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Chen Y. A Perspective of Acupuncture Education in the US JCMAH.MS.ID.555773

Citation: Chen Y. A Perspective of Acupuncture Education in the United States. J Complement Med Alt Healthcare. 2019; 9(5): 555773. DOI: 0.19080/JCMAH.2019.09.555773

A good and informative article.

Abstract
Acupuncture education in the United States has a history of almost 50 years. The entry-level professional training dates back to the 1980’s as a milestone establishment of Council of Colleges of Acupuncture & Oriental Medicine (CCAOM), Accreditation Commission for Acupuncture & Oriental Medicine (ACAOM) and National Certification Commission for Acupuncture & Oriental Medicine (NCCAOM). Besides mainland China, America has the largest organized and influential acupuncture and Chinese Medicine education system in the world. Now 54 accredited acupuncture colleges have offered Master’s Programs, Professional Doctoral Programs, and Advanced Practical Doctorial (DAOM) Programs in comprehensive standards and competencies. Although there are some challenging issues, acupuncture education trends move forward into entry-level doctoral level training, regional and national accreditation, and system-based education, which will lead this profession to play a great role in the American integrative medical system.
Keywords: Acupuncture; Education; Competencies; America

 

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Fan AY. Gim Shek Ju赵金石. Chinese Medicine Culture 2016;1, 58-61

https://www.researchgate.net/publication/337064256_Gim_Shek_Ju_A_Pioneer_in_Acupuncture_Chinese_Medicine_Education_in_the_United_States

Citation: Fan AY. Gim Shek Ju: A Pioneer in Acupuncture & Chinese Medicine Education in the United States. Journal of Chinese Medicine Culture 2016; 1:58-61.

 

Gim Shek Ju: A Pioneer in Acupuncture and Chinese Medicine Education in the United States

Arthur Yin Fan

McLean Center for Complementary and Alternative Medicine, PLC. Vienna, VA 22182, USA

KEYWORDS: acupuncture; Chinese medicine; United States; Education; history of medicine; Gim Shek Ju

Correspondence: Arthur Yin Fan; Tel: +1-(703) 499-4428; E-mail: ArthurFan@ChineseMedicineDoctor.US

 

Several stories of pioneers establishing acupuncture and Chinese medicine (ACM) practices in the United States (U.S.) have been documented. However, the establishment of actual schools for acupuncture and Chinese medicine is one of the key signs that ACM has become an established profession. One of the first people who wanted to set-up a school for Chinese medicine in the United States was Dr. Tom Foo Yuen (谭富园, 89, Aug 7, 1858 – Jul 10, 1947) during the late 1800s in Los Angles, California. However, it was not until the time period of 1969-1970 that the first ACM school was established in the U.S. The school was called the Institute for Taoist Study in LA, with Dr. Gim Shek Ju as the only teacher.

Based on the recollection from some of his students, Dr. Gim Shek Ju (Gim, in short; 赵金石) was impressed by a group of Tai Chi students, most of them students at the University of California in Los Angles (UCLA).  At the urging of his friend’s Tai Chi students, he used acupuncture to treat these students and some of their relatives during a Chinese New Year celebration in Chinatown, LA  in 1969. It was after these acupuncture treatments that these students became interested in ACM and had their Tai Chi teacher, Master Marshall Hoo, a close friend of Gim, persuade Gim to teach them ACM. Gim broke the old Chinese tradition (that means only teaching to those within the family) and taught two classes of non-Asian students ACM during 1969 to 1970. These two classes of students became the key people in ACM development in the U.S., both in acupuncture or Chinese medicine legislation and professional development of Chinese medicine in the U.S. The classes taught by Gim were the origin of three professions: acupuncture and Chinese or Oriental medicine (for licensed acupuncturists, LAc or Oriental medicine doctors, OMD), medical acupuncture (for MD acupuncturists) and animal or veterinary acupuncture (for DVM acupuncturists) in the U.S.

Figure 1. Dr. Gim Shek Ju with a Shaolin Monk.

Dr. Ju arrived in the U.S. around the 1950s (Dr. Fan notes: based on personal research, he should arrive in 1957).  He did not settle in Chinatown, LA until the 1960s (around 1968).  He was still traveling back and forth to Hong Kong at that time because his own family was there.  He practice in LA was funded and organized by his third wife, Helen Robertson.  The clinic was in the apartment that they lived in. Helen was a veterinarian from Downey, CA and a former patient of Dr.Ju. She had suffered a debilitating trauma from a car accident that damaged her spine to the point that she could not stand up, but remained bent at a 90 degree angle.  After finding Dr. Ju via word of mouth, she was able to improve her condition.  Most of Dr.Ju’s patients were Caucasian, and not Chinese.  In fact, very few Chinese came to see him (the author notes: it is opposite to our “common sense”—many people believe Chinese medicine had its market because Chinese people, or say, Asian community uses it more).  Most of his patients were extremely ill, and suffering with debilitating pain.  Dr. Ju was able to treat patients with very little communication.  According to his daughter, Mamie Ju, Dr. Ju’s powers of intuition and understanding or hearing the body was probably daunting to many…even modern-day TCM practitioners.  But it was the “old” way, and in Mamie opinion, the right way to practice.  “Ancient TCM practitioners were most likely practicing Shamans, and I believe my father was a Shaman by birth”.  This is what made him very special. But it is difficult to explain this, even to other TCM practitioners.

Figure 2. Dr. Gim Shek Ju practice Tai Chi with a friend.

 

Figure 3. Dr. Tin Yau So in classroom of New England School of Acupuncture.

Dr.Ju and Dr. Tin Yau So (苏天佑) were colleagues at the Hong Kong College of Acupuncture; Dr. So was the founder. Dr.Ju strongly recommended Dr. So as the best teacher in ACM and let his students resume ACM under Dr. So; he flied with his student Steven Rosenblatt, as well as Steven’ s wife Kathleen, to Hong Kong to meet Dr. So, where these two American students actually studied there for one year in 1972. Per the invitation and handling of a visa by the National Acupuncture Association (founded by Dr.Ju’s students Bill Prensky, Steven Rosenblatt, etc.) , Dr. So arrived in LA in October,1973  as an acupuncturist in the UCLA acupuncture clinic.

Dr. So was one of the most influential individuals of the 20th century by formally bringing acupuncture education to the United States. He established the first acupuncture school in the U.S., the New England School of Acupuncture in Newton, Massachusetts in 1975 with the help of his (also Dr. Ju’s) students Steven Rosenblatt, Gene Bruno, Bill Prensky, etc. after overcoming great difficulties. To some extent, I could say that it was Dr. Gim Shek Ju who brought Dr. So to the U.S. that allowed him to become the father of Acupuncture and Chinese medicine education in the U.S.

Dr.Ju had a very thriving acupuncture practice treating patients inside his three bedroom apartment. He used one of the bedrooms as his main office and treatment room.  His living room was the waiting room.  There were people there from 8AM until after 5PM, but usually no later than 6PM. He often worked six days a week and was always busy doing something. He rarely rested.  He kept a very strict schedule.  He got up every morning before dawn and practiced Tai Chi. No-one knows when he learned Tai Chi.  Then he started his working day at 8AM.  He took a lunch break exactly at noon every day, and ate lunch in Chinatown with friends, probably his students too, and sometimes with his children on the weekends.  Dr.Ju was usually in bed by 8PM unless he had other things to do.  His students were not around regularly… or at least not on a regular basis.  Dr.Ju never really grasped the English language. His daughter often had to translate for patients who were trying to book appointments over the phone. Mamie often had to schedule appointments for him when he was out. His daughter…making trips to the herbal store to get formulas, and helping him in the room with some of the female patients.  Dr.Ju took many patients, the apartment was filled with people non-stop, and he accepted treatments outside of the clinic as well.  It was not unusual for his daughter to come home and find a limousine parked outside our apartment either waiting to pick up Dr.Ju or to drop him off. Dr. Ju never spoke about who his patients were.  He kept many of those things very, very private. He would not discuss many cases or anything in great detail.

His daughter remembers, when he was still involved with his American students, “I remember accompanying my father to UCLA where he gave a lecture about meridian/channel theory and how acupuncture worked.  Another thing my father did that was rather record-breaking at the time was perform anesthesia on a wisdom tooth patient using acupuncture.  I was maybe about 11 years-old at the time (1975) and I remember watching him do this on our old black and white television”.  It was all over the news in Los Angeles.

His daughter continued helping Dr.Ju with his practice on-and-off until age 14 (this was around 1978, when Gim was about 61 years-old).  At that time, Dr. Ju’s local practice had really slowed down.  He was traveling more than he was working at home.  He was invited to many places…particularly Mexico to perform acupuncture, and he had relationships with high officials and wealthy people there. He often stayed in Mexico for weeks at a time.

Dr. Ju died in Hong Kong in 1987, when he was 70 years old.

Acknowledgements

The author would like to thank Ms. Mamie Ju providing her father’s stories and reviewing the draft.

Reference

Fan AY. The earliest acupuncture school of the United States incubated in a Tai Chi Center in Los Angeles. J Integr Med 2014. J Integr Med. 2014 Nov;12(6):524-8.

Fan AY. The legendary life of Dr. Gim Shek Ju, the founding father of the education of acupuncture and Chinese medicine in the United States. J Integr Med. 2016 May;14(3):159-64. doi: 10.1016/S2095-4964(16)60260-1.

 

 

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Our new article has been just published. https://authors.elsevier.com/a/1YjvU7STV7irBO

Citation: Fan AY, Ouyang H, Qian X, Wei H, Wang DD, He D, Tian H, Gong C, Matecki A,Alemi SF. Discussions on real-world acupuncture treatments for chronic low-back pain in older adults.J Integr Med.2019; 17(2): 71–76.

 

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via What is the Best Chinese Medicine School in China in 2018 (Scimago Ranking) 中国最好的中医药大学SCIMAGO2018排名

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Info from: https://www.daocloud.com/acupuncture/cost

As you can imagine, the cost of acupuncture varies from city to city and from one acupuncturist to the next. In this article, we’ll explore the kinds of costs you can expect when you seek treatment, the types of discounts you may be eligible for, how to find low-cost acupuncture using community clinics, and acupuncture costs in some of the major cities.

If you’re looking to use insurance, we’ll reveal which insurance companies will pay for acupuncture treatment, And if you’re looking for a specific treatment for weight loss, back pain, infertility, or migraines, we’ll also give you an idea of what you can expect to pay for those treatments.

Contents

  1. How Much Does Acupuncture Cost?
  2. Typical Costs
  3. Discounts
  4. Total cost
  5. How to find low cost acupuncture (please consider the quality before consider low cost)
  6.  Which insurance companies cover acupuncture?
  7.  Acupuncture Cost by City
  8.  Cost by treatment type
  9.  For infertility
  10.  For Weight Loss
  11.  For Back Pain
  12.  For Migraines
  13.  Additional costs to consider
  14.  Tips for shopping for acupuncture
  15.  Frequently Asked Questions
  16.  Does medicare cover acupuncture?
  17.  Does medicaid cover acupuncture?
  18.  Do Medicare supplemental insurance plans cover acupuncture?
  19.  Will my insurance cover acupuncture?

Typical Costs

Fees for your first session of acupuncture may include an initial consultation, medical exam, and acupuncture treatment. This will cost between $120 to $240. Additional visits may cost $75 to $160.

Discounts

Many acupuncturists offer a discount when you purchase multiple treatments. So for example, if you were to purchase one session at $150 or six sessions at $600, bringing the price down to $100 per session.

Other popular discounts are:

  • Student discounts
  • Senior discounts
  • Child discounts

Ask your acupuncturist if they offer any of these discounts to get a better price on your treatments. For example, in Atlanta, an acupuncture treatment will cost $120, but a student discount brings it to $85, and for a child, it’s only $65.

Total cost

According to consumer reports , people spent more than $200 out of pocket over the course of their full treatment for acupuncture and almost one in four spent $500 or more.

How to find low cost acupuncture

Non-profit community acupuncture clinics are gaining popularity. These clinics, like Phoenix Community Acupuncture , offer low cost acupuncture on a sliding scale, $17-$35. Look for a community acupuncture clinic in your area to find low cost acupuncture.

Which insurance companies cover acupuncture?

The following insurance companies may cover your acupuncture, depending on your plan. Be sure to check with your insurance provider to verify coverage before seeking treatment. Your acupuncturist may also be able to assist you.

  • Aetna
  • Blue Cross/Blue Shield
  • Cigna
  • Humana
  • Johns Hopkins EHP
  • Kennedy Krieger’s Core Source
  • Landmark
  • Optum
  • United Health Care

Acupuncture Cost by City

Methodology

These prices estimate the costs you may expect to pay for acupuncture without insurance. To determine these prices, we sampled acupuncturists listed in the Google business directory in each area.

Cost by City

City Acupuncture Session Cost
Atlanta $80
Austin $85
Baltimore $90
Boston $100
Charlotte $80
Chicago $95
Cincinnati $100
Cleveland $85
Columbus $75
Dallas $85
Denver $125
Houston $160
Indianapolis $95
Kansas City $75
Las Vegas $70
Los Angeles $120
Louisville $85
Memphis $75
Miami $120
Milwaukee $90
Minneapolis $120
Nashville $100
New Orleans $85
New York $300
Oklahoma City $75
Philadelphia $95
Phoenix $75
Portland $150
Raleigh $75
Richmond $90
Salt Lake City $75
San Diego $108
San Francisco $150
San Jose $85
Seattle $135
St Louis $60
Tampa $125
Washington DC $160

Cost by treatment type

For infertility

If you suffer from infertility, plan to pay a lot of money to increase your chances of getting pregnant. A typical acupuncture program for fertility might last three to six months, with treatments every week. Plan for a major portion of your expenses upfront with various diagnostic tests running from $160 to $325, which may include:

  • Male hormone panel
  • Female hormone panel
  • Estrogen ratio test
  • Adrenal salivary index
  • Salivary food sensitivity panel

Sample infertility costs

Initial Visit $150

Female hormone panel $325

Estrogen ratio test $200

Herbs ($150 monthly) $900

Weekly acupuncture for 6 months $1,680

___________________________________________________________________

Total Cost $3,255

For Weight Loss

If you need to lose some weight, acupuncture could help. Weekly acupuncture was shown to improve weight loss in this study. If you figure three months of acupuncture to accompany your exercise regime, you’d spend $840 or more depending on the per session cost.

For Back Pain

If you consider testimonial and anecdotal evidence, some people have used acupuncture to become free from pain in has few as 24 sessions. If you figure on a cost per session of $70 to $150, that amounts to $1,680 to $3,600.

However, some research suggests the effects of acupuncture on pain are temporary. In this case, you might need weekly acupuncture on an ongoing basis, resulting in a cost of $280 to $600 monthly for your back pain.

For Migraines

The same situation is true from migraines as back pain. Considering that you may need ongoing acupuncture treatment to relieve the pain associated with you migraines and keep them at bay, you may need to plan on spending anywhere from $280 to $1200 for weekly or bi-weekly acupuncture treatment.

Additional costs to consider

Here are some additional costs you may need to consider before purchasing an acupuncture treatment.

  • Herbs and supplements. Many acupuncture clinics will recommend patients take Chinese herbs or other supplements as part of their treatment program. These will always cost additional money above and beyond your acupuncture treatment, ranging from $30 to $150 monthly.
  • Tui Na. Your treatment may begin with an optional Tui Na session. This is similar to massage, but with a therapeutic emphasis, rather than relaxation. You may be charged extra for Tui Na.
  • Gratuity. With most bodywork, you may be expected to leave a tip for your practitioner; somewhere between 10-20%. Some clinics encourage gratuity while others discourage it.

Tips for shopping for acupuncture

  1. Ask your friends for a recommendation.
  2. Research online.
  3. Read online reviews.
  4. Understand the practitioners training and specializations.
  5. Call and ask for an introductory session. (Don’t forget to ask about what insurance they take)
  6. Go to your first appointment and evaluate the doctor and the office.
  7. Make a decision to return or keep looking for an acupuncturist you like.

Frequently Asked Questions

Does medicare cover acupuncture?

No. Medicare does not cover acupuncture.

Does medicaid cover acupuncture?

No. Medicaid does not cover acupuncture

Do Medicare supplemental insurance plans cover acupuncture?

Some Medicare supplemental insurance plans provide coverage for acupuncture treatment but most don’t offer coverage.

Will my insurance cover acupuncture?

While many insurance companies are beginning to cover acupuncture, most plans that do are higher cost plans. If you have had chronic pain for six months and the traditional forms of treatment, like drugs or physical therapy have been ineffective, there’s a higher chance your insurance will cover your acupuncture treatments.

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Our clinical trial protocol has been published recently in Journal of Integrative Medicine, the PDF of whole article is available based on request.

Effectiveness of two different acupuncture strategies in patients with vulvodynia: Study protocol for a pilot pragmatic controlled trial.

Fan AY, Alemi SF, Zhu YH, Rahimi S, Wei H, Tian H, He D, Gong C, Yang G, He C, Ouyang H.  J Integr Med. 2018 Oct 10. pii: S2095-4964(18)30103-1. doi: 10.1016/j.joim.2018.10.004. [Epub ahead of print]

Abstract

BACKGROUND:

Vulvodynia, or vulvar pain, is a common condition in women; however, there are few evidence-based clinical trials evaluating nonpharmacological therapies for this condition. Acupuncture is one complementary and integrative medicine therapy used by some patients with vulvodynia. This study evaluates two different acupuncture strategies for the treatment of vulvodynia and aims to evaluate whether either of the acupuncture protocols reduces vulvar pain, pain duration or pain with intercourse. The study also examines how long the effect of acupuncture lasts in women with vulvodynia.

METHODS/DESIGN:

The study is designed as a randomized controlled trial, focused on two acupuncture protocols. Fifty-one patients who have had vulvodynia for more than 3 months will be recruited. Among them, 34 patients will be randomized into Groups 1a and 1b; those who are unwilling to receive acupuncture will be recruited into the standard care group (Group 2). Patients in Group 1a will have acupuncture focused on the points in the pudendal nerve distribution area, while patients in Group 1b will receive acupuncture focused on traditional (distal) meridian points. Patients in Group 2 will receive routine conventional treatments, such as using pain medications, local injections and physical therapies or other nonsurgical procedures. Acupuncture will last 45 min per session, once or twice a week for 6 weeks. The primary outcome measurement will be objective pain intensity, using the cotton swab test. The secondary outcome measurement will be subjective patient self-reported pain intensity, which will be conducted before cotton swab test. Pain intensities will be measured by an 11-point Numeric Pain Rating Scale. Pain duration and pain score during intercourse are recorded. Local muscle tension, tenderness and trigger points (Ashi points) are also recorded. All measurements will be recorded at baseline (before the treatment), at the end of each week during treatment and at the end of the 6 weeks. Follow-up will be done 6 weeks following the last treatment.

DISCUSSION:

Results of this trial will provide preliminary data on whether acupuncture provides better outcomes than nonacupuncture treatments, i.e., standard care, and whether acupuncture focused on the points in pudendal nerve distribution, near the pain area, has better results than traditional acupuncture focused on distal meridian points for vulvodynia.

TRIAL REGISTRATION:

Clinicaltrials.gov: NCT03481621. Register: March 29, 2018.

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Every treatment should have a proper dose or dosage to reach the effect, medication does, and acupuncture does.

For Acupuncture, in recent years, especially in north America,many patients and acupuncturists seem reach some-kind of a “consensus” in how acupuncture should be used in daily treatment, it looks like:

  1. use smaller needles, such as 0.14-0.16 mm in needle diameter, gauge 40-42;
  2. insert in less than 0.5 inch, or 1 cm;
  3. use more needles;
  4. 30-45 minutes;
  5. once or twice per weeks.

How often? or how many sessions in a period of time?  according to 2012 National Health Interview Survey, most of patients for acupuncture did NOT get enough sessions’ treatments. A paper mentioned, there were only 38% acupuncture patients getting 6 or more treatments in that year- if we consider such patients continuously saw a healthcare professional to treat their illness or disorder by acupuncture, in stead of getting acupuncture intermittently – the gap was more than one or two weeks.

In China, patients usually get deeper (more than one inch in many body area) acupuncture by “big” needles such as needle diameter 0.35mm (gauge 28) or 0.40mm (gauge 26). Once a day for 10 sessions in two weeks as one treatment course. It seems more effective.

However, the bigger in needle size (in diameter), the more painful. This may affect many patients’ acceptance to acupuncture. For some illness or disorders, smaller needles also effective, but for some other disorders or illness, smaller needles and shallow needling will not be effective.

On other hand, we should aware of age of patients, the reaction of patients, and different status in same patient. Younger patient may have quicker and bigger effect than the older patients. If a patient is very sensitive to acupuncture, smaller stimulation also can get bigger results.

Also, for acupuncture, the damage of nerve path may causes a difficult/weak to get the acupuncture effectiveness. So, in stroke patients or other neurological disorders/illness, acupuncture stimulation may need more, either in actually stimulation techniques or other related techniques, for instance, suggestion, encouraging, leaded exercises, etc.

CHINESE GAUGE JAPANESE GAUGE ACTUAL SIZE COLOR (SEIRIN)
44 00 (02) .12mm Dark Green
42 0 (01) .14mm Lime Green
40 1 .16mm Red
38 2 .18mm Ivory (Yellow)
36 3 .20mm Blue
34 4 .22mm Pink
32 5 .25mm Purple
30 8 .30mm Brown
28 10 .35mm *
26 12 .40mm *

 

CHINESE LENGTH KOREAN/JAPANESE ACTUAL SIZE
(INCHES)
7mm * 1/4″
13mm 15mm 1/2″
25mm 30mm 1″
40mm 40mm 1 ½”
50mm 50mm 2″
60mm 60mm 2½”
75mm * 3″
100mm * 4″
125mm * 5″
150mm * 6″

 

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