A First Visit to an Acupuncture Clinic

You might be thinking about making an appointment at an acupuncture clinic. Many people consider this for various symptoms; some common ones being persistent pain, stress-related symptoms, or other problems such as weight loss. In China, many people use their acupuncture visits as a periodic tune up in order to stay healthy. Chinese acupuncturists sometimes get paid as long as their client is healthy, rather than when their clients have symptoms. So, let us take a tour of a modern American acupuncture clinic to see what it is like.

A typical clinic looks like any professional office, and you will be shown into a room where you are comfortably seated in a chair. The acupuncture practitioner comes in and begins the diagnosis. There are two major parts to the diagnosis, physical observation and a discussion of your symptoms and environment. A basic physical observation will include taking your pulse and observing your tongue. Unlike a traditional doctor’s office, your pulse is taken on both wrists, and at several points on each wrist. Your pulse is taken both near the surface of your wrist and also more deeply below the surface. These observations will be written down and used together with the discussion with the practitioner.

You should think about a number of things to discuss at your first acupuncture visit. If you are coming in for a particular symptom or set of symptoms, this should be a major part of the discussion. Think about several different aspects of your symptoms. Let’s say that you have persistent pain in your ankle, to use one example. The pain may not be constant during the entire day; it may ebb and wane depending on the hours of the day. The pain may increase or decrease due to certain activities, and you should observe these as much as possible. You might think that walking would certainly increase the pain, but sometimes walking is not as much of a problem as persistent standing, for example, as a cashier in a grocery store. Also, the pain might change depending on the times of the month, and that should also be mentioned to the acupuncture practitioner. Cause and effect, if any, is also important to report. Some things to consider if stress is a component, for possibly the pain started or increased when you got a new supervisor at work. Notice that a diagnosis for an acupuncture visit includes physical, emotional, social, and mental components to the diagnosis. So come to the acupuncture office armed with as much information as you can gather about the reason you are coming.

Once you and the acupuncture practitioner get through the initial diagnosis, some time is taken to construct a plan of treatments. Depending on the particular symptom that you have, and the other personal information that was taken in the initial diagnosis, your first treatment might be this same day, or you may be asked to return on a different day to start your treatments. The time of day and the particular days for acupuncture treatments are carefully selected in order to achieve the best result possible.

If you do have an initial treatment, it will be painless, and generally takes less than an hour, sometimes much less than that. The acupuncture practitioner will insert very slim needles at specific locations, which will remain for the number of minutes needed for your particular symptoms. When the needles are still you are not even aware of them. Inserting and removing needles is also pain free, rarely there may be a slight twinge, but not more than that. During your treatment you may feel more relaxed, a buzz of energy, slightly warmer at the needle insertion points, or exactly the same as when you came in. However, the needles are doing their work to regulate and rebalance the circulation in your body. So enjoy your first visit, and know that each visit brings you closer to your optimal health.

Yin and Yang and Acupuncture

The ancient Chinese considered harmony to be the goal of our lives as individuals, and also as a society. When harmony is disturbed in our physical or emotional lives, it is restored by the use of acupuncture. Harmony is a continual balancing act between opposites: opposites in color, in energy, in actions, etc. This idea of opposites is seen even in the west with such ideas as positive and negative ions in chemistry and physics. The Chinese denote the opposite ends of each idea as “yin” and “yang”. They are not opposed to each other, but are the ultimate in each direction. For example, rest is Yin and exercise is Yang, or Yin is cold winter and Yang is hot summer. Life would not be in balance if it were entirely exercise or entirely rest, and so balance of Yin and Yang produces harmony. Notice that Yang is the active, warm, excitable, aggressive side, whereas the corresponding opposite Yin is restful, cool, calming, and passive.

Acupuncture is concerned with the optimal flow of the energy Qi. Harmony is disturbed by a lack of balance, and a lack of balance will constrict or overemphasize the flow of Qi at various points in the body. The acupuncture practitioner has four sets of diagnostic features, each of which have a yin end and a yang end. Three of these are specific: hot and cold, interior and exterior, and excess and deficiency. So, for example, someone who spends all of their time inside eating sweets has at least two imbalances that can be noted by the acupuncture practitioner. There is also a fourth, general set, for any other features that should be noted in the acupuncture diagnosis that are not covered by the first three: for example, an unusually passive person. A harmonious personality should have a balance between aggressiveness and passivity, each at the appropriate times.

It may be surprising that the treatment of acupuncture takes mental and emotional states into account, but the goal of acupuncture is to restore harmony to the whole person. A number of imbalances may not have caused a physical health problem, but rather such symptoms as strife within the family, a tendency to cry easily, or other social or emotional symptom. These are strong indicators and also need to be addressed.

The goal of is to restore harmony and redirect Qi energy to its normal flow. This energy is active and always moving, and hence has Yang qualities. So, if you were an acupuncture practitioner and had a client who noticed they where being unusually aggressive and angry lately, you would suspect a buildup in energy at some organ in the body. Whereas, if someone were depressed and listless, that would be an indication of a deficiency of energy at some organ or organs in the body. This, along with a diagnosis of physical symptoms, would give the best acupuncture treatment to address this.

So, by organizing objects, actions, conditions, and other attributes of life into “Yin” and “Yang”, the acupuncture practitioner can more easily fit mental, social, and emotional issues into the overall treatment plan for each of the clients. The method of acupuncture is to restore the normal flow of Qi, which in turn will restore harmony and balance into the patient’s life.

What Is Acupuncture?

Acupuncture was developed in China many centuries ago. The Chinese call acupuncture Zhue Jiao, which means “needle heat”. The needle regulates an inner force called “Qi”, which is responsible for the health of the body. The regulation of Qi using acupuncture can restore physical health, give a release from stress, or improve physical or mental health in other ways. A very healthy person should have Qi energy flowing freely in several distinct pathways, and these pathways are like the roads for maintenance crews. Freely flowing energy distributes everything the cells need, and take away what waste is produced. This produces not only physical, but also mental, health. If Qi is stopped at some point, there will be some symptoms, often a physical illness. The acupuncturist will determine where the needles should be placed in order to return the flow to normal, or as close to normal as is possible. This might happen in one treatment, or a series of treatments. Many Chinese get acupuncture treatments regularly in order to stay healthy, to keep their Qi flowing at a nearly ideal level. In several places in China, a practitioner of acupuncture gets paid only as long as their clients remain healthy, not when they get sick.

Nearly all acupuncture techniques use needles, though there are varieties that also use electric stimulation, burning, and herbs. The needles used are solid needles, not hollow tube needles like Western doctors use. In America, certified practitioners of acupuncture use pre-sterilized disposable needles. There is usually no medicine on the needles, for the needle itself acts on the Qi energy to make the change in the flow. The practitioner may use a particular angle to insert a needle, or may manipulate the needle a little (such as a small rotation) to get the best results for a particular client.

If you think like the Chinese, you may want to visit your acupuncture clinic regularly to maintain an optimal flow of Qi, and to maintain really good health. A particular health or emotional problem may need only one or two visits, or might require a series of up to eight visits or more, depending on the problem. During a visit, the acupuncturist may insert several needles, and not necessarily at the same points from visit to visit. As the condition improves, a different set of locations might be chosen to affect a change in Qi flow to move even more quickly to good health. Sometimes the needles are inserted just underneath the layer of the skin, while at other times some of the needles may be inserted up to a depth of three inches. Insertion of the needles usually does not hurt at all. Some clients remark on an occasional pinching sensation when a needle is inserted. Once the needle is in place it can easily be forgotten. Sometimes there is a pleasant relaxing or warm sensation around the insertion point, which is an indication that the Qi flow is being redirected in the right manner.

Acupuncture is a very good way to correct a number of illnesses, and one of the best ways to maintain health on a regular basis. This introduction gave a brief overview to encourage you to consider acupuncture as a health option. More and more insurance companies are giving coverage for visits to an acupuncture clinic, and this should be explored.

The Development of Acupuncture

Chinese medicine is thousands of years old. The earliest recorded use of acupuncture is from the reign of the Yellow Emperor, and is supposed to be from about 2600 BC. The ancient Chinese noticed that certain areas of the skin became more sensitive when a person had a certain health problem. Over time, the Chinese started recording the location of the sensitive areas for a particular symptom or set of symptoms. These areas were associated with the internal organs whose malfunction caused that particular symptom. When outlines of the human body were drawn, these sensitive points were connected in ways to explain the functioning of the human body. The functioning of the body includes the various major organs of the body, and also the entire functional system, including the energy for the organ.

Looking at a text on acupuncture, there will be a number of spots, which relate to the sensitive areas described above. There will also be lines, or “meridians”, which connect the various organs and indicate how the energy of the organs flow from one to another. The concept of energy (the “Qi”) is fundamental to the application of acupuncture. According to the Chinese, we are given a certain amount of Qi at birth, and this is dissipated by daily living, and restored by ingesting food and air. In the foundation of acupuncture, the imbalance of this energy at various points in the body is the cause of illness. The absence of this energy at some point is death. The Qi circulates through the body in a cycle, moving from meridian to meridian and organ to organ. This energy is constantly moving, dissipating, and being restored.

The use of the needles in acupuncture is to affect the energy level, and so the functioning, of an organ by stimulating or reducing its action. Some organs respond more directly and quickly than others, such as the liver. Acupuncture can be used for pain control, for stress relief, and for a multitude of other physical symptoms and diseases.

China was where the technique of acupuncture and its medical foundations began. Japan also has an extensive history of acupuncture as an accepted and effective treatment for their people. Japanese acupuncture has the same foundations as Chinese acupuncture, but several interesting differences in technique. Acupuncture traveled to Europe in the seventeenth century, being brought back by Jesuit missionaries who had lived in Beijing. Acupuncture did not receive wide acceptance at that point, though there were pockets of practitioners in several places in the West. Acupuncture got significant attention here only when M. Morant from France published many writings on acupuncture in the 1940s. The detail and volume of his writings caught the attention of western physicians, who started considering it for pain control.

Currently, acupuncture is widely accepted by western physicians in several categories, including pain control and stress relief. Indeed, for some operations no anesthesia is needed at all, just the services of an acupuncturist. This is a distinct advantage, in that the normal operation of the patient’s organs is not altered by an artificial anesthetic. This work in the west has caused new interest and study in the land where acupuncture originated, in China. They have discovered many old, previously unknown texts, and are working on extending the applications. It is an exciting time for the field of acupuncture.