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Posts Tagged ‘Acupuncture in USA’

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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 |

http://www.jcimjournal.com/jim/

June 23, 2015 | Arthur Yin Fan, Sarah Faggert (doi: 10.1016/S2095-4964(15)60186-8)
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Dr. Fan’ s new article was published recently.

GLOBAL VIEWS
Nevada: the first state that fully legalized acupuncture and Chinese medicine in the Unites States — In memory of Arthur Steinberg, Yee Kung Lok and Jim Joyce who made it happen
February 27, 2015 | Arthur Yin Fan | J Integr Med 2015; 13 (2) : 72–79
doi: 10.1016/S2095-4964(15)60158-3
ABSTRACT | FULL TEXT | PDF |

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Letters to JAMA Exposing Acupuncture Research Flaws Applauded by TCMAAA

http://www.marketwatch.com/story/letters-to-jama-exposing-acupuncture-research-flaws-applauded-by-tcmaaa-2015-02-19

Published: Feb 19, 2015 8:01 a.m. ET

TCMAAA calls for stricter adherence to research ethics and well-designed acupuncture studies among the integrative medicine community

TAMPA, Fla., Feb 19, 2015 (BUSINESS WIRE) — In five letters to the editor published in the latest issue of JAMA, the Journal of the American Medical Association, acupuncture clinicians and researchers around the world point to key flaws that call into question the validity and research methods used in a randomized clinical trial published in JAMA in October of 2014. The Australian study, Acupuncture for chronic knee pain: a randomized clinical trial, by Hinman, et al., concluded, “In patients older than 50 years with moderate or severe chronic knee pain, neither laser nor needle acupuncture conferred benefit over sham for pain or function. Our findings do not support acupuncture for these patients.” Many American acupuncturists were outraged when the October 2014 article was published in JAMA and have called for a review of the study’s design and protocols.

Yong Ming Li, MD, Ph.D., of New Jersey challenges that the researchers altered the aims and hypotheses of the study after the data was collected and the trial was closed. According to the original aims and hypotheses submitted to the official clinical trials registry in 2009 the objective of the study was not to evaluate the effectiveness of traditional needle acupuncture against sham laser acupuncture, but to evaluate laser acupuncture against sham laser acupuncture with needle acupuncture serving as a positive control for laser acupuncture. Protocols originally filed with the registry as well as the authors’ baseline publication do not describe sham laser acupuncture as being a control for needle acupuncture. Dr. Li’s letter furthermore debates the validity of using sham laser acupuncture as a control for needle acupuncture, as it is not generally accepted as a valid control for needle acupuncture.

Hongjian He, AP, Ph.D., of Florida also questions design choices: she specifically points to the use of non-standardized point selection for chronic knee pain. Also some patients received treatments once a week, while others got treated twice a week. This lack of consistency throws into question the validity of the statistics extrapolated from the data collected during the study.

David Baxter, TD, DPhil, MBA, and Steve Tumilty, Ph.D., questioned in their letters why the researchers chose to use laser dosages below the threshold necessary to have a therapeutic effect and why they failed to specify wavelength used in the study and why those levels were chosen.

Lixing Lao, Ph.D., MB, and Dr. Wing-Fai Yeung, BCM, Ph.D., point out in their letter that patients were assessed after 12 weeks and then again after one year, but that without treatment for chronic knee pain after one year, the condition naturally will deteriorate, so that the findings after a year are irrelevant. With these key flaws revealed the conclusion of this randomized clinical trial is clearly undermined.

No group has been more involved in this issue than the Traditional Chinese Medicine American Alumni Association (TCMAAA). Through its broad social media in the USA and around the world, TCMAAA has orchestrated a series of professional forums and discussions on research ethics and design for acupuncture studies after the Australian study was published in JAMA.

“This collection of letters represents a merging of licensed acupuncturists and integrative medicine practitioners who demand the same gold standards of ethics and design quality for clinical acupuncture research as conventional medical studies,” stated Haihe Tian, Ph.D., AP., the President of TCMAAA.

Even with the challenges acupuncture poses in gold-standard randomized clinical trials this valuable treatment method should not be overlooked. With properly designed and well-thought-out studies acupuncture can be evaluated fairly and thoroughly, with conclusions founded upon careful reasoning, accepted controls, and irrefutable evidence.

About TCMAAA:

Registered in Florida, TCMAAA (website: http://www.tcmaaa.org) is a nonprofit organization with one thousand members of licensed acupuncture practitioners formally trained in accredited medical education institutions in China. As a leading organization among Chinese Medicine practitioners, TCMAAA continues to support its members’ professional growth across the United States.

SOURCE: TCMAAA

For TCMAAA
Selene Hausman, L.Ac., 480-510-2259
seleneph@gmail.com

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Cervical dystonia case

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Dr. Wu: A beautiful, moving and meditative song — In memory of Dr. Jing Nuan Wu, a pioneer of acupuncture and a Chinese medicine doctor in the United States.

Journal of Chinese Integrative Medicine: 2012; 10(8): 837-840

http://www.jcimjournal.com/en/showAbstrPage.aspx?articleID=jcim20120801

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 )

Journal of Chinese Integrative Medicine: Volume 10   August, 2012   Number 8

Received June 10, 2012; accepted June 13, 2012; published online August 15, 2012.

Full-text LinkOut at PubMed. Journal title in PubMed: Zhong Xi Yi Jie He Xue Bao.

Correspondence: Arthur Yin Fan, PhD, MD, LAc. Tel: +1-703-499-4428; Fax: +1-703-547-8197; E-mail: ArthurFan@ChineseMedicineDoctor.US

Few popular songs are titled a doctor’s name and even fewer are sung directly by the doctor’s patients. However, the song Dr. Wu might be the exception. After sung by Steely Dan[1], a well-known American jazz-rock band, Dr. Wu has been loved by many Americans for over 35 years. The beautiful, moving, and meditative song was written in 1975 after Steely Dan had abandoned touring and reconvened in Los Angles, the UnitedState[2]. As one of the best Steely Dan songs, Dr. Wu literally describes the love between Katy and a young Cuban man, and because of Dr. Wu, the girl leaves the young man. Actually, the song writer and singer Donald Fagen, wrote the song as a metaphor commemorating one of the band members’ recovery (probably himself) from drugs with the help of Dr. Wu[3]. Hence, the song is a cryptic lyrical tribute.

1  Who is Dr. Wu?

In the Steely Dan Dictionary[4], the titular doctor is identified as: “Doctor Jing Nuan Wu (1933-2002), an acupuncturist and artist based in Washington, D.C., emigrated from China to the UnitedState at a young age and graduated from Harvard to become a Wall Street venture capitalist, finally setting up a Taoist clinic in Washington, D.C. in 1973.”

I met Dr. Jing Nuan Wu (胡振南) in 2002, just one month before his death. At the time, I had only lived in the UnitedState for one year. I had just received my acupuncture license and planned to practice Chinese medicine in Washington, D.C., so I called Dr. Wu’s office to ask for some advice from him, and he agreed to see me. I did not know he was very ill. We met in one of his offices in Georgetown, located on the beautiful north bank of the Potomac River. He was very thin and wore a black traditional Chinese silk shirt. Because he could not speak Mandarin and I could not speak Cantonese, we used English to communicate. His voice was very soft due to his illness. Dr. Wu described the history of Chinese medicine in Washington, D.C. and he hoped that Chinese medicine could prosper from generation to generation. He said that he was aware that I was a young Chinese medicine doctor with several achievements and expressed that I could work with him should he recover from kidney cancer. It was a pity that the arrangement was never fulfilled. Dr. Wu passed away on December 3, 2002.

Dr. Wu was a legendary person. He was born in Guangdong, China, a province near Hong Kong, but was raised in Greenwich, Connecticut, in the United States. According to the recall of a friend of his[5], Dr. Wu came to the United States with his parents when he was five years old. His parents were laundry workers and worked hard to raise him. Their work paid off as he later graduated from HarvardUniversity with a degree in language and history. He moved to Middleburg, Virginia in the 1960s and caused a stir in Virginia hunt country when he bought the Rattlesnake Ridge retreat from Jacqueline Kennedy[6]. He had an “extreme crisis” in early 1970s before becoming a Chinese medicine doctor[5-7].

Dr. Wu was a venture capitalist in the 1960s and had interest in a firm that was developing Apollo space capsules. He had trouble with the authorities in that period; the immigration officials accused him for faking papers and the Securities and Exchange Commission suspected him of investment improprieties (he denied both wrongdoings). He was involved in a series of tiring law suits and became bankrupt. His United States citizenship was maintained, but he could no longer be a venture capitalist. During this crisis period, he visited his family in Hong Kong. During this visit, an elder relative gave him some life-changing advice — “It’s time for you to do service.” he said. It was then that Dr. Wu learned Chinese medicine from his uncle and was commissioned to write a book on Chinese medicine in English. When he realized that Chinese medicine was effective, he made a decision — instead of writing about Chinese medicine, he began to practice it.

He returned to the Washington D. C. to establish the Taoist Health Institute in 1973, and developed a stable stream of high-profile clients. Under the supervision of a medical doctor, he became one of the earliest acupuncturists/Chinese medicine doctors in the United States. At that time, Washington, D.C. was the first local authority that allowed acupuncturists to legally practice. Dr. Wu was most successful during the late 1970s to early 2000s[5-7]. At the time, when people in Washington, D.C. thought of acupuncture and Chinese medicine, the first name that came to mind was Dr. Jing Nuan Wu[7]. As his friend wrote in a book, “a Chinese idiom says, ‘death is not terrible; two decades later, he will become a hero again.’ Dr. Wu actually became a hero in Chinese medicine only several years after his ‘death in Wall Street’”[5].

2  Dr. Wu’s achievements

Dr. Wu established an acupuncture detoxification center, which is the first notable work of him in 1980s. Due to his deep concern for young American addicted to drugs and being encouraged by the initial success of his acupuncture detoxification test, Dr. Wu established a drug recovery center in 1983 or 1984 called the GreenCrossCenter for Traditional Medicine, located at 1510 U Street NW, Washington, D.C. This center was well-known because it was probably the second most successful acupuncture detoxification center in the United States. The first was established by Dr. Michael Smith in the LincolnHospital in the Bronx, New York, which saw 200 to 300 patients every day, and is financially supported by the state. In contrast, Dr. Wu did all the work on his own with great difficulty. His clinic had no funding from the city, the state, or the federal government. In an interview[7] by Dr. Redwood in early 1990s, Dr. Wu said that he and his associates at Green Cross did the work because they had hoped that it would encourage other people to do the same. However, the clinic required a great deal of money and dedication. “I know of many groups throughout the country that have tried to do what we have done, and they have not been successful because of the lack of one or the other. I can not tell you how much dedication it really does take. The staff are burnt out. We are basically on our second group of staff in seven years. Luckily, our practitioners work for very little. So what has happened is that no one works full-time except two of the administrative staff. Everybody else works part-time. They make money outside of this work, so that they can keep body and soul together. I subsidize the clinic through my personal work, and one or two of my friends have put in substantial amounts of money.” At that time, his detoxification clinic might have been the only one using Chinese herbs, alongside the acupuncture, to treat drug addiction and acquired immune deficiency syndrome[8] in the United States.

His second notable work was the push for the first acupuncture regulation in Washington, D.C., which was released in 1989. He served as the chairman of the Acupuncture Advisory Committee for the District of Columbia, which has advised the Board of Medicine, Washington, D.C., on the regulation and licensing of acupuncturists in the District for over 10 years. He did “one of the more frustrating jobs” in his career — the Washington, D.C. Board of Medicine, and Dr. Wu had agreed early on with regard to the acupuncture guidelines. It then took Dr. Wu and his colleagues three years and five lawyers to put out only 12 pages of rules and regulations. “That is because Washington, D.C. mires in a system of bureaucracy that is impossible to understand. That impossibility stems from one critical lack — that they have no one in the city bureaucracy that can type! So we ended up in a situation where the lawyers get so frustrated that after five months they quit. In dealing with this, it was not until our fifth lawyer that we finally got the rules and regulations into a piece where we could publish them. It is that type of procedure which I think is analogous to the drug situation.”[7]

Dr. Wu also played an important role in acupuncture development in the United States. In 1994, as one of three licensed acupuncturists (the other two were Dr. Lixing Lao, and Dr. Xiaoming Tian) was invited, he gave a presentation on acupuncture as a medical device and the safety of acupuncture in a workshop cosponsored by the Office of Alternative Medicine, National Institute of Health (NIH), and the United States Food and Drug Administration (FDA). Since this workshop, acupuncture needles were no longer listed as an investigational device in the FDA regulations (as it did for 20 years prior to the workshop). This was a milestone in acupuncture development and make acupuncture have broader applications in clinical practice. As a renowned acupuncturist, a Chinese medicine scholar and a practitioner, Dr. Wu was also invited to be one of the key board members listed for the Journal of Alternative and Complementary Medicine — one of main journals in the research of acupuncture and Oriental medicine, in which he published an article introducing the history of acupuncture.

His third notable work was his introduction of Taoism and promotion of Chinese medicine in GeorgetownUniversity, GeorgeWashingtonUniversity, and many other institutions all over the country. He translated and published several important classic books related to Chinese medicine, completing the “homework” that his elder relative had given him many years before. Such works were the Spiritual Pivot (Lingshu, 《灵枢》, published by University of Hawaii Press, 1993), Yi Jing (I Ching, 《易经》,published by The Taoist Center, 1999 and earlier), and An Illustrated Chinese Materia Medica with the collaboration of Dr. Qian Xinzhong, the former Minister of Ministry of Health of the People’s Republic of China (published posthumously by the Oxford University Press, 2002). These books have been widely cited by Western scholars. Before his death, Dr. Wu also completed a translation of Tao Te Ching/Lao Tzu(《道德经/老子》), which, sadly, was not published.

Dr. Wu’s fourth notable work was the use of multiple natural remedies to treat patients. In the 1980s, there was a natural healing center located at Wisconsin Avenue and 30 Street that included acupuncture, Chinese herbology, nutrition consultation, Chinese medicine lectures, as well as an Oriental medicine book store and a small Oriental dietary therapy restaurant. One of my patients recalled that this center was also established and administered by Dr. Wu. Dr. Wu invited several renowned practitioners to take part in the center’s work. The center was unique and attracted many people. However, because of financial difficulties, it closed after several years.

Dr. Wu was involved in promoting Chinese herbology. He said that among Chinese medicine therapies, Chinese herbology is the major one. He was one of the earliest well-known Chinese herbalists in the Washington, D.C. area. Besides his daily clinical work, he carried out a clinical study for women going through menopause using Jia Wei Xiao Yao San, also called Free and Easy Wanderer Plus Powder under a NIH funding. His work was recommended by FDA to the public as an alternative therapy for menopausal women.

3  Dr. Wu, the artist for healing

In the 1980s, Dr. Wu began creating abstract art that embodies the holistic ideas of the traditional Chinese healing system, and had an exhibition at the National Botanical Gardens (Washington, D.C., USA). “My vision for the artwork grew when a patient who was ill with cancer asked me to paint a picture for him. Suddenly I realized that I had found a way to heal many more people than the number I could see in my office every day,” he said. His paintings and sculptures eventually evolved into therapeutic devices, used to promote health, balance, and relaxation by evoking responses from the inner aspects of our being (see Figure 1). Once upon a time, Dr. Wu mentioned that “visual art can and should be celebrated not only for its aesthetic and decorative value and as a record of historical events but also for its potential to help us express, understand and heal ourselves”. He said: “The quest for the transcendental experience has been a popular trip for mystics, and religious persons through the ages. They have followed the paths of meditation and spiritual practice. In the empirical vision and methods of traditional Chinese medicine, entry to the transcendental is an every day experience. The most significant outward manifestation of the transcendental state is relaxation of the physical body. I attempt with my art to change and to reset the clockwork of our inner being to the most beneficial and health-inducing rhythm. When reset and unburdened from the tics of anxiety and social pressure, one is being entered a calm field where new patterns of behavior can develop and take hold within. These quiet inner fields are my new medical country and my artwork is the way of passage.” Ten years after his death, his paintings are still available for purchase online[9].

Figure 1  Dr. Jing Nuan Wu is painting the impressionist paintings about Chinese medicine

This photo was taken in 1990s and was afforded by Ann Miller, Dr. Wu’s former assistant.

Dr. Wu passed away at age of 69, after almost 30 years of acupuncture and Chinese medicine working in Washington, D.C. During his practice, many patients were amazed by him and his work. “He was a genius,” Elizabeth Drew (an author and journalist, and a patient of Dr. Wu) recalled: “He thought beyond the normal ranges.” In a 1985 profile of Dr. Wu published in the Washington Post, the author observed that “there is something about this man. You believe him. His smile defuses skepticism. His Chinese slippers make no noises. In a city founded on convention, Wu is a soothing reminder that there is another way”.[6]

Dr. Wu did many beautiful things; people will remember him. His life of promoting acupuncture and Chinese medicine was just like the beautiful, moving and meditative song that shares his name.

4  Acknowledgements

The authors would like to thank Ms. April Enriquez for English editing; Ms. Ann Miller, a former assistant of Dr. Wu’s clinic, provided information about Dr. Wu, and permitted the use of the picture. The interviewer was Dr. Arthur Yin Fan.

5  Competing interests

The authors declare that they have no competing interests.

References

1.         Steely Dan. [2012-05-12]. http://en.wikipedia.org/wiki/Steely_Dan.

2.         Steely Dan. Katy Lied. [2012-05-12]. http://www.amazon.com/Katy-Lied-Steely-Dan/dp/B00000IPAB/ref=sr_1_1?s=music&ie=UTF8&qid=1336954673&sr=1-1.

3.         Craig Middletown CT, etc. Comments. [2012-05-12]. http://www.songfacts.com/detail.php?id=6519.

4.         Steely Dan. Doctor Wu. (2012-03-05) [2012-05-12]. http://www.steelydandictionary.com/.

5.         Chen C. Acupuncture practice in the United States. Taibei: Blue Swan Co. 1987. Chinese.

6.         Zielinski G. Acupuncturist and artist Wu Jing-Nuan at 69. The Washington Post. 2002-12-6. [2012-06-12]. http://www.highbeam.com/doc/1P2-403078.html.

7.         Redwood D. Chinese medicine in modern America: Interview with Jing Nuan Wu LAc. (1995)[2012-05-12]. http://www.healthy.net/scr/interview.asp?Id=224.

8.         AIDS and the traditional healer. AIDS Action. 1990; 12: 7.

9.         Wu’s Healing Art. The healing art of Jing Nuan Wu. [2012-05-12]. http://www.wushealingart.com.

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