The American Acupuncturist AAOM’s Of ficial Publication for Practitioners of Oriental Medicine AAOM 2006 International Conference & Exposition English Korean Japanese Oriental Medicine... Healing the Body, Mind and Spirit SUMMER 2006 Volume 36 October 19-23, 2006 The Wigwam Destination Resort and Spa, Arizona SUMMER 2006 In this issue... Volume 36 Letter from the President William R. Morris, OMD, MSEd, LAc . . . . . . . . . . . . . . . . .5 OM CLINICAL MEDICINE On The Path to Mastery (English) Miki Shima, OMD, LAc . . . . . . . . . . . . . . . .8 On The Path to Mastery (Japanese) Miki Shima, OMD, LAc . . . . . . . . . . . . .10 On The Path to Mastery (Korean) Miki Shima, OMD, LAc . . . . . . . . . . . . . . .14 Imagery in Healing and the Poetry of Traditional Chinese Medicine Adam Burke, PhD, MPH, LAc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 The Essence of Life Li Jun Feng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 TAI CHI CHUAN - Doing a Form of Tai Chi Chuan SiFu Lim, Tai Chi Master, 8th Degree Teakwondo, Sing Ong Tai Chi . . . . . . . . . . . . . . .27 Asthma and Kids Randall Neustaedter OMD . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 The World of Esoteric Acupuncture Mikeo Sankey, OMD, LAc . . . . . . . . . . . .29 I Ching Acupuncture Dr. David Twicken, DOM, LAc . . . . . . . . . . . . . . . . . . . . . .30 Four Aspects of Pattern Joseph Chang Qing Yang, PhD, LAc and William Morris, OMD, MSEd, LAc . . . . . . . . .31 OM NEWS AND VIEWS AAOM’s Expo 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Expo 2006 Registrations and Fee Structure . . . . . . . . . . . . . . . . . . . . . . . . .24 California Acupuncturists Comment on Their Training . . . . . . . . . . . . . . .32 Legislative Update: HB 17 - Kentucky Passes Bill . . . . . . . . . . . . . . . . . . . .34 Legislative Update: Michigan Passes SB 351 . . . . . . . . . . . . . . . . . . . . . . . .35 AAOM Student Organization (AAOM – SO) Gains National Strength and Stature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 AAOM Advertising Contract and Information . . . . . . . . . . . . . . . . . . . . . . .38 Membership Directory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Index to Advertisers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 PROFESSIONAL MANAGEMENT EXECUTIVE DIRECTOR, Rebekah J. Christensen MEMBERSHIP SERVICES & IT SUPPORT, Brian Smither EDITORIAL COORDINATOR, Alicia Griffin ADMINISTRATIVE AND MARKETING ASSISTANT, Tanisha Minor The American Acupuncturist is published quarterly by the American Association of Oriental Medicine (AAOM), P. O. Box 162340 (Mailing Address) 909 22nd Street, Sacramento, CA 95816 Phone: 916-443-4770 Fax: 916-443-4766 866-455-7999 www.aaom.org © Copyright The American Acupuncturist 2006. Editorial Procedures The American Acupuncturist welcomes article submissions from all Oriental Medicine practitioners. Articles embracing innovative Oriental Medicine ideas and procedures that include new, realworld case information, supporting research and advanced conventional wisdom on a given discipline are given priority. If you would like to submit an article, we require that submission be made via our online interactive form available on our website at www.aaom.org, under The American Acupuncturist. The ideas and opinions expressed herein belong to the authors and are not necessarily those of the AAOM. All material is subject to U. S. copyright laws. Reproduction of contents in any manner, without written approval and citation, is prohibited. Advertising Procedures The American Association of Oriental Medicine (AAOM) does NOT (a) endorse, make any warranty, express or implied, with respect to the use of products or services advertised in this publication; nor (b) guarantee the efficacy, usefulness, medical results or claims of any product or service, advertised herein, nor the acceptance of any liability which might result there from. Therefore, the American Association of Oriental Medicine (AAOM) (c) assumes no responsibility for material or claims contained in advertisements, and (d) further reserves the right to reject or cancel any advertising for any reason, at any time. Are you looking for an opportunity to publish your academic and research articles? The American Acupuncturist encourages submissions from seasoned writers and first time authors. For information on how to submit an article, visit the AAOM website at www.aaom.org and click on The American Acupuncturist tab. Feel free to call the editorial staff with any questions toll free at 866-455-7999 or email [email protected]. THE AMERICAN ACUPUNCTURIST 3 RESOURCE DIRECTORY AAOM—American Association of Oriental Medicine P. O. Box 162340 (Mailing Address) 909 22nd Street Sacramento, CA 95816 PHONE 916-443-4770 TOLL FREE 866-455-7999 FAX 916-443-4766 EMAIL [email protected] www.aaom.org ACAOM—Accreditation Commission for Acupuncture and Oriental Medicine Maryland Trade Center #3 7501 Greenway Center Drive Suite 820 Greenbelt, MD 20770 PHONE 301-313-0855 FAX 301-313-0912 www.acaom.org CCAOM—Council of Colleges of Acupuncture and Oriental Medicine 3909 National Dr Suite 125 Burtonsville, MD 20866 PHONE 301-476-7790 FAX 301-476-7792 www.ccaom.org FAOMRA—Federation of Acupuncture and Oriental Medicine Regulatory Agencies 4201 Patterson Avenue Baltimore, MD 21215 PHONE 410-764-4766 800-530-2481 EMAIL [email protected] www.faomra.org NCCAOM—National Certification Commission of Acupuncture and Oriental Medicine 11 Canal Center Plaza Suite 300 Alexandria, VA 22314 PHONE: 703-548-9004 FAX 703-548-9079 EMAIL [email protected] www.nccaom.org SAR—Society for Acupuncture Research 825 South 8th St, Suite 1106 Minneapolis, MN 55404 www.acupunctureresearch.org Letter from the President William R. Morris, OMD, MSEd, LAc With my gaze turned to the mountain of practices that make up this tradition of Oriental medicine, I would like to extend a cordial greeting to you all, my fellow Colleagues. We are making this eventful journey together. As we promote excellence and integrity in the professional practice of Acupuncture & Oriental Medicine, we will transform society so that all people have the right to choose their course of care. We will see that the benefits of TCM are realized alongside other forms of care and the best interventions for the benefit of the patient are realized with a strong body of evidence. If we were to pursue a collective vision, what truths would we be seeking? When we die we have no time to finish the book or heal our relationships. There is always an ending, an ending to every thing we have begun. We end all the knowledge, our experiences, memories, and comparative ways of living. But it is in the NOW that we can join together for the benefit of our humanity as well as create the possibilities that Oriental Medicine has for our fractured medical systems. If we pursue a vision collectively, as a community, would it be more viable than thousands of separate views? Would the collective vision be truer? We must continue to reframe the public perception of this profession. We are classified under complementary and alternative medicine. However, that language tends to marginalize this fully developed model of care. Complementary suggests that we are part of a larger schema whereas integration can suggest absorption into a larger paradigm. The term “integral medicine” has possibilities for our community. In this model, practitioners collaborate while maintaining their unique identity. This results in a high level of integrity and an environment for best patient care. The collaboration that occurs in the integral model allows for an investigation of how and why these various paradigms of care occur, and we move away from tribalism and turf wars. With integral medicine, each paradigm retains its distinct identity while operating as a whole. The OM practitioner is able to use the full complement of their skills in a collaborative care environment. It's a rather subtle distinction but it is one where the strength of our independence shall expand through the power of our interdependence. We must step beyond our current conceptions of leadership, which manifests in separation, and transcend to a new paradigm that embraces the power of the whole. With appreciation for the ‘vast perceptions of spirit,’ I invite you to model the way for your colleagues, patients, students and society. I invite you to inspire a shared vision of the possibilities that this medicine has for all people; to challenge each other to grow through excellence in your professional and personal lives; and to empower others to take right action in their lives. I encourage you to live by heart. I encourage you to fearlessly hold each other accountable, and to be just in your decisions while holding the balance of the best practices. Be authentic in your relations with each other, recognizing the precious moments we have. In closing, I want to thank you for giving me the opportunity to lead and the privilege to serve. In the Tradition, William R. Morris President, AAOM THE AMERICAN ACUPUNCTURIST 5 AAOM BOARD OF DIRECTORS AAOM PRESIDENT William Morris OMD, MSEd, LAc [email protected] AAOM DIRECTOR Christine Chang DOM Candidate MTOM, DiplAc/CH/OM, LAc [email protected] PRESIDENT EMERITUS Gene Bruno OMD, LAc [email protected] VP-STATE AFFAIRS Martin J. Herbkersman DAc, MTOM Martinaaom@ PalmettoAcupuncture.com VP-CORPORATE EVENTS Deborah Lincoln RN, MSN, LAc [email protected] AAOM DIRECTOR Ray Rubio MTOM, BA, DiplAc, LAc, DDAOM Candidate, LAc [email protected] AAOM DIRECTOR Jonathan Wald MS, CCHM, LAc 206-624-4777 [email protected] AAOM DIRECTOR Doreen Guo-Fong Chen LAc, OMD [email protected] TREASURER P. Shane Burras Lac, DNBAO [email protected] AAOM DIRECTOR Kelly Welch LAc, DiplAc, CH [email protected] AAOM COMMITTEES 2006 (Chair listed first; the President is also on all committees) CONFERENCE COMMITTEE: Deborah Lincoln, Claudette Baker, Will Morris, Lloyd Wright, Jennifer Blanak, Karen Dobson RESEARCH COMMITTEE: Burt Pettis, Adam Burke, Ray Rubio, Gene Bruno, Atara Noiade, Drew Hendersen. HERBAL MEDICINE COMMITTEE: Atara Noiade, John Scott, John Chen, Will Morris, Gene Bruno, Christine Chang, Bonnie Povolny, Bill Egloff, Dave Molony; liaison: David Paton POLICIES AND PROCEDURES: Gene Bruno, Will Morris, Atara Noiade, Martin Herbkersman LEGISLATIVE COMMITTEE: Lloyd Wright, Gene Bruno, Martin Herbkersman, Atara Noiade, Will Morris, Cynthia ODonnell 6 SUMMER 2006 EDUCATION COMMITTEE: Will Morris, Christine Chang, Cynthia ODonnell, Lloyd Wright, Ray Rubio FINANCE COMMITTEE: Shane Burras, Jonathan Wald, Bekah Christensen, Kelly Welch, Will Morris MEMBERSHIP COMMITTEE: Bekah Christensen, Jonathan Wald, Martin Herbkersman, Deborah Lincoln, Will Morris PUBLICATIONS/EDITORIAL: Will Morris, Ray Rubio, Gene Bruno, Atara Noiade, Bonnie Povolny, Martin Herbkersman SUPPLIERS ADVISORY COMMITTEE (SAC): John Scott, Christine Chang, John Neilsen, Ellen Franklin, Lise Groleau, Will Morris SECRETARY Atara Noiade MSci, DOM, AP, LAc [email protected] EXECUTIVE DIRECTOR Rebekah J. Christensen [email protected] AAOM DIRECTOR Lloyd G. Wright, DNBAO, LAc Acupuncture & Oriental Medicine Associates [email protected] The American Association of Oriental Medicine, established in 1981, is a professional organization representing Practitioners of Oriental Medicine. OUR MISSION Promoting Integrity and Excellence in the professional practice of Acupuncture and Oriental Medicine. OUR PURPOSE To serve as the official representative and spokesperson for the professional acupuncturist and Oriental Medicine practitioner in the United States. To establish, maintain and advance the professional field of Oriental Medicine, with Acupuncture and other modalities, as a distinct primary care field of Oriental Medicine. To integrate acupuncture and Oriental Medicine into mainstream healthcare in the United States. To protect and advance the science, art and philosophy of acupuncture and Oriental Medicine, and the Professional Welfare of our members. To educate legislators, regulators, health care interests, and the public regarding acupuncture and Oriental Medicine. 8FMFUUIFEPHTPVU .OONEEXPECTSTOBESUEDFORMALPRACTICE"UTWHENAN ATTORNEYWRONGFULLYATTACKSYOUWITHASPURIOUSCLAIMYOUWANT ASTRONGDEFENSETEAMTHATWILLTAKETHEOFFENSIVE4OOOFTENLEGAL OPPORTUNISTSWILLTRYTOEXTORTMONEYFROMQUALIFIEDPROVIDERS WITHOUTANYREGARDTOYOURREPUTATIONORCAREER4HATSWHENWE LETTHEDOGSOUT7EFIGHTBACKHARDNOTONLYTOWINONYOUR BEHALFBUTTOSENDAMESSAGE$ONTMESSWITHOURACUPUNCTURISTS ORYOUMIGHTBETHEONETHATGETSBITTEN 7EHAVETHEKNOWLEDGEANDEXPERIENCETHATCANONLYCOMEFROM DECADESOFCOMMITMENTTOTHEACUPUNCTUREPROFESSION!NDWE WONTHESITATETOSENDOUTTHEDOGSIFSOMEONECOMESAFTERYOU $BMMGPSB'3&&RVPUF 4HELEADERINACUPUNCTUREMALPRACTICEINSURANCESINCE WWWACUPUNCTURECOUNCILCOM !!#!!%XPO BIOMEDICINE BIOMEDICINE A Textbook for Practitioners of Acupuncture & Oriental Medicine A Textbook for Practitioners of Acupuncture & Oriental Medicine by Bruce H. Robinson, MD This book will help you: • Improve diagnostic skills and physical exam techniques • Identify red flag cases that need urgent referral to an MD or emergency room • Confidently communicate about Western diseases with your patients and Western MDs 20% Pre-publication special this book ships in late October 800-487-9296 Bruce H. Robinson, MD Come visit us at the AAOM Expo 2006 in October! www.bluepoppy.com THE AMERICAN ACUPUNCTURIST 7 On The Path to Mastery By Miki Shima, OMD, LAc “Love of Path” he Japanese people follow many paths of mastery (or dou in Japanese) such as sho-dou or Path of Calligraphy, ken-dou or Path of Sword, sa-dou or Path of Tea Ceremony, ka-dou or The Path of Flower Arrangement or yi dou or The Path of Medicine. Each “path” is predicated upon hundreds of years of tradition and has been kept pure by the lineage from a master (called sensei) to students (called deshi). This intrinsic love of path comes from a deep desire for mastery. It also resonates with a devotion to “path” that one walks for long periods of time without straying away from one’s primary purpose. This is not easy to do in a culture of over-stimulation. It is difficult to stay on the target (on path) for a long period of time as American acupuncturists are pulled in many directions, through books, tapes, workshops, politics or the need to survive. T Studying Medical Classics If your primary purpose of entering this profession is mastery of Chinese medicine, I would strongly recommend studying medical classics. They are the beginning and the end of your path, because you cannot start walking the path of medicine (yi-dou) without reading them, and, after long years of clinical practice you always return to them. In Japan, the Nei Jing (The Inner Classic), the Nan Jing (The Classic of Difficult Issues), the Mai Jing (The Pulse Classic) and the Shang Han Lun (On Cold Damage) are regarded as lifetime companions by many practitioners. Part of the Nei Jing is translated as “Huang Di nei jing su wen” by Paul U. Unschuld (University of California Press). In this precious book, Dr. Unschuld examines many very basic concepts in Chinese medicine in such depth that it is an inspiration to all those choosing to read this classic. The book is very dense and a very good 8 SUMMER 2006 starting point. The Nei Jing is absolutely THE treasure trove of Chinese medicine. I have a 24-volume set of the Nei Jing with a two-volume index that I purchased 30 years ago, and I am still reading it. I have not yet mastered its teachings, but I continue to read it. The whole book of the Nan Jing is translated as “NAN-CHING – The Classic of Difficult Issues” by Paul Unschuld (University of California Press) with annotations by many famous scholars and clinicians. It contains Dr. Unchuld’s translation of the classic and many masters’ annotations, but it is rather confusing for beginners. Because so many masters annotate each line of the Nan Jing in such diverse ways, beginners without a Chinese or Japanese language background find it difficult to follow the myriad annotations. I feel the book could grow in clinical use and understanding if Dr. Unshculd would provide interpretation of the annotations. Most of my students who read the current version of his Nan Jing told me they were at a loss in how best to interpret its complexities and place them within the context of their clinical practice. In my country, the Nan Jing is THE Bible for Keiraku Chiryo (Meridian) therapists. It is the most theoretically coherent and systematic medical work ever produced in Chinese medicine and is still widely read. The pulse diagnosis and needling sections of this book are clinically very useful. I strongly urge you to read The Nan Jing at least once in your life. If you are serious about mastering pulse diagnosis, the Mai Jing by Wang Shu-he is essential reading. It is translated as “The Pulse Classic” by Yang Shou-zhong and is published by Blue Poppy Press. Wang Shu-he was a chief imperial physician during the Han Dynasty and was extremely talented in almost every branch of medicine. He included in the Mai Jing some part of the Shang Han Lun by Zhang Zhongjing, which is now available as “On Cold Damage” from Paradigm Publications. The Shang Han Lun is THE classic that was the origin of herbal medicine as we know it today. Zhang Zhong-Jing is called the “Medical Sage” in China, whereas Sun Si-miao of Tang Dynasty is called “Yao Wang” or the “Medical King.” Sun Si-miao praises Zhang Zhong-jing as a sage, because his spirit was so pure and noble. Over the years, it became a rite of passage for a physician and medical scholars to write a book of annotation on the Shang Han Lun to prove himself as a “learned man” in medicine. As a matter of fact, almost every Qing Dynasty medical scholar wrote a book of annotation on the Shang Han Lun and even today many books are still written on the Shang Han Lun. This book comprises all the roots of Chinese herbal medicine, and is a deceivingly very complex book when read carefully. “On Cold Damage” by Craig Mitchell and others from Paradigm Publications is a reliable, faithful translation of the book with good annotations, and it is a must for serious herbal practitioners. The books I have cited are very old and are not easy to read, even with annotations, because they were written in a terse, reticent way, which was the common style among ancient medical books. Their concepts and terminology were awkward and do not translate easily into modern medical terms, but they are THE classics. I urge you to read them over and over again if Chinese medicine is your path. When you read those classics for the first time it is very important for you not to get “stuck” with minute details, but to flow with the rhythm of the book in order to get the general ideas and spirit of the author. Daily Practice and Reflection Even if you study classics daily, they would be useless if you do not practice Chinese medicine on a regular basis. Books can give you so many ideas but it is your devotion to your daily practice where you will find your truths about Chinese medicine. Often times, you see a patient and you think you have given a correct treatment and proper herbal prescription, but your patient comes back feeling worse. Especially during the first ten years of practice, you may experience this again and again. But this is actually the richest time of your career, because it is through this journey that you will find more truths about Chinese medicine than any other time. You question yourself by saying, “Did I take the pulse right?” or “Did I prescribe correct herbs?” or “Did I understand THE root of the problem?” and so forth. It is through this self-examination that you return to the classics and reflect upon what you have done. If you don’t find an answer, you may want to call your mentor. It is crucial that you have a mentor who can advise you not only about Chinese medicine but also many other things in life. I get calls and e-mails all the time from my students and I am very happy to receive them, because I know that they are reflecting upon the truths in their practice! Depending on the student’s level of knowledge and the experience, I suggest solutions to them, which is extremely rewarding for me. I may suggest that the student read a certain chapter of the Mai Jing or the Shang Han Lun, etc. and if he or she still has a question, just call or write to me. The more persistent the student, the more growth they achieve over the years. They are walking the path to mastery. Developing Intuition and Intention As you practice Chinese medicine regularly for a few years, you start developing “intuition” and “intention,” which are extremely precious in Chinese medicine. Western medical students are strongly taught not to rely on “hunches” during residency, but they too develop clinical intuition over the years. Unless you are a robot, you inevitably start feeling subtle energy, which will shift your practice to ever increasing levels of intuition and skill. You grow to know that herbal formulas are not just a bunch of chemical compounds and acupuncture isn’t just inserting needles into human tissue. You know they are far more than that. You also know that your intention to heal is of prime importance. When you are fully developed as a healer, you are able to feel subtle energies of herbs like Li Shi-zhen has described in his “Ben Cao Gang Mu” or “The Grand Materia Medica.” If you read a section on “water” in his Materia Medica, you could easily see that Li Shi-zhen knew how to feel the difference in Qi in river water, lake water, rain water, etc. Li Shizhen was a Daoist meditation practitioner and he cultivated this kind of sensitivity by deep meditation. If you practiced meditation or Qi Gong, you would also feel Qi moving in your body and in your patient’s body. When I started feeling Qi moving in my body for the first time at age 21, during my first acupuncture treatment, I was freaked out! It was like a tingling rushing river, coursing through my body so strongly that I almost yelled out for help! Then, it suddenly calmed down like an ocean; it was then I knew my Qi was balanced. That was also the year when I started on Zen meditation. Acupuncture without intention is just poking needles in the body; the more specific your intention is, the more intuitive and more skilled as a practitioner you become. Last summer in Maui, I met a master Japanese acupuncturist, Mr. Minoru Kato. It was during his workshop that one of his students told me that he had done over 1,000 anatomical drawings to help him focus his intention during his treatment. The focus of intention could be that precise. With every patient, therefore, you should “tune into” the whole Qi of your patient and focus on your treatment with the clearest intentions. Careful Review of Results It is extremely important for you to review clinical results in your practice on a regular basis. Without looking at what works and what doesn’t work, you will not inch your way to mastery of any art, and it is very important to be honest with yourself. For example, if you have been treating Bi-syndrome like rheumatoid arthritis, systemic lupus erythmatosus or scleraderma for ten years and you are not making anybody better, you need to go study with experts in the field so that you can change your acupuncture and herbal practice. One of my teachers used to say that 5 % of any profession is truly creative and innovative and the remaining 95% are followers. I must say, in all honesty, that it is hard to be in that 5%, as it requires constantly reviewing what I have done and by learning something new every day. It is a lot of work and not too many of us can do that. However, if you are on the path of Chinese medicine, you want to regularly take an honest look at your results, and, if you find your weaknesses, you must give diligent study and practice to overcome your shortcomings. Let’s Enjoy Our Imperfection! As I said at the beginning of this short article, the path to mastery is very long and hard. It is not for everybody and that’s okay. At the beginning you may walk so slowly that your scenery may not change too quickly, but as you keep reading and practicing regularly your pace will pick up and you will have more fun in your study and practice. Since I love Chinese medicine so much, I spend almost every moment trying to improve myself. I have one of my computers on all the time with “Zhong Hua Yi Dian” or “Encyclopedia of TCM,” a CD with over 600 Chinese medical books in an electronic form. I do this, in order to search for anything I may need to find when I am writing a book or if I need to get a formula for my patient, etc. I also have a well-stocked Japanese and Chinese medical library so that I can also read most of the important medical books in hard copy. continued on page 13 THE AMERICAN ACUPUNCTURIST 9 “東洋医学にの「道」を歩む” 東洋医学博士 島 幹昌 “日本人は「道」が好き” 日本人は「茶道」とか「書道」とか「剣道」とか「医道」とか、とにかく“道”に精通したがります。 勿論これらの“道”は何百年も先生̶ 弟子関係よって，その純粋性を保って来ました。日本人のこの本能的とも言える「道」に対する愛着 は一つのっ事をトコトン迄深く追求したいと云う欲望に根ざして居るますが，その目的を達成する為 には心を長い間一つの事に集中し無ければ成らなりません。こうした精神集中は現在のアメリカの様 に、本あり，テープあり、講習会あり、政治行為有り，激しい生存競争ある刺激の多い文化では中々 出来ないことです。 “医学の古典を勉強しよう！” 東洋医学が本当の人生の目的であるなら，まず医学の古典を勉強する事を薦めます。古典は東洋医学 の初めであり終わりでもあるからです。すなわち，「医道」は古典に始まり，古典に終わる“と云って も良いでしょう。日本では『黄帝内経素問霊枢』，『難經』，『脈経』、そして『傷寒論』がまず心 に浮かびます。 『黄帝内経素問霊枢』の一部がPaul Unschuld博士に英訳されて出版されて居ます。(“Huang Di nei jing su wen” by Paul U. Unschuld) この本では，Unschuld博士は『黄帝内経』の根本的な医学概念を詳しく緻密に分析されていて、東洋 医学の追求者には大変に勉強に成る著作であります。この本は内容が詳細で，東洋医学を真剣に勉強 したいと思う人の良い出発点です。『黄帝内経素問霊枢』は，なんと言っても東洋医学の最高の宝庫 と言えますが，小生も三十年前に購入した二十四巻本の 『黄帝内経素問霊枢』を未だに読んでいます。これから死ぬ迄『黄帝内経素問霊枢』は勉強して行き たいと思って居ます。 さて『難經』の全章は Paul U. Unschuld博士によって英訳（The Nan Jing, University of California Press)されて居りまして，過去の色々な注釈を集めてその内容に関する様々な観点を知るには良い著作 だと思われます。この様な色々な注釈は中国語や日本語の知識の無い初歩者には理解するのが困難か も知れません。 Paul U. Unschuld博士 が臨床の実践が有る方なら，もっと臨床に役立つ忠告を出来たのでしょうが，彼は中国医学史の専門 家で色々な学者の意見を羅列するだけと成ってしまったのが残念です。小生の学生の殆どが諸家の注 釈をどの様に解釈したら良いのか分からないと言うのが現状です。日本の經絡治療家にとっては、そ の理論的整合性及び合理性の観点から，この本はまさに『聖書』にあたる訳です。特に脈診と刺針法 の章は臨床的に大変有意義なのです。小生は一生に一度は『難経』を読まれる事を心より御薦めしま す。 更に，脈診に精通されたいと御希望なら，王叔和の『脈経』を研究される事を御勧めします。（この 本は”The Pulse Classic” としてBlue Poppy Pressより英訳されています）。 王叔和は非常に優れた漢代の宮廷医師で、彼の『脈経』を読めば彼が只脈診のみでなく，当時のあら ゆる医学の分野に秀でていた事が明らかに成ります。 王叔和は『傷寒論』の一部を『脈経』に転写しましたが，この『傷寒論』の英訳がParadigm Publications から出ています。 『傷寒論』は正に今日迄伝承して来た「湯液」医学の嚆矢です。中国では『傷寒論』の著者と信じら れている張仲景は多くの医者によって「医聖」と呼ばれ，唐代の「薬王」と呼ばれた孫思貘も張仲景 10 SUMMER 2006 の精神の純粋さ誠実さに感銘して「医聖」と命名しています。過去千年間多くの医者が彼等の学識を 証明する為『傷寒論』の注釈書を書く事が慣習と成った位です。殊に中国の清の時代の殆ど全部の有 名な医者が『傷寒論』の注解書を著述し、現代の医者も沢山の注釈書を出版しています。この『傷寒 論』は湯液医学の源流で，記述は簡単ですが内容は大変深い本です。（この『傷寒論』の忠実な英訳 が, “On Cold Damage” と云う題でParadigm Publicationsより出版されています。）この『傷寒論』は湯液医学を真剣に学ぶ者の出発点だと思われ ます。 これらの著作は大変昔に書かれた古典で、古代の習慣であった簡潔単純な文体で書かれて居り、幾ら 注釈が付いていても読み易いものではありません。又、古代医学の概念も古医文も現代医学の用語に 簡単に翻訳出来る者では在りませんが、これらの本こそ『古典』であって、中国医学に真剣に取り組 みたいのなら繰り返しこれらの著作を勉強される事を心より御薦めします。これらの古典を初めて読 まれる時のコツは、細かい事に引っかからないで、全体的な概念と著者の意図を理解する様ザッと読 破する事です。 “毎日の臨床と反省“ 幾ら古典を勉強しても、毎日の臨床と反省が無ければ、古典を勉強しても余り意味が有りません。古 典は東洋医学に関する色々のアイデアが有りますが、それ等のアイデアが実際に真理であるかどうか を確かめるのは毎日の臨床と実践です。良く有る事ですが、患者に正しい鍼灸治療と湯液治療をした 筈なのに結果が思わしく無い事が有ります。特に、臨床を始めてから最初の十年位はこんな事が屢々 起こりがち。他の年月に較べてこの十年間が中医学の真理を学ぶのに一番貴重な十年間です。この期 間に「自分は脈を正しく取っただろうか？」とか、「自分は正しい処方をしただろうか？」とか、「 自分は患者の色々の問題の根源を衝いただろうか？」等々の疑問が出たとき、再び『古典』に戻り、 自分の臨床経験を繰り返し反省する事が進歩の根源に成るからです。 自己反省で解決が付かない時は、御自分の先生に質問して見るのが一番です。この期間に東洋医学の 先生だけでなく、人生の一般事に就いても色々と相談出来る先生が居られる事は大変に重要です。小 生は毎日生徒さん達からemailを貰うのを楽しみにして居ますが、彼等から質問が有ると言うのは、彼等が自己反省をして居る 証拠だからです。小生は生徒さんの知識と臨床経験を考慮に入れて、答えを送りますが、これが又、 生き甲斐の或る仕事です。小生は『脈経』や『傷寒論』のどこどこを読めなどと返事をするかも知れ ません。それでも質問があれば又小生に連絡する様に言いますが、長年粘り強く質問して来る学生に 限って中医学に早く精通するものです。 “直感力と集中力を発達させる事が大切” 数年臨床を規則正しく継続して行くと自然と或る種の「直感力」と「集中力」が付いて来るものです が、これらの力は東洋医学の臨床家に取って大変に重要な事です。西洋医学の学生はインターン中に 「絶対にカンに頼るな！」と言い聞かされますが、その西洋医も、臨床経験を数年すると自然に一種 のカンとも言える「直感力」と「集中力」が付いて来る者です。いかに、科学的な西洋医でもロボッ トでない限り臨床をして居ると自然と「カン」に頼る様に成ります。そして、その直感力が物質を越 える「霊妙な」エネルギーを感じられる様にさせ、そして更に高い段階の臨床へと医者を導いて行く 物です。つまり、薬草は只色々の分子を越えた「霊妙な」エネルギーのあるものであり、又、鍼もた だ人体組織に針を刺入している事では無く、もっと高次元の世界が存在する事が分かって来る訳です 。 THE AMERICAN ACUPUNCTURIST 11 又、臨床をして居ると患者を治そうと言う「意図」が如何に重要であるかが分かって来ます。治療家 として成熟すると李時珍が『本草項目』で詳しく説明した様に川の水、雨水、湖水等の色々の種類の 「水」の霊妙な違いを感じる事が出来る様に成ります。李時珍は道教の「内丹術」を実践した人です が、気功などを練習して行くと、自分の体のみでなく患者の体の中の気の動きが分かると言うこの様 な内的な力が出て来ます。小生が二十一歳の時始めて鍼の治療を受けたとき、体全体に何か電気の様 なエネルギーを感じて、初めは大変な恐怖心が起こりました。それはまるで体中にエネルギーの河が 流れ始めた様な感じで、恐怖心が募ってもう大声を出して助けを求めようとした位でしたが、突然そ のエネルギーの豪流は止まり恰も大洋の様に静かに成りました。其の時、小生は經絡がバランスされ た事を知ったのです。その年は禅の瞑想を始めた年でもありました。それから、小生は「精神集中」 と「治そうと言う意図」が、特に鍼の臨床で、鍼は体に鍼を刺す事ではない事が分かったのです。更 に小生が学んだ事は「意図」がハッキリしたいれば居るほど、治療効果があがると言う事でした。そ して、もっと直感が発展し鍼の技術も良く成ると言う事です。昨年の夏日米鍼灸協会がハワイのマウ イ島で「日本鍼灸学会」を開催しましたが、その際加藤稔先生と云う積聚治療の名人に来て頂きまし た。先生の生徒さんの一人の話しによると、加藤先生は千枚以上の解剖図を御自分で複写され、治療 の際は「意図」を出来る限り治療される特別の部位に集中される様にされて居る事を知り大変勉強に 成りました。ですから、集中する部位はその位細かくても良い訳です。ですから、各患者の問題が何 であるを考えて、その問題に「直感」を働かせ、最もハッキリした「意図」を持って治療に望む事が 一番大切だと思います。 “治療の結果を注意深く検討する事” 臨床家に取って一番重要なのは、治療の結果を毎日注意深く検討する事です。どの治療法が効果があ りどの治療法が余り効果が無いかを研究して行く事が、どの「道」に精通する為にも必要です。例え ば、リュウマチやルーパスや革皮症の様な卑症を十年治療して来てどの患者も改善に向かっていない 事に気が付いたら、その分野の専門家に付いて勉強し、鍼灸湯液の実践方法を改良すべきです。小生 の鍼灸の恩師で数学者でもあった先生が、どのプロの職業でもたった５％が創造的な人間で、９５％ は追従者だと仰ってましたが、正直な所、小生も自分のした事を正直に毎日研究反省し、自分の欠点 を見つけ、コツコツ勉強をしていますが、はたして５％に入って入るかどうか分かりません。 “「道」を極めるには、自分の不完全さを楽しむのがコツ！” 文頭でも申し上げました様に東洋医学に精通する「道」は永く辛い道で、誰でも出来ると言う物では ありませんが、それはそれで良いのです。初心者の頃は歩くペースも遅く周りの景色も大して変わり ませんが、古典を勉強し臨床を重ねて行く内に学ぶ速度が増して来ます。 小生は東洋医学に惚れていますから、一秒たりと無駄にせず東洋医学に使っています。例えば、本を 書いたり方剤を見つける為に、小生は『中華医典』と言う600册の本の入ったCDをコンピユーターを ２４時間つけっぱなしにして置いて、何時でも本の検索が出来る様にしています。又、日本語、中国 語、英語及びフランス語の東洋医学書も小生の書庫には何百冊と集めて来ています。 こうして、臨床も20年以上もして来ると、心にもう何でも知って言うと云う隙が出来て、勉強と臨床 を疎かにする人が良く居るものですが、これは大変危険な事です。三年前北京に行った時偶々書道展 を見に行きました。大変親切な中国人の老人が案内してくれ、時折掛け軸を指差して「あれは二十年 の手だ！」とか「あれは四十年の手だ！」とか、「あれは四十年間練習して来た人の手だが、二十年 で進歩が止まってしまった！」などと言われました。小生は展覧会を全部見たあと「四十年間練習し て四十年間進歩をつずけた」と老人が言った人の掛け軸を買ってきました！ ですから、どの「道」を極めるにも、一番大切なのは、その「道」を歩きつずける事です。別に早く 歩く事はないのですが、止まっては行けません。完全にその「道」を極める迄は、毎日進歩を積む事 12 SUMMER 2006 が大切です。あの「薬王」と言われる孫思貘だって102歳で亡くなる迄「医道」を歩きつずけました。 ですから、ずっと「道の完成」迄歩きたいなら、自分の不完全さを楽しむのが、何よりのコツです！ 島 幹昌東洋医学博士はカリフオルニア州鍼灸試験委員会に1882年州知事によって任命され７年間在職。 その後、カリフォルニア鍼灸協会（現在のCSOMA)の会長を務め、目下日米鍼灸協会の会長。著書に は『易学病占』、『經別』、そして目下李時珍の『八脈奇經考』の英訳を完了。島博士は国際的に認 識の高い東洋医学博士で、2006年には全米東洋医学協会から最高の「終身功労賞」受賞して居る。今 年の全米東洋医学会の十月十九日の「中医学用語討論会」の討論者と十月二十一日の「名医臨床珠玉 講座」を教える予定である。 Path to Mastery continued from page 9 When you have followed a constant path of study and practice for 20 years or more, you may feel as if you know enough and you may slack off on your study and practice. Many people fall into this dangerous pit. When I was in Beijing three years ago I went to a calligraphy exhibit and a very kind old Chinese man showed me around the whole exhibit. Every so often, he would point at a scroll and say, “It’s by a 20-year practitioner,” or “It’s by a 40-year practitioner, but he stopped improving after 20 years of practice!” After going around the whole exhibit, I bought a scroll by a 40-year practitioner with 40 years of progress according to the old man! The most important thing is that you keep walking the path. You don’t have to walk very fast, but you must not stop walking. Until you reach perfection, you must keep making progress every day. Even Sun Si-miao, the King of Medicine, did not achieve perfection, and he kept walking his path until he passed away at 102. So, let’s enjoy our imperfection and let’s challenge ourselves to keep walking the path. Dr. Shima is a panelist on the Medical Nomenclature Debate to be held October 19 and will conduct the Business Pearls plenary session and Clinical Pearls master's class on October 21. THE AMERICAN ACUPUNCTURIST 13 X , , ^ R E ) " %# & !' ) ## # ¿ ß Ñ Ć r ÔÓbÏ [ 3[ T[ ďčIHÒ gR Ďč c» ¤VÿqR ÓÑ ¼ßÐ ð=āT --Ñ ĆrR £ PÑ Þö» CÐ a9 §¨; àÙhR 8w öĄ A ¥£Ð ÍåĄ Â9 ØT Ò Ćr» Xā èÝ ³ßÏ ¶e ´» X,, ^qR ¬Êā Ç}» u_T Ò4Ï gā  ¶KR Ô¹Ò Âm Ë ]° ÅE Ó» Ð òR 4ÒC[ ÿT ÙBÝÓ Æ¡, {Ï ĈÑ õµ» Òp5 ÿCj ¦É ÔÒ ®ST Ý; ôÒý æÛ; ßò gR âÑ þÆ cc {Ï Îr Jq TO´ ÿR >Ñ ó=rR Âm C. ]° X,, ^6TR ûw 9£ÿCj ëÎr ¶qÉ 4ÒT Ñ Ā 9 Þ Ñ ¾ = Ònā æ¸Ð Ìā @ÿÑ îC û, āÑĀÑ X,» ØT ÓÏ ÑĀ9ÞÑ ¾=w G 0áÿ9 T Anā 9ÞbÐ Õå ±RT ĎčÑ Er b¶ £[ ¹2Sà ÖÐ ÂlÿT ·àK 9ÞÎr \®,´ ÿC d» 9ÞÏ @ÿÑ D ¼ß» ²÷, ^9 Â,, ` 4ÒT ÔÑ Ö,»5 *ċàM7+ *L7+ *~7+ Ax9 *āt+ cÏ ĊÑ ]Ùr .ã_T *ċàM7+Ñ Ï (! #&(!» ÑĄ Òj àÎr ½^ºT!$%# XĀ ñø Ò @äā ì ¢» #&(! 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Â&Ç ĀlÀ K Ĥp B6 Ē ×F 16 SUMMER 2006 ÈT ± ٯخ Ã×E _} 5¯ u 1qN ½® ªÜ LiÙN ± -ů=½. @¯ Åؼ° OF ]n Û ÐÕÑj N ±° Ë® ;§ ·ln 7×5I à·¯ Ì® _ Bg9 ÙN aÙ ² = Å?¯ Ë° ¸ 4ÍÉ ºn /Ç< ¶ ×Z ¯ Ŧ¯Øn ³MN K ° >¢ ´°bM ÚM G® /Lbx °ÀM ÂD :NM 0° \ >¢ ´® 9®o ×9 XN z[ d\° ° ªÞf Ic¬j `ÉN K ½ ; ¶® P ¡ ½á 3MS ξ×< jÙ Ù Å?± z[ ½Ô® ÄN Pã ·Ä °8 ;i° K X ¡±¯ 8 °8 K °b< ÝN ½án N U â ± B Å?±¯ t ^b K V ¡±¯ G® 6¤NM B Bp® ×I >µÝN /¹ Ŧ٠8 A×/ Q/¯ =¿® «Ç×M 8°N m9 I2 Ö¦T Çs BgN< vÍT XN £Ù ;Ç °mEHÇ IJ° ¿É×b +¯Ø¯ ¥,°bM rÂÊ £×Ç {× Çs HÇ ·¯ G® Ú° ° 63R 8°N Be~j §o¯ £½Ú® ÆE· Bo< §o zY Q/¯ G T½Ü · ! M /Ä Ï>ª¨á C|×w /ÄÏ>ßᯠṰET ×N ¯ »·°N BM ?Àá V¯Ø¯ Q/j hÁ ¶N *$# % !M #" ' ' "& #!" '(% $' " #" Òk·j ÇyW¬w K © ² " % & &'%& && ÓÙN K % !9 ' '! )!"' ® ÝN Restore Your Spirit. Rejuvenate Your Career. Premiers June 2006 Introducing Pacific Symposium 2006 November 2-5 San Diego, CA Featuring the popular Restoration Track AND the new Advanced Acupuncture Techniques Workshops! Come Learn From: The Qi-Unity Report A New Collaborative Quarterly Newsletter By, for and about the Profession! Subscription is Free! Contact: www.aaom.org Ted Kaptchuk Jeffrey Yuen Kiiko Matsumoto Alex Tiberi Richard Tan Jake Fratkin John Chen Subhuti Dharmananda Lillian Garnier Bridges Felice Dunas Michael Smith David Simon Wei Liu Holly Guzman Mike Turk Rick Gold Bill Helm Lynda Harvey Darren Starwynn Justin Ehrlich Magnolia Goh Mark Kastner Paul Schell (The Egoscue Method) COME EARLY AND STAY LATE Pre-Symposium workshop with Jeffrey Yuen - Nov. 1 Post Symposium workshops with Alex Tiberi & Lillian Garnier-Bridges - Nov. 6-7 INFORMATION (800) 729-0941 • www.PacificCollege.edu Miss out on 2005 Symposium? The complete set of audio tapes is now available at www.PacificCollege.edu. Imagery in Healing and the Poetry of Traditional Chinese Medicine By Adam Burke, PhD, MPH, LAc he use of complementary and alternative medicine (CAM) use has grown significantly in the US over the last decade (Eisenberg et al., 1998). The recent 2002 National Health Interview Survey (NHIS) interviewed over 31,000 adults and found that 36% of Americans (approximately 72 million people) had used some form of CAM in the previous year. The NHIS data reveals that mindbody practices constitute a large portion of this CAM use in the US, including significant use of mental imagery (Barnes et al., 2004). Intentional mental imagery is the internal production of perceptual experience that resembles the perception of the actual relevant object (Finke, 1989). In one study looking specifically at breast cancer patients it was found that 66% used one or more CAM therapies to prevent recurrence and to improve quality of life, with a high use of mind-body therapies. Other cancer studies have similarly found imagery and other mindbody practices to be among the approaches most commonly employed by patients (Bakke et al, 2002; Henderson & Donatelle, 2004; Kwekkeboom, 2001; Moye et al, 1995; Sloman, 2002). Many of the reviews in this area highlight the value of imagery-related approaches in the management of anxiety, pain and depression. The advantages of these methods include effective selfcare, rapid training, low cost, accessibility, internal locus of control, and no side-effects or development of tolerance as might be found in the use of medications (Astin, 2004; Genuis, 1995; Steggles et al., 1997; Sutters & Miaskowski, 1992; Trijsburg, Knippenberg & Rijpma, 1992). One of the specific values of imagery is its use to promote positive expectancy for predetermined outcomes, such as the expectation for faster healing. Positive expectancy relates to the anticipation of T 18 SUMMER 2006 future outcomes, and as such consequently influences the setting of goals, making plans, directing behaviors toward the successful completion of those plans, and general self-regulation (Bandura, 1997; Fishbein & Ajzen, 1975; Mischel & Shoda, 1995; Rotter, 1954). The appropriate use of personally relevant mental images can help foster positive expectancy for desired outcomes (Burke & Herder, 2004). In this way mental imagery can also play a significant role in motivation enhancement (McMahon, 1973; Rushall & Lippman 1997). Traditional Chinese medicine is an imagery rich resource, images which can be employed to empower the healing experience of our patients. According to the wisdom of the Huang Di Nei Jing we are all microcosms of the universe. We are composed of the same elements of the universe, the same water, wood, fire, metal and earth. We are the sun rising in the east, the spring wind, and rebirth. All of these images are part of the never ending story which are our collective lives. This story continues to be told in every breath and in every step. With conscious direction on that path we can help move each story gently along toward its most perfect conclusion. Dr. Burke will be teaching a workshop on intention, imagery and healing in clinical practice on Friday, October 20. References Astin JA. Mind-Body Therapies for the Management of Pain. Clin Jrnl Pain 20(1):27-32, 2004. Bakke AC, Purtzer MZ, Newton P. The effect of hypnotic-guided imagery on psychological wellbeing and immune function in patients with prior breast cancer. J Psychosom Res 53(6):1131-1137, 2002. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psych Review 84:191-215, 1977. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: Unites States, 2002. Advance data from vital and health statistics; no 343. Hyattsville, MD: National Center for Health Statistics, 2004. Burke A, Herder S. Enhancing daily effectiveness and coping with primary goal imagery. Association for Applied Psychophysiology and Biofeedback Annual Meeting, Colorado Springs, CO, April 2004. Finke, R. A. Principles of Mental Imagery. Cambridge, MA: MIT Press, 1989. Fishbein M, Ajzen I. Belief, Attitude, Intention, and Behavior: An Introduction to Theory and Research. Reading, MA: Addison-Wesley; 1975. Genuis ML. The use of hypnosis in helping cancer patients control anxiety, pain, and emesis: a review of recent empirical studies. Am J Clin Hypn 37(4):316-25, 1995. Henderson JW, Donatelle RJ. Complementary and alternative medicine use by women after completion of allopathic treatment for breast cancer. Altern Ther Health Med 10(1):52-57, 2004. Kwekkeboom K. Pain management strategies used by patients with breast and gynecologic cancer with postoperative pain. Cancer Nurs 24(5): 378-86, 2001. McMahon CE. Images as Motives and Motivators: A Historical Perspective. Amer Jrnl Psych 86: 465-90, 1973. Mischel W, Shoda Y. A cognitive-affective system theory of personality: Reconceptualizing situations, dispositions, dynamics, and invariance in personality structure. Psych Review 102: 246-268, 1995. Moye LA, Richardson MA, Post-White J, Justice B. Research methodology in psychoneuroimmunology: rationale and design of the IMAGES-P clinical trial. Altern Ther Health Med 1(2):34-9, 1995. Rotter JB. Social learning and clinical psychology. New York: Prentice-Hall; 1954. Rushall BS, Lippman LG. The role of imagery in physical performance. International Jrnl Sport Psych 29:57-72, 1997. Sloman R. Relaxation and imagery for anxiety and depression control in community patients with advanced cancer. Cancer Nurs 25(6): 432-435, 2002. Steggles S, Damore-Petingola S, Maxwell J, Lightfoot N. Hypnosis for children and adolescents with cancer: an annotated bibliography, 1985-1995. J Pediatr Oncol Nurs 14(1):27-32, 1997. Sutters KA, Miaskowski C. The problem of pain in children with cancer: a research review. Oncol Nurs Forum 19(3):465-71, 1992. Trijsburg RW, van Knippenberg FC and Rijpma SE Effects of psychological treatment on cancer patients: a critical review Psychosomatic Med 54(4): 489-517, 1992. The Essence of Life By Li Jun Feng n this world, no matter what religion you follow, what race you are, what culture you come from, or what beliefs you hold, health and happiness are very important. In general, health and happiness are the essence of life. But, how can a person have a life full of health and happiness? This is the most important question. In our world today, information changes and grows very fast. Science and technology advance. Transportation becomes more and more convenient. On the surface this looks very good for life, but this also can cause problems and create a crisis. Because people are very busy, each person becomes like a machine. The mind is always busy working, running, always in action. The outside world occupies our inner minds. Each person gradually becomes like an empty shell which cannot integrate our physical body, mind, heart and spirit. The Qi in our body and the Qi in nature cannot exchange very well. When this exchange is not good our bodies, our inner minds and emotions develop problems. Emotional problems are the main cause of physical disease because emotions can affect the quality of Qi in our bodies, either from murky or pure Qi. Emotional problems are usually more difficult to cure than a purely physical one. Now people need Qigong. Everybody needs to practice Qigong. What is Qigong? Qigong is the exchange of Qi between people and the Universe. Real Qigong is good for both physical and emotional health. Why is Qigong good for physical health? Qigong movements can stimulate Qi to flow in our body, to help the exchange of Qi become better between us and the Universe. Traditional Chinese medicine believes Qi is the commander I of blood. When Qi flow becomes better and the blood circulation becomes better, of course you become healthier. Why is Qigong good for emotional health? Through Qigong practice and the meaning of each movement, people can understand the meaning of life better. This makes it easier to remove anger, stress, nervousness, sadness, etc. Then your life becomes natural and happy. Why are so many people not happy in their hearts? The inner heart, one’s attitude of life is very important. If it is not right, the attitude of life should be adjusted. Qigong can help people change their lives and have a better attitude in life. Now, most people like modern models of health—this is good, but models do not account for individual conditions. For example, Qigong is different as there are only positive side effects from its practice in one’s life. Some medications may be good to cure a particular symptom, but they are not individualized, and so cause side effects. On a higher level, the main purpose of life is to learn what unconditional love is, to give more love to the world. Each person can affect the environment and the environment can affect the person. Each individual can positively affect the Universe as a whole by sending unconditional love everywhere and to all beings. We hope unconditional love goes everywhere to everyone—we hope this world becomes a paradise. “Through Qigong practice and the meaning of each movement, people can understand the meaning of life better.” Master Li Jung Feng will teach the Qi Gong in Motion workshop on October 22 and the Qi Gong for Healing Heart and Mind workshop on October 23. THE AMERICAN ACUPUNCTURIST 19 American Association of Oriental Medicine’s Oriental Medicine... Healing the Body, Mind and Spirit Charles Chace, DiplAc, DiplCH James Goodin, “Arrowhawk” October 19, 2006 (A & B) The Chinese Medical Nomenclature Debates, Parts I & II October 21, 2006 (Q) Exploring the Interface Between Native American and Oriental Medicine Other Presentors: Lloyd G. Wright, DNBAO, LAc, and Dennis Robbins, PhD, MPH Dan Bensky, DO October 19, 2006 (A & B) - The Chinese Medical Nomenclature Debates, Part I & II October 20, 2006 (D) Standards A double-edged source for Chinese Medicine October 20, 2006 (E) Channels, Stages, and Warps: Clinical Applications and Implications of the Discussion of the Cold Damage Misha Ruth Cohen, OMD, LAc, DiplAc, DiplCH October 21, 2006 (L) Business Pearls Plenary Session October 21, 2006 (P) Role of Clinical Research in Modern Herbal Medicine Bob Flaws, DiplAc, DiplCH, FNAAOM, RegAc [UK] October 19, 2006 (A & B) The Chinese Medical Nomenclature Debates, Part I & II October 22, 2006 (Y & dd) Treating Female Infertility with Chinese Medicine, Part I & II) Jake Paul Fratkin, OMD, LAc, DiplAc, DiplCH October 19, 2006 (A & B) The Chinese Medical Nomenclature Debates, Parts I & II October 20, 2006 (D) AAOM General Session (Business Pearls Plenary) October 20, 2006 (G) TCM and SARs 20 SUMMER 2006 William Morris, OMD, MSEd, LAc October 19, 2006 (A & B) The Chinese Medical Nomenclature Debates, Part I & II (Chair) October 20, 2006 (D) AAOM General Session Dr. Mikio Sankey, OMD, LAc October 22, 2006 (Z, ee) Esoteric Acupuncture (Parts I and II) Master Li Jun Feng October 22, 2006 (V) Qi-Gong in Motion October 23, 1006 (hh, JJ) Qi Gong for Healing Heart and Mind Parts I & II Master SiFu Lim October 20, 2006 (F) Understanding and Reading Tai Chi October 20, 2006 (I) Pow-Wow Friday Demonstration Deborah Lincoln, RN, MSN, RAc, DiplAc October 20, 2006 D) AAOM General Session Steve Liu, LAc, President Az SOMA October 20, 2006 (D) General Session Welcome from AzSOMA October 22, 2006 (cc) Laser Acupuncture Theory, Research and Application Yuxing Liu, PhD, Associate researcher, OMD, LAc October 22, 2006 (X) Scalp Acupuncture Theory and Clinical Applications Master Xiaotian Shen, OMD, LAc October 19, 2006 (A & B) The Chinese Medical Nomenclature Debate (Co-Chair), Parts I & II October 21, 2006 (L) Business Pearls Plenary Session October 21, 2006 (S) Diabetes: The Treatment and Prevention with TCM Miki Shima, OMD, LAc October 19, 2006 (A & B) The Chinese Medical Nomenclature Debates, Part I & II October 21, 2006 (L) Business Pearls Plenary Session October 21, 2006 (R) Clinical Pearls Master’s Class Young Wei-Chieh, OMD, PhD, LAc October 22 and 23, 2006 (aa, ff, gg, ii) The Way of Master Tung Parts I and II Note: This workshop will be presented in Chinese ONLY on October 22, 2006, and in Chinese (simultaneously translated to English) on October 23, 2006, by Dr. Christine Chang. Joseph Changqing Yang, PhD, LAc October 22, 2006 (W) Shen Disturbance in TCM CONFERENCE AND EXPOSITION 2006 Continuing the Path of the Great Unification…” —William R. Morris, OMD, MSEd, LAc, President, AAOM Speakers Marilyn Allen, MS Claudette Baker, LAc, DiplAc, DiplCH 2006 Conference Schedule Thursday - October 19, 2006 Pre-Conference Workshop: 8:00 am – 12 Noon Dan Bensky, DO A. The Chinese Medical Nomenclature Debates, Part I Adam Burke, PhD, MPH, LAc Moderators: Will Morris, OMD, MSEd and Master Xiaotian Shen, OMD, LAc Shane Burras, LAc, DNBAO Gene Bruno, OMD, LAc, AAOM President Emeritus Christina A. Captain, MA, MOM, AP, SLP Christine Chang, DAOM Candidate, MTOM, DiplOM, LAc Charles Chace, DiplAc, DiplCH Rebekah Christensen, AAOM ED Misha Ruth Cohen, OMD, LAc, DiplAc, DiplCH Master Li Jun Feng Marnae C. Ergil, MA, MS, LAc Bob Flaws, DiplAc, DiplCH, FNAAOM, RegAc [UK] Jake Paul Fratkin, OMD, LAc, DiplAc, DiplCH James Goodin, “Arrowhawk” Martin Herbkersman, DAc, MTOM Master SiFu Lim Deborah Lincoln RN, MSN, RAc, DiplAc Steve Liu, LAc, President AzSOMA Yuxing Liu, PhD, Associate Researcher, OMD, LAc William Morris, OMD, MSEd, LAc Randall Neustaedter OMD, LAc Cynthia O'Donnell, LAc, AP William (Bill) Prensky, OMD, LAc Dennis Robbins, PhD, MPH Dr. Mikio Sankey, OMD, LAc Michael Schroeder, Esq. Master Xiaotian Shen, OMD, LAc Miki Shima, OMD, LAc David Twicken, DOM, LAc Lloyd G. Wright, DNBAO, LAc Young Wei-Chieh, OMD, PhD, LAc Joseph Changqing Yang, PhD, LAc Panelists: Miki Shima, OMD, LAc; Dan Bensky, DO; Charles Chace, DiplAc, DiplCH; Marnae C. Ergil, PhD Candidate, MA, LAc; Bob Flaws, DiplAc, DiplCH, FNAAOM, RegAc [UK]; Jake Fratkin, OMD, LAc, DiplAc, DiplCh; and others. Language is the root of medical practice. The ability to convey medical practices from one culture to another is dependant upon the translational and linguistic assumptions in both the language of origin and the language of arrival. Is standardization necessary? If so, then how does the profession of Oriental medicine concede? This panel provides a forum for the discussion of these vital concerns by recognized experts in the field of Oriental medical education, certification and publication. Morning panelists will each present their position paper, followed by attendee questions and answers. Thursday - October 19, 2006 Pre-Conference Workshop: 1:30 – 5:30 pm Part II of this workshop will continue with a moderated open debate between all panelists. Audience members will be given an opportunity to provide their positions (limited to 5 minutes per person, based on time availability.) The day’s activities will conclude with a moderated Q&A discussion among panelists and attendees. In this two-part workshop, attendees will take away a keen understanding of the depth and breadth of the divergent historical, cultural, and scientific translational complexities involved, but more importantly its impact on their day-to-day practice of OM and the future sustainability and growth of this profession. Thursday - October 19, 2006 Pre-Conference Workshop: 6:00 – 10:00 pm C. OM Ethics: Definition and Use; Feng Shui of Practice Management Christina Captain, MA, MOM, AP, SLP Friday - October 22, 2006 Morning Workshop: 8:00 am – 12 Noon Peak Exhibitor Hours – Attendee Refreshment Breaks – Wigwam Ballroom (Changes in this schedule will be noted in the Conference Binder) Morning Break 9:30 – 10:30 am Luncheon 12:00-1:00 pm 1:00 – 2:00 pm – “Exclusive Business Hours with Favorite Exhibitors – No Classes ” Afternoon Break 3:30-4:30 pm D. General Session: 8:00 am – 12 Noon B. The Chinese Medical Nomenclature Debates, Part II of II Thursday - October 19, 2006 - 5:00 pm Exhibitor Set-up – Wigwam Grand Ballroom This informative course on OM ethics will delve into the foundations of definition and use. A framework of the ethical decision making process will be discussed as well as the concept of ethics. The current climate we face as OM professionals creates the ability to teach the challenging and sometimes difficult situations; being prepared is the only viable option. As we rush into the integrated model of medicine, it is imperative that we protect not only our patients but also ourselves. This seminar will explore identification of ethical issues and accountability, including documentation and communication. Other current issues such as medical acupuncture and appropriate referrals will be presented in case study format. Will Morris, OMD, MSEd, LAc; Dan Bensky, DO; Deborah Lincoln, RN, MSN, Rasp, DiplAc, Lloyd Wright, DNBAO, LAc; Martin Herbkersman, DAc, MTOM; Steve Liu, LAc; Michael Schroeder, Esq.; Claudette Baker, LAc, DiplAc/Herbs (NCCAOM) Business Pearls Plenary Session: Jake Fratkin, OMD, DiplAc, DiplCh; Master SiFu Lim; & Randy Neustaedter, OMD, LAc The Conference will open with an exciting General Session – concluding with Business Pearls Plenary Session. The featured keynote speaker is prominent OM Master and professional colleague, Dan Bensky, DO, addressing Standards - A double-edged source for Chinese Medicine. East Asian medicine has its own inherent characteristics and forces, including pluralism, context, fluidity, and appropriateness. These are the bases from which this medicine operates and has grown over the millennia. In the last hundred years this medicine has met the forces of modern society and the modern state, and has had to deal with issues relating to standardization. We will consider what is gained and lost in this process and discuss some ways to move our profession and our own practices forward. THE AMERICAN ACUPUNCTURIST 21 2006 Conference Schedule D. General Session continued Also in the line-up will be experts that encapsulate the “State of the Profession” from perspectives of our access to herbs, scope of practice issues, advancements in malpractice coverage and insurance billing and practice and more. Our general session will conclude with a plenary session, comprised of our afternoon instructors. They will share with our attendees the business pearls that have served as their fundamental business foundation within their clinical practice. 12 Noon – 1:00 pm: Conference Luncheon – Patio Dining 1:00 – 2:00pm: Exhibitor Hall is Open – No Classes! Friday - October 20, 2006 Afternoon Workshops: 2:00 – 6:00 pm E. Channels, Stages, and Warps: Clinical Applications and Implications of the Discussion of the Cold Damage Dan Bensky, DO (2-Hour Workshop: 2:00 – 4:00 pm) The theories and practices of the Discussion of Cold Damage are underutilized in modern American clinics. In this workshop we will examine the clinical implications of disease and treatment with a focus on the treatment of our patients. The workshop is designed not only to provide the participant with some concrete clinical pearls, but more importantly some tools to expand their understanding of East Asian medicine and enable them to use it more flexibly and effectively. F. Understanding and Reading Tai Chi Master SiFu Lim (2-Hour Workshop: 4:00 – 6:00 pm) The "warming up" is the whole art! The principles within Tai chi are hidden in the warm ups. If you understand the governing principle of how the body moves when one practices Taichi, then within it are the defense moves and the way to tune up the form. Rather than asking me how many forms I know, I believe the real question is to ask how to evolve within the form. G. TCM and SARS Jake Fratkin, OMD, LAc (4-Hour Workshop) The SARS epidemic of 2003 serves as a wake-up call for potential viral pandemics that may attack our population in the near future. In this presentation, we will detail how TCM herbal medicine was successfully employed to reduce hospitalization and death rates by combining the classical Wen Bing approach with the utilization of newly discovered herbs having strong antiviral properties. H. Holistic Pediatric Treatment of Respiratory Illness: Colds, Coughs, and Asthma Randall Neustaedter, OMD, LAc (4-Hour Workshop) Attendees will gain tools to confidently manage acute illness from the fevers stage through congestion, ear pain, and cough using homeopathic medicines and Chinese herbal formulas. We will also discuss an integrative approach to the treatment of asthma including an understanding of the physiological, nutritional, and constitutional basis of asthma from the perspective of holistic pediatrics, integrating the use of pharmaceutical agents, homeopathy, Chinese herbs, nutritional supplements, and lifestyle changes. 22 SUMMER 2006 H. (1) Interested in Pediatrics Certification 6:00 – 7:00 pm (Same classroom) The Holistic Pediatric Association is developing a certification program in Chinese Medicine Pediatrics. We invite all conference attendees to hear about it and give their input at a meeting following Dr. Neustaedter's workshop on holistic pediatrics in respiratory conditions. (Free – No CEUs) Friday - October 20, 2006: 7:00 – 10:00 pm …or when the party ends! Pow-Wow Friday…Celebrating Traditional Cultures: The Native American/OM Experience! I. All conference attendees are invited to our kick-off event, Pow-Wow Friday. This will be an opportunity to savor old and new friendships, enjoy scrumptious food and tantalizing libations as well as unique entertainment. We’ll have all the trimmings Indian dancers, local musicians, singing, and drumming circles. To these festivities we’ll add the talent’s of local astrologers, palm and face readers, plus more – to include a silent auction featuring southwestern art and enticing OM goodies! Hope to see you there! (No CEUs, but must register to attend!) Saturday - October 21, 2006 Morning Workshops: 7:00 am –12 Noon 7:00 – 8:00 am J. Qi-Gong in Motion Cynthia O’Donnell, LAc, AP Qi-Gong in Motion will provide the tools for self-cultivation of Qi to replenish your internal life force, allowing you to create and sustain optimum health and long life for you and your patients. 8:00 – 10:00 am K. AAOM’s Annual Meeting The annual report will be presented, and new board members will be elected. You must be an AAOM member to attend. Members joining prior to the meeting, or at our event, are welcome to attend. 10:00 am – 12 Noon L. Business Pearls Plenary Session Misha Cohen, OMD, LAc, DiplAc/CH; Jim Goodin, Native American Spiritual Healer; Lloyd G. Wright, DNBAO, LAc, Dennis Robbins, PhD, Dennis Robbins, PhD, MPH, Xiao Tian Shen, OMD, LAc; and Miki Shima, OMD, LAc Join our afternoon speaker line-up as they share with our attendees the “business pearls” that have served as their fundamental foundation in their clinical practice. M. Intention, Imagery, and Healing in Clinical Practice Adam Burke, PhD, MPH, LAc If acupuncture works by creating a receptive state, then the healing intention conveyed by the provider through words, images evoked, and suggestions, will be critical components in the curative process. The role on intention in effective patient-provider communication, patient education, and adherence/motivation will be discussed. N. Feng Shui of Practice Management Christina Captain, MA, MOM, AP, SLP This course will combine the concepts of modern school feng shui with the practice of Oriental Medicine. Both practice management and treatment strategies will be discussed. Attendees will be introduced to the concept of applying feng shui to office design and treatment plans. Attendees will be able to utilize these concepts to enhance prosperity and overall qi flow immediately upon return to their practices. O. Student Caucus Cynthia O’Donnell, LAc, AP, AAOM SO Chair An AAOM tradition - we are again offering the Student Caucus conference enrollment package to students. The student caucus is a forum for students to discuss and share their opinions on pressing national matters, thereby having a voice as an AAOM constituent. Joining Cynthia in the leadership of this meeting will be student officers from the AAOM Student SO. You’ll learn about AAOM, a myriad of issues on the state and national front, and the importance of student advocacy. Students will be allowed to attend the entire conference (minus the pre- and post- conference workshops) for $60. To receive this rate the student MUST attend the student caucus. (Free – No CEUs - Registration Required) 12 Noon – 1:00 pm: Conference Luncheon – Patio Dining 1:00 – 2:00pm: Exhibitor Hall is Open – No Classes! Saturday- October 21, 2006 Afternoon Workshops: 2:00 – 6:00 pm P. Role of Clinical Research in Modern Herbal Medicine Misha Cohen, OMD, LAc, DiplAc/CH Clinical herbal research is important to the practice of Asian traditional medicine. The workshop aim is to explore the interrelationship and integration of clinical Chinese herbal medicine practice and Chinese herbal research using lecture and interactive learning techniques. Participants will learn how to begin to participate in clinical herbal research trials. Q. Exploring the Interface Between Native American and Oriental Medicine Jim Goodin, Native American Spiritual Healer Dennis Robbins, PhD, MPH Lloyd G. Wright, DNBAO, LAc This interactive session will offer a glimpse into the intricacies of age-old sacred ceremonies and wisdom while exploring the interface and uniqueness of diverse yet complementary approaches. It will expose the participant to the rich perspectives of a respected and gifted Native American healer, Jim (Arrowhawk) Goodin, Dennis (Eagle Medicine Bear) Robbins; Arrowhawk’s adopted brother, and Lloyd Wright, an experienced OM practitioner. This distinctive and dynamic session will encourage ample opportunity for interchange, hands-on demonstration and lively discussion. 2006 Conference Schedule Saturday- October 21, 2006 Afternoon Workshops: 2:00 – 6:00 pm Sunday- October 22, 2006 Morning Workshops – 7:00 – 8:00 am R. Clinical Pearls Master’s Class V. Qi-Gong in Motion: Instructor Miki Shima, OMD, LAc Master Li Jun Feng Join Miki Shima as he evaluates three live case studies. Patient histories will be provided with onsite evaluation followed by a discussion of proposed treatment options and protocols. This is an extraordinary opportunity to gain understanding of Japanese-style acupuncture and to learn at the hands of a master. Audience interaction will be encouraged. Relax. Experience the opening of your heart with this moving meditation. Qigong can also help the mind in becoming more focused and increase ones power of concentration. These beautiful movements calm one's mood, helping to alleviate worries and nervousness. It nurtures and balances the qi, magnifying the inner love and bringing one into harmony with the universe the essence of human health. S. Diabetes: The Treatment and Prevention with TCM Master Xiao Tian Shen, OMD, LAc Diabetes is becoming more common in the United States, effecting about 14.7 million Americans in 2004. Traditional Chinese medicine, with all of its modalities: acupuncture, herbs, diet, tai chi, etc., is considered to be very helpful in treating various types of diabetes. This lecture will highlight the TCM understanding of this complex condition, including discussions on the physiology, etiology and pathology of this disease with a focus on the various approaches TCM takes to treat diabetes. T. Practice Survival Tactics 101 Shane Burras, MTOM, LAc Practice Survival Tactics 101 You will learn what you NEED to know about how to successfully get the best return on your investment in your practice. The health care market is changing and your practice needs to adapt, grow and evolve to stay profitable. Attendees will learn best practices techniques for charting, billing, and report writing - the information the insurers don't want you to have. We will go over emerging trends in the health care industry and give you the necessary tools to position yourself for profit, success and set yourself above the rest. Saturday- October 21, 2006 Annual Awards Banquet 7:00 pm – Midnight U. AAOM Annual Awards Banquet (No CEUs – Registration Required) Annual Awards will be presented, and a delicious dinner will be served. Keynote Presentation: Once Upon a Time in America–Oriental Medicine in the New World William L. Prensky, OMD, LAc & Gene Bruno, OMD, LAc In the late 1960’s Acupuncture and Oriental Medicine were largely unknown in the United States outside of ethnic Far East Asian communities. These were times of great change in the world, resulting in Cultural Revolutions that forever shifted the landscape of medicine’s philosophy. This year’s presentation begins a journey of rediscovering the origins of our medicine in the West; starting with an exploration of the earliest beginnings of Acupuncture and OM as a separate profession in America. We will examine the tribulations, false steps and the progress comprising our early history. Drs Prensky and Bruno were present at the start of this journey, helping to found the very beginnings of our professional institutions in the 1960’s. They will share an intimate recollection of the life and times of the founding of OM in America, and the world into which Acupuncture burst onto the scene in the 1970’s. Sunday- October 22, 2006 Morning Workshops – 8:00 am – 12 Noon W. Shen Disturbance in TCM Joseph Chang Qing Yang, PhD, MD, LAc Learn a highly refined method of distinguishing Shen diagnoses. The Shen will be discussed in the context of types, qualities and properties. Doctor and patient Shen concepts will be used as a model for analyzing the clinical relationship. Learn about Shen conservation for the TCM doctor working with Shen disturbed patients. In addition, attendees will examine constitutional concepts and pattern identification that are used to treat the patient with Shen concerns. The major Shen disorders including Kuang, Dian, Jian, Chi and Yu syndromes are considered along with the five disease types. X. Scalp Acupuncture – Theory and Clinical Applications Yuxing Liu, PhD, LAc During the 1970’s, scalp acupuncture was developed as a complete acupuncture system. Early contributors proposed different models of point groupings including the motor and sensory areas, writing (speech) and reading (memory) centers, as well upper, middle, and lower burner areas. Dr. Liu will address these historical models and break out some newer models that are returning to the channel theories of scalp acupuncture based upon the new International Standards of Scalp Acupuncture. Loaded with images, Dr. Liu's presentation will also address some of the newer neuroanatomical considerations of scalp acupuncture. Y. Treating Female Infertility with Chinese Medicine (Part I of II) Bob Flaws, DiplAc, DiplCH, FNAAOM, RegAc [UK] If you treat women in your practice, you know that they usually arrive at your clinic with a pre-established Western medical diagnosis. In women with fertility problems, this can include endometriosis, luteal phase defect, immune infertility, and many others. How do we translate these Western medical conditions into Chinese medical words and concepts? How do we treat these conditions effectively? How do we integrate our treatments effectively with In Vitro Fertilization and other assisted reproductive technologies to increase a woman's chances of a successful pregnancy? All this and more will be covered in this full and fast-paced class. Z. Esoteric Acupuncture (Part I of II) Mikio Sankey, OMD, LAc This workshop will inspire all who are interested in Spiritual Healing for the 21st Century. Attendees will receive an overview of Esoteric Acupuncture theory and its connection between Sacred Geometry, Qabbala, Chinese Acupuncture theory and Chakras. Esoteric Shaoyin theory will be explored followed by hands-on demonstration of select new encoding patterns. aa. The Way of Master Tung – Part I of II (Chinese Only) Master Young Wei-Chieh, OMD, PhD, LAc Learners will explore essential concepts of Master Tung's method from his most senior student and heir apparent, Young Weichieh. Dr Young brings 40 years of experience building upon and teaching the methods. Ranging from Master Tung's core philosophy of tissue correspondences to the special points of the Tung system, Dr Young will work to "throw the brick out to guide a jade back." 12 Noon – 1:00 pm: Conference Luncheon – Patio Dining 1:00 – 2:00pm: Exhibitor Hall is Open – No Classes! Sunday- October 22, 2006 Afternoon Workshops – 2:00 – 6:00 pm bb. I Ching Acupuncture David Twicken, DOM, LAc I Ching Acupuncture and the Balance Method is a clinically proven method of point selection based on the principles of the I Ching and Ba Gua. This unique method of Acupuncture contains principles and applications from the Chinese medical classics Nei Jing and Nan Ching, which will be presented revealing the theory for I Ching Acupuncture. Includes the first public presentation of the Daily Balance Method. Attendees will be able to immediately select Acupoints for their clinical practice based on the Ba Gua and I Ching. cc. Laser Acupuncture – Theory, Research and Application Steve Liu, LAc This workshop will introduce the history of laser acupuncture, and its clinical applications. Laser acupuncture was investigated and clinically applied in China since the late 60’s. More advanced and portable laser acupuncture systems were developed and spread throughout Europe in the 1990’s. Early laser acupuncture techniques were confined to the stimulating of one acupoint at a time. With development of the new devices, simultaneous stimulation of multiple points becomes possible. Austrian research and that of the presenter will be cited. dd. Treating Female Infertility with Chinese Medicine (Part II of II) Bob Flaws, DiplAc, DiplCH, FNAAOM, RegAc [UK] Workshop Overview: Reference Y. continued on page 24 THE AMERICAN ACUPUNCTURIST 23 Sunday- October 22, 2006 Afternoon Workshops – 2:00 – 6:00 pm ee. Esoteric Acupuncture (Part II of II) 2006 Conference Registration ❑ Check One Only In Each Time Slot Conference Fees Quoted at Base Registration Fee and Half Day Increments Mikio Sankey, OMD, LAc In Part II of this workshop, attendees will explore the theory of the energetics behind the acupuncture points used in Esoteric Acupuncture and a continuation of Chakras and Acupuncture. Acupuncture patterns used in Esoteric Acupuncture will be discussed in the context of hands-on demonstration. The practice of Esoteric Acupuncture can produce profound shifts in consciousness, within practitioners and patients. ff. The Way of Master Tung – Part II of II (Chinese Only) Master Young Wei-Chieh, OMD, PhD, LAc Workshop Overview: Reference aa. Monday- October 23, 2006 Morning Workshops – 8:00 am – 12 Noon gg. The Way of Master Tung – Part I of II (Chinese Translated to English) Master Young Wei-Chieh, OMD, PhD, LAc Christine Chang, DAOM Candidate, MTOM, DiplOM, LAc (Interpreter) Learners will explore essential concepts of Master Tung's method from his most senior student and heir apparent, Young Wei-chieh. Dr Young brings 40-years of experience building upon and teaching the methods. Ranging from Master Tung's core philosophy of tissue correspondences to the special points of the Tung system, Dr Young will work to "throw the brick out to guide a jade back." hh. Qi Gong for Healing Heart and Mind – Part I of II Master Li Jun Feng This Healing Qigong uses the unlimited reservoirs of transpersonal power and the principles of mind-body medicine to facilitate healing. The main medical benefits are to allow the Qi to directly enter and nourish the blood and acupuncture meridians in the human body, assisting in the removal of negative emotions such as worry, sadness, anger, nervousness, fear, anxiety and also disease. 12 Noon – 1:30 pm: Conference Luncheon – Patio Dining Monday- October 23, 2006 Afternoon Workshops – 1:30 – 5:30 pm ii. The Way of Master Tung – Part II of II (Chinese NAME STATE LICENSE # (Required if you are licensed) ADDRESS CITY STATE / ZIP / Vegetarian Meals? ❑ Yes ❑ No TEL E-MAIL METHOD OF PAYMENT THE AAOM ACCEPTS CHECKS; VISA, MASTERCARD, AMERICAN EXPRESS, AND DISCOVER. AAOM Member? ❑ Yes ❑ No Translated to English) Master Young Wei-Chieh, OMD, PhD, LAc Christine Chang, DAOM Candidate, MTOM, DiplOM, LAc (Interpreter) ❑ CREDIT CARD TYPE AND # / EXP DATE / NAME AS IT APPEARS ON CARD Workshop Overview: Reference gg. jj. Qi Gong for Healing Heart and Mind – Part II of II Master Li Jun Feng This Healing Qigong uses the unlimited reservoirs of transpersonal power and the principles of mind-body medicine to facilitate healing. The main medical benefits are to allow the Qi to directly enter and nourish the blood and acupuncture meridians in the human body, assisting in the removal of negative emotions such as worry, sadness, anger, nervousness, fear, anxiety and also disease. 24 SUMMER 2006 SIGNATURE DATE For payment by check remit to: AAOM, P.O. Box 162340, Sacramento, CA 95816 2006 Conference Fee Structure Note: Full-Day Registrations include Breaks, a Luncheon and a hard-copy conference binder, IF PRE-REGISTERED. Availability of at-the-door binders and luncheons is highly unlikely. If no binder and luncheon tickets remain, discounts off conference fees are not provided, they are a gratuity to pre-registered attendees. Banquet tickets are a gratuity for qualifying registrants, thus fee reductions in conference rates will not apply. Students must be AAOM Student Members to receive Student Rates, and will receive a CD-Rom of the binder only. Early Bird (EB) Closes: 8.31.06 Member Early Bird All Base Registration Fee (All) $ 100.00 19-Oct Pre-Con (8-6) {A & B} $ 19-Oct Pre-Con (6-10) {C} $ 20-Oct AM General Session (8-Noon) {D} 20-Oct PM Classes (2-6 PM) {E - H} 20-Oct Non-Member Early Bird Student Early Bird Location 300 Litchfield park, AZ 85340 30.00 $ 623-856-1081 20.00 $ 120.00 60.00 100.00 $ 120.00 $ 50.00 $ 60.00 $ $ 50.00 $ 60.00 $ $ $ 50.00 $ 60.00 $ $ PM Pow-Wow Friday (7-10) {I} $ 18.50 $ 25.00 $ 18.50 $ 21-Oct AM Qi-Gong In Motion (7-8) {J} $ 0.00 $ 20.00 $ 0.00 $ 21-Oct AM AAOM Board Meeting (8-10) {K} $ 0.00 N/A $ 0.00 21-Oct AM Classes (2 Hrs. Each) {L - N} $ 30.00 35.00 Destination Resort and Spa $ $ $ $ Totals The Wigwam N/A $ www.wigwamresort.com For over 75 years, the Wigwam, a Destination Resort and Spa, has been a favorite for visitors who yearn for an Authentic Arizona™ 21-Oct Student Caucus {O} 21-Oct PM Classes (4 Hrs. Each) {P - T} $ 60.00 $ 72.00 $ $ experience. Set on more than 463 22-Oct J. Qi-Gong In Motion (7-8) {V} $ 0.00 $ 20.00 $ 0.00 $ picturesque acres in the Sonoran 22-Oct AM Classes (8-12) {W - aa} $ 60.00 $ 72.00 $ 0.00 $ Desert, the Wigwam resort is a lush 22-Oct PM Classes (2-6) {bb - ff} $ 60.00 $ 72.00 $ 0.00 $ oasis. Featuring old-world charm, 23-Oct AM Classes (8-Noon) {gg - hh} $ 70.00 $ 85.00 $ 30.00 $ 23-Oct PM Classes (1:30-5:30) {ii & jj} $ 70.00 $ 85.00 $ 30.00 $ N/A N/A Mandatory Free ADD ONS Lunches: 1 Full Day of Classes Additional Lunches Free $ 32.00 Banquet Tickets: (Fri-Sat-Sun) Additional Banquet Tickets Free $ Free $ 75.00 38.00 $ 85.00 Harbor International Airport. N/A $ 32.00 Free $ N/A $ 75.00 $ Note: Breaks-Lunches cost AAOM $53 per attendee, per day Post Early Bird Rates and At-the-Door Rate: After 8/31/2006 Enjoy... walking trails, tennis, reddoor spa, 54 holes of championship golf, renowned dining, horseback riding, Grand Canyon day tours, croquet, and more. Chances are Add 20% T O TA L yet modern amenities, it is located just 25 minutes from Phoenix Sky $ that AAOM attendees will never IMPORTANT: Instructions for Completing and Submitting Registration want to leave once the conference is 1. Each registrant (Member/Non-Member/Student) has a base Fee of $100, $120, $60, respectively. 2. Insert the appropriate Base fee, prior to itemizing your classes and fee structures on the form. 3. The fee structure form lists separate fees for each group of AM classes, PM Classes, and Evening Classes/Events (October 19-23). This allows attendees to "mix 'n match" classes in 1/2 day increments, and attend only the days or half-days they choose to attend. 4. Based upon whether you are a Member, Non-Member or Student, apply the appropriate fee structure for each half-day segment (or evening class/event) you choose to attend in the far-right column. Online registration automatically calculated fees. 5. Free breaks are provided to all, and free lunches are provided for each full-day of attendance. 6. Lunches and Banquet Tickets are not provided for Students at the Student Rate. 7. Conference badges identify if you have a Free or Purchased Luncheon or Banquet Ticket. 8. CHECK one class ONLY in each block of the Registration form. 9. To complete registration: the (1) Registration Form, (2) Contact and Billing Information, and (3) Fee Structure form must be submitted together via fax, mail, or our online application. 10. Contact Information: www.aaom.org - Toll Free: 866-455-7999 - Fax: 916-443-4766 over! Our Promise… Powerful Learning, Powerful Beauty, Powerful Escape and Powerful Fun! We are offering a very popular $60 Student Enrollment! This year each student attendee will receive a CD conference binder. (Students must provide, at time of registration, a copy of a valid student ID.) Those registering for the $60 rate must be AAOM Student Members to receive Student Rates, register and attend the Student Caucus on Saturday morning, October 21st. (Registration excludes Pre-Conference, Post Conference Classes, food and overnight lodging.) THE AMERICAN ACUPUNCTURIST 25 FREE 3rd D Shipp ay ing Empowering Herb Practitioners Nationwide One • Stop Shopping Same Pricing & Discounts as Manufacturers NEW W PRODUCTS: ■ Sage e Solutionss & Gentlee Warriorss byy Kan ■ Seven n Forestss byy ITM ■ Secara OVER R 3000 0 PRODUCTSS INCLUDING: ■ Kan n Herbals ■ KPC C Herbs ■ Kan n Traditionals ■ Golden n Flower ■ Chinese e Modular ■ Health h Concerns Solutions ■ Spring g Windd Bulk ■ Three e Treasures Herbss & Topicals ■ Women’s Treasure ■ Vinco o Needles ■ Blue e Poppyy Herbs ■ AcuGlidee Needles ■ Blue e Poppyy Topicals ■ AcuMasterr Needles ■ Honso–Kampo ■ Viva a Needles ■ Herball Times ■ Books ■ Pacific c Biologic ■ Medicall Supplies www.CraneHerb.com 800 .227. 4118 26 SUMMER 2006 Create e your own n formulas Combinee individuall herbss orr customizee a standardd formula. ■ Simply y determinee thee herbb ratios,, dailyy dosee andd numberr off treatmentt days.. Ourr onlinee system m doess thee rest! ■ Instantt practitionerr costt and d patientt pricee quotes. ■ Formulas s aree preparedd from m freshestt KPCC concentratedd powders,, andd aree accuratee too 0.11 gram. ■ We e adheree too industryy standards:: USPP dispensingg rules,, FDA A GMP,, FDA A DSHEA A labelingg standards,, HIPAA A compliantt patientt records. ■ Focus s onn healing,, nott paperwork! ■ TAI CHI CHUAN - Doing a Form of Tai Chi Chuan By SiFu Lim, Tai Chi Master, 8th Degree Teakwondo, Sing Ong Tai Chi peak to your friends who do Karate or Tae Kwon Do about Tai Chi Chuan and they will tell you it is a slow health exercise for old people and not self-defense. Speak to someone from the alternative healing camp and they will speak about energy, moving meditation, centering, etc. Are they correct? Yes, to a certain degree. However, considered separately, these aspects are merely by-products of Tai Chi Chuan. S What does Tai Chi Chuan translate to? Grand Ultimate Fist - undefeated in its heyday in China. One has only to interpret correctly the symbol of Yin and Yang and go into its philosophy to understand that within it are also the principles of I Ching. Understanding the importance of this is vital to lay practitioners of Tai Chi Chuan. No matter what the style, one must have a strong grasp of the above, otherwise, how can one explain how the soft takes the strong, the short takes the long or the slow takes the fast. Mastering or even basic practicing of Tai Chi Chuan is about mastering changes. There are a least 108 moves so subtle that their essence is camouflage. These movements are so well hidden or disguised that by the time one's enemies see it or realize it, they are already ensnared in the net. The more they struggle the worse it is for them. The fine tuning of the body in Tai Chi Chuan can be likened to the performance of a Formula One racing champion like Alain Prost or the late Aynton Senna. They are very much attuned to their cars, and test them to the fullest. They telecommunicate with mechanics, engineers and designers as they are driving, so that any adjustments made to the car are tuned into their response. Real Tai Chi Chuan has all of the above characteristics. Doing the 24 steps, 37, 42 or the 108 does not necessarily mean doing Tai Chi Chuan. Most people practice the form without really understanding what it is. Hence, we have “experts” writing about the demise of Tai Chi Chuan when Cheng Man Ching abridged the 108 to make the 37 steps. These people did not understand what was involved and therefore operated from a position of ignorance. In fact, Cheng Man Ching was ahead of his time and was so refined in his art that even his colleagues did not see what he was mastering. He certainly did not earn his reputation from doing paintings although he was a master at that as well! Most Tai Chi Chuan practitioners who are familiar with the 37 steps in Cheng Man Ching's form think it all ended with him. However, Huang Sheng Shyan, the White Crane master, brought the system another 20 years forward. He developed it so much that when one sees him doing the form, the instant response is “there is nothing to it.” Although, it is in fact, camouflage at its finest. People not recognizing the subtlety have spoken misguidedly of the demise of Tai Chi Chuan. Tai Chi Chuan needs to be learned with proper guidelines. Mastering or learning real Tai Chi Chuan involves consciously working with the hidden moves and intricacies. One tunes ones body until one has an intuitive feel for specific movements. It is also very important to realize that it is not mastered overnight and that it takes perseverance even with proper guidance. If it were as easy as walking the steps, everybody could have learned it. It is definitely not like learning hard style martial arts. In fact, if one views it from the prospective of the hard style one will never grasp it. • There are many who compromise their approach to Tai Chi Chuan. • There are those who approach it with the belief it is only for health. • There are those who try to discredit the masters by saying they only push hands with there students (implying a set up). • There are those who say it is soft and therefore useless. • There are those who relegate it to the realm of magic. • There are a few who can acknowledge within themselves that in spite of years of devotion to Tai Chi Chuan, they have not been exposed to its true essence. Tai Chi Chuan is indeed the Grand Ultimate – only with the proper research, understanding and above all training under the right teacher can the door be opened. Master SiFu Lim will be teaching the Understanding and Reading Tai Chi workshop on October 20, and will be giving a demonstration at the Pow-Wow that evening. THE AMERICAN ACUPUNCTURIST 27 Asthma and Kids By Randall Neustaedter OMD Allergies and Asthma—Excerpt from Child Health Guide, North Atlantic Books, 2005 Asthma Incidence Dramatically Increasing four-square block area of Central Harlem were tested, and 26 percent had evidence of asthma, five times the national average. Additionally, healthful nutrition is an important deterrent to the development of asthma in children. llergic conditions can begin at any age. Infants can develop eczema soon after birth. Babies can also suffer from asthmatic reactions to viruses with chronic coughs and/or wheezing following colds. Preschoolers may develop sensitivity to milk and chronic sinus congestion or ear problems. However, it is during ages 5 through 10 that allergies and asthma become especially prevalent. Children at this age develop seasonal hay fever attacks and asthmatic reactions to animals, dust mites and plants. Asthma may also manifest as exercise-induced wheezing when children begin playing sports (soccer, basketball or swimming) that challenge their endurance. Allergies affect about 38 percent of all Americans; about 5 percent of the U.S. population has asthma. The highest proportion of asthma is among children age 5 to 14, a total of 5 million children. Childhood asthma has increased by more than 40 percent since 1980. Many researchers have looked at the growing number of childhood vaccines as a likely cause of the rise in childhood asthma. Several clinical studies have confirmed an association between vaccination and asthma. In these studies, vaccinated children have a higher incidence of asthma compared to those unvaccinated. Medications given to children early in life also have a significant effect on the incidence of asthma. Children given antibiotics or acetaminophen (Tylenol) at some time prior to age 4 were nearly twice as likely to develop asthma when compared to a control group. Low income level has also proven to be associated with childhood asthma. In a study undertaken by the Harlem Children's Zone, more than 2,000 children were tested for asthma. All children under 13 who lived within a twenty- A 28 SUMMER 2006 The Holistic Solution The solution to allergic and asthmatic conditions lies in the realm of holistic medical care. Allergies can be significantly improved, and even cured, with holistic treatment. Homeopathic constitutional medicine is the most profound and direct way to stimulate a healing reaction and overcome immune system susceptibilities. Children's immune mechanisms can also be strengthened using a combination of nutritional supplements and Chinese herbal treatment. Treating asthma with holistic approaches can be complex and needs to be carefully managed. Children cannot stop their medications suddenly. A number of safe and effective herbal formulas exist that can control asthma in children and simultaneously strengthen the immune system to prevent further attacks. The Chinese Modular Solutions (CMS) formulas Open Air, Deep Breath, and Chest Relief, all developed for pediatric use, are especially effective in managing asthma without drugs. Homeopathic medicines prescribed for acute symptoms will also supplement the use of these herbal formulas. Parents can also learn tui na techniques on the Lung and Ren channels and back shu points that will help to relax the airway, relieve coughing, and clear phlegm. Nutritional support for asthma is especially important, including adequate supplies of vitamins A, C, D, and E, colostrum, magnesium, and an omega-3 fatty acid supplement. Several important Chinese herbal formulations can also help bolster immunity in children, especially those combinations that tonify the Stomach and Spleen. Grow and Thrive by CMS is an important pediatric for- mula for this purpose. Other treatment methods that can improve lung function and create a healthy balance in the body for energy to flow properly include acupuncture, and chiropractic and osteopathic manipulation. Finally, the emotional and energetic component of asthma treatment should not be neglected. The field of psychoneuro-immunology has revealed the important connection between emotions and the immune system. Self-regulation techniques that develop a relaxation state include guided imagery, biofeedback, and simple deep abdominal breathing. These methods can help prevent asthma reactions. Children proficient in these skills can also relieve asthmatic symptoms when they occur. One of the primary mechanisms of asthma is the constriction of smooth muscle fibers that encircle the airway tubes. When the mind is calm, when skeletal muscles are relaxed, and when breathing is deep and regular, these muscles that constrict air flow will also relax and allow children to breathe more freely. Regular exercise, swimming, and dance training have also been shown to increase lung capacity and reduce asthma episodes. This holistic approach to asthma will strengthen the immune system and lung function, prevent the airway inflammation characteristic of asthma, relieve the muscle constriction that impairs breathing, decrease mucus production in airways, and create a balanced energy flow that allows the lungs to do their job without impairment. Dr. Neustaedter will be teaching a workshop on the holistic treatment of children’s respiratory conditions, including asthma on Friday, October 20. The World of Esoteric Acupuncture Spiritual Level of Acupuncture cupuncture in the United States is still relatively new, and students are taught the theories developed in Asia in the past. They are taught the theories of Zang-Fu Differentiation, diagnosing the signs and symptoms of a diseased or imbalanced state, then taught how to utilize various acupuncture points along with Chinese (Asian) herbal formulas to bring about a more harmonious state. How will acupuncture be used in the United States five or ten years from now? As the problems we face today become more complex and the intricacies of these problems become more clearly defined, we will need new solutions to solve these more complex problems. Do you as an acupuncture practitioner feel confident in working with the energetics of acupuncture and harmonizing Qj (energy) on levels above the dense physical, astral (emotional), and mental bodies? Acupuncture derives its name from the Latin word for needles, acus, and from the English word puncture. Acus can also be translated as obelisk, which in esoteric teachings is a term often used to symbolically denote a temple. To puncture means to pierce something. Esoteric is defined as not readily seen, recognized, or understood except by those with a certain level of consciousness or inner plane awareness and insight. The temple I am referring to consists of our dense physical and etheric bodies and the acupuncture sites are merely gateways to allow the person to enter the inner realms of a different reality. Esoteric Acupuncture does not merely define the process of inserting a physical acupuncture needle into the dense physical vehicle using specific acupuncture patterns. Esoteric Acupuncture is a philosophy of life concerning healing on all levels, especially the Spiritual planes. Each healer must be aware of his or her own energy field. The energetics of everything you eat and drink, as well as your emotional and mental thoughts, are A By Mikeo Sankey, OMD, LAc being transmitted through your hands and through the acupuncture needles. The acupuncture needles used to pierce the physical vehicle utilizing specific geometric patterns are merely one method to be able to enter into the consciousness realms at our Soul plane and Spiritual levels. The only criteria involved in the philosophy of Esoteric Acupuncture is that one considers exploring all the inner plane possibilities (various Spiritual planes) available for each individual. The journey into the higher planes is a Journey of Healing. Esoteric Acupuncture is one modality that gives us the opportunity to enter into the gateways of a higher form of healing. Esoteric Acupuncture is a synthesis of traditional Chinese acupuncture, the Hindu Chakra System (Layayoga), Jnana yoga, Sacred Geometry, the Hebrew Cabalah (Qabbalah), Sacred Numbers, Dinshah's Spectra-Chrome Color Theory, Djwhal Khul's inner plane work, the theories of Field and String physics, Theosophy, and the most important concept which is to always work from the Heart and not merely the academic left brain. These different philosophies are put together in one usable working format via New Encoding Patterns and Chakra Balancing Patterns. The New Encoding Patterns and the Chakra Balancing Patterns are based on geometric sequencing of specific acupuncture points using Sacred Geometry and Sacred Numbers. Sacred Geometry adds additional dimensions for working with Qi/prana such as the concept of morphic resonance. Morphic resonance is a consciousness connection which is completely different from linear, acoustic, or other types of resonant connections. We all have energy vortices known as chakras. Chakras can be thought of as storehouses of information and of all of our experiences. There are seven major chakra systems in the human body, and a number of less emphasized chakras depending upon which system you use. Acupuncture sites can be thought of as micro chakras. An imbalanced chakra or chakras will eventually lead to a physical imbalance. Using a specific Chakra Balancing Pattern or a New Encoding Pattern will initiate balancing, harmonizing and tonifying the various chakras, as well as balance energies on planes higher than that at the chakra levels. Needling specific acupuncture sites using the theories of Esoteric Acupuncture will assist us in reconnecting with the inner levels of our Heart to initiate a form of healing on the higher realms of consciousness at the Soul and Spiritual levels. Esoteric Acupuncture integrates all of the planes from the dense physical to the causal, buddhic, atmic, and higher Spiritual planes, and is designed for all New Energy Healers who wish to move from the paradigm of the Age of Pisces, which is working on the various stages of disease, into the Age of Aquarius, which will eventually focus on various levels of Wellness and health on all planes. If we wish to change the world to a better place for humanity, then we must change our own world which includes our inner world. If we bring in more light to our, lives and change ourselves to a healthier more positive person, then we have already shifted the planet and ultimately everything to a better place. Dr. Sankey will be teaching a workshop on esoteric acupuncture on Sunday, October 22. THE AMERICAN ACUPUNCTURIST 29 I Ching Acupuncture By Dr. David Twicken, DOM, LAc he Book of Changes is the oldest and foundation book of Chinese philosophy and medicine and contains profound principles for the clinical practice of Acupuncture. This article introduces one application of this comprehensive system of Acupuncture. T The I Ching is comprised of 64-Hexagrams, which are six-line configurations, each line is either one stroke, Yang (___) or two stokes, Yin, (_ _). Hexagrams are comprised of two, three lined formations called a trigram. When two Trigrams are placed side-by-side, lines of the same number correspond. One method in I Ching Acupuncture utilizes these corresponding numbers, lines, positions or energies in the practice of Acupuncture. A Trigram ____ ____ ____ Two Trigrams numbered 3___ 3___ 2___ 2___ 1___ 1___ Lines in the 1st, 2nd and 3rd positions correspond to each other, placing two Trigrams on top of each other forms a Hexagram and corresponding lines are pairs. Tai Yang Shao Yang Yang Ming Tai Yin Shao Yin Jue Yin The Hexagram below contains two Trigrams with their lines labeled, lines 1-1, 2-2 and 3-3 correspond to each other. In a Hexagram, corresponding pairs are 1-4; 2-5 and 3-6, see below. 3_______ 6 2_______ 5 1_______ 4 3_______ 3 2_______ 2 1_______ 1 Hexagrams can be used in many ways, one method is placing the six channels adjacent to each line, then connecting corresponding lines and channels. Hexagrams and their six channel pairs reveal a method for selecting Acupuncture channels. The Six Channel Model, which is one of the major models of correspondences in Chinese medicine, is used in I Ching Acupuncture. The classic book of the Han Dynasty, Shan Han Lun, applies the Six Channel model to herbal medicine. Six channel pairings based on a Hexagram are Jue Yin-Yang Ming (1-4), Shao Yin-Shao Yang (2-5) and Tai Yin-Tai Yang (3-6) 3_______ 6 2_______ 5 1_______ 4 3_______ 3 2_______ 2 1_______ 1 In this method new sets of relationships exist: Jue Yin-1 and Yang Ming-4 treat each other, Shao Yin-2 and Shao Yang-5 treat each other, Tai Yin-3 and Tai Yang-6 treat each other. These are energetic correspondences and coupled pairings: Jue Yin and Yang Ming are number 1, Shao Yin and Shao Yang are number 2, and Tai Yin and Tai Yang are number 3. Clinical Application A patient has low back pain located on the Bladder channel, which is Tai Yang and corresponds with Tai Yin, select a point from the Tai Yin Lung channel for treating this condition. Lung 5 is an excellent choice for lower back pain, it is also a Yin channel treating a Yang ChannelBladder, which follows a fundamental principle of the Nei Jing, Yin treating Yang and Yang to treating Yin. Note The sequence of the six channels is based on Acupuncture channel relationships, not the order a pathogen moves in the body, as found in the Shan Han Lun. For more information on I Ching Acupuncture see the author’s book “I Ching Acupuncture.” Dr. Twicken will be teaching a workshop on I Ching Acupuncture on Sunday, October 22. 30 SUMMER 2006 Four Aspects of Pattern By Joseph Chang Qing Yang, PhD, LAc and William Morris, OMD, MSEd, LAc n TCM, pattern discrimination is the key to diagnosis, treatment and maintenance. As a matter of definition, patterns are an aggregate of clinical manifestations that reflect the current pathological status. These patterns can vary in different situations and periods due to changes in tendencies. The four core constituents of a pattern include the location, property, tendency, and the etiology of disease. The language of patterns are summarized from these terms. This then becomes the central concept for treatment. Experienced practitioners keep the pattern in mind, so the correct fundamental conception will lead to a correct clinical intervention that is in accordance with the human body. This paper will provide some simple discussions for each aspect of the pattern. I Causality Practitioners in our clinic ask a patient about the cause. A clear conception of causality is critical for an accurate diagnosis. For example, fire causes liquid depletion while cold damages yang. Overwork and taxation cause qi exhaustion. In some cases, a pattern is created by complex factors, such as bi syndrome, where wind, cold, and damp are combined with taxation from overwork. The depletion from taxation usually sets the groundwork for the invasion of external pathogens. In this case, knowing the cause of the pattern, the treatment is modified to include the ‘evil qi prevention strategy.’ In general, causality is the first aspect we have to identify during the clinical diagnosis. Location Continual vigilance is necessary to locate the trouble or pattern identified. In TCM diagnosis, patterns can occur in specific locations throughout the human body. This is the ‘location of pathology,’ and can always be found during the diagnostic process. For spleen qi deple- tion, the location is in the spleen. For kidney yin depletion the location is in the kidney. Yang ming or Shao Yang headaches indicate that the pain occurs at the head portions of the two channels. In TCM, it is necessary to identify clearly the organ or channel in which the disharmony occurs. This makes it possible to treat the responsible organ or channel in order to restore harmony. Current biotechnological methods of diagnosis can enhance TCM pattern discrimination. For instance, if the imaging methods identify a disease process, such as nephrolithiasis or endometriosis, then treatment can be pursued from a TCM perspective. Property After defining the causality and the location, it is necessary to define the property during the diagnostic process. Pattern properties are defined according to the eight principles, including the Yin and Yang, Exterior and Interior, Cold and Heat, as well as the Deficient and Excessive, which is the principle for pattern property identification. Stomach Excess Fire is the heat; Heart Yin Depletion is the depletion, and Damp Heat Invading Spleen indicates the Yin evil is the Damp and the Yang evil is the Heat. The combination of Damp and Heat happens in the same Zang organ, the spleen. This is why when the Damp factor is strong, the pattern manifests as diarrhea, and if the Heat is stronger, it will manifest as constipation. This allows us to make a very detailed diagnosis as the pattern property becomes clearer. In the assessment of heat properties, a pattern can manifest as general heat, as toxic heat, or as blazing fire. Thus the pattern property gives you the clarity needed to make the treatment plan and strategy. There are distinctions in treatment, in the context of disparate pattern properties. Under these circumstances, supplement depletion to dispel Evil Qi, cool down fire or dry the dampness. Perspective While the pattern is important as a method of organizing information manifesting in the human body, the pattern can also be used for the purpose of identifying the individual constitution. Thus, the pattern discrimination methods of TCM have a deep connection to the individual. The treatment strategy established through diagnosis that is inclusive of Causality, Location and Property, also allows us to see the perspective of a pattern. In the process of diagnosing to confirm a pattern, Qi Depletion in the Spleen can be general Qi depletion, Qi Sinking or Qi Collapse. Assessing the symptoms to determine the pattern allows us to see the perspective of pattern. In Lung Qi Depletion, we can find general coughing or severe asthma. So the perspective of the same pattern varies with each diagnosis. Thus knowing the pattern, without the perspective, will not reveal whether this pattern is general, slight, or severe. The patient’s symptoms will vary over time, so even if the pattern hasn’t changed, the perspective will shift with the symptomatic changes. Thus, changing perspectives will not only affect the treatment, but it will also affect the long term treatment policy. For questions, comments or inquiries, you may contact the author at [email protected] Dr. Yang will be teaching a workshop on distinguishing Shen diagnoses on Sunday, October 22. THE AMERICAN ACUPUNCTURIST 31 California Acupuncturists Comment on Their Training The LAC Study Group ARTICLE INFORMATION This article provides information derived from the findings of The Licensed Acupuncture Collaborative (LAC) Study conducted in California during 20022003. The research was conducted by the LAC Study Group which comprises a team of investigators from UCLA, San Francisco State University, and the California Health Institute. The group also included advisors and other contributors from the acupuncturist community, including members of the California State Oriental Medical Association (CSOMA). Investigator, advisor, and other contributor information are provided below. Investigator Information Tony Kuo, MD, MSHS, Principal Investigator is Clinical Faculty in the Department of Family Medicine, David Geffen School of Medicine at UCLA. Adam Burke, PhD, MPH, LAc is Associate Professor and Co-Director of the Institute for Holistic Healing Studies in the Department of Health Education, San Francisco State University. He was previously a member of the Executive Committee and the Chair of Research at CSOMA (2001-2003). Ian Coulter, PhD is Professor at the UCLA School of Dentistry. He is also Senior Health Policy Researcher at RAND Health, RAND Corporation, and the Director of Integrative Medicine & Clinical Research at the Samueli Institute. Kevin McNamee is Director of the California Health Institute in Woodland Hills, California. He is licensed both in chiropractic and acupuncture. Lillian Gelberg, MD, MSPH is Professor and Vice Chair for Academic Affairs in the Department of Family Medicine, David Geffen School of Medicine at UCLA. Steven Asch, MD, MPH is Associate Professor of Medicine in the West Los Angeles Veterans Affairs (VA) Medical Center. Lisa Rubenstein, MD, MSPH is the Director of the VAUCLAUCSDRAND Center of Excellence for the Study of Healthcare Provider Behavior, located in the VA Greater Los Angeles Medical Center in Sepulveda, California. Advisor and Other Contributor Information Rebekah Christensen is the Executive Director of the American Association of Oriental Medicine (AAOM). Yolanda Marin-Sandoval was CSOMA’s Interim Executive Director from 2004-2005. Howard Kong, LAc was the President of CSOMA from 2003-2005. Lam Kong, OMD, LAc is an experienced and highly respected acupuncturist in California. Please address all correspondences to: Tony Kuo, MD, MSHS Department of Family Medicine David Geffen School of Medicine at UCLA 10880 Wilshire Blvd., Suite 1800 Los Angeles, CA 90024-4142 Tel: (310) 794-3219 4-Line Article Description: This article provides information derived from the findings of The Licensed Acupuncture Collaborative (LAC) Study conducted in California during 2002-2003. Written comments about TCM training quality from several licensed acupuncturists in the state are presented in the article. Article Main Category: Research Type: Completed Study 32 SUMMER 2006 INTRODUCTION Although the training component of the Licensed Acupuncture Collaborative Study (The LAC Study) has culminated in several publications20, 21, 25 and reports to various state and national agencies, including the Little Hoover Commission25, the LAC Study Group has yet to release the written comments of several acupuncturists who participated in the mailed survey. This paper presents some of these comments. In the following section, we provide a summative review of how several California acupuncturists viewed the quality of their training in traditional Chinese Medicine (TCM). It is our hope that by publishing these qualitative statements the reader will gain a better appreciation for the diverse opinions on training quality and practice that currently exist among members of the acupuncturist community.15, 16, 26, 30, 33, 35, 37 The poignant perspectives presented by these survey participants provide a useful snapshot of the general attitudes and beliefs of licensed acupuncturists in California.5 This article begins with a general description of the TCM profession, the TCM training curriculum, and The LAC Study. It concludes by summarizing the various comments in their original transcribed format. We leave to the reader the interpretation of these provider comments. Why California is an Important Case Study Use of provider-based therapies in complementary and alternative medicine (CAM) has expanded in the United States during the past two decades.2-4, 6-13, 17-19, 22-24, 27, 29, 32, 36, 38 The profession of TCM, for example, has been rapidly growing in California.2, 6, 34 As of 2002, there were approximately 5,500 licensed acupuncturists with mailing addresses in the state.2, 34 By July 2003, this number had exceeded 7,000-plus.34 During the past several years, at least 600 individuals have passed the state licensing examination annually.28 As a result, California now accounts for more than one-third (> 38%) of the total U.S. acupuncturist workforce, estimated to be about 20,750 (i.e., total licenses issued in the U.S. in 2004).34 Because of this unprecedented growth, training standards and qualifications of these healthcare providers as they relate to consumer safety have become increasingly important to both TCM educators and state licensing agencies.26 The current TCM curriculum in California State-approved training programs currently require students to complete a minimum of 3,000 hours to graduate.1, 10, 14, 31 The curriculum typically extends over a period of four academic years. It must include 400 hours in the basic sciences; 30 hours in the history of medicine and medical terminology; 128 hours in clinical medicine and Western health sciences, including instruction in cardiopulmonary resuscitation (CPR); 30 hours in professional ethics; over 600 hours in Chinese Medicine principles, theories and treatment; 300 hours in traditional herbology, and more than 800 hours in clinical instruction and supervised practice (see Title 16, California Code of Regulations, Article 3.5 at www.acupuncture.ca.gov/ law_reg/regs.htm). Survey Instrument THE LAC STUDY From November 2002 to February 2003, we conducted a mailed survey of a representative sample of licensed acupuncturists in California, collecting data on respondent characteristics such as provider demographics, provider training, self-reported practices, and clientele information.20, 21 The study design (see Table 1) was implemented with the support of the California State Oriental Medical Association (CSOMA), one of the largest professional associations dedicated to advancing the TCM profession in the state. Participants We used the 2002 public records from the California Acupuncture Board (CAB) to randomly select 400 practitioners from a pool of 4,914 eligible individuals. These selected acupuncturists were invited to participate if they met the following inclusion criteria: 1) age 18 and over, 2) licensed to practice acupuncture in the state, 3) primary address in California, and 4) not licensed as a physician in the U.S. (MD or DO). TABLE 1: Study Overview • As of 2002, there were approximately 5,459 licensed acupuncturists with California addresses. Based on study inclusion criteria, 4,914 of these practitioners were eligible to participate in the study; 545 were not. • A random sampling was conducted of these eligible acupuncturists in the state (the probability of selection was about 1 in 12 practitioners). • Survey mailings were conducted from November 2002 to February 2003. • 400 surveys were mailed initially, accompanied by a letter of support from CSOMA. This was followed by postcards and phone call reminders at 2 and 4 weeks, respectively. At approximately 6 to 8 weeks after the first mailing, additional questionnaires were mailed a second time to those who had not responded. A $10 incentive was included with the second mailing. Those who did not respond 4 weeks after the second mailing were considered non-responders. Based on an iterative process with input from key stakeholders, a self-administered, 29-question dual language questionnaire in English and Chinese was developed for use in the LAC Study. The questionnaire was piloted among 44 practitioners prior to field implementation. The final version comprised 5 sections, one of which, “Your Training” asked acupuncturists about their TCM college training, their educational activities after TCM college, and their perceived needs for further training in select content areas. This 64-item section evaluated 57 content areas comprising five domains of TCM student development: 1) knowledge of herbal medicine and pharmacology; 2) history-taking and physical exam skills; 3) technical skills in acupuncture (needling) and other TCM modalities; 4) skills for integrated practice and working with physicians; and 5) practice management. Written comments from participants All study participants who completed the mailed survey were asked to comment on their TCM practice and training on the final page of the survey instrument. General information from those acupuncturists who provided comments and feedback about their training is given below. One hundred twenty-two (122) of the 276 survey participants (44% of the total sample) provided written comments as part of their response to the survey. The reported statistics only apply to those who provided comments and should not be generalized to the overall total sample of acupuncturists in the study. Aggregate data on these participant demographics are reported in Table 2. The next section summarizes some of these hand-written comments. continued on page 42 • The estimated number of practitioners not in active practice was approximately 15% of the total survey sample (n = 60). • The response rate after adjusting for undeliverable mail and for those who were not in active practice was approximately 84% (n = 276); the initial unadjusted response rate was approximately 69%. THE AMERICAN ACUPUNCTURIST 33 Legislative Update HB 17 - KENTUCKY PASSES BILL Kentucky the 41st State to Legalize Acupuncture On April 10, 2006 the Kentucky Legislature passed HB 17 (95-0) creating Acupuncture Certification. The Governor signed the bill into law on April 24, 2006. Interviewer: Deborah Lincoln, RN, MSN, RAc, DiplAc, AAOM Vice President of Corp. Events (DL) Interviewee: Mimi Taiger, DiplAc (MT) HB 17 - Background and History DL: Can you explain how this bill developed? MT: The original bill was the brainchild of an anonymous benefactor who had a vision for a holistic health center. She had formed a holistic health center with other complementary medicine providers and saw acupuncture as a natural choice for inclusion. The first version of this legislation was achieved through the collaboration of a few acupuncturists that drafted an all-inclusive practice act with the leadership of Betsy Whitmer, LAc. Unfortunately, this bill was opposed by the Kentucky State Medical and Chiropractic Boards, and failed in the 11th hour. The bill lay dormant over the next five years, due to a lack of financial backing and political sponsorship. Representative Denver Butler and Senator Julie Rose-Denton gave the bill its momentum, and are largely responsible for its success. DL: How helpful were other acupuncturists in the state? MT: We were forced to rely on states with larger associations to fund our efforts. Eventually, we were able to grow our state association to include 18 members, which gave us a significant boost. DL: What was the state law prior to the passage of the bill? MT: Only Western Medical Doctors could practice acupuncture. Kentucky had an unusual situation in that many of the acupuncturist’s who lived here were forced to practice in nearby states. I am so grateful that this law secures the safety of both the public and acupuncture practitioners. DL: Can chiropractors and naturopaths practice in Kentucky? MT: No. DL: What were the biggest obstacles that you faced? MT: The chiropractors, the Kentucky State Medical Board and a sole chiropractor who wanted to be grandfathered in with limited training. DL: How did you resurrect the bill from its dormant status? DL: How did you address this? MT: I contacted the originators of the bill and decided to reinitiate our efforts under the leadership of Betsy Whitmer and Shelly Ochs, a resident acupuncturist in Kentucky. Our joint efforts resulted in a bill that was simple, straightforward and free of some of the entanglements that prevented its earlier passage. We attempted to establish licensure, but were only successful in negotiating to certification. MT: Betsy Smith, Associate Deputy Director of the NCCAOM, was instrumental in convincing legislators not to support the portion of the bill that would have dramatically reduced the training required to become a certified acupuncturist in the state. Due to her testimony during the House hearing, legislators agreed to remove the language which would have allowed anyone who passed the NCCAOM exam to be grandfathered in. DL: Who were the main supporters of the second incarnation of this bill? MT: We were fortunate to receive the pro bono services of Oliver Barber, Esq., who lobbied extensively on our behalf. 34 SUMMER 2006 DL: What was the final vote in the House and Senate? MT: It was unanimous in both the House and Senate. DL: Will Kentucky implement a statewide Board of Acupuncture; if so, what standards will be mandated? MT: Kentucky will Mimi Taiger, DiplAc establish an Acupuncture Council under the State Medical Board. Acupuncturists will be required to obtain NCCAOM certification and consumers will not be required to obtain a PCP referral to begin services in the state. DL: What's next for the state's acupuncturists? MT: The next step is to grow our membership to support our professional growth in the state, which includes our on-going need for lobby support. We need financial assistance to retain the Lobbyist as we have much work to do and only a few practitioners to support our monetary needs. I would like to express my gratitude to the following people, without whose efforts this bill would not have been successful: Shelly Ochs, DiplAcp NCCAOM; Betsy Whitmer, DipAcp NCCAOM; Mr. Oliver Barber, Attorney/lobbyist; Betsy Smith, Associate Deputy Director of the NCCAOM,; Representative Denver Butler (D-Kentucky), Senator Julie Rose-Denton (R-Kentucky). DL: “BREAKING NEWS FROM KENTUCKY” Just one hour before my interview with Mimi Taeger, she was hired as the first NCCAOM certified acupuncturist in the State of Kentucky, by St Elizabeth Hospital in Edward, Kentucky. She was asked to join the Hospital’s Holistic Health Department. This only became possible due to the passage of HB 17. Currently the hospital has one MD on staff practicing Acupuncture one day a week. GREAT JOB AND THANK YOU MIMI TAEGER AND HER FABULOUS TEAM FOR MAKING A DREAM A REALITY! Legislative Update Michigan Passes SB 351 – Registered Acupuncturists Governor Jennifer Granholm signed Michigan’s first ever Acupuncture Law on February 23, 2006, recognizing practitioners of Acupuncture as Registered Acupuncturists. This achievement is the result of a 20 year legislative process that now ensures public access and personal choice to a proven modality of medicine while protecting public health and safety. SB 351 was sponsored by Senator Beverly Hammerstrom (R) and Representative Kevin Green (R) and passed unanimously in the State Senate and received 92% approval in the House of Representatives. Deborah Lincoln, President of the Michigan Association of Acupuncture and Oriental Medicine, was instrumental in the passage of this bill. This new law, PA 30, is a shared success for Acupuncture providers and the people of Michigan as it represents the State’s desire for new healthcare options. session. In October 2004, we hired a tremendous lobbying firm that pushed our bill forward; fortunately, the bill was reintroduced by Sen. Hammerstrom (R) and co-sponsored by Rep. Green (R) of Wyoming, MI. Interviewee: Deborah Lincoln, RN, DiplAc, NCCAOM; President, Michigan Association of Oriental Medicine (DL); American Association of Oriental Medicine, V.P. Corporate Events, Board Director With this combination of a great support in the House and Senate, SB 351 was guided masterfully by our lobbyist into a unanimous Senate vote, then went on win by a 92% vote in the House. MAAOM members, headed by President Deborah Lincoln, visited the Michigan state capitol –to provide several days of education. Not only did we treat their individual patients, but numerous state legislators and government officials. We had prime media coverage, which really broadened public perception of the field. Many of us attended fund raisers in support of this legislation. Interviewer: Rebekah Christensen, Executive Director, American Association of Oriental Medicine (RC) RC: How do you account for the fact that a bill which took 20 years to pass did so with such significant legislative support? Do you see this as characteristic of the increased acceptance of alternative modes of health care? DL: What led to the final approval of this bill was a symbiosis of political, professional and public support. We were determined and tireless in our efforts to garner political support through lobbying. Developments in our associations' structure and collaboration provided substantive groundwork upon which politicians were able to base their decisions. Legislative staff was able to work with our state, and national and international contacts, to have their questions and concerns addressed. MAAOM members rose to the challenge of advocating for our industry through an effort we called “Acupuncture Educational Days.” Practitioners gave complimentary treatments to Legislators and other government officials, all of whom reported that they loved it and returned to their offices relaxed and feeling the Qi flowing. News of this demonstration spread rapidly, and statewide television and radio broadcasts plus newspaper articles really gave a push to our industry, and enlivened the practice in our state. Finally, I would say that biggest help with pushing this bill through the Legislature was never giving up. RC: Can you talk a little bit about the evolution of SB 351? DL: Michigan had no law for acupuncturists until now, as over the last 20 years since introducing the bill, the state legislators and Governors were not willing to expand government regulation of any new health care practitioners. The present Governor saw the need for this valuable addition to Michigan's growing need for readily available choices of treatments that work, and the savings to the people in our state for health care costs. The first bill was introduced 17 years ago following a three-year battle to get this done after an acupuncturist was arrested for practicing medicine without a license. This incident forged our need to move ahead for state regulation. Deborah Lincoln, RN, DiplAc, NCCAOM RC: Which supporters played a significant role in moving this bill forward? DL: Senator Beverly Hammerstrom (R), Chair of the Health Care Committee, Majority Floor Leader, along with 18 cosponsors in the Senate, and Rep. Green (R) and many of his co-sponsors. We also had the support of the Board of Chiropractic, The Board of Osteopathy and the Nursing Board. The only opposition was the Michigan Medical Board. RC: What is the next step for acupuncturists in Michigan to take in order to continue to grow this field? After many attempts to get this bill through, we were opposed by the Michigan Medical Society, chiropractors and former Governors until 2003. We got a lucky break and had our bill introduced by Rep. Richardville (R) and many cosponsors as a bipartisan bill. Unfortunately, we did not make it through the DL: The next step for Michigan acupuncturists is to first get a State Board of Acupuncture set up, which is due to be announced by June 1. Interviews are all completed. Also, we need to organize lectures in order to educate both the public and private medical providers about the significant knowledge and expertise backing the practice continued on page 39 THE AMERICAN ACUPUNCTURIST 35 AAOM Student Organization (AAOM – SO) Gains National Strength and Stature (Don’t miss the next AAOM-SO meeting and $60 Student Rate at Expo 2006) The AAOM SO was the outgrowth of the last AAOM conference. Since its inception, the SO has developed several committees to assure its growth and continuance. Rhonda Wilbers, of Midwest College, is the Chair of the Membership/Development Task Force. They have worked diligently to create a national network. Thus far, approximately 25 schools have been provided with materials to develop individual chapters. We would like to thank Ann Degrassi-Kalkis, Krista McCain, Claudia McCalla, Loren Romley, and Jeannette Schreiber for their outstanding efforts and contribution to this project. Koala Moore, of Five Branches College, is leading the Bylaws Task Force, which will be responsible for presenting the initial bylaws to the AAOM Board for editing and review. This group is comprised largely of members of both committees and student representatives that were chosen from our colleges. The preliminary work space for this project was a Yahoo Group site, but it was later moved to the Student Forum of the AAOM Website. The combined efforts of the Task Forces and student representatives have been invited to join this historic finalization In the development process it has been determined that certain policies needed to be in place at the student yahoo forum to monitor yahoo group discussions. In reference to the use of the yahoo forum on the AAOM website the following policy has been established: “List participants of the AAOM site and the AAOM -SO must gain approval from the AAOM board before utilizing the forum for grass roots political efforts, including distribution of petitions, organizing campaigns via phone, email, mail or any other media. AAOM must monitor the site due in part to the legal responsibility that the AAOM sustains through sponsoring the list.” AAOM SO has already made significant progress under the emerging, strong leadership responsible for coordinating this effort. The group has been responsible for the addition of 427 new student members in less than one year. If you are interested in joining, please visit the Student Services page at www.aaom.org. The students are currently awaiting finalization of the bylaws, which must be approved by the AAOM Board of Directors. We expect to hear more from this motivated group of students very soon! Cynthia O’Donnell, LAc, AP AAOM Chair, Student Organization Rhonda Wilburs, OM Student (Midwest College) Chair, AAOM-SO Membership Development Task Force Next National AAOM SO Meeting and $60 Student Conference Rate The next national AAOM SO Meeting will be held at the AAOM’s 2006 Expo – Oriental Medicine…Healing the Body, Mind and Spirit. The International Conference and Exposition will be held in Litchfield Park (Phoenix), Arizona, October 19-23, 2006, at the Wigwam Resort and Spa. We are pleased to again offer a Student Rate of $60 to AAOM student members for all workshops scheduled Friday-Sunday, October 20-22, 2006. (The student rate does not include pre-conference and post-conference classes, meals, or overnights, but registration to these classes are priced at nominal student rates.) Student members registering for this rate MUST attend the AAOM Annual Meeting and Student Caucus meeting on Saturday morning, October 21, 2006. If you are not a student member, this is a wonderful reason to join, and if you are, mark your calendars today and plan to attend the conference and the next national AAOM SO meeting. For conference information, visit our website at www.aaom.org. 36 SUMMER 2006 Koala Moore, OM Student (Five Branches College) Chair, AAOM-SO Bylaws Task Force R E G I O N A L D I S T R I B U T O R S Contact for more information or a catalog of our products FOUR SEASONS HERBS INC. Tel: (949) 450-1188 Orders: (888) 863-3618 Fax: (949) 450-1121 16-A Goddard Irvine, CA 92618 [email protected] www.herbalmountain.com C A N A D A I A N GOLDEN FLOWER HERBS Tel: (505) 837-2040 Orders: (800) 729-8509 Fax: (866) 298-7541 2724 Vassar Place NE Albuquerque, NM 87107 [email protected] www.gfcherbs.com D I S T R I B U T O R S EASTERN CURRENTS DISTRIBUTING 200A 3540 West 41st Avenue Vancouver, BC V6N 3E6 Tel: (604) 263-5042 Orders: (800) 667-6866 Fax: (604) 263-8781 [email protected] TONG REN HERBS, INC. Tel: (954) 929-9010 Orders: (800) 219-5165 Fax: (954) 929-0096 130 N. Dixie Highway Hollywood, FL 33020 [email protected] & E U R O P E A N KPCANADA HERBS CO. (Les herbes KPC enr.) 114 St. Mary's Road Winnipeg, MB R2H 1H8 Tel: (204) 942-0950 Orders: (877) 942-0950 Fax: (204) 942-0405 [email protected] CRANE HERB COMPANY Tel: (508) 539-1700 Orders: (800) 227-4118 Fax: (508) 539-2369 745 Falmouth Road Mashpee, MA 02649 [email protected] [email protected] H E A D Q U A R T E R S SINECURA Florastraat, 35 9840 De Pinte, BELGIUM Tel: 32-9-244-6868 Fax: 32-9-244-6849 http://www.sinecura.be/ [email protected] OEM or Corporate Accounts— Please contact our main office KPC Products, I NC . • 16 Goddard, Irvine, CA 92618 • www.kpc.com Tel: (949) 727-4000 Orders: (800) 572-8188 Fax: (949) 727-3577 Non-Members Annual Contracts: 2006 Advertising Contract The American Acupuncturist Receive a 5% discount by signing up for any 4 ads at one time! Business Members: Receive an extra 5% discount, for a total of 10% by signing up for any 4 ads at one time! (Readership 18,000+) Name Title Company Phone Address Email City/St/Zip Signature Space Reservation Rates (PLEASE USE A SEPARATE SHEET FOR EACH AD) (SINGLE ISSUE PRICE) SIZE/COLOR (Check One) BLACK AND WHITE 1/6 page (2.3” x 4.75”) INSERTIONS (Check One) AAOM Member B&W Non-Member ❑ One Time ❑ Multiple _____ times $350 $455 1/4 page (4” x 5.25”) ❑ One Time ❑ Multiple _____ times $425 $550 1/3 page (4.75” x 4.75”) ❑ One Time ❑ Multiple _____ times $500 $650 1/2 page (7.35” x 4.75”) ❑ One Time ❑ Multiple _____ times $720 $936 Full page (no bleeds) (7.35” x 9.63”) ❑ One Time ❑ Multiple _____ times $1,145 $1,489 Calendar of Events Listing ❑ One Time ❑ Multiple _____ times $25/line $40/line ❑ One Time ❑ Multiple _____ times $50/unit* $65* Experience No Rate Increases through January 1, 2007 when you contract for multiple issues NOW! (Billed for number of lines used after ad copy is set.) 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No cancellations will be accepted after the space request deadline for the appropriate issue. The advertiser agrees that new ads for contracted space must be submitted by the art submission deadline, or copy appearing in the previous issue will be inserted. The editors reserve the right to reject any advertisement that does not meet the standards of The American Acupuncturist. Ad material will not be returned unless specifically marked. Send to: PO Box 162340 Sacramento CA 95816 Tel: 916-443-4770 Fax: 916-443-4766 Toll Free: 866-455-7999 www.aaom.org [email protected] 38 SUMMER 2006 *Classifieds: American Acupuncturist Only - 50 words/per unit **Member’s Only Benefit CLASSIFIED & CALENDAR OF EVENTS SUBMISSIONS: Classified and Calendar of Events text must be submitted via our online submission form, by the art deadline. All other ads must be received on digital media by the art deadline. PAYMENT: Ad Contracts must be accompanied by payment. Please make checks payable to AAOM. CANCELLATION POLICY: No cancellations will be accepted after the space request deadline. ART GUIDELINES: ACCEPTABLE MEDIA and FORMATS: CD or e-mail, Adobe Illustrator, Adobe Photoshop (300dpi; CMYK; JPG, .TIF or .EPS), Quark or high resolution PDF. Include all fonts and graphic components. Sub-Total Amount:__________________________________ ❑ Check ❑ Credit Card Discount: (0-10%) __________________________________ Total Due: _________________________________________ Credit Cards Accepted: Visa/MC/Discover/Amex Card #: __________________________________________________________________ Exp Date: ____________________ Name on Card: ________________________________________________ Signature: ______________________________________________________ Rev. 1/16/2006 SB 351 continued from page 35 of Acupuncture and Oriental Medicine. Several MAAOM members have voiced interest in opening an acupuncture school. Another one of our dreams is to facilitate the addition of staff acupuncturists in hospitals statewide. RC: What entities will this bill create and what regulatory changes will they institute effecting practitioners? DL: The new bill will entitle all practitioners qualified through rigorous training to utilize the designation Registered Acupuncturist. MDs and DOs are exempt from this bill as are NADA technicians; ie, the safety of the public is ensured through the assurance that registered acupuncturists have met statewide standards of preparation. RC: How does a registry differ from certification? DL: Registration and certification are interchangeable in Michigan. Registration is voluntary. If Michigan decides to require licensing in the future, it will be mandatory for all practitioners. New York College of Health Professions has been a leader in holistic health for over 25 years. Visit our website www.nycollege.edu. New York College of Health Professions offers undergraduate and graduate degree programs in Massage Therapy, Advanced Asian Bodywork, Acupuncture and Oriental Medicine and a Continuing Education program in Holistic Nursing for Registered Nurses. New York College is actively seeking additional full-time administration, as well as full-time, part-time and adjunct faculty, to join our growing institution. Faculty positions, Graduate School of Oriental Medicine Qualified candidates will teach on a broad array of oriental sciences, western health sciences, herbology, acupuncture and clinical supervision. New York College of Health Professions has the following faculty experience/education requirements: • Masters Degree or terminal degree in respective field, PhD preferred • New York State license in respective field, if applicable • 3 to 5 years clinical and/or teaching experience Additional attributes include that the faculty demonstrate a record of academic and administrative leadership in higher education, demonstrates superior clinical, educational, interpersonal, managerial and communication skills; dedication to academics excellence. Faculty must have a degree from a college or university that is accredited in the United States or have a degree form institution that is recognized by the US Department of Education. If applicable, they also must have appropriate licensure for the areas they are teaching. To apply for any of the above positions, please send resume to: Michelle O’Brien Director, Human Resources 6801 Jericho Turnpike Syosset, NY 11791 Telephone: 516-364-0808 Facsimile: 516-364-8394 Email: [email protected] THE AMERICAN ACUPUNCTURIST 39 Please support the schools, businesses, and associations which support the AAOM through their membership! BUSINESS MEMBERS KPC Products 949-727-4000 [email protected] www.kpc.com Nuherbs Company 800-233-4307510-534-4372 [email protected] www.nuherbs.com American Acupuncture Council 800-838-0383 [email protected] Elsevier Science Complementary Medicine Div. 800-325-4177 ext. 4872 [email protected] www.elsevierhealth.com Far East Summit 323-933-9237 [email protected] www.fareastsummit.com Heel, Inc 505-293-3843 [email protected] www.heelusa.com Crane Herb Company 800-227-4118508-539-1700 [email protected] Golden Flower Chinese Herbs 505-837-2040 [email protected] www.gfcherbs.com Blue Light, Inc. 607-275-9700 [email protected] www.treasureofeast.com CollegeBound Network 718-761-4800 x42 [email protected] www.collegebound.net Helio Medical Supplies, Inc. 408-433-3355 [email protected] www.heliomed.com Health Concerns 510-639-0280 x101 [email protected] www.healthconcerns.com/pro Evergreen Herbs & Medical Supplies 626-333-1101 [email protected] Mayway Corporation 510-208-3113 x 135 [email protected] www.mayway.com Lhasa OMS Inc 800-722-8775 781-340-1071 [email protected] www.lhasaoms.com KAN Herb Company Inc 831-438-9450 [email protected] Microstim Technology Inc 800-326-9119 [email protected] www.microstim.com Lai Yung Shang Sung Fen Tang USA, Inc. 626-350-9288 [email protected] 40 SUMMER 2006 Acupuncture Vermont 802-862-8880 [email protected] www.acupuncturevermont.com Kairos Institute of Sound Healing LLC 505-587-2689 [email protected] www.acutonics.com Seirin-America Inc 800-337-9338 781-331-0255 x38 [email protected] www.seirinamerica.com SCHOOLS Maryland Academy of TraD. Chinese Medicine 410-518-6368 [email protected] University of Bridgeport Acupuncture Institute 203-576-4122 [email protected]@bridgeport.edu www.bridgeport.edu Edgewood College of Georgia-School of OM 770-234-0733 [email protected] www.edgewood-college.com California Union University 714-446-9133 [email protected] Minnesota College of Acupuncture and OM 952-885-5435 [email protected] www.nwhealth.edu Florida College of Integrative Medicine 407-888-8689 [email protected] www.fcim.edu Tri State College of Acupuncture 212-496-7514 [email protected] Bastyr University, Library 425-602-3120 [email protected] New York College of Trad. Chinese Medicine 516-739-1545 [email protected] STATE ASSOCIATIONS Kentucky State Acupuncture Association 859-466-4900 [email protected] Idaho Acupuncture Association [email protected] www.idahoacupuncture.org New Jersey Acupuncture Association 908-286-0339 [email protected] www.njaaom.org The Acupuncture and Oriental Medicine Association of Alaska (TAOMAAK) 907-830-0273 [email protected] www.acupuncturealaska.com Indiana Association of Acupuncture and OM 317-255-3030 [email protected] www.iaaom.org Vermont Association of Acupuncture and Oriental Medicine (VAAOM) 802-253-8483 [email protected] www.vaaom.org United Alliance of NYS Licensed Acupuncturists, Inc 212-686-8689 [email protected] Acupuncture Association of Minnesota 651-641-0467 [email protected] Maine Association of Acupuncture and Acupuncture 207-945-5586 [email protected] www.maaom.org Acupuncture Association of Missouri 573-442-2604 [email protected] Arizona Society of OM and Acupuncture 480-379-2167 [email protected] www.azsoma.org Acupuncture Association of Rhode Island 401-434-3550 [email protected] www.PrevMedCenter.com Acupuncture and OM Society of Oregon 503-692-9680 [email protected] Georgia State Oriental Medicine Association 404-685-8611 [email protected] www.gsoma.org Florida Acupuncture Association 727-546-6903 [email protected] Ohio Association of Acupuncture and OM 937-277-5989 [email protected] www.oaaom.org Acupuncture Association of Colorado 303-572-8744 [email protected] www.acucol.com Nevada Oriental Professional Medical Assoc. 702-369-3688 [email protected] California State Oriental Medical Association 800-477-4564 [email protected] www.csomaonline.org OM Association of New Mexico 505-796-9347 [email protected] www.omanm.org Oregon Acupuncture Association 503-236-4383 [email protected] www.oregonacupuncture.org Alabama Association of Oriental Medicine 251-626-5066 [email protected] www.acuphysician.com WAOMA 206-329-9094 [email protected] www.waoma.org US Korean Acupuncture and Herbs Association of Metropolitan Washington 703-263-2689 Illinois Association for Acupuncture and Oriental Medicine 312-850-484 [email protected] www.ilaaom.org Michigan Assoc. of Acupuncture and OM 517-381-029 [email protected] Florida State Oriental Medical Association 800-578-4865 [email protected] www.fsoma.com Utah Acupuncture Association 801-263-9380 [email protected] Three GREAT Reasons to Join or Renew Membership with the AAOM! 1 2 Expo 2006 October 19-23 The Wigwam Resort and Spa Powerful Learning Powerful Networking Powerful FUN! AAOM 2006 International Conference & Exposition Oriental Medicine... Healing the Body, Mind and Spirit October 20-22, 2006 The Wigwam Destination Resort and Spa Arizona Premiers June 2006 Introducing The Qi-Unity Report A New Collaborative Quarterly Newsletter By, for and about the Profession! Subscription is Free Contact: www.aaom.org 3 Premiers August 2006 AcuPediaOnline.org Connecting YOU to the World of Oriental Medicine For More Information: AAC is proud to be a Platinum Sponsor of Expo 2006 AAOM 909 22nd Street PO Box 162340 Sacramento CA 95816 Tel: 916-443-4770 Toll Free: 866-455-7999 www.aaom.org SAMPLE WRITTEN COMMENTS ABOUT TCM TRAINING* #1 “Note: many practitioners have multiple disciplines and didactic backgrounds with grounding in Western medicine, and individuals like myself, [has] a good discipline in almost all of the alternative arts.” #2 “In the question which asks if I feel I need more training in those areas, I have answered instead whether I wanted more training. I am always looking to better myself and increase my skills. So I believe I haven’t answered it correctly. In many cases, I may not necessarily need more training but would like more to be the best that I could be – my ideal…” #3 “I feel that I could have gotten better use with [and training on] raw herbs during school.” #4 “I value ongoing education; I like to learn. I also value any help that I can get in running my practice/business.” #5 “I think the biggest weakness in my training was in business skills. It’s hard to be a successful practitioner when you don’t know how to stay in business. I don’t want a lot of Western training; [when it comes to Western medicine] I’d rather leave it to the Western doctors.” #6 “My sister is a MD. She was ‘groomed’ by her university to be a MD. Her experience [in medical school]…changed her from an ER nurse to a doctor – she is not the same person! Granted our situation in life is different, there is no ‘machinery’ for us to segue way into, no lottery, internship or job waiting after our schooling (many acupuncturists lose their confidence when confronted with the ‘real world’). We need to be entrepreneurs. Our schooling is ‘softer’ and we’re in a ‘softer’ profession, and in a way, that is good, we can spend more time with each patient and be an ‘ear’ when frequently the Western doctors don’t have the time. Also, we are less likely to do harm and OM therapies have less risk. BUT, I think we need to be ‘groomed’ to be able to interface with Western profes- 42 SUMMER 2006 Table 2: Demographics of acupuncturists who provided written comments as part of their response to the survey (n=122) Race White African-American Hispanic Chinese Korean Japanese Vietnamese Other 68% (83) 0% (0) 2% (2) 21% (26) 4% (5) 1% (1) 2% (2) 2% (3) Gender Overall Female 68% (83) Male 32% (39) Location Overall Large city 28% (34) Suburb of a large city 37% (45) Small city 20% (24) Ruralsmall town 15% (19) Highest education level Overall High school 5% (6) Associate degree 4% (5) Bachelor’s 4% (5) Master’s (including LAc) 62% (76) Doctorate* 21% (26) MD licensed in the U.S. 0% (0) MD not licensed in the U.S.2% (2) Other* 2% (2) White 72% (60) 28% (23) White 28% (23) 36% (30) 17% (14) 19% (16) White 2% (2) 2% (2) 6% (4) 70% (58) 17% (14) 0% (0) 1% (1) 2% (2) Asian 59% (20) 41% (14) Asian 30% (10) 38% (13) 26% (9) 6% (2) Asian 12% (4) 9% (3) 3% (1) 41% (14) 32% (11) 0% (0) 3% (1) 0% (0) Other 60% (3) 40% (2) Other 20% (1) 40% (2) 20% (1) 20% (1) Other 0% (0) 0% (0) 0% (0) 80% (4) 20% (1) 0% (0) 0% (0) 0% (0) *Doctorate and other degrees reported by several practitioners included: RN, PharmD, OMD, CMT, and QME. sionals – doctors, chiropractors and lawyers. Not to mention our patients who don’t take us as seriously as ‘real doctors’. Recommended training areas to address: • Communication skills – speaking, writing, and to whom (patient, doctor, lawyer, public). These skills are necessary because there are so many teachers and students in our profession who speaks English as a second language (ESL). • Billing and report writing. • Office management. • More training in critical thinking [skills]. • What to expect in deposition or in court. How to respond (if at all) to attorney letters. Fees for copying records, court appearance fees, deposition fees, liens.” #7 “My education in […TCM college] was adequate to begin a career in acupunc- ture and herbs, and to do no harm. I have more quarrel with the way in which the information was delivered (in 3-hour chunks) which made it difficult to absorb rather than focusing on the quality of the information itself. Also, I marked that I felt I needed to know more about almost everything because I believe that learning in this profession is endless, but not because we need to have more information crammed into us before we begin our career. Finally, while I believe we should interface with Western doctors and be conversant regarding their tests and in their ‘lingo’, I am completely against “Western medicine-izing” Chinese Medicine.” #8 “In many cases I said that I ‘need’ more training in some areas. I have to learn and like to learn what’s new; i.e. tongue [exam]pulse [analysis]herbs, etc. I do feel lacking in Western medical exams.” #9 “I appreciate partaking in this comprehensive survey. Regarding continuing education, I have marked ‘NO’ in many boxes. I feel my current training is adequate. However, I would still take courses on many of these subjects if the instructor and course materials were compelling. There is always room for improvement! I intend to always continue studying. I also feel educating patients, the public, and other medical providers about the practice and benefits of TCM are very important. Also, communication between various modalities [or professions] is very important. I am encouraged by the move toward integrative medicine and try to utilize it in my practice as much as possible.” #10 “Need more knowledge about Western Medicine.” #11 “Schools need to spend more time for on-the-job training and teaching actual patient treatment procedures instead of learning theories and arts of healing. I think most acupuncturists need more education about insurance, practice, giving patients health advice, and physical examination.” #12 “Many things I took upon myself to learn in more detail for the clinic. I am also a QME, so I have a better idea of how to write reports for insurance purposes. I also learned more orthopedic testing through my study as a QME.” #13 “…I felt that my education was adequate [generally] but was lacking in the areas of office/business management, practical application of CM theories, and in Western medicine. I’ve learned a lot on my own by studying each new problem that my patients bring to me. I feel I’m a good practitioner but marked ‘YES’ in all of the items under the ‘Do I need/want more education?’ section because I think we can all learn more; not because I don’t know enough to be good and effective. If I don’t know something, I will look it up. I hope this helps in some way.” #14 “I’ve been in practice for a long time so I am relatively comfortable with the way I practice. But it would have been helpful to learn more about Western diagnosis/tests and practice management. We can never have enough training in Chinese Medicine. It’s a lifetime study.” #15 “My concern in answering this questionnaire is that I rate much of my initial training fairly low especially as in regards to Western skills. I don’t think more didactic training at the Master’s level is the answer. We need residency training with stipends in TCM, and integrative care. We need hands on work.” #16 “While there is a great discrepancy in educational background among California acupuncturists, it seems that the new 45 hour CEUs per year proposal won’t adequately address the problem. For one, it is excessive for those with adequate education, and secondly, it does not directly address the deficiencies of those with an inadequate education. Remedial exams with re-licensure seem a more targeted solution.” #17 “More training from the beginning on how to practice acupuncture in America is a good idea! TCM when applied early in an illness [and for health promotion] is most effective. Unfortunately, treating last resort medical rejects/failures is both difficult and discouraging.” #18 “While my OM education was good overall, I feel that it seriously fell short on providing training in musculoskeletal problems and orthopedics. This is 80% of what I see. Education spent too much time on internal disease processes that we never see or see only in China. Schools must provide solid training in orthopedics and must do a better job in Western medical training!” forms and how to set up and run a practice. • Also it would be useful to find out how to establish referral networks and how better to communicate with Western practitioners. • I would like to see more business opportunities for acupuncturists in a Western medical setting (i.e. hospital, etc.).” #21 “I thirst for more knowledge to help me use the full potential of TCM, especially the herbal aspect. I felt that my education was totally lacking.” #22 “In the U.S., most licensed acupuncturists are not well trained. Their fund of knowledge is deficient. I hope Traditional Chinese Medicine (TCM) colleges would improve the quality of TCM education; especially that now, integration of care has become popular. Research will be necessary to advance integrative care and our profession.” [In Chinese; translated to English 72903] #23 “…Overall, I think my education was strong. But they can improve on teaching more Western clinical practices such as orthopedics and neurological testing/exams…in the clinic instead of just in the classroom. My skills as an acupuncturist/herbalist are strong, but that does not mean it’s easy to bring in new clients. I would like to have more referrals from MD’s and other specialists.” #19 “Keeping in mind, when I went to school, they only introduced herbal training in the last (third) year which consisted of a couple of intense weekend seminars. Now is totally different. Also, Western medicine was not taught which is different then before but nonetheless is very important to know.” #24 “I believe it is as important to learn the classics of acupuncture techniques and Chinese Medicine as it is to broaden our awareness of Western medicine. Learning from the current discussions in China about their research is another important aspect. I was trained in massage before I got my acupuncture training and so that made it easier to understand general human anatomy not only intellectually but also through practical experience. This understanding helps in the techniques of needling (acupuncture). As for Chinese Medicine, a balanced approach to training is essential.” #20 • “I would have liked receiving more training in filling out health insurance #25 “From discussions with my colleagues, I believe that many TCM practitioners do THE AMERICAN ACUPUNCTURIST 43 not have enough formal training and therefore often has a difficult time finding a job and attracting clients. Moreover, they have a difficult time taking a good medical history from a patient. Also many TCM practitioners who are without formal training have a hard time starting a practice. More training such as an internship is needed to create more opportunities in the future for TCM practitioners. In retrospect after training, I believe that our fund of knowledge as acupuncturists is limited and that our TCM training did not prepare us for ‘real world’ practice. My experiences suggest that California’s TCM colleges don’t have good standards for training and varies from college to college. If there is an opportunity, curriculum and quality of teaching should be standardized and improved. TCM profession lacks unity and current education and practice standards are not clear. Under these circumstances, it is very difficult to start a solo practice.” [In Chinese; translated to English 72903] #26 “Today’s demands on California licensed acupuncturists are different from 10 years ago. Patients and other providers (MD’s, DO’s, DC’s) expect us to operate as members of the health care team; primary care has a lot of responsibilities.” #27 “I feel that the field of TCM needs to introduce an internship and residency program equivalent to Western MDs. There are many practical areas of training, which are overlooked in school. It is difficult to gain this knowledge once out of school because most of us practice alone. CEU’s are helpful but still not enough to bridge the gap. Of course until we can make equivalent salaries to MDs most of us will not be able to afford the additional training.” #28 “As both a practitioner and teacher of CM and the Chinese Healing Arts I would like to suggest the following based on meetings with practitioners from all over the USA and abroad over the years: • broaden our profession’s skills/effectiveness in treating pain • emphasize Qi Gong cultivation for both the practitioner and the patient • encourage training to include other branches of OM besides acupuncture 44 SUMMER 2006 and herbs, e.g. bodywork, Qi Gong, etc. • include other systems of classicalancient medicine besides TCM • help to keep the Roots/Essence of our medicine alive and well, especially its spiritual and wisdom traditions which elevated it to both art and science…for all to enjoy!” #29 “Needless to state that TCM colleges were not teaching Western medicine. Hopefully, this has improved! Without my previous training and many years of experience as a…[allied health professional], OM practice in the real world would have been difficult.” #30 “Our education has a long way to go. The most important areas are: recognizing emergency situation that requires immediate Western health care; formulas; and basic acupuncture framework. There was no theoretical framework taught with acupuncture, just cookbook techniques. We were exposed to the presence of other methods on our own; we learned no real method for choosing points to do.” #31 “Formal training in acupuncture/Chinese Medicine – that is important. Acupuncture institution in the U.S. needs more training (1-2 years more) in many areas.” #32 “I find that my training in TCM diagnosis was very good, but applying that to a clinical setting was not. I have been able to make a living only because I managed an acupuncture office while in school and learned these skills. School did not prepare me for the real world.” #33 “U.S. TCM colleges have low standards for training students. Standards should be higher and similar to the higher standards found in China’s TCM colleges. Curriculum should include: • Meticulous training programs including internship, English classes, and practical clinic experiences with good mentorship from both Western physicians and TCM practitioners. • TCM peer consensus on diagnosis and treatment for various health conditions. • Examination system needs to have higher standards and focus more on practical clinic skills that will help practitioners establish a successful practice in the real world.” #34 “I’ve been practicing acupuncture in a private clinic for 4 years. I’ve also attended many ‘re-education’ courses. I think licensed acupuncturists will benefit from education in: • report writing (general health, history of present illness, worker’s compensation) • marketing methods • communicating with Western medical doctors...” #35 “I was highly disappointed with my education and training in Chinese Medicine. My school enforced classes that were a waste of time and money. I took a formula writing class and the teacher never taught us how to write a formula. It was mandatory that we take classes on subjects that will never enhance CM skills, while vital information like running a practice was never taught. There were never enough supervisors during internship and most of the ones that we did have barely spoke English. I’m sorry to sound so negative. However, if I had the chance to do it all over again, I would choose another profession.” #36 “The more Western medical knowledge and diagnostic skills we have the better, but Chinese Medicine is not Western medicine and that should be clear to us and to the patients. There should be more information available regarding pediatrics in our education.” #37 “I would support a state approved OMD [Oriental Medicine Doctorate] program for senior acupuncturists, especially if it included a specialty program and internship abroad in China, Korea or Japan.” #38 “My suggestion is: an acupuncture school needs to extend their training hours for their students.” #39 “I think studying Chinese Medicine is a lifetime learning process. You need to review and constantly learn new things. You need to be modest and know your limitations. You need a good attitude and work hard to learn new knowledge. In the U.S., TCM training should include internship experience at a larger scale (e.g., in a hospital). Otherwise, without such an experience, it is difficult to succeed as a practitioner in the U.S. Licensed acupuncturists should work together and ask the government to help establish a hospital system that allows TCM trainees to do internships prior to going out into the real world and practice.” [In Chinese; translated to English 72903] *All efforts were made during the transcription process to preserve the intent and content of all comments, including translations. However, select edits were carried out for the purpose of correcting grammar, translating comments from Chinese to English, and for protecting respondent confidentiality (i.e., all information that could inadvertently or potentially reveal the identity of a respondent were removed). Comments in Chinese, for example, may have lost some of its original content and meaning when they were translated to English. References 1. AB 1943. An act to amend Sections 4935, 4937, 4938, 4939, and 4940 of the Business and Professions Code, relating to healing arts. In: Chu; 2002. 2. Acupuncture Density Map-USA. Acupuncture Today, 2003. Website: www.acupuncturetoday.com listinfoaculocatorzip. 3. Astin J. Why patients use alternative medicine: results of a national study. JAMA. 1988;279:15481553. 4. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Advance Data from Vital and Health Statistics. No. 343: DHHS Publication No. (PHS) 2004-1250, 2004. 5. Burke A, Dierauf B, Kong H, Sklar M, Turk M. LHC query: CSOMA responds. The CSOMA Source; 2003;3(2):6-18. 6. California Acupuncture Board Examination Statistics. Website: www.acupuncture.ca.govexams statistics.htm. 7. Cherkin D, Deyo R, Sherman K, Hart LG, Street JH, Hrbek A, Cramer E, Milliman B, Booker J, Mootz R, Barassi J, Kahn JR, Kaptchuk TJ, Eisenberg DM. Characteristics of licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians. J Am Board Fam Pract. 2002;15:378-390. 8. Cherkin D, Deyo R, Sherman K, Hart LG, Street JH, Hrbek A, Davis RB, Cramer E, Milliman B, Booker J, Mootz R, Barassi J, Kahn JR, Kaptchuk TJ, Eisenberg DM. Characteristics of visits to licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians. J Am Board Fam Pract. Intern Med. 2001;135:189-195. 19. Kessler R, Davis R, Foster D, Van Rompay M, Walters EE, Wilkey SA, Kaptchuk TJ, Eisenberg DM. LongCEU = Continuing Education Unit(s) term trends in the use of complementary and DC = Doctor of Chiropractic alternative medical therapies in the United States. Ann Intern Med. 2001;135:262-268. DO = Doctor of Osteopathic Medicine 20. Kuo T, Christensen R, Gelberg L, Rubenstein L, ER = Emergency Room/Emergency Department Burke A. Community-research collaboration between researchers and acupuncturists. Integrating a participaMD = Doctor of Medicine (Western physician) tory research approach in a statewide survey of licensed ND = Doctor of Naturopathic Medicine acupuncturists in California. Ethnicity & Disease NP = Nurse Practitioner 2006;16:S1-98-S1-106 21. Kuo T.Y., A. Burke, et al. The LAC Study Brief: OMCM = Oriental Medicine/Chinese MediFindings from the Licensed Acupuncture Collaborative cine (also called Traditional Chinese Medicine) Study. Provider Perceptions of Oriental Medical Education OMD = Doctor of Oriental Medicine or Tradiand Practice. Los Angeles, CA: Department of Family tional Chinese Medicine Medicine, David Geffen School of Medicine at UCLA PA = Physician Assistant and the VAGLAHS Center for the Study of Healthcare Provider Behavior, June 2004; pp. 1-16. PharmD = Doctor of Pharmacy 22. Lao L, Hamilton GR, Fu J, Berman BM. Is PhD = Doctor of Philosophy (in a particular acupuncture safe? A systematic review of case reports. field of study) Altern Ther Health Med. 2003;9(1):72-83. QME = Qualified Medical Evaluator (e.g., 23. Lau M. Questions for the Profession from the Little Worker’s Compensation) Hoover Commission. Sacramento, California: Council of Acupuncture and Oriental Medicine Associations RN = Registered Nurse (CAOMA); 2003. RPTPT = Registered Physical Therapist 24. Lee A, Highfield E, Berde C, Kemper K. Survey of acupuncturists: practice characteristics and pediatric TCM = Traditional Chinese Medicine care. West J Med. 1999;171(3):153-157. Western Medicine = Refers to allopathic or 25. Little Hoover Commission. Regulation of Acupuncosteopathic medicine ture. A Complementary Therapy Framework. Executive Summary. September 2004. 26. Nahin RL, Pontzer CH, Chesney MA. Perspective. 2002;15(6):463-472. Racing toward the integration of complementary and 9. Cooper R, Laud P, Dietrich C. Current and proalternative medicine: a marathon or a sprint? Health jected workforce of nonphysician clinicians. JAMA. Affairs. 2005;24(4):991-993. 1998;280(9):788-794. 27. NIH Consensus Development Panel on Acupunc10. Dower C. Acupuncture in California. San Franture. JAMA. 1998;280(17):1518-1524. cisco, California: UCSF Center for the Health Pro28. Passing scores for the August 2003 California fessions; 2003. Acupuncture Licensing Examination (CALE). The 11. Eisenberg D, Cohen M, Hrbek A, Grayzel J, Van CSOMA Source. 2003;3(2):21. Rompay M, Cooper R. Credentialing complemen29. Pelletier K, Marie A, Krasner M, Haskell W. Curtary and alternative medical providers. Ann Intern rent trends in the integration and reimbursement of Med. 2002;137:965-973. complementary and alternative medicine by managed 12. Eisenberg D, Kessler R, Foster C, Norlock F, care, insurance carriers, and hospital providers. Am J Calkins D, Delbanco T. Unconventional medicine in Health Promotion. 1997;12(2):112-123. the United States -- prevalence, costs, and patterns 30. Ruggie M. Mainstreaming complementary theraof use. JAMA. 1993;328(4):246-252. pies: new directions in health care. Health Affairs. 13. Eisenberg DM, Davis RB, Ettner SL, Appel S, 2005;24(4):980-990. Wilkey S, Van Rompay M, Kessler RC. Trends in 31. Scope of Practice. Legal Opinion No. 93-11. Sacraalternative medicine use in the United States, 1990mento, CA: California Acupuncture Board; 2002. 1997. Results of a follow-up national survey. JAMA. 1998;280(18):1569-1575. 32. Sherman KJ, Cherkin DC, Eisenberg DM, Erro J, Hrbek A, Deyo RA. The practice of acupuncture: who 14. Fabrey L, Cogdill K, Kelley J. A National Job are the providers and what do they do? Ann Fam Med. Analysis: Acupuncture and Oriental Medicine Pro2005;3:151-158. fession. Conducted for the National Certification Commission for Acupuncture and Oriental Medi33. Siahpush M. Postmodern values, dissatisfaction cine: Applied Measurement Professionals, Inc. and with conventional medicine and popularity of alternaNCCAOM; 2003. tive therapies. J Sociology. 1998;34(1):58-70. 15. Furnham A. The psychology of complementary 34. Survey of States Issuing Acupuncture Licenses. and alternative medicine. Evidence-Based Integrative July 2003. Sacramento, CA: California Acupuncture Med. 2003;2003(1(1)):57-64. Board; 2003. 16. Gould A, MacPherson H. Patient perspectives 35. Thomas K. Towards the evaluation of integrated on outcomes after treatment with acupuncture. J care: what are the questions? How do we answer them? Alternative Complementary Med. 2001;7(3):261-268. Evidence-Based Integrative Med. 2003;1(1):3-5. 17. Issues in Coverage for Complementary and 36. Wetzel M, Kaptchuk T, Haramati A, Eisenberg D. Alternative Medicine. 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