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Acupuncture
is an important procedure in traditional Chinese medicine
to prevent and treat diseases by puncturing certain points
in the body with very fine needles without injection of any
drugs.
It
is neither a panacea for all diseases nor is an alternative
to modern medicine or other modes of therapy, but may form
an integral part of treatment in acute and chronic ailments.
How does acupuncture act?
The
action of acupuncture is explained by the theories of Yin
-yang and the five elements, which were two kinds of outlook
in ancient China.
The
Yin -yang theory holds that every object or phenomenon
in the universe consists of two opposite aspects, namely yin
[cold] and yang [hot]. Both are in conflict as well as in
interdependence, coexisting in a single entity. The tissues
and organs in the body may pertain either to yin or yang according
to relative locations and functions. Occurrence of disease
is thought to be the outcome of imbalance between yin and
yang.
The
theory of five elements holds that wood; fire, earth,
metal and water are basic materials constituting the material
world. Its application to traditional Chinese medicine is
in classifying into different categories these natural phenomena
plus the tissue, organs of the body and the human emotions
and interpreting the relationship between the physiology and
pathology of human body and the natural environment.
Transcutaneous
nerve stimulation [TENS]:
Patients
who are afraid of needles are taught to use electro stimulation
at the hospital and continue it at home for long term effect
TENS is applied at acupuncture points at or near painful areas
via surface electrodes made of rubber or thin metal lubricated
with saline or jelly. Prejellied self-sticking ECG electrodes
with buttons to attach electro stimulator wire clips can also
be substituted for rubber electrodes. These may need a sticking
plaster to keep them in place.
High resistance of skin causes interference in some patients
making it difficult to achieve good results. In such cases
needling needs to be done, inplace of TENS.
Acu-Laser and Son-Puncture:
Laser
or ultrasound is also being used with blunt probe at the painful
points. This has revolutionized and supplemented acupuncture
therapy in children and sensitive adults.
Homo-Puncture:
Use
of acupuncture needles dipped in specific homeopathic medicines
has resulted in improved outcome of diseases.
Catgut Implantation:
To
cause a prolonged stimulation of acupuncture points in certain
diseases like asthma, a sterile catgut suture is implanted
subcutaneously,at specific points.
Blood /Water Acupuncture:
0.5-1
ml of patient's own blood taken from a vein is injected at
his/her acupuncture points to achieve better and prolonged
results. Occasionally injectable distilled water or B-complex
is instilled in acupuncture points to get a good cure.
Body massage:
Massaging the body and ear points has been used to supplement
acupuncture therapy.This technique is taught to the patients
and near relations to sustain the effect of accupunture at
home during the interval between the two therapies.
Diseases Treated with Acupuncture & Treatment Schedule:
Acupuncture
has been used with good results in controlling cough and bronchial
asthma, nausea, vomiting, constipation, excessive sweating,
painful joints, insomnia, hiccup, flatulence, control of diabetes
and hypertension, migraine, headaches etc. Its efficacy varies
in different patients. Usually the sense of well being starts
appearing after 5-6 sittings of acupuncture taken everyday
for 20-30 minutes each. The initial treatment needs to be
continued for 10-15 sittings followed by a weekly or 15 day
gap. The treatment may be resumed once or twice weekly/monthly
thereafter for sustainance of therapy.
| Diagnostic
Facility |
Before
treating a patient for any ailment, the therapist
asks about the complaints of the patient, observes
the color, appearance of mucous membranes, tongue.
Palpates the pulse, channels and acupuncture points.
Listens to the speech, respiration and cough of
the patient and notices any smell emanating from
him or her. Changes in these parameters during treatment,
health in predicting the prognosis and efficacy
of the accupunter treatment.
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| Therapeutic
Facility |
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Once
the diagnosis is arrived at, a set of acupuncture
points on the body surface, scalp and ear are
punctured with the help of fine needles and a
needling sensation [deqi] is elicited. This sensation
may consist of heaviness, numbness, tingling or
soreness. The needles are retained in position
for about 20 minutes. They may be intermittently
stimulated manually or electrically.
Electro stimulation of needle points by various
machines especially in painful and chronic disease
also helps in eliciting 'deqi'. Moxibustion (heat
therapy by Moxa leaves)is supplemented in painful
conditions.
Accupuncture
treatment is provided by our senior consultant
in anaesthesiology, a well trained accupuncturist,
Dr. Sunila Sharma, by prior appointment, everyday
9 AM to 5 PM, in the OT complex first floor, new
block of batra hospital and medical research center,
1-Tuglakabad, New Delhi.
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