Acupuncture for Pain Management

Yuan-Chi Lin • Eric Shen-Zen HsuEditors

Acupuncture for Pain Management

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ISBN 978-1-4614-5274-4 ISBN 978-1-4614-5275-1 (eBook)DOI 10.1007/978-1-4614-5275-1Springer Heidelberg Dordrecht London New York

Library of Congress Control Number: 2013946429

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EditorsYuan-Chi LinDirector, Medical Acupuncture ServiceSenior Associate in Perioperative Anesthesia and Pain MedicineDepartment of Anesthesiology, Perioperative and Pain MedicineBoston Children’s HospitalAssociate Professor of Anaesthesia (Pediatrics)Department of AnaesthesiaHarvard Medical SchoolBostonMassachusettsUSA

Eric Shen-Zen Hsu, MDPain Management FellowshipDepartment of AnesthesiologyDavid Geffen School of Medicine at UCLALos Angeles, CA, USA

UCLA Pain Management CenterSanta Monica-UCLA Medical Center and Orthopedic HospitalSanta Monica, CA, USA

To my wife, Eva, for her love, support, and sacrifice.To my daughters, Katerina and Josephina, who bring joy to my life.To my mother, Mrs. Chu-Niang Lin-Sung, and in loving memory of my father, Dr. Chen-Chuan Lin, who guided me toward the path to passion, wisdom, and responsibility.

Yuan-Chi Lin

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Preface

The book Acupuncture for Pain Management features practical information for in-corporating acupuncture into the practice of pain medicine. It is written for clini-cians interested in integrating acupuncture into pain management.

Part I sets the foundation for practicing acupuncture. It includes the history of acupuncture, basic theories and pattern discrimination in Traditional Chinese Medicine, mechanisms of acupuncture analgesia, common acupuncture practices, peri-operative acupuncture, acupuncture pain research, and auricular acupuncture. Part II addresses acupuncture Qi flow, point measurement, the twelve acupuncture principal meridians and extrameridian points. Part III presents the practical aspects of acupunture pain management for common pain and realted conditions, includ-ing headache, facial pain, vertigo, toothache, neck pain, chest pain, epigastic pain, abdominal pain, dysmemorrhea, upperback pain, scapular pain, low back pain, sac-roiliac joint pain, coccygeal pain, shoulder pain, elbow pain, wrist pain, hip pain, knee pain, ankle pain, heel pain, insomnia, nausea, vomiting, sedation, and dizzi-ness. The editors and authors have worked to ensure that these chapers reflect the need for acupucnture pain management. It is our hope that this book will provide clinicians with a sound foundation in acupuncture and the practical aspects of acu-puncture pain management.

The authors, Drs. Yuan-Chi Lin, Yue-Pang Mok, Lynn Rusy, Shu-Ming Wang, Eric Hsu, Tat Leang Lee, and Yung-Fong Sung, are the founding instructors for the American Society of Anesthesiologists (ASA) acupuncture workshop, which was organized and established at the 2002 ASA annual meeting. This book is also an international collaborative effort, with contributions from Drs. Francisco Lozano, Tat Leang Lee, Z Zheng, Jen-Hwey Chiu, Jaung-Geng Lin, Kuen-Bao Chen, and Yu-Chen Lee.

I would like to acknowledge all those who have devoted precious time to make this book a reality. My sincere appreciation goes to my colleagues at the Department of Anesthesiology, Perioperative and Pain Medicine at Boston Children’s Hospital. Thanks to my chairman, Dr. Paul Hickey, and to Dr. Charles Berde, Chief of Pain Medicine, whose vision and support helped me establish the Medical Acupuncture Service at Boston Children’s Hospital in September 2000.

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I give special thanks to Margaret Lyons for her thoughtfulness and editorial ex-pertise, to the staff at Springler, Michael Sova, Jyoti Kalra, Joanna Perey and Shel-ley Reinhardt for their careful guidance throughout the publication process.

I am blessed to have the most loving and compassionate family. I shall always treasure the values, education, and inspiration I received from my late father, Dr. Chen-Chuan Lin, and my mother, Mrs. Chu-Niang Lin-Sung. I thank the constant encouragement, wisdom and strength I received from my four brothers. Finally, I am most grateful to my wonderful wife, Eva, and my children, Katerina and Josephina, for their unwavering support and unconditional love.

Boston, MA, USA Yuan-Chi Lin

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Contents

Part I General Consideration

1 History of Acupuncture ............................................................................. 3Jen-Hwey Chiu

2 Basic Theories of Traditional Chinese Medicine ..................................... 13Francisco Lozano

3 Pattern Discrimination in Traditional Chinese Medicine (TCM) ......... 45Francisco Lozano

4 Mechanisms of Acupuncture Analgesia ................................................... 73Annie D. Lee and Eric Shen-Zen Hsu

5 Common Acupuncture Practices .............................................................. 87Shu-Ming Wang

6 Perioperative Acupuncture ....................................................................... 101Yue-Pang Mok

7 Acupuncture Pain Research: Quantitative and Qualitative .................. 117Tat Leang Lee and Zhen Zheng

8 Auricular Acupuncture .............................................................................. 139Yung-Fong Sung

Part II Acupuncture Channels

9 Acupuncture Qi Flow and Points Measurement ..................................... 153Yuan-Chi Lin and Cynthia S. Tung

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10 Hand Tai Yin Lung Meridian 手太陰肺經穴 ........................................... 159Yuan-Chi Lin and Rosalie F. Tassone

11 Hand Yang Ming Large Intestine Meridian 手陽明大腸經穴 ............... 161Yuan-Chi Lin and Rosalie F. Tassone

12 Foot Yang Ming Stomach Meridian 足陽明胃經穴 ................................ 165Yuan-Chi Lin and Rosalie F. Tassone

13 Foot Tai Yin Spleen Meridian 足太陰睥經穴 .......................................... 169Yuan-Chi Lin and Rosalie F. Tassone

14 The Hand Shao Yin Heart Meridian 手少陰心經穴 ............................... 173Rosalie F. Tassone and Yuan-Chi Lin

15 The Hand Tai Yang Small Intestine Meridian 手太陽小腸經穴 ............ 175Rosalie F. Tassone and Yuan-Chi Lin

16 Foot Tai Yang Bladder Meridian 足太陽膀胱經穴 ................................... 179Rosalie F. Tassone and Yuan-Chi Lin

17 Foot Shao Yin Kidney Meridian 足少陰腎經穴 ...................................... 185Rosalie F. Tassone and Yuan-Chi Lin

18 Hand Jue Yin Pericardium Meridian 手厥陰心包經穴.......................... 189Lynn M. Rusy and Yuan-Chi Lin

19 Hand Sho Yang Triple Energizer Meridian 手少陽三焦經穴 ................ 191Lynn M. Rusy and Yuan-Chi Lin

20 Foot Shao Yang Gall Bladder Meridian 足少陽膽經穴 .......................... 195Lynn M. Rusy and Yuan-Chi Lin

21 Foot Jun Yin Liver Meridian 足厥陰肝經穴 ........................................... 199Lynn M. Rusy and Yuan-Chi Lin

22 Conception Vessel 任脈經穴 ...................................................................... 203Yuan-Chi Lin and Lynn M. Rusy

23 Governor Vessel 督脈經穴 ......................................................................... 207Yuan-Chi Lin and Lynn M. Rusy

24 The Extra Acupuncture Points 奇穴 ........................................................ 211Yuan-Chi Lin and Cynthia S. Tung

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Part III Clinical Conditions

25 Headache ..................................................................................................... 221Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

26 Facial Nerve Palsy ...................................................................................... 225Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

27 Vertigo ......................................................................................................... 227Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

28 Toothache .................................................................................................... 229Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

29 Neck Pain .................................................................................................... 231Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

30 Chest Pain ................................................................................................... 233Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

31 Epigastric Pain ........................................................................................... 235Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

32 Abdominal Pain .......................................................................................... 237Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

33 Dysmenorrhea ............................................................................................ 239Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

34 Upper Back Pain ........................................................................................ 241Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

35 Frozen Shoulder ......................................................................................... 243Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

36 Low Back Pain............................................................................................ 245Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

37 Arthritis, Joint Pain ................................................................................... 247Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

38 Coccygeal Pain ........................................................................................... 249Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

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39 Elbow Pain .................................................................................................. 251Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

40 Wrist Pain ................................................................................................... 253Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

41 Ankle Pain ................................................................................................... 255Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

42 Heel Pain ..................................................................................................... 257Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

43 Insomnia...................................................................................................... 259Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

44 Nausea and Vomiting ................................................................................. 261Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

45 Sedation ....................................................................................................... 263Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

46 Dizziness ...................................................................................................... 265Jaung-Geng Lin, Kuen-Bao Chen and Yu-Chen Lee

Index .................................................................................................................. 267

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Contributors

Kuen-Bao Chen, MD, Msc Department of Anesthesiology, China Medical University Hospital, Taichung, Taiwan, Republic of China

Jen-Hwey Chiu, MD, PhD Institute of Traditional Medicine, School of Medicine, National Yang-Ming University; Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital, Peitou, Taipei, Taiwan, Republic of China

Eric Shen-Zen Hsu, MD Pain Management Center, Santa Monica-UCLA Medical Center and Orthopedic Hospital, Santa Monica, California, USA

Annie D. Lee, MD Department of Anesthesiology, University California at Los Angeles, Los Angeles, USA

Tat Leang Lee, MBBS, MMed (Anaesthesia), FANZCA Anaesthesia and Acupuncture Service, National University of Singapore, National University Hospital, Singapore

Yu-Chen Lee, MD Department of Acupuncture, China Medical University Hospital, Taichung, Taiwan, Republic of China

Jaung-Geng Lin, CMD, MD, PhD School of Chinese Medicine, China Medical University, Taichung, Taiwan, Republic of China

Yuan-Chi Lin, MD, MPH Medical Acupuncture Service, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children’s Hospital; Harvard Medical School, Boston, Massachusetts, USA

Francisco Lozano, MD, PhD Medical Acupuncture Specialty, National School of medicine & Homeopathy, National Polytechnic Institute, Ticomán, México D.F., Mexico

Yue-Pang Mok, MD Akron, Ohio, USA

Lynn M. Rusy, MD, FAAMA Department of Anesthesia, Children’s Hospital of Wisconsin, Milwaukee, Wisconsin, USA

xiv Contributors

Yung-Fong Sung, MD, FACA Professor Emeritus, Emory University, School of Medicine, Medical Director Emeritus, Ambulatory Surgical Centers, The Emory Clinic, INC. Emory Health Care, Atlanta, Georgia, USA

Rosalie F. Tassone, MD, MPH Department of Anesthesiology, University of Illinois at Chicago, Chicago, Illinois, USA

Cynthia S. Tung, MD, MPH Medical Acupuncture Service, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children’s Hospital; Harvard Medical School, Boston, Massachusetts, USA

Shu-Ming Wang, MS, MD Anesthesiology and Perioperative Care, University of California, Irvine, Orange, California, USA

Zhen Zheng, BMed, PhD Traditional and Complementary Medicine Research Program, Health Innovations Research Institute & School of Health Sciences, RMIT University, Bundoora, Victoria, Australia