Saturday, March 17, 2012

Five Reasons to Consider Acupuncture: Written by Chris Titus

Re-posted with permission from
In recent years, Oriental medicine has been growing in popularity, forcing many in the Western medical community to sit up and take notice.  Fifteen years ago, if you asked your primary care physician about acupuncture, he or she might have laughed you out of their office. Today, their responses have changed to something more accepting.  While most will readily admit they don’t understand this ancient practice, there is a growing body of research that indicates it works for many conditions.
How Does Acupuncture Work?
The practice of acupuncture originated thousands of years ago in China with the use of stones.  It operates on the theory that energy, known as “chi” in the East -- similar to bio-electricity in the West -- must flow freely in the body.  If there is a blockage, organs will not receive enough energy to function properly, leading to disease. Acupuncture seeks to open these blockages, allowing the body to heal itself.  This is done by inserting very thin needles into combinations of points along fourteen energy pathways that cover the body.  These pathways are called meridians.
Why Should You Use It?
The following five points offer compelling reasons to consider using acupuncture.
Reason 1: Efficacy
The most obvious reasons you should add a new treatment to your health care arsenal is that it works equally well as, if not better than, your current regimen, while causing fewer side-effects.  Does acupuncture meet either of those criteria?  According to a 1996 review of controlled clinical trials conducted around the world, the World Health Organization (WHO) concluded that acupuncture successfully treats 28 conditions, including the number one affliction plaguing Americans -- hypertension.  The WHO also stated that acupuncture shows promise for treating 52 other conditions.
Since the WHO’s review was conducted, numerous clinical studies have been launched in the West, yielding mixed results.  Many have concluded that acupuncture is no better than “sham” acupuncture -- when patients are needled in non-acupuncture points.  Critics of these studies cite their poor study design, as well as sample sizes that are too small to reach any meaningful conclusions.  Based upon the inconclusive results, more funding needs to be allocated to research a health care modality that Americans are pursuing in record numbers.  In 2007, there were 17.5 million acupuncture visits in the U.S., for an estimated out-of-pocket expense of $1.1 billion.
Before conducting more studies, researchers need to answer two questions.  First, why are so many people looking outside of Western medicine for their answers?  Each year there are roughly one billion doctor visits in the United States. In an overburdened system, where the average doctor appointment lasts only seventeen minutes, it would seem logical that thousands, if not millions, of patients could slip through the cracks.  With so little time to render an accurate diagnosis, it’s no wonder that one in five patient visits results in a psychosomatic diagnosis.  
From the patient’s point of view, a psychosomatic diagnosis often leaves them feeling as if their doctor has marginalized their physical complaints, if not outright dismissed them. Despite classifying symptoms as having a psychological (or mental) origin, doctors are reaching increasingly for their script pads. According to the CDC, 74% of doctor visits result in some form of drug therapy.  Often, these drugs only mask the symptoms without making a dent in curing the underlying imbalance.  Patients feel frustrated by the side effects and prospect of a life dependent upon chemicals.  Soon, they see their only option for finding a lasting cure is to look outside of the current system.
The second, and more important question is, which style of acupuncture should the medical community be testing?  Similar to the many styles of martial arts that exist, there are also many styles of acupuncture. When you consider the diversity of styles, it doesn’t seem appropriate to perform clinical trials on one style and make generalizations about an entire medical practice.  Studies should first seek out the most effective styles for each condition.  Then these styles should be tested against “sham” acupuncture as well as current mainstream therapies.  Otherwise, there will never be accurate data with which to stem the growing rift between Eastern and Western medicine.
Recently, conducted a national survey of acupuncturists in the United States. Comments made by practitioners with more established practices had a common recommendation: Learn one of a handful of styles that are not currently taught in schools.  Many attributed their success in part due to learning these other styles, asserting that the superior results they yielded were responsible for the strong word-of-mouth following they enjoyed with patients.
Having been one of the many patients who slipped through the cracks of Western medicine, my own journey led me through yoga, ayerveda, chiropractic, muscle testing, naturopathy, and eventually Chinese medicine. I landed on this path after being bounced around virtually every Western specialty.  In total, I visited with more than 140 physicians over a fifteen-year period.  Living in Boston afforded me access to many of the world’s leading hospitals and physicians.  After hundreds of thousands of dollars in medical expenses, my cure was not found in Western medicine, it was found in acupuncture … a medical practice ridiculed by many of my Western physicians. 
So, is acupuncture effective?  ABSOLUTELY.  Is all acupuncture created equal?  No.  In the absence of proper medical studies, it’s up to you to do your own research through trial and error.  For me, the fourth style of acupuncture I tried was the one that brought about lasting relief.
One final point I would like to make on this topic is related to the safety of acupuncture when administered by trained professionals.  The risk of injury or death is infinitesimally low -- well below 1%.  Compare this with the fact that the third leading cause of death in the United States is the Western medical system (given as “iatrogenic causes”).
Reason 2: Economy
There are two economic reasons to consider acupuncture.  The first reason relates to your personal economic situation.  For many conditions, acupuncture is a viable economic alternative to drug therapy.  If you average the total cost of obtaining a prescription for chronic conditions (including routine doctor visits, blood tests for liver and kidney damage, and the prescription) the average weekly expense is often higher than that of acupuncture. Factor in acupuncture’s goal of curing many conditions that Western medicine merely aims to contain, and acupuncture begins looking very appealing.
It has been well-documented that job loss and illness go hand-in-hand.  As the economic crisis has rippled its way across the globe, we’ve seen millions of people lose their jobs in its wake.  Job loss bring with it a loss of employer-sponsored health insurance at the exact moment when people become more susceptible to illness. 
One viable solution is community acupuncture.  The Community Acupuncture Network is comprised of clinics that treat people in a group setting at affordable rates.  The cost per appointment ranges from $15 to $35.  At these prices, acupuncture beats most drug therapies on a price comparison.
To understand the second economic reason for using acupuncture, you need to take a macroeconomic view of the US.  During 2011, the first of the Baby Boomers began retiring.  Over the next ten years, the number of retirees is expected to grow by 80% to 72 million people.  With people living longer and the cost of health care skyrocketing, it appears unlikely that we will be able to pay for the services needed to care for the elderly. 
To put this in perspective, some economists estimate that the U.S. entitlement liabilities add to $115 trillion -- Social Security ($15T), Medicare Part D ($20T), and Medicare ($80T).  By comparison, the muc- debated national debt appears rather frivolous at $15 trillion. 
Entitlement liabilities are calculated using a net present value calculation.  As such, the expenses for current and near-term retirees (Baby Boomers) have the largest weight in the calculation.  Depending upon the interest rate, cost of living, and health care inflation assumptions used to calculate NPV, the net result is an additional cost of $1 trillion to $3.5 trillion per year over the next 30 years. 
A quick look at the money supply data published by the Federal Reserve points to a rapid and sustained increase in the monetary base long after QE2 ended in June 2011.  In the eight months following the end of QE2, the thirteen week moving averages for M1 and M2 roughly doubled to 20.4% and 10.0% year-over-year, respectively.  When compared with the annualized sequential quarterly change, the growth shows an accelerating trend reaching 32.3% and 17.5%, respectively.  It’s important to note that the numbers provided by the Fed took the sequential growth figures and simply multiplied them by four.  If the numbers were compounded, arguably a preferable method, M1 and M2 would rise to 36.4% and 18.7%, respectively.
Note: Since this article was originally authored, the thirteen week moving average growth rates for M1 and M2 have declined to 12.7% and 6.8%.
So, why should you begin using acupuncture?  Consider how the increase in entitlement spending will affect the money supply.  The average spending required for Baby Boomers ($2.25T) will expand the money supply at a rate of 25% per year.  Keep in mind that this does not include the current $1.7 trillion deficit. From the money-supply data above, it’s safe to assume that some of this growth is already being printed.  At our Greece-like debt-levels, it’s unlikely investors will want to lend us money to pay for our entitlements in the future.  To pay for it, the US. will have to print money, which sets the stage for hyper-inflation.  Businesses will find it difficult to survive, and millions more people will lose their jobs and benefits. This is the reason gold has risen to $1,700/oz. 
One way the government may decide to combat this scenario is to ration health care spending.  If you are a retiree, you are faced with not receiving care.  This will lead to higher prices.  Inflation will not only increase the cost of care, but you may see your saving erode so fast that you cannot afford care.  Since most companies view doctors as their end customer, patients are left without a voice.  With so many patients and fewer doctors expected in the future, how likely is it that your doctor will accommodate your circumstances when there are so many other paying customers they can treat? 
As previously discussed, community acupuncture offers an affordable solution to your needs.  Additionally, acupuncturists who are not beholden to insurance companies or group practices may find it easier to barter patients' goods and services for their services.  Lastly, acupuncture is a service that offers immediate healing. Writing a prescription for a drug you cannot afford is not a service that offers any healing.
Reason 3: Environment
Whether or not you believe in drug therapy, you may not have a choice if you are one of the 40 million Americans exposed to pharmaceuticals through your drinking water.  This is a testament to how prevalent pharmaceuticals have become in our daily life.  While these exposures only exist in trace amounts, they are on the rise.  There’s no telling how high they will be in twenty years.
Replacing drugs with non-toxic acupuncture will reduce the amount of stress you place on your internal and external ‘environments’.  The body was not designed to consume so many chemicals day in and day out.  As the waistlines of America have grown, so too has the storage space for these chemicals.  Many toxins find homes in fat cells, only to poison the body over lengthy periods as they are released back into the bloodstream.  This can lead to a variety of diseases.
I believe the Chinese medical pharmacy offers a viable solution for many of our maladies.  While it may not offer a cure to the ‘super bugs’ we’ve seen as of late, antibiotics are not exactly the blockbuster category that drug companies have been pushing through direct-to-consumer advertising to earn billions of dollars in profits.  For these indications--heart disease, sexual dysfunction, incontinence, cancer, and so on--Chinese herbal remedies do offer alternatives. 
It’s important to note that roughly a quarter of all pharmaceutical on the market are actually derived from herbs. However, rather than use the entire plant, science extracts what it thinks are the active ingredients without giving thought to how these chemicals interact with the discarded parts of the plant once inside the body.  The East takes a ‘wholistic’ approach to health, whereas the West takes a specialist approach.  If you are reading this article from the confines of a cubicle in a large corporation, you know how well the compartmentalized organizational structure works when departments don’t talk with each other or even know what’s happening two rows away.  This is the same reason the specialized modern medical system is failing so many people.
Lastly, herbal medicine is a sustainable resource that adds to the environment.  It needs to be cultivated, not replaced by a process that destroys our drinking water and food supply. 

Reason 4: Energy
As described by Chris Martenson in his video series, The Crash Course, there is a strong argument to be made that the world has already put peak oil in its rear view mirror.  What does this mean?  In the future, each barrel of oil will become increasingly expensive as it becomes more difficult to extract and refine.  We are already seeing this reflected in oil prices, which politicians are conveniently attributing to speculators.  The scary scenario comes when output dwindles to the point where supply equals demand.  Countries that produce oil will begin to hoard their resources, which will dramatically reduce the available supply of oil on the market and further increase prices.  If new energy sources are not discovered and made available on a mass scale, the world could see devastating disruptions to the food supply, not to mention health care.
Consider how much the health care system depends upon energy.  Every diagnostic test, drug, medical supply, and device requires substantial amounts of energy and petroleum to run, produce, and ship.  Now, compare that to acupuncture.  Simply put, you can administer acupuncture by candle light.  Similarly, Chinese medical diagnostic testing relies on something Western doctors have lost touch with … the patient.  The primary diagnosis is performed by palpitating the pulse, along with other body parts, and an examination of the tongue.  In addition to the patient’s history, acupuncturists take into account the patient’s body odor, appearance, and other physical and vocal observations.  Chinese medicine creates a full medical system built around the patient and what you readily have available at your disposal.
If the next crisis we encounter is an energy crisis, acupuncture could be a valuable option for solving your health care needs.

Reason 5: Experience
Transitioning from a position in marketing or accounting to become an acupuncturist is more than a simple career change, it’s a calling.  Many of the people I’ve met who made this leap did so at the end of their own journey through a health care crisis.  It’s these types of experiences that build compassion in a practitioner, which brings us back to the first question asked in Reason 1--why are so many people looking outside of Western medicine?  In addition to seeking answers to their problems, patients are looking for a level of compassion not found in Western medicine. 
Another aspect of experience is ‘age’.  When someone decides to go to medical school, it’s typically within a year or two after graduating from their undergraduate studies, if not immediately after.  They’ve hardly worked or had any real world experience, yet they choose to make an enormous investment in a career at an age when they hardly know themselves. If they don’t like their job or interacting with people, too bad.  Once you go down a path with such an large debt burden, it’s difficult to get off.  Now, fast forward ten years into their career.  If they feel stuck in the wrong career, pressured by hospital administrators to squeeze in more appointments, or have grown tired of a never ending stream of “whining patients”, then the result will be compassion-less care.
Compare that to someone who is thirty-five years old, knows him or herself very well, has worked for a number of years in various positions and companies, and endured their own health care issues.  It would appear the latter person is making a more informed decision that could lead to a happier career choice, and possibly more compassionate care.

Acupuncture offers an effective alternative for people who need help during these difficult economic times, as well as people who are interested in protecting the environment and conserving energy.  It’s important to remember that there are many different styles of acupuncture that have developed over thousands of years. For Western science to accurately test acupuncture’s efficacy against “sham” acupuncture or current Western treatments, researchers first need to find the best styles of acupuncture for a given condition. 

Chris Titus is a native of Boston, Massachusetts. Over the past fifteen years, he has held various investment research positions with a focus on the health care sector. His first novel, The God Complex, aims to make traditional Chinese medicine more accessible by giving it a mainstream story line. The resulting work offers readers an exciting and painless introduction to acupuncture, martial arts, and herbology. The novel draws upon his own experiences as both a patient in search of a cure and as a health care analyst. He hopes his novel will reach out to patients struggling to find a diagnosis, the families trying to understand their plight, and health care professionals. Chris plans to use the proceeds of his book to return to school and train as an acupuncturist.

Sunday, March 11, 2012

Acupuncture and Adrenal Gland Functions

Coincident with the equilibrium theory of Traditional Chinese Medicine, many studies have demonstrated that acupuncture treatments contribute to the maintenance of the balance of biological chemicals such as serotonin, endorphin, dopamine, cortisol, and many other hormones in the central nervous system. Endocrine glands secrete hormones directly into the lymph and the bloodstream. The endocrine system is an orchestra that requires all of its players to be fully engaged. The quick alleviation of symptoms of various diseases by acupuncture is partially fulfilled via the simultaneous improvement of the functions of endocrine glands, such as adrenal gland, provided that there is no structural abnormality in the endocrine system. The following is a brief summary of some scientific evidence that acupuncture can optimize adrenal gland function.
1. Anti-inflammatory function of adrenal gland
RX Zheng published a paper in the Journal of Alternative Complement Medicine regarding acupuncture’s effect on adrenal gland function. Electroacupuncture at 10 Hz significantly reduced chemically induced hind paw edema in rats. The effect was partially blocked by adrenalectomy (removing adrenal gland). Electroacupuncture significantly increased plasma levels of cortisol but caused no noticeable signs of stress, such as increased blood sugar level. Electroacupuncture at 10 Hz may activate the hypothalamus-pituitary- adrenal axis and enhance adrenal gland function to produce more endogenous cortisol.
2. Balancing different hormones from the adrenal gland.
Dr. HS Lee of the Republic of Korea did extensive research on the effects of acupuncture on water metabolism and high blood pressure. Applying manual acupuncture on the UB15 decreased plasma levels of aldosterone (a chemical stimulating the body to retain more water and sodium), whereas acupuncture on the UB23 decreased plasma renin activity (a chemical stimulating blood vessels to constrict in order to increase blood pressure). Both points helped lower blood pressure. These results suggest that acupuncture on specific points may have site-specific regulatory effects on hormone levels and that the meridian points, UB23 and UB15, are associated with the regulation of body fluids and of electrolyte balance to optimize the blood pressure level.
3. Optimize cortisol level
Acupuncture can also reduce stress-induced increases of the blood cortisol level. QG, Yang et al. conducted some research on a group of people undergoing heart and lung surgery. Thirty patients with atrial septal defects were divided into 3 groups: the general anesthesia group (A), the acupuncture anesthesia group (B), and the group of general anesthesia combined with electroacupuncture (C). Peripheral blood samples were collected at times before anesthesia, before surgery, and 30 minutes after surgery to determine the levels of plasma ß-endorphin, adrenocorticotropic hormone (ACTH) (a hormone that stimulates the adrenal gland to produce more cortisol), serum cortisol, and blood glucose. Plasma beta-endorphin, ACTH, and serum cortisol increased significantly in both Groups A and B 30 minutes after surgery, but there were no significant changes in Group C. Blood glucose increased in all the 3 groups 30 minutes after surgery but increased much less in Group C. When our bodies go through surgeries, the hypothalamus-pituitary-adrenal axis, the important stress coping system, will act up. Thus, cortisol and glucose levels will generally increase because of stress. This response can lead to suppressed immune function and therefore infection, high blood sugar levels, or other complications after surgery. Combining acupuncture with general anesthesia can inhibit this stress response so that the stress hormone cortisol is adjusted to precisely the right level: not too high to cause tissue damage and not too low to create chronic inflammation. People can even recover from the open-heart surgery more quickly.
How can acupuncture increase cortisone level in one condition and reduce the same hormone in another? This happens because acupuncture can generally balance thyroid, adrenal gland, and other gland functions so that the levels of the different hormones are optimized. When inflammation continues, our bodies need more cortisol. Acupuncture stimulates the adrenal gland to produce more by enhancing its function instead of exhausting it as caffeine does. When our bodies produce too much cortisol to cope with stress, acupuncture reduces cortisol production by eliminating the stress factor and enhancing liver and kidney function to quickly discharge the extra stress hormones. H. Mori of the Department of Acupuncture at the Tsukuba College of Technology, Japan used electroacupuncture to stimulate a rat’s hind paw with different intensities. He found that the adrenal gland could produce more or less adrenaline depending on what kind of manipulation is applied to the points. This mechanism may be associated with improved adrenal gland function. Generally, hand manipulation tends to relax people more than electrical stimulation. If the main purpose is to lower stress levels and the patients are already very tight with a lot of blocked energy, mild hand manipulation should be used to help reduce the stress hormone. If the patients are exhausted from chronic illness and the adrenal gland is depleted with a very low production of cortisol, then, an application of low frequency electrical stimulation will enhance the adrenal gland function.
In Chinese medicine, the kidney is a very important organ closely related with reproductive function, bone formation, urinary function, and hormone balance. Many kidney points are located on the foot. When we stimulate these points, most patients say they become more energetic even with the same amount of sleep. Perhaps this is the result of a temporary increase in cortisol level. Although we just mentioned that high cortisol levels are not good, a normal adrenal gland can only increase cortisol levels within a certain range that does not cause any tissue damage. Acupuncture adjusts the adrenal gland function to produce the optimized amount of adrenaline in order to dilate the trachea and increase heart rate when our body is physically challenged. If people have too much adrenaline, they will end up with palpitations or a panic attack. If adrenaline is insufficient, people will have exercise-triggered asthma attacks. Since the adrenal gland plays such an important role in our lives, a famous scientist, Dr. Omura, conduct a lot of research to determine how the adrenal gland correlates with the Chinese meridian systems. He found that the Pericardium meridian, running along the midline of the ventral part of the arm and the chest area, is closely associated with adrenal gland function, and that the Triple Burner meridian, running along the midline of the dorsal part of the arm, shoulder and head area, is associated with ovary or adrenal gland function in the female and with testes or adrenal gland function in the male.

Wednesday, March 7, 2012

Acupuncture and Infertility

The meridian system consists of 20 meridians interconnecting more than 400 acupuncture points. These acupoints are located on specific areas of the body surface that demonstrate higher electrical conductance because of the presence of higher density of gap junctions (special connections between cells that transmit iron and other intracellular signaling molecules). They act as converging points (or sinks) for electromagnetic fields. Higher metabolic rates, temperatures, and calcium ion concentrations are also observed at these points. In principle, positive (anode) pulse stimulation of a point inhibits organ function, whereas negative (cathode) pulse stimulation enhances that function. This forms the basis of electroacupuncture. Acupuncture or electroacupuncture has been approved to help optimize all the hormone levels by working through the hypothalamus-pituitary-ovary axis (HPOA). Traditional Chinese Medicine stimulates the body’s own natural production of hormones while restoring the health and harmony of the entire system. We cannot simply say that acupuncture increases certain hormones. It has dual roles: it micro adjusts different kinds of hormones in the different levels of the HPOA and restores a subtle balance.

From the Western medical point of view, the influence of electrical acupuncture on the change in estrogen receptor expression in the brain may be one of the mechanisms of normalizing the function of the hypothalamus-pituitary-ovary axis. R Chang et. al published an article in Fertility and Sterility in 2002, suggesting that acupuncture positively impacts opioid production in the central nervous system, which, in turn, influences gonadotropin secretion from the hypothalamus.

Dr. Paul Magarelli, a reproductive endocrinologist and the medical director of the Reproductive Medicine & Fertility Center in Colorado, carried out clinical research combining acupuncture and an in-vitro fertilization (IVF) procedure. Of those women in the acupuncture group, 51 percent achieved a successful pregnancy, compared to 36 percent of those who underwent IVF alone. The miscarriage rate was 8% in the acupuncture group versus 20% in the non-acupuncture group. There were no ectopic (Tubal) pregnancies in the group of women who underwent acupuncture, but 9% of those in the group without acupuncture had a Tubal pregnancy. The investigators also reported 23% more births per pregnancy among those who had acupuncture as part of their infertility treatment. Initially Dr. Magarelli did not believe in acupuncture. After this research, he was convinced that acupuncture does help to improve the IVF success rate.

Li Zheng is a licensed acupuncturist and herbalist, a graduate of the Beijing University of Chinese Medicine with 11 years of formal training, including 6 years of residency, a Ph.D. degree holder in medical sciences from the US, a Harvard Medical School trained researcher, a professor at the New England School of Acupuncture, and a staff acupuncturist at the Dana Farber Cancer Institute. Her website is and her clinic is located at 475 hillside avenue, Needham, MA02494.