ACUPUNCTURE AS AIDS AND DETOXIFICATION TREATMENT

Michael O. SMITH
Lincoln Hospital. 349 E. 140th Street, The Bronx, New York 10454, U.S.A.

Acupuncture is being used widely for treating addiction and AIDS related problems. Based on the work of Dr. H. L. Wen in Hong Kong and the program at Lincoln Hospital in the Bronx, New York, a model for addiction treatment has been developed has been developed which applies 4 to 5 ear acupuncture points bilaterally while the patients are sitting in a environment. This treatment reduces withdrawal symptoms and drug cravings. Most importantly, it provides a foundation for psychosocial rehabilitation so that patients can participate in the entire counseling program in a balanced and cooperative manner. More that 600 treatment programs world wide use the Lincoln Hospital model of ear acupuncture for addiction. 200 of the programs are located outside of the United States. Training programs in method are located in more that a dozen countries.
Lincoln Hospital has used general body acupuncture and Chinese herbal medicine to provide immune enhancement treatment for AIDS. Patients report improvement in many types of symptoms, including diarrhea, neuropathy respiratory problems, and fatigue. The AIDS and Chinese Medicine Institute (ACMI) coordinates the efforts of numerous similar programs in the US and in London. We will report outcome data and the different clinical strategies that have been used. It is significant that a substantial majority of long term AIDS survivors report that they have regularly used Chinese medicine as a part of their treatment effort.

Symposium B
Saturday, September 21, 1996

FUNCTIONAL MAPPING OF THE HUMAN BRAIN DURING ACUPUNCTURE
WITH MAGNETIC RESONANCE IMAGING

Kathleen K.S. HUI, Jing LIU, Ming-Ting WU, Kenneth K.K. WONG
MGH-NMR Center, Department of Radiology, Massachusetts General Hospital. Boston, Massachusetts, U.S.A

Aim: It is known that the analgesia produced by acupuncture has a wide distribute. Acupuncture of L14 can be used for treating diverse disorders as headache, toothache and abdominal pain. Animal experiments indicate that the for pain perception and modulation in the brain may be activated by acupuncture. Direct evidence in humans is, however, unavailable. We have applied the noninvasive BOLD technique of fMRI to study the dynamic changes in human brain during acupuncture.
Methods: Images were acquired in a 1.5 Tesla GE Signa MRI system equipped for echo planar imaging. Either gradient echo or asymmetric spin echo T2 weight sequence was used. Studies were conducted on 5 volunteer subjects and acupuncture stimulation was delivered twice to L14 or ST36 by continuous manual twisting of the needle for 2 minutes. The needle was allowed to remain at rest for 1 minute or longer before, in between and after manipulations.
Results: Needle twisting produced widespread activation of the brain compared with the needle at rest. In addition to activation of the contralateral someatic sensory cortex, many regions in the frontal, temporal, parietal and occipital cortex, the cingulate gyrus, the diencephalon and cerebellum exhibited response. The intensity of NMR signals could increase or decrease, subject to individual variability. Discussion will focus on the caudate, thalamus and other nuclei in the diencephalon.
Conclusion: The findings furnish direct evidence that acupuncture produces widespread effects on the human brain. Involvements of the crucial structures for pain perception and pain modulation in the subcortical areas as well as the somatic sensory and somatic motor cortex are indicated. fMRI will be invaluable for studying the mechanism of action of acupuncture; such understanding can provide scientific guidelines for optimizing and developing therapeutic protocols.

Symposium C
Saturday, September 21, 1996

CONCERNS IN STANDARDIZATION OF ACUPUNCTURE EDUCATION
(INCLUDING LICENSE EXAMINATION)IN U.S.A.

David P.J. HUNG
American Acupuncture Association. 42-62 Kissena Boulevard, Flushing, New York 11355, U.S.A.

Aim: Acupuncture will be more popularly accepted and legally recognized in all states of the America, and more is needed to establish high standards of acupuncture education and schools. The author indicated the importance of the standardization of acupuncture education, including license examination.
Methods: The author reviewed the development of acupuncture in the United States, introduced the national standards of acupuncture education and nationally licensing examination, and looked forward to the future of standardized acupuncture education.
Results: (1) Today there are more than thirty schools of acupuncture in the United States and there are two national organizations which are responsible for working with and accrediting acupuncture educational institutions, the Council of College of Acupuncture and Oriental Medicine (CCAOM) and the National Accreditation Commission for Schools and Colleges of Acupuncture and Oriental Medicine (NACSCAOM). The educational institutes must qualify under both the Eligibility Process for initial accreditation and the Self Study Process to maintain accreditation. There are many American acupuncture educational institutes which grant Acupuncture degree after a three-year program. (2) Three are two major acupuncture licensing examinations in the United States. One is the National Acupuncture Certification Examination given by the National Commission for the Certification of Acupuncturists (NCCA) and the other is the California Acupuncture Licensing Examination approved by the California Acupuncture Committee. Besides, Nevada maintains an independent acupuncture examination. Today, thirty states have passed status licensing and regulating the practice of acupuncture. Among them twenty-five jurisdictions use NCCA examinations and certification as a portion of their license process.
Conclusion: The author believes a new, flourish time will be coming soon after the Fourth World Conference on Acupuncture in the United States. High standards of acupuncture education and schools should be established. It is hoped that the new national acupuncture licensing examination contains acupuncture and Oriental herbology at the same time, and it will be recognized by all states.

Workshop I
Saturday, September 21, 1996

THE FIRST OBSERVATION OF THE EFFECTS OF AURICULAR POINTS
APPLY-PRESSING ON THE TREATMENT FOR RAYNAUD'S PHENOMENON

Li-Chun HUANG, Feng HUANG
Florida Acupuncture Association. Florida, U.S.A.
Chinese People's Liberation Army General Hospital. Beijing, China.

Aim: There is no satisfactory treatment for Raynaud's Phenomenon (RP) at this time. This research is to practice auricular points apply-pressing treatment for Raynaud's Phenomenon on the hands of the systematic patients. The purpose of this research is to explore a new method to treat RP.
Methods: This research is reported on the patients who have coldness or a mental condition induced attacking paleness, blueness, or redness in the skin of both hands, clinically matching systematic sclerema diagnosis, and have used medicine for B.V. expansion. There are 14 patients in total. 20 healthy people were chosen randomly as a control group.
Treatment: (1) All the patients discontinue using all prescribed drugs 3 days before the treatment. The skin temperatures of the fingers before and after the treatment were measured in an environment constantly kept at 25¡É room temperature. The average value of three measure was used. (2) Blank bandages were applied on the auricular points of the healthy people and the RP patients. The skin temperatures were measured after 20 minutes; then apply-press Huang Jin seeds to the auricular points. A therapeutic technique was applied to cause auricular heat and make the heat transfer to the shoulders, chest, and fingers of both hands. The skin temperatures of both hands were measured after 20 minutes. (3) Selection of points: heat (hot) point in both ears, colonary vascular subcurtex, sympathic, heart, lungs, great auricular nerve, right liver, left spleen, and fingers. (4) Practice every 3 to 5 days, 5 times per treatment cycle.
Observation Index: (1)Record comprehensively the feelings of the healthy people and the patients before the auricular points apply-pressing practice. (2)Skin temperatures of the fingers of both hands: To measure the skin temperatures of the back of the far end finger joints.
Results: There was no obvious difference in the skin temperatures of the fingers of both hands of the healthy people after auricular points apply-pressing. RP patients could feel both hands improving after the treatment. RP attacks obviously decreased after one treatment cycle. Occasionally when the RP attacks, the duration was shorter. The skin temperatures of the fingers of both hands rose evidently. There was distinguishable difference statistically. The results of iced water induction test applied on some patients who received only one treatment cycle also turned negative.
Conclusion: Based on the research presented in this paper, the auricular points apply-pressing treatment can improve the blood circulation of the hands of RP patients and raise the skin temperatures of the fingers. It is very easy to practice. The treatment effect is also reliable. There is no poisonous side effects. Hence, it is a treatment worthy of recommendation.

Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL OBSERVATION OF 72 MENORRHEAL HEADACHE CASES
TREATED WITH ELECTRO-STIMULATING EAR-POINTS AND ACUPUNCTURE

Ling ZHENG
Manhattan Acupuncture Center. 14 East 34th Street, 5th Floor, New York, New York 10016, U.S.A.

Aim: Menorrheal headache is a common disease. The author reported the treatment effect of electro-stimulating ear-points & acupuncture therapy on 72 menorrheal headache cases.
Methods: Ear-points ¡ª CP18, AH6a, TF2 and AT1 ¡ª were electro-stimulated for 30 seconds with HB-EDT; two main points ¡ª Fengchi (GB20) and Taichong (LR3) ¡ª were needled. Four to six additional points might be supplemented by syndrome differentiation. These patients received 10 sessions of therapy at an interval of 3 to 4 days.
Results: 37.5% of these patients were cured, 55.6% were improved, and 6.9% were ineffective. The total effective rate was 93.1%.
Conclusion: It is thought that the central nerve-hormone system imbalance is a main cause of menorrheal headache. Moreover, menorrheal headache can be cured with the therapy of electro-stimulating ear-points balancing these hormones.

Clinical Research & Application
Pain Management & Osteotraumology

TREATING POST CONCUSSIVE HEADACHES WITH YIN-YANG
CHANNEL BALANCED NEEDLING METHOD: 110 CLINICAL CASES REPORT

Zheng Ying BAO
Naturo-Medical Health Care. New York, U.S.A

Aim: Yin-Yang channel balanced needling method implies the use of alternating selection of points from Yin and Yang channels. We apply this method to treat post concussive headaches through communicating Yin and Yang channels to restore the balance of vital energy and blood flow and therefore to improve cerebral function. "Pain ends with the patency of flow" is the principle to obtain the therapeutic effects.
Methods: 110 cases with cerebral concussion caused by auto and other accidents were diagnosed by western doctors. All cases had a chief complaint of headaches involving either the whole head or one side. The length of headaches ranged from two days to over ten years. The youngest was 7 years old and the eldest was 68 years old. There were 61 males and 49 females. The treatment method was based on various patterns of headaches, symptomatic acupuncture treatments were carried out using three group of points. Points from Yin and Yang channels were alternated:
Group I: Extral, GB20 ¡ª LU9, LU14, SP6, LR3, etc.
Group II: GV20, GB6 ¡ª LU7, TE5, KI7, GB41, etc.
Group III: GV23, ST8 ¡ª ST13, SP10, LR2, KI3, etc.
The frequency of therapeutic visits was 2-3 times a week, reduced to 1¡­2 times a week when symptoms were improving. A therapeutic period included 7¡­10 treatments. Most patient recovered after 1¡­2 treatments period. 3¡­4 treatment periods were needed for those who had had severe headaches for months or years. Even tonifying and reducing methods were used with twisting techniques followed by static retaining of needles for 30 minutes. Thrusting and pulling techniques might be used for patients with excruciating headaches followed by dynamic retaining of needles for approximately 40 minutes.
Results: 61.8% were cured, 35% improved. The total effective rate was 97.3% and 2.7% of the patients did not respond to this treatment.

Clinical Research & Application
Pain Management & Osteotraumology

THE CLINICAL OBSERVATION FOR THE TREATMENT OF
OSTEROPHYTE FORMATION IN THE JOINTS BY ACUPUNCTURE FOR 386 CASES

Shu Gui CUI, Jing DU, Qing WANG
132-17 Maple Avenue, #301A, 3rd Floor, Flushing New York 11355, U.S.A.

Aim: The clinical observation and analysis for the acupuncture treatment of osterophyte formation in the joints were undertaken.
Methods: Points for cervical vertebrae: Bailao (Extra16), Dazhui (GV14), Jianyu (LI15), Jianliao (TE14), Waiguan (TE5), Dazhu(BL11), Yanglingquan (GB34). Points for lumbar vertebrage: Mingmen (GV4), Yaoyangguan (GV3), Weizhong (BL40), Houxi (SI3), Shenshu (BL23), Zhishi(BL52), Guanyuan(CV4), Huantiao (GB30), Xuanzhong (GB39), Ashi points. Ponts for knee joints: Xiyan (Extra36), Xiyangguan (GB33), Liangqiu(ST34), Yingu(KI10), Ququan (LR8), Xuanzhong(GB39).
Manipulation: In general, the location of the joint disease was either on muscles or bones. So retaining and deep inserting the needles were adopted. Acupuncture was given with the even movement or heat reinforcing method. The needle was inserted with the twirling and rotating method. After the patient obtained the Qi, the needle was rotated forward with the thumb 3 to 5 times, lifted slowly and thrusted quickly several times until a heat feeling. Then the needle was retained for about 20 to 30 minutes. This method could be taken once a day or once two days and the course of treatment was 10 to 30 times. The cupping treatment was also available for this case. Cupping time was about 10 minutes and once two days.
Results: For the 386 cases, the curative rate was 2.3%. The effective rate was 87.5%. The ineffective rate was about 10%. The total effective rate was 89.8%. By analyzing the treatment results of above 386 patients, it was shown that the treatment effects were not obviously different between the patients who had the disease more than 2 years and less than 2 years. The statistics relation between the curative effect and course of the disease: x2=4.928, p=0.1578, p>0.01.
Conclusion: The acupuncture effect is much better for the slight osterophyte formation in the joints than the heavy one. The bone checking by radiographs did not show any obvious change before and after the treatment.

Clinical Research & Application
Pain Management & Osteotraumology

A CONTROLLED ACUPUNCTURE CLINICAL TRIAL
ON OSTEOARTHRITIS OF THE KNEE

Lixing LAO, Brian M. BERMAN, Richard H. WONG, Haiyang LI, Patricia LANGENBERG,
Mohammad ESFAHANI, Victor LEINO, Marc C. HOCHBERG
University of Maryland School of Medicine. Kernan Hospital Mansion, 2200 N. Forest Park
Avenue, Baltimore, Maryland 21207-6697, U.S.A.

Aim: This study evaluated the efficacy and safety of acupuncture in effecting changes in self-reported pain and physical function among patients with symptomatic osteorthritis of the knee.
Methods: Thirty-eight patients with moderate to severe osteoarthritis of the knee (fulfilling the American College of Rheumatology classification criteria) have enrolled and been randomized into either an acupuncture group(n=19). Both groups were maintained their baseline analgesic/anti-inflammatory medications. The acupuncture group was treated biweekly for 8 weeks with electro-acupuncture. The control group received no acupuncture treatment. Clinical evaluations using independent physician assessment, the Western Ontario and McMaster (WOMAC) and the Lequesne Osteoarthritis Indices, and a fifty-foot walk time were performed at baseline and four week intervals with follow-up at week 12.
Results: A repeated analysis of variances between two groups indicated that acupuncture treatment group significantly improved in pain score and disability score as compared to the control group. The WOMAC Indices showed a significant effect for the treatment group by time interaction (p<0.0001), group differences (p<0.002), and change over time (p<0.0001). The Lequesne Index indicated significant effects for treatment by time (p<0.001). There were no significant differences in the fifty-foot walk times and no significant adverse effects reported in the acupuncture group.
Conclusion: The results of this study suggest that traditional Chinese acupuncture as an adjunctive for osteoarthritis of the knee is both safe and effective, significantly improving both pain physical function in these patients.

Clinical Research & Application
Pain Management & Osteotraumology

INVASIVE RECTIFICATION OF ARTHRITIC HIP, BURSITIS AND TENDONITIS
BY FIVE NEEDLE DEEP TISSUE STIMULATION(DTS)

James R. TSAI, Carl ROTHENBERG
Pacific College of Oriental Medicine. 2564 State Street, Suite A, Cartsbad, California 92008, U.S.A.

Aim: Invasive rectification of arthritic hip pain, bursitis and tendonitis by five needle deep tissue stimulation (DTS) was utilized on 30 random patients using stainless steel acupuncture needles. Results were recorded for a 2-week period of time.
Methods: Patients were treated three times a week in a lateral recumbent position. Five needles (N-1 through N-5) were inserted proximally and superior to the greater trochanter of the femur to various depths. Two additional points were added to open the Yang Wei channel and gate. According to Oriental Medical theory when qi stagnation occurs in a superficial yang channel (GB or UB) the Yang Wei meridian will drain off the excess qi. As a result the Yang Wei overfills and will initiate a redirection of qi to the blocked channel. When utilizing DTS, a deeper and more dense qi (DO) was called up which had the ability to dislodge the source of stagnation. Significant results (90% cured) were achieved with the DTS technique.
Results: Out of the 30 patients treated, 27 were cured of their condition, 2 indicated relief but returned 4 months later for the same problem, and 1 did not continue with treatments because it did not produce results quick enough for him to continue. It has been determined that the five needle DTS method is an effective and viable treatment in the remedy of arthritic hip pain as well as bursitis and tendonitis of
the hip.
Conclusion: We have found that arthritic hip joint pain, bursitis and tendonitis can be successfully treated with five needle DTS.

Clinical Research & Application
Pain Management & Osteotraumology

THE EFFECT OF WARM ACUPUNCTURE ON RHEUMATOID ARTHRITIS OF 434 CASES

Liqin SUN
Health Awareness Medical Center. 2905 Lakeview Drive, Fern Park, Florida 32730, U.S.A.

Aim: In order to study the treatment mechanism of rheumatoid arthritis (RA) and find the most effective treatment method, we treated 4343 cases by acupuncture and moxibustion.
Methods: 434 cases were divided into two groups, with 378 cases in the warming needle group (WG), and 56 cases in the acupuncture group (AG). For a better evaluation of the effectiveness of the warming needle treatment, 139 cases of WG were examined in ESR before and after the treatment, and the symptoms and physical signs of part of the patients were also observed. 34 of Huatuojiaji acupoints and limb points ¡ªBaxie (Ex-UE9), Yangchi (TE4), Waiguan (TE5), Hegu (LI4), Quchi (LI11), Jianliao (TE14), Jianzhen(SI9), Qiuxu(GB40), Sanyinjiao (SP6), Yanglingquan (GB34), Yinlingquan(SP9), Zusanli (ST36), Xiyan (Ex-LE5), Weizhong (BL40), Huantiao (GB30), and Xuehai (SP10) ¡ª were usually used.
Results: Criteria of the therapeutic effect ¡ª (1) Recently controlled: Swelling and pain of the joint disappear after the treatment and the function of the joint is improved or completely recovered. RF and ESR are lowered or become normal. The effect can be maintained for 3 months after the treatment. (2) Marked effect: The joint swelling and pain improved markedly. EST-RF is nearly normal or is reduced markedly. But joint swelling and pain have not disappeared. (3) Improved: Joint swelling and pain are partially relieved. (4) No effect: There is no change of the joint swelling and pain after the treatment for 1 to 3 courses (30 days for each course). Results of the treatment are summarized in the following tables.

Conclusion: From the above we can see that warming needle has the effect to clear the meridian and therefore enable the Qi and blood to flow freely. In this way, the blood is circulated in the meridian, Yin and Yang are reinforced, the bones become strong and the disease in the joint will disappear.

Clinical Research & Application
Pain Management & Osteotraumology

AN EFFECTIVE ALTERNATIVE THERAPY FOR RHEUMATOID ARTHRITIS:
A PHASE-I CLINICAL STUDY OF HERBAL COMPOSITION RA SPESR

Xuhui WANG, Hui HUANG, Sophie CHEN
International Medical Research, Inc. 2900 Saturn Street, Brea, California 92621, U.S.A.

In an effort to find a safe and effective method for treating rheumatoid arthritis, a herbal formula, RA SPESR, was developed and successfully tested in an animal model prior to its study on human. A double blind phase-I clinical study was thus conducted on eighty rheumatoid arthritis patients. The study group was divided into three sections: (1)the placebo group; (2) the RA SPESR treated group; and (3) the Brufen treated group. Results from this study showed that RA SPESR can profoundly reduce inflammation, swelling, and morning stiffness; ease pain and improve joint function. Specifically, it can suppress HAL-DR+ cells, reduce rheumatoid factor, activate T8, NK cells and macrophages. Furthermore, it can enhance both the number and the function of red blood cells that in turn lead to an efficient clearance of immune complexes. In comparison with RA SPESR, Brufen showed only small improvements. Data of this study will be discussed.

Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL OBSERVATION ON THE SELECTION OF ABDOMINAL, ACUPOINTS
TO RELIEVE LOWER LUMBAR PAIN

Yuan LI
424 S. Archer Street, Anaheim, California 92804, U.S.A.

This paper discusses the use of fingers to apply acupoint stimulation in the treatment of 120 patients suffering from lower lumbar pain. It also addresses the issues involved in the selection of acupoints in the kidney of the abdominal area and of the stomach channel. Although the types of ailments, mildness or severity of the patients' conditions, and the duration of their respective treatments varied, in all cases satisfactory treatment results were achieved. The average overall rate of treatment effectiveness was 97.5%. The average overall rate of cure(complete recovery rate) was 73.3%. Patients who had suffered from symptoms for a period of less than one year and patients afflicted with mild or moderate conditions enjoyed treatment enjoyed treatment results the most.
The superior advantages of this treatment method or technique are as follows: (1) This method or technique fully brings into play the distinctive dynamics of Traditional Chinese Medicine theory. (2) This method of treatment uses neither acupuncture needles nor moxibustion. It merely utilizes the fingers to apply perssure to certain acupoints. It is simple, convenient and easy to implement. It is safe and effective. (3) No operation or manipulation is performed on lower lumbar exrernal injury spots afflicted with pain, thereby avoiding exacerbation of injury or pain in the affected area. This method of treatment produces no side effect whatsoever.
Clinical application of this technique has shown the scientific validity and practical value of Traditional Chinese Medicine's theory in terms of channels and meridians.

Clinical Research & Application
Pain Management & Osteotraumology

"ACUPUNCTURE CASE STUDY"IN 96TH U.S. CONGRESS

Ych Chong CHAN
Acupuncture Clinic of Maryland. 11125 Rockville Pike G-4, Rockville, Maryland 20852, U.S.A.

Aim: "Low Back Pain Study" is the only "acupuncture case study" which recorded in U.S. Congress on June 22, 1979. This study was considered well designed by A.M.A. The FDA has also used this study for reference in order to prove the acupuncture needles in the U.S.
Methods: 50 people were divided into an immediate treatment group and a delayed treatment group randomly. However, 11 people refused the treatments and they were considered as a none treatment group. The selected points were Pishu (BL20), Sanjiaoshu (BL22), Shenshu (BL23), Qihaisu(BL24), Zusanli(ST36), Yinlingquan(SP9), Yanglingquan(GB34), and ear points. After the treatment, (1)Pain score (0 to 10), (2)Medication (pain pills per week), and (3)Limitation of activities (0 to 3) were compared.
Results: (A)23 immediate treatment group patients after an average of 11.4 treatments, the pain score reduced from 5.7 to 2.7; pain pills reduced from 15 to 10; limitation of activities improved from 1.6 to 0.96 (B) 16 delayed treatment group patients during the waiting period, the pain score was 4.8 to 4.7. After this assessment, then treated with acupuncture, the pain score reduced from 4.8 to 2.8; pain pills reduced from 12.4 to 4.6; limitation of activities improved from 1.8 to 1.3. (C) A group of 11 individuals dropped out from the study, they showed no improvement, either the pain score or activities, as well as medication.
Conclusion: Acupuncture is the most effective treatment for "low back pain", the comparison of the 3 groups of patients revealed remarkable differences, the effective rate is 83%.

Clinical Research & Application
Pain Management & Osteotraumology

TREATING LUMBAR DISC PROTRUSION
WITH HORIZONTAL EXTENSION TRACTING BED

Binghui ZHOU
Chinese Medical Orthopdics & Traumatology Rehabilitation Center. 135-15 38th Avenue, 1A, Flushing, New York 11354, U.S.A.

According to the physiologic-anatomical characteristics of the lumber intervertebral disc and the elicitation of the traditional Chinese therapy for treating lumbago, namely, "Pan Suo Die Zhuan Fa". we made a horizontal extension tracting bed to treat lumber disc protrusion. An analysis of the follow-up observation on 144 clinical cases who showed a short-term treatment effect revealed a curative effect of 94.44%. Its mechanical principle is as follows:
When Pb > F, protrusions replace
When Pb F, protrusions replace
Vibration coming from the vibratory head adds a back-stimuating force Pc to the protrusion and reduces the friction force F. The overall replacing force is
Pbs = Pb + Pc > F
Thus the protrusion changes from a static to a replacing one, then, it replace. It is a good therapy, simple, economical and reasonable.

Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL STUDY ON SYNDROME OF THE THIRD LUMBAR VERTEBRA
TRANSVERSE PROCESS TREATED BY THE ROUND-SHARP NEEDLE

BaoKu LIU, YaJing DONG
Naturo-medical Services. 42-11 Kissena Boulevard, Flushing, New York 11355, U.S.A.

Aim: Syndrome of the third lumber vertebra transverse process is a kind of common clinical lumbago, categorized as "pain in loins" in TCM. It is a major cause of lower back pain, and tends to recur often. The authors have applied needling method with the round-sharp needle to treat 85 cases of this particular condition with much success.
Methods: Palpate for hypersensitivity points over the transverse process. Then insert the needle by holding the needle tip with the thumb and index finger of the left hand and make the needle tip reach the apex of the transverse process. Pick and insert the needle 3 to 6 times with tonifying manipulation and obtain a threshold point according to the patient's tolerance. Once the patient feels a strong level of "soreness" or tenderness", the needle should be withdrawn immediately and not be retained.
Results: Of the 85 cases, 70 cases (82.3%) were cured (all symptoms disappeared with no recurrence within one year), 15 cases were basically cured (with a lesser degree oh pain than before treatment, recurrence with overuse only), 0 case of ineffectiveness (no difference of symptoms before and after treatment).
Conclusion: The special body of the roud-sharp needle is thick, which allows for fast, accurate aiming of acupoints, and offers a strong feeling. The authors utilize "tenderness as acupoints" for the basis of obtaining the points, and "the canon of the spiritual pivot - technical essential of acupuncture is to produce certain feeling, then the great result of treatment can be achieved", "the sooner Qi (the feelings of acupuncture) arrives, the more effective the treatment achieves" as rules of treatment to reach a successful result through the course of clinical treatment.

Clinical Research & Application
Pain Management & Osteotraumology

THE EFFICACY AND SAFETY OF COMBINING ACUPUNCTURE AND
BIOELECTRIC INFERENTIAL THERAPY FOR TREATING LUMBAR PAIN

Stephen W. DOGGETT, Cathryn HU
16300 Sand Canyon Avenue, #911, Irvine, California 92718, U.S.A.

Aim: The combination of traditional acupuncture and bioelectric inferential nerve depolarization blockade was evaluated for safety and efficacy in patients with chronic lumbar pain.
Methods: Patients had intractable lumbar pain with or without MRI documented lumbar spinal stenosis. Traditional acupuncture was given on a twice per week basis for 5 weeks. Needles stayed in place for 20 minutes. Bioelectric therapy was given with the ProElec Dt device (Matrix Inc., Las Vegas, Nevada) using standard pad placements for four field inferential therapy to the lumbar spin. Standard technique was used to deliver non-traumatic bioelectric nerve blockade to the lumbar sympathetic nerve ganglia or sciatic nerve.
Results: Patients' subjective responses to therapy were recorded with a standard analog pain measurement scale. All patients reported an immediate and marked and relief of pain with acupuncture. When acupuncture was followed with bioelectric therapy, pain relief was even more profound. No complications were noted.
Conclusion: Lower back pain continues to be a major public health and economic problem in the United States. More effective and less costly forms of therapy for chronic back pain are eagerly sought by managed care groups. Acupuncture has been shown to provide excellent long-term relief of lower back pain. Bioelectric inferential nerve depolarization blockade is a rapidly evolving area of allopathic pain management and also has demonstrated high rates of control of lower back pain. It is postulated by us that combining the two modalities may result in a more intense and more durable pain relief in patients with lower back pain of long standing duration. The combination of traditional acupuncture and bioelectric inferential nerve depolarization blockade is shown to be safe, without untoward complications. It appears to be effective in the relief of chronic lower back pain and may provide a more intense and longer lasting pain relief than that from either modality alone.

Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL OBSERVATION ON 52 CASES OF HERNIATED LUMBAR DISK
TREATED WITH ACUPUNCTURE

Yi-Lin HU, Kegang HU
41-41 Case Street, Elmhurst, New York 11373, U.S.A.

Aim: The lower back and related leg pain induced by herniated lumbar disk are often very severe and cause disability of the patients. The authors applied the improved Zhu Scalp acupuncture and ordinary body needling to treat the 52 cases of Herniated Lumbar Disk and observed their outcome.
Methods: The patients were randomly divided into Group A and B. For group A (26 cases) the following acupoint were chosen. Shenshu (BL23), Qihaishu (BL24), Huantiao(GB30), Weizhong (BL40) Yanglingquan (GB34), (both sides of the above acupoints were used), plus bleeding at Weizhong (BL40) the lesion of the patients received needles every other day, in each session, the needles should be retained for 30 minutes. For group B(26 cases), in addition to the above methods, the Zhu Scalp acupuncture were used. Use #32(1.2 inches) needles and insert one to E Ding Zone Section 4 (represent Kidney area) and two inserted downward and two upward on ding Nie Zone up 1/3 (represent Lower Leg area) called Dei Ci look like a Bow Retain the needles for 30 minutes. One course of the treatment was counted as total of 10 times.
Results: For group A: 38.5% were cured (pain disappeared, Raise Leg Test negative, resumed normal work), 38.5% got better (pain reduced, RL test negative/weak positive, life style somewhat limited), 23% failed (pain remained, took medication or had operation later). For group B, 60.2% were cure, 23.1% got better and 8.7% failed.
Conclusion: In comparison of this two groups of patients, there were much difference regarding to the outcome of the patients who suffered from herniated Lumbar Disk. Use the Zhu scalp acupuncture technique plus the traditional needling worked much better than use the traditional needling alone.

Clinical Research & Application
Pain Management & Osteotraumology

THE EFFECT OF ACUPUNCTURE WITH TDP ON LOW BACK PAIN

Yihua LIU, Xiaoping ZHOU
Neuro-Rehibilitation Healthcare. 142-10 Roosevelt Avenue, #217, Flushing, New York 11354, U.S.A.

Aim: The effects were compared between acupuncture with TDP group and acupuncture group on low back pain. The authors found a significantly greater improvement in the finger-floor distance during anteflexion, the maximum angle of retroflexion, and the degree of pain after acupuncture with TDP as moxibustion.
Methods: Sixty patients were randomly allocated into two groups: one receiving simple acupuncture and the other receiving acupuncture with TDP as moxibustion. In both groups, the same points were BL23 (Shenshu), BL25 (Dachangshu), GV3 (Yaoyangguan) and BL40 (Weizhong). The needles retained for 15 minutes. The test items were the finger-floor distance in anteflexion, the maximum angle of retroflexion and the degree of pain (on a 10-point scale) before and after the treatment.
Results: In the acupuncture group, the finger-floor distance was changed from pretreatment(21.5¡¾16.3 cm) to post-treatment (12.7¡¾9.1 cm); the maximum angle of retroflexion was not significantly changed from (15.4¡Æ¡¾5.6¡Æ) to (16.5¡Æ¡¾7.5¡Æ). In the acupuncture with TDP group, the finger-floor distance in anteflexion was significantly changed from (21.8¡¾15.6) to (5.3¡¾7.5) (p<0.05); the maximum angle of retroflexion was significantly changed from (15.2¡Æ¡¾8.5¡Æ) to (20.4¡Æ¡¾10.8¡Æ); and the degree of pain (2.5¡¾1.2) was significantly lower than that in the acupuncture group agter the treatment (5.9¡¾1.4) (p<0.01).
Conclusion: The results releaved that TDP can remarkably enhance the analgesic efficacy of acupuncture on low back pain. TDP as smokeless indirect moxibustion device is effective and safe instead of conventional moxibustion. The effect of acupuncture with TDP is significantly higher than that of only acupuncture on low back pain.

Clinical Research & Application
Pain Management & Osteotraumology

THE RESEARCH ON THE ACUPOINT ZUSANLI(ST36)

Shoudong WANG
Beijing Chinese Medical Center (USA). 40-06 Main Street, #201, Flushing, New York 11354, U.S.A.

This illness, usually caused by injuries that resulted in the partial bloodstasis, disharmony of Qi (vital energy) and blood, has internal disagreement. Based on such pathological analysis and the early diagnosis, this combined method of Chinese medicine and acupuncture is used to relieve the pain, reduce the local pressure and improve blood circulation by inducing menstruation. The combination can also clear and activate the channels and collaterals, and promote diuresis.
Since 1987, the author has applied this new method to 25 cases: 17 males and 8 females between the age of 17 and 47 years old (with an average age of 27 years old). 13 patients had soft tissue injury; 8 caused by internal hemorrhage after fracture; 4 because of external fracture. The fascial area pressure as tested by Whiteside method was 2.5 kpa to 10.9 kpa (average 7.35 kpa). The soonest relief came after 3 days while the longest 6 days (average 4.5 days). 24 with full recovery; 1 of no cure (p: 7.8 kpa, so fasciotomy was done to reduce pressure after 6 days); the cure rate:96%.
Clinical observation has proved: Conservative method is the First choice; fasciotomy is done only when the former is useless.

Clinical Research & Application
Pain Management & Osteotraumology

CLINICAL RESEARCH OF "QIGONG-ACUPUNCTURE" ON PAIN TREATMENT

Henry Zhen-Hong LEE
144-28 Barclay Avenue, #3B, Flushing, New York 11355, U.S.A.

For the past nine years the author has achieved satisfactory results with various types of pain by treating more than 100 patients with acupuncture combined with the simplified "Six Healing Sounds" from the traditional Chinese Qigong. This article serves as an introduction to this method.
Procedures: (1) Insert needles according to the acupuncture prescription. (2) Choose one of the "Six Healing Sounds" based on the patient's main symptom. (3) Instruct the patient to normally breathe in, then to exhale with the appropriate healing sounds. Continue for about 20 to 25 minutes.
Typical cases: (1) A 55-year-old male had a chief complaint of pain for 3 weeks in the left hip traveling through the thigh and leg. The diagnosis was Sciatica. After only two treatments he was completely cured. (2) A 45-year-old female has for 1 week displayed clusters of red papular eruption and experienced pain and burning heat sensation. The diagnosis was Herpes Zoster. She was clinically cured after 3 treatments and has had no recurrence. Since the above cases were all pain related, "Xu" was chosen as the main pronunciation during the acupuncture treatment.
Conclusion: "Six Healing Sounds" has been playing a very successful role in health preservation. People can take good advantage of this process by guiding the breath to strengthen the body functions and inducing and activating the potential capacity of organs. This will prevent the outside interference to the central nervous system and stop harmful emotion from irritating the organs. Consequently this will reinstate the coordination between the brain and the parenchymatous and hollow viscera. This combination of acupuncture associated with Qigong will also provide patients with the sense of participation during treatment.

Clinical Research & Application
Paralysis & Nervous System Diseases

A CLINICAL STUDY ON CEREBRAL HEMORRHAGE-YANGBI PALSY SYMPTOM
TREATED BY THE NEEDLING METHOD

Rong Bing ZHU
17-23 East Broadway, 402B, New York, New York 10002, U.S.A.

Aim: Cerebral hemorrhage is a common and acute disease which seriously threatens the patient' lives, especially the cerebral hemorrhage-Yangbi palsy symptom. The author applied the needling method to treat the early phase of the cerebral homorrhage-Yangbi palsy symptoms and studied its actual effects.
Methods: 60 Patients were divided into a needling group (n=30) and a control group (n=30). Twelve of the main points-Jing points were needled for the patients in the early phase of disease. Main points are: Hegu, Fenglong, Taichong and more. The needle should not be retained, the depth should be enough for Deqi. Four additional points might be supplemented according to symptom differations such as Sanyinjiao, Zusanli, Quchi, Yongchuan. Treatments were administered every day or every other day.
Results: 53.33% of the treatment group were cured and avoided the emergence of Yangbi palsy symptom, only 43.34% of the patients failed to recover. For the control group: only 26.67% of the patients were cured, and up to 46.6% of the patients on regular treatments without the needling method were dead.
Conclusion: This comparison between groups showed remarkable differences which proved the important effects of the needling method for patients with cerebral hemorrhage, and the needling method may cure Yangbi palsy symptom and recover some of physiological functions in the early phase of cerebral hemorrhage. Moreover, there is no side effect in this method.

Clinical Research & Application
Paralysis & Nervous System Diseases

A CLINICAL STUDY ON SENILE DEMENTIA TREATED BY ACUPUNCTURE AND
ACUPOINT-INJECTION: THE COMPARISON OF THE EFFICACY BETWEEN
THE TWO GROUPS OF MID AND SDAT

Yemeng CHEN
New York Institute of Chinese Medicine. 142 Mineola Boulevard, Suite 103, Mineola, New York 11501, U.S.A.

Aim: Senile dementia, its main types being Alzheimer's disease (Senile Dementia of Alzheimer's Type, SDAT) and multi-infarct dementia (MID), is a serious disease which has been listed as one of the most important items in the research of geriatrics. The author applied acupuncture combined with acupoint-injection in treating the patients of SDAT and MID and studied its effects.
Methods: All 38 cases were treated in the out-patient department with an average age of 68¡¾7. The patients were examined by brain CT scan or MRI. There were 17 cases of SDAT and 21 cases of MID. The acupoints chosen for needling were mainly in the Governor Vessel, such as Baihui (GV20), Naohu (GV17), Shuigou(GV26), etc. and aceglutamidi was injected into tonic acupoints such as Dazhui (GV14), Ganshu(BL18), Shenshu(BL23), Zusanli(ST36), etc. As a rule, the acupoint-injection (one milliliter of aceglutamidi) followed the acupuncture treatment. The acupuncture needle were retained in the acupoints for twenty minutes. The patients were treated every other day, each course. One course was consisted of fifteen treatment. The results were observed after three courses.
Results: The therapy was effective for the cases of MID. The rate of success was 42.85%, and the rate of improvement was 42.86%. The total efficacy rate was 85.71%. It was found that the improvement rate of the SDAT group was 35.29%. The rating was based on the Revised Hasagawa Dementia Scale and the Functional Activity Questionnaire. The author also observed the symptoms of body disorder, disgnosia and the mental and emotional abnormalities and the blood lipid as well. The marked difference was shown in the following symptoms in the MID group: vertigo, tinnitus, headache, impaired memory and change of temperament. The solution of blood lipid in the SDAP group was found to be within the normal range. Before the treatment the high density lipid-cholesterol(HDL-C) in the MID group was markedly lower than normal, but it increased significantly after the treatment(p<0.001).
Conclusion: Multi-infarct dementia can be listed as an effective indication of acupuncture.

Clinical Research & Application
Paralysis & Nervous System Diseases

ACUPUNCTURE TREATMENT FOR CHALLENGING CASES IN THE HEAD AND NECK

Han Jin CHENG, Charles P. KIMMELMAN
Manhattan Eye, Ear and Throat Hospital. New York, U.S.A.

Meniere's Disease: This is characterized by episodes of vertigo, fluctuating hearing loss, tinnitus and fullness of the ear. According to western medicine, it is caused by disturbances of the endolymphatic fluid within the inner ear. Three cases, one male and 2 females are presented here. All of them were referred by medical doctors because they were not improving. One of them was told that she might need surgery if the dizziness was persistent. All the three patients had MRI studies which showed normal temporal bones. Audiograms revealed sensorineural hearing less. Chinese traditional medicine seeks to soothe the liver Qi, thus regulating the blood circulation and tonificating the body function. Body acupuncture was employed. The major points were: LR2(Xingjian), KI3 (Taixi), TE23 (Ermen), ST36 (Zusanli), ST41 (Jiexi), SI19(Tinggong). GB2(Tinghui). After 10 to 15 sessions, all of the patients experienced good control of vertigo.
Ramsay Hunt Syndrome: The major cause is viral infection affecting the geniculate ganglion of the facial nerve as well as the vestibular and acoustic nerves. Three patients presented with facial paralysis, vertigo, sensorineural hearing loss and herpetic vesicles in their auricles or neck area. They had been treated with steroids and other conventional medicines, but no obvious progress was obtained. In order to get stronger stimulation on local points, electric acupuncture was applied. The major points included: Extra5 (Qianzheng), ST4(Dicang), Extra(Taiyan), ST6(Jaiche). In total, 15 to 25 treatments were furnished and all of them achieved satisfactory facial function.
Periorbital Neuralgia: A 35-year-old male, presented with severe periorbital pain for 4 months prior to visiting my office in 1994. Ophthalmologic examination revealed no remarkable findings. He took pain killers 4 times a day, there was no relief of pain. Acupoints: GB14(Yangbai), ST2(Sibal), TE23(Sizhukong), GB11(Touqiaoyin), LI4(Hegu), SI16(Tianchuang) were used for relieving his stress and balancing Yin and Yang of his body. After 15 treatments, his pain was completely relieved and he did not require analgesics.

Clinical Research & Application
Paralysis & Nervous System Diseases

ACUPUNCTURE AND MOXIBUSTION TO TREAT 58 CASES OF BILATERAL
PARALYSIS OF HERNIATION OF THE LUMBAR INTERVERTEBRAL DISC

Zhi Han YANG
Dr. Yang Clinic. 799 Lexington Avenue, #2A, New York, New York 10021, U.S.A.

Aim: To acupuncture and moxibustion have 58 cases of bilateral paralysis of herniation of lumbar intervertebral disc were observed. All patients are still flaccid paralysis after operation, of whom 5 cases had compression paralysis, and 53 cases of incomplete paralysis.
Methods: Acupuncture points are Du Meridian or the point related to Du Meridian.
Prescription: Jizhong (GV6), Xuanshu (GV5), Mingmen(GV4), Yaoyangguan (GV3), Yaoshu (GV2), Yaoqi(Extral9), Houxi(SI3). A 30-minute moderate stimulation is given with Multipurpose health device Dens-disperse wave after arrival of Deqi. A moxibustion is given on Shenque (CV8). Fill the umbilicus with salt, place a small moxa cone on the top of salt and ignite it. 30 units are used each time. 3 times a week. Course of treatment is 37 days to 6 months.
Results: The curative rate is 21% (walking independently, voluntary bladder); effective is 26%(myodynamic increase of II, walking with stick, reflex bladder); effective rate is 31% (myodynamic increase of I, wading with sticks, sphincteral function is recovery partly); inefficacy is 22%. Total efficiency is 78%.
Conclusion: Acupuncture and moxibustion are effective for the bilateral paralysis of herniation of the lumbar intervertebral disc. The mechanism is: (1) Acupuncture can facilitate blood vessel absorption ability for exudating of tissue, thus diminution tissue and exudate tissue compression for nerve cell. (2) Stimulating point on Du Meridian can increase excitability of nerve cell and thereby promote the recovery of nerve cell. (3) Moxibustion on Shenque (CV8) can facilitate sphincteral function and reduce abdominal pressure, abatement nerve compression. (4) Extirpation of nucleus purpose by surgery improved external environment of focus. As such acupuncture and moxibustion treatment contribute to a good condition.

Clinical Research & Application
Drug, Alcohol & Smoking Abuse

ACUPRESSURE AUGMENTATION OF STANDARD MEDICAL THERAPY
IN THE MANAGEMENT OF THE NEONATAL ABSTINENCE SYNDROME

Lynnae SCHWARTZ, Elizabeth SOMMERS, Steven PARKER, Elizabeth R. BROWN,
Michael WINTERS, Howard BAUCHNER
Department of Pediatrics, Boston City Hospital. 818 Harrison Avenue, Boston, Massachusetts 02118, U.S.A.
Boston University School of Medicine.

Aim: To determine parental and staff acceptance, safety and effectiveness of acupuncture augmentation of standard medical management of Neonatal Abstinence Syndrome (NAS).
Methods: With informed consent and Institutional Review Board approval, neonates with NAS were enrolled and randomly assigned to receive conventional medical management without (control), or with (treatment) auricular acupressure. Semen vaccaria placed at shenmen, heart/lung, kidney, sympathetic and/or liver using Chinese Red Army point descriptions. Treatment sites were rotated every 24 to 72 hours. Data were analyzed and compared (Statistical Analysis System; SAS Institute Inc., Cary, North Carolina).
Results: Acceptance was high; there were no adverse local reactions. Control and treatment groups were similar with respect to maternal and neonatal demographics, health status, and drug exposure. Outcome data are given in the following table.

*Expressed as mg/kg/day of NAS care
Conclusion: No statistically significant differences were seen between control and treatment groups. Data trend towards differences with respect to LOS and pharmacologic support.

Clinical Research & Application
Stress, Chronic Fatigue Syndrome & Psychological Problems

SEQUENTIAL ELECTRIC ACUPUNCTURE (SEA) IN TREATMENT
OF STRESS RELATED PHYSICAL AND MENTAL DISORDERS

Allen S. CHEN
30400 Telegraph Road, Suite 351, Bingham Farms, Michigan 48025, U.S.A.

Aim: Most severe physical pain or illness causes mental stress or reactive depression, and severe mental stress can cause physical disorders. These cases are difficult to be treated conventionally. Medication for treatment of these diseases frequently presents undesirable side effects. A method of sequential stimulation to certain acupuncture loci was found to be effective.
Methods: Omura reported the release of cerebral seratonin and increase of cerebral blood flow by electric stimulation of GB20 and ST36. Han reported that stimulation of DU20 and Yington in treatment of mental depression with success. Zhu confirmed the release of serotonin at mid brain and the anagesic effect was found in serotonin by Tsai and Lin. These studies showed that a marked degree of mental relaxation was shown by SEA with these loci. With the above principle of actions the SEA was so designed.
Results: 85 clinical cases were treated with SEA for intractable pain, psychosomatic disorders such as migraine headaches, asthma, irritable colon, mental depression and insomnia. The percentage of improvement from slight to remarkable between mental disorder (78.8%) and physical disorder (77.1%) is about equal.

Clinical Research & Application
Stress, Chronic Fatigue Syndrome & Psychological Problems

ACUPUNCTURE AND CHINESE DRUGS (DA-LI-TANG)
THERAPY TO CHRONIC FATIGUE SYNDROME

Wen Lee MA, Ben Xian WANG
King May Chinese Herb and Acupuncture Clinic. New York, U.S.A.
China Academy of TCM. Beijing, China.

Aim: For chronic fatigue syndrome, there is still no treatment with special efficacy available in the world today. The treatment introduced by acupuncture and Chinese drugs may be considered as two ideal treatments.
Methods: Patients were divided into an acupuncture group and a Chinese drugs (Da-Li-Tang) group. For the acupuncture group, corresponding channel point selection by symptoms and category based on the theory of TCM were needled alternately each day. For the Chinese drugs (Da-Li-Tang) group, the therapeutic principles were nourishing the heart, invigorating the spleen, tonifying the kidney and supplement for enriching both the blood and the vital energy. The whole course of treatment covers 20 successive days.
Results: Out of 111 cases that adopted acupuncture therapy, 77.4% had excellent effectiveness; 18% had good effectiveness; the total effective rate was 95.4%. Out of 180 cases that adopted Chinese drugs (Da-Li-Tang) therapy, 79.4% had excellent effectiveness; 16.6% had good effectiveness; the total effective rate was 96%.
Conclusion: In comparison with the therapeutic effect, there was no significant difference (p>0.05) between the above two groups. The above results showed that the acupuncture and the Chinese drugs (Da-Li-Tang) therapy to chronic fatigue syndrome are two ideal treatments.

Clinical Research & Application
Stress, Chronic Fatigue Syndrome & Psychological Problems

DEPRESSION TREATED BY ELECTROACUPUNCTURE AND HERBS

Naikwang Luke CHANG
Luke Clinic. 196-18 48th Avenue, Fresh Meadows, New York 11365-1335, U.S.A.

Aim: Depression is one of the most common illness in human beings. The author treated patients of depression with electroacupuncture and herbs instead of antidepressants.
Methods: The author selected and treated those who had been treated with antidepressants. They complained about the side effects, rejected the drugs and wanted to commit suicide. They had string-taut pulse, red or stickly tongue with yellow or white coating. Points of the liver meridian were chosen as the principal points, such as Xingjian (LR2) and Taichong (LR3). According to the different symptoms, supplemental points were used, such as Zusanli (ST36), Gongsun (SP4), Yanglingquan (GB34), Neiguan (PC6), Sanyinjiao (SP6), Fengchi (GB20) and Baihui (GV20). Electroacupuncture apparatus was applied to soothe the liver, remove the depression and tranquilize the mind. The treatment was given every other day and a course consists of ten treatments. During the treatment, patients quitted taking antidepressants, took herbs for calming the liver. Gastrodia Tuber, Scorpion and Donkey-hide Gellatin can be used with other herbs as needed.
Results: The symptoms were soon relieved as they quitted taking antidepressants. Most patients (over 90%) recovered completely and were back to their jobs. However, in rare cases with pain needed more time to treat. The response of the treatment was excellent.
Conclusion: If depression is suspected, most doctors in the U.S. evaluate with psychiatric consultation. Perhaps they treat them with antidepressants as therapeutic trials. Until now no drug can radically cure depression and the only way is to gradually relieve the symptoms of depression. Lots of patients suffer from drug side effects, such as tremor, weakness, drowsiness, nervousness, anxiety and hallucination. Some even attempt to commit suicide. Results of patients treated with acupuncture and herbs demonstrate that the benefits occur quickly and long lasting, and can be administered to other patients for the same low cost.

Clinical Research & Application
Internal Organ Disorders

A CLINICAL OBSERVATION ON THE TREATMENT OF ANGINA PECTORIS
BY ACUPOINT PLASTERING

Yan JIN, Lili CAI, Jiexing ZHOU
Dept. of Acupuncture and Moxibustion, Zhejiang Hospital of Traditional Chinese Medicine. 850 Boylston Street, Suite 103, Brookline, Massachusetts 02167, U.S.A.

Aim: Angina pectoris is a fit of temporary myocardial ischemia and anoxia due to a shortage of blood supply to the coronary artery. The authors used musk (muschus) pain-stopping plaster to treat angina pectoris by a method of plastering on the acupoints. Short-term effectiveness wsa manifested in a two-year clinical observation of 16 cases. It is especially appropriate to those senile patients or for prevention of attacks during sleep.
Methods: The commonly used musk plaster was used. Tanzhong (CV17) and Xu Li (heat beating area) acupoints were selected.
Results: With 7 days as one medical course, those having no symptom relieved were considered ineffective. Among the 16 cases, angina pectoris disappeared in 5 cases, 9 cases relieved and 2 cases were ineffective. On 9 out of those 16 cases, the effect was observed within 3 days. Of 11 cases having ECG re-checked, 2 patients' conditions were improved.

Clinical Research & Application
Internal Organ Disorders

THE EFFECT OF LOW POWER LASER ON HYPER TENSION

Chao CHEN
International Healthcare Institute. 1930-AE Sunrise Boulevard, Fort Lauderdale, Florida 33304, U.S.A.

The thesis observed the effect on antihypertension improving the heart function through the methods of irradiating S36 point or P6 point or Er Xin Point by semi-conduct low power laser. The result implied: No matter we descend Sp, increase SV, enhance SI, strength contration of heart or lighten n, alleviate blood resistance, increase ratio of blood shooting all can increase the blood supply of heart.
The results of irradiating P6 acupoints were superior to these of Er Xin acupoint and S36 acupoint. So the P6 acupoint is the first acupoint to treat hypertension and improve the function of cardiovascular.

Clinical Research & Application
Internal Organ Disorders

APPLICATION OF ACUPUNCTURE AS A MAJOR METHOD
ON COMPREHENSIVE OBESITY TREATMENT

Meilian XIA
Atlantic Institute of Oriental Medicine. Florida, U.S.A.

Acupuncture combined with auricular acupuncture, Chinese herb, directed diet and physical exercise has been used to treat overweight patients in 146 cases. The results indicated that the effectiveness is 100% and the long-term effect is superior to the use of western medicine. The commonly used medicine to reduce weight, for example water pills, can cause patients to lose weight quickly, but after patients stop using the medicine, most of them return to their original weight, some of them even become heavier. This is so called the "rebound" effect. It has been proved that such a phenomenon can be effectively avoided by acupuncture assisted with Chinese herb, dietetic treatment and appropriate physical exercise, which adjust and keep the whole body at an equilibrium state and achieve the desired long-term weigh loss results.

Clinical Research & Application
Internal Organ Disorders

THE MICROMERIDIAN TREATMENT OF INSULIN DEPENDENT DIABETES

Frank A. YURASEK
The Alternative Clinic. 30 S. Michigan Avenue, Suite 304, Chicago, Illinois 60603, U.S.A.

Aim: Healthcare of the 15 million diabetics in the U.S. exceeds $100 billion, almost 15% of all health-care expenditures. Following the successful reversal of 6 NIDDM patients using acupoints on the Dai Mai Meridian, the author used electro-stimulation of the same corresponding points on the hands of 2 IDDM patients and compared the results.
Method: ST25, SP15, GB25, and the Four Gates (LI4 and LR3), were located on the hands of two IDDM patients, using the Koryo Sooji System. The Auricular points Shenmen, Kidney, Spleen, and Internal Secretion were also used.
Results: Blood sugar dropped from over 500 to the low 100's and were sustained in the first adult female patient. The second patient, a male teenager, saw insulin use drop from 21 units twice daily to 14 units b.i.d.
Conclusion: Although more clinical trials are needed, the use of non-invasive electro-stim of hand and ear points on a sustained basis may significantly drop long-term blood-sugar readings registered on the patient's glucometer, and with interim stimulation of these hand points by the patient, may be able to eliminate insulin dependence in certain patients.

Clinical Research & Application
Dermatology, Surgery & Oncology

AN EFFECTIVE THERAPY FOR PROSTATE CANCER:
PCT SPESR AND ACUPUNCTURE

Sophie CHEN, Xu-hui WANG
International Medical Research, Inc. 2900 Saturn Street, Brea, California 92621, U.S.A.

Prostate cancer is a major public health problem world-wide. The American Cancer Society estimates that 317,000 men will be diagnosed with prostate cancer in 1996. While many of the small, localized prostate cancer appear not to be life-threatening, those that spread to other sites in the body are almost invariably fatal. Currently, there are various therapeutic methods for this disease. They include prostactomy, prostatectomy, external-beam radiation, seed radiation, cryotherapy and hormone therapy. Results obtained from these treatments are not satisfactory. In view of this problem, the authors have developed a herbal formula, PCT SPESR, that is more effective and safer than the conventional methods. This herbal composition is very powerful not only in suppressing prostate cancer but it is also an excellent immune modulator. It was found to specifically inhibit cancer cell proliferation, and to induce cancer cell apoptosis. In clinical studies the authors found that some late stage patients who failed conventional therapy, underwent remission after oral administration of PCT SPESR for three months. Several acupuncture treatments were performed prior to the herbal therapy to improve GI absorption. The result suggests that alternative medicine can be very effective in treating prostate cancer.

Clinical Research & Application
Dermatology, Surgery & Oncology

ZHU'S SCALP ACUPUNCTURE FOR BRAIN CANCER PARALYSIS TREATMENT

Yu CHEN
Beijing Acupuncture and Chinese Herbology. 1401 Reisterstown Road, Baltimore,
Maryland 21208, U.S.A.

Aim: Paralysis due to brain cancer is often neglected by patients and therapists because of the malignancy of the cancer; it is thought that the cure is unavailable. Zhu's scalp acupuncture has the power to correct this paralysis, and gives the patient freedom of movement.
Methods (Case Report): A 21-year-old white athletic man measured 190 cm tall and weighed 184 pounds went to see the doctor on September 1, 1994. MRI showed angioplastic astrocytoma in the left motor area of the brain. The patient's right arm and right leg were paralyzed. Zhu's scalp acupuncture was applied on the left side in the Ding nie zone. Four one-inch needles were used in a relay pattern, starting from GV21, and manipulating the needle by Chouqi method. At the same time, the assistant helped to move the right arm and the right leg. Occasionally, the right hand's second metacarsal needle was used in the arm and leg points. The treatment was once or twice a week.
Results: After six treatments, the patient's right arm can lift and his hand can hold a cane. His right leg can move and he can walk with a cane by himself.
Conclusion: Paralysis caused by brain cancer can be cured by Zhu's scalp acupuncture. Both patients and therapists should not give up the opportunity for curing from this paralysis.

Clinical Research & Application
Dermatology, Surgery & Oncology

CANCER CURE THROUGH SELF-HEALING

Yeh Chong CHAN
Acupuncture Clinic of Maryland. 11125 Rockville Pike G-4, Rockville, Maryland 20852, U.S.A.

Aim: This article is my personal story. My position was between a patient and a doctor. 21 physicians failed to treat my cancer with a size of 20¡¿20 §² and my fever of 102 to 104 degrees; my condition was even worse than the former first lady Mrs. Jacqueline Kennedy. The doctors determined that I would not live more than 3 months. I decided to treat myself as the last resort.
Methods: (1) Acupuncture ¡ª Single needle stimulation on Neiguan (PC6), Zusanli (ST36), Sanyinjiao (SP6), Guanyuan (CV4), and Zhongwan (CV12); several treatments per day if necessary. (2) Moxibustion ¡ª Direct moxibustion on Liangqiu (ST34), Zusanli (ST36), Yinlingquan (SP9), and Yanglingquan (GB34); one or two treatments per day. (3)Diet ¡ª Stop all junk foods and can drinks. (4) Art Therapy ¡ª The combination of martial Qigong and galligraphy Qigong 1 to 2 hours per day.
Results: (Case 1) The acupuncture treatments reduced the pain 65% from cancer, other different methods of self-healing for the general health purpose. My cancer was cured 12 years ago. (Case 2) A 38-year-old female had brain cancer, and the Walter Reed Hospital determined that she could not live more than 6 months. I treated her with the same methods and her cancer was cured for more than 5 years. (Case 3) A 42-year-old female developed breast cancer in 1990. She was under the direction of self-healing. She is now free of cancer for over 5 years.
Conclusion: I have used the same methods of healing and treatments to help many other cancer patients, most of them are completely satisfied with the results. However, the combination of western and oriental medicine will be important for treating cancer as well as other diseases.

Clinical Research & Application
Dermatology, Surgery & Oncology

A CLINICAL STUDY ON MAKING FACIAL CORRECTION BY NEEDLING

Ping Fei GUAN
NY Chinese Medical Facial Correction Center. 143-40 38th Avenue, #201, Flushing, New York 11355, U.S.A.

Aim: The facial wrinkles are commonly feeble appearance. How to make wrinkles naturally disappear is our common concern. The author applied the basic needling method as well as the methods of "Go-back needling along wrinkle" and "electro-needling in both ends of wrinkle" to treat facial wrinkles and make them disappear.
Methods: For the treatment group, first adopted "the basic needling method" and "the applied Go-back needling along wrinkle" and "Electro-needling in both ends of wrinkles" The basic method improved entire facial function and its elasticity, but two other methods improved its blood circulation, nutrition supply, and metabolism through needling of derm or subcutaneous tissue. For the control group, only the basic needling method was used.
Results: 120 clinical patients were divided into three treatment groups according to their ages: group A (36 persons) with a wrinkle disappearance rate of 81%; group B (61 persons) with a rate of 65%; group C(23 persons) with a rate of 28.5%. For the control groups, 56 patients were also divided into three groups: group A (17 persons) with a rate of 41.5%; group B(28 persons) with a rate of 26%; group C(11 persons) with a rate of only 1%.
Conclusion: It is a new breakthrough for using needling to make facial wrinkles disappear. The results above show that the combination of the basic needling method, go-back needling along wrinkle and electro-needling in both ends of wrinkles is more effective than applying the basic needling method only. Comparing with the other beauty treatments, these needling treatment methods are more effective without pain and side effects.

Clinical Research & Application
Infectious Diseases & Acquired Immunity Deficiency Syndrome

A CASE OF AIDS FROM POSITIVE TO NEGATIVE BY ACUPUNCTURE ONLY

Chin-Hwa CHOU
1500 E. Katella Avenue, #F, Orange, California 92867, U.S.A.

A lady, 33 years of age, was refered to the author by a Catholic priest. She suffered caughing, fatigue, no appetite and herpes. She presented the author with a copy of a laboratory report from Western Blot and Elisa test, depicting HIV-1 positive.
The author treated her with acupuncture points GV12 and BL40 every other day for one month. Every symptom was gone. She sent the author two reports of W.B. and Elida tests, all showing HIV-1 negative afterwards. GV12 is a special effective point for boiling and BL40 is a very effective point for detoxicating blood; somewhat the same meaning for improving the immune system. A lot of ancient acupuncture books recorded BL40 used for treating leprosy, cholera, malaria, malignant boil, dangerous carbuncle, syphilitic sore, and erysipelas.
For selecting point GV12, usually there is a different color dot or a small node can be found in the surroundings of the point. This is the desirable point. The needle should touch gently the menings and be manipulated clockwise 35 times every ten minutes for thirty minutes. For selecting point BL40, the location is usually at the middle of the transverse crease on the back of the knee. The needle should be inserted deeply enough to cause local distention and soreness, or an electric shock sensation extending to the bottom of the foot and be manipulated counter-iclockwise 36 times every ten minutes for thirty minutes. If small violet or blue veins are found around the point they should be pricked to draw a few drops of blood.
Comment: This patient sought God and the healing power of Spirit and Love for spiritual enlightenment. She stopped destructive lifestyles. She had supportive families and friends. She cooperated very well with the doctor. These should be considered more important than acupuncture treatment only.

Clinical Research & Application
Infectious Diseases & Acquired Immunity Deficiency Syndrome

RANDOMIZED, BLINDED HERBAL STUDY IN HIGHBRIDGE WOODYCREST CENTER

Magnolia GOH
Highbridge Woodycrest Center. 936 Woodycrest Avenue, The Bronx, New York 10452, U.S.A.

Aim: A randomized blinded herbal study with two herbal formulas was completed at the Highbridge Woodycrest Center, a residential health care facility for persons with HIV illness. The study was to evaluate the relative efficacy of Herb Al and Milingwang on advanced HIV infected people. The study is a single institution study.
Methods: Eligible subjects were randomized in a 1:1 ratio to receive baseline evaluation. Two groups on herb formulas started the her after one "wash-out" month, and then three months on herb formulas, one month off the herb and three more months on the same herb formulas. Blood test for the immune-system screen, information of symptom changes and quality of life all tested and recorded regularly before, during and after the whole study.
Results: A total of 17 subjects volunteered and completed the ten months study period from July, 1994 to December, 1995. Of the seventeen subjects, eight took Herb Al, five took Milingwang and four were in the group with no herb. No bad reaction and side effect found in two herb groups. Regular blood test and evaluation of quality of life show the difference between the three groups.
Conclusion: The population studied was comprised of mostly former IV drug users in poor health at the outset of the study. The results would not suggest the same results if it was done in general HIV infected population. So, more and more study should be done to evaluated and search more effective herb formulas to help people with HIV illness.

Clinical Research & Application
Gynecology, Obstetrics & Pediatries

TREATING DYSMENORRHEA BY ACUPUNCTURE WITH HEATED NEEDLES

Tao SUN
40 South 900 East Sunset Tower, #10, Salt Lake City, Utah 84102, U.S.A.

Aim: Dysmenorrhea is a common disease in gynecology and its treatment by heated needles gained a satisfactory effect in the clinic.
Methods: Patients of 105 cases were divided into 3 types: (1) Energy-stagnation and blood-stasis; (2) Stagnation of cold-wetness evil; (3) Deficiency of vital energy and blood. Points along the Ren meridian, Foot-Taiyin and Yangming were needled according to different types. Needles heated with moxibustion were retained for 30 minutes. A course involved 10 times in 10 days. The manipulation was even reinforcing and reducing ways.
Results: The results were classified into cured (all symptoms were gone and never returned again), basically cured (only a slight relapse happened sometimes), effective (the symptoms had a remarkable improvement), non-effective (no improvement), and summarized in the following table.

Conclusion: Heated needles can open the acupoints, stir Qi along the meridians, promote the function of organs, regulate Ying and Wei, expel cold-evil by warming the meridians and support healthy energy to eliminate evil so as to cure the disease of dysmenorrhea.

Clinical Research & Application
Gynecology, Obstetrics & Pediatries

THE EFFECTIVENESS OF COMBINED CHINESE HERBS WITH ACUPUNCTURE TREATMENT IN INFERTILITY

Guoping ZHENG
Elmhurst, New York 11373, U.S.A.

This is a clinical report of 35 subjects who suffered from infertility: 24 with primary infertility and 11 with secondary infertility. The specific diagnoses were: 14 with ovarian dysfunction, 6 with tubal obstruction, 9 with endometriosis, 6 were unclear. The patients were between 28 to 47 years old with an average of 36. The average time of infertility was 3.5 years. The Chinese herbs were administrated orally on day 5 of each period. During the follicular phase and ovulatory period, acupuncture was given at CV3, CV4, ST29 and SP6 for 3 sessions. 12 of the 35 patients(34%) became pregnant after therapies. The results of each cause of infertility was 5 of 14 with ovarian dysfunction, 2 of 6 with tubal obstruction, 1 of 9 with endometriosis, 3 of 6 with unclear causes. 1 patient got pregnant at the 1st cycle, 5 at the 2nd cycle, 4 at the 3rd cycle, 2 at the 6th cycle. The average treatment was 3 cycles. These data suggest that Chinese herbs in combination with acupuncture may be useful in treating infertility. The effect of acupuncture and Chinese herbs on infertility may be related to female immune system and hormon system. The mechanism should be explored further.

Clinical Research & Application
Therapeutic Methods & Acupoints

OCULAR THERAPY FOR COMPLICATED SYMPTOMS

Hoy Ping Yee CHEN
Chinese Acupuncture Center of North Seattle. 1021 NE 125th Street, Seattle, Washington 98125, U.S.A.

Aim: To obtain better results towards a full recovery, ocular therapy is designed for patients with complicated symptoms caused by physical or emotional trauma.
Methods: Professor Peng Jingshan's ocular therapy and his unique needling technique were used. First, the patient's health condition was recognized by observing the bullbar conjunctive of the eyes. All patients were seen as having abnormal morphologic changes on the capillary branches. The appearances were shown as an enlargement of the capillaries or varicose, some of them showing thick stems or having many small bifurcating branches. A blurred area appeared on the Lover zone on the patients suffering from emotional stress or depression. The color of the capillaries changed to bright red, indicating the conditions were newly generated with excess disorders. Second, needles of gauge #32, length 0.5 inch bilateral were applied on the abnormal zones. Two to four pairs of ocular zones were selected from those regions. The most common zones were #3-Kidney, #4-Bladder, #6-Liver, #9-Heart, #13-Lower Warmer (Xiaquan). The technique for insertion had to be steady, accurate, quick and needles was not needed after the Qi arrived.
Results: Thirty-three cases were diagnosed and treated with this method. The control group, patients with similar chief complaints, but without complicated symptoms were randomly selected from the computer's data reports during the near time period. *97% of the 33 patients obtained relief of complicated symptoms. They were more calm, slept better, and overall felt improvement, within one to three visits. There was *1 case who had discontinued treatment after 5 intermittent visits. In the control group. **67% of 33 patients showed improvement on their problems within the first three visits. There were **11 cases who had discontinued treatment. On the thirty-two cases receiving ocular therapy, those who finished the treatment plans had an immediate satisfactory effect rate of 94%. This rate refers to the relief of the complicated symptoms and the chief complaints and some of the root problems. The comparative control group effective rate was 91%. The follow-up reports (three months later) of patients treated by ocular therapy had a long term effectiveness rate of 91%. The effectiveness rate for the control group was 90%. Each group had ten evaluation sheets returned.
Conclusion: The ocular therapy is very effective to treat patients with complicated symptoms involving physical and emotional trauma.

Clinical Research & Application
Therapeutic Methods & Acupoints

FINGER-PRESSING ACUPUNCTURE IN PORTABLE LASER ANTICANCER NEW
TECHNOLOGY¡ª20 YEARS OF EXPERIENCE IN MULTI-DISCIPLINARY
TREATMENT (MDT) IN SECONDARY CANCER PREVENTION (SCP)

Shicheng LI
Cancer Hospital/Institute of Shanghai Medical University. 20 Waterside Plaza, Apt, 26B, New York, New York 10010, U.S.A.

Aim: Use Portable CO2 Laser Anti-Cancer New Technology(PLACNT) combined with Finger-Pressing Acupuncture (FPA) instead of local anaesthesia to take off lesions, tumors, precancerous changes and/or skin cancers.
Methods: Use FPA at proper points, such as Hegu (LI4), etc. in continuous pulsation about 5 to 10 minutes is enough to complete the laser vaporization of small lesions (less than 1 cm in diameter).
Results: Our experience has shown that this kind of FPA done by the patient himself is remarkably effective to relieve the pain. It is most effective for the pain in the head, neck, and second in the chest, abdomen and four extremities. In the 9838 cases of benign lesions, including precancerous changes, its once-cure rate reached 92 to 100%; in order 46 cases of skin cancer, all of them had no recurrence in the follow-up survey over 6 months after the treatment. Among them, 11 cases had no recurrence over 10 years, 14 cases over 5 years, 21 cases less than 5 years.
Conclusion: This kind of MDT ¡ª combined FPA with PLACNT and/or PFLV (Post-Freezing Laser Vaporization), etc, is easy to learn and apply for O.M.D. (Oriental Doctor of Medicine). Thus, it is more likely to serve people in local communities. Using it in SCP is so convenient, safe, effective and economical that is worth to be promoted in the prevention work of cancer. As a Chinese saying states, to extinguish "a single spark" is the first and necessary step to prevent a forest fire.

Clinical Research & Application
Therapeutic Methods & Acupoints

A CLINICAL STUDY ON DIFFERENT DISEASES TREATED BY ORIGINAL METHOD OF HAND AND FOOT (SU JOK) ACUPUNCTURE

Lyudmila V. MATSKEVICH
Medical Station of the Russian Embassy in the U.S.A. 2650 Wisconsin Avenue N.W.
Washington, DC 20007, U.S.A.

Aim: The method of Su Jok Acupuncture, originated by Prof. Dr. Park Jae Woo, uses special micro-meridians and points on hands and feet. The author studied how effective it is to treat different disease.
Methods: During the last two years the author has been practicing the Su Jok Acupuncture to cure different disorders, paying special attention to difficult acute, chronic, advanced and rare clinical cases in various fields. No drug therapy was used; only needling was applied. The most interesting clinical experiences were the following. Common treatment: complicated gastric ulcer, blood pressure, pneumonia, calculous cholecystitis, influenza, angina, bronchial astham, Quincke's edema, postoperative hypothyrosis. Urology: acute cystitis, enuresis, nephrolithiasis, prostatitis. Traumatology: concussion of the brain, extensive solar burns, closed fracture, hematoma. Dermatology: neurodermitis, furunculosis, Zhiber's pink lichen, Poison Ivy dermatitis, psoriasis Nervous diseases: trigeminal neuralgia, facial paresis, discogenic radiculitis, stammering. Psychiatry: schizophrenia, depression, hysteria. Gynecology: uterine bleeding, ovarian cyst, fibrocystic mastopathy. Miscellaneous: acute appendicitis, cataract, myioua, impotence.
Results: 65% of the patients recovered completely and 30% of the patients got much better. The period of treatment was 3 to 12 sessions. No cases of recurrent diseases or adverse reactions were reported.
Conclusion: The original method of Hand and Foot (Su Jok) Acupuncture is a quick and effective healing techinque for difficult clinical cases in various fields.

Clinical Research & Application
Therapeutic Methods & Acupoints

THE UNDERSTANDING ON THE APPLICATION OF SELECTION OF ACUPOINTS ACCORDING TO THE COMBINATION OF "ROOT AND MANIFESTATION"
IN THE ACUPUNCTURE CLINIC

Wan Mei WOO
41-51 77th Street, Elmhurst, New York 11373, U.S.A.

Aim: "Root and Manifestation" are one of the concepts on which traditional Chinese Medicine(TCM) differentiate syndrome and give the treatment. In acupuncture clinic, Root means the acupoints locating on the four limbs, Manifestation means the acupoints location on the head and truck. The author selected the acupoints according to the combination of Root and Manifestation to treat disease and achieved the good results. She presented two typical cases with her understandings.
Methods: (Case 1) Dizziness, irregular period. The differentiation of syndrome is liver or stagnation, Chong and Ren Channels disorders. The author selected points: LU7, KI6, LR3 as root plus GV20, GB21 as manifestation retains needles for 30 min. 3 times a week, for total of one month. (Case 2) Insomnia, leukorrhea, the differentiation of syndrome is liver and spleen deficiency, Chong and Ren Channel disorder. The points used were BL23, BL32, GB26 plus ST36, SP6, LI4 retained needles for 20 min., 3 times a week for a total of 14 times.
Results: Both cases were cured after acupuncture treatments.
Conclusion: The author recognized that it is very important to distinguish root and manifestation and select the proper acupoints in order to achieve good results.

Experimental Research
Mechanisms of Acupuncture Analgesia

AUTORADIOGRAPHIC 2-DG STUDY ASSOCIATED WITH NOXIOUS THERMAL
AND ACUPUNCTURE STIMULATION IN A RAT'S SPINAL CORD

Hye Jung LEE1, John C.N. LIU2, Peter J. HAND2
1Kyung Hee University. Seoul, Korea.
2University of Pennsylvania. U.S.A.

The quantitative (14C)-2 Deoxyglucose method has been employed in a study of some acupuncture effects.
Unanesthetized, restrained rats received an IV pulse injection of 40 ¥ì Ci of 2-DG. One group received intermittent noxious thermal stimulation (54¡É hot water) during the 45 minutes post 2-DG injection period. One group received the same noxious stimulus and manual acupuncture of the Zusanli (ST36) point for 45 minutes. One group received the same noxious stimulus and manual acupuncture of the Sanyinjiao (SP6) point for 45 minutes. One group received only manual acupuncture of the Zusanli(ST36) for 45 minutes. One control group received non-noxious stimulation(45¡É warm water) for 45 minutes.
All rats sacrificed by an overdose of barbiturate anesthesia and the spinal cord tissue prepared according to Sokoloff et. al. (J. Neurochem. 1977).
Autoradiograms were analyzed by using optical densitometry.
In conclusion, this study obtained results as follows: (1) Noxious thermal stimulation of the tail produces increased 2-DG labeling in spinal cord. (2) Acupuncture applied to the Zusanli (ST36) point inhibits central metabolic responses to noxious stimulation of the tail.

Experimental Research
Immunity & Neuroendocrine Effect

THE STIMULATION OF SCALP AREAS CHANGES THE VOLUMES OF 5-HT. NE. DA

Karl C.H. TAI
Guangzhou University of Traditional Chinese Medicine. 526 Begonia Drive, San Leandro, California 94578, U.S.A.

Aim: This study is research on the functional mechanism of scalp acupuncture. There were some published articles related to body acupuncture stimulation effects on the central neurotransmitters, yet no report was found in the relation of scalp acupuncture and central neurotransmitters.
Methods: (1) Grouping and modeling of rats: Thirty Sprague-Dawley alerats were divided into 7 groups, every rat was on average weighted 200 g.

Besides the control group, each was induced to have experimental arthritis by injecting FCA 20¥ì 1 at the front paw or rear paw respectively. On the second day we could see their paws were swelling, reddish, hot, difficulty of movement, and locally became touchy. But the other limbs were normal. 5 days later, started to train them to stay on plastic shelf for the future treatment.
(2) Methods of treatment: On the 11th day after injection of FCA, group A and B were treated with scalp acupuncture. They are pocked on the sagital-coronal point and sagital-lambdoidal point. Groups C and D were pocked on the point 1 cm lateral to sagital-coronal point and 1 cm lateral to the sagital-lambdoidal point. The treatment was once a day for 5 days. Group E was injected indomethacin 20¥ì g/Kg with water at belly once a day and continued for 5 days. Group F was a non-treatment group, but had to be tied up on the shelf for 30 minutes once a day for days. Group G was a control group, no FCA injection, nor treatment, but had to be tied up on the shelf for 30 minutes once a day for 5 days.
Results: The data collected from treatment and non-treatment groups reveal that scalp acupuncture helps to lower 5-HT (serotonin). Scalp acupuncture treatment also helps to maintain if not increase NE (norepinephrine) volume as indicated from the data collected. The treatment lowers the volume of DA (dopamine) as well. This signifies that scalp acupuncture treatment can be effective in controlling pain. It also has the benefit of not having side effects in indomethacin treatment. The study also reveals the functional mechanism of scalp acupuncture is that the stimulation works on the brain cortex, which causes central neurotransmitters volume change. The change from synthesization and metabolization in neurotransmitters produce pain control, anti-inflammation and adjust the function of internal organs.

Experimental Research
Others

THREE-DIMENSIONAL ANATOMICAL LOCALIZATION OF ACUPUNCTURE POINTS AND MERIDIANS ON THE VISIBLE HUMAN

Yong Ming LI1, Qingcheng YUAN1, Chunyuan LI2, Victor M. SPITZER3
1School of Oriental Medicine, The New Center. U.S.A.
2The Institute of Acupuncture and Meridians, Academy of Traditional Chinese Medicine. China.
3Center for Human Simulation, University of Colorado. U.S.A.

Meridians and acupoints are the fundamental basis of the acupuncture theory and principle which direct clinical practice. The surface locations of acupoints and meridians on the human body were described precisely in ancient textbooks more than a thousand years ago. In the past, a great deal of effort has been made by scientists from various fields to explore the structural basis of acupoints and meridians. However, very little systemic information has been obtained because of the limitation of technology. The Visible Human Project funded by the American National Library of Medicine was created at the University of Colorado. It is a digital image data set of a normal human cadaver imaged with MRI, CT and anatomical modes. The anatomical cross-sections were obtained at 1 (male) and 0.33 (female) mm internals and coincide with the CT axial images. More than 1870 anatomical and CT cross-sections were obtained for the male. The data set resulted in over 5000 high resolution, color anatomical images. The authors propose to use this Visible Human System to reconstruct three-dimensional (3-D) structures of acupoints and meridians. Location, direction, and depth of insertion for each acupoint will be determined by a group of acupuncture experts based on the size of cadaver. Anatomical images will be generated by computer for each acupoint and meridian. Virtual acupuncture and simulation of a needle insertion can be developed for education, clinical practice, and research. This project will for the first time provide precise 3-D anatomical structures of acupoints and meridians and will significantly promote acupuncture research and clinical application.

Literature Review & Acupuncture Theory
Advance of Acupuncture & Meridian Research

A COMPARATIVE STUDY ON THE PHENOMENON OF THE PROPAGATION
OF THE SENSATION ALONG THE CHANNEL (PSAC) IN VARIOUS COUNTRIES

David P.J. HUNG
American Acupuncture Association. 42-62 Kissena Boulevard, Flushing, New York 11355, U.S.A.

Aim: The propagation of sensation along the channel (PSAC) is a special phenomenon in clinical acupuncture. In recent years, a wide range of investigation on the phenomenon of PSAC has been carried out by scholars not only in Chinese subjects but also in different races. The author conducted a research to prove that there is a special feeling which occurs during needling in certain patients with a definite relationship to patients' responses and to show that PSAC is achieved differently in certain countries.
Methods: The author compared the needling techniques and results from various research projects and different diseases, the occurrence of the phenomenon of PSAC in various countries or regions and the difference existed in healthy persons and patients on different diseases.
Results: According to preliminary statistics, the occurrence of PSAC in 178, 533 persons is 2.75¡­53%. Test methods of low frequency electric pulses and typing standard have been regulated. The results showed that there existed considerable variations between different populations and different patients. Yet, the occurrence of PSAC in patients was far higher than that in normal persons. In Japan, the occurrence of PSAC in Japanese normal people was 4.4%, and that in common outpatients was 10.6%. Other reports showed that the occurrence of PSAC in Mozambican black race patients was as high as 81.8% and that in Nigerian patients was 55.49%. The patient who had an obvious propagation would have a better curative effect. Another report indicated that the occurrence of PSAC in white race patients was 50.91%. in which the significant type was 7.27%, showing that the occurrence of PSAC had no clear difference among white, black and yellow races. By author's observation, the phenomenon of PSAC in patients was far higher than that in healthy people and the occurrence of PSAC in neurotic patients was the highest.
Conclusion: Based on the comparisons mentioned above, the author obtained the following arguments: (1) The appearance of PSAC is a generalized phenomenon among all populations, it has nothing to do with the property of nationality and the color of skin. (2) The phenomenon of PSAC in patients is far higher than that in normal persons. (3) The phenomenon of PSAC is related considerably to the curative effect. (4) The phenomenon of PSAC has a close relationship to the state of an individual nervous system. (5) It is necessary to make a further and through study on the mechanism of the phenomenon of PSAC.

Literature Review & Acupuncture Theory
Advance of Acupuncture & Meridian Research

INSPIRATION FROM CONTRIBUTIONS OF ACUPUNCTURE TO THE HEALTH OF
AMERICAN PEOPLE ¡ª A CLINICAL STUDY OF 1,368 DIFFERENT CASES

Shi-hua WU
Traditional Acupuncture Center, American Acupuncture Association. 807 Sixth Street N.W., Washington DC 20001, U.S.A.

Aim: To further introduce Traditional Chinese Medicine in the U.S.A., a clinical study of 1,368 acupuncture cases was conducted.
Methods: In the past five years since the founding of the Center, we have treated 13,181 person times, 1,078 patients in the first year, 2,365 in the second year, 2,881 in the third year, 3,189 in the fourth year, and 3,668 in the fifth year. The second year went up 2.2 times, and the fifth was 3.4 times that of the first year. Among the patients, 97.5% were American, which has proved that the Chinese acupuncture has already been recognized and accepted by American people, including government employees, business people, doctors, professionals and people from all walks of life. According to the analysis of the 1,368 first visit patients: 591 patients were male, making up 43.2% and female 777, a higher percentage of 56.8% with the ratio between man and woman of 0.76:1. Age classification shows a wide range from 3-month-old to 94-year-old, out of which 30¡­39 (328 cases) constructs 23.98%, 40¡­49(381 cases) 27.85%, and 50¡­59(325 cases) 23.76%. Putting 30¡­59(1,034 cases) into one group, we can see it takes up 75.59%.
Results: So far as the analysis of the 1,368 cases is concerned, the patients suffered diseases of 14 categories, diagnosed as 266 different diseases. Pain cases were 682, taking up 49.9%. Acupuncture was effective with 95% of such cases, and 85% showed very good results. With some chronic diseases like coronary heart diseases, heart failure, acupuncture at particular point, and especially combined with herbal medicine works very well. Treatment with acupuncture and herbal medicine can stop the hemorrhage of fibroids tumor of uterus and improve the general situation, and some tumor disappears or becomes much smaller. Some HIV-positive patients can find satisfactory relief if they stick to the treatment of herbal medicine and acupuncture. We have found 5 cases surviving 10 years and still being able to work. Here, I would also like to mention that acupuncture, herbal medicine and Qigong work very well with cancer patients. However, we will have to follow different ways of treatment in accordance with different cases.
Conclusion: Acupuncture is gradually being accepted by the American people. And it is playing an increasingly important role in the health care of American people. We would like to, as the same time, emphasize that acupuncture is playing a more and more important role in the prevention of diseases and strengthening of people's health, and we should give due attention.

Literature Review & Acupuncture Theory
Methodology of Acupuncture Research

CLINICAL TRIALS COMPARING ACUPUNCTURE TO BIOMEDICAL STANDARD CARE: A CRITERIA-BASED EVALUATION OF RESEARCH DESIGN

Richard HAMMERSCHLAG1, Monique M. MORRIS2
1Yo San University of TCM. 1314 2nd Street, Santa Monica, California 90401, U.S.A.
2M-Cubed Computer Services. Sunland, California 91040, U.S.A.

Aim: Many clinical trials of acupuncture have been beset by difficulties in selecting an appropriate placebo control (Vincent & Lewith, J Roy Med 88:199-202,1995). Our aim was to examine studies utilizing a research design, requiring no placebo control, in which acupuncture is compared to an accepted medication, medical device or physiotherapy.
Methods: Fifty-two clinical trials were identified, from on-line databases, reference lists in published articles and suggestions from researchers, as potentially appropriate for our review. Studies were included without regard to condition treated or outcome. On the basis of inclusion criteria, e.g. standard care was previously tested vs. placebo, and exclusion criteria, e.g. use of experimental rather than clinical study designs, 23 articles were selected for evaluation. A set of 25 criteria for assessing clinical trial design, performance and reporting (adapted from Chalmers et al, 1981; Sacks et al, 1987), were then applied to each article. Criteria were rated as "adequate", "partial" or "not discussed".
Results: Of the 23 studies, which represented 12 countries, 16 were published since 1985 and 15 examined chronic pain conditions. The number of studies that received "adequate" scores on at least half the criteria was 8 (35%). Since acupuncture vs. standard care trials do not enable blinding of patients or practitioners, it is essential, in this type of study, to randomize patients and to blind the outcomes assessors. Of the 23 studies, 20 employed randomization and 8 reported use of blinded assessors. Most studies described treatments and endpoints in detail adequate to permit replication of the trial while relatively few studies reported sample size calculations, comparisons of side effects or acupuncturist's training.
Conclusion: Our evaluation indicates the need to improve the design and reporting of this valuable type of clinical trial, in which traditional East Asian medicine and conventional Western medicine are compared.

Literature Review & Acupuncture Theory
Acupuncture Theory

THE FORMATION AND DEVELOPMENT OF THE MERIDIAN THEORY

Ben Xian WANG, Wen Lee MA
China Academy of TCM. Beijing, China.
King May Chinese Herb and Acupuncture Clinic. New York, U.S.A.

Recently through in-depth practice and studies on the meridian theory by scholars domestically and abroad proved that its clinical manifestations were definite, its theories were more emphasized.
The Embryonic Stage of the Meridian Theory: When was the meridian discovered? There was no definite record in historical data. The earliest volume of comprehensive medical work "The Yellow Emperor's Internal Classic" recorded that the meridian theory had been basically established at that time. So, the period before this volume would be classified as the embryonic stage of the meridian theory. In this stage, it lacked names of the points and showed that the conception of Zangfu was not complete.
The Formation and Development of Meridian Theory: In this stage, it put forward the basis of formation of the meridian theory being the organic conception of the human body throughout which the meridians connected internally with the Zangfu organs, externally with the collaterals of the limbs. This basis was found in the book of "The Yellow Emperor's Internal Classic".
Besides, in our successive dynasties, there were supplementary and developmental contents to fulfill the meridian theory. Among them, the chief ones were "Classic on Meridian Problems", "Treatise on Exogenous Febrila Diseases", "A-B Classic of Acupuncture and Moxibustion", "Mingtang of the Yellow Emperor's Internal Classic", "Thousand Golden Prescription", "The Medical Secrets of an Official", "New Illustrated Manual of Acupoints of the Bronze Figure", "The Enlargement of Fourteen Meridians", "A Study on the Eight Extra Meridians", "Meridian Illustration", and "A Collection of Books ¡ª Complete Works on Medicine". Within the 2000 years from "The Yellow Emperor's Internal Classic" to "A Collection of Books" was the formation and developmental stage of the meridian theory which uninterruptedly fulfilled and developed the contents of the meridian theory.

Literature Review & Acupuncture Theory
Acupuncture Theory

CLINICAL APPLICATIONS BASED UPON THE EIGHT PRINCIPLES OF
HERBAL ACUPUNCTURE

Eunsook CHO
Yuin University. 2007 E. Compton Boulevard, Compton, California, U.S.A.

Aim: The diseases such as cancer, a certain tumor diabetes melitus, involuntary movement of the body, prostate hypertrophy, some kind of pain of the joint are very hard to cure or incurable in the mainstream medical field today. The method of herbal acupuncture based upon the eight principles of Oriental diagnosis is for the purpose of treating these hard-to-cure diseases in some very effective way.
Methods: To collect a very pure substance by the distillation and filtering process is most important before applying it into the patient's meridian points corresponding to the affected zang and fu areas.
Results: A patients diagnosed with progressing stomach cancer and excised 3/4 of his stomach was treated with this herbal acupuncture method. After two months he could discontinue all the medication except an immune activating drug. A patient diagnosed with uterus tumor with continuous intermittent bleeding and was recommended to take an operation to excise her uterus. After receiving treatment for three months (about twice a week), the tumor size significantly reduced. A patient diagnosed as diabetes melitus was also treated by this method. The blood sugar level was 280 mg/dl before meal and 440 mg/dl after meal. After receving treatment for two months (about twice a week), the patient could regain his normal blood sugar level which ranges from 90 to 150 before and after meal.
Conclusion: The crucial point as to how effectively this application can cure diseases is dependent on how efficiently triple burner is regulated.

Literature Review & Acupuncture Theory
Acupuncture Theory

CHRONOACUPUNCTURE

Jianxin HUANG
5025 25th Avenue NE, Suite 202, Seattle, Washington 98105, U.S.A.

Chronoacupuncture is an ancient Chinese acupuncture technique by which Five Shu Points and Source Points are selected according to different days and times. It originated from the "Yellow Emperor's Canon of Internal Medicine" (403¡­221 B.C.) and the "Classic of Medical Qustions" (100¡­1 B.C.?). In the period of Jin-Yuan Dynasty (1115¡­1368 A.D.), chronoacupuncture was firstly applied to clinical practice. Since all of the points selected according to chronoacupuncture are below elbows and knees, it is much safer to use chronoacupuncture than to use other acupuncture methods. Moreover, it is more effective than regular acupuncture. Along with the rapid development of current chronobiology and chronomedicine, more and more objective evidences suggest confirm that the circadian rhythms of the human body is closely associated with the onset of diseases and the effectiveness of therapies. Since the 1950's, extensive studies Zi Wu Liu Zhu has been carried out by scientists, acupuncturists and other professionals all over China. Many clinical studies confirmed the effectiveness of chronoacupuncture. There are five different techniques of chronoacupuncture: Stem Adopting Technique, Branch Adopting Technique, Son Generating Technique, the Eight Techniques of Mysterious Turtle, and the Eight Techniques of Soaring.
Zi Wu Liu Zhu means the circadian flowing and pooling of Qi and blood along the 12 channels. The time flow is computed by a combination of Ten Heavenly Stems and Twelve Earthy Branches, a serial numbers to designate years, months, days and hours. Furthermore, it is based on an ancient Chinese lunar calendar. It is so complicated to figure out the right time and to select their corresponding points that it seems mysterious to most people. Only a few acupuncturists are able to apply it to their practice. Several tools for chronoacupuncture, such as cyclogram, clock and tables, have been developed to simplify the procedure to choose the right points. However, it is still difficult for most people. Those who are familiar with the solar calendar but know nothing or very little about the lunar calendar and the system of Heavenly Stems and Earthly Branches still need a simplified system to use this ancient form of acupuncture.
A special computer program for chronoacupuncture is the solution. With this program, users are able to pick up the relevant points for any specific time without doing such a complicated computation. You also can identify the specific time for a special point which you really want to use. This program also provides the information about how to apply these five chronoacupuncture techniques.

Qi, Qigong, Daoyin & Massage

WHAT IS "QI(ENERGY)"?

Teiryo HANAWA
10982 Roebling Avenue, #527, Los Angeles, California 90024, U.S.A.

Purpose: In the medical practice in acupuncture, the world " Qi" is often used; however, there have not been many attempts to study the fact of "Qi" in depth. This time, I will present my findings on this subject.
Method: I set five conditions for the acupuncture point and the hand position following the criteria below: (1) the place for the acupuncture point; (2) the pressure on the point from both directions, right and left; (3) the pressure power on the handle of the needle; (4) the depth of the needle;(5) the time when electric like stimuli are felt.
Result: After practicing the method over and over again on myself, I found that the higher the degree of the lack of "Qi (or energy)", the higher the resonance(reaction). Also there was no related movement between the pulse and "Qi" after I sensed the lack of "Qi". Even when I practiced with some vinyl tapes on my fingers, I could still feel the resonance (reaction); however, the pulse remained the same. In addition, I have always suffered from the problems with my right gums, both upper and lower. I found that practicing needles on the kidney and the stomach points led to heal the problems in a fet hours.
Discussion: "Qi" is not something existing only in some imaginary tales, but it is a concrete substance. Also, I point out that it does not possess different characteristics between positive form negative (Yin from Yang). It functions differently according to the parts of a human body, and does not have electrical characteristics. It is more like a gaseous substance flowing in the pulse flow, and our acupuncture method would control the flow of "Qi". In other words, to think that practicing acupuncture on the human body subsides "Qi" is realistic.

Qi, Qigong, Daoyin & Massage

ALL RIVERS FLOW TO THE SEA: ENCOUNTERING WITH ENERGY
THROUGH QIGONG WITHOUT ACUPUNCTURE

Ching-tse LEE, Ting LEI
Laboratory of Behavioral and Energy Medicine, Dept. of Psychology, Brooklyn College, City
University of New York. New York, U.S.A.

Aim: Acupuncture operates on human body's energy system in order to attain homeostasis. In the same vein, vital energy exercise (qigong) is based on the same operational principle but more oriented to the proactive/preventive and self-help process of cultivating qi. An empirical exploration of qigong's effect on energy equilibria in human physiological and psychological systems is the purpose of the present study.
Methods: To study the physiological system, nomothetic approach was applied and cross-sectional data were collected from 103 Ss at five different levels of qigong practice. Ss (n=19) at the novice level served as the control group. Six physiological indicators of qi state were measured double-blindly, and so was the assignment of Ss. Inter-rater reliability was acceptable, and quantitative analysis was performed on all data. For the psychological plus system, idiographic approach was employed to gather quasi-longitudinal data of ten qigong practitioners. A semi-structured in-depth interview with an emphasis on phenomenology was conducted in which interviewers facilitated the Ss' reflection on their experience of encountering with qi and its effect on their lives. All interviews were recorded and transcribed verbatim. Hermeneutics was used in the content/structural analyses of the transcripts in which semiotically significant patterns were drawn and examined.
Conclusion: All rivers flow to the sea, acupuncture and qigong are just two rivers that channel energy via meridians throughout the human body. Qigong healers, along with acupuncture therapist, rely on the same working principle to generate extrinsic energy for a relatively immediate therapeutic effect on patients. Both of them can achieve better efficacy by involving patients themselves to generate intrinsic energy from practicing qigong. Meaning, a person can (pro) actively practice qigong to lay down a healthy energy system that may facilitate future treatments of acupuncture and/or external qigong. Moreover, a patient may as well apply qigong reactively to accommodate his/her energy system after the healer's treatment. In fact, from the Taoist's perspective, all seas merge with sky from afar. Along the same line, acupuncture/moxibustion and qigong are all based on the same macro-/micro-cosmic energy system, thought at different levels. As such, they are better to be viewed as complimentary rather than competitive with each other.

Basic Theory of Traditional Chinese Medicine

USING A 3-D MODEL TO EXPLAIN YINYANG FIVE PHASES THEORY

Hua WANG
1509 Liholiho Street, #105, Honolulu, Hawaii 96822, U.S.A.

Aim: For thousands of years, Yinyang Five Phases theory has been one of the most important theoretical basis in Chinese medicine. Since it is a philosophy of dialectical materialism, it is hard to use a model to indicate their relationship. The author made a three-dimensional model and used it to explain the theory.
Methods: Analyze principle graphics of Yinyang Five Phases and identify common defects; based on Yinyang Five Phases theory, arrange the elements into a 3-D prototype; fit and check by Yinyang Five Phases theory and other principles of Chinese medicine.
Results: After studying many graphics, the new model is a successful attempt to bring two-dimensional graphics of Yinyang Five Phases to a three-dimensional model and it presents the position of Zang Fu as well.
Conclusion: The comparison between 2-D graphics and the 3-D model indicates the important development of the explanation of Yinyang Five Phases theory. The author hopes that the new model will promote the development of educational and clinical value of Chinese medicine as well as the research on the basic Chinese medical theory.