outcomes were clinical pregnancy rate (CPR) and live birth rate (LBR). Heterogeneity of the therapeutic effect was evaluated with a forest plot analysis. Publication bias was assessed by a funnel plot analysis.

RESULT(S):

Twenty-four trials (a total of 5,807 participants) were included in this review. There were no significant publication biases for most of the comparisons among these studies. The pooled CPR (23 studies) from all of the acupuncture groups was significantly greater than that from all of the control groups, whereas the LBR (6 studies) was not significantly different between the two groups. The results were different when the type of control was examined in a sensitivity analysis. The CPR and LBR differences between the acupuncture and control groups were more obvious when the studies using the Streitberger control were ignored. Similarly, if the underlying effects of the Streitberger control were excluded, the LBR results tended to be significant when the acupuncture was performed around the time of oocyte aspiration or controlled ovarian hyperstimulation.

CONCLUSION(S):

Acupuncture improves CPR and LBR among women undergoing IVF based on the results of studies that do not include the Streitberger control. The Streitberger control may not be an inactive control. More positive effects from using acupuncture in IVF can be expected if an appropriate control and more reasonable acupuncture programs are used.

Read Full Post »

Acupuncture Today, April, 2012, Vol. 13, Issue 04      http://www.acupuncturetoday.com/mpacms/at/article.php?id=32551

Real Acupuncture or Real World Acupuncture? Deciphering Acupuncture Studies in the News .  By Matthew Bauer, LAc

Recent studies have concluded that acupuncture is no more effective than various forms of sham or placebo acupuncture, and these conclusions have been reported in the media and used by skeptics to discredit acupuncture.

The Oriental medical (OM) community’s response to these reports has been ineffective, perhaps counterproductive. These studies, and the resulting media coverage, can serve was a wake-up call to the OM community, alerting us that we need to be more proactive in our public education efforts and rethink some long-held beliefs regarding the efficacy of traditional theories.

In the News 

In the last few years, several studies sought to measure the effectiveness of acupuncture in treating common conditions.1,2,3 The findings of these studies were widely reported within the media.4,5,6 The good news for the Oriental medicine (OM) profession is that these studies found that acupuncture was not only effective, but often more effective than conventional therapies. The bad news is that these studies also found that traditional acupuncture techniques – based on the point/channel theories taught inOMschools – were no more effective than what is termed “sham” or “placebo” acupuncture.

The most recent of these studies, published in the May 11, 2009 issue of the Archives of Internal Medicine and sometimes referred to as the “Seattle” study, built on other recent studies and is a good example of current acupuncture research. One of the conclusions this study’s authors reached is particularly striking:

“Collectively, these recent trials provide strong and consistent evidence that real acupuncture needling using the Chinese Meridian system is not more effective for chronic low back pain than various purported forms of sham acupuncture.”

As someone who has treated thousands of people with chronic low back pain using the Chinese meridian system, my first reaction to this statement was to feel the researchers were mistaken. But, I also respect scientific research and feel it would be a great mistake for those of us in the OM profession to criticize these studies just because they tell us something we don’t want to hear, without looking critically at both the studies and our own beliefs.

Real Vs. Real World 

The only evidence these studies actually provide is that so-called “real” acupuncture is not more effective than sham acupuncture in a controlled, clinical trial environment. I believe this detail is of critical importance. But, before I explain why this detail is of such importance, I want to critique the response to these studies from within the OM profession.

Up to this point, the sparse response from theOMfield to these studies has been limited to pointing out that there are many acupuncture points including hundreds of extra points, so “sham” acupuncture is still hitting acupuncture points. Regarding studies that use “placebo” techniques in which acupuncture is simulated with the skin unbroken, some acupuncturists have pointed to tapping techniques, common in Japanese acupuncture, that never pierce the skin. While there is some merit to these arguments, they ignore the greater problem with these studies and make theOMprofession sound to the public like we are grasping at straws and making excuses. If researchers can’t help but hit useful points no matter how hard they try to avoid them, why should anyone bother seeking treatment from people trained in the complex traditional theories that stress diagnosing qi imbalances to identify the best point prescriptions?

The primary problem with these studies is not that researchers inadvertently performed real acupuncture when they attempted to do sham or placebo acupuncture, but that the real acupuncture seriously underperformed. Most of these studies show the real acupuncture groups to be somewhere in the 45-60% effective range. Only 45-60%? If I was only getting 45-60% positive effect for my patients, I would never have been able to build my practice and support my family for the last 23 years. Ask any clinically successful acupuncturist, and they will tell you for common pain problems like low back pain, the average range of effectiveness is somewhere between 75-85%.

Obviously, something about the design of these studies does not capture what happens in the real world when using acupuncture to treat these conditions. Unfortunately, we don’t have enough studies that reflect what happens in the real world because most of the money for research has gone to the “controlled” studies using sham and placebo controls, and the type of patient contact that happens in real world treatment is not allowed. None of these recent studies allowed the acupuncturist who did the needling to consult with the patient and choose points and techniques.

In most of these studies, a set of points were prescribed and used repeatedly regardless of the patient’s progress, or lack thereof. TheSeattlestudy was the only study that attempted to mimic actual practice by having a diagnostic acupuncturist see one group of patients before each treatment. This diagnostician chose the points to be used based on traditional diagnostic rationale, but then these points were passed along to the treating acupuncturist who did the actual needling.

Qi Interaction

Will it affect the outcome if the acupuncturist who inserts the needles is not allowed to interact with the patient and choose what points and techniques to use? It shouldn’t matter, if acupuncture only stimulates specific nerve endings, causing mechanical neuro-chemical responses within the body. But, if acupuncture actually works by manipulating qi, as its founders and supporters have claimed for more than 2,000 years, then there is very good reason to believe that the qi dynamic between the acupuncturist and the patient is an important factor that must be considered.

The first day I interned in the private practice of my school’s clinic director, he asked me to take charge of treating a very difficult case. When I balked and said I thought I was too inexperienced to manage such a difficult case, my teacher told me that my sincere enthusiasm created a positive qi that helped to offset my lack of experience. Over the years, I have come to believe the acupuncturist’s qi can be as important as the points themselves. Points do matter, but the effect these points elicit is influenced by the qi of the one stimulating them. Like yin and yang, there is a combination of both factors at play: different points have different tendencies regarding how they influence a patient’s qi dynamics, but that tendency is influenced by the qi of the person manipulating the points. Because this fact is rarely discussed in acupuncture circles, researchers have not taken this into account in their studies.

Skeptics have long contended that acupuncture only works if the patient believes in it (ignoring the effects of veterinary acupuncture or animal studies), but it may be more important that acupuncturists believe in what they are doing. The best practitioners with the highest success rates put everything they have into every treatment – into every needle or patient contact. We choose points and techniques because we believe they are very best for our patients, and that belief influences the effects of the points. Any acupuncturist who puts needles in a patient not believing it to be the very best they can do is inserting those needles with less than optimal qi.

Unlike administering drugs or performing surgery, which manipulates the body in a more mechanical fashion, influencing qi dynamics is more dependant on subtle factors, including the qi of the one doing the manipulating. This may sound like what skeptics call “woo-woo” – irrational, new age mysticism — but it is a key part of acupuncture’s traditional foundation and deserves consideration. Before jumping to conclusions about traditional concepts, we should encourage studies using acupuncture in a way that reflects what takes place in the real world. Let’s study what happens to patients when treated in actual clinic conditions with no blinding or controls, in which the acupuncturist does whatever their years of training and experience leads them to believe is the best they can do for each patient. Don’t limit them in their techniques and communication with the patient, because such limits are not imposed in real world practice. And don’t refer to acupuncture being done under research constrained controls as “real” acupuncture, because it does not resemble the manner in which acupuncture is done in actual practice.

These studies point to sobering realities theOMprofession needs to face. We cannot ignore the fact that in study after study in which researchers stimulated points in a manner that seemed incompatible with traditional Chinese medicine protocols, a respectable percentage of test subjects experienced significant improvement. So while it may be fact that the best trained and most experienced acupuncturists will obtain 75-85% effectiveness rates for their patients, it may also be a fact that poking some needles virtually anywhere will get 40%-50%, sometimes even 60% effectiveness. (See sidebar.) If that is the case, then the value of comprehensive traditional training and years of experience may be in getting that extra 20-30% of successful outcomes.

I am not surprised that poking needles anywhere can help a decent percentage of pain-related cases because I believe any acupuncture stimulates the body to produce anti-trauma chemistry such as pain modifiers and anti-inflammatory compounds. That is why I was never strongly opposed to other health care professionals being able to legally do some acupuncture. I have long felt that rather than fighting to prevent other health care professionals from having the right to perform acupuncture, theOMprofession should be trying to educate these other professions that the more comprehensive training allows for that additional 20-30% effectiveness. In a spirit of mutual respect, we could encourage other health care professionals to refer their more difficult cases to us. This suggestion may not be welcomed by some, but theOMprofession must be open to evolve with the times.

Regardless of how we approach the issue of other health care professionals using acupuncture in their practices, the recent studies and media reporting of their findings should make one thing very clear: The OM profession needs to be much more proactive both in encouraging research that better reflects real-world acupuncture and in educating the public and media about OM and the OM profession. TheOMprofession has never mounted a comprehensive, multi-year, public education campaign. We have never seen fit to make such a campaign a priority. This must change. We cannot continue to leave the manner in whichOMis perceived by the public and portrayed within the media to outside forces. For too many years, our profession has acted as if all we have to do is raise education standards and do the good work of helping people and the rest would take care of itself. The conclusions of these studies and the media reports that followed should be making it clear that this is not the case.

Conclusion

If it were true that getting successful results does not depend on where one puts the needles, then every first-year acupuncture intern would get the same results as their most experienced teachers, which is not the case. While it seems to be true that having positive qi can make up for lack of experience, almost any acupuncturist will tell you that they get better results with experience. After training and licensure, acupuncturists typically spend the next several years of their careers learning more techniques and theories to add to their arsenal. Why do we do this? Because we learn that sometimes your Plan A or Plan B does not get results, so you better have a Plan C, D, and E as back-up if you want to get the highest degree of success. If it did not matter where you put the needles, no one would bother to keep learning additional techniques and the robust continuing education offerings out there would cease to exist.

We OM professionals, who work our tails off helping our patients, know how valuable our services are and we know that points do matter. We are buoyed by the gratitude of our patients, even as they tell us how they wished they had known aboutOMsooner and wonder why more people don’t take advantage of this safe healing resource. We don’t have to manipulate the facts to educate the public, media, and policymakers about what we have to offer, but we do have to guard against allowing the facts to be manipulated against us. There are acupuncture researchers who have a greater grasp of the subtle dynamics of clinical acupuncture, including the Society for Acupuncture Research, and the OM profession should do more to familiarize ourselves with their work and to encourage that the real-world effects of OM is given its just due.

References

  1. Haake M, Mueller HH, Schade-Brittinger C, et al. German acupuncture trials (GERAC) for chronic low back pain. Arch Intern Med. 2007;167(17):1892-1898.
  2. Cherkin D, Sherman K, Avins A, et al. A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back pain. Arch Intern Med. 2009;169(9):858-866.
  3. Moffet HH. Sham acupuncture may be as efficacious as true acupuncture: A systematic review of clinical trials. J Altern Complement Med. 2009;15(3):213-6.
  4. Bankhead C. Acupuncture tops conventional therapy for low-back pain. MedPage Today, 2007. www.medpagetoday.com/PrimaryCare/AlternativeMedicine/6770. Accessed October 11, 2009.
  5. Doheny K. Acupuncture may ease chronic back pain. WebMD Health News, 2009.www.webmd.com/back-pain/news/20090511/acupuncture-may-ease-chronic-back-pain. Accessed October 11, 2009.
  6. Park A. Acupuncture for bad backs: Even sham therapy works. Time.Com, 2009.www.time.com/time/health/article/0,8599,1897636,00.html. Accessed October 11, 2009.
  7. Amaro J. Is most of acupuncture research a “sham?” Acupuncture Today. August 2009;10(8).www.acupuncturetoday.com/mpacms/at/article.php?id=32013. Accessed October 11, 2009.

About the Studies 

The two main trials referenced in this article are the German Acupuncture Trails (GERAC) for chronic low back pain and that carried out in both the Center for Health Studies,Seattle,Wash.and the Division of Research, Northern California Kaiser Permanente,Oakland,Calif.that is sometimes called the “Seattle Study.”

In the German trails, 1,162 patients were randomized into groups receiving “real” acupuncture, “sham” acupuncture, or conventional therapy. Participants underwent 10 30-minute sessions usually at 2 treatments a week for 5 weeks. An additional five treatments were offered to those who had partial response to treatment. The “real” acupuncture groups were needled at points traditionally believed to be beneficial for lower back pain while the sham acupuncture involved superficial needling at non-traditional points. At 6 months, positive response rate was 47.6% in the real acupuncture group, 44.2% in the sham acupuncture group, and 27.4% in the conventional therapy group.

In theSeattlestudy, 638 adults with uncomplicated low back pain of 3-12 months duration were randomized into four groups: individualized acupuncture, standardized acupuncture, simulated acupuncture, and conventional care. In the individualized acupuncture groups, a “diagnostic acupuncturist” considered the patient’s progress and prescribed points according to traditional theory. The prescribed points were then needled by the treating acupuncturist. The standardized group employed a set of points traditionally considered helpful in treating low back pain that were used throughout the treatment series. The simulated group had the same points as used in the standardized group but toothpicks were used to simulate the feeling of acupuncture. The treatments were done using back points so subjects could not see the needles. Treatments in the first three groups were done by experienced acupuncturists and consisted of two treatments a week for three weeks then once a week for four weeks.

At eight weeks, mean dysfunction scores for the first three groups were 4.5, 4.5, and 4.4 points compared to 2.1 points for conventional care. Symptoms improved by 1.6 to 1.9 points in the first three groups and 0.7 in the conventional care group.

While I emphasize the need to distinguish what both of these studies refer to as “real” acupuncture from that which is practiced in the real world of clinical acupuncture settings, the Seattle Study did make note that its design had limitations, including restricting treatment to a single component of TCM (needling), pre-specification of the number and duration of treatment, and limited communication between the patient and acupuncturist. While I applaud this study’s authors for mentioning these limitations, the conclusions they reached regarding the “strong and consistent evidence” that real acupuncture is not more effective than sham acupuncture indicate they did not consider these limitations too significant.


Read Full Post »

Dear colleagues & Friends,

A Spring seminar will be hold by Virginia Institute of Traditional Chinese Medicine (VITCM) on April 1, 2012, Sunday. Hope everyone will arrange time to attend, and share your knowledge and experience.

Topics: The Western Diagnosis, TCM Treatments and Research Updates of Common Skin Diseases; Yellow Emperor’s Classics of Internal Medicine.

Location:Potomac Community Center, 11315 Falls Road,Potomac, Maryland 20854;Tel: 240-777-6960.

Skin problems, which affect more than 10 million Americans, can be one of the most frustrating and stubborn group of symptoms to successfully treat. Many pharmaceutical solutions offer quick relief but do not provide a lasting solution, and come with risks such as toxic build-up in the body and weakening of other organ systems. Therefore, more and more people are choosing alternative solutions such as Chinese Medicine, which can be safer and which intends to address the root cause of the symptom instead of covering it up each time it appears. In fact, dermatology is a recognized specialty in traditional Chinese Medicine. Treatments for skin disorders have been described as early as 1100-221 BC in China.  Acupuncture and Chinese herbs offer a natural solution to improving skin conditions with its sophisticated system, both external and internal administration. There are hundreds of herbal formulas available for skin disorders such as herpes, eczema, and psoriasis.

Fee: $208. (Mail check before March 15, 2012, discount rate at $188).

Contact Person: Dr. Arthur Fan,Tel:(703)499-4428, e-mail: ChineseMedicineInstitute@gmail.com. Address: VITCM,8214 Old Courthouse Rd,Vienna, VA 22182.

Lecture Details (included in lecture and discussion):

8:00AM-9:30AM: Tai Chi and Medical Applications. By Drs. Eugene Zhang, Arthur Fan (Outside, in Parking lot; if rain or snow, cancel). 

9:30AM-1:30PM: Western Diagnosis & TCM Management for Common Skin Diseases. By Dr. Yongming Li (this special lecture outline is available in the Blog part)

1:30 PM- 3:00PM:  TCM and Skin Disorder: An Update on Clinical Research. By Dr. Lixing Lao.

3:00PM-5:30PM: Yellow Emperor’s Classics of Internal Medicine: Four Seasons, Five Organs, Yin Yang and Related Experiments. By Dr. Quansheng Lu

Instructors

Dr.Lixing Lao,  CMD, PhD, LAc, Professor of Family Medicine, Director of Traditional Chinese Medicine Research, Center for Integrative Medicine,University of Maryland School of Medicine, Baltimore,MD.

Dr. Lao graduated from Shanghai University of TCM (MD in Chinese medicine) and completed his PhD in physiology at the University of Maryland at Baltimore. He has practiced acupuncture and Chinese medicine for more than 20 years, and has been awarded numerous grants from the NIH and the U.S. Department of Defense to conduct research on acupuncture and alternative medicine. He presents frequently at national and international conferences, including the seminal 1997 NIH Consensus Development Conference on Acupuncture and the White House Commission on Complementary and Alternative Medicine Policy. He was board cochair of the Society for Acupuncture Research, chief editor of American Acupuncturist, the official journal of American Association of Acupuncture and Oriental Medicine.

Dr.Lao was one of funders and professor of former Maryland Institute of Traditional Chinese Medicine (MITCM), which was a well-known school in TCM education during 1990s to 2000s. Currently, he is the honor president and main lecturer of VITCM.

Dr. Eugene Zhang, CMD, PhD, LAc. has been practicing acupuncture for over 15 years, and is a graduate of famous oriental medical school in the world: the Beijing University of TCM.

In China, Eugene Zhang was a Medical Doctor (MD in Chinese Medicine); here in  US he is one of the top Licensed Acupuncturists inVirginia,Maryland and Washington DC. area. He was a well-respected professor and Clinical Supervisor for the prestigious Maryland Institute of Traditional Chinese Medicine (MITCM). Because of his years of experience, he serves as a consultant for the council of Colleges of Acupuncture and Oriental Medicine (CCAOM).

Dr. Zhang is also a senior Taiji (Tai Chi) and Qigong Instructor, both in the United Statesand in China. He has written a detailed book, “The Ultimate Exercise for Mind and Body” that explains the benefits of Qigong and shows pictorially the different body postures.

Dr. Yongming Li, MD, PhD, LAc (in New York and New Jersey). Our guest speaker.

Dr.Li is a leading doctor in both Chinese medicine and Western medicine. He graduated from Liao-ning college of TCM in 1983, and got PhD, MD in USA.

He is a well-known doctor in dermatology, doctor and scholar in the field of acupuncture and Oriental medicine with more 20 years’ clinical experience. Currently, he also serves as a NIH grant reviewer. He was the president of American Traditional Chinese Medicine Society, which has more than 700 members in New York area.

He has published many academic papers and books,included in “Acupuncture Journey to America”, a new published book in acupuncture history.

Dr. Quansheng Lu, CMD, PhD, L. Ac. Dr.Lu is a licensed acupuncturist in Maryland. He graduated from Henan University of TCM in China and subsequently worked as a resident and attending physician of TCM at a general hospital in China for 8 years. During this period, thousands of patients recovered under his treatment.  Given his outstanding contribution in TCM, Dr. Lu was awarded the Outstanding Doctor Award from the Local government. Dr. Lu pursued his master degree in TCM at Beijing University of TCM.

He continued to expand his education and later received a  PhD in cardiology in Chinese and western integrated medicine  at the China Academy of Chinese medical science. He focused on exploring hypertension molecular mechanisms and looked for new anti-hypertensive natural herbs. His supervisor is Professor Keji Chen; president of The Chinese Association of Integrated Medicine, and academician of the Chinese Academy of Sciences. Dr. Lu was a postdoctoral fellow at Georgetown University Medical Center and Children’s National Medical Center.

Dr. Arthur Yin Fan (Fan Ying),PhD, CMD, LAc, a leading specialist in Acupuncture and Chinese herbology, has more than two decades of clinical experience in both Traditional Chinese Medicine (TCM) and Western medicine. In China, he was awarded an M.D. degree in TCM and a Ph.D. in Chinese internal medicine from famous Nanjing University of TCM. He completed additional one year’s training in the Western medicine diagnosis and treatment of neurological disorders as well as a six-year medical residency combining TCM and Western internal medicine. He was a medical doctor in both TCM and coventional medicine when he worked in a University hospital in China. He was the funder of  Nanjing Stroke Center which is now a China national key center in Stroke rescuing and rehabilitation.

An evaluator of medical science research grant applications for many countries, Dr. Fan is currently a consultant for the Complementary and Alternative Medicine program at the University of Maryland medical school. He has also conducted CAM research for the Georgetown University medical school’s programs in nutrition and herbology.

Dr. Fan holds the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) certificate in Oriental Medicine, which comprises Acupuncture, Chinese Herbology and Asian Bodywork. Dr.Fan was awarded the third place prize in Taiji-quan (Tai Chi) in China first national health-sport congress (1985,Shenyang,China). Dr.Fan is the funder of VITCM.

Ron Elkayam, MSTCM, graduated from the Academy of Chinese Culture and Health Sciences in Oakland,California in 2004 where he studied acupuncture and Chinese medicine. While still in school studying Chinese Medicine,  Ron studied with Robert Levine, L.Ac., in Berkeley, where he furthered his understanding of acupuncture, herbal formulas, diagnosis, and pulse taking. Inspired to take his learning to a new level, he moved to Taiwan in 2005 to learn Mandarin as a way of deepening his studies in Chinese medicine.Over the course of almost five years, Ron studied Mandarin in universities in Taipei, Shanghai, and Beijing, received advanced Mandarin language certification, and worked in hospitals (Guanganmen,Tonren hospitals) as interns, where he was able to communicate with doctors and patients in their native language and gain useful clinical experience.

Ron has a background in mind-body disciplines and has a 2nd kyu (brown belt) in aikido. He has also studied qigong (Wild Goose style), taiji (Wu and Chen styles), and Kripalu yoga. He also believes in the importance of diet and exercise in helping patients reach optimum health and happiness.

In late 2010, Ron finally returned to theU.S.to bring his clinical experience to American patients.  He has NCCAOM certification in acupuncture and herbal medicine, in addition to being licensed inVirginia,California, and Rhode Island. Ron is originally from Baltimore,MD.At present time, he works part-time to assist VITCM’s daily work.

Read Full Post »

“Incredible, my daughter could sleep well and did not have hives again after first-time drinking of the herbal tea you prescribed. Just very slight in the second and the third day’s night. In one word, she has significant improvement, and will get cured.” the patient’s mom said in an e-mail to Dr.Arthur Fan.

This kid has hives several months, esp. during the night- time. Patient had a lot of hives all over the body, affecting her sleeping. Every interesting, the hives disappeared in morning automatically. During the day-time, patient had hives very occasionally.

 “难以置信,您开的药吃的第一夜我女儿就安睡,没有起荨麻疹。第二天下午有一些,但白天好办,玩儿一会儿引开注意力就没事了。第二夜有一点儿。第三夜好好的,一夜无话。总之明显好转,痊愈在即。

Read Full Post »

Read Full Post »

One patient asked Dr.Fan: “Do you think acupuncture could stop my vaginal bleeding during my early stage of pregnancy? ”

My reply is: “Yes. In most of the cases, acupuncture does  help the patients to stop mild vaginal bleeding during their early stage of the pregnancy.”

We had at least 8 successful cases since 2007.

Stopping the vaginal bleeding means stabilizing the condition which may induce the miscarriage.

One patient.Ms.T.M. came today, she had brown color-like bleeding in her vaginal discharge 4 days during her pregnancy week 6.  After one time acupuncture, the brown color disappeared.

Read Full Post »

针灸在美国

From: http://www.wfas.org.cn/en/show.asp?liststate=0&action=&men=3&Position=&id=1616&pageshow=1#

World Federation of Acupuncture-Moxibustion Societies.

(Author: Liu Jin;   source:information center, Published in 2009)


一、 历史的回顾

    据文献载中医药、针灸早在17世纪便由中国传入欧洲,再由欧洲传入美国。最早在美国出版英文版本针灸专书的是一位名叫F.Bache 的美国医师翻译由S.Morant所著的法文针灸 书,该书于1825年在费城出版( S. Morant: Memair on Acupuncturation)。次年即 1826年 F.Bache。进一步又在北美内科与外科杂志发表 他本人用针灸所治疗的病例报告(F.Bache: North American Medical and Surgical jourrnal l:311-321,1826)。此后便陆续有一些有关针 灸论文在美国发表。经过一百余年后,1942年 E.A.Brav与H.Sigmond曾在美国军医杂志上 报告针灸的疗效,特别强调针刺止痛的疗效 (E.A.Brav:Military Surgeon,9):545-549, 1942),可见在当时已将针灸疗法逐渐介绍到军医中采用。

    华人先侨随着美国自1848年开始的淘金热、铁路热及采矿热之后而大量涌入美国。不久之后,在旧金山及纽约等地随着华埠的出现便开始有一些老中医及针灸医师悬壶济世治病救人,真正的中医药/针灸医术亦随之在美国出现。但在美国掀起“中医针灸热”的要归功于著名报人赖斯顿(James Reston)。赖氏曾任纽约时报副总编,著作颇丰,蜚声国际。1971年赖氏随尼克松总统访问北京后(Arthur Fan Notes: it is before President Nixon’s visit),因患急性阑尾炎而入住协和医院进行手术。手术时及手术后曾用 针麻止痛,疗效甚佳。他于7月康复出院后详细着文介绍了亲身经用针刺止痛的经历及中国中医药的发展和中西医结合的情况,加上电视的播放,霎时间中国针灸针麻的奇迹便展现于美国的千家万户,针灸诊所的患者络绎不绝,对中医针灸医师之需要亦随之大增,不久针灸学校应运而生,歧黄医术随之渐盛于美国。

    由于受到美国“中医针灸热”的影响,美国国立卫生研究院(NIH)于1972年7月成立了“针刺疗法特别委员会”,由麻醉学者、神经病学 者及生理学者等人组成。其主要任务是:复习中国有关文献;组织调查研究有关针灸情况以 及举行针灸学术研讨会等。该委员会于1973 年3月在马里兰州比塞大召开了第一次学术会 议。会上有40余项有关针灸方面的初步研究 成果进行了交流。该会主席J.Bonica教授(华盛顿大学医学院麻醉科主任)在总结发言中指出:“现有资料证明针刺疗法是有效的,这对医 学是重要的。针刺作为某些外科手术中的一种 麻醉方法和一些急性和慢性疼痛的治疗手段是 有希望的。但要在美国广泛开展临床针刺治疗 之前,必须进行妥善精密的设计和严加管理的 科学研究(Proceeding NIH Acupuncture Res each Conference,VI,1973)。

      同一时期美国出版了两份国际有名的中医 针灸杂志。一为美洲中国医学杂志(The Americanl ournal of Chinese Medicine ),于 1973年1月出版,为季刊。另一为美国针灸杂 志(Americann Journal of Acupuncture), 于1973 年3月发行,办为季刊。

    这一时期有些学者还 相继在美国各地成立了有关中医针灸的学术性团体,如美国中国医学会、美国全国针灸研究学会等,都对推动中医药/针灸事业在美国的发展 起了积极的推动作用。

                                    二、美国中医药/针灸的现状

2.1中医药/ 针灸人员的情况

    目前全美国已有34(Arthur Fan notes: currently 44 States,pus DC)个州有针灸立法,颁发针灸执照,全美已有约一万(Arthur Fan notes:At least 3o,000) 名执照针灸医师。 其中约40%分布在加州,约10%分布在纽约州,其余分布在其它各州。另外,约有5000名西医师和3000名脊椎正骨师持有针灸执照,因而可以兼做针灸治疗工作。执照针灸医师由于所在各州立法的不同,职称和行医范围差异很大。例如,在新墨西哥州,州立法规定:凡取得该州针灸执照者,便可 称之为 Doctor of Oriental Medicine(DOM),并 有权写一般西医范围之内的化验单、X线检查 单等等,并可独立诊断疾病,进行医疗鉴定、穴 位注射、激光穴位治疗、指压推拿、开写中药处 方、美国草药、顺势疗法(homeopathic)、物理治 疗,以及给病人开维生素、矿物质、各种脢、氨基 酸等。加州则较特殊,中医与针灸合为一体,两种业务可以兼做。即凡取得针灸执照者,可同 时开写中药处方或给病人中药。对取得针灸执照并有相当医学背景者(即医学学历较高)可称为 Chinese Medicine Doctor(C. M.D)或 Oriental Medicine Doctor(O.M.D.)。佛罗里达州对有针灸执照者,可称为针灸医师(Acupuncture Physician),并允许针灸医师做穴位注射。纽约州针灸立法则规定,除非在中国已获得中医博士学位,广告上不得称自己为Doctor,若有足够的医学背景者亦只能写明: Physician in China, but not in N. Y. S。

    各州之所以有如此大的差异,除了各州情 况有所不同外,主要在于当权者对中医针灸的 理解程度和各州中医针灸工作者的力量,尤其是团结的力量情况而定。也有些州至今针灸执 照是附属于西医委员会之下颁发,如密执安州、 密苏里州及肯萨斯州等。 与针灸日益发展的同时,中医药界的队伍 也在日益壮大。中医诊所和中药店也如雨后春 笋般不断增加,其中不乏有国手及高明的中医 界老前辈。现在中医师及中药店不仅集中在华埠,而且已经不断的逐步深入到主流社会活动与居住地区并受到更多人士的欢迎。现在像在旧金山、洛杉矶、纽约、费城、波士顿、西雅图、亚特兰大等城市的中医诊所和中药店均已达上百家或数百家之多。但是,除加州等少数州中医师已取得合法地位之外,其它各州中医至今尚未立法。中医药到底要不要立法?以及如何立 法?看来需要全美国的中医师首先团结内部达成共识,再进行争取才会有力量。

 2.2中医药/针灸的教育与考试

    目前全美国已有约70所中医针灸学校,其中已被审批合格者有32(不止, 樊蓥注)所,其余正在申请审批中。大部分学校是培养针灸医师的,其学制一般为3年。也有一部份学校是培养针灸与中医师的,其学制多为4年。入学资格一般要求需具有2年大学(College)学历。在校内修完一定学分后可参加全美(N.C.C.A.O.M.)针灸或中医师(或两者全考)资格考试。毕业后也可参加加州针灸(中医)师执照考试,获得执照者可在加州独立开业行医。

    近年有部分中医针灸学校开设针灸或中医学硕士学位课程,也有的正在筹划开设博士(Ph D.)课程。 美国N.C.C.A.O.M.自1985年开始举行美国联邦针灸医师资格考试。每年4月在加州举行,10月在纽约州举行,到目前为止已有6000(现在过万,樊蓥注) 多位针灸医师通过考试。

参加考试的资格限于:

(1)美国国内经3年制或以上针灸(或中医)学历并完成一定学分者;

(2)在美国国外,如中国大陆5年制或以上中医学院毕业各科及格者;

(3)西学中学历要求在5年以上者(中、西医务科相加);

(4)跟师带徒式学习者,老师资格及学习内容需要公证。

    考试分3天进行(现在可以在各地网上考试,樊蓥注),1天为中医针灸理论 与临床知识笔试。限5个小时内答完200个选 择题;1天为点穴考试;1天为C.N.T.(洁针技 术)考试,包括笔试和操作。考试可用英、中、 日、韩文。自1995年开始N.C.C.A.又增加了中药考试,因此N.C.C.A.亦随之改名为N.C.C.A.O.M。中药考试为1天,在5个小时内要 求用笔答完200个有关中药和方剂的选择题, 其中包括中医基础理论。中药考试条件大体和针灸要求相似。到目前为止大约已有800多位中药师通过考试。 考试通过者由N.C.C.A.O.M.发给合格 证书及考试分数通知。持此合格证书者,说明 具有该科之资格,因此亦可称为资格证书。有 的州对有此证书者即颁发针灸执照证明,有的州对用中、日、韩文考试者,另外要求要有英语托福500分以上的成绩(或在大学修完3个学分的英文课)、毕业证明与所学各科成绩单及绿卡等。

 2.3中医药/针灸学术地位改变情况

    中医药/针灸在美国的学术地位是逐步改变和提高的。每提高一步,便说明国家主流社 会的认可程度亦提高一步。美国国立卫生研究院(NIH)对中医药/针灸一直抱着审慎的客观态度,即对中医药/针灸通过不断的考察研究,不断的提高认识水平。

    NIH于1992年起成立了另类医学办公室(O.A.M.),对包括中医药/针灸在内的所谓另类医学,每年拨款一千万美 元(逐年增加)进行研究。因而像哈佛、耶鲁、斯 坦福及霍普金斯等着名大学均承担了研究任务。通过多年的研究NIH终于在1997年11 月初召开了关于针灸的听证会。

其四点结论是:

Ⅰ针灸在美国已广泛应用并有应用价值;

Ⅱ 需探索更多的适应症;

Ⅲ原理研究已明确了能 释放神经及对内分泌的影响等;

Ⅳ尚需进一步解决的问题有:针灸医师的培训、颁发针灸执 照的标准及医疗保险费的支付等。

    美国国家药品和食品管理总局(FDA)在经过多年肯定针灸疗效的基础上,已于1994年正式通过针灸用针由第三类(实验性)医疗用品器械晋升为第二类(医疗用)器械类并宣布其安 全性。1996年9月第四届世界针灸大会在纽约召开,与会者为来自46个国家和地区的专家学 者,1200余人聚首一堂进行学术交流。克林顿总统曾发来专函向大会祝贺,这是美国中医药/ 计灸史上的一件空前大事。

 2.4 中医药/针灸业界的经济地位

    一个行业在一个国家的社会政治地位是由 经济地位决定的。中医药/针灸事业如要纳入美国主流社会的关键,除了其疗效及科学性被 主流社会认可之外,主要是保险业是否支付中 医药/针灸的医疗费用。直至1995年为止美国医学会负责主编的 通用医疗程序编码》(CPT code)一直拒绝将 针灸列入其中。其所持理由是:针灸在美国还 处于试验阶段。正是这种立场严重阻碍了中医药/针灸纳入美国主流社会的历史进程,使美国 保险业系统一直拒付针灸医师的医疗服务支付。

现在代表美国广大西医利益的美国医学会 终于承认针灸是一种正式的有效的医疗程序。 自1998年 1月起全美国中医/针灸医师终于可 以使用该程序,向保险公司申请医疗服务。 自1998年1月起牛津保险公司开始承认 并受理中医/针灸保险之后,同年6月蓝十字蓝盾公司也正式宣布接受针灸保险。现在中医药/ 针灸界的最大愿望是,争取国会在本世纪最后 l-2年之内通过中医药/针灸立法,从而促使 医疗补助(Medicaid)和医疗照顾(Medicare)两项全美国最重要的保险项目,开始对中医药/针灸医疗的全部支付。只有这样才能使更多的美 国民众接受中医/针灸医师的医疗服务,而中医 针灸医师社会地位亦会真正的纳入主流社会。

 三、中医药/针灸在美国的今后 展望

                                                                                                                                                          3.1时代的召唤,历史的使命     

    美国是一个年轻的多民族多文化融合的国家,它欢迎一切对其国家和人民有利的事物。 近20多年来中医药/针灸等所谓的另类疗法,得到越来越多的美国人的欢迎,并且正在发展 成为一个富有生命力的确有其存在和发展价值 的医学学科。 当今由于化学疗法对人体的各种副作用和 后遗症的不利影响越来越明显,加上环境污染 导致人类面临严重的生存危机。有证据显示人类由于这些公害的结果,现在生殖能力每况愈下。

    在此人类历史的大潮流之下,有越来越多 的人要求回归大自然。特别是要求回归自然疗法的呼声已经响起。因此,中医药渐灸推拿按摩以及医疗气功等自然疗法正好符合时代的召唤、肩负这一历史的使命。有人经过统计发现, 现在每3个美国人中,就有一个曾经求助过另类疗法。从医治感冒到绝症求医,各种各样的 病人都有。

    另有一项调查显示,有超过半数的 西医医生在使用其专业医疗方法之后没有疗效 时,曾暗示病人可以尝试另类疗法。一些素有 盛名的医科大学,也已经开设了针灸或中西医 结合的诊室、诊所或研究构等。总之,中医药 /针灸现在美国正是发展的大好良机。

3.2提高素质,加强组织建设

    当前中医药/针灸医师队伍的素质显然已经不断得到提高。但是从1996年纽约州中医药界所出现的那一场严峻的六月风暴来看,由 于个别的人违法乱纪(向病人卖假药等),几乎使得整个中医药界蒙受不白之冤。如果当时没 有纽约州针灸委员会出面调停和各方善心人士 的共同支持,尤其纽约中医药学会及各针灸学 会等的努力,后果不堪设想。可见中医药/针灸 业界人士的素质是极端重要的,为此应当首先 加强一的组织建设。 当前中医药/针灸界的学会性组织仍停留 在有如雨后春笋般的状态。这些组织都分别起 过巨大的有益的推动和团结提高的作用,它是 特定历史条件下所必然的产物。

    历史在前进, 时代在变化,现在应该将这些组织联合起来,再 统一组织全国性的中医药/针灸学术组织。西医师之所以力量强大,这与他们具有统一的全 国性或全州(市)性组织有很大关系。只有统一 的组织或组织健全之后,才能及时发现并纠正害群之马一类的事件,也才能更好的提高中医药/针灸业界人士的素质,并使之达到时代所要 求的医术和医德水平,更好地为广大民众服务。

 

3.3 争取与美国传统医学(西医)并驾齐驱

    在美国的主流社会中所认为的传统医学是 西医,他们认为只有西医才是正规的医疗体系。 中医药/针灸、推拿、按摩等只是另类疗法。这是 由于国情和历史条件所造成的。但是,事物总是遵照事实、真理和科学的规律在起变化和发展。相信只要中医药/针灸业同道们的业务水 平进一步提高,医疗水平和医疗效果进一步被 主流社会所认同,在科研、教学、医疗等方面均 能向科学化、客观化、标准化、规范化不断迈进, 医德和个人素质被广大患者所称颂和欢迎,最后必能与美国传统医学各科并驾齐驱。

Read Full Post »

[Dr.Fan notes]: I graduated from Nanjing University of Chinese Medicine in 1986. During my study in that period (1981 to 1986), Dr.Xia Guicheng was my teacher in the class of Chinese Gynecology (Gynecology in Traditional Chinese Medicine), I also had internship under another TCM gynecologist Dr.Sun Ningquan.
Some colleagues asked my if I have Dr.Xia’s book or article, actually, there are several books written by him or his students, available at http://www.amazon.com:
1. Xia Guicheng Practical Chinese Gynecology (Paperback) by 2009 Chinese Medicine Press; 1 edition (October 1 (Paperback – Oct 1, 2009);
Dr.Xia Guicheng also published many academic papers, in Chinese language, some of them already available in English. Here are his papers online.
homepage.mac.com/sweiz/files/article/67-30.pdf
File Format: PDF/Adobe Acrobat – Quick View
by X Guicheng
Xia Guicheng is one the most eminent gynaecology specialists in China today. In my own practice, I find that adapting the treatment principle to the menstrual 
books.google.com/books?isbn=0936185481Bob Flaws – 1993 – Health & Fitness – 267 pages
Xia Guicheng gives the following account of such correlation in the Shanghai Journal of TCM, October 1992. 10 Xia identifies six types or categories of BBT 

Xia GuiCheng (1932 -) is a professor of gynaecology at Nanjing TCM College, and has been involved in teaching, research and clinical treatment for over 30 

Xia Guicheng « Topics in Chinese Medicine

chinesemedicinetopics.wordpress.com/category/famous…/xiaguiche

May 11, 2010 – Posted in Famous Doctors, Xia Guicheng on May 11, 2010 | Leave a Comment ». Dr. Xia is the director of the Gynecology Department at the 

Read Full Post »

Older Posts »