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website/app/(pages)/accupuncture/views/ScalpAccupuncture.tsx
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import Link from "next/link";
const ScalpAccupuncture = () => {
return (
<section className="min-h-screen" id="scalpaccupuncture">
ScalpAccupuncture
<Link
href="/content/patient-resources/scalp_accupuncture.pdf"
target="_blank"
className="block"
>
Patient Before-and-Afters [PDF]
</Link>
</section>
);
};

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import Article from "@/components/Article";
const ArticleAccupuntureBasics = () => {
return (
<Article
title="Accupuncture Basics"
author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
>
<p>
The Chinese discovered acupuncture more than 5,000 years ago. Chinese
science had a very different paradigm than the Western world. It
emphasized wholistic patterns, relationships, cycles, and processes. In
contrast, the Western paradigm emphasizes linear thinking, causality,
and reductionist explanations.
</p>
<p>
Acupuncture was first introduced to Europe by French Jesuits in the 17th
Century. It was not widely accepted in the West because of the clash
between Eastern and Western paradigms, for example, Western linear
thinking couldn’t understand how a needle inserted into the hand could
cure a toothache. The acupuncture analgesia did not fit into the
existing physiological paradigm of the Western scientist and was thus
dismissed.
</p>
<p>
Until 1976, the evidence of acupuncture anesthesia was mainly anecdotal.
There were few scientifically controlled experiments. Since then, the
situation has changed dramatically. In the last few years, there have
been thousands of scientifically controlled experiments in acupuncture.
Today, there are at least 17 different lines of scientific evidence
verifying acupuncture’s effect upon humans and animals.
</p>
<h2>Research and Theory</h2>
<p>
Research performed on animals and humans shows that specific acupuncture
relieved pain while sham acupuncture (needles at acupoint regions) had
no pain relieving effect. Several controlled clinical trials on chronic
pain patients comparing real acupuncture to sham acupuncture have also
shown that acupuncture really works better than a placebo. Perhaps more
importantly, when acupuncture was compared to conventional treatment of
chronic pain, it was found to be just as effective with fewer side
effects.
</p>
<p>
It is evident that needling simulates peripheral nerves in the muscles
that send messages to the brain to release endorphins (morphine-like
peptides in the brain.) These neurochemicals then cause analgesia by
blocking the transmission of painful messages. Three main sites for
endorphin acupuncture analgesia have been found. The pituitary gland is
one site that has been shown to release endorphins into the blood
stream. This hormone travels to the three parts of the brain and spinal
cord to block the transmission of painful messages. The second site is
the periaqueductal gray neurons in the midbrain which release endorphins
that act as local transmitters to excite the rostral ventromedial
medulla. The rostal ventromedial medulla in turn projects massively and
selectively to pain transmitting neurons in the dorsal horn of the
spinal cord and the trigeminal nucleus caudalis. Electrical stimulation
in the periaqueductal gray and rostral ventromedial medulla produces
behavioral analgesia and inhibitions of spinal pain transmission. This
third site, spinal cord endorphin system, is where the spinal cord
neurons release endorphins to block the release of neurotransmitters
from afferent fibers carrying painful messages to the cord.
</p>
<p>
In 1977, research showed that acupuncture analgesia inhibited the
spinothalamic tract neurons from responding from painful inputs. This
acupuncture effect was then blocked by naloxone, an endorphin receptor
blocker. It has also been shown in mice and humans that naloxone blocked
acupuncture anesthesia using behavioral measurements. Acupuncture
research has progressed since the 1970s to date, to have no less than 17
different lines of evidence convergent upon acupuncture endorphin
mechanisms verifying and supporting acupuncture analgesia.
</p>
<h2>The Evidence</h2>
<p>
<strong>There are 17 points of evidence:</strong>
</p>
<ol>
<li>Naloxone blocked acupuncture analgesia</li>
<li>Six opiates antagonist block acupuncture analgesia</li>
<li>Dextro-naloxone doesn’t block acupuncture analgesia</li>
<li>Antibodies to endorphins block acupuncture analgesia</li>
<li>Micro-injection of naloxone blocks acupuncture analgesia</li>
<li>
Genetic defects in opiate receptors causes less acupuncture analgesia
</li>
<li>Deficiency in endorphins causes less acupuncture analgesia</li>
<li>
Endorphins rise in cerebral spinal fluid and drop in the brain after
acupuncture analgesia
</li>
<li>
Acupuncture analgesia is enhanced by protecting from enzyme
destruction
</li>
<li>Cross circulation of acupuncture analgesic effects</li>
<li>Reduce pituitary endorphins block acupuncture analgesia</li>
<li>A rise in mRNA for proenkephalin with acupuncture analgesia</li>
<li>C-fos gene protein rises in endorphin areas of brain</li>
<li>
Acupuncture analgesia shows cross tolerance with morphine addiction
</li>
<li>
Acupuncture analgesia works best for emotional pain like endorphin
</li>
<li>Lesions of arcuate nucleus blocks acupuncture analgesia</li>
<li>Lesions of periaquaductal gray blocks acupuncture analgesia</li>
</ol>
<p>
The considerable evidence for the three pathways shown above provides
convincing proof that acupuncture analgesia is a known physiological
phenomenon that can occur and be manipulated through the use of
acupuncture needles and electrical stimulation.
</p>
<p>
Testing the involvement of the pituitary, several experiments were
carried out, both surgically removable pituitary and suppression of the
pituitary endorphins by chemical manipulations; all of the experiments
suppressed acupuncture analgesia in animals. Experiments to test the
involvement of the midbrain were done since it had been shown that
morphine pain relief was largely mediated by this system. Such
experiments included direct lesions to the raphe by cutting the output
fibers in the dorsal lateral tract, the spinal cord blockade of
serotonin receptors, blockade of serotonin synthesis and direct
micro-injection of naloxone into the mid brain; all of these experiments
reduced acupuncture analgesia.
</p>
<p>
Enhancement of serotonin synthesis increased acupuncture analgesia. An
experiment measuring serotonin showed an increase product (serotonin)
was released during acupuncture analgesia along with noradrenelinecture
endorphin mechanisms verifying and supporting acupuncture analgesia.
</p>
<h2>Effectiveness</h2>
<p>
Acupuncture works in approximately 70% to 80% of humans and animals.
Meanwhile, we know that the placebo only works 30% of the time.
Acupuncture does not work all the time in all people for various
reasons. Principally due to cholecystikinin (CCK). Those individuals
with high CCK are poor responders to acupuncture analgesia. Good
responders have less CCK. CCK blocks acupuncture tolerance, it acts in
the periaquaductal gray. Animal experimentation have been done to show
that poor responders may become better responders through the use of a
CCK antagonist and that good responders can become poor responders by
the use of cDNA, CCK gene.
</p>
<p>
Acupuncture has been shown not to be physiologically addicting.
Acupuncture is however additive and cumulative in its effects. It is
more powerful after ten to fifteen treatments. Neurologically we know
acupuncture works with a small mylenated fibers A delta-type III, and it
does not work on larger fibers, C-fibers.
</p>
<h2>Conclusion</h2>
<p>
In conclusion, acupuncture has been used for over 5,000 years. It has a
large body of empirical anecdotal evidence indicating its effectiveness.
Now, scientific based research evidence indicates there are several
causes and effects of acupuncture. Acupuncture has been shown to be
effective for acute and chronic pain conditions. Acupuncture has also
been found to be effective in the treatment of addiction and withdrawal
from various drugs, gastrointestinal functions, environmental illnesses
and cardiovascular illness, along with positively changing
learning/memory, conditioning and immunology.
</p>
<p>
As a result of this research, more and more physicians outside China are
using acupuncture to treat many painful conditions. It is estimated that
5,000 MDs in Germany, 30,000 in France and 60,000 in Japan use
acupuncture along with drugs, nerve blocks and other approaches to treat
patients with chronic pain. Here in the United States, over 1,000
physicians and surgeons are actively involved in the practice of
acupuncture. With increasing research and evidence, more and more
physicians in the West will become acupuncture practitioners.
</p>
</Article>
);
};
export default ArticleAccupuntureBasics;

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import Article from "@/components/Article";
const ArticleAccupunctureHistory = () => {
return (
<Article
title="Accupuncture History"
author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
>
<p>
Acupuncture was first discovered in China 2696 through 2598 B.C. Huang
Di “The Yellow Emperor” who was the third great emperor of China.
Acupuncture was initiated and discovered during the Yellow emperors
reign and the surviving document is the Yellow Emperors Classic of
Internal Medicine translation by Ilza Veith, University of California
Press, Berkeley, California 1993. This Yellow Emperors Classic text is
the basis for acupuncture and was the current book of medical care in
2600’s B.C.
</p>
<p>
The next significant improvement was in 2006 BC through 202 AD during
the Han Dynasty. Several important books were written at that time. The
Huang Ti Nei Ching Yellow Emperors inner classic was produced with
Su-wen (basic questions) and Ling Shu (mysterious pivot) and this last
book brought in moxibustion as part of the acupuncture treatment.
</p>
<p>
During the Western Jin Dynasty (265-316 A.D.), the book Zhen Jiu Jia Y.
Jing was written (Comprehensive Manual of Acupuncture Moxibustion) is
the oldest exiting test of acupuncture and moxibustion only. 368-1640,
The Ming Dynasty, Zhen Jiu Dei Cheng, (Great Compendium of Acupuncture
and Moxibustion) serves as a basis for all modern acupuncture treatment.
</p>
<h2>Europe</h2>
<p>
In 1671, PP Harviell, S. J. A jesuit priest who brought acupuncture to
Europe via France wrote Les secrets de la Medicine des Chinois,
Consitant en al Parfaite Connoissance du Pauls.
</p>
<p>
In 1683, Wilen Pen Rhijne, M.D. wrote a book on “Dissertatia de
Arthritide”. Dr. Rhijne was a Dutch East Indian Company fleet surgeon in
Japan who provided further delineation of acupuncture treatment. Then in
1758, Lorenz Heister, M.D. wrote an article “Chiraigeies.” He was the
first surgeon to recommend acupuncture. Then in 1820 at La Pities, Hotel
Dieu La Charite acupuncture was taught in France at some of the best
hospitals. With the French leading the way in European acupuncture, the
Dutch and Germans followed in suit as acupuncture received a renaissance
in the 1820’s.
</p>
<h2>USA</h2>
<p>
In the United states, Franklin Bache M.D. great grandson of Benjamin
Franklin, wrote an article, “Case illustrative of remial effects of
acupuncture” showing how acupuncture was beneficial in the patient use
in treating the penal system of Philadelphia. In 1916, Sir William Osler
B.T., M.D., FBS wrote in the Principles and Practice of Medicine
recommended treatment for lumbago was acupuncture.
</p>
<p>
However, after the 1920’s acupuncture was rarely ever used in the United
States. In 1971, James Reston reporter for the New York Times with
Nixon’s Chinese trip developed appendicitis. The Chinese proposed
surgery for his appendectomy using acupuncture anesthesia. His post
operative pain after appendectomy treatment was relieved by acupuncture
at the Anti-Imperialist Hospital in Peking, China.
</p>
<p>
Then in 1971, E. Gray Diamond M.D. wrote in JAMA , ‘Acupuncture
anesthesia, western medicine and Chinese traditional medicine’. He wrote
about the experiences in China. It was met with much skepticism. However
in 1973, the New York Society of acupuncture for physicians and dentists
was formed. This was the first physician and surgeon organization in the
United States dedicated towards acupuncture. In 1973, The AMA council of
Scientific affairs declares acupuncture an experimental medical
procedure.The FDA then required acupuncture equipment to be labeled as
investigative devices as recommended by the AMA. In 1983, The American
Osteopathic Association endorses the use of acupuncture as a part of the
practice of medicine.
</p>
<p>
In 1987, The American Academy of Medical acupuncture was formed as the
first national physician and surgeon organization dedicated to the
advancement of acupuncture within America. In 1991, thirteen states and
the district of Columbia regulate the practice of acupuncture by
physicians and 23 states in the district of Columbia establish licensing
requirements for non-physician acupuncturist. In 1993, 500 million
dollars per year was spent by the United States public on acupuncture
treatment.
</p>
<p>
In 1994, NIH and the FDA, reviewed the investigational designation of
acupuncture needles. In 1996, the FDA reclassifies the acupuncture
needles as Class II medical devices. In 1996, 11 states in the district
of Columbia regulate the practice of acupuncture by physicians. 26
states in the district of Columbia provide licensing regulations for
non-physicians. Non-physicians are presented by various organizations
including the Council Colleges of Acupuncture and Oriental Medicine, the
National Commission for Certification of acupuncturist.
</p>
<p>
The majority of physicians, over 6,000, in the United States have
received training at UCLA and Stanford Schools of Medicine from 1982
thru 2008 under Joseph Helms M.D. Since 2009 the Helms Medical Institute
(HMI) accredited by ACCME continues to teach basic, intermediate and
advance medical acupuncture courses for physicians throughout the USA.
These physicians learn traditional Chinese medicine, French energetic,
five element, neuroanatomic, auricular, scalp and hand acupuncture.
Currently, the other training programs for physicians are at USC,
Harvard and U of Miami.
</p>
<p>
For non-physician (MD, DO, DC) USA training in acupuncture there are 47
campuses of acupuncture colleges/schools within the Council of Colleges
of Acupuncture and Oriental Medicine. They receive a L. Ac. or a DOM
degree allowing them to take the NCCAOM board examination for licensure
to obtain a license to practice acupuncture and oriental medicine under
their respect state law.
</p>
<p>
Finally, acupuncture treatment can be either macrosystem (body) and
microsystem (hand, ear, scalp). All these types of acupuncture are
performed in the USA today including Yamamoto New Scalp Acupuncture and
various types of Chinese scalp acupuncture.
</p>
</Article>
);
};
export default ArticleAccupunctureHistory;

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import Article from "@/components/Article";
const ArticleEarAccupunctureFaq = () => {
return (
<Article
title="Ear Accupuncture FAQ"
author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
>
<p>
<strong>Q. What is ear acupuncture?</strong>
</p>
<p>
A. Ear acupuncture is needle stimulation to the auricle, or external
ear, using fine acupuncture needles.
</p>
<p>
<strong>Q. What is auriculotherapy?</strong>
</p>
<p>
A. Auricular therapy is needle-less stimulation of the auricle, or
external ear, using electrical probe for alleviating pain, dysfunction
and disease as manifest in other parts of the body.
</p>
<p>
Auricular therapy uses electricity to diagnose auricular acupoints. It
uses electricity, laser or colored filters to treat auricular acupoints.
It is performed by a physician, acupuncturist or therapist.
</p>
<p>
Auricular therapy is the bioenergetic and biomechanical approach to
wholistic health care and pain management. It is a form of needle-less
acupuncture. It is a diagnostic method and a therapeutic treatment of
the microsystem. It is rooted in acupuncture teachings and research and
it is the easiest and most “western” approach to acupuncture.
</p>
<p>
<strong>Q. How does auriculotherapy work?</strong>
</p>
<p>
A. Auriculotherapy works by stimulating the central nervous system
through the cranial nerves/spinal nerves on the auricle of the ear. This
stimulation results in neurotransmitters being stimulated within the
periactal ductal gray and pituitary and spinal cord of the central
nervous system. This stimulation of neurotransmitters modulates the pain
and modulates nerve function beginning the healing process within the
body to that organ or body part.
</p>
<p>
<strong>Q. Does auriculotherapy hurt?</strong>
</p>
<p>
A. Using acupuncture needles on the ear, pain may last one to three
seconds with the placing of the needle. Otherwise, acupuncture needles
should not hurt on the ear. If electrical stimulation is used or lasers
are used on the ears, there should be little to no pain at all perceived
by the patient.
</p>
<p>
<strong>Q. What problems is auriculotherapy good for?</strong>
</p>
<p>
A. Auriculotherapy is good for acute painful problems alleviating pain
almost immediately or within 24 to 48 hours. Auricle therapy is good for
chronic degenerative conditions such as osteoarthritis, rheumatoid
arthritis and other chronic painful conditions like spinal stenosis and
other chronic central nervous system conditions such as multiple
sclerosis. Other conditions include diseases and dysfunctions of the
gastrointestinal, genital urinary and cardiovascular systems. Auricular
therapy should not take the place of acute orthodox medical care in life
threatening situations.
</p>
<p>
<strong>Q. How frequently should I be treated?</strong>
</p>
<p>
A. In most cases, treatment for most chronic conditions may be treated
once or twice per weeks. However, in some acute conditions and very
serious conditions auriculotherapy may be applied daily for
approximately one week to 10 days.
</p>
<p>
<strong>Q. How does one perform auriculotherapy?</strong>
</p>
<p>
A. It is performed by a therapist using electrical means to diagnose
auricular acupoints. There are over 200 auricular acupoints on each ear
that represent all parts of the body and many functional areas of the
human organism. These points represent anatopical and neurological and
physiological functions.
</p>
<p>
The physician therapist uses a hand held wand and a diagnostic probe
similar to a pen that measures differences in skin conductivity between
the hand and the acupoint on the ear. The positive and negative polarity
of that relationship and if it is extremely negative or extremely
positive, with the touch of a button, the instrument stimulates the ear
with electrical stimulation either positively or negatively as needed.
With this, the physician auricular therapist will be able to diagnose
pain, dysfunction and disease whether it be somatic, visceral or
psychological in origin. These diagnostic aids, through research
performed at UCLA, prove to be quite accurate for a simple test — one
study yielding over 75% accuracy in a double-blind study.
</p>
<p>
People who do not want ear acupuncture or auricular therapy should,
obviously, not have it, but it would be wise for anyone with the
following conditions to abstain from ear acupuncture or auricular
therapy. These conditions include:
</p>
<ol>
<li>First trimester pregnancy</li>
<li>First two months of constitutional homeopathic treatment</li>
<li>Patients with pacemaker or spinal cord stimulator</li>
<li>Neonates children less than one day old</li>
<li>Patients with no external ear</li>
<li>
Individuals with a known genetic abnormalities of CCK enzyme produced
in the central nervous system. (This enzyme, which is produced in the
brain, neutralizes the neuroprotiens that are released with
acupuncture. Only a very small percentage of the population is
affected. As of today, there is no simple test to identify these
patients other than a trial of acupuncture or auricular therapy.
</li>
</ol>
<p>
<strong>Q. Are there side effects?</strong>
</p>
<p>
A. The primary side effect of ear acupuncture or auricular therapy is
tenderness or inflammation to the ear itself. Auricular therapy and
acupuncture generally have almost no side effects, especially if one is
using auricular therapy with electrical stimulation. If the therapist is
using the Elector-Therapy Association’s guidelines for treatment, there
are virtually no negative side effects.
</p>
<p>
Infection is possible when the skin is pierced with the acupuncture
needle, but is almost never heard of in auricular therapy. If the
patient is afraid of needles, auricular therapy, rather than ear
acupuncture should be performed.
</p>
<p>
<strong>Q. What does research show about auricular acupuncture?</strong>
</p>
<p>
A. In the 1980s, Drs. Oleson, Kroening, and Bresler, UCLA, in a paper
entitled, “An experimental evaluation of auricular diagnosis: The
somatotopic mapping of the musculoskeletal pain at the ear acupuncture
points.” This study verified the somatotopic auricular map in a blinded
experiment using electrical skin conductivity to 40 musculoskeletal pain
subjects with a 75.2% accuracy. (Reference: PAIN, 8, 1980, PP. 217-229.)
</p>
<p>
1985 UCLA Kroening and Oleson, “Rapid narcotic detoxification and
chronic pain patients with auricular electro acupuncture and Maloxon.”
Twelve out of 14 chronic pain subjects, or 85.7%, were completely
withdrawn from narcotic medication within two to seven days with no side
effects through the use of auricular electrical stimulation and
acupuncture needling of two auricular points used. (Reference:
International Journal of Addictions, 20 (9), PP. 1347-1360, 1985.)
</p>
<p>
1993, UCLA, Drs. Simmons and Oleson, “Auricular electrical stimulation
and dental pain thresholds.” Auricular electrical stimulation increased
dental threshold by 19% and was partially reversed by Maloxone.
(Reference: American Dental Society of Anesthesiology, 4:14-19, 1993.)
</p>
<p>
1993, Drs. Oleson and Flocco, “Randomized control study of premenstrual
syndromes triggered with ear, hand and foot reflexology.” Results show a
significant decrease of 46% in premenstrual symptoms from true
reflexology compared with placebo. (Reference: Obstetrics and
Gynecology, 86, NO. 6, DEC 1993, PP. 906-911.) inhibitory system.{" "}
</p>
</Article>
);
};
export default ArticleEarAccupunctureFaq;

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import Article from "@/components/Article";
const ArticleEarAccupuncture = () => {
return (
<Article
title="Ear Accupuncture"
author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
>
<p>
Auriculotherapy is a therapeutic intervention in which the auricle of
the external ear is utilized to alleviate pain, dysfunction and disease
as represented and manifest throughout the body.
</p>
<p>
The auricle of the ear is a complete Microsystem of the human body. All
vertebra, sympathetic/parasympathetic nerves, spinal nerves, visceral
organs and the central nervous system, and including all anatomical
sites and many functional points are represented on the ear. They total
over 200 specific acupuncture points.
</p>
<p>
While originally based upon the ancient Chinese practice of acupuncture,
the somatic tropic correspondence of specific parts of the body to
specific parts of the ear was first developed in France by Dr. Paul
Nogier.
</p>
<h2>Section A | History</h2>
<p>
All systems of acupuncture began originally in China with the Yellow
Emperors Classic of Internal Medicine compiled in 500 B.C. In this text,
the six yang meridians wereB.C. connected to the auricle of the ear.
Whereas the six yin meridians were indirectly connected to the ear by
its corresponding yang meridian. These ancient Chinese ear acupuncture
points were scattered over the auricle of the ear. Ancient Egypt,
Greece, and Rome between 500 B.C. and 100 A.D.. had recorded clinical
uses of earring’s and other forms of ear stimulation for various
problems particularly in the treatment of sexual and menstrual disorders
which Hypocrite’s and Galen recorded. After the fall of Rome
approximately 200 A.D.. ancient medical records were found in Persia
where the medical treatment for sciatic pain was cauterization on the
ear.
</p>
<p>
From 1500-1700 the Dutch East Indian Company, while merchant trading in
China brought many Chinese acupuncture procedures back to Europe
including the use of ear acupuncture. It was the Dutch East Indian
Company that saw acupuncture being used in the orient where medicine was
placed next to the needle site and they then developed the Western
hypodermic needle from Chinese acupuncture needles. Sporadic clinical
reports in Europe were discussed with the use of ear cauterization to
relieve sciatic pain.
</p>
<p>
Then in 1957, Dr. Paul Nogier, a physician from Lyon, France observed
the occurrence of scars on the ears of a patient who were successfully
treated for sciatic pain by French lay practitioners. Dr. Nogier then
developed a somatatopic map of the ear based upon the inverted fetus
concept. His work was first presented in France and then published by a
German acupuncture society and then finally translated into Chinese. In
1958, a massive study was initialed by Nanking Army Ear acupuncture
research team which verified the clinical accuracy of Dr. Nogier’s
inverted man concept of the little man on the ear. During the cultural
revolution, the “barefoot doctors” were taught the easy techniques of
ear acupuncture to bring healthcare to the Chinese masses.n of names of
auricular anatomy in location of ear reflex points.
</p>
<p>
In 1980, a double blind experimentally controlled research study at UCLA
Pain Management Center department of anesthesiology UCLA School of
Medicine conducted a research study by Richard J. Kroeuning M.D., Ph.D
and Terry D. Oleson Ph.D. This study reported in PAIN verified the
scientific accuracy of auricular diagnosis. There is a statistically
significant level of 75% accuracy achieved in diagnosing musculoskeletal
pain problems in 40 pain patients. Specific areas of height and
tenderness and increased electrical activity on the ear predicted
specific areas of the body where some pain or dysfunction would be
identified whereas the body free of pathology corresponded to non-active
points on the ear.
</p>
<p>
Research that followed throughout the United States utilized both the
Chinese and the French Auricular acupuncture points for the treatment of
chronic pain problems and the withdrawal from narcotic, alcohol and
nicotine. International meetings of the World National Organization in
1990 culminated in a standardization of names of auricular anatomy in
location of ear reflex points.
</p>
<h2>Modern China</h2>
<p>
While classical acupuncture was first developed in China, its use
diminished in the 1800’s when China was dominated by Western powers from
Europe. Then with the cultural revolution of Mao Sae Tong, the Chinese
with the inverted fetus concept rediscovered and identified auricular
acupuncture as a potent diagnostic and therapeutic weapon. Dr. Chen
Gong-Sun of Nanking Medical University confirmed the great changes in
the practice of ear acupuncture that occured in China in the 1995
international symposium and credited Dr. Nogier with systematizing ear
acupuncture as a somatatopic pattern of the inverted fetus for
auriculotherapy.
</p>
<p>
More recent Chinese discoveries focused on ear acupuncture and diagnosis
as a guide for recommending Chinese herbal remedies. Auricular points
are selected according to: (1) corresponding body regions where there is
pain or pathology according to the (2) pathological reactive points
tender to touch, according to (3) the principles of traditional Chinese
medicine, (4) the meridian theory, (5) according to physiological
understanding derived from modern western medicine, and according to the
(6) known therapeutic effects of a point in addition to the results of
experiments in clinical observations of the practitioners. The world
health organization and the Chinese government defined a localization of
91 specific auricular points by 1995.
</p>
<h2>The Europeans</h2>
<p>
Much of the work of auricular therapy was delineated by Dr. Paul Nogier
first textbook on the subject , ” The treatus of Auriculotherapy” 1972.
In 1950 Dr. Nogier was “intrigued by a strange scar which patient had in
the external ear.” He found that it was a treatment for sciatic a
involving cauterization of the edge of antihelix on the same side of the
neuralgia which had previously been observed.
</p>
<p>
These patients were unanimous in stating that they had received relief
for their sciatica pain within hours and even minutes from this ear
cauterization. While discussing this anithelix cauterization point for
sciatica with a colleague, Dr. Aman Thieu told Dr. Nogier ” the problem
with sciatic is the problem with the lumbosacral hinge”. Dr. Nogier then
conjectured that the antihelix area cauterized for sciatica could
correspond to the lumbosacral joint and whole antihelix could represent
the spinal column. The head could correspond to the lobe and the
antitragius area. In this way the ear could resemble an embryo in utero.
</p>
<p>
First Nogier experimented with cautery, then with a needle, and then
with electrical microcurrents imperceptible to the patient. Theses
microcurrents were successful in relieving pain and caused no undue
nervous upset to the patient which cauterization had done. In 1955, Dr.
Nogier mentioned his discoveries to the undisputed master of acupuncture
in France Dr. Niboyet and as a result Dr. Nogier presented his findings
to the Mediterranean Society in 1956 in which Dr. Bachman of Munich
Germany was in attendance. He published Dr. Nogier’s findings in an
acupuncture journal which has worldwide circulation particularly in the
far east . Because of these translations from German, the ear reflex
system was soon known by Chinese and Japanese acupuncturist. Dr. Nogier
commented that ” each doctor needs to be convinced of the efficacy of
this ear reflex method by personal results that he or she is right. They
are indeed fortunate people who can convince themselves simply by noting
the improvement of a symptoms they themselves have experienced” As Dr.
Nogier says ” the first stages of learning the map of the ear consist of
getting to know the morphology of the external ear, its reflex,
cartography and found to treat simple pains of traumatic origins.”
</p>
<p>
In 1966, Dr. Nogier, discovered a change in the radial arterial pulse
following tactile simulation to the ear. This was called the articular
cardiac reflex. This pulse change was a modification of the pulse
amplitude and way form. It is not related to the changes in the pulse
rate. The Auricular cardiac reflex has been important in identifying
each ear reflex points corresponding to particular parts of the body
where there is pain or pathology. Later, Dr. Nogier revised the name of
auricular cardiac reflex to the vascular autonomic signal (VAS) when he
realized that this was an involuntary arterial reflex and was not
limited to auricular stimulation but was in fact a general vascular
continuous reflex that could be achieved by tactile and electrical
stimulation for many body areas. The use of a VAS is an integral part of
auricular medicine. Besides using mechanical pressure or electrical
stimulation, light frequency filters and chemical substances on slides
were put over the surface of the ear to demonstrate a VAS response.
Wherever there was pathology in the corresponding area of the body. As
of this date, Dr. Paul Nogier is still alive in Leon, France, retired.
</p>
<h2>Section B | Body and Ear</h2>
<p>
Both ear and body acupuncture take their origins from China. However
body acupuncture has remained essentially unchanged whereas ear
acupuncture has been greatly modified by the discoveries of Dr. Paul
Nogier and further research is continuing to yield never developments in
auricular diagnosis and treatment.
</p>
<p>
Body acupuncture is based upon a system of 12 meridians, 6 yin and 6
yang meridians. The ear is a self contained microsystem that affects the
whole body.
</p>
<p>
Acupuncture points are anatomically defined in the areas of the skin.
They are set at fixed specific locations in body acupuncture and can
always be detected. In ear acupuncture , the auricular point can be
detected only when there is a problem without he corresponding part of
the body in which the ear point represents. The deqi that accompanies
stimulation of the body acupuncture point is not observed in stimulation
the ear acupuncture point.
</p>
<p>
In both body and ear acupuncture, the points are localized regions of
lowered skin resistance or higher skin conductivity. When there is
pathology in an organ represented in the meridian point or the auricular
point the epidermal skin conductance of the acupuncture point is high.
</p>
<p>
Ear acupuncture points are ipsiladeral or same side as the pain or
pathology. This representation on the ear is due to two contralateral
projections from the ear to the opposite side of the brain and from the
opposite side of the brain back to the opposite side of the body. Using
traditional Chinese medicine theory, ear points are ipsilateral because
Qi flows up the ipsilateral meridian.
</p>
<p>
Ear acupuncture provides a more scientifically verified means of
identifying areas of pain or pathology in the body than traditionally
Chinese medicine approaches such as tongue or pulse diagnosis. In
auricular diagnosis one can identify specific problems in the body by
detecting areas of the ear in which there is discolored, flaky, tender,
or have high skin conductivity. This increased conductance is measured
by a probe and is repeatable and verifiable. The subtle changes in
auricular diagnosis may identify conditions in which the patient and the
physician may only be marginally aware of.
</p>
<p>
Both ear acupuncture (auriculotherapy) and body acupuncture can be
chemically utilized to relieve pain pathology. They both can be used
together or applied separately. Healing not just pain relief. Both body
acupuncture and ear points do not simply reduce the experience of pain
but also facilitate natural healing processes within the body. Auricular
therapy facilitates the natural self regulating homeostatic mechanisms
of the body by diminishing over active body functions and increasing
underactive physiological processes. Both body acupuncture and auricular
therapy can have deep physiological and psychological affects.
</p>
<p>
Direct evidence of endorphinogenic response to auricular therapy has
been provided by Abbot et al in 1980, they observed a significant
increase in endorphins after acupuncture stimulation was combined with
nitric oxide inhalation. Whereas the controlled subjects given nitric
oxide without acupuncture showed no elevation of the endorphins.
</p>
<p>
The primary side-effects of ear acupuncture (auriculotherapy) is that
the ear itself can become tender and inflamed. Auricular therapy and
acupuncture generally is not recommended for patient with pace-makers
and during pregnancy. While auriculotherapy does not require the use of
needles, ear points may be sensitive to any applied simulation through
auriculotherapy treatment. Infection is almost never heard of in
auricular therapy and acupuncture and if a patient is afraid of needles,
auricular electrical stimulation is the preferred treatment.
</p>
<h2>Embryological Basis</h2>
<p>
Dr. Paul Nogier noted that the ear was composed of tissue from each of
the three primary types of tissue in the developing embryo. His theory
was that each type of embryological tissue on the ear accounts for a
different somatotopic functions related to the auricle. Ectodermal
tissue, superficial tissue is found in the ear lobe in the helix teal.
The ectoderm become the skin, hair, sweat gland, cornea and lens of the
eye. Nose, epithelium, teeth, nerves, spinal cord, subcortex of brain,
cerebrum and pituitary gland, pineal gland and adrenal medulla.
</p>
<p>
The mesodermal tissue , the middle tissue is found in the anithelix
scaphoid fossa, the triangular fossa. The mesoderm becomes the
musculoskeletal system of muscles, joints, bones, cardiac muscles,
smooth muscles, connective tissue, blood cells from the bone marrow,
lymphatic tissues, genial organs, kidney, and the adrenal cortex.
</p>
<p>
The third type is the endodermal tissue, the deep tissue which is found
in the concha. The endoderm becomes the gastrointestinal digestive
tract, the lungs, tonsil and the respiratory system. The internal organs
like the liver, pancreas, bladder, urethra.
</p>
<h2>Hormonal Basis</h2>
<p>
The neurotein system: natural pain relievers, endorphins, enkephalins,
are indigenous morphine chemicals which are found within the pituitary
and other parts of the central nervous system and encephalon is
subfactor of endorphin. These neurotransmitters occur in the brain at
the same site where opiate receptors are found. Both body and ear
acupuncture have been found to raise the blood serum and cerebral spinal
fluid levels of endorphins and enkephalins. Naloxone is a opiate
antagonist which blocks morphine endorphin.
</p>
<p>
Research report from UCLA by Simons &amp; Oleson 1993, Mayer et al 1977,
were the first investigators to provide scientific evidence that there
was neurophysiological and neurochemical basis for acupuncture and
auriculotherapy in human subjects. They demonstrated that the
acupuncture stimulation of the body through Large Intestine 4 points,
led to a significant increase in pain threshold. They were then able to
yield statistically significant reversal of elevated pain threshold by
intravenous administration of 0.8 mg of an opiate naloxone. The
acupuncture had raised dental pain threshold by over 27 %. There was no
treatment control group which showed a 6.9% in dental pain threshold. A
total of 20 of 35 acupuncture subjects showed increased pain threshold
greater than 20% contrasted with only 5 out of 40 subjects in the
controlled condition exhibiting a 20% elevation of pain threshold.
Naloxone given to acupuncture subjects reduced the pain threshold to the
same level as the control group.
</p>
<p>
Direct evidence of endorphinogenic response to auricular therapy has
been provided by Abbot et al in 1980, they observed a significant
increase in endorphins after acupuncture stimulation was combined with
nitric oxide inhalation. Whereas the controlled subjects given nitric
oxide without acupuncture showed no elevation of the endorphins.
</p>
<p>
TENS ( transcutaneous electrical nerve stimulation) suppresses pain by
activating A-Fibers which inhibit the input from C fibers. Acupuncture
stimulation tends to activate C fibers which activates super spinal
gating systems which then send descending input to the spinal inhibitory
neurons which suppresses the pain message. Secondary, stimulation
produced analgesia is a pain inhibitory system that has been
demonstrated by brain stimulation by the periactiductal central gray
matter which reduces the responses to pain in rats, cats, monkeys, and
humans. This peripheral stimulation and ear acupuncture points may
peripherally activate the pain inhibitory system.
</p>
</Article>
);
};
export default ArticleEarAccupuncture;

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import Article from "@/components/Article";
const ArticleScalpAccupuncture = () => {
return (
<Article
title="Scalp Accupuncture"
author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
>
<p>
Dr. Toshikatsu Yamamoto, of Miyazaki, Japan, founded and developed a new
system of scalp acupuncture in 1973, while working in Yamamoto Hospital
in Nichinan.
</p>
<p>
This micro acupuncture system is different from traditional Chinese
acupuncture and Chinese scalp acupuncture. It is both diagnostic and
interactive treatment system in relieving both somatic and visceral pain
problems, as well as balancing Qi, or energy.
</p>
<p>
This system is particularly good at helping neurological diseases and
dysfunctions. Cases treated with YNSA include post-CVA, paralysis,
aphasia, cerebral palsy, sciatica, arthritic pain, and acute or chronic
painful conditions.
</p>
<h2>Diagnosis</h2>
<p>
YNSA provides a neck diagnositc method developed by Dr. Yamamoto
verifying the Yin or Yang and the left or right sidedness of the
meridian dysfunction.
</p>
<p>
It provides an immediate feedback after correctly placing the
acupuncture needles. This constant interchange between the probing
physician and feedback from the patient’s body enables the practitioner
to diagnose and treat a wide variety of clinical problems.
</p>
<p>
The neck diagnosis is a palpatory psychomotor skill that is best taught
by a trained practitioner to a student. This is where results can be
seen and perfect practice makes for accurate diagnosis and effective
treatment.
</p>
<h2>My Experience</h2>
<p>
During a recent visit to Japan, I accompanied Dr. Yamamoto on his
hospital rounds to review the cases of stroke patients who receive YNSA.
Dr. Yamamoto demonstrated that by placing 3-4 needles at specific points
on the scalp, one could produce undeniably positive results in most
patients suffering from various degrees of paralysis in arms or legs.
Further, a single needle placed in the “aphasic point” actually restored
speech in aphasic (no speech) and dysphasic (difficult speech) patients.
</p>
<p>
I was pleased to discover Dr. Yamamoto’s unique therapy yielded positive
results on most (80%) of the patients under his care. I now use Dr.
Yamamoto’s methods to alleviate a variety of chronic and injury related
symptoms that impede the quality of life of my patients.
</p>
<h2>Case Study:</h2>
<p>
In Nichinan, Miyazaki, Japan on October 30, 1997 Dr. Yamamoto treated a
54 year old female patient suffering from left hemiparesis and a left
cold foot. Her stroke occurred 2 years prior. At 3:35 pm this
thermographic photo was made. Notice the 20.66 C° on the left toes
(right side of photo) and a small amount of 24 C° area in the instep of
the left foot (right side of photo)
</p>
<p>
Dr. Yamamoto placed two Serin acupuncture needles in the patients scalp.
</p>
<p>
The first was place in the right D point to effect the left leg and the
second needle was placed in the right M2 point/cerebrum for a left leg
effect. The needles were left in place for approximately 30 minutes. The
patient laid in bed with no socks on, only a blanket over her whole
body.
</p>
<p>
After the needles were removed we walked to the toilet and back again.
Then 10-15 minutes later at 4:33 pm the following thermographic photo
was made. With the two photos side by side you can comper the effect of
YNSA Acupuncture upon poor peripheral circulation in a 2 year old stroke
case.
</p>
<p>
The left hemiparesis resulted in a cold left foot (right side of before
photo). The left toes increased 1.5 C° to 2 C°. The left instep increaed
approximately 1.0 C°. The forefoot and the hindfoot increased
approximately 1.5 C°.
</p>
<p>
Two acupuncture needles placed in the contralateral side of the
hemiparesis using Dr. Yamamoto’s system (YNSA) is capable of stimulating
increased peripeheral circulation in a 2 year old stroke case.
</p>
</Article>
);
};
export default ArticleScalpAccupuncture;

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import Article from "@/components/Article";
import Link from "next/link";
const ArticleYamamotoNewScalpAccupunctureFaq = () => {
return (
<Article
title="Yamamoto New Scalp Accupunture FAQ"
author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
>
<p>
<strong>Q. What training is required for YNSA?</strong>
</p>
<p>
A. YNSA’s founder, Dr. Toshikatsu Yamamoto of Miyazaki, Japan, teaches a
one-week course to MDs and osteopaths in Japan, and conducts YNSA
seminars in the United States. A physician needs to have been trained in
acupuncture before studying YNSA.
</p>
<p>
Dr. Yamamoto has also lectured to licensed acupuncturists at the New
England School of Acupuncture.
</p>
<p>
<strong>Q. How effective is YNSA?</strong>
</p>
<p>
A. YNSA is very effective in treating pain conditions, and can be used
to modify most other medical conditions that are treatable by
acupuncture.
</p>
<p>
<strong>Q. How is YNSA different from traditional acupuncture?</strong>
</p>
<p>
A. YNSA is a microsystem of acupuncture located in the head and scalp,
containing the 12 main acupuncture meridians. The 12 main acupuncture
meridians are represented by ypsilon points located on the side of the
head. This microsystem is further divided into 40 basic anatomical
points on the forehead and 40 points on the back of the skull that
relate to all the body parts—head, shoulders, arms, spine, etc. By
treating these acupoints on the head, the physician can relieve pain or
dysfunction in the corresponding part of the body.
</p>
<p>
<strong>Q. How are the acupoints in YNSA organized?</strong>
</p>
<p>
A. YNSA is divided into the left and right side of the head. The left
side of the head is further divided into the yin side, or front of the
head;
</p>
<p>
and the yang side, which is the posterior, or back of the head. The
dividing line between the front and back of the head comes where the top
of the ear attaches to the skull. The yin side and the yang side are
each further divided into an upper and lower half. This yields 12
acupoints representing the 12 meridians on the lower half of the yin, or
left side of the head, and 12 acupoints on the upper half of the yin
side of the head. Thus there are 24 points in front of the ear in the
yin area; the same is true for the yang, or right side.
</p>
<p>
<strong>Q. How painful is YNSA</strong>
</p>
<p>
A. YNSA is less painful than drawing blood. However, there is some pain
involved because there is not a lot of fat where YNSA needles are
inserted. The head has a lot of nerve endings and is thus a sensitive
area.
</p>
<p>
<strong>Q. How often is YNSA administered?</strong>
</p>
<p>
A. In Japan, YNSA is often administered daily, or two to three times a
week. In the US, it is normally administered once or twice weekly on an
outpatient basis.
</p>
<p>
<strong>Q. How fast does YNSA produce pain relief?</strong>
</p>
<p>
A. Relief can occur within five to 10 seconds of placing the needle at
the correct acupuncture point.
</p>
<p>
<strong>Q. How long-lasting is the pain relief?</strong>
</p>
<p>
A. Relief can initially last from a few hours to a couple of days. Most
commonly, the pain returns after a few hours. The pain relief lasts
longer and longer with each successive treatment.
</p>
<p>
<strong>Q. Is there a needle-less form of YNSA?</strong>
</p>
<p>
A. Yes, there have been lasers used to treat these acupuncture points in
Japan. However, these laser treatments are not approved for use in the
US.
</p>
<p>
<strong>
Q. How many trained YNSA practitioners are there in the US?
</strong>
</p>
<p>
A. There are currently only about 60 physicians in the US who have been
personally trained by Dr. Yamamoto. Dr. Feely was the first American
osteopath to travel to Japan for YNSA training in 1993; he returned to
Japan for further training in 1997.
</p>
<p>
<strong>Q. Is there a clearinghouse for physicians using YNSA?</strong>
</p>
<p>
A. There is no YNSA clearinghouse yet. The best clearinghouse for
physician acupuncture is the American Academy of Medical Acupuncture:{" "}
<Link
href="http://www.medicalacupuncture.org/findadoc/index.html"
target="_blank"
>
www.medicalacupuncture.org/findadoc/index.html
</Link>
</p>
<p>
<strong>Q. Is YNSA covered by insurance?</strong>
</p>
<p>
A. Most medical insurance does not pay for acupuncture; check your
policy to verify the benefits under your plan.
</p>
<p>
<em>Page modified on 5/15/2011</em>
</p>
</Article>
);
};
export default ArticleYamamotoNewScalpAccupunctureFaq;

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@ -28,10 +28,13 @@ const ArtsForDocs = () => {
</div>
<div>
<h2>Resources</h2>
<Link href="/articles/cranial-manipulation" className="block">
<Link
href="/articles/feelys-osteopathic-dictionary"
className="block"
>
Feely's Abridged Osteopathic Dictionary
</Link>
<Link href="/articles/the-trauma-of-birth" className="block">
<Link href="/articles/omt-codes" className="block">
OMT Codes
</Link>
<Link

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@ -57,6 +57,30 @@ const ArtsForPatients = () => {
Treatment for the Newborn
</Link>
</div>
<div>
<h1>Accupuncture</h1>
<Link href="/articles/accupuncture-basics" className="block">
Accupuncture Basics
</Link>
<Link href="/articles/accupuncture-history" className="block">
Accupuncture History
</Link>
<Link href="/articles/ear-accupuncture" className="block">
Ear Accupuncture
</Link>
<Link href="/articles/ear-accupuncture-faq" className="block">
Ear Accupuncture FAQ
</Link>
<Link href="/articles/scalp-accupuncture" className="block">
Scalp Accupuncture
</Link>
<Link
href="/articles/yamamoto-new-scalp-accupuncture-faq"
className="block"
>
Yamamoto New Scalp Accupuncture FAQ
</Link>
</div>
</section>
);
};

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import Link from "next/link";
const OsteoForDocs = () => {
return (
<section className="min-h-screen" id="osteofordocs">
OsteoForDocs
<div className="">
<div className="">View Dr. Feely's resources for doctors:</div>
<Link href="/articles/feelys-osteopathic-dictionary" className="block">
Feely's Abridged Osteopathic Dictionary
</Link>
<Link href="/articles/omt-codes" className="block">
OMT Codes
</Link>
<Link
href="/content/doctor-resources/drg_omt_chart.pdf"
target="_blank"
className="block"
>
DRG/OMT Chart [PDF]
</Link>
</div>
<div className="">
Or, learn more by reading his articles for doctors:
</div>
</section>
);
};

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