Académique Documents
Professionnel Documents
Culture Documents
an Integrated Perspective
PK Melethil, L. Ac.
Melethil Acupuncture Services, LLC
Wilsonville, OR 97070
Overview
Acupuncture in the context of Traditional Chinese Medicine(TCM)- a
Whole Medical system(NIH).
3 case studies
* regions of the body associated with the primary channels of the12 Zang-Fu organ
networks and their 5 Phase/Element associations in TCM.
Zang-Fu Theory
Based on Organ Disorders (Meridians)
Warm-Febrile Diseases
Progresses from Outer to Inner layers
Models: Triple Burner, 4 Levels
Causative factors
• Therapeutics
Acupuncture
TuiNa (Medical Massage)
Internal Medicine Diet/Nutrition, Herbs, Minerals, Animal products
Qigong, Tai Ji Quan, meditation (Exercises)
Effective, Economical
No ‘placebo effect’
Highly effective
Well-established
veterinary practices in
China & US
• Scalp
Jiao, Zhu models
• Feet
Reflexology
TuiNa
• Feeling the Qi
• Viscoelastic aspects of tissues
• De Qi and propagated sensations
• Electro-acupuncture
Low frequency ( <10 Hz) and high frequency (~100 Hz)
IAMA Fall 2007 Acupuncture and Pain Management
Arthritis (“Bi”) Syndromes
EARLY STAGE: EXCESS PATTERN >>>>> LATE STAGE: DEFICIENCY PATTERN
6 Constitutional Patterns
• Wind (Wandering) Bi Migrating pain in muscles, joints
• Cold (Painful) Bi Fixed pain, Alleviated by warmth
• Damp (Fixed) Bi Marked soreness, numbness, heaviness
• Heat Bi Swelling, soreness & pain w local redness
• Stagnation of Blood & Phlegm
Swelling, rigidity, deformity joints & limited ROM
• Liver & Kidney Deficiency
alleviated by rest; sore and weak low back, knees
• Post-Shingles Paresthesia
female, 93, suffering from limited vision, post herpetic uveitis (Western Dx) and paresthesia
around L eye. No improvements in 2 months w acyclovir tablets, ciproflaxin eye drops.
Dx- Damp Heat-GB channel, Qi/Blood deficiency. Tx: acupuncture (local/distal), GB channel
and TuiNa; significant improvement (uveitis) in 4 visits and vision in 9 visits, confirmed by
opthalmologist. Patient reports increased energy w ongoing treatment.
• Qigong
• Internal Medicine
Over 1000 herbs in TCM pharmacopoeia
formulas are well-tested, hundreds to thousands of years old
Herbs are classified by
their flavor and nature
the channels/organs they act upon
the specific actions on a given organ
e.g., Ju Hua (chrysanthemum) is considered to be slightly cold, sweet, bitter, and
acrid, enters the Liver channel and soothes the eyes. Its’ found in formulas used to
treat Wind Heat- fever w chills, aversion to cold, sore throat.
Acupuncture of chronic headache disorders in primary care: randomised controlled trial and
economic analysis. Health Technol Assess (UK) 2004;8(48). VickersAJ, Rees RW, Zollman CE,
McCarney R, Smith CM, Ellis N, Fisher P,Van Haselen R, Wonderling D and Grieve R.