By Adrian White PhD MA BM BCh, Mike Cummings MB ChB Dip Med Ac, Jacqueline Filshie MBBS FRCA
This booklet is a transparent and functional 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, assorted techniques to acupuncture, uncomplicated element info, medical matters and the applying of acupuncture in scientific stipulations, specially within the therapy of pain.A functional advisor to the foundations and medical perform of clinical acupunctureA transparent advisor to the neurophysiological ideas which underlie clinical ways to acupunctureA uncomplicated clarification of the several sorts of clinical acupuncture treatmentAllows the reader to accrue the sensible wisdom useful ahead of starting to paintings with scientific acupuncture.
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Additional info for An Introduction to Western Medical Acupuncture
The crucial structure for this descending pain inhibition is the periaqueductal grey (PAG), a small group of cells in the midbrain, and the nearest thing the body has to a ‘pain control centre’. g. morphine or heroin) can produce the most profound analgesic effect. The PAG is activated by b-endorphin, which is released from nerve fibres descending from the hypothalamus, or more precisely the arcuate nucleus of the hypothalamus. The arcuate nucleus is also where some of the afferent pathways of the Ad fibres, stimulated by acupuncture, terminate.
They were given acupuncture at points in the hand (LI4) and knee (ST36) for 50 minutes, after which their threshold to painful electrical stimulation was found to be increased throughout the body – in the head, thorax, back, abdomen and leg (Research Group of Acupuncture Anaesthesia 1974). Another seminal study showed that the analgesia involved a ‘humoral factor’ (Research Group of Acupuncture Anaesthesia 1974). In this well-known experiment, cerebrospinal fluid (CSF) was drawn from a rabbit that was being given acupuncture and had demonstrated raised pain thresholds.
For many patients, there is probably not much difference between the effects of retaining the needles for a few minutes compared with half an hour. Neurological mechanisms I: local effects Needle retention time CHAPTER 3 Acupuncture does not need to be painful. 2. Each of the variables can be adjusted to take account of the patient’s medical condition, general physical condition, immediate responses during needling and (in subsequent treatments) the changes reported in the hours and days following needling.
An Introduction to Western Medical Acupuncture by Adrian White PhD MA BM BCh, Mike Cummings MB ChB Dip Med Ac, Jacqueline Filshie MBBS FRCA