250 In Order To Determine Which Pattern Is At Hand, Practitioners Examine Things Like The Colon And Shape Of The Tongue, The Relative Strength Of Pulse-points, The Smell Of The Breath, The Quality Of Breathing, Or The Sound Of The Voice.

The.eedles.ay be inserted just under the skin, or deeper so they reach muscle tissue. Nixon to China in 1972. Some people experience mild, short-lived side effects such as: pain where the needles puncture the skin bleeding or bruising where the needles puncture the skin worsening of pre-existing symptoms If you have a bleeding disorder, such as  haemophilia, or are taking anticoagulants, talk to your GP before you have acupuncture.  Once the needles are in place, they may be left in position for a length of time lasting from a few minutes up to around 30 minutes. “If our ultimate goal is to help patients achieve their goals, the mechanism is not all that relevant.” The number of needles you’ll get, where they’re placed, and how deeply they’re inserted depends upon your particular case. A healthy person can have a serious illness and recover quickly whereas an unhealthy person can have a relatively minor condition that can last for years. However, some studies have indicated that acupuncture may help in treating low back pain according to the SPINE trial, fibromyalgia Mayo Clinic trials, migraines, post-operative dental pain the Cochran review, hypertension enter for Integrative Medicine at AC Irvine study and osteoarthritis according to researchers at the University Medical enter in Berlin, Germany, as well as chemotherapy-induced nausea and vomiting. The study also includes warnings against practising acupuncture on infants, as well as on children who are over-fatigued, very weak, or have overeaten. 238 When used on children, acupuncture is considered safe when administered by well-trained, licensed practitioners using sterile needles; however, a 2011 review found there was limited research to draw definite conclusions about the overall safety of paediatric acupuncture. 3 The same review found 279 adverse events, 25 of them serious. 3 The adverse events were mostly mild in nature e.g. bruising or bleeding. 3 The prevalence of mild adverse events ranged from 10.1% to 13.5%, an estimated 168 incidences among 1,422 patients. 3 On rare occasions adverse events were serious e.g. cardiac rupture or hemoptysis ; much might have been a result of substandard practice. 3 The incidence of serious adverse events was 5 per one million, which included children and adults. 3 When used during pregnancy, the majority of adverse events caused by acupuncture were mild and transient, with few serious adverse events. 239 The most frequent mild adverse event was needling or unspecified pain, followed by bleeding. 239 Although two deaths one stillbirth and one neonatal death were reported, there was a lack of acupuncture-associated maternal mortality. 239 Limiting the evidence as certain, probable or possible in the causality evaluation, the estimated incidence of adverse events following acupuncture in pregnant women was 131 per 10,000. 239 Although acupuncture is not contraindicated in pregnant women, some specific acupuncture points are particularly sensitive to needle insertion; these spots, as well as the abdominal region, should be avoided during pregnancy. 2 Four adverse events associated with moxibustion were bruising, burns and cellulitis, spinal epidural abscess, and large superficial basal cell carcinoma. 17 Ten adverse events were associated with cupping. 17 The minor ones were keloid scarring, burns, and bullae ; 17 the serious ones were acquired haemophilia A, stroke following cupping on the back and neck, factitious panniculitis, reversible cardiac hypertrophy, and iron deficiency anaemia . 17 A 2013 meta-analysis found that acupuncture for chronic low back pain was cost-effective as a complement to standard acupuncture website care, but not as a substitute for standard care except in cases where co morbid depression presented. 20 The same meta-analysis found there was no difference between sham and non-sham acupuncture. 20 A 2011 systematic review found insufficient evidence for the cost-effectiveness of acupuncture in the treatment of chronic low back pain. 21 A 2010 systematic review found that the cost-effectiveness of acupuncture could not be concluded. 94 A 2012 review found that acupuncture seems to be cost-effective for some pain conditions. 240 Risk of forgoing conventional medical care As with other alternative medicines, unethical or naive practitioners may induce patients to exhaust financial resources by pursuing ineffective treatment. 5 241 Profession ethical codes set by accrediting organizations such as the National Certification Commission for Acupuncture and Oriental Medicine require practitioners to make “timely referrals to other health care professionals as may be appropriate.” 242 Stephen Barrett states that there is a “risk that an acupuncturist whose approach to diagnosis is not based on scientific concepts will fail to diagnose a dangerous condition”. 243 Main articles: Qi, Traditional Chinese medicine, Meridian Chinese medicine, and Acupuncture point Old Chinese medical chart of acupuncture meridians Acupuncture is a substantial part of traditional Chinese medicine ACM. 4 Early acupuncture beliefs relied on concepts that are common in ACM, such as a life force energy called qi. 244 Qi was believed to flow from the body's primary organs zang-fu organs to the “superficial” body tissues of the skin, muscles, tendons, bones, and joints, citation needed through channels called meridians. 245 Acupuncture points where needles are inserted are mainly but not always found at locations along the meridians. 246 Acupuncture points not found along a meridian are called extraordinary points and those with no designated site are called “A-shi” points. 246 In ACM, disease is generally perceived as a disharmony or imbalance in energies such as yin, yang, qi, xuĕ, zàng-fǔ, meridians, and of the interaction between the body and the environment. 247 Therapy is based on which “pattern of disharmony” can be identified. 248 249 For example, some diseases are believed to be caused by meridians being invaded with an excess of wind, cold, and damp. 250 In order to determine which pattern is at hand, practitioners examine things like the colon and shape of the tongue, the relative strength of pulse-points, the smell of the breath, the quality of breathing, or the sound of the voice. 251 252 ACM and its concept of disease does not strongly differentiate between the cause and effect of symptoms. 253 Scientific research has not supported the existence of qi, meridians, or yin and yang. n 1 25 26 A Nature editorial described ACM as “fraught with pseudo-science”, with the majority of its treatments having no logical mechanism of action . 254 Quackwatch states that “ACM theory and practice are not based upon the body of knowledge related to health, disease, and health care that has been widely accepted by the scientific community. Weston wrote that the acupuncturist “inserted three long, thin needles into the outer part of my right elbow and below my knees and manipulated them...That sent ripples of pain racing through my limbs and, at least, had the effect of diverting my attention from the distress in my stomach.

Though a few studies found acupuncture worked better than drugs to manage the condition, most of the studies weren’t well designed. This is why the doctor of Chinese medicine does not only deal with the body, or physical aspects of one's health, they are teachers educating patients on how to live a healthy and balanced lifestyle, because this is how we attain health, and the Chinese knew it. This results in the body producing natural substances, such as pain-relieving endorphins. For example, you may need only one treatment for a recent wrist sprain, while a long-term illness may require treatments for several months to achieve good results. Needle manipulation. “It would be really interesting to see if acupuncture can help prevent cancer.

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