ACUPUNCTURE

       zhen   jiu   fa


Inspiring the body to heal

               Zachary B. Corbett
                      ...
Licensed Acupuncturists
•   Licensed and regulated by the Oregon Board of Medical
    Examiners.
•   Our scope of practice...
Myself
•   Practicing in Oregon for the last 3 years, and previously in
    Santa Barbara for 5 years.

•   Before that I ...
“The web that has no weaver”
History
First evidence of use of channels 5000 BCE: Otzi valley
ice man’s tattoos align his medical problems with modern
a...
(also spe"ed Ki, Chi, Ch’i)
Best to think of Qi as function. The Qi of the Stomach
is to receive food, produce acid, etc. ...
72 Channels, with branches to every cell in
the body.
Traditionally thought to be the highways
and byways that Qi flows alo...
Safe places on the body to use
     acupuncture needles
365 Main channel points all over the body.
Most are in large muscl...
Understanding acupuncture channels:

              Emergent Functions
• Uncooked rice spread on a metal
  plate.
• The met...
Immune System,
 Blood, Nerves,
     Brain
Physiological changes that can
      be measured after
        acupuncture
Increase in blood flow to problem, ischemic area...
Difficulty of doing clinical
  trials with acupuncture
You are doing something to a person who is awake and can
see what is...
Difficulty of doing clinical
 trials with acupuncture
Science requires “double blind placebo controlled
study”
Acupuncturis...
Recent clinical efficacy studies
suggesting benefits of method
Menopausal symptoms: insomnia, anxiety, hot flashes.
Osteoarth...
National Institutes of
    Health Consensus
Allergies       Epilepsy        Post surgical
Anxiety         Emotional       ...
Safety Record
Over 2000 years of recorded anatomical study (in
Europe since 17th century)

Training develops a high level ...
“...It’s comfortable!?!”
I see that at least 60% of my patients fall asleep during
the session. More have “myoclonic spasm...
When is it safe to use acupuncture?
 If condition is not currently life threatening.
 If life threatening, that the acupun...
CASE STUDIES
Of patients in my Eugene clinic
Case Study #1: “Mary”
‣   A 60 year old woman with chronic arthritis in both
    knees. 6/10 walking; 8 /10 pain level wit...
Case Study #1: “Mary”
‣   7th week: pain down 80% or more (stairs & walking) for
    2-3 days after session, reduce freque...
Case Study #1: “Laura”
‣   A 43 year old woman, co-owns a nursery. Diagnosed
    with ankylosing spondylitis 10 years ago....
Case Study #1: “Laura”
‣   1st session: Pain down 50% for several hours. A
    profound feeling of well being that she has...
Downtown between Oak & Pearl


                  Zachary B. Corbett, L.Ac.
                  132 East Broadway, Suite 312
Traditional Chinese Medicine
                     T.C.M.


     I am trained to monitor clinical progress:

              ...
Acupuncture
Acupuncture
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Acupuncture

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Acupuncture

  1. 1. ACUPUNCTURE zhen jiu fa Inspiring the body to heal Zachary B. Corbett Licensed Acupuncturist
  2. 2. Licensed Acupuncturists • Licensed and regulated by the Oregon Board of Medical Examiners. • Our scope of practice in Oregon is quite broad and includes prescribing herbs and supplements, acupuncture, nutritional counseling, manual bodywork therapies. • California training is for a much broader scope of practice, more akin to N.D.’s in Oregon. • Trained to accurately measure clinical progress, assess other medical needs. • Training in CA takes 4 years full-time post graduate work at a state/ federally accredited college.
  3. 3. Myself • Practicing in Oregon for the last 3 years, and previously in Santa Barbara for 5 years. • Before that I was a molecular biologist at the VA Westwood investigating anti-ulcer drugs. • Practicing in Oregon for the last 3 years, and previously in Santa Barbara, CA. for 5 years. • Use both Chinese and Japanese styles of acupuncture.
  4. 4. “The web that has no weaver”
  5. 5. History First evidence of use of channels 5000 BCE: Otzi valley ice man’s tattoos align his medical problems with modern acupuncture theory. Survived in China because the Chinese were rather good at writing things down - first book was about 600 BCE. 17th century anatomists show that acupuncture points are at safe locations on body. Confirmed by british surgeons in the 1930’s. Early use in USA in 1950’s by orthopedic surgeons Brought to popular attention in the west by Nixon’s China summit: James Reston had acupuncture analgesia during an appendectomy.
  6. 6. (also spe"ed Ki, Chi, Ch’i) Best to think of Qi as function. The Qi of the Stomach is to receive food, produce acid, etc. The Qi of the eyes is to see. Qi is also energy. One can talk about energy as quality, such as “he puts a lot of energy into his family.” Qi is information, fuel, order. Qi also parallels contemporary physics - energy and matter interchange, Qi = m.c2
  7. 7. 72 Channels, with branches to every cell in the body. Traditionally thought to be the highways and byways that Qi flows along. Roughly follow the paths of nerves, blood vessels. Qi flow helps the communication between the different areas of the body, e.g. between Heart and Kidneys
  8. 8. Safe places on the body to use acupuncture needles 365 Main channel points all over the body. Most are in large muscles 100 Points on each ear. Depth of insertion varies from a millimeter to 6 inches or more - a" with the same comfort levels.
  9. 9. Understanding acupuncture channels: Emergent Functions • Uncooked rice spread on a metal plate. • The metal is vibrated. • At different frequencies, an impressive range of geometries appear. • These geometries are “emerging” from the inherent properties of the metal acting on the rice. • Notice that there are no walls on the metal plate until the peaks and troughs of the sound wavelength create them. Likewise, studying anatomy from a cadaver to look for acupuncture channels would be like looking for these geometries on plate that is not vibrating.
  10. 10. Immune System, Blood, Nerves, Brain
  11. 11. Physiological changes that can be measured after acupuncture Increase in blood flow to problem, ischemic areas of the body. Changes in immune system factors in the blood - increase white blood cells, compliment activation, Ig modulation. Changes in blood chemistry - cortisol and other circulating hormone levels. Endorphin release stimulated in the brain. Changes in brain activity followed on brain scan images.
  12. 12. Difficulty of doing clinical trials with acupuncture You are doing something to a person who is awake and can see what is going on. Most people can feel if something is inserted into their bodies. “Sham Acupuncture” - 1. Like jury selection, you find someone who has never had acupuncture and has not heard too many descriptions about what to expect...(Exactly how much is too many?) 2. You put up a screen between the patient’s eyes and the target acupuncture point. 3. You tap an empty tube onto the point, and hope they can’t tell the difference.
  13. 13. Difficulty of doing clinical trials with acupuncture Science requires “double blind placebo controlled study” Acupuncturists do not make treatment designs based off western diagnoses. We “do what is necessary.” Our training is to design individual, case specific parameters : Needle size. Number of sessions Removal of Intensity of per week. interfering lifestyle stimulation. Use of moxa or not. choices or not: Duration of a Needle technique. posture, diet, work treatment. Points selected habits etc.
  14. 14. Recent clinical efficacy studies suggesting benefits of method Menopausal symptoms: insomnia, anxiety, hot flashes. Osteoarthritis of the knee: reduction of pain, inflammation. Post-op recovery of head/ neck surgeries. Hypertension Multiple sclerosis - fatigue, pain, remission maintenance Fibromyalgia symptoms
  15. 15. National Institutes of Health Consensus Allergies Epilepsy Post surgical Anxiety Emotional recuperation Arthritis difficulties Painful Asthma Eczema periods Back pain Gastric Sleep Childhood disturbances problems diseases Heart disease Stress Chronic Industrial/ Stroke fatigue sports TMJ Colds and flu injuries syndrome Difficulty Infertility Trigeminal concentrating neuralgia
  16. 16. Safety Record Over 2000 years of recorded anatomical study (in Europe since 17th century) Training develops a high level of delicacy and fine motor control. Most frequent complications are transient nausea, lightheadedness, bruising. There are more serious complications possible, but modern technique, modern tools and modern training have largely eradicated these.
  17. 17. “...It’s comfortable!?!” I see that at least 60% of my patients fall asleep during the session. More have “myoclonic spasms” that are normal for peri-sleep brain waves. Designed to work via the body’s natural healing ability which relies heavily on relaxation. If I go about my day stressing people out I could never get any results. Some people feel nothing, some people feel unusual sensations like electricity, pressure or a moving warmth. There is nothing in western culture to compare it to. Absolutely and tota"y unrelated to injections.
  18. 18. When is it safe to use acupuncture? If condition is not currently life threatening. If life threatening, that the acupuncture therapy will not interfere with other life saving measures. No diabetic neuropathy, clotting disorder. If receiving no treatment will not exacerbate the problem. If biomedicine is simply not working. Fundamentally Your choice  If biomedical treatment options & side effects are worse than the disease and there is time to safely defer standard treatment - alternative medicine is the best place to start or transition to.
  19. 19. CASE STUDIES Of patients in my Eugene clinic
  20. 20. Case Study #1: “Mary” ‣ A 60 year old woman with chronic arthritis in both knees. 6/10 walking; 8 /10 pain level with stairs. Worse in morning. Severe health problems, not a good candidate for knee replacement surgery. 600mg ibuprofen/ day. ‣ Started with 1 hour treatment, Tuesday and Friday. Acupuncture and moxibustion each session. ‣ 1st week: pain gone for 2 hours after treatment, then returns to usual pattern. ‣ 4th week: pain down 80% for day after session, 50% for day after, then returns at a consistent 6-7/10 or less, depending on activity level. Ibuprofen down to 400 mg, 4 days per week.
  21. 21. Case Study #1: “Mary” ‣ 7th week: pain down 80% or more (stairs & walking) for 2-3 days after session, reduce frequency to once per week due to transportation difficulties. ‣ By end of 3rd month: Walking is mostly comfortable and is able to climb stairs with 4/10 pain. Patient estimates only using ibuprofen 1-2 times per week, depending on activity levels.
  22. 22. Case Study #1: “Laura” ‣ A 43 year old woman, co-owns a nursery. Diagnosed with ankylosing spondylitis 10 years ago. Pain is most severe in the left elbow and in the neck. Worse with movement, slightly better with rest but job makes it difficult to take rest periods. Feels very distraught and hopeless as western prognosis is very poor. 8-9/10 “or more” severe burning, aching. Can not get comfortable. Can only make once per week sessions, only most weeks. ‣ At the second session, I spent 30 minutes after treatment showing her stretches. ‣ At the third session, I taught her how to perform moxibustion on herself. Goes home with written instructions and some moxa poles ($1 each pole).
  23. 23. Case Study #1: “Laura” ‣ 1st session: Pain down 50% for several hours. A profound feeling of well being that she has not felt “for years” that lasted even when pain levels rose again. ‣ By 3rd week, has significantly reduced her suffering. Is able to extend benefit of session by 2 whole days using her “homework.” ‣ By the end of her 2nd month, episodes of maximal pain are down to 1-3 times per week. Ibuprofen is much more effective at these times. Sleeping better, feels “more comfortable in her own skin.” ‣ Discontinued acupuncture around 4th month for financial reasons (no insurance). Continues stretching and moxibustion with much improved general quality of life.
  24. 24. Downtown between Oak & Pearl Zachary B. Corbett, L.Ac. 132 East Broadway, Suite 312
  25. 25. Traditional Chinese Medicine T.C.M. I am trained to monitor clinical progress: warning signs use of SOAP notes telephone follow ups symptom journal design for home use - diet, basal body temperature, activity vs. pain log, others)
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