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Acupuncture PDF
Acupuncture PDF
What is Acupuncture
Types of Acupuncture
Classical
acupuncture
Electroacupuncture
Cupping
Acupoint
injection
Laser
acupuncture
Moxibustion
Acupuncture?
never heard of
it
Bone needles
Bian Stone and
Bone needles
New Stone Age 5000BC
Modern Needles
Gold needle
Silver needle
Han Dynasty, 200BC-220AD
Empirical
Observations over
Thousands of
Years
Art of Medicine
Holistic View
Circular Logic
Energetic
West
Scientific Method
& Case-Based
Medicine
Technology of
Medicine
Molecular and
Organ View
Linear Logic
Mechanistic
10
Modalities of TCM
2. Zoological sources
Alimentotherapy
Five element
Yin-Yang
--Su Wen
lLight/Bright/Sun
Strong/Assertive
Dry/Hot/Fire
Male
Positive Charge
Heaven
Spring & Summer
Dark/Moon
Recessive/Nuturing
Damp/Cold/Water
Female
Negative Charge
Earth
Fall & Winter
Yin-Yang
Concept describing how things function in relation to each
other and to the universe
complementary opposites as parts of whole
Yin-Yang imbalance
Yin-Yang balance
Yin
Yang
Yin
Yin-Yang relationship:
Opposition
Interdependence
Mutual consumption
Inter-transformation
Yang
Yin Yang
Application of Yin-Yang
YIN
YANG
front, interior
back, exterior
Physiology
structure
function
Pathology
hypo-function
hyper-function
Diagnosis
Application of Yin-Yang
Eat balanced
Yin
Yang
Application of Yin-Yang
Keep fit physically and mentally
Yang
Yin
Brain Yin-Yang
Yin
Chemicals
GABA
Glycine
5-HT
DA
Endorphin
Estrogen
Melatonin
Yin
Yang
Chemicals
Stress
Nicotine
Glutamate
NE
Ach
Adenosine
Testosterone
Yang
Sleep/memory Yin-Yang
Balanced
Imbalanced
Qi (Chi )
14 regular meridians
All acupoints distribute
along meridians
Bridge in and out of the
body
Reflect pathophysiology of the inside.
Guide the treatment
Lung meridian--yin
LI meridian--yang
Meridians
Where
Pathogenic factors
Meridian
No free flow
(blockage)
Pain
22
Meridians
Where
(blockage)
Meridian
Acupuncture Stimulation
Eliminating
Meridian
Normal
23
Six Fu
Extraordinary
(Yang organs) Organs
Liver (Gan )
Heart (Xin )
Spleen (Pi )
Lungs (Fei )
Kidneys (Shen)
Gallbladder
Brian
Small intestine Medulla
Stomach
Bone
Large intestine Vessel
Bladder
Gallbladder
Three warmers Uterus
Mind-body connection
Heart ():
Kidneys ():
Liver():
The general of
organs from whom the strategy is
derived
Stores blood,
Ensures smooth flow of Qi and blood
Houses Ethereal Soul
Regulating mind and mood
Promoting digestion and absorption
Controls sinew
Opens into eyes
Manifests in nails.
Breakfast
28
Five Elements
Anger/Anxie
ty
Wood
Water
Fire
Insomnia
Poor appetite
Metal
Earth
Short breath
Urination
disorder
29
Five Elements
30
Acupuncture:
What Conditions Commonly Treated
Acupuncture:
What Conditions Commonly Treated
Patterns:
Symptoms: Excessive dream, hard to
Patterns:
Yin deficiency
Symptoms: Excessive dream, hard to
Liver-fire
Somatosensory Cortex:
Receives all info on touch and pain.
Somatotopically organized
Yang
Soft
tissues
nerves
Glands
Yin
Yang
lungs
liver
Endorphines
, IL-1
Kidney/bladder
GI
Acupuncture
Adapted from Benarroch 2008
Connective tissue
relaxation
A- & fibers
Yu JS et al: International Review of Neurobiology, 2013
Spinal Cord
Acupuncture
A- & fibers
Immunological Stress
(viral, bacterial, chemical..)
IL-1
p38 MAPK/ERK
Acupuncture
Midbrain SERT, NET and DAT
IL-1R
Acupuncture
Yin
Yang
Acupuncture
closes the gate
Emotional
Conditions
Mental conditions
Medication
Counter stimulation, eg
Acupuncture, massage
Anxiety or worry
Positive emotions
Tension
Relaxation
Depression
Rest
Intense concentration or
distraction (meditation)
Boredom
Acupuncture Analgesia
Endorphins Brainstem
5HT Brainstem
Gray Matter)
(Periaqueductal
(Raphe Nuclei)
Neurotransmitters in hippocampus
Activation: information processing and control centers-supramarginal gyrus (language center), SII, pre-supplementary
motor area (pre-SMA), middle cigulate gyrus, insula, thalamus,
precentral gyrus
Deactivation: limbic systemamygdala, hippocampus, vmPFC,
posterior cingulate cortex (PCC).
Huang et al. 2012
Deactivation on Deqi
Insula
MPC
MPFC
BA22
MTL
BA4
3
Acupoint (Liv3)
Healthy control
Napadow, V, et
al.,Neuroimaging, 2005
CTS: Baseline
CTS: Post-Acupuncture
Soft
tissues
nerves
Glands
Thalamus/hypothalmus
Yin
Brain Stem
Spinal Cord
Yang
lungs
liver
Endorphines
, IL-1
Sensory signal
Kidney/bladder
GI
Peripheral organs
Acupuncture
Acupuncture
Stresses
Acupuncture
Infection/Irritation/Injuries
Loss of bone
minerals
Increase
cholesterol
Inflammation
Heart
Disease
High BP
Stroke
Insulin
resistance
Inflammatory cytokines
Switch on
oncogenes
Cancer
Mess up CNS
Chew up
Nerve cells
Diabetes
Alzheimers
Affective disorders
Depression
OCD
PTSD
Cognitive impairment
Osteoporosis
Acupuncture:
Keep Brain Yin-Yang Balanced
Yin
Chemicals
GABA
Glycine
5-HT
DA
Endorphin
Estrogen
Melatonin
Yang
Chemicals
Yin
Yang
Glutamate
NE
Ach
Adenosine
Testosterone