|
What To Expect
Your First
Visit:
Your first visit is special in that this is when I get to know you and
find out exactly what your concern is, your history and what you'd like to
accomplish with Chinese Medicine. During this first meeting I will make an
assessment and a Chinese Diagnosis, and will design a treatment plan for
you specifically. Following this you will most likely receive your first
treatment, which may include acupuncture, moxabustion, cupping, electrical
stimulation acupuncture (Estim), Tui Na-based massage or Chinese Herbal
remedies. First visits rarely take less than an hour, and depending on the
history and complexity of your condition may take up to two hours.
Follow-up visits routinely take between thirty minutes and sixty
minutes.
Acupuncture points
are located all over the body, although the most commonly used points are
on the arms between the elbows and the hands, on the legs between the
knees and the feet, on the lower abdomen between the umbilicus and the
lower belly and on the back and neck. Depending on the treatment you are
receiving, and your degree of comfort, you may choose to wear or bring
loose fitting clothing that can be adjusted up and down the limbs easily,
short sleeved tops, short pants or some combination of these. If widely
distributed body points are chosen, dressing down to one's undergarments
is an option in which you will otherwise be kept covered and comfortable.
Feel free to
download the patient forms from this website, so
that you can arrive with your paperwork done. Fill out the questions to
the best of your ability but please be concise. I will be asking you in
person for further details. Please sign and date the Informed Consent and
Arbitration Agreement forms, and bring with you a list of all medications
and supplements you are currently taking, or have taken if they are
relevant to your current condition. Please bring with you any lab results,
and copies of MRI's, CT scans or X-rays with radiologists reports if you
have them available. Be sure to have a light meal within two hours prior
to your treatment. Acupuncture cannot be performed on intoxicated
individuals.
Course of Treatment:
Although it occasionally happens, acupuncture treatment does not typically
provide a cure in a single visit. In general, acute and recently occurring
conditions require fewer treatments, and chronic conditions or those
that are allowed to linger without treatment require longer courses.
Conditions that are treated two or more times a week resolve more quickly
than those that receive a single treatment a week, and treatments that
adhere to a regular schedule are more effective than treatments which are
inconsistent from week to week. The effects of acupuncture are cumulative
with each treatment bringing the body and mind closer to a healthy
and balanced state. Usually a seriously unbalanced state is the result of
considerable unhealthy habits or exposure over considerable time, and
therefore considerable treatment is required to bring this person back to
the balanced and healthy disease-free state.
Some typical
examples are given here. A person who has injured a muscle or joint will
often resolve in two or three treatments if seen within a couple days of
the injury. A chronic or untreated muscle or joint injury may require up
to ten treatments. A person in the early stages of a cold may resolve in
one treatment, whereas a person with a chronic or lingering cold may
require three or more treatments. An acute severe headache may
resolve in a single treatment, whereas chronic and migraine headaches
require several treatments until under control and then maintenance
treatments about every month. Chronic disease states with organ
involvement most often require a course of regular treatments for two or
more months. Treatment for couples experiencing infertility in general
requires twice weekly visits for a duration of between two and six months
to produce a pregnancy, and then if there is a history of miscarriage,
continued treatment through at least the first trimester. The amount of
time and number of visits required varies according to the individual, and
the problem being treated.
The Treatment:
Acupuncture
needles are extremely fine, much finer than needles used for
injections or to draw blood. If you have initial anxiety about
acupuncture, please let me know - you won't have been the first.
Licensed acupuncturists are trained and certified in sterile procedures,
and all needles are one-time use only and then disposed of. As often as
not the needles are hardly felt and it is a rare occasion when there is
noticeable discomfort. During your session needles will be precisely
placed at specific locations according to your diagnosis and treatment.
Once the needles
are in place, the lighting in the room will be reduced, if you are cool
you will be covered in blankets to keep you warm, soothing music will play
softly and your general comfort will be checked before being left to enjoy
approximately twenty to thirty minutes of relaxation time while the
needles are working. It is important to achieve the maximal effect from
the acupuncture that the patient is comfortable and relaxed during this
time. Many people fall asleep.
Side
Effects: Side effects are rare. The most common is slight bruising at the
site of needling. Some people experience sleepiness or lightheadedness at
the conclusion of a treatment. If you experience any lingering sensation
of fatigue or dizziness, please let me know and appropriate
adjustments will be made to your treatment protocol.
Moxabustion
is the practice of burning the prepared herb known as Ai Ye (mugwort), and
applying the generated heat to specific points on the body. This procedure
often takes place while acupuncture needles are in place. It is
universally experienced as a pleasurable sensation of warmth. The
possibility of burns is highly unlikely due to the form of the herbal
preparation and the technique used. Nils may choose to include moxabustion
if your diagnosis includes interior cold.
Cupping is the practice of placing small glass spherical cupping-jars that
have been quick-heated to create a vaccuum onto problem areas of the body.
It is thought that the suction "pulls the bad qi out" or
"moves the stagnant qi", thus aiding in the treatment of certain
conditions. The cups can be placed at a specific point and left as such to
do their work, or they can be slid on the surface of the body on a thin
layer of lubricating oil to cover a larger area. Sometimes suction marks
are left from cupping that fade in several days. Cupping most often takes
place after the acupuncture needles have been removed.
Electrical
Stimulation Acupuncture, Electro-acupuncture, or Estim for short, is
sometimes used for musculo-skeletal pain, weight loss, post-chemotherapy
nausea and a few other conditions. Once needles are in place, thin wires
connect to a device which generates a very mild electric current which is
passed through the needles into the tissues. It is perceived as a
stimulating vibratiion of the muscles. The sensation is mild and pleasant.
Tui Na massage is the grandfather of all modern massage. In fact, the
Swede Pehr Henrik Ling learned basic Tui Na techniques in China in the
early 19th century and from them developed what is now known as Swedish
Massage. It is therefore not surprising that certain techniues
of Chinese Tui Na massage are similar to common massage techniques, and
can be used to treat conditions ranging from musculo-skeltal pain to
stress to constipation to infertility and beyond. Tui
Na massage uses many techniques that may include brushing, kneading,
rolling, pressing, ranging and rubbing to move stagnant qi within the
patients body.
Chinese
Herbal Medicine uses medicinal herbs to treat far-ranging conditions.
Traditionally dried herbs are given to the patient with special
instructions on how to brew these into a tea, or decoction, at their home.
More conveniently, crushed herbs are prepackaged in popular combinations
into pill-sized pellets or capsules, and taken three to eight at a time,
three times a day. Because herbal decoctions are often not pleasant
tasting and can be inconvenient to prepare, these "patent pill"
preparations are popular among many utilizing Herbal Medicine. I may
direct you to a Chinese Herbal pharmacy in Chinatown with an Herbal
Prescription, or you may choose to have your prescription filled through
your choice of online Herbal vendors. Nils can supply you with a list.
|