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Pediatric Hyperactivity And Attention Deficit Syndromes 2010

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Traditional Chinese Medicine Perspectives on Pediatric Attention Deficit & Hyperactivity Syndromes

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Pediatric Hyperactivity And Attention Deficit Syndromes 2010

  1. 1. Acupuncture and Chinese Medicine: an Integrated PerspectivePediatric Hyperactivity & Attention Deficit Syndromes PK Melethil, L. Ac. , Dipl. Oriental Medicine Traditional Chinese Medicine Physician Melethil Acupuncture Services, LLC Wilsonville, OR 97070 COMMUNITY HEALTH PROGRAMS, Wilsonville Winter 2010
  2. 2. OVERVIEW• Traditional Chinese Medicine- an overview, focusing on child development• Pediatric Hyperactivity & Attention Deficit Syndromes(i.e., AD-HD): a developmental condition affecting children• Chinese medicine therapeutics for Pediatric Hyperactivity & Attention Deficit Syndromes Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  3. 3. Anthropological RecordArchaeological evidence: 10,000+ years.Ma Wang Dui site: 2,000+ years – clinical tools, philosophical and qigong manuscripts.Written Texts: 2,000-3,000 years old. – Herbal Medicine, Acupuncture, Body workMedicine guided by empiricism Daosim, Confucianism, Buddhism Multiple overlapping and co-existing modelsShared knowledge with Yoga, Ayurveda (India)Greek Influences Conversations between Huang Di and Chih-Po Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  4. 4. Background• Harmony and Balance• Movement of Qi and Blood 12 Primary Meridians- 6 on each side (symmetry) 8 Secondary (Extraordinary) Meridians• Acupuncture Points (400-500 x 2) Jing-Luo Network of points analogy: a river and its tributaries, a net Variable size, shifting locations Ah-shi points• Mechanism of Action- Contemporary Ideas • Conductivity gradients (Prognos) Electrochemical gradients • Optical/Thermal gradients • Acoustics- variations in visco-elastic properties of tissues Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  5. 5. What is Qi?• 5 functions of Qi Source of all movement Protects the body Source of harmonious transformations Ensures stability and governs retention Warms the body• 5 types of Qi Organ qi Organs are functional systems, not anatomical structures Meridian qi Nutritive qi Protective qi Ancestral qi Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  6. 6. TCM Models of Pathology- “Disharmony”Models of Pathology Cold Induced Illnesses Progresses from External (Yang) to Internal (Yin) channels- 6 Levels Zang-Fu Theory Based on Organ Disorders (Meridians) Warm-Febrile Diseases Progresses from Outer to Inner layers Models: Triple Burner, 4 LevelsCausative factors External /Environmental Pathogenic Influences Damp, Cold, Heat/Fire, Wind, Dryness, Summer heat ACUTE Internal Pathogenic Influences Emotions (Stagnation) CHRONIC Phlegm << Body Fluids + “Heat” Deficiency Patterns Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  7. 7. Diagnostics & Therapeutics• Diagnostics Interview Palpation Tongue Pulse vein along outer edge of index finger (< 3 y.o.)• Therapeutics Acupuncture TuiNa (Medical Massage) Internal Medicine Diet/Nutrition, Herbs, Minerals, Animal products Qigong, Tai Ji Quan, meditation (Exercises) Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  8. 8. Ma Wang Dui- Ancients Qi Gong Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  9. 9. Pain• Stagnation/Anisotropy Qi, Blood• Types of pain (paresthesias) Sharp, piercing Dull, throbbing (Heaviness) (Numbness) Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  10. 10. Advantages of AcupunctureSimple, GentlePainless (200-300 mm, single-use needles)Safe, Minimal side effectsReduced use of narcotics & other medicationsEffective, Economical Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  11. 11. Modern Applications of AcupunctureAnesthesia for Breast Reconstruction Surgery, OHSU Photo provided by Roger Lore, DAOM Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  12. 12. Chinese/Asian Medicine: 2000+ years of realizations about health growth-development ex utero Post Heaven Shen (Heaven) Heart Liver Qi (Human) Spleenwuji Kidney Jing Lung taiji (Earth) Pre Heaven congenital in utero Macrocosm Microcosm Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  13. 13. TCM Toolkit• Acupuncture v. effective for cerebral palsy• TuiNa digestive disorders• Internal Medicine dominant strategy Over 1000 herbs in TCM pharmacopoeia; formulas are well-tested, hundreds to thousands of years old Current herbal products manufactured under cGMP guidelines• Qigong (exercise) Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  14. 14. Development: a TCM perspective• meridians are incompletely developed• organs (Zang-Fu) are not fully formed• Qi is weak, susceptible to external pathogenic influences – e.g., cold, heat, dryness• diseases generally due to deficiency – transforms rapidly, but resolves quickly also• AVOID exposure to cold, improper diet• tian kui “dew of heaven” cycles: females-7 years, males- 8 years Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  15. 15. Development: a TCM perspective (contd.)• Excess of yang , relative deficiency of yin (viz. fast metabolism) – Manifest as Taiyin “Great Yin” disorders, predominant in childhood respiratory (Lu), digestive-assimilative (Sp) systems• Congenital disorders , slow development (Jing <Earth> essence) bones, organs, brainFactors of relevance to AD-HD• maternal health (diet, environment) Pre-Heaven (in utero)• childs’ diet, psych-soc environment Post-Heaven (ex utero) Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  16. 16. Treatment: a TCM perspectiveTherapeutic focus• Augment Qi – strengthen digestive, assimilative functions – Tonify Sp, Lu – Increase Exercise, Activity (as appropriate)• Nourish Yin – Internal medicine • Diet, Nutrition • Herbs Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)
  17. 17. Further Readings• The Web That Has No Weaver, Ted Kaptchuk• Medicine in China, Paul Unschuld• Acupuncture: A Comprehensive Text, John O’Connor, Dan Bensky• The Practice of Chinese Medicine, Giovanni Maciocia• The Psyche in Chinese Medicine, Giovanni Maciocia• CDC (ADHD, LD) http://www.cdc.gov/ncbddd/ADHD/ http://www.cdc.gov/nchs/data/series/sr_10/Sr10_237.pdf National Center for Health Statistics CDC-National Health Interview Survey Melethil Acupuncture & Chinese Medicine AD-HD Syndromes (2010)

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