By Adrian White PhD MA BM BCh, Mike Cummings MB ChB Dip Med Ac, Jacqueline Filshie MBBS FRCA
This ebook is a transparent and useful introductory consultant to the perform of clinical acupuncture. It describes the Western clinical method of using acupuncture as a remedy following orthodox prognosis. The textual content covers questions of safety, various ways to acupuncture, uncomplicated aspect details, medical concerns and the applying of acupuncture in medical stipulations, specially within the therapy of pain.A useful consultant to the foundations and scientific perform of scientific acupunctureA transparent consultant to the neurophysiological rules which underlie scientific techniques to acupunctureA uncomplicated rationalization of different sorts of scientific acupuncture treatmentAllows the reader to accrue the sensible wisdom precious earlier than commencing to paintings with scientific acupuncture.
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Extra info for An Introduction to Western Medical Acupuncture
Electrical stimulation is probably more effective than manual for activating this particular effect of acupuncture. For a sustained effect in treating chronic pain, repeat the stimulus once or twice a week so that the benefit accumulates, for reasons discussed below. Individual response to acupuncture Patients vary considerably in their response to acupuncture. Some patients respond well to brief, superficial needling, and may experience ill-effects from any stronger treatment. Others fail to respond to even strong, prolonged stimulation and are classified as ‘non-responders’.
The aim of this manoeuvre is to reinforce the segmental analgesia by activating a more generalized system of analgesia – called extrasegmental analgesia, the subject of this chapter. This chapter first briefly introduces the biology of opioid peptide release by acupuncture, before going on to describe the mechanisms of extrasegmental analgesia. With this background, the section on clinical application covers the suggested treatment regimens, and then goes on to discuss the mechanisms that PRINCIPLES SECTION 1 explain why different individuals respond differently, why the effect of acupuncture is cumulative, and why you should try to reduce anxiety in patients when you are treating them with acupuncture.
This is the ‘dose’ of acupuncture and it depends on several factors, like the number of points treated at a time, the depth of needling and the strength of stimulation. Because there has been so little research into these different factors, we are still unsure about the contribution each of them makes to the total dose of a treatment. However, empirically, it is important to be able to vary the dose to suit the patient and the condition, and we shall repeatedly return to this subject throughout the book.