Day :
- Acupuncture Related Practices
Location: Chicago, USA
Session Introduction
Shifen Xu
Shanghai Municipal Hospital of Traditional Chinese Medicine, China
Title: Efficacy and safety of acupuncture treatment on primary insomnia: A randomized controlled trial
Biography:
Shifen Xu, PhD, has her expertise in long-term clinical and basic research of acupuncture on depression, insomnia, and anxiety, unique skills in acupuncture treatment of stroke, facial paralysis, epilepsy, pains and sub health status. She is a Professor and Director of Acupuncture Department in Shanghai Municipal Hospital of Traditional Chinese Medicine in China.
Abstract:
Objectives: The objective of the study is to evaluate the efficacy and safety of acupuncture treatment for primary insomnia.
Methods: We conducted a single-center, single-blinded, and randomized controlled clinical trial. 72 patients with primary insomnia were randomly assigned into two groups – the acupuncture group, which received acupuncture treatment, and the control group, which received sham acupuncture treatment. The treatment was given 3 times a week for 4 weeks. Patients were asked to wear sleep monitors and complete questionnaires every 2 weeks for a total of 8 weeks. The primary outcome was the insomnia severity index (ISI). The secondary outcomes were sleep parameters including sleep efficiency (SE), sleep awakenings (SA) and total sleep time (TST) recorded in the actigraphy, as week as scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS).
Results: Compared with pretreatment baseline, patients in both groups had varying degrees of improvements in their sleep conditions. Paired t-test showed that there was a significant difference in all indicators in the acupuncture group before and after acupuncture treatment. One-way analysis of covariance adjusted for baseline scores indicated that the ISI improved dramatically in the acupuncture group at 2 weeks post-treatment (F=11.3, P=0.001), 4 weeks post-treatment (F=33.6, P<0.001), 2 weeks follow-up (F=39.4, P<0.001) and 4 weeks follow-up (F=34.1, P<0.001). Similar significant improvements can also be observed in the SE, TST and SDS scores. Although no differences in SA and SAS were shown between the two groups until the end of the treatment, remarkable decrements in SA and SAS were found in the acupuncture treatment group after the 2 week and 4 week follow-ups.
Conclusion: Acupuncture treatment is more effective than sham acupuncture treatment on increasing insomnia patients’ sleep quality and improving their psychological health.
Richard Tan Tiong Heng
Grad Dip Acupuncture, Singapore
Title: Acupuncture complementing western medicine in in-patient setting- A case series from Singapore
Biography:
Dr Richard Tiong Heng Tan, MBBS, Grad Dip Acupuncture, Grad Dip Occupational Medicine, is a registered Family Physician and a Designated Workplace Doctor, currently works as a Principal Resident Physician in Sengkang Health at Alexandra Hospital in Singapore. He holds special interest in Acupuncture, Geriatric Medicine and Occupational Health. He has been offering acupuncture as a complementary treatment to patients mainly for chronic pain such as chronic pelvic pain, muscular skeletal pain as well as for stroke. He has published articles in local media, and presented in overseas conferences on acupuncture for chronic pelvic pain. He had spoken in various meetings in both public and medical forums on acupuncture.
Abstract:
Statement of the Problem: Patients who require longer stay following an acute stroke or fractures that are treated conservatively are generally transferred to a step-down care institution for further rehabilitation. Studies done with regards to cognitive or affective impairments predict rehabilitation participation among patients admitted to inpatient rehabilitation; especially those with stroke or chronic pain, to have reactive depression, which affects rehabilitation participation. In our institution, patients were offered acupuncture for stroke or chronic pain. The purpose of this study is to describe the potential positive effect of providing acupuncture as complementing conventional treatment for patients with either stroke or chronic pain while in they are receiving treatment inpatient or outpatient.
Methodology: All patients were assessed weekly at multidisciplinary meetings involving physicians, nurses, occupational therapists, physiotherapists and other allied health professionals with regards to their rehabilitation potential using functional independence measurement (FIM) score and length of stay (LOS).
Findings: 3 patients enrolled in this study were found to have improved FIM score for both stroke as well as chronic pain patients within a shorter period of time. Though LOS did not see significant improvement for these patients, the reason was mainly awaiting arrival and training of care-giver, as these patients still require assistance upon discharge.
Conclusion & Significance: Patients who hold positive attitude towards acupuncture and were willing to give it a try, tend to be more optimistic and participatory to physiotherapy. This study showed significant improvement of FIM score and potentially shorter in-patient LOS, resulting in reduced medical cost, hospital bed occupancy and care-givers stress. Strongly recommend that healthcare institutions recognize this synergy and modality of care, and introduce similar programs in their institutions to treat patient holistically, utilizing both western medicine complemented by acupuncture all within the same team of doctors and therapists.
- Clinical Practice of Acupuncture
Location: Chicago, USA
Session Introduction
Richard Tan Tiong Heng
Alexandra Hospital, Singapore
Title: Acupuncture complementing western medicine in in-patient setting- A case series from Singapore
Biography:
Richard Tan Tiong Heng has done his MBBS, Grad. Dip. in Acupuncture, Grad. Dip. in Occupational Medicine, is a registered Family Physician and a Designated Workplace Doctor, and currently works as a Principal Resident Physician in Sengkang Health at Alexandra Hospital in Singapore. He holds special interest in Acupuncture, Geriatric Medicine and Occupational Health. He has been offering acupuncture as a complementary treatment to patients mainly for chronic pain such as chronic pelvic pain, muscular skeletal pain as well as for stroke. He has published articles in local media, and presented in overseas conferences on acupuncture for chronic pelvic pain. He had spoken in various meetings in both public and medical forums on acupuncture.
Abstract:
Statement of the Problem: Patients who require longer stay following an acute stroke or fractures that are treated conservatively are generally transferred to a step-down care institution for further rehabilitation. Studies done with regards to cognitive or affective impairments predict rehabilitation participation among patients admitted to inpatient rehabilitation; especially those with stroke or chronic pain, to have reactive depression, which affects rehabilitation participation. In our institution, patients were offered acupuncture for stroke or chronic pain. The purpose of this study is to describe the potential positive effect of providing acupuncture as complementing conventional treatment for patients with either stroke or chronic pain while in they are receiving treatment inpatient or outpatient.
Methodology: All patients were assessed weekly at multidisciplinary meetings involving physicians, nurses, occupational therapists, physiotherapists and other allied health professionals with regards to their rehabilitation potential using functional independence measurement (FIM) score and length of stay (LOS).
Findings: 3 patients enrolled in this study were found to have improved FIM score for both stroke as well as chronic pain patients within a shorter period of time. Though LOS did not see significant improvement for these patients, the reason was mainly awaiting arrival and training of care-giver, as these patients still require assistance upon discharge.
Conclusion & Significance: Patients who hold positive attitude towards acupuncture and were willing to give it a try, tend to be more optimistic and participatory to physiotherapy. This study showed significant improvement of FIM score and potentially shorter in-patient LOS, resulting in reduced medical cost, hospital bed occupancy and care-givers stress. Strongly recommend that healthcare institutions recognize this synergy and modality of care, and introduce similar programs in their institutions to treat patient holistically, utilizing both western medicine complemented by acupuncture all within the same team of doctors and therapists.
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Fig.1: Holistic Patient-centric care
Shannon M. Rossi
Weston A. Price Foundation, USA
Title: The Top 5 Secrets of Ancestral Diets which Optimize the 2nd Brain
Biography:
Shannon Rossi is a Holistic Health Consultant and founder of Powerful Health Strategies. She also serves as Chapter Leader for the Weston A. Price Foundation (WAPF) in St Joseph County, Indiana. (Founded in 1999, WAPF is non-profit organization dedicated to restoring nutrient-dense foods to American tables through education, research and activism.) Shannon initially served as a Captain in the US Air Force, then continued service as a commander’s spouse during her husband’s 30-year career. Extensive overseas experience fueled her interest in traditional wellness strategies, leading her to study Acupuncture at the World Medicine Institute in Honolulu, Hawaii. She further explored multiple homeopathy (Floralive), nutritional (Brimhall), and kinesiology seminars (Brain Gym and AK). She was especially intrigued by neurological rehabilitation strategies (Blomberg Rhythmic Movement, Masgutova Method, and Institute for the Achievement of Human Potential). She also completed two Robbins-Madanes Strategic Intervention Programs (Core 100 and Total Breakthrough).
Abstract:
STATEMENT OF THE PROBLEM: Rates of neurological diseases are skyrocketing in this country. Most Americans routinely address these issues through neurological, psychiatric, or psychological therapies, missing the importance of the “2nd Brain.” BACKGROUND: In 470 BC, Hippocrates determined that “All diseases begin in the gut.” Decades ago, America was already in the midst of an “epidemic of epidemics of digestive disorders”. Neurological conditions have also skyrocketed. The US has one of the highest autism rates in the world. Autism spectrum disorders doubled from 2004 to 2014. Astonishing! What can we do? THE PURPOSE OF THIS STUDY is to address the correlation between gastrointestinal health and neurological health, giving concrete strategies to improve both. FINDINGS: In the 1930’s, Dr Weston A. Price travelled the world to decipher common traits of ancestral diets which yielded outstanding health in their populations. Implementing these strategies, Dr Natasha Campbell-McBride documents her success improving both gastrointestinal and neurological health in her book Gut and Psychology Syndrome. METHODOLOGY & THEORETICAL ORIENTATION: The enteric nervous system is commonly referred to as the 2nd brain. Addressing the delicate nature of the gut lining, due deference will be given to the wisdom of traditionally prepared foods, specifically identifying 5 strategies which optimized brain health. CONCLUSION & SIGNIFICANCE: Acupuncturists can enhance outcomes for many of their neurologically challenged patients by emphasizing nutrient-dense foods that have sustained human life for generations. This anthropological perspective provides a bedrock for understanding the basics of human nutrition. Support is available through the Weston A. Price Foundation’s brochures, podcasts, website, quarterly journals, and memberships. WAPF promotes wise traditions in food, farming, and healing arts.
- Traditional Chinese Medicine
Session Introduction
Lirane Carneiro-Suliano
Federal University of Parana, Brazil
Title: Neuroimagens regarding the stimulation of the point of Joy in Auriculoterapia
Biography:
Lirane Carneiro-Suliano is a Master’s and PhD student from the Federal University of Paraná. She is a Specialist in Acupuncture and Functional Orthopedics of Jaws. She has learnt complementary training in Auriculotherapy in France and in Acupuncture in Beijing Traditional Medicine Training Center of the WFAS/China. She is the Post-graduate Professor in Acupuncture. She is the Founding Member of the Brazilian Dental Society of Acupuncture (SOBA) Editorial Board Member and Reviewer of the Brazilian Journal of Therapies and Health (RBTS). She is also a Member of the Commission of Integrative Practices of the Regional Council of Dentistry of Paraná (CRO-Pr). She is the author of Atlas of Auriculotherapy from A to Z, Omnipax and chapter Acupuncture in the Treatment of Sports Dentistry in the book Sports Dentistry.
Abstract:
Problem statement: There are few neuroimaging studies performed on microsystems such as auriculotherapy. Researchers have long researched the results of acupuncture, including using modern techniques such as a neuroimaging. There are points in auricular acupuncture with recommendations for possible calming effects and other revitalizing ones, which are consecrated more by practical experience than based on scientific research. There are good results in different sources of stimuli, such as electrotropuntura and laserpuncture, however, studies on these actions are timid. Functional autonomic nervous system (ANS) performance analysis is based on cardiac rhythm variability, vascular compensation response (HR min / HR max), obtaining autonomic amplitude and frequency. The individual variability and physiological changes associated with acupuncture have also been reported in the literature.
Objective: To evaluate an immediate influence on the ANS by stimulating the joy point with different materials in auriculotherapy, through neuroimaging, anxiety control and heart rate. Theoretical methodologies: Equipment with brain and peripheral sensors was used to capture changes in brain images, anxiety control and real-time heart rate with different stimuli used at auricular points. Conclusion: It was observed with the data captured in the images that the Stimulation with laserpuncture, electrotropuntura, needle and seed of vacancy in the use of Alegria point has an effective and differentiated response. Conclusion and meaning: A neuroimaging allows to intensify the investigations with microsystems, to investigate its main points, different sources of stimuli and provoked neurophysiological reactions . Thus, it will direct an actuation and an evolution of auriculotherapy
- Acupuncture Techniques
Session Introduction
Martin Michel Perras
Oaktree Health, Canada
Title: See 200 people in a 20 hour work week and not break a sweat
Biography:
Martin Perras is a young French Canadian offering acupuncture and Traditional Chinese Medicine in Canada’s home capital - Ottawa! Over almost a decade we have quickly become one of the busiest acupuncture clinics in our country.
Abstract:
How I can see 200 people in a 20 hour work week and not break a sweat? One word: Efficiency!!! I would like to talk about how small procedural changes can save you thousands. Efficiency has been at the core of all major business advancements. Just think how the automotive business or the restaurant business completely changed when they decided to build more efficient systems. We have seen innovation and efficiency in all levels of medicine, but have you adopted better methods to make your acupuncture more efficient? How your clinic is laid out, how you take payments, how you schedule and how you communicate information can all be organized in a way that can be efficient and save you money and time, while still offering great personalized service? As an acupuncturist, I have studied and reviewed every aspect of my clinic to learn how to save seconds and yet still offer world class treatments. Over the years, saving seconds could mean saving thousands. Even more importantly, it could mean helping more people get well.
Viktor Krystufek
Acupuncture Society of New York, USA
Title: AOM in workers’ compensation and opioid epidemic
Biography:
Viktor Krystutek is a Global Health Activist, Acupuncture Legislation Strategist, Medical Forum Presenter, Clinician and a Health Coach. His ultimate goal is to bring acupuncture to the forefront of the medical community and incorporate integrative medical approach to heal today’s patient. He serves on the Board of Directors for Acupuncture Society of NY and volunteers as an Adviser to Czech Chamber of TCM and ETCMA. He runs a clinic in 5th Avenue in NYC and his specialties include neuro-acupuncture, facial/body rejuvenation, pain management, musculo-skeletal disorders, emotional disorders, infertility and pediatrics. He treated and educated thousands of patients around the world. His philanthropic resume includes setting up portable medical community clinics in underserved regions of South America and fundraising for underprivileged children from Africa, Europe, Asia and Indonesia. For his medical charity efforts, he was granted a title "Visitor of Honor" by the mayor of Guatemala City.
Abstract:
Statement: The United States is facing an opioid epidemic. In 2015, there were 52,000 American deaths from all drug overdoses. Two thirds of them, 33,000, were from opioids, compared to 16,000 in 2010 and 4,000 in 1999. In 2016, deaths from overdoses increased over the previous year by 26% in Connecticut, 35% in Delaware, 39% in Maine, and 62% in Maryland. Nearly half of all opioid overdose deaths involve a prescription opioid. The 2015 National Drug Threat Assessment Summary published by the US Department of Justice Drug Enforcement Administration states that “the threat posed by controlled prescription drugs abuse is prevalent, and every year since 2002 the number of deaths attributable to CPDs has outpaced those for cocaine and heroin combined. The number of treatment admissions to publicly funded facilities for non-heroin opiate/synthetic abuse in 2012 was 36.5 percent higher than the number in 2008; however the number of admissions declined from 2011 to 2012. This decline can likely be attributed to the number of CPD abusers using heroin, which increased from 2011 to 2012. Many abusers, when unable to obtain or afford CPDs, began using heroin, a cheaper alternative that offers similar physiological effects.
Yi-Chuan Liu
Midwest College of Oriental Medicine, USA
Title: TCM nutrition: Providing a different mindset using foods for balanced health
Biography:
Yi-Chuan Liu has earned her Bachelor of Medicine degree from the Nanjing University of Chinese Medicine, Master’s and Doctoral degrees from Midwest College of Oriental Medicine. She is a Professor at the Midwest College of Oriental Medicine where she teaches TCM nutrition, and herbs. She is also a Supervisor of student interns in the College’s clinic. She brings classical TCM as well as any new herbal research in the field into the classroom and clinical setting. Her teaching and clinical style is traditional because it encompasses a Mind/Body/Spirit approach that exemplifies the same attitudes of the famous Chinese doctors of old. It also aims to fully merge the practices of east and west by taking the best of the old and combines it with modern scientific advances in medicine to provide an integrative approach to patient center care.
Abstract:
This paper discusses about overview of improper diets and lack in correct food; and recommendations for balanced health. Traditional Chinese Medicine (TCM) encompasses eight strategies: Meditation, exercise (Tai Chi), diet and nutrition, astrology, Feng Shui (geomancy), body work, herbs, and acupuncture. The Chinese recognized nutrition as one of these pillars was crucial for Doctors to incorporate into their teaching and practices. Food can prevent, correct or cause disease depending of a person’s choice. Ideally, a combination of dietary therapy, acupuncture, and herbal prescriptions specifically designed for the patient’s individual needs along with lifestyle changes will heed a positive outcome. TCM nutrition is the product of 5,000 years of China's history. TCM influenced diet therapy was first introduced in the Zhou Dynasty (1100–700 BC). This is when the first detailed herbal books were written. It has continued to evolve with modern Western medical standards while still keeping its roots in the ancient’s teachings and philosophies. The word dietetics, from the Greek word diata means life care or art of living, illustrates the breadth and importance of using nutrition to support life. The famous doctor Sun Si Mao accentuated the important role of nutrition by explaining, without the knowledge or proper diet, it is hardly possible to enjoy good health. In many cases, TCM doctors used nutrition first and foremost to treat a condition with other approaches for healing coming second. According to the ancient practices, doctors first have to find the cause for an illness and determine which disharmony prevails. To balance this disharmony, the first and foremost measure is appropriate diet. It is not until this measure bears no results that one should use medicines (herbs) (Chinese Nutrition Therapy). In other words, nutrition is an important therapeutic method used in traditional and modern (integrative) Chinese Medicine to ensure all people achieve optimal health by becoming more resilient and resistant in their daily life.