TITLE: The treatment of Osteoporosis by Acupuncture

ISSUE DATE: November 12-15, 2000
LAST NAME: Guo
NAME: Zhaoqi
NATIONALITY: Canada
ADDRESS: 152 Bayview Road
ABSTRACT: abbreviation
B-14.
The Treatment of Osteoporosis by Acupuncture, by Zhaoqi Guo
ABSTRACT
Introduction
Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue. This leads to increased bone fragility and risk of fracture, particularly of the hip, spine and wrist. The purpose of the paper is to present a method of prevention and of treatment of osteoporosis using acupuncture.
Method
I have treated twenty-three cases of osteoporosis, diagnosed by western physicians. I divided the patients into two groups, and both were treated by acupuncture, but the acupuncture points used for the two groups were different. On group one, I tonified the kidney channel in order to reinforce the bone (for men: dazhu BL11, shenshu BL23, danchangshu BL25, guanyuan CV4, sanyinjian SP6: for women: dazhu BL11, zhishi BL52, danchangshu BL25, guanyuan CV4, taixi K13). On group two, I tonified the thyroid and the pancreas (geshu BL17, tiantu CV22, renying ST9, hegu LI4) in addition to tonifying the kidney channel.
Result
The treatment worked relatively well with group one, slowly stopping the bone pain and the hot flashes from menopause, and helping patients regain their strength. The treatment did not work however in two patients and could not stop the symptoms. A bone scan performed on one of the patients showed ongoing bone loss. The symptoms disappeared faster in group two. One case in group one still had ongoing bone loss after one year of treatment. I then treated her with formula two for 35 visits. The bone scan showed that she has regained 15% of her bone mass.
Discussion
Ultraviolet light turns cholesterol into a precursor of vitamin D in the skin. This precursor of vitamin D has to be hydroxylated twice in the kidney and the liver. Those processes need an enzyme, hydroxylase, which is induced by a sex hormone. After menopause, the sex hormone starts to drop which in turn causes a drop of vitamin D production. As vitamin D helps absorb calcium and transport calcium into the bone, when vitamin D drops it causes osteoporosis. Normally, in women, 75% of the estrogen is produced in the ovary and 25% in the adrenaline gland. After menopause, the ovaries almost totally stop producing estrogen. The adrenaline gland will compensate in two thirds of women. In those cases where the adrenaline gland does not compensate for the production of estrogen, women tend to have hot flashes, osteoporosis, ostheoarthritis, etc. The pituitary-thyroid axis, the pituitary gonad axis, and the pituitary adrenal axis are synergic. If one of them drops, the other two will also drop. That's why many women develop hypothyroidism or type II diabetes at the time of menopause.
Conclusion
Traditional Chinese medicine states that the kidney channel determines the condition of the bone and marrow after menopause. Modern medicine confirms that the Chinese approach to tonifying the kidney channel does bring the sex hormone up. Through my observation and experiment, I realized that tonifying the kidney, although effective for reducing the pain, and in some cases stopping the bone loss, works best with an approach that also tonifies the thyroid and the pancreas.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0144 LOCATION SEOUL

TITLE: The Treatment of Depression by Acupuncture

ISSUE DATE: November 12-15, 2000
LAST NAME: Guo
NAME: Zhaoqi
NATIONALITY: Canada
ADDRESS: 152 Bayview Road
ABSTRACT: abbreviation
B-15.
TITLE: The Treatment of Depression by Acupuncture
AUTHOR(S): Zhaoqi Guo
ABSTRACT:
Introduction:
Depression is a very common disease in North America where 10% of adult Americans ages 18 and over suffers from depression in a given year. The purpose of the study is to find an alternative way to treat depression.
Method
In the past 10 years, I treated 45 cases of depression sufferers. Among the 45 cases, five of them had kidney yin deficient syndrome, 40 had kidney yang deficient syndrome and liver chi stagnation and liver blood stasis. Among the 40 cases, there are eight males, and 32 females. I divided these 40 cases into 2 groups randomly.
Each group has 20 cases. For group one, I gave acupuncture treatment to reinforce the kidney yang. The points I used are as follows: xinshu BL15, shenshu BL23, guanyuan CV4, sanyinjian SP6; for serious case, add tiantu CV22 and hegu LI4; for spleen yang deficiency, add pishu BL20 and zusali ST36, For group two, I gave acupuncture treatment to dredge the liver channel. The points I used are as follows: ganshu BL18, zusanli ST36, taichong LR3 and yanglingquan GB34
Results:
In group one, the patients who did not take medication or who took small doses of medication recovered within one or two weeks; the patients who took large doses of medication recovered within two to three weeks. They were able to reduce the medication slowly, until they stopped. After that, they may have had to come for treatment once a week for maintenance. Of these 20 patients, 19 recovered completely. One case, after treatment, started to have hot flashes, and still felt depressed. She was further diagnosed with lupus. In group two, only a few cases felt somewhat better. Most cases, after treatment, felt no better. Some even felt worse. As I inserted the acupuncture needles, some group two patients started to cry, to feel angry, and/or to have mood swings.
Discussion
In by opinion, depression is due to hormonal imbalance. For women the estrogen to testosterone ratio is 15: land the reverse for men. For women, fluctuations in estrogen, often brought about by diet, brake this ratio. As a consequence, women tend to suffer depression. Modern research proves that reinforcing the yang of the kidney can bring the testosterone up, therefore restoring the hormonal balance. Both male and female hormones are devitalised in the liver. Devitalisation does not however balance the hormones. This is probably why dredging the liver does not work for depression. Sex hormones influence the brain (through sex hormone receptors in the brain) as well as the metabolism of the liver. In 1985, professor Aimai Chan, found in her research (unpublished) that while normally 25% of liver cells have a double nucleus, the double nucleus liver cells increased to 50% in rats injected with estogen. Estrogen certainly influences the metabolism of the liver. I do not know yet how testosterone influences the metabolism of the liver. Probably in the opposite way, because to some extent testosterone is antagonist to estrogen.
Conclusion
The best treatment for most depressions is reinforcing the yang of kidney. Treatment of kidney yin deficient depression will be the subject of another article.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0148 LOCATION SEOUL

TITLE: CIRCULATION OF QI AT THREE LEVELS: PHYSIOLOGICALAND

PATHOLOGICALIMPLICATIONS
ISSUE DATE: November 12-15, 2000
LAST NAME: AUNG
NAME: STEVEN KH AUNG, MD, FAAFP
NATIONALITY: Canada
ADDRESS: 9904-106 Street
ABSTRACT: abbreviation
B-16.
TITLE: CIRCULATION OF QI AT THREE LEVELS: PHYSIOLOGICAL AND PATHOLOGICAL IMPLICATIONS
AUTHOR(S): Steven KH Aung
ABSTRACT:
In treating intractable disease conditions with medical acupuncture it is always important to balance Qi (vital energy) at three levels in order to build up the total physical, mental and spiritual constitutional strength of patients. The Kidney stores 50% of the total Qi of the human body. At the deep level, the circulation of Qi is initiated from the Kidney and then flows in the other Zang organs. Qi disharmony at this level affects the Zang Fu organ system. At the superficial level, the flow of Qi begins at the Lung and subsequently circulates in each of the 12 Regular organs / meridians for 2 hours according to the 24-hour" organ dock" to the various areas of the body in the order of hands, face, feet and chest. The interconnection between the superficial and deep level is at He Sea points on the knee and elbow. At the intermediate level, Qi flows from He Sea points upward to the shoulders, neck, arms and hands or downward to the thigh, hip, trunk, legs and feet. Qi disharmony at the intermediate level primarily affects the bones, joints, muscles, ligaments, while at the superficial level it causes various aches and pains, swellings, numbness and skin changes. Qi best balanced at the superficial level at Confluent points on the 8 Extra meridians, which are stimulated according to deficiency and excess Qi flow. If Qi at the deep level is in a state of deficiency or excess, then the Kidney is treated to adjust the Qi reserve - in the acute phase Xi Cleft points are utilized and in the chronic phase tonification of He Sea points is most appropriate. Qi is balanced at the intermediate level using the major muscular cutaneous channels. Overall, if the entire body is imbalanced, then the Triple Energizer is affected, which entails multi-system involvement. This makes procedures such as vital energetic alignment very important to revitalize patients, boosting their immunity and enhancing their quality of life.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0145 LOCATION SEOUL

TITLE: Clinical Observations:Prostate Cancer Treatment With An Herbal Formula, PC-SPES

ISSUE DATE: November 12-15, 2000
LAST NAME: Lai
NAME: Sherman
NATIONALITY: Canada
ADDRESS: 15 Surrey St W Unit3A
ABSTRACT: abbreviation
A-30.
TITLE: Clinical Observations: Prostate Cancer Treatment With An Herbal Formula, PC-SPES.
AUTHOR(S): Sherman Lai C.M.D., Dr. Ac., BSc., Nancy Noack BSc., Weibin You C.M.D., Dr. Ac.
ABSTRACT:
Currently, the most widespread cancer afflicting males in developed countries is cancer of the prostate. The treatment of prostate cancer is a major concern for the health care system due to the rising incidence of the disease and the costs associated with conventional treatment for this disease. Another challenge that is of alarming concern is the morbidity associated with prostate cancer. It is estimated that up to half of these men will develop incurable disease. This is largely due to the fact that metastatic prostate cancer is unresponsive to most forms of chemotherapy and radiation. This translates to a problem of great magnitude as 10-20% of prostate cancer patients have metastatic disease at diagnosis. The purpose of this paper is to evaluate the effectiveness of an herbal formual, PC-SPES, with respect to its ability to decrease serum PSA levels in men with prostate cancer. Thirty-two prostate cancer patients were randomly entered into this trial and were orally supplemented with PC-SPES. The response rate, as defined by the number of patients that achieved a normalization of serum PSA, was 43.8% after one month of treatment and peaked at 68.8% after 3 months of treatment. Fourteen(43.8%, 14/32) subjects were exhibiting hormone refractory disease upon entering this trial. All fourteen men experienced a decrease in serum PSA after one month of treatment with PC-SPES and serum PSA levels normalized in seven (50%) of these men. Overall, the results achieved with PC-SPES demonstrate that it is an effective and efficient treatment for prostate cancer. Since significant results can even be seen in patients that are no longer responsive to conventional treatments, this formula represents a powerful adjunct to conventional approaches. Further research to explore and define the applications for Formula X in the treatment of prostate cancer is needed to increase the availability of this supplement to patients.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0146 LOCATION SEOUL

TITLE: THE METHOD OF NEEDLE INSERTION WITH FINGER FLICKING TECHNIQUE

ISSUE DATE: November 12-15, 2000
LAST NAME: LIU
NAME: WAN CHENG
NATIONALITY: Canada
ADDRESS: 1101F Kramer Blvd
E-MAIL :
ABSTRACT: abbreviation
A-31.
TITLE: THE METHOD OF NEEDLE INSERTION WITH FINGER FLICKING TECHNIQUE
AUTHOR(S): Prof. Wan Cheng Liu Chinese MD.Ph.D.
ABSTRACT: The amur College of Chinese Medicine and Acupuncture of Canada
Needle Insertion is one of the important links in the technique of the filiform needles. It can directly affect operation of a practitioner and a clinics effectiveness. Therefore, great attention is always paid to the manipulation of needle insertion by ancient and modern acupuncturists. In 1976, I developed a new method of manipulation of needle insertion to be used in clinic practice-the method of needle insertion using the finger flicking technique. It has been well received by patients and my colleagues have been using this technique for the years. Now I would like to introduce as follows:
A. Advantages of this method
In the past, the manipulation of needle insertion was done, generally speaking, by using quick and slow movements for needling sensation. A good result could be achieved with little pain and easier getting qi. For examples, in the classic called Zhen Jing Zhi Nan there is a chapter entitled "Biao You Fu" which states that when an acupuncture inserts a needle, the reason it is painless is because his left finger presses with strength on the acupoint for dispersing chanel Qi; and the right hand inserts the needle into the acupoint slowly and gently. Up to now, this theory for needle insertion has been the routine method of manipulation.
For instance, the Fingernail Pressing Method, the Both Hands Holding Method, the Skin-Pinching Method, the Skin-Stretching Method and so on are slow in operation and take a longer time. Therefore, there will be a stronger stimulation and noticeable pain on the surface of the skin. If the operator's skill level is not good, the therapeutic effect will be affected because of patient's psychological factor with fear. In clinic practice, I find that my method's fast manipulation of needle insertion in flicking the end of needle with finger, has many advantages i.e. decisive, accurate, quick, dexterous, not painful and easy etc.
B. Manipulation Methods
1. Holding the needle
Hold the handle of needle with the thumb and index of the pressing hand (left)(do not touch the body of needle to avoid getting it dirty), then turn the palm up(the tip of needle aims at acupoint). If the needle is held too loosely, the needle may be easier ot be flicked out. Hold the needle firmly, with the tip of needle aimed at the acupoint (you can touch the skin of the acupoint gently). At the same time, the angle must be correct. For oblique, it is possible that the practitioner can gently touch the skin of the acupoint area with the back of the hand in order to fix the body of needle and also control the angel. When a longer needle is used, the handle of the needle will be pinched by the fingers between thumb and index or middle finger so it doesn't bend.
2. The Flicking Method
After fixing the needle with left hand, the tip of the thumb and the index (or middle finger) of the right hand intersect and fold, then flicks the end of needle quickly and powerfully to insert the needle into acupoint. The needle can be flicked directly into the proper depth of acupoint or firstly into the skin, later to be rotated or thrust into the proper depth.
After fixing the needle with left hand, the tip of the thumb and the index (or middle finger) of the right hand intersect and fold, then flicks the end of needle quickly and powerfully to insert the needle into acupoint. The needle can be flicked directly into the proper depth of acupoint or firstly into the skin, later to be rotated or thrust into the proper depth.
One must be careful when inserting needles into an acupoint in the chest and on the head and face in order to avoid wounding the pleura and periosteum. When this method is used around orbit, the holding should be very firm and the flicking should be done carefully. It would be easy to injure eyes because of flicking a needle out. In addition, the short needle is better to use for the area of compact tissues, for example, the joint, the ligament, the pain and the arch etc. The flicking strength should be stronger comparatively and a short needle will not be easy to bend and cause pain.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0147 LOCATION SEOUL

TITLE: TRADITIONAL CHINESE MEDICINE AND ACUPUNCTURE TREATMENT IN END OF LIFE CARE FOR SENIORS

ISSUE DATE: November 12-15, 2000
LAST NAME: CHEUNG
NAME: PROF. CEDRIC K. T. CHEUNG
NATIONALITY: Canada
ADDRESS: 154 WELLINGTON STREET, LONDON, ONT. N6B 2K8 CANADA
ABSTRACT: abbreviation
A-32.
TITLE: TRADITIONAL CHINESE MEDICINE AND ACUPUNCTURE TREATMENT IN END OF LIFE CARE FOR SENIORS
AUTHOR(S): PROF. CEDRIC K.T. CHEUNG, DR JANE CHEUNG, DR FREDERIC CHEUNG
ABSTRACT:
Traditional Chinese Medicine and Acupuncture is doubtless regarded as natural medicine with its holistic concept. Its clinical implication is discussed in a broad spectrum by combining Acupuncture, Chinese herbs and Chinese nutrition.
The complementary role of TCM and Acupuncture is well substantiated by citing two clinical cases of seniors; lung cancer, and chronic hepatitis B accompanied with liver cancer, osteoarthritis and whiplash condition.
Key words: holistic concept, TCM and Acupuncture, herbs, End-of-life care.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0150 LOCATION SEOUL

TITLE: The Top-Level Design of an Expert System for acupuncture

ISSUE DATE: November 12-15, 2000
LAST NAME: Shieh
NAME: John S
NATIONALITY: Canada
ADDRESS: Dept. of computer Science, Memorial University of Newfoundland
ABSTRACT: abbreviation
A-34.
TITLE: The Top-Level Design of an Expert System for Acupuncture
AUTHOR(S): John Shunen Shieh
ABSTRACT:
The proper selection of a prescription of acupuncture is important for achieving desirable medical effects. A right prescription should consist of the necessary acupoints along with the corresponding needle manipulation methods. In order to aid health care professionals to provide high quality services and to train qualified acupuncture practitioners, an acupuncture expert system has been designed based on the theories of traditional Chinese medicine (TCM). In this paper the top-level design of the proposed expert system is described. This system will (1)interactively request complaints, symptoms and relevant patient's information, (2)differentiate the syndromes, (3)make a diagnosis, (4) select acupoints and form a prescription of acupuncture, and (5)give explanations and justify its reasoning. Since it will use the built-in inference engines and knowledge to analyze patient cases and make decisions, this system distinguishes itself with the computer systems for acupuncture on the market-such as Zhangmen 8.0, KAES II Diagnostic Software, and KAREsoft-which are like interactive electronic books. The system consists of:(1)the diagnosis and syndrome differentiation part and (2) the acupoint selection and prescription formation part, Each part has its own inference engines and knowledge bases. The conclusions of the first part are directly used by the second part. The whole system will be implemented by using the object-oriented programming language Java and will run under the Microsoft Windows on a personal computer. A user-friendly menu-based interface will be developed for the user, which could be a health care professional, medicine student, or ordinal person, to communicate with the system. To initiate the diagnosis process, the user has the following choices: (1) directly enter a disease name or select it from a multi-level menu, then select the differentiation of syndromes from the corresponding menu; (2)to directly enter or select a disease name and input main symptoms along with their degrees of seriousness and then ask the system to differentiate the syndromes; (3) to enter main symptoms with their degrees of seriousness and then ask the system to make its diagnosis and differentiate the syndromes. Corresponding to each disease, there is a decision tree in a knowledge base, which guides the diagnosis system to request medical information and differentiate the syndromes. All diseases from a taxonomy that helps the classification among them. A fuzzy pattern matching and recognition mechanism as an inference engine matches partially known symptoms with symptom models of diseases and select potential candidates of disease for further reasoning. Diseases are differentiated according to Zang-Fu organs, Channels, Qi and blood states, and Eight Principal Syndromes. Based on the diagnosis acupoints are pre-selected according to the built-in acupoint selection principles, specialties of acupoints, and accumulated experiences of acupunctures' practices, which are organized as rules, facts and objects in knowledge bases. These pre-selected acupoints are finally chosen and determined by a negotiation mechanism to form a prescription. It is hoped that the described system will also aid future medical research on acupuncture and TCM and help more people to understand and learn acupuncture.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0151 LOCATION SEOUL

TITLE: MEDICAL QI GONG FOR HEALTH CARE PRACTITIONERS: EARLY BIRD EXERCISE PROGRAM

ISSUE DATE: November 12-15, 2000
LAST NAME: AUNG
NAME: STEVEN KH AUNG, MD, FAAFP
NATIONALITY: Canada
ADDRESS: 9904-106Street
ABSTRACT: abbreviation
A-35.
TITLE: MEDICAL QI GONG FOR HEALTH CARE PRACTITIONERS: 'EARLY BIRD' EXERCISE PROGRAM
AUTHOR(S): Steven KH Aung
ABSTRACT:
Traditional Chinese medicine encompasses several major therapeutic modalities, but the therapy that most directly applies not only to patients but also to health care practitioners themselves is Qi Gong. Qi Gong has always been part of the basic training of TCM-as a therapy for patients and as an intellectual preventive and self-care strategy for both patients and physicians. The building blocks of Qi Gong are breathing, concentration and posture/ movement exercises. Breathing exercises are important because the breath is a major source of Qi(vital energy). Focusing on breathing facilitates one's awareness of and control over the flow of Qi. The aim is to keep Qi circulating smoothly and harmoniously throughout the body. Such vital energetic equilibrium is the TCM definition of good health. Concentration exercises are a more disciplined form of breathing in order to gain more precise control the flow of Qi. Posture/movement exercises are a more dynamic and elaborate expression of breathing and concentration. Spirituality is an important aspect of Qi Gong, which is why exercises such as the Inner Smile are practiced in conjunction with the offering of blessings to all sentient beings. Appreciation of nature is important, which is why trees are hugged and serious students are encouraged to take part in Qi Gong retreats to wilderness areas to become more aware and appreciative of the best of Mother Nature. Qi Gong contributes to primary care by sharpening practitioner's motor-sensory skills, improving their concentration, building their endurance and relieving their stress. It also enhances awareness of vital energy and stimulates a sense of compassion, especially toward the more difficult patients, who come to be regraded as one's best teachers. Qi Gong, above all, facilitates the transfer of positive energy from the practitioner to the patient, transforming mere medical technicians into genuine healers.

ACUPUNCTURE THESIS
THE FIFTH WORLD CONFERENCE ON ACUPUNCTURE
KS-0151 LOCATION SEOUL

TITLE: MEDICAL QI GONG FOR HEALTH CARE PRACTITIONERS: EARLY BIRD EXERCISE PROGRAM

ISSUE DATE: November 12-15, 2000
LAST NAME: AUNG
NAME: STEVEN KH AUNG, MD, FAAFP
NATIONALITY: Canada
ADDRESS: 9904-106Street
ABSTRACT: abbreviation
A-35.
TITLE: MEDICAL QI GONG FOR HEALTH CARE PRACTITIONERS: 'EARLY BIRD' EXERCISE PROGRAM
AUTHOR(S): Steven KH Aung
ABSTRACT:
Traditional Chinese medicine encompasses several major therapeutic modalities, but the therapy that most directly applies not only to patients but also to health care practitioners themselves is Qi Gong. Qi Gong has always been part of the basic training of TCM-as a therapy for patients and as an intellectual preventive and self-care strategy for both patients and physicians. The building blocks of Qi Gong are breathing, concentration and posture/ movement exercises. Breathing exercises are important because the breath is a major source of Qi(vital energy). Focusing on breathing facilitates one's awareness of and control over the flow of Qi. The aim is to keep Qi circulating smoothly and harmoniously throughout the body. Such vital energetic equilibrium is the TCM definition of good health. Concentration exercises are a more disciplined form of breathing in order to gain more precise control the flow of Qi. Posture/movement exercises are a more dynamic and elaborate expression of breathing and concentration. Spirituality is an important aspect of Qi Gong, which is why exercises such as the Inner Smile are practiced in conjunction with the offering of blessings to all sentient beings. Appreciation of nature is important, which is why trees are hugged and serious students are encouraged to take part in Qi Gong retreats to wilderness areas to become more aware and appreciative of the best of Mother Nature. Qi Gong contributes to primary care by sharpening practitioner's motor-sensory skills, improving their concentration, building their endurance and relieving their stress. It also enhances awareness of vital energy and stimulates a sense of compassion, especially toward the more difficult patients, who come to be regraded as one's best teachers. Qi Gong, above all, facilitates the transfer of positive energy from the practitioner to the patient, transforming mere medical technicians into genuine healers.