Our
policy is to use a two-step treatment plan. First we make a clear
diagnosis: utilizing both Western and Eastern modalities; we may use
western technology such as MRI, CT scan, X-ray and electromyologram
(EMG) in conjunction with traditional eastern techniques, such as pulse
and tongue evaluation. In addition, many of these tests can be
performed right in our office.
Then, together with the patient,
we plan the best course of treatment. Treatment options include:
Acupuncture, physical therapy, Chinese herbs, and western medications.
Acupuncture
is performed on various parts of the body including back, ear, and
skull. Electrical acupuncture, cupping, acupressure, and other
techniques are used as supplements.
Our physical therapy program
includes onsite physician supervision, electrical stimulation,
ultrasound, electrophoresis, TENS, heat/cryotherapy, and various
rehabilitative exercises.
Chinese herbs are used for a number
of different reasons, including but not limited to, detoxification and
amelioration and treatment of symptoms. For your convenience, the herbs
can be directly purchased from the clinic.
If western medication is necessary it will be prescribed for by Dr. Jun Xu.
What is acupuncture? How does it work?
Acupuncture
is a method of encouraging the body to promote natural healing by
inserting needles at very precise points within meridians (energy
channels in the body). The acupuncture needles can trigger the release
of chemicals and hormones leading to improved immune and energy
function.
What is pain management?
It is a unique
program in rehabilitation medicine with special skills including
physical, occupational, psychosocial, music therapy, acupuncture, and
various medications to treat your pain.
What are the needles like? Do they hurt?
Acupuncture
needles are very thin. The point is smooth (not hollow with cutting
edges like hypodermic needles). Most patients feel minimal pain as the
needles are inserted; some feel no pain at all.
What is Chinese herbal medicine?
Chinese
herbology medicine is mainstream in Eastern medicine. Patients may be
prescribed specific herbal formulas designed to treat their individual
condition. Drs. Jun Xu and Hong Su will prescribe the formulas and
supply the herb to you if it is medically necessary.
What conditions can be treated?
Drs.
Jun Xu and Hong Su treat many ailments such as: acute and chronic pain,
fibromyalgia, athletic injuries, arthritis, neck and low back pain,
frozen shoulder, bursitis, tendonitis, pinched nerves, sciatica,
sinusitis, allergies, headaches, carpal tunnel syndrome, stoke, stress,
overweight, fatigue, IBS, PMS, and much, much more...
Are acupuncture and/or Chinese herbs covered by insurance?
Now,
more and more insurance companies cover acupuncture costs when
performed by a licensed M.D. We are providers for Medicare, United
Healthcare, Anthem and others, as well as all policies with "out of
network' benefits, such as PPO, POS, Freedom Plan of Cigna, Healthnet,
Aetna, Oxford, etc. Please call our office for help in determining your
coverage. Reimbursement for herbs is currently unavailable.
Facial Rejuvenation Acupuncture
THIS SECTION CONTAINS THE INFORMATION ABOUT ACUPUNCTURE AND MICROCURRENT NON SURGICAL FACE LIFT.
What is Facial Rejuvenation Acupuncture?
Facial
Rejuvenation Acupuncture is a holistic approach to health and beauty
that focuses on both internal and external self. It will bring you some
of the results as follows: 1. Improvement of muscle tone, dermal contraction, and collagen production. Your skin becomes more delicate and fair. 2. Elimination and reduction of bags under the eyes, puffiness, fine lines of the face, and reduce large wrinkles. 3. Minimization of double chins and reduction of sagginess.
What is the advantage of acupuncture face lift over surgical one?
Acupuncture
is not a replacement for surgical facelift or botox injection, and will
not provide an overnight solution; the improvement is subtle and occurs
over time. Still, acupuncture face-lifts can be an excellent holistic
alternative to traditional surgical face-lift. With acupuncture, the
underlying causes of aging are treated rather than masking the symptoms
with a surgical face-lift and allowing further decay and dysfunction to
continue within the body.
Treatment with herbs and acupuncture
is not only substantially less expensive than a traditional surgical
face-lift, but far safer. The treatment is risk free from potential
dangerous side effects such as numbness, scarring, swelling,
discoloration, and even disfigurement.
What are some of the advantages of acupuncture over botox?
Botox
is a neurotoxin and among one of the deadliest known to man. Although
it is diluted to control its potency, with frequent use, it is possible
for systemic toxicity resulting from accidental injection. However,
when used safely and supervised by a physician, botox may be an
effective treatment for wrinkles. But not withstanding, acupuncture is
safer and less expensive when compared to botox treatments.
What is the contraindication for acupuncture face-lifts?
The
individuals with low platelet counts, bleeding disorders, leukemia, and
some blood disorders are not recommended for these treatments. The
acupuncture needles may cause minimal bleeding and those with blood
disorders are advised not undergo acupuncture face-lifts.
When was facial rejuvenation acupuncture studied in China?
The
Chinese approach to beauty has always been identified that beauty comes
from inside of the body. As early as the Sung Dynasty (960AD-1270AD),
acupuncturists have employed rejuvenation practices for the Empress and
other court subjects. The Chinese realized that by using the body's
inner qi (internal energy), and manipulating its channels, it may be
used to initiate healing processes and improve facial appearance.
What are the expected results and benefits of Facial Rejuvenation Acupuncture?
The
goals of Regenerative Acupuncture are improvement of lymph and fluid
flow, metabolism, reduction of swelling, and addition of tone and
elasticity to facial skin and muscles. Depending on numerous factors
including age, health, lifestyle, and extent of skin damage, results
may be seen after 2-3 treatments. A feeling of change often occurs
before one notices visual change. However, visible lasting results may
be seen after 6-7 treatments.
What are the differences between surgery and cosmetic acupuncture?
First,
there is none of the risks or discomforts involved in surgery. For
example: there is no facial swelling and hide-in-bedroom healing
periods. Even though there is occasional light black and blue on the
face, but it will disappear after two to three days.
Second,
results from cosmetic acupuncture are incremental, which gives you time
to mentally and physically adjust to the changes happening in your
body. The skin does not get tight and papery. Results are gradual and
incremental and are not identifiable as a dramatic face lift.
Third,
the change is not solely external. Acupuncture heals the body from
within so in addition to a healthy and glowing exterior, the person
will feel more relaxed and stress-free. Many of our patients report
that their friends ask, What have you been doing to yourself? You look
great! And the answer to that is usually, "I feel great".
How do you perform Facial Rejuvenation Acupuncture? Is it painful?
Sterilized
and disposable hair-thin needles are inserted into the meridians of the
face and distinct extremity points such as and hands and legs. The
needles may or may not be connected to an electrical stimulation
machine. The selection of acupuncture points and electrical stimulation
depends on your composition, body type, color of tongue and
characteristic of your pulse. The acupuncture needles are very thin.
The point is smoothing (not hollow with cutting edges like hypodermic
needles). Most patients feel minimal pain as the needles are inserted,
some feel no pain at all.
Who would benefit from Facial Rejuvenation Acupuncture?
Anyone who is looking for a way to alleviate or even get rid of symptoms of aging.
What is the treatment course?
The
course of treatment usually consists of 10 to 12 visits for those ages
40 and below, 20 to 22 visits for those ages 40 and above. It is
recommended 2 visits per week. Depends on individual, some patients may
need more visits to get better results.
How long it will last?
It usually last from 2 to 3 years. Sometimes you may need maintenance treatment after your finishing program.
What are some links or other articles about Acupuncture face-lifts?
http://www.personalsurgeon.com/library/article151.asp http://abcnews.go.com/sections/GMA/GoodMorningAmerica/GMA010608Acupuncture_facelift.html Fashions of the Times Magazine, August 29, 2004, Sunday, The face; prick up your ears? by Susan Campos
Do you use other machine to help face lift?
Yes, we use micro current microlift machine.
How dose micro current work?
Uses
a tiny micro current, which helps to tone, lift and re-educate the
muscles back to their original position. The face has over thirty muscles that lie directly below, and are connected to, the skin's surface. When muscles are stimulated they either shorten and lengthen.
Proper
firmness is re-established through the non-surgical procedure by
correcting the sagging muscle, which in turn corrects the sag of the
skin. The treatment also stimulates blood circulation, which helps
improve muscle tone and counteract dryness.
Micro-current also
works on improving the skin tissue, acne scarring, blemishes,
dehydrated skin, and problematic oily skin. It also softens lines and
wrinkles and works to generally improve the skinÆs texture and tone.
It is virtually sub-sensory, due to the low frequency, client feels very little if anything at all.
Treatments are generally run as a course of treatments, averaging between 10-12 sessions.
Some
patients will need more and some patients will require less; this will
depend on the patient's skin tissue and their muscle tone. Maintenance treatment, which on average is once a month or between 4 to 6 weeks.
Micro current was designed to retard the signs of ageing, to keep the skin youthful and glowing, and to keep the muscles toned.
Micro current will stimulate the circulation of energy to the facial tissues and muscles. This increases the rate that the skin produces proteins such as collagen and elastin and muscle tissue can be re-constructed.
It therefore deals with both the skin and the supporting muscle tissue
beneath. It restores form and vitality to facial muscles that have gone
soft due to lack of use and lack of circulation.
The treatments improve lymphatic drainage of the face resulting in improvements in complexion and reduction of eye bags.
What else does "MICRO CURRENT" do?
Increases Adenosine Tri Phosphate levels (A.T.P.) By up to 500%.
This
is a chemical reaction in the body, which provides muscle and body
energy, giving a feeling well being. Increases fibroblastic activity By
up to 60%. Fibroblast cells are responsible for producing collagen in
the skin. As we age, the collagen levels decrease, showing more signs
of ageing. By increasing fibroblastic activity, we can soften lines,
hydrate the skin, and leaving a wonderful glow. Increases protein
synthesis By up to 73%
Muscles are largely made up of protein by
increasing protein synthesis,the muscle becomes more elastic and
rejuvenated. Elastin is also another form of protein and again the
production of it is increased, leaving the skin's appearance refined
and improved with softened lines and wrinkles.
Increase membrane transport ( cell permeability) By up to 30-40%
When
the body ages, cells become less permeable so various functions in the
body slow down. In simple terms, this will then help to absorb more
nutrients, water and oxygenated blood, in order to excrete more toxins,
fluid retention, and re-oxygenate.
It is Virtually subsensory. Due to the low frequency used, the client feels very little if anything at all.
It has beneficial healing effects. It helps to heal scars & blemishes and to give a wonderful glow on the skin.
It can be used around the eye area. With many treatments, it is not possible to work close to the eye area. The big advantage with micro current ( low frequency) is that we are able to work intensively around the eyes.
Question: What is Microcurrent?
A:
Microcurrent is an electro-stimulator which sends a micro current
through the skin and muscle via two hand held probes. This produces a
firming and lifting effect. It also reduces puffiness and dark circles
from around the eyes.
Question: Why isn't my skin like it used to be?
A:
As we get older our blood circulation slows down resulting in a lack of
nutrients and stimulation to the muscle. The muscle begins to weaken
and gravity will encourage it to drop.
Question: How can Microcurrent help?
A: Microcurrent will speed up the circulation and not only feed and stimulate the muscle but shorten it, back to its original tone.
Microcurrent is also very effective for toning breast buttock, thighs, arms, and stomachs
This technique has been used in the medical profession for over 20 years, it is painless and totally safe In fact it is good for you.
Q: How long do the electro therapy sessions last?
A:
About an hour and Dr. Hong Su will be able to tell you how many
sessions are required to get you back into shape. Because only a micro current is used the treatment is painless and totally safe.
Q: Are there any other benefits?
A:
Our lymphatic drainage stimulates circulation in the lower layers of
connective tissue providing increased nourishment to the epidermis.
Detoxifies by activating lymphatic system, ridding the tissue of toxic waste so reducing puffiness and fluid retention. Microcurrent will leave a clearer, fresher, smother texture to the skin.
Q: How long will the result last?
A: After a complete course a maintenance treatment every 4-6 weeks is recommended to retain the results.
Who will perform acupuncture or micro current face-lifts, what are her credentials?
As
an experienced teacher and practitioner of acupuncturist, Hong Su,
C.M.D., has 20 years of clinical professional experience in the healing
arts, with both New York and Connecticut states acupuncture licenses.
She is a National Board certified diplomate (NCCAOM) in Acupuncture
& Chinese Herbology.
She spent 5 years in the education of
traditional Chinese Medicine and received her Chinese medicine degree (
C.M.D.) from Fujian College of Traditional Chinese Medicine in China in
1983, subsequently she went to Guangzhou College of Traditional Chinese
Medicine in China for further education in acupuncture and Chinese
medicine. She followed Professor Shi Chang Liu, one of the best known
Chinese medicine doctors in China for three years, with much personal
tutoring and experience in the healing arts and facial rejuvenation.
She eventually received her advanced medical degree in Chinese medicine
from Guangzhou College of Traditional Chinese medicine in China.
She
also graduated from Guangzhou Modern Beauty Technical Training Center
and General Beauty College of Silver Flower of Hong Kong in 1989 with
extensive cosmatic acupuncture training.
As a professor in
acupuncture and Chinese herbology, she taught in the Pacific College of
Oriental Medicine, and she has been clinical Director of the
Acupuncture Detoxification Program at the Montefiore Medical Center of
Albert Einstein College of Medicine in New York City since 1996.
After she came to USA in 1989, she has been treating thousands of patients with traditional and cosmatic acupuncture.
Call (203)-637-7720 for appointments.
The Rehabilitation Medicine and Acupuncture Center 1171 E. Putnam Avenue Riverside, CT 06878
Fertility
1. HOW MAY ACUPUNCTURE AND CHINESE MEDICINE HELP ME FOR PREGNANCY? Acupuncture
and Herbal Therapy are ancient Chinese methods used for the treatment
and prevention of disease. They have been practiced consistently for
the past five thousand years in China and other Asian countries, about
one quarter of the world's population uses acupuncture and herbs as
their main form of health care. The benefits of Acupuncture and TCM in
treatment for the infertile couple can be found in early Chinese
medical literature dating back to the 11AD. Not only do these
techniques assist in regulating the menstrual cycle and invigorating
the sperm, but they also serve to enhance the function of the whole
body. This "whole body" health approach, in turn, provides a key to
unlock unlimited potential in healing. This is especially appropriate
for the over 40 year-old couple as it stimulates overall health to
effect reproductive health and a reduction of biological age.
PMS,
amenorrhea, endometriosis, blocked fallopian tubes, immune system
incongruities, and infertility related hormonal problems yield to many
of these old world (traditional) procedures. Furthermore, herbal
formulas that tonify the Kidney energy (renal and adrenal function),
and Kidney essence (jing) are especially beneficial in raising sperm
count and motility. The highly technical and expensive methods used in
Western Medicine are supported by the complimentary set of procedures
and herbal recommendations.
2. DO YOU HAVE ANY CLINICAL EVIDENCE THAT CHINESE MEDICINE CAN HELP ME?
Please read the following article
Fertil Steril. 2002 Apr;77(4):721-4.
Influence of acupuncture on the pregnancy rate in patients who undergo assisted reproduction therapy.
Department of Reproductive Medicine, Christian-Lauritzen-Institut, Ulm, Germany. paulus@reprotox.de
OBJECTIVE: To evaluate the effect of acupuncture on the pregnancy rate in assisted reproduction therapy (ART) by comparing a group of patients receiving acupuncture treatment shortly before and after embryo transfer with a control group receiving no acupuncture.
DESIGN: Prospective randomized study. SETTING: Fertility center. PATIENT(S): After giving informed consent, 160 patients who were undergoing ART and who had good quality embryos were divided into the following two groups through random selection: embryo transfer with acupuncture (n = 80) and embryo transfer without acupuncture (n = 80). INTERVENTION(S): Acupuncture was performed in 80 patients 25 minutes before and after embryo transfer. In the control group, embryos were transferred without any supportive therapy. MAIN OUTCOME MEASURE(S): Clinical pregnancy was defined as the presence of a fetal sac during an ultrasound examination 6 weeks after embryo transfer. RESULT(S): Clinical pregnancies were documented in 34 of 80 patients (42.5%) in the acupuncture group, whereas pregnancy rate was only 26.3% (21 out of 80 patients) in the control group. CONCLUSION(S): Acupuncture seems to be a useful tool for improving pregnancy rate after ART.
3. COULD YOU EXPLAIN THE ADVANTAGES OF USING TRADITIONAL CHINESE MEDICINE(TCM) FOR PREGNANCY MORE SPECIFICALLY?
1, TCM sees the person as an integral Mind/body organism, thereby does
not treat just symptoms/diseases. TCM ventures to stimulate the bodies
natural healing potential by treating root causes rather than just
symptoms. 2, TCM, used in the treatment of infertility, minimizes
undesired side effects and accumulated toxicity from invasive
procedures and drug therapies, known and unknown. 3, Traditional
Chinese medicine may be used to strengthen and balance one's general
health so that IVF, GIFT, ZIFT, ICSI, AHT and TET procedures are more
effective. The TCM patient derives general health benefits and
endocrine system balancing from specific acupuncture and herbal
regimes. Pregnancy becomes easier to achieve and postpartum
recuperation happens faster. Medical studies have been done in China to verify this type of whole body health enhancement. 4, The widespread use of TCM suggests that it is a complete traditional medical health care system and can be used with or without
the integration of Western medical techniques. The integration of
Western medicine, as we know it in America, began in the Orient less
than a century ago. It is called INTEGRAL CHINESE MEDICINE (ITCM).
Ancient medical techniques of acupuncture and herbs utilized with modern procedures, seem to work best.
4. HOW MIGHT EMOTION AFFECT MY PREGNANCY?
Irritability, depression, frustration are keywords to the Liver Qi Stagnation.
It must be noted that whenever an organ is mentioned in oriental
medicine it implies the related conduit or meridian. A meridian is a
pathway along which energy / Qi flows. The psychological aspect of the
Liver is said to assist us in planning easily and wisely. The person
who suffers from Liver Qi congestion may be found in a job that they
don't enjoy, working late hours, and with a history of taking birth
control pills. There frequently exists an inner psychological
frustration about having and raising children. Dysfunctional family
factors play a major role in the upset Liver, as the condition may have
existed for many years.
Physical symptoms of irregular periods,
PMS, dark colored blood with small clots, breast pain with distention,
worry and frequent sighing and headaches often accompany the
psychological symptoms. Pulse diagnostic palpation at the radial artery
usually reveals a wiry and small quality pulse in the person with a
Liver imbalance. Pulse diagnosis at the radial artery is an extremely
sensitive and skilled art that takes many years to perfect. It is like
a laboratory blood test. There are over twelve different pulse
positions on each wrist and twenty-eight pulse qualities that can be
related to each one of these positions. The readings yield a multitude
of relationships when integrated and compared with the patients' signs,
symptoms and tongue characteristics. The different pulses can confirm a
diagnosis and be used to monitor a patient's progress. Both pregnancy and the sex of a child can be diagnosed from the pulses by a skilled practitioner.
Infertility
due to Liver Qi Stagnation manifests mostly in women and is a frequent
cause of unexplained infertility. This is because this type of Liver
stagnation effects the blood flow in the pelvic cavity. Acupuncture at
the right time in the menstrual cycle, in conjunction with an herbal
formula and some counseling, very likely can clear the congestion in
several months. The resulting pregnancy is more than welcome along with
the emotional clarity that arrives when the Liver organ/meridian is
less toxic (stagnated).Couples must realize, however, that the
prevalence of Liver Qi Stagnation in modern society is not something
simple that can be relieved over night. It may take 9 months or more to
release the stress, trauma, and toxin in the system, if it is at all
possible. There have been cases resolved within a month's time.
5.
I AM EASY TO GET PREGNANT COMPARATIVELY, BUT I ALWAYS HAVE MISCARRIAGE,
HOW CAN TRADITIONAL CHINESE MEDICINE TREAT FREQUENT MISCARRIAGE?
Since
the Western Han Dynasty (206 BC.- 24 AD.), Chinese people have been
using traditional medicine to effectively treat both male and female
infertility. Many texts have been published in the medical literature
focusing on these problems that have so recently come to the forefront
in western society. TCM for threatened miscarriage includes
acupuncture, herbs, diet and an a different approach to exercise. It
must be remembered that treating infertility and miscarriage using any
method is complicated and involved. The medicine that helps the patient
attain a healthy vital energy (Tian kuei) can greatly aid the woman who
has had miscarriages due to a hormonal imbalance. For the woman over 40
there are herbs that nourish the deeper vitality that is necessary for
the body to call forth healthy ovum.
Currently TCM, both in
China and America, is used in conjunction with Western medical
techniques and testing to design an effective course of treatment for
the couple wishing to achieve not only pregnancy, but a healthy baby
delivered at full term.
Sixty percent of all spontaneous
abortions occur in the first half of the first trimester of pregnancy.
Genetics play a key role in habitual miscarriages. To presume that TCM
alters genetic structure without triple blind studies etc., would be a
stretch of most peoples imagination. However, Traditional Chinese
Medicine is very effective in strengthening a persons' constitution.
If
a woman has miscarried, it is important to build and conserve her Qi
and build her Blood. This usually means building and conserving Kidney
Qi, as within the Kidney both Yin (Blood) and Yang (Qi) are generated.
We must remember that Kidney does not just mean the ear shaped organs
guarded by the ribs just above the lower back. It means the whole
psycho physical interrelated matrix and visceral relationship of Kidney
function and its meridian pathways.
In oriental medicine we say that all chronic imbalances effect the Kidney
organ/meridian network. What this means is that if a person has a weak
constitution i.e., is pale, feels cold is undernourished, etc., then
this is a result of either prenatal (genetic) influences and or
lifetime habits and illnesses. The way to change these conditions, if
possible, is to change them through treating the Kidney with tools of
acupuncture, herbs, diet, and exercise. Kidney's main function in TCM
is controlling and supporting both bone and bone marrow, which is
essential to make blood. Blood nourishes Qi and the cycle regenerates
and builds. Essentially, in oriental medicine it is said that the Blood
nourishes, the Qi protects, and the Kidney Qi holds the fetus. If
Kidney is deficient, Chinese herbs, acupuncture and dietary
considerations are generally applicable for this patient.
6. CAN I HAVE SEX DURING PREGNANCY?
In the oriental culture there is a very direct and honest attitude toward
one's sexuality. Sex is seen as a natural function, as natural as
"clouds and rain". Within the training of a TCM practitioner, it is
taught that it is not the job of the physician to make judgments about
an individual's sexual practices, it is more important to point out the
consequences of these practices. Therefore it is easy for the doctor to
indicate that sex (intercourse) during the first trimester is
contraindicated, especially for the woman that has a history of
miscarriage, as the placenta is not yet fully formed. Many men have a
problem with this recommendation.
Usually, TCM practitioners go
one step further and indicate that it is probably best for all couples
to abstain for the whole nine months of pregnancy. As mentioned
previously, modern couples usually have no problem with this idea
especially when they consider the investment they have made. For the
couple, where the woman is over 40, intercourse is not recommended for
the entire pregnancy even by western physicians.
7. WHAT CAN I DO AS A PATIENT TO RAIS MY FERTILITY QUOTIENT WITH TCM TREATMENT
1, Timing and consistency of treatment, whether having acupuncture or
just taking herbs, is of primary importance. Consistency of treatment
is most important for men, as to raise sperm count and motility with
herbs starts to take effect at the fourth month of treatment. It takes
70 days to generate new sperm.
Timing and consistency is also
important for women as there are specific hormonal adjustments that can
be made at each week of the cycle. Missing a week of treatment may lose
an important opportunity to heal a particular segment of the four phase
menstrual cycles. It takes a minimum of three consecutive cycles (12
treatments) to do the foundation work of regulation regardless of
biological age. Most women can benefit from this type of concentrated
foundational treatment every two years, even if they aren't trying to
conceive. This should be started before a woman reaches 28 years old or
earlier if birth control pills have been taken. 2, If a woman is nearing forty years old and has had either numerous fertility drugs (over 3 cycles), birth control pills, PMS,
ART procedures, elevated FSH, polycystic ovaries, endometriosis, sperm
antibodies, or a history of drug, alcohol, or smoking abuse, then it
usually takes longer to balance her reproductive system. Likewise, if a
man has a history of STDs, history of drug, alcohol, smoking, or sexual
abuse, urinary tract infections, burning urination, chronic lower back
pain, prostatitis, difficulty passing urine, or other urological health issues
it takes longer to rejuvenate the reproductive function. The extent of
rejuvenation is relative to the effort and inherent constitution of the
individual. Daily training sessions with the right exercises usually
provide tangible results when combined with weekly treatment,
meditation and a reasonable diet. The couple must expect to focus six
to nine months before really expecting to evaluate results. There is no
quick path when it comes to conception, full term pregnancy and
recovery after delivery. "Turning back the clock" is indeed possible. 3, If a woman is in a state of high level wellness from a traditional medicine's point of view (warm hands and feet and no PMS
are just several indicators), and has a "normal" active and relatively
a low stress energy abundant lifestyle, then it is appropriate to
evaluate between the sixth and ninth month of consistent treatment.
4, Correct dietary and exercise habits are just as important for the
preconceptive mother as for the father. Eating salads (cold nature
food) for a year is not the best diet for a person who has generally a
low basal body temperature (BBT). Sometimes eating meat such as lamb
(warming food) can help tonify a "cold" barren uterus. For male factor
and unexplained infertility there are specific physical and mental
exercises to be done by couples to generate the right environment
necessary for creativity and conception. 5, Combining conventional
reproductive technologies with ancient acupuncture and herbal
techniques demands accurate communications between team members which
includes the patient as captain. Communication between the patient, the
acupuncturist and the reproductive specialist is a delicate process. It
is important for the physician to have knowledge of the procedures of
the acupuncturist/herbalist and vice versa. Lacking knowledge of an herbal
program that a patient is on can effect the results of an IVF
procedure. It can even be detrimental as alternative therapies are
effective in changing a persons body. Likewise it is important for the
patient to inform the acupuncturist of any herbs or vitamins that are
being taken while undergoing treatment, other than prenatal vitamins.
Acne
ACNE AND RELATED DISORDERS
WESTERN MEDICINE THEORY
Acne
vulgaris is a chronic disorder of the sebaceous glands, specifically
those on the face, chest, and back, where the glands are the largest
and densest. Sebum from the glands reach the surface by emptying into
the hair follicle and flowing along the hair shaft, the two skin
appendages forming the pilosebaceous unit.
The earliest lesion
of acne is the comedo, a plug formed by the impaction of pilosebaceous
duct by rough material and dried sebum. These plugs are visible as
closed comedones (whitheads) and, if the surface is darkened, open
comedones (blackheads)black not due to dirt but to oxidation of melanin
and sebum in the plugs. Comedones become inflamed as bacteria, normal
residents within the duct gland, proliferate within the obstructed
glands and produce erythematous tender papules. As inflammation
progresses, these papules may become pustular and, in severe cases,
cystic. Cystis are presumed to be due to abscess formation deep in the
dermis. Various manifestations of the disorder are usually present in
the same patient.
Acne involves abnormalities within the
sebaceous follicles; these specialized follicles are differentiated
from other hair follicles by having large sebaceous glands and a small
vellus hair(a delicate, nonpigmented hair). They are present over the
face and upper trunk. Four things must preset for acne to develop: (a), androgen-stimulated sebum production; (b)
Propionibacterium acnes, an anaerobic diphtheroid that constitutes most
of the normal follicular flora and proliferates in response to
increased sebum; (c) altered keratinization and desquamation of the cells lining the follicles; (d) a host inflammatory response.
ACNE GRADING BY BURTON SCALE
Grade 0 Total absence of lesions Grade I Sub clinical Acne Few comedons visible only in close examination Grade II Comedonal Acne Comedons with slight inflammation Grade III Mild Acne inflamed papules with erythema Grade IV Moderate Acne Many inflamed papules and pustules Grade V Severe Nodular Acne ? inflamed papules and pustules with several deep modular lesions Grade VI Severe Cystic Acne Many nodular cystic lesion with scarring
CHINESE MEDICINE THEORY
Internal Etiology of Acne:
1. Malfunction of endocrine system. 2. Imbalance of estrogen and androgen. 3. Oily skin.
External Etiology of Acne:
1. Poor hygiene. 2. Diet of hot, spicy, oily, and seafoods. 3. Smoking cigarettes and drinking excessive amounts of alcohol. 4. Drug abuse. 5. Oral contraception drug. 6. Deficiency of zinc, magnesium, and other trace minerals. 7. Air and noise pollution 8. Over stress and working, no rest, depression. 9. Menstruation or mal-menstruation. 10. Puberty period. 11. Oral steroids. 12. Constipation.
ACNE TREATMENT
WESTERN MEDICINE TREATMENT
1.
Comedonal acne: 1, General hygiene, gently wash face with fingertips 2
times/day using lever 2, Dial, or Almay antibacterial liquid soap.
Avoid lotions or cosmetics containing oil. 2, Retin-A 1% gel or 5%
cream, pea-sized amount at bed time for 8 weeks. If not responding,
will increase Retin-A to 2 times/day if tolerated. 2. Inflammatory
acne: 1, General hygiene as above. 2, Retin-A as above; benzoyl
peroxide gel 25% every AM, or Erythromycin 2% or clindamycin 1%
solution or gel 2 times/day for 8 weeks. If not responding, will add
oral antibiotics; tetracycline 500mg 2 times/day or erythromycin 333 mg
3 times/day.
Cystic acne or Scarring inflammatory acne: treat as above, if not responding, discontinue all the above, begin Accutane.
There
are many side effects. For example, Retin-A causes cutanemous squamous
cell carcinomas and papillomas in some female mice and teratogenic
effects on some pregnancy rabbits (Physicians? Desk Reference, 2005).
Antibiotics will cause imbalance of bacteria on the face, which will
lead to an overgrowth of bacteria insensitive to the specific
antibiotic.
CHINESE MEDICINE TREATMENT
1. Explores the internal and external etiologies. 2. Treatment protocol is based on the etiologies, i.e. treating the cause of acne with all natural products and acupuncture. (1),
Deeply cleaning the skin with all natural products, which will prevent
all the side effects produced from Western Medicine products. Skin
protection products will be used on the skin after deep cleaning. (2)
Acupuncture, using meridian acupuncture, to cleaning the toxic
chemicals precipitated in the skin and organs. We will use body, or
auricular acupuncture. (3) Treating the cause of acne with Chinese
herbs, which has been used in China for thousands of year and
especially for emperors and their wives. 3. Results and evaluation: If you have the following conditions, the treatment is effective. (1) Acne dries out and no new acne grows. (2) Acne still grows, but skin is smooth (3) Acne hidden underneath skin become obvious, but no further development. (4) Large acne becomes smaller and atrophies. (5) Oily skin becomes dry and acne is reduced. (6) Menstruation becomes normal. (7) Normal bowel movement, no constipation or halitosis.
4. The regular treatment period might take about 3 months.
Skin FAQ
WHAT WILL YOU OFFER FOR MY SKIN REJUVENATION PROGRAM?
We
offer pure natural products for all procedures. Drs. Su and Xu will
first evaluate your health and skin, and then suggest some of the
following procedures to you:
1. Herbal steamer: according to
your specific skin condition, we will select the highest-grade Chinese
herbs to clean and steam your skin. 2. Microdermabrasion: based on
your unique skin texture, we will first use pure crystal and then
organic grains, buffered with the best quality of purified Chinese
herbs for your facial microdermabrasion. 3. Acupuncture: Micro-acupuncture will be used for your skin rejuvenation and face-lift. 4. Micro current: Micro current stimulation will be used for your collagen synthesis and muscles elasticity. 5.
Dynamic L.E.D. therapy (Photodynamic therapy): This therapy uses NASA
recommended wavelengths and sends light to the outer layer of skin to
stimulate lower layers. These light waves promote collagen regeneration
and improves texture of skin. It reduces fine lines and wrinkles,
increased cellular oxygenation and minimizes pigmentation, redness and
acne. 6. Ultrasound scrubber: Ultrasound treatment will create
thermal and chemical effects to promote healing and increase the
permeability of cells and penetration of pure herbs to the epidermis
and dermis. Exfoliates, removes fine wrinkles, treats
hyperpigmentation, dark circles, and eye puffiness, etc. 7. Chinese
herbs: the highest quality of purified Chinese herbs will be used on
your skin after careful evaluation of your skin condition or may be
taken by mouth. 8. Vascular treatment: A specially designed
machine mixed with Chinese herbs will be used to treat your red face,
spider veins, cherry angiomas, couperose veins, broken capillaries, and
other vascular lesions,etc. 9. Meridian massage: A Chinese
medicinally trained massage therapist will massage you following your
specific energy channel to maximally relax you and stimulate your
collagen growth and improve your muscle elasticity.
WHAT IS HERBAL STEAMER? HOW DOES IT WORK ON ME?
A
steamer that contains pure Chinese herb transports the extracts of
Chinese herbs to your skin and treats the underline disease. It is
indicated for Normal aging, Acne Vulgris, Epithelialized sinus tracts,
Photo damage, Dermatoses, Nevi, etc.
WHAT IS MICRODERMABRASION? WHAT MAKES YOUR TREATMENT SO DIFFERENT FROM SOMEBODY ELSE?
Microdermabrasion
is a technique by using a machine to abrade your skin with crystal or
other materials for the purpose of removing the epidermis and the upper
third of the dermis (medical grade), which subsequently heal, producing
tightening of the skin.
Microdermabrasion: We will first use
the highly purified crystal to abrade the aging epiderm, then we will
use Organic Grains - the gentle finishing treatment often used after a crystals microdermabrasion session to smooth the skin. One will find that Organic Grains are best used as a smoothing treatment applied after a microdermabrasion treatment to smooth abraded skin.
What Are Organic Grains? Organic Grains are a natural microdermabrasion buffing crystal made of soybean Cellulose and Lignin. Together Cellulose and Lignin make Organic Grains that used as a polishing agent applied after a crystal microdermabrasion treatment.
Cellulose (wood pulp) is prepared from wood by a process of dissolving and chemical softening. The pulp is produced from softwoods and vegetable stalks. Lignin (a complex polymer; the chief non-carbohydrate constituent of wood; binds to cellulose fiber to harden and strengthen cell walls of plants) is derived from an abundant and renewable resource: trees, plants, and agricultural crops. Lignin is non-toxic and extremely versatile.
Microdermabrasion Procedure: The recommended procedure is to make two passes with crystals in two different directions roughly separated by ninety degrees which produces a microscopic abraded skin surface. A third pass is then made with the softer media organic grains, which polishes and smoothens your work. Organic grains are also used after an enzyme peel to loosen or lift the dead skin.
Demonstrate:
We can demonstrate the difference an Organic Grains smoothing session
makes. We will treat a section of skin on your arm to a crystal microdermabrasion session. Then we will treat half that area with Organic Grains. The resulting smoothness of your skin treated with grains will surprise you.
Light Therapy: Microdermabrasion promotes blood circulation and cell Growth. to strengthen and rejuvenate the skin. Light Therapy can help this process and speed the replacement of cells.
WHAT IS THE ACUPUNCTURE FACIAL REJUVENATION PROGRAM?
Please see the face lift section.
WHAT IS THE MICRO CURRENT TREATMENT? HOW DOES IT WORK?
Please see the face lift section.
WHAT IS THE PHOTO DYNAMIC TREATMENT?
A
biological reaction activated by light energy is used to selectively
destroy some aging tissue. The reaction requires a photosensitive
structure (photosensitizer) in the target tissue and a light source
that emits wavelengths absorbed by the structure. The reaction produces
singlet oxygen and other free radicals that are cytotoxic, which
preferentially accumulates in abnormal tissue and eradicates the dead
tissue. You will enjoy the treatment by its soothing, relaxing, and
cozy light emission.
WHAT IS THE ULTRASOUND TREATMENT? HOW DOES IT HELP ME?
Ultrasound
is a sound wave that has all the characteristics of audible sound but
is limited to frequencies above the nominal 20,000 Hz limit of human
hearing. Heating with penetration into tissue is the most important and
best understood effect. Usually 50% of a US beam will penetrate 7-8 cm
of fat but < 1 mm of bone.
US can be used for decreasing
puffiness and swelling of eyes and dark circles, smoothing wrinkles,
fine lines, and stimulating collagen production and increasing muscle
tone.
WHAT IS THE CHINESE HERB TREATMENT? WHAT BENEFIT WILL I GET FROM IT?
China
has thousands of years of experience of keeping people youthful.
Hundreds of pure Chinese herbs have been selected and extracted for
cosmetic use. Drs. Su and Xu will check your skin characteristic and
feel your pulse and find out the best and specific formula for you
according your unique requirement and need.
You will use the Chinese herbs in mainly two ways: 1. External use, such as herbal steamer, herbal heating pad on your skin, or feet in herbal water therapy. 2.
Internal use, you will be given some Chinese herb tablets specifically
prepared for you according your personal need, if it is necessary. The
Chinese herb will regulate your hormone and blood circulation, balance
your metabolism and improve your new skin reproduction. And best of
all, they do not have side effects after a huge number of human use
with thousands of years experience.
WHAT IS VASCULAR TREATMENT? WHAT IS THE INDICATION FOR MY ILLNESS?
Low
level High Frequency (HF) and Galvanic (DC) current is passed through a
fine-tipped, sterile probe. The blood in the vascular blemish being
treated is coagulated or clotted and stops flowing. With the proper
post treatment care, the treated vessel is absorbed and blends in to
the surrounding tissue in several weeks.
It can be used for
clinical removal of telangiectasia (spider veins), cherry angiomas,
couperose veins, broken capillaries and other vascularlesions found on
the face and upper body.
WHAT IS MERIDAN MASSAGE? HOW DOES IT WORK FOR ME?
There
are 14 major meridians in the human body, which are connected with
about 400 acupuncture points. The human energy (Qi, pronounced CHI)
flows in the meridians to supply the entire body?s function. If there
is any blockage in the meridians, there will be a dysfunction;
therefore, a human body will show signs of illness.
Meridian
massage is an ancient art. Specially trained massage therapists massage
your body by following your meridian and facilitating your energy flow.
You usually feel very much relaxed and more energetic. Your skin?s
energy will be smoothed and the structure of skin will be nourished
with smooth energy flow by the meridian massage.
Staff
JUN XU, M.D., Lic. Acupuncturist
* Graduated from New York Medical College in Rehabilitation Medicine (4 Year program). * Former Chief Resident at New York Medical College. *
Graduated from Guangzhou and Jiangxi Colleges of Traditional Chinese
Medicine in China, with training in Acupuncture, Chinese Herbology, Tai
Chi, Qi-Qong, Tuina and more (Total 8 years advanced program). * Has practiced Chinese Medicine since 1984. * The only physician in the state of Connecticut with three board certifications: 1. American Board Certified in Physical Medicine and Rehabilitation. 2. American Board Certified Acupuncturist 3. American Board Certified Chinese Herbology
* Fellow Member of the American Medical Association and the American Academy of Physical Medicine and Rehabilitation. * Studied immune disorders as a research fellow at Albert Einstein College of Medicine, in N.Y. between 1989 and 1995. * Appeared on Good Morning America, and was written about in an article in the Greenwich Times.
HONG SU, C.M.D., Lic. Acupuncturist
*
Graduated from the Guangzhou and Fujian Colleges of Traditional Chinese
Medicine in China with training in acupuncture, Chinese herbology, Tai
Chi, Qi-Gong, Tuina and other disciplines in an eight year advanced
program. * Graduated, and Certified in Cosmetic Acupuncture, from
Guangzhou Modern Beauty Technical Training Center and General Beauty
College of Silver Flower Hong Kong in 1989. * Has practiced traditional and cosmetic acupuncture, and Chinese Herbology since 1983. *
Clinical Director of the Acupuncture Detoxification program at
Montefiore Medical Center of Albert Einstein College of Medicine in New
York since 1993. * Worked as a research scientist studying Molecular
Biology at Albert Einstein College of Medicine in New York from 1989 to
1997.
PHYSICAL THERAPIST:
ADORA "Doris" CRUZ, P.T., P.T.A.
*CT & NY Licensed/Registered *NY Licensed/Registered Physical Therapy Assistant *Member, APTA (American Physical Therapists Association) *Member, CTPTA (CT Physical Therapists Association) *Sole Proprietor, Angel Healthcare, LLC *Holds three degrees: Bachelor of Science in Physical Therapy, 1997 (Mt. Carmel College, Philippines) Doctor Of Medicine, 1985 (Far Eastern University-Nicanor Reyes Medical Foundation, Manila, Philippines) Bachelor of Science in Zoology, 1981 (Far Eastern University, Manila, Philippines) *Licensed & Registered Physician, Philippines *Holds 2 Specialization: Anesthesiology and Family Medicine *Current Active Member of Philippine Society of Anesthesiologist *Certified Family Physician, Philippines
*Doris
was already a private practicing anesthesiologist and family physician
when she obtained her B.S. Physical Therapy degree. After graduating in
Physical Therapy, she continued to actively practice anesthesiology and
family medicine, and concurrently worked as a Supervising Physical
Therapist in the Physical Therapy Department of St. Paul Hospital in
the Philippines. Her job description involved supervising physical
therapists and physical therapy interns (who are doing their clinical
rotation), treating in- and outpatients, doing initial evaluations,
assessments, making individualized treatment and discharge plans. She
also make recommendations and referrals to doctors, as necessary,and
participating in multi-disciplinary treatment of patients. She has
dealt with a wide range of conditions such as stroke, cerebral palsy,
parkinson's dse, neuromuscular disorders, sports in juries,
musculoskeletal disorders, fractures, low back pain, myofascial pain
syndromes, etc., and has worked with both geriatric and pediatric
patients. She has incorporated her knowledge in medicine with her
knowledge in physical therapy to better evaluate and managed her
patients.
MASSAGE THERAPISTS:
LUKE J. SCULLY, LMT (Massage Therapists Manager) *Graduated from Connecticut Center of Massage Therapy *CT Licensed *Nationally Certified *Member, AMTA *Member, NCTMB *Specializes in Medical Rehabilitation, Athletic Relief, Sports Massage, Relaxation Massage *Available for private sessions and home visits by appointment *Tel. No. 203-921-5554 *Email: info@LJSTherapeutic.com *Website: www.LJSTherapeutic.com
JANINA ZEMBROWSKI, LMT *CT Licensed *Nationally Certified *Member, AMTA *Member, NCTMB *Specializes
in Therapeutic, Swedish, Prenatal, and Sports Massage, Trigger Point
Work, Deep Tissue, Shiatsu-Acupressure, Reflexology *Additional Certifications: Healing Stone Massage, Ayurvedic Marma Facial, Reiki Master, Shirodhara, Canine Massage *Attended Workshops on Metamorphic Reflexology, and Healing With Crystals *Professional
Experience includes working at Rehabilitation Medicine and Acupuncture
Center, Chiropractic Office, and at a Day Spa (Noelle?s) *Available for private sessions by appointment *Tel. No. 203-273-5400 *Email: jzbalance@yahoo.com *Website: www.jzbalance.com
SUSAN GEORGE, LMT *CT Licensed *Nationally Certified *Member, AMTA *Specializes in Therapeutic, Geriatric, Deep Tissue, Seated Massage *Available for private sessions and home visits by appointment *Tel. No. 203-918-9611
DOROTHY WARD, LMT *CT & NY Licensed *Member, AMTA *Member, NCTMB *Available for private sessions by appointment *Tel. No. 203-255-9844
MATTHEW C. SNOW, LMT *CT Licensed *Specializes in Swedish & Deep Tissue Massage, Acupressure *Available for private sessions by appointment *Tel. No. 203-512-4965
ALEXANDRA FODOR, LMT *CT Licensed *Nationally Certified *Member, AMTA *Member, NCTMB *Specializes in Therapeutic Massage and Body Work *Available for private sessions and home visits by appointment *Tel. No. 914-643-2986
ALYSSA BRICKEY, LMT *CT Licensed *Nationally Certified *Member, AMTA *Member, NCTMB *Specializes in Therapeutic Massage, Swedish, Deep Tissue, Trigger Points, Sports Massage, Myofascial Release *Available for private sessions and home visits by appointment *Tel. No. 203-667-4910 *Email: ABrickey7@hotmail.com
JOHN S. WELLS JR., LMT, CPT *CT Licensed *Certified Personal Trainor *Sole Proprietor, Performance Training & Therapy LLC (Integrated Training and Massage) *Specializes in Neuromuscular, Deep Tissue, Orthopedic, and Relaxation Massage *Available for private massage/personal training sessions and home visits by appointment *Tel. No. 203-509-2799 *Email: jsw@hotmail.com
Physical Therapy
What
is physical therapy? Physical therapy is non-drug treament of skeletal
and neuro- muscular pains, injuries and conditions. It employs
therapeutic activities,exercises, and physical modalities e.g. heat,
traction, electrical stimulation, etc. to decrease pain and regain
function.
Jun Xu, M.D. Lic. Acup., Hong Su, C.M.D., Lic. Acup.
www.rmac.yourmd.com www.drxuacupuncture.com
Rehabilitation Medicine and Acupuncture Center
1171 East Putnam Avenue, Building 1, 2nd Floor
Greenwich, CT 06878
Tel: (203) 637-7720
Case Discussion 1:
Unexplained Infertility
Amy
S., a 36-year-old woman, is an OB-GYN at a Connecticut hospital, who
delivers babies every day. When she finished her residency two years
ago, she and her husband wanted to have a baby and tried for a
pregnancy for a year to no avail. As a doctor, Amy is well aware of the
workings of her body. She consulted the best endocrinologist and
infertility specialist in the area, who checked her hormone levels,
including the thyroid, pituitary gland, adrenal gland, ovaries, etc.,
only to find nothing was wrong. She was careful about nutrition, was at
her ideal weight of 120 pounds and neither drank nor smoked. She also
had an ultrasound study which showed no problem in her tubes, uterus or
ovaries. Amy¡¯s husband was also examined and shown to have a normal
quantity and quality of sperm with no antisperm antibodies; the
delivery of his sperm was also normal. He showed no retrograde
ejaculation and no blockage in the ejaculatory duct.
Amy
came to me for consultation and evaluation. She is an open-minded
physician, devoted to her job, and works between 55 and 60 hours a
week. Her husband is an emergency physician who works in the same
hospital and he, too, works hard. Amy and her husband are often on
call, causing much stress. They both keep irregular hours and often do
not see much of each other. From her history, I could tell she was very
stressed, unhelpful to her pregnancy situation.
Amy told me
she had read an article which indicated that acupuncture plus IVF (in
vitro fertilization) could help the patient increase the success rate
for pregnancy. She tried it once without success.
Based on
the above information, Amy has unexplained infertility. Unexplained
infertility is, by definition, when a couple has not conceived after 12
months of contraceptive free intercourse.
There are many causes of infertility, including the following:
For the male:
1. Impaired
production and function of sperm, low sperm concentration. Normal sperm
concentration is greater than or equal to 20 million sperm per
milliliter of semen. A count of 10 million or fewer sperm per
milliliter of semen indicates low sperm concentration, and the chances
of conception lessen. A count of 40 million sperm or higher per
milliliter of semen indicates increased fertility; also, if a sperm
changes its shape and mobility or is slow, the sperm may not be able to
reach or penetrate the egg.
2. The malfunction of the
Hypothalamic-Pituitary-Gonadal Axis: if the axis is not working
properly, the male hormone level will be disturbed and the sperm will
be both low in count and slow in activity.
3. The testes system, including transportation and maturation.
For the female:
1. Fallopian tube damage or blockage.
2. Endometriosis.
3. Ovulation disorders.
4. Early menopause.
5. Polycystic ovary syndrome.
6. Fibroid in the uterine.
Even
though there are many women who cannot conceive because of the above
reasons, there are also 15 % of couples who cannot conceive due to
unexplained reasons, and Amy falls into this category.
Amy
was encouraged to have IVF treatment and, beforehand, get acupuncture
treatments. She was scheduled to have hormone regulation (hormone
treatment) for a month before trying to become pregnant again, and to
have acupuncture treatments with me three times a week during that
month.
Two groups of key acupuncture points were selected for Amy:
Stomach
Zhong
Ji (Ren # 3), Guan Yuan (Ren # 4), Gui Lai (Stomach # 29), Chong Men
(Spleen # 12), and Fushe (Spleen # 13). This group of acupuncture
points adjusts the hormonal level of the entire body. Zhong Ji and Guan
Yuan (Ren # 3 and Ren # 4) directly stimulate the uterus, which makes
the uterus muscle very relaxed, and will increase the chance of
contraception and easy implantation. Stimulation of the point Fushe
(Spleen 12), and Chongmen (Spleen 13)¡ªboth points bilateral and
adjacent to the ovary and uterus¡ªwill directly adjust the ovary¡¯s
hormonal secretion cycle, in turn increasing the activity of the
pituitary, adrenal and ovary axis and increasing the chance of
contraception. Gui Lai (Stomach 29) is also adjacent to the ovary and
uterus, which assists the first four points in adjusting the entire
female hormone system.
The second group is on the back eight-liao points.
PictureEight-liao
points (eight points on both sides of the sacral area) directly
stimulate the pudendal nerve and the pelvic splanchnic nerve. These
nerves will stimulate the uterus and ovaries and help increase the
chance of contraception, as well as adjust the entire hormonal system
of the female reproductive system.
The two groups above of
key acupuncture points will be alternatively treated during each day¡¯s
visit, in addition to the Hegu Large Intestine # 4, Quchi Large
Intestine # 11, San Yin Jiao Spleen # 6, Xue Hai Spleen # 10 and Tai
Chong Liver # 3 ¨C all of which will help adjust the hormone
environment in the entire body and thus aid contraception.
After
four weeks of treatment, Amy underwent the IVF procedure and was kept
on the acupuncture treatment twice a week. Amy reported to me that she
had eight eggs mature, an improvement from the first IVF treatment
which had produced only three mature eggs.
After a 48 to 72
hour culture, six of her eggs were fertilized and Amy¡¯s doctor
implanted four into the uterus. The doctor told her she should have bed
rest overnight and that she could return to work the next day; however,
I told her to have bed rest for two days, because Amy¡¯s job is more
stressful than most people¡¯s, and she has to bend forward in her work
to deliver babies.
A month after insemination Amy told me
she was pregnant. She was very excited about her condition and eight
months later delivered twins, a boy and a girl. She was thrilled with
the results, as was her husband.
In my personal experience:
1. In
unexplained infertility, most of the cases are stress related. As an
OB-GYN doctor, Amy worked very hard, as did her husband, and they had
little time to be together. They are both under constant stress, their
bodies always tight, in particular Amy¡¯s uterus muscles. These factors
made it very difficult for the fertilized eggs to attach themselves to
the uterus. Some patients may be lucky enough to be pregnant; however,
they may not retain their baby in the uterus because of the stress and
tightness of their uteruses. They may have frequent miscarriages. My
treatment is mainly for stress-reduction.
2. Many unexplained
infertility patients have irregular hormone environments in their
bodies because of their high stress levels. These will affect the
patient¡¯s entire reproductive system, such as Oocyte maturation,
delivery, fertilization, implantation, etc. My acupuncture points are
selected to adjust the hormone environment and make the different
hormones harmony.
3. Each patient should have about one month
of acupuncture treatment before starting the IVF procedure to prepare
the patient¡¯s hormonal system and to have her relax psychologically.
4. It
is extremely important for the patient to have 48 hours of bed rest
after insemination before taking up normal activities, because at this
time the fertilized eggs are very weakly bound to the uterus. Any
inappropriate movement during these first 48 hours might cause an early
miscarriage.
5. For the key acupuncture points, you may do the acupressure by yourself as indicated above.
According
to studies from Germany and Australia, the IVF treatment without
acupuncture has a 29% success rate for pregnancy. However, the
combination of acupuncture with IVF increases the success rate to
49%¨Calmost a third higher than IVF alone. Therefore, it would seem
advisable to combine the two treatments.
For more questions, please visit www.rmac.yourmd.com refer to the icon of fertility.
Case 2 Headaches
Case Discussion 2: Intolerable Headache
September 28, 2008
Patient Name: Joan T.
After acupuncture treatment for her headache
Joan
T., a 16-year-old schoolgirl, was brought to me by her mother, because
the girl had been suffering from headaches since she was 12 and first
had her period. Her headaches were so severe that four or five days of
the week during her period she was often not able to go to school.
These headaches manifested themselves on both sides of the temporal
area and also caused severe pain to the left eye. Because of the
severity of the pain, Joan called her mother several days a week to
pick her up from school, and the headaches were interfering with her
school work. This made it necessary for her mother to quite her job and
to begin to home school Joan, which she did for several years. However,
at 16, Joan returned to high school as a junior in order to start
preparing for the college entrance exams as well as apply to colleges.
Her headache pain had become so severe that Joan was sleeping poorly,
was extremely stressed, which often resulted in tears and depression,
which made her eat too much, causing a large weight gain. Her mother
had taken her to all kinds of doctors in hopes of alleviating her
condition, but nothing helped, especially the drugs prescribed for
Joan¡¯s headaches. Her SAT exams were commencing in two months, at
which point the mother finally brought her to me for evaluation.
By
physical examination, Joan was a slightly obese young girl, very
depressed and stressed. She spoke in a low tone; she did not like
light, felt pain by touching her temporal area and back of the scalp,
i.e. the occipital area.
The patient might have one of the
following three types of primary headache, i.e., tension, cluster, or
migraine geadaches. She might as well have a mix of the two or three of
the following headaches.
Tension headache: Tension headache is
the most common type of chronic and frequent headache. The symptoms
include steady pain on both side of the head and or back of the scalp
with the feeling of pressure and tightness around head and as if a band
was put tightly around it. The pain usually increased over period of
hours when the pain gets worse, and might develop pulsating quality.
The pain radiates from neck, back, eyes or other body parts.
Cluster
headache: Cluster headache is often described as a sharp, penetrating
or burning sensation on the one eye. The patients feel as if somebody
punched the eye and this pain is of sudden onset without warning;
within a few minutes excruciating pain develops and people with cluster
headaches appear restless The pain is so severe, some patients report
it is even worse than childbirth. The cluster headache usually lasts
about 2 to 12 weeks, though some chronic cluster headaches may continue
for more than a year. These sometimes go with seasonal change.
Migraine
Headache: A migraine headache is a throbbing or pulsating headache that
is often one side and associated with nausea and vomiting, and
sensitive to light, sound, and smell with sleep disruption and
depression. These attacks are very often recurrent and do not change
with age, sometimes develop a chronic migraine headache.
There
are two subtypes of migraine headache, migraine with aura and migraine
without aura. Most auras are visual and are described as bright shining
light around objects or at the edges of field of vision or zig?zag
lines with wave image or hallucinations, some may experience temporary
vision loss and motor weakness, speech, or language abnormalities,
dizziness, vertigo, tingling, or numbness.
A MRI of migraine patient
The causes of headaches are usually different.
The causes of tension headaches are usually caused by stress, muscular tension, and gouty arthritis on the neck or spine,
postural
changes, vascular dilatation, protracted coughing or sneezing and fever
and depression and temporal mandibular joint disorder etc.
The
cause of the cluster headaches is unknown, however, cluster headache
also well known to be triggered by alcohol, nitroglycerin, or similar
drugs.
The cause of migraine headaches is unknown either. It is
very often. There is a family history of disorder and migraine headache
can be triggered with many stimulants for example alcohol, weather,
altitude,
exertion, food, and color and contrasting pattern, hormonal change,
hunger, lack of sleep, medicine, perfume and stress etc.
From
the western medicine point of view, there is many different kind or
medications to treat headaches. For example, Topamax, Imitrex are using
for migraine headaches with some successful cases. However, beta
blockers, antiseizure medication, calcium channel blockers, tricyclic
antidepressants, and analgesics such as aspirin, ibuprofen,
acetaminophen etc are tried to treat migraine, cluster, and tension
headaches. However, most of these drugs can not provide significant
improvement for above headaches. Therefore, more and more patients are
starting to look for alternative treatments. Acupuncture is one of the
best therapies for the headaches.
Chinese medicine classifies headaches into two categories:
1.
External
wind attack headaches: the headaches are caused by external factors,
such as wind cold and wind heat. The headaches usually have a character
of acute onset and very severe and constant attack.
Wind Cold:
it shows periodic attack, the pain always is connected with neck and
upper back and aversion to wind and cold, the head feels heavy, likes
to have a band to tight around the head. The patient does not feel
thirsty, and have thin and white coating on the tongue with floating
pulse.
Wind Heat: feels expending headache from inside of the
head, accompanied with fever and aversion to heat and wind, reddish
face and eye, feels thirsty, constipation, yellowish urine, red tongue
body with yellow coating on the tongue and floating pulse.
2.
Internal
organ dysfunction headaches: internal headaches usually are slowly
onset and the pain is mild and sometimes feels emptiness within the
head. When patients are on stress and overwork, the pain will be worse.
The pain is on and off and usually last for long time.
According
to traditional Chinese medicine, head is the collection of all the Yang
Meridians. The six Yang Meridians all distribute to the head and face
and also liver Meridians go up to the top of the head, therefore,
headaches can be diagnosed based on the meridian distribution. If we
know the Meridians distribution, so then we will be easier to make
clear diagnosis and treatment.
1,
Tai Yang (Urinary Bladder) meridian headache usually located at top of the head and back of the head and connected to the neck.
2,
Yang
Ming (Large Intestine) meridian headache usually is on front of the
head, i.e. the forehead including upper portion of the eye.
3,
Shao Yang (Gall Bladder) meridian headache usually is on the bilateral temporal area and radiates to the ear.
4,
Jue
Ying (Liver) meridian headache usually is on the top of the head
sometimes connecting to the eyes and frontal head. (Large Intestine)
meridian headache
Acupuncture treatment for headaches:
First
ask the patient the location of the headache and the severity of the
headache, i.e. find out which internal organ shows dysfunction.
Second ask the patient about their accompanied symptom, differentiate the wind cold from the wind heat.
1. For Tai Yang (Urinary Bladder) meridian headache, i.e. the headache
locates on top of the head and back of neck. We choose the following,
GB20 Feng Chi and DU16 Feng Fu and DU19 Hou Ding and BL9 Yu Zhen and
BL60 Kun Run and SI3 Hou Xi.
Points
Meridan/Number
Location
Function/Indication
1
Feng Chi
Gall Bladder 20
In the depression between the upper portion of m.
sternocleidomastoideus and m. trapezius, on the same level with Fengfu
(Du 16)
Headche, vertigo, insomnia, pain and stiffness of
the neck, blurred vision, glaucoma, red and painful eyes, tinnitus,
convulsion, epilepsy, infantile convulsion, febrile diseases, common
cold, nasal obstruction, rhinorrhea.
2
Feng Fu
Du 16
Directly 1 inch above the mid point of the
posterior hair line, directly below the external occipital protuberance,
in the depression between m. trapezius of both sides
lateral side of the superior border of the external occipital
protuberance
Headache, neck pain, dizziness, ophthalmalgia,
nasal obstruction
5
Kun Lun
UrinaryBladder 60
In the depression between the external malleolus
and archillus tendon
Headache, blurring of vision, neck rigidity,
epistaxis, pain in the shoulder, back and arm, swelling and heel pain,
difficult labor, epilepsy
6
Hou Xi
Small Interstine 3
On the ulnar side, proximal to the 5th
metacarpophalangeal joint, at the end of the transverse crease.
Pain and rigidity of the neck, tinnitus, deafness,
sore throat, mania, acute lumbar sprain, night sweat, fever, contracture
and numbness of the finger, shoulder and elbow pain
1. For Yang Ming ((Large Intestine) meridian headache, i.e. the
headache locates on the front of the head, i.e. the forehead including
upper portion of the eye. The acupuncture points are Yin Tang and Tai
Yang (Extraordinary Points), Lu 7 Lie Que, LI 4 He Gu, GB 14 Yang Bai
Points
Meridan/Number
Location
Function/Indication
1
Yin Tang
Extraordinary Point
Midway between the medial ends of the two
eyebrows.
Headache, head heaviness, epistaxis, rhinorrhea,
infantile convulsion, frontal headache, insomnia
2
Tai Yang
Extraordinary Point
In the depression about 1 inch posterior to the
midpoint between the lateral end of the eyebrow and the outer canthus
Headache, eye diseases, deviation of the eyes and
mouth
3
Lie Que
Lung 7
Superior to the styloid process of the radius, 1.5
inch above the transverse crease of the wrist.
Cough, pain in the chest, asthma, hemoptysis, sore
throat, spasmodic pain of the elbow and arm
4
He Gu
Large Intestine 4
On the dorsum of the hand between th e1st and 2nd
metacarpal bones, approximately in the middle of the 2nd
metacarpal bone on the radial side.
Headache, pain in the neck, redness swelling and
pain of the eye, epistaxis, nasal obstruction , rhinorrhea, toothache,
deafness, swelling of the face, sore throat, arotitis, trismus, facial
paralysis, febrile die\seases with anhidrosis, hidrosis, abdominal pain,
convulsion, pain, weakness and motor impairment of the upper limbs.
5
Yang Bai
Gall Bladder 14
On the forehead, 1 inch directly above the midpoint
of the eyebrow
Headache, pain of the orbital ridge, eye pain,
vertigo, twitching of th eyelids, ptosis, tearing
1. For Shao Yang (Gall Bladder) meridian headache, i.e. the headache
usually is on the bilateral temporal area and radiates to the ear. The
following points are chosen, GB 20 Feng Chi, Extra Point 1 Tai Yang, SJ
5 Wai Guan, ST 8 Tao Wei, GB 38 Yang Fu, GB 39 Jue Gu.
Points
Meridan/Number
Location
Function/Indication
1
Feng Chi
Gall Bladder 20
As above
2
Tai Yang
Extraordinary Point
As above
3
Wai Guan
San Jiao 5
2 inches above the transverse crease of the dorsum
of wrist, between the radius and ular.
Fever, headache, cheek and neck pain, deafness,
tinnitus, elbow and arm pain, hand tremor
4
Tou Wei
Stomach 8
0.5 inch within the anterior hairline at the corner
of the forehead
Headache, blurring of vision, eye pain, tearing
5
Yang Fu
Gall Bladder 38
4 inch above and slightly anterior to the tip of
the lateral malleolus, on the anterior border of the fibula
Migrane, pain in the outer canthus, axillary
region, scrofula, lumbar, chest, hypochondriac and lateral leg.
6
Jue Gu
Gall Bladder 39
3 inch above the tip of the external malleolus, 1
inch below Yang Fu
Apolexy, hemiplegia, pain of the neck, abdominal
distension, pain in the hypochondriac region, muscular atrophy of the
lower limbs, spastic pain of the leg, beriberi.
1. For Jue Ying (Liver) meridian headache usually the pain is on the
top of the headand many time it connects to theeyes and frontal head.
Du 20 Bai Hui, Liv 3 Tai Chong, Lung 7 Lie Que.
Points
Meridan/Number
Location
Function/Indication
1
Bai Hui
Du 20
On the midline of the head, cross the line of two
ear tips
Headache, vertigo, tinnitus, nasal obstruction,
aphasia by apoplexy, coma, mental disorders, prolapse of the rectum and
the uterus
2
Tai Chong
Liv 3
On the dorsum of the foot, in the depression distal
to the junction of the first and second metatarsal bones.
Headache, dizziness and vertigo, insomnia,
congestion, swelling and pain of the eye, depression,, infantile
convulsion, deviation of the mouth, pain in the hypochondriac region,
uterine bleeding, hernia, enuresis, retention of urine, epilepsy, pain
the anterior aspect of the medial malleolus
3
Lie Que
Lung 7
See above
See above
If the patient with above symptoms accompanied with the wind cold or wind heat signs, we will add the following points:
1. Wind Cold: GB 20 Feng Chi, Extra Point Tai Yang , ST 8 Tou Wei, GB 8 Shuai Gu, UB 12 Feng Meng, UB 60 Kun Lun.
1.5 inch lateral to the midline of the body, at the
level of the lower border of the spinous process of the second thoracic
vertebra
Common cold, cough, fever and headache, neck
rigidity, back pain
6
Kun Lun
Urinary Bladder 60
See above
1. Wind Heat: GB 20 Feng Chi, Tai Yang, St 8 Tou Wei, GB 8 Shuai Gu, Du 14 Da Zhui, SJ 5 Wai Guan,
Points
Meridan/Number
Location
Function/Indication
1
Feng Chi
Gall Bladder 20
See above
2
Tai Yang
Extraordinary Point
See above
3
Tou Wei
Stomach 8
See above
4
Shuai Gu
Gall Bladder 8
See above
5
Da Zhui
Du 14
Below the spinous process of the seventh lumbar
vertebra, approximately at the level of the shoulders
Neck pain and rigidity, malaria, fever, epilepsy,
cough, asthma, common cold, back pain and stiffness
6
Wai Guan
San Jiao 5
See above
Personal tips for clinical use:
Acupressure tips for patients:
1. If you have headache, please differentiate the site of the headache,
i.e. identify if you have Tai Yang, Yang Ming, Shao Yang, or Jue Ying
headache. 2. After you identify the site of the headache, then try to locate the points by following the above tables and pictures.
3. Acupressure the points with your knuckle, press with the comfortable
pressure on the points, count 20 counts then change to another points.
You should use the symmetric points at the same time. 4. Your
acupressure points mainly locate on the head, use the head points as
the major acupressure points. You may ask your friends or family
members to help you with moderate acupressure.
Acupuncture Tips for Practitioners:
1. The most important is to identify which meridian headache your
patient belongs to, i.e. Tai Yang, Yang Ming, Shao Yang, or Jue Ying.
2. Identify the external type, i.e. wind cold or wind heat. If you
could combine the meridian with the external type, your acupuncture
effects will be much more than the average acupuncturists. 3. The
distal points, i.e. on the hands and feet, are very important for your
treatment. Please do not ignore the distal points. 4. Please put your patients in a quite and low illuminated room, with electrical stimulation for 30 min.
5.
Many headaches may be triggered by occipital neuralgia, trigeminal
neuralgia, common cold, sinusitis and allergy etc. For those headaches
secondary to the above, we have to treat the original trigger. We
should treat the sinusitis, occipital neuralgia, trigeminal neuralgia,
common cold, allergy, etc. If we can effectively treat the original
trigger of the primary headache, our patient¡¯s recovery rate will be
much higher the average of acupuncturists. For many years, 99% of my
patients felt much improved after my treatment because I notonly treat
the symptom of headache, but I also treat the trigger factors.
Joan¡¯s
headache is very complicated. From the western medicine point of view,
her headache belongs to migraine headache. However, her headache always
triggered by occipital neuralgia and worsen with her hormone and
menstruation. Every time when she has hormonal change and also
sometimes occipital nerve pain, her headache symptom would get worse.
Therefore, she has four to five attacks per week.
After I made a
clear diagnosis, first I used GB20, DU16, and Bai Hui and also Tai
Yang, and LI4. The patient underwent my treatment three times a week
for about two months and she also was injected with cortisone to block
her left and right occipital nerve pain, her headache is much-much
better. After my treatment, the patient took her SAT test and applied
for college, she was accepted into the Boston College and after two
years follow up, her mother reported that Joan is great and she has no
any major headache attack. She survived her college study. Her mother
is very-very thankful to me.
