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Traditional Traditional Chinese Medicine Chinese Medicine

Steve Steve Jackowicz Jackowicz M Ac M Ac Ph D Ph D Steve Steve Jackowicz Jackowicz, , M.Ac M.Ac., Ph.D., ., Ph.D., L.Ac L.Ac. . Note: Click your mouse or arrow keys to advance the slides. To exit full‐screen mode, hit your Esc key.

What is Traditional Chinese What is Traditional Chinese di i di i Medicine? Medicine?

Traditional Chinese Medicine is more properly called

Traditional Chinese Medicine is more properly called Traditional East Asian Medicine. Traditional East Asian Medicine.

T.E.A.M. was the primary medical model of all of East Asia

T.E.A.M. was the primary medical model of all of East Asia for the past four thousand years. for the past four thousand years.

It is the longest continuously practiced form of primary

It is the longest continuously practiced form of primary care medicine in the world. care medicine in the world.

Today it is gaining popularity worldwide.

Today it is gaining popularity worldwide.

Traditional East Asian Medicine Traditional East Asian Medicine Traditional East Asian Medicine Traditional East Asian Medicine

Was practiced in the countries defined by the

Was practiced in the countries defined by the “Sinitic Sinitic Sphere” Sphere” – the countries that adopted the countries that adopted f f C f i i f f C f i i some form of Confucianism some form of Confucianism

• China, Japan, Korea, and Vietnam

China, Japan, Korea, and Vietnam Has four major parts, called the “Four Pillars”

Has four major parts, called the “Four Pillars”

• Acupuncture and

Acupuncture and Moxibustion Moxibustion

• Herbs and Diet

Herbs and Diet

• Herbs and Diet

Herbs and Diet

• Physical Manipulation

Physical Manipulation

• Breathing Exercises

Breathing Exercises

Acupuncture and Acupuncture and Moxibustion Moxibustion Acupuncture and Acupuncture and Moxibustion Moxibustion

Acupuncture

Acupuncture

• The use of nine traditional tools on the surface of the body to

The use of nine traditional tools on the surface of the body to change the state of health change the state of health Moxibustion

Moxibustion

• The

The burnig burnig of “

• f “Moxa

Moxa” ( ” (artemesia artemesia vulgaris vulgaris / / mugwort mugwort) on the ) on the skin to change the state of health skin to change the state of health Both of these methods work on a bio

Both of these methods work on a bio‐feedback system feedback system that links the surface to the interior of the body that links the surface to the interior of the body

Acupuncture Acupuncture Acupuncture Acupuncture

Acupuncture involves the use of tools on the skin

Acupuncture involves the use of tools on the skin

Some of the tools are needles that penetrate the skin

Some of the tools are needles that penetrate the skin

Some of the tools are needles that penetrate the skin

Some of the tools are needles that penetrate the skin

Other tools pull the skin, or depress the skin

Other tools pull the skin, or depress the skin

Acupuncture Research Acupuncture Research Acupuncture Research Acupuncture Research

Acupuncture has become the subject of many research studies

Acupuncture has become the subject of many research studies in the modern day in the modern day

The World Health Organization has endorsed acupuncture for

The World Health Organization has endorsed acupuncture for the treatment of seventeen major health concerns, from back the treatment of seventeen major health concerns, from back pain to cancer to HIV/Aids pain to cancer to HIV/Aids

One study in the Journal of the American Medical Association’s

One study in the Journal of the American Medical Association’s Archives of Internal Medicine Archives of Internal Medicine in 2007 denoted that after 10 in 2007 denoted that after 10 acupuncture visits patients with back pain of an average of 8 acupuncture visits patients with back pain of an average of 8 acupuncture visits patients with back pain of an average of 8 acupuncture visits patients with back pain of an average of 8 years’ duration reported 47.6% improvement, compared with a years’ duration reported 47.6% improvement, compared with a 27.4% improvement from the control group who received 27.4% improvement from the control group who received Western medicine for back pain Western medicine for back pain p

Moxibustion Moxibustion Moxibustion Moxibustion

Moxibustion

Moxibustion is actually older than acupuncture, and has is actually older than acupuncture, and has been used historically for many health concerns been used historically for many health concerns

In Japan

In Japan moxibustion moxibustion therapy is so developed that it therapy is so developed that it actually has a separate license structure from acupuncture actually has a separate license structure from acupuncture

Moxibustion Moxibustion Research Research Moxibustion Moxibustion Research Research

Moxibustion

Moxibustion has also been the subject of modern research. has also been the subject of modern research.

In a 1998 study published in the

In a 1998 study published in the Journal of the American Journal of the American

In a 1998 study published in the

In a 1998 study published in the Journal of the American Journal of the American Medical Association Medical Association, 75% of the pregnant women in the , 75% of the pregnant women in the study had breech fetuses that turned in the normal study had breech fetuses that turned in the normal i i i h i i i h ib i ib i h h position with position with moxibustion moxibustion therapy. therapy.

In a 2007 study reported in the journal

In a 2007 study reported in the journal Acupuncture in Acupuncture in M di i M di i d d li f f h i i i i d d li f f h i i i i Medicine Medicine demonstrated relief of osteoarthritis pain in rats demonstrated relief of osteoarthritis pain in rats following following moxibustion moxibustion therapy therapy

Herbs and Diet Herbs and Diet Herbs and Diet Herbs and Diet

Herbs

Herbs

• Herbal medicines actually include plants, minerals, and

Herbal medicines actually include plants, minerals, and animal products animal products

• Herbs are used to alter the body’s metabolism, alleviate

Herbs are used to alter the body’s metabolism, alleviate pain, and cure disease pain, and cure disease p , p , Diet

Diet

• T.E.A.M. Diet Therapy is based on creating functional change

T.E.A.M. Diet Therapy is based on creating functional change

• T.E.A.M. Diet Therapy is based on creating functional change

T.E.A.M. Diet Therapy is based on creating functional change in the state of health not on the biochemistry of foods in the state of health not on the biochemistry of foods

Herbs Herbs Herbs Herbs

Herbs are similar to pharmaceuticals in that they are used for

Herbs are similar to pharmaceuticals in that they are used for the short term to alter the state of health the short term to alter the state of health

Approximately 60% of Western medicines are derived from plant

Approximately 60% of Western medicines are derived from plant

Approximately 60% of Western medicines are derived from plant

Approximately 60% of Western medicines are derived from plant sources sources There have been many studies of the efficacy of herbs for severe

There have been many studies of the efficacy of herbs for severe health concerns. health concerns.

In September 2008, the National Center for Complementary and

In September 2008, the National Center for Complementary and Alternative Medicine (NCCAM) has awarded $6 million to create Alternative Medicine (NCCAM) has awarded $6 million to create th C t f H b l R h C l t l C R h t th C t f H b l R h C l t l C R h t the Center for Herbal Research on Colorectal Cancer. Researchers at the Center for Herbal Research on Colorectal Cancer. Researchers at the center will study the anti the center will study the anti‐tumor effects of different tumor effects of different preparations of the herbs American ginseng ( preparations of the herbs American ginseng (Panax Panax quinquefolius quinquefolius), ), and and notoginseng notoginseng (Panax Panax notoginseng notoginseng). ). g g g g ( g g g g)

Diet Diet Diet Diet

Asian medicine has used diet therapy since its inception

Asian medicine has used diet therapy since its inception

Foods are ideal

Foods are ideal medicinals medicinals since the body does not since the body does not

Foods are ideal

Foods are ideal medicinals medicinals since the body does not since the body does not develop a tolerance for them develop a tolerance for them

The T E A M approach to diet therapy is based on

The T E A M approach to diet therapy is based on

The T.E.A.M. approach to diet therapy is based on

The T.E.A.M. approach to diet therapy is based on common sense long term changes to the individual’s common sense long term changes to the individual’s intake, not short term fad approaches intake, not short term fad approaches

Physical Manipulation Physical Manipulation Physical Manipulation Physical Manipulation

Physical Manipulation includes techniques to address the

Physical Manipulation includes techniques to address the body’s hard tissues; the bones, ligaments, muscles, and body’s hard tissues; the bones, ligaments, muscles, and t d t d tendons tendons

Stretches, range of motion exercises, and prescriptive

Stretches, range of motion exercises, and prescriptive i ll d h i b l i h b d i ll d h i b l i h b d exercises are all used to correct the imbalances in the body exercises are all used to correct the imbalances in the body structure structure

Physical Manipulation Physical Manipulation Physical Manipulation Physical Manipulation

Physical Manipulation in the classical period included the

Physical Manipulation in the classical period included the setting of bones, and general setting of bones, and general traumatology traumatology

Often times internal medical problems can be impacted by

Often times internal medical problems can be impacted by the use of physical manipulation the use of physical manipulation

A 1997 study reported in the

A 1997 study reported in the Journal of Complementary and Journal of Complementary and Alternative Medicine Alternative Medicine denoted improvement in denoted improvement in l d d i f i i i i h l d d i f i i i i h symptomology and reduction of pain in patients with symptomology and reduction of pain in patients with multiple sclerosis who were treated with massage multiple sclerosis who were treated with massage

Breathing Practices Breathing Practices Breathing Practices Breathing Practices

Traditional breathing practices include those that

Traditional breathing practices include those that resemble meditation, resemble meditation, taichi taichi, and what we now call qigong , and what we now call qigong

Breathing practices are used in Traditional East Asian

Breathing practices are used in Traditional East Asian Medicine to treat problems such as depression, anxiety, Medicine to treat problems such as depression, anxiety, i i i i insomnia, etc. insomnia, etc.

Breathing Practices Breathing Practices Breathing Practices Breathing Practices

The Asian medical tradition holds that if you exercise, then

The Asian medical tradition holds that if you exercise, then breathing changes, so if we change breathing patterns, we can breathing changes, so if we change breathing patterns, we can affect the body is ways similar to exercise affect the body is ways similar to exercise affect the body is ways similar to exercise affect the body is ways similar to exercise

Alteration of the breath can actually alter the relative acidity

Alteration of the breath can actually alter the relative acidity and alkalinity of the blood changing the body’s ph and and alkalinity of the blood changing the body’s ph and and alkalinity of the blood changing the body s ph and and alkalinity of the blood changing the body s ph and influencing the overall state of the metabolism influencing the overall state of the metabolism

A study in the January 2009 issue of the

A study in the January 2009 issue of the British Medical Journal British Medical Journal y y 9 y y 9 reported that a double blind randomized controlled trial reported that a double blind randomized controlled trial revealed specific breathing techniques can cut the use of revealed specific breathing techniques can cut the use of reliever and preventer inhalers required in mild asthma. reliever and preventer inhalers required in mild asthma. reliever and preventer inhalers required in mild asthma. reliever and preventer inhalers required in mild asthma.

Traditional East Asian Medicine in Traditional East Asian Medicine in d i d i Modern America Modern America

Most states require licensure for the practice of acupuncture

Most states require licensure for the practice of acupuncture

Two states require licensure for the practice of Asian Herbal

Two states require licensure for the practice of Asian Herbal Two states require licensure for the practice of Asian Herbal Two states require licensure for the practice of Asian Herbal Medicine Medicine

Acupuncture education in America requires a minimum of 2850

Acupuncture education in America requires a minimum of 2850 p q 5 p q 5 hours of education to sit for the three part licensure hours of education to sit for the three part licensure examination examination

In certain states medical doctors can practice acupuncture with

In certain states medical doctors can practice acupuncture with either no training at all, or a 300 hour course either no training at all, or a 300 hour course

Traditional East Asian Medicine in Traditional East Asian Medicine in d i d i Modern America Modern America

Insurance companies have begun to cover acupuncture

Insurance companies have begun to cover acupuncture though the health concerns that are covered may be though the health concerns that are covered may be li it d li it d limited limited

Rhode Island, Florida, New Mexico, Washington State,

Rhode Island, Florida, New Mexico, Washington State, d C lif i h d d h b d C lif i h d d h b and California have mandated that acupuncture be and California have mandated that acupuncture be covered by insurance, and in those states acupuncturists covered by insurance, and in those states acupuncturists can operate as primary care providers can operate as primary care providers p p y p p p y p

The American Healthcare Crisis The American Healthcare Crisis The American Healthcare Crisis The American Healthcare Crisis

The number of primary care doctors in America compared to the

The number of primary care doctors in America compared to the population is much smaller than in most other industrialized population is much smaller than in most other industrialized countries countries countries countries

As the need for primary care providers increases, it is likely that

As the need for primary care providers increases, it is likely that Traditional East Asian Medicine will become much more Traditional East Asian Medicine will become much more Traditional East Asian Medicine will become much more Traditional East Asian Medicine will become much more mainstream and may take over some of the role of primary care mainstream and may take over some of the role of primary care

Effectively the oldest form of medicine on the planet may once

Effectively the oldest form of medicine on the planet may once y p y y p y again become one of the main avenues of primary care again become one of the main avenues of primary care

For More Information For More Information For More Information For More Information

Acupuncture Society of New York

Acupuncture Society of New York

www.asny.org www.asny.org Yin

Yin‐Yang House. Com Yang House. Com

www.yinyanghouse.com www.yinyanghouse.com

• Dr. Steve
• Dr. Steve Jackowicz

Jackowicz

Classical Acupuncture Methods of New York, P.C. Classical Acupuncture Methods of New York, P.C. d ik d ik 300 Hempstead Turnpike 300 Hempstead Turnpike West Hempstead, NY 11552 West Hempstead, NY 11552 516 516‐292 292‐3725 3725 5 9 37 5 37 5