lecturer: m.k. sastry - falaah sastry evidence based... · 2019. 6. 22. · handacupuncture(sujok)...

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Lecturer: M.K. SASTRY

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  • Lecturer: M.K. SASTRY

  • What is Acupuncture?INTERNATIONAL RECOGNITIONTYPES OF ACUPUNCTUREPHILOSOPHYMechanisms of Action

    Indications for AcupunctureGLOBAL COLLEGE-COURSES

  • Acupuncture is an alternative medicine

    methodology originating in ancient China that

    treats patients by manipulating thin, solid needles

    that have been inserted into acupuncture points in

    the skin. According to Traditional

    medicine, stimulating these points can

    Chinese

    correct

    imbalances in the flow of qi through

    known as meridianschannels

    http://en.wikipedia.org/wiki/Alternative_medicinehttp://en.wikipedia.org/wiki/Ancient_Chinahttp://en.wikipedia.org/wiki/Acupuncture_points

  • United States- National Institutesof Health,National Health Service- UnitedKingdomWorld Health OrganizationNational Center forComplementary and AlternativeMedicine

  • MOXIBUSTION

    CUPPING

    TUINA (ACUPRESSURE)

    ELECTROACUPUNCTURE

    EAR ACUPUNCTURE(AURICULAR)

    HAND ACUPUNCTURE (SUJOK)

    MEDICAL ACUPUNCTURE

    COSMETICACUPUNCTURE

  • The general theory of acupuncture is based on thepremise that bodily functions are regulated by anenergy called qi which flows through the body;disruptions of this flow are believed to beresponsible for disease.Acupuncture describes a family of proceduresaiming to correct imbalances in the flow of qi bystimulation of anatomical locations on or under theskin (usually called acupuncture points or acupoints),by a variety of techniques

    The most common mechanism of stimulation ofacupuncture points employs penetration of the skinby thin metal needles,which are manipulatedmanually or by electrical stimulation.[

  • Most points are highly conductive

    High concentrations of free nerve endings and sensory

    receptors have been are commonly found at points.

    Electroacupuncture causes increased levels of beta-

    endorphin in the CSF

    Some parasympathetic effects have been documented -

    lowered BP & stress; even fainting/hypnotic state

    Moderately strong relationship between trigger points,

    motor points & acupuncture points (location)

    Possible placebo effect

    Unknown – traditional Chinese philosophy (mysticism)

  • fMRI with blood oxygen level-dependent (BOLD)

    measurements

    Acupuncture points: rich in

    neuroreceptorsModulates pain network via analgesic

    effects

    CNS hormones release in hypothalamus

    and limbic system

    Causes changes in interpretation of pain

  • Fascia is bath of conductive fluid

    General tx (2-8 Hz)• Enkephalin released from periaqueductal gray

    • Endorphin released from the hypothalamus

    • May be reversed/blocked by Naloxone

    Local tx (above 10 Hz)Dynorphin released in spinal cord

    Activates low-threshold skin and muscle receptors

    Serotonin/Norepinephrine released in midbrain

  • Fascia is bath of conductive fluid

    General tx (2-8 Hz)• Enkephalin released from periaqueductal gray

    • Endorphin released from the hypothalamus

    • May be reversed/blocked by Naloxone

    Local tx (above 10 Hz)Dynorphin released in spinal cord

    Activates low-threshold skin and muscle receptors

    Serotonin/Norepinephrine released in midbrain

  • Chronic Pain/Fatigue Syndromes

    Osteoarthritis

    Joint disease/back pain

    Acute Pain--Sprains, Strains,

    Post-Operative Pain

    Migraines

    Fibromyalgia

    Depression, AnxietyThe NIH consensuspanel stated that promising results

    emerged, for example, efficacy of acupuncture in:

    adult post-operative and chemotherapy nausea and

    vomiting

    postoperative dental pain.

  • Classic Acupuncture- Needling- Needling w/ manual stimulation of needle- Needling w/ electrical stimulation thru needlePhysical Therapy on acupuncture pts.- Manual pressure (acupressure)- TENS on the points- Laser on the points- Ultrasound on the points

  • THANK YOU

    **online seminar will be staring in November.

    OUR CLINIC:2ND FLOOR, JKON BUILDINGOpp. Sonaram Field, Sonaram High SchoolBharalamukh, Guwahati-781009 Copy right: M K SASTRY