Transcript Chinese Diagnostics and Microsystems

Tobacco Cessation Protocol
Doris Hubbs, MD, FACP
April 27, 2013
 Traditional
diagnosis:
• Inspection
• Auscultation and Olfaction
• Inquiring
• Palpation
Wall Street Journal: April 24, 2013
Wall Street Journal, April 24, 2013
 Traditional
diagnosis:
• Inspection of face, body,
and especially the tongue:
S: tongue size and shape
C: tongue color and coating
U: tongue underside (true color)
M: tongue markings and moisture
 Principal
meridians (and internal organs)
are reflected on specific tongue areas
kidney
GB-stomach-spleen-liver
Heart-lung
 Color
•
•
•
•
Light red or pink: normal
Red: abnormal heat
Pale: yang deficiency or blood deficiency
Purple tongue: stasis
• Tongue Color can be affected by food
or natural pigmentation
PALE TONGUE
LIGHT RED TONGUE
Need good lighting,
preferably natural light
For adequate inspection of color
LIGHT RED TONGUE
RED TONGUE
DARK RED TONGUE
PINK TONGUE
PINK TO LIGHT RED
UNDERSIDE : TRUE COLOR
THICK TONGUE
NORMAL FULL SIZE TONGUE
SLIGHTLY SWOLLEN EDGES
SWOLLEN EDGES
THIN TONGUE?
“HAMMER TONGUE”
LONG TONGUE
UNEVEN COAT
NORMAL
THIN, WHITE MOIST COAT
YELLOWISH, THICK, DRY
COAT
WHITE COAT
“WITHOUT ROOT”
NOTE TEETH MARKS AND
RED TIP
LOOK FOR VENOUS CONGESTION
LIGHT RED
DARKER RED
LESS SWOLLEN;
FEWER CRACKS
TEETH MARKS REMAIN;
BUT TIP OF TONGUE BETTER
KI 3 AND SP6 CONNECTED WITH
4 HZ ELECTROTHERAPY TO LU 5
COAT IS LESS PEELED
TIP IS LESS DENTED
 “Quivering”
 ..\power
point presentations
042713\tongue quivering
 Traditional
diagnosis:
• Inspection of face, body,
and especially the tongue:
S: tongue size and shape
C: tongue color and coating
U: tongue underside
M: tongue markings and moisture
 Traditional
diagnosis:
• Inspection
• Auscultation and Olfaction
• Inquiring
• Palpation
•
•
•
•
Ear (auricular)
Hand
Scalp
(Tongue)
 Hand
acupuncture: Korean, Chinese,
 Scalp
acupuncture: Japanese, Chinese,
 Ear
acupuncture: French, Chinese,
ENTIRE BODY ON HAND
ALL MERIDIANS ON HAND
POSTERIOR BODY ON HAND
ANTERIOR BODY ON HAND
CHINESE SCALP
ACUPUNCTURE
JAPANESE SCALP
ACUPUNCTURE
 Stroke
Rehab
 Difficult
pain conditions
 Neurodegenerative
disorders
FIND THE MOTOR AREA
& THE SENSORY CORTEX
AARP BULLETIN APRIL 2013
ACUPUNCTURE FOR PAIN
 Anxiety
 Substance
abuse (detox protocols):
NADA Protocol
 Nausea and GI sx
 Pain
• Specific points
• Battlefield Acupuncture Protocol
Many more conditions can be treated
Needle the ear point associated
with the part of the body in pain
 Observe
abnormal ear markings,
discolorations, abnormal skin
 Palpate
 Use
for tenderness at specific points
electrodermal point finder to
• locate regions with low skin resistance
• (high skin conductance)
 Acupressure
with seeds or pellets
 Acupuncture
needles:
• Short needles, 15 mm (0.2 mm)
• ASP needles (stay in for 1-2 days)
Electroacupuncture
Laser stimulation
FOUR POINTS FOR ANXIETY
INSERTED IN
“SHOULDER POINT” OF EAR
Four ASP gold needles in the autonomic pt., LI, SI, stomach pts.
Patient felt better and less nauseated immediately afterwards.
 National
Acupuncture Detoxification
Association Protocol
 Works
 Shen
for withdrawal of opiates & other
Men
 Autonomic Point
 Lung 1 or 2 (use the more reactive)
 Liver
 Kidney
 Five
ear acupoints in specific order:
 Cingulate
gyrus
 Thalamus
 Omega
2
 Point zero prime
 Shen men
 For
acute pain
FIVE EAR POINTS
USING ASP GOLD SEMIPERMANENT NEEDLES
5 EAR POINTS
MILITARY IS USING THIS
 PATIENTS
 All Failed Western
Pain Medications
 A. 40
y/o M Sciatic LBP 10/10 4 weeks TX:
1/10
F/U: 3 days 9/10
 B. 52 y/o M Shoulder Bursitis 7/10 1 month
TX: 0/10 F/U: 10 days: 2-3/10
 C. 36 y/o F 5 years Elbow and Leg Pain 7/10
• TX: 1/10
 D. 43 y/o F
• TX: 0/10
F/U:8 days: 3/10
9 years TMJ 4/10
F/U: 2 days 5/10
E. 77 y/o F 10 months Fibromyalgia 6/10 pain TS:
2/10
 F/U:2 days: 3/10
 F. 24 y/o F 5 years Carpal Tunnel bilat 4-5/10 TX: 0/10
 F/U:4 days: 4/10
 G. 21 y/o F 2 years TMJ 4/10 TX: 1/10 F/U: 2 days:
2/10
 H. 78 y/o F 7-8 years Left Hip/DJD pain 8/10 TX: 2/10
 F/U:3 days: 1/10
 I. 50 y/o F 17 years Fibromyalgia Pain 9/10 TX: 0/10
 F/U: 5 days: 6.5/10

December 2011
Developed by Dr. Helms et al.
ATP


6 EAR POINTS IN
SPECIFIC ORDER
Targets auricular areas that
correspond to parts of
brain hurt by stress/ trauma
Thought to help balance or
normalize brain dysfunction
caused by stress/ trauma
Helms, et. Al., HMI Auricular Trauma Protocol: An Acupuncture Approach for
Trauma Spectrum Symptoms, Medical Acupuncture, Vol.23:4, 2011.
ATP
6 EAR POINTS IN
SPECIFIC ORDER
Use regular or ASP needles
(or press tacks or pellets)
Leave needles in for 30-120
minutes

Used successfully for:
• PTSD
• Pain
• Acute/chronic conditions
• Military or civilian
Helms, et. Al., HMI Auricular Trauma Protocol: An Acupuncture Approach for Trauma Spectrum Symptoms, Medical Acupuncture, Vol.23:4, 2011.
 The
tongue can be valuable for diagnosis
 The radial pulse can be important for
diagnosis but is more difficult to master
 Auriculotherapy is one type of
microsystem acupuncture that is
relatively easy to use
 Other microsystems of acupuncture
include (Korean) hand acupuncture and
Japanese and Chinese scalp acupuncture
 More
than one protocol available for
decreasing withdrawal symptoms
 Body acupuncture and ear acupuncture
 Does
NOT keep the person from
smoking or buying cigarettes
 Only helps with the w/d symptoms:
craving, irritability, nervousness, etc.
 Quit
cigarettes the night before (day 0)
 Day 1: give full treatment protocol
 Day 2 or 3: repeat full tx protocol
 Open door for ear protocol for 1st wk
 Day 8: give full tx protocol
 Week 3: repeat full tx protocol
 Week 5 or 6: repeat full tx protocol
• Modified from Medical Acupuncture for Physicians: A
Pocket Clinical Reference Guide
• (Complied by Carlos Vargas, MD)
GB 8, GB 18, (AND GV 20)
SP 3 ON EACH FOOT WITH
4 HZ ELECTRICITY
 Insert
acupuncture needles into
• GB 8 and GB 18 (both sides of head)
• SP 3 (both feet and connect electrical stimulation
from one foot to the other with 4 HZ)
Patient is comfortably semi-reclined and
treatment continues for about 45 minutes
GV 20 is often added to the acupoints above
AURICULOTHERAPY
FOR ANXIETY
NADA PROTOCOL
 Cochrane
review of acupuncture for
cigarette cessation:
no evidence of benefit
Acupuncture may improve withdrawal
symptoms, but patients need to be
committed to stopping cigarettes
in order to be successful.
 Cigarette
protocols and auriculotherapy
can be helpful for withdrawal symptoms,
including craving, irritability, and anxiety
 Patients
need to be committed to stop
smoking in order to have long term
success