Acupuncture Thru The Ages

1. Yin and Yang
2. 5 Elements
3. Meridian Balance
4. Biochemical Models
   • B-Endorphins
   • Cerebral Blood Flow
   • Anti-inflammatory Substances

Anti-Inflammatory Effects of Acupuncture

A. Downregulates Proinflammatory Markers:

1. Cytokines: IL-1b, IL-2, IL-6, IL-12, Il 17, IFN-g, and TNF-a
2. Neuropeptides: Substance P, Neurokinin A, VIP, Bradykinin, and

           Calcitonin Gene-Related Peptide

B. Upregulates:

1. Cytokines:  IL-4 and IL-10.

Freek J. Zijlstra ,CA, Ineke van den Berg-de Lange, Frank J. P. M. Huygen and Jan Klein;  Anti-inflammatory actions of acupuncture; Mediators of Inflammation, 12(2), 59/69 (April 2003).

Clearfield, W., “Anti-Inflammatory Effects of Medical Acupuncture,” Presented at National Symposium, of American Academy of Medical Acupuncture, April 25, 2015, St. Louis, Mo.

Changes in inflammatory markers at the cellular level are the new gold standard for measuring efficacy of various medical interventions.

Example:  Humira, Enbrel, Remicade  all target and block TNF-alpha

Acupuncture  demonstrates changes in the same manner as powerful chemical biologics.

Why Needle the Ear?

1.Effective in relieving acute and chronic pain symptoms.

2.No disrobing.

3.May be applied either as stand alone or whole body rx.

4.Due to innervation and vascular supply, the external auricle maps a pictorial representation of an inverted body.

5.Scanning the ear with a probe or with a battery-operated resistance measuring device identifies zones that correspond to traumatized areas.

French Physician Observations

The Three Phases

Phase 1 : Acute Issues

Phase 2: Degenerative Issues

Phase 3: Chronic Issues

BFA Needles

ASP Gold Needle

Indications

1.Acute and Chronic Pain Syndromes

2.Migraine Headaches

3.PTSD

4.Depression/Anxiety

5.Stress Induced Apathy and Insomnia

6.Pre/Post Operative Pain Adjunct

Contraindications

1.Pregnancy or potentially pregnant.

2.Bleeding  disorders

3.Needle averse patients

4.Personal history of aversion to needles or a  history of  vasovagal response to needles.

5.Infected insertion sites

6.Active Flight Duty (Reason?)

BATTLEFIELD ACUPUNCTURE (BFA)    

SEQUENCE OF NEEDLES

1. CINGULATE GYRUS
2. THALAMUS
3. OMEGA 2
4. POINT ZERO
5. SHEN MEN                                                                                       Cingulate Gyrus

Needle first dominate hand side.

Alternate sides.

General sedation effect

Relaxation

Anxiety/Stress Reduction

Reduces high blood pressure

Thalamus

Represents the whole diencephalon, including the thalamus and the hypothalamus.

Pre Amplifies signals sent to the cerebral cortex.

Eliminates meaningless background noise.

Highest level of the supraspinal gate control system

Pain disorders, acute and chronic; Auricular acupuncture analgesia.

Reduces:

Neurasthenia, anxiety, depression, schizophrenia, over-excitement, sweating, swelling, shock, hypertension, coronary disorders, cardiac arrhythmias, Raynaud’s disease, gastritis, nausea, vomiting, diarrhea, constipation, liver disorders and gall bladder dysfunctions.

Strengthens the brain and calms the mind.

Second needle-needle side of greatest pain attenuation first.

Omega 2

Reduces inflammatory reactions

Allergies

Rheumatoid Arthritis

Asthma.

Elimination of toxic substances

Excretion of metabolic wastes

Alleviates anaphylactic shock.

Pt. Zero

Geometrical and physiological center of the whole auricle.

Creates balance and homeostasis.

Balances energy, hormones and brain activity.

Supports the other auricular points.

Located where the umbilical cord rises the inverted fetus pattern.

Point Zero serves as the ’autonomic brain; Controls visceral organs

Shenmen

Tranquilizes the mind and allows a harmonious connection to essential spirit.

Alleviates stress, pain, tension, anxiety, depression, insomnia, restlessness, and excessive sensitivity.

Universal point-useful for auricular analgesia.

Drug, alcohol, detoxification.

Coughs, fever, inflammatory diseases, epilepsy and high blood pressure.

Battlefield Acupuncture Points

BFA Acupuncture

Pain before acupuncture                        Pain after acupuncture 

Anterior Cingulate Cortex                     Anterior Cingulate Cortex

Pain before  acupuncture         Pain decreased after acupuncture

Cerebellum                                     Cerebellum

BATTLEFIELD ACUPUNCTURE

Battlefield Acupuncture and near-infrared spectroscopy – Miniaturized computer-triggered electrical stimulation of battlefield ear acupuncture points and 50-channel near-infrared spectroscopic mapping

Litscher G, Bauernfeind G, Gao XY, Müller-Putz G, Wang L, Anderle W, Gaischek I, Litscher D, Neuper C, Niemtzow RC

Medical Acupuncture 2011;27(4).

BFA OXYGEN CHANGES IN THE CNS

SPECIFICATIONS

1. Easy to Teach
2. Sealed Sterilized Needles Can be Carried in Pocket
3. Rapid: Seconds to Insert
4. Designed for Hostile Environment
5. No Need to Disrobe/Expose Body Parts
6. Needle Disposal Not Problematic
7. Results: Rapid 1-3 Day Pain Reduction (conservative)

Case  Series

Patients Who Had Not Responded To Western Medical Treatment

Outcomes

• ∙80% Response Rate
• ∙Pain Relief Generally Lasts For Days
  (2-4 Avg.)
• Subsequent Treatment Provides Longer Term Relief

INSERTION OF NEEDLES

Push Do Not Squeeze

IMPORTANT!

• OBTAIN A HISTORY AND PERFORM A CLINICAL EXAMINATION
• DO  NOT TREAT ANY UNDIAGNOSED PAIN

BFA PROTOCOL

• Select Patient Appropriately
• Obtain Informed Consent
• Clean Hands – Clean Ear
• Place Needle With Patient Sitting
• Advanced  BFA
• Find Dominant Ear
• Dissimilar Metals
• Walk
• Assess Pain Level
• Repeat
• Stop
• After Care

BFA PROTOCOL

1. 1. After Care Of ASP Needles
      • Signs of infection
      • Do not rub on ears after bathing
      • Sleep on a soft pillow
   2. Caution With Children

TYPES OF STIMULATION

STIMULATION OF THE EAR DIFFERENT COLORS DIFFERENT FREQUENCIES

LASER

What Do With An Inadequate Response

1. Complete Sequence Bilaterally
2. Linear placement of ASP Needles
   Alternate Gold and Silver
3. Cluster around point that caused greatest drop in pain score (at least 2 points on scale of 1/10)
4. Complete one ear and if not 0-1/10 needle opposite ear

Linear Placement W Alternate Metals

Migraine Headaches

1.History and Physical ( Must Perform!)

2.During the History and Physical Insert N points into ear points (bilaterally)

3.After 2 minutes  Shen Men, Point Zero and Omega 2 bilaterally

4.Occasional Piezoelectric Stimulation: LI-4, -PC-6, ST-36, ST-43 and Liv-2,3,4

Location of “N” Point

Smoking Cessation I

Bilateral Ear Points

1.Shenmen

2.Pt. Zero

3.Lung 1 or 2

4.Ant-Nicotine Pt.

5.Kidney Pt.

6.Tee Mie

Smoking Cessation

Tee Mie I

Tee Mie II

Smoking Cessation II

Smoking Cessation Protocol

2 treatments per week 30 minutes each

2 weeks total (4 treatments)

Request patient to begin smoking cessation on the 2nd treatment.

If non compliant terminate therapy.

Appetite Control

Suppresses bingeing

3 ear points: Appetite Control Point, Shen Men and Point Zero

Treat 15 minutes only

1.14-28 day Detox-Elimination Diet

2.Paleo Style Maintenance Diet

3.B12/MIC, Glutathione Injections

4.Leptin Suppression

 

1. D-phenylalanine Detox Supplement
2. Medications (Optional)
   a.Phentermine, Low Dose Prozacb.Naloxone (Low Dose), Buperionc.Green Jacket (ephedra (27 mg), green tea)

Allergy Rx

Seirin No 3 needles

Needles in Allergy Point, Shen Men and Point Zero points over 30 minutes then replace with gold ASP needles.  Repeat entire protocol twice weekly.

Intradermal needle Liver Pt. x 21 days

When symptoms resolve go to ASP needles  as needed.

Liver as Nidus of Allergies

Mast cells; Immunoglobulin IgE antibodies Allergic reactions and anaphylaxis

Long-term pathophysiologic changes and tissue remodeling associated with chronic allergic inflammation

Acquisition of new food allergies following liver transplantation well-known.

Immunosuppressive Drugs as Etio?

Not seen in transplant-acquired food allergy in cardiac, pulmonary, or renal-transplant

Traditional Allergy Rx. Vs. SAAT

Insomnia

Start with insomnia 1 and 2 (bilaterally) using gold ASP needles. If the patient comes back and the the problem is still on going repeat but add Shen Men and Point Zero.

If the sleep problem still persists, start with seirin needles bilaterally over 30 minutes and then add gold ASP needles.

Continue in this fashion and try to slowly taper down.

Vertigo

1. Vertigo Point
2. Shen Men
3. Point Zero
   ASP needles bilaterally

Libido

 

1. Sexual Desire
2. 2.Shen Men
3. Pt. Zero
   Seirin # 3 Needles x 15 minutes then ASP needles 1-2/wk x 3-4 wks.

Erectile Dysfunction

Menopausal and Gyn Issues