Acupuncture Without Needles
There are, in the United States, over 7 million people who are partially or completely disabled by back pain and another 40-50 million people who suffer from chronic recurrent headaches. Frustrated with my inability to help all my patients with conventional treatments, I have been using acupuncture since 1981. But about ten years ago I started using more acupressure, particularly since I could teach a lot of people to continue treating themselves.
Last month we saw evidence from a study using magnetoencephelography (MEG) scanning equipment that acupuncture reduces the activity of regions of the limbic system of the brain. MEG is a relatively new technology that measures the very faint magnetic fields that emanate from the head because of brain activity, instead of measuring electrical activity itself, which is a fairly blunt instrument. This reduced activity only occurred with deep needling, and when the patient experienced what is known as de qi. In Chinese medicine it is normally considered that the needle has not been correctly positioned until the patient and the practitioner both get the sensation of de qi. By contrast, superficial needling just caused activation of sensory areas of the cortex. Many doctors trained in needling techniques ignore the de qi experience, which is, I think, a mistake. When you are able to elicit it, the efficacy of acupuncture increases enormously.
Keep in mind what I have said before: just because acupuncture is associated with neurological changes, does not mean that they are responsible for the effects of acupuncture.
In this week’s British Medical Journal is an article from Taiwan, showing the effectiveness of acupressure in 129 patients with chronic low back pain. Like every study ever done, it is possible to pick some holes in this one, but overall it appears to be sound.
Now I am interested to see a press release about a form of needle-less therapy. I have written before about Thought Field Therapy (TFT), and the subject of the press release is a development of it called Emotional Freedom Technique, or EFT. While TFT uses tapping at specific points, together with humming, counting and eye movements, EFT is much simpler. It combines gentle fingertip tapping on key acupuncture points with focused thought. It is claimed to effectively reduce – and often permanently eliminating – chronic pain. According to its practitioners, EFT is more than 80-percent effective in treating headaches, back pain, cancer pain, arthritis, and pain from other conditions.
There is the rub: I could find no published research when I did a Medline search. That being said, I have reported elsewhere that I went to California to debunk TFT and became a convert after being treated by its inventor, Roger Callahan. There is a small amount of research on TFT that appears to confirm its effectiveness in some conditions, and I have certainly found it to be very helpful for many people.
Whether the claims of EFT will be born out remains to be seen. I have seen the techniques work, and I have to give credit where it is due. In exchange for your email address Gary Craig, who developed EFT, allows you to download a EFT manual from his website. You may also purchase DVDs from his site to learn more about this treatment modality. As always, I do not suggest using EFT or any other method in place of tried and tested treatments, but it may be a good adjunctive treatment for mild conditions.
In future message and in my newsletter I shall share some of the precise techniques that I have found useful, as well as ones that did not work out for me.
Technorati tags: Emotional Freedom Technique, headaches, acupuncture, acupressure, chronic pain
Some New Research on Acupuncture
Acupuncture has been in use for at least three thousand years and some evidence that our ancestors were first exploring this amazing form of healing seven thousand years ago. We now have several forms of acupuncture being practiced: Traditional Chinese, that operates on a system of yin and yang, of five elements, of Qi and channels along which it flows. It was this system that I studied in China almost fifteen years ago. There are many schools and styles of traditional acupuncture, and distinct forms of treatment have grown up in many parts of the Far East, including Japan, Korea and Vietnam. There is also something called “medical acupuncture,” that ignores the principles and precepts of traditional Chinese medicine, and instead focuses on stimulating tender spots and using simple “recipes” for treating people. This stimulation might be with needles, lasers of electricity. Both types of acupuncture have been subjected to a great deal of research.
It may be that medical acupuncture works simply by stimulating the release of endorphins, or modulating some other chemical transmitters in the brain and spine. But the situation with traditional acupuncture is more complex. Every competent practitioner has seen clinical responses that cannot be explained on that basis alone. I have personally treated people paralyzed by strokes, and have seen them recover far more than we would ever expect in Western medicine. Other odd things too, like the cartilage being restored in people with arthritis. The frustrating thing is that none of the treatments works every time. But when it does, it can be amazing.
Recent studies that have been published in major journals have extended the list of conditions that may improve with acupuncture to include:
- Fibromyalgia
- The side effects of HIV medicines
- Arthritis of the knee
- Overactive bladder in women
- Itching associated with dialysis
On the other hand, I was surprised to see a large study of people with migraine, who failed to obtain much benefit. More than 20 years ago I reported good results using acupuncture for migraine at a conference in London. An esteemed colleague from Chicago immediately disagreed, saying that he had tried acupuncture and it had not worked for him. I think the message here is that it is not just the therapy, but also who is doing it.
Technorati tags: acupuncture Energy medicine Qi
