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Complementary and Alternative Medicine Use in Rheumatic Disease
Published in Jason Liebowitz, Philip Seo, David Hellmann, Michael Zeide, Clinical Innovation in Rheumatology, 2023
Acupuncture is a form of traditional Chinese medicine that is centered on the therapeutic insertion of needles into the skin and underlying tissues at pressure points.8 There are several variations to needle application, which include the added use of electricity, lasers, heat, or ultrasound waves.
Modalities
Published in Michael Weir, Law and Ethics in Complementary Medicine, 2023
The practice of acupuncture is generally very safe, but any risks of treatment, such as infection at the insertion site or fainting, should be discussed fully or details provided as part of a written document reviewed and signed by a client. Because of the risk of fainting and consequent serious injury, it is important to treat clients on a table rather than standing, and advise them of any risk of fainting on alighting from the table.
Postmenopause
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
To become a qualified TCM practitioner in the United States, 3–4 years of full-time postgraduate study at an accredited educational institution are required. Most states require national board certification by the Certification Commission for Acupuncture and Oriental Medicine. Because of research supporting the benefits of acupuncture, the introduction of acupuncturists into the healthcare system is becoming more accepted. We strongly advocate incorporating acupuncture into the healthcare delivery system, including coverage by insurance.
Effects and safety of fire needle adjuvant chemical peels therapy in acne vulgaris: a systematic review and meta-analysis
Published in Journal of Dermatological Treatment, 2023
Jianfeng Zhang, Peng Lin, Chenqi Guo, Cong Ma, Yiting Liu, Yingdong Wang, Yu Zhang
In the TCM theory, the heat accumulation in Fei (Lung) and Wei (Stomach), blood stasis, dampness and emotional disorder are etiologic and pathogenic factors for acne (45). Fire needle therapy can achieve the functions of both acupuncture and moxibustion (46). On the one hand, acupuncture stimulation can enhance qi and blood circulation to stimulate healthy qi generation. Abundant healthy qi exerts a critical function in eliminating the harmful conditions of AV. On the other hand, the warm stimulation of moxibustion plays the roles of drawing out poison and purging heat, thus achieving the purposes of Qingre Qushi and Quxie Jiedu (47). According to basic experimental studies, fire needle therapy can enhance the repair ability of local skin lesions, and its mechanism may be related to enhancing the function of phagocytes. Moreover, it can also accelerate the healing of damaged wounds by stimulating the release of various growth factors such as VEGF in the body (48,49). Therefore, fire needle adjuvant chemical peels therapy is an advisable treatment option.
Acupuncture use for pain after traumatic brain injury: a NIDILRR Traumatic Brain Injury Model Systems cohort study
Published in Brain Injury, 2023
Mark D. Sodders, Aaron M. Martin, Jennifer Coker, Flora M. Hammond, Jeanne M. Hoffman
The use of acupuncture varied with insurance type, especially with having private insurance or health care coverage through the VHA, and overall most of our study sample had some form of insurance. Acupuncture can be costly for self-pay individuals. The median cost for an acupuncture treatment in the United States is estimated to be approximately $80 per visit, including the initial and follow-up visits and the generally lower-cost community-style group treatments (45). Some private health insurers provide coverage for at least partial benefits (46), and state and federal insurance recently began offering coverage under benefits from Medicaid (47), Medicare (48), and as previously noted, through the VHA (43). Even with limited benefits available, at least 50% of acupuncture visits do not involve health insurance (46,49). Having health insurance coverage can facilitate access to this treatment for individuals with TBI who otherwise might have limited financial resources (49,50).
Lacrimal Gland Insufficiency in Aqueous Deficiency Dry Eye Disease: Recent Advances in Pathogenesis, Diagnosis, and Treatment
Published in Seminars in Ophthalmology, 2022
Acupuncture is a form of Chinese traditional medical therapy, wherein needles are applied at specific points on the body for neuronal stimulation. It has shown to be effective in treating DED. However, further studies are needed to gauge its efficacy.111–113 Role of anterior ethmoidal nerve stimulation being better than lacrimal nerve stimulation for increasing the aqueous production is also known.114 Intranasal Tear Neurostimulator (TrueTear, Allergan plc) is a similar device designed to deliver microcurrents to the nasal cavity, stimulating the nasolacrimal pathway. It has recently received FDA approval to temporarily increase tear production. It has shown significant improvements in ocular dryness and discomfort compared along with a good safety profile and hence appears to be a promising new management strategy for these patients.115 The iTEAR ®100 device is a similar device; however, unlike TrueTear, this stimulates the anterior ethmoidal nerves at the tip of the nose. Further clinical trials for its efficacy and safety are awaited.