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Ensure Your Practice Information in AcuFinder

Posted By Administration, Wednesday, November 13, 2013

When keeping your AAAOM member information current, your name and practice information, will be available to patients seeking a practitioner through both AAAOM’s "Find a Practitioner” function and AcuFinder ( You then also:

  1. Receive important emailed AAAOM updates and information pertaining to the profession
  2. Receive the print issue of The American Acupuncturist (or you can select online access only if that’s your preference). Be sure your mailing address is current in the Professional Information section. Please note: AAAOM-SO members can view The American Acupuncturist online
  3. Connect with your peers through links to discussion groups and blogs
  4. Take advantage of our Member Rewards Program

Take the time to update your profile now by clicking here to sign into your member profile. Proceed to "Manage Profile,” click on Edit Profile then update your contact information, American Acupuncturist mailing preferences and bio. If you need assistance or require additional information, please email or call 866-455-7999 ext. 4.

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AAAOM Chinese Translators Volunteer Opportunity

Posted By Administration, Wednesday, November 13, 2013
The American Acupuncturist, the peer-reviewed journal published by the AAAOM, wants to add to its reserve of volunteers, individuals who are interested in translating scientific research articles from Chinese into English. We would call upon your services only once or twice a year. Click here to sign up as a Chinese translator.

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Samueli Institute Study: High Impact Training Programs to Help Service Members Cope with Stress

Posted By Administration, Wednesday, November 13, 2013

In a study involving 116 randomized control trials distilled from a pool of nearly 12,000, the Samueli Institute of Alexandria, VA evaluated the impact of stress-reduction programs within a military environment. The study, published in this month's Evidence-Based Complementary and Alternative Medicine, focused on stills-training that builds resilience, eases emotional stress and resets the body's control system that reacts to stress. Areas of concentration included post traumatic stress response, depression and anxiety.

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Acupuncture with Counseling Improved Depression

Posted By Administration, Wednesday, November 13, 2013

Acupuncture and counseling improved outcomes among patients with moderate to severe depression in the United Kingdom, according to data from a randomized trial.

Researchers from the University of York in the UK recruited patients with depression from 27 primary care practices in northern England and randomly assigned participants to acupuncture (n=302), counseling (n=302) or usual care (n=151) to determine the efficacy and cost effectiveness of various treatments. The condition is normally treated using antidepressants and counseling. Selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs) are some of commonly prescribed antidepressants.

There were statistically significant reductions in PHQ-9 assessment scores in the acupuncture and counseling groups vs. usual care at three months (–2.46 points for acupuncture, P<.001; –1.73 points for counseling, P=.008). Scores were similar during 12 months: –1.55 points in the acupuncture group and –1.5 in the counseling group. However, there was no significant difference in scores between the acupuncture and counseling groups (P=.41).

"These findings suggest that, compared to usual care alone, both acupuncture and counseling when provided alongside usual care provided significant benefits at three months in primary care to patients with recurring depression," the researchers wrote.

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Huffington Post: Time for Acupuncture to Become Part of Standard Care

Posted By Administration, Wednesday, November 13, 2013

A recent study conducted by researchers in the Integrative Medicine Program at the MD Anderson Cancer Center and published in the Journal of Clinical Oncology helps provide cancer patients and their oncologists the information needed to make choices about the use of acupuncture in symptoms management during cancer programs.


Forty-one studies were found for the treatment of eight symptoms including: 11 on pain, 11 on nausea/vomiting, eight on postoperative ileus (constipation), four on xerostomia (dry mouth), seven on hot flashes, three on fatigue, five on anxiety/depression/mood disorders, and three on sleep disturbance. These studies were rated for study quality and whether outcomes were positive or negative. There is reason to believe that with larger, more rigorous studies, acupuncture may be found beneficial for some of these conditions.

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Drug-Free Treatment of Chronic Pain Seen as Way to Cut Prescription Dependency

Posted By Angie Woodward, Wednesday, November 13, 2013

As more and more patients become seriously ill or die as a result of prescription drugs, drug-free techniques, such as acupuncture, physical therapy, and yoga to treat chronic pain, are seen as an important part of a solution to this serious problem.

In her October 7 article, "Finding Drug-Free Techniques to Treat Chronic Pain,” Boston Globe staff writer Deborah Kotz quotes Boston Medical Center internist Dr. Daniel Alford who stated he "would like to see a stronger emphasis placed on non-medical ways to relieve pain, such as massage therapy, acupuncture, physical therapy, and yoga therapies.”

Dr. Aditi Nerurkar, Beth Israel Deaconess primary care physician and assistant medical director at the hospital’s Cheng & Tsui Center for Integrative Care also adds, "I see patients who have everything from back pain to migraines and can send them next door to our acupuncturist or teach them meditation techniques myself.”

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Patient Outcomes and Experiences of an Acupuncture and Self-Care Service for Persistent Low Back Pain: A Mixed Methods Approach

Posted By Administration, Wednesday, November 13, 2013
Supported self-management, acupuncture, and information can help reduce the symptoms of low back pain. These approaches are currently recommended by the National Institute for Health and Care Excellence in the U.K. as treatment options for patients with persistent low back pain. However, there has been no previous evaluation of a service providing them together for this common problem. The purpose of a service evaluation project by the Beating Back Pain Service (BBPS) was to report patient outcomes and experiences in a primary and community care setting, delivering acupuncture, self-management, and information to patients with chronic low back pain. The BBPS provided musculoskeletal pain management combining self-management with acupuncture, which was found to be highly effective by patients who completed a questionnaire about their back pain problems after such combined treatment. Further consideration of these methods is required regarding how to best engage patients in self-management



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Acupuncture Shows Promise to Improve Eyesight for Retinitis Pigmentosa Patients

Posted By Administration, Wednesday, November 13, 2013

Treatments with acupuncture and herbal medicine for retinitis pigmentosa, a disorder that is a genetically inherited condition that may lead to blindness, have demonstrated positive clinical outcomes in several studies. A groundbreaking study was published in 2011 wherein it was discovered that acupuncture protects the optic nerve from damage caused by intraocular pressure by alleviating stresses on retinal and optic nerve axonal ultrastructures. Another study showed that Chinese medicine improved retinal cone activity for patients with retinitis pigmentosa, even in cases of advanced retinal degeneration.

A more aggressive study was published in Clinical and Experimental Optometry, 2013. She Xiang was injected into acupuncture points UB18 and UB23 and results showed that acupuncture improved eyesight for patients with retinitis pigmentosa. The study concludes that injection of She Xiang into Ganshu (UB18) and Shenshu (UB23) "can improve effectively the function and metabolism of optic cells, promote blood circulation of the retina, enhance the visual acuity, and protect the central vision for the patient of retinitis pigmentosa.”


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TCM Qi Gong Fest

Posted By Tori Newton, Wednesday, July 24, 2013
Updated: Thursday, July 11, 2013
Thousands of qi enthusiasts attended the 15th World Congress on Traditional Chinese Medicine & Qi Gong, which took place May 25-28 in San Francisco. Each day, workshops were held, qi gong masters wowed the crowd with demonstrations, and casual attendees wandered through areas where vendors were showcasing a myriad of natural health products.

Created in 1998 by Qigong Grandmaster Dr. Effie Chow, this event was designed to advance the knowledge of natural health practitioners as well as introduce newcomers to the many benefits of qi gong, acupuncture, and traditional Oriental medicine. Held in collaboration this year with the Asian Heritage Street Celebration, it attracted even more attendees interested in learning what Eastern medicine has to offer.

The American Association for Acupuncture and Oriental Medicine (AAAOM) exhibited at this event with the Student Organization (SO) volunteering their time under the guidance of Jeannie Kang, AAAOM Immediate Past President. The SO spoke with festival attendees about the AAAOM and its efforts to make positive changes in the acupuncture and Oriental medicine (AOM) profession from the grassroots level up. One example they gave that directly affects California practitioners was AAAOM’s efforts in 2011 to collect enough signatures to block the passage of a "traumatology bill,” which would have allowed physical therapists to administer acupuncture and other AOM modalities to patients with musculoskeletal disorders. The blockage of this bill, CA Senate Bill 628, was an important success for AOM practitioners nationwide.

Students Tiffany Tuftee and Tori Newton

Passersby at the student booth were lured in by the whimsical Acu-Man T-shirt, which illustrates the meridians and points of the front and back upper body. Many people asked the student volunteers who were wearing them to stand up so they could see where the meridians and points are and wanted to try them on themselves. Sales of these shirts helped raise funds to enable AAAOM-SO students to attend the annual AAAOM conference and bolster student involvement in the important work of both preserving and furthering the AOM tradition. The shirts will be for sale at future AAAOM events.

The event was lighthearted and fun, T-shirt sales were successful, and in the process, many people learned about the widespread efforts of AAAOM and its growing, active student organization.

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Endangered Herbs in Chinese Medicine

Posted By Eric Brand, Wednesday, April 10, 2013

In autumn 2012, another alarming media wave about endangered species in Chinese medicine hit the mainstream press. A series of raids in London focused on the sale of endangered species by a prominent Chinese medicine company in the UK, and the resulting international media spotlight was painful to behold in numerous ways. Most Western TCM practitioners are highly sensitive to our planet’s ecology and biodiversity, so seeing our profession painted with a broad brush as the foe of Mother Nature is hard to endure. However, far worse is the helpless feeling of watching a media blitz that is abundant in flashy headlines yet lacking in science and logic.

This latest endangered species media adventure followed a UK court decision issued on August 20, 2012, wherein the UK branch of the famous TCM company Beijing Tong Ren Tang was fined £21,000 for distributing products containing CITES-listed plants, notably gastrodia (tian ma), aucklandia (mu xiang), and dendrobium (shihu). The article was widely circulated worldwide, and it parallels similar articles from Australia and New Zealand that cite aucklandia seizures as though they were akin to an egregious seizure of tiger bone or rhino horn. Lost in the excitement, however, is the inescapable fact that the party that was punished was nearly certainly using mu xiang, tian ma, and shihu products that were ethically cultivated, with no connection to the endangered wild products whatsoever. Indeed, in a tragic and ironic way, in certain situations the laws intended to protect these plants are arguably backfiring on the true ecological goals for which they are intended.

Many medicinal plants have been cultivated for centuries, and approximately 150 of the most commonly used items in Chinese medicine predominantly come from cultivated sources. While some Chinese herbs remain abundant in the wild, other herbs have exceedingly scarce remaining wild populations that must be researched and preserved for the sake of biodiversity. For example, while all the baizhu used clinically is derived from cultivated sources, the plant that produces baizhu is extremely rare in the wild.

The situation is even more extreme for Asian ginseng, which is almost completely extinct in the wild but abundant in cultivation (much of what is sold as "wild ginseng” and "wild baizhu” on the market is actually a product that is cultivated in a wild environment to acquire the wild characteristics). The decline of wild Asian ginseng has been historically documented for centuries, and its relative san qi (notoginseng) is a major TCM medicinal that lives on without a single known wild specimen.

Preserving the genetic diversity of the scarce remaining specimens of plants like the ones above is essential, but laws broadly prohibiting the trade in items such as baizhu, renshen, and san qi are unnecessary and impractical, as their wild products are never encountered in trade. No one would consider restricting international trade in potatoes because one ancient Incan variety of wild potato was threatened in the Andean wild. As with the Chinese herbs above, the standard potato can be clearly identified visually, and the supply chain is not in any way contaminated by the covert sales of rare Incan potatoes masquerading as the common cultivated variety.

Given the world’s desperate need for funding to protect treasured and threatened resources such as African elephants and rhinos, it is disheartening to see the wildlife protection forces of sophisticated nations wasting their precious resources on obviously cultivated plants. Use of enforcement resources should be based on a reasonable, scientifically sound assessment of priorities, not a quest for easy headlines. In the numerous media reports devoted to the aucklandia alarm, there isn’t even mention of the fact that wild Aucklandialappa does not naturally occur in China in the first place!

Admittedly, the situation surrounding these medicinals is complex, so it is worth looking at each of these three herbs in detail.

Mu Xiang (Aucklandia/Saussurea)

Mu Xiang, also known as aucklandia, saussurea, or costusroot, is derived from a plant that is botanically known as Saussurealappa [=Aucklandialappa]. In Chinese, it is often referred to simply as mu xiang, but it is also called guang mu xiangor yun mu xiang.

In ancient times, mu xiang was a foreign medicinal that was not found in China. It was called guang mu xiang because it came from India and entered China through Guangzhou. In modern times, it is referred to as yun mu xiang because it is now cultivated in Yunnan province in China. Cultivation in China proved to be very successful, and the product cultivated in Yunnan province is regarded as high-quality, daodi medicinal material.

Despite the fact that mu xiang is now an exclusively cultivated medicinal, it remains classified as a CITES Schedule I substance because it is endangered in the wild in India. While trade is permitted for cultivated specimens of mu xiang, the process is expensive and cumbersome. Its restrictive classification is credited in a TRAFFIC report as a barrier to its successful wide-scale cultivation in its native India (causing India to instead rely on imports from China). Numerous efforts have been made to re-assess its scheduling, but the process appears to be bogged down by decades of political wrangling between India, Pakistan, and China. A border war between China and India initially cut off China’s importation of mu xiang from India in 1962 (which led to the cultivation progress in China), and Pakistan and India, to which it is native, have been arguing with one another about it ever since their inclusion into the CITES discussions.

Given that mu xiang has been revered in both China and India for centuries, it is a tragedy that even its exclusively cultivated form is now increasingly unavailable to patients throughout the world. Unfortunately, beyond the human cost measured in patients that cannot access the herb, there is also an ecological cost to consider. The difficulty of international trade in mu xiang has not only discouraged Indian farmers from cultivating mu xiang, it has caused many manufacturers to depend instead on chuan mu xiang (vladimiria root), a traditional mu xiang substitute from a different genus that grows in Sichuan.

In many Western nations, chuan mu xiang is already the only form of mu xiang available. Although it is currently abundant in the wild, chuan mu xiangis generally sourced from wild-harvested plants, and over decades it may become depleted if trade in standard cultivated mu xiang continues to be discouraged. There is a certain irony that a law intended to protect wild species results in a situation in which we cannot buy the original cultivated plant and are instead forced to use a wild plant with finite resources as a substitute.

Tian Ma (Gastrodia)

Tian ma, also known as gastrodia, is another item that is extensively cultivated for use in Chinese medicine. Effective cultivation techniques for gastrodia were only developed in the modern era, so for much of history, Chinese medicine depended on the use of wild gastrodia plants. As the human population grew, the wild gastrodia population became greatly depleted by the 1970s, and now the product that is used in Chinese medicine comes from exclusively cultivated sources.

In the field of Chinese medicine, it is not uncommon to encounter the simplistic idea that wild products are superior to cultivated products. In truth, the situation is far more nuanced. For example, the di huang (rehmannia) product used in medicine has been exclusively a cultivated product for centuries, and there is no interest in wild di huang for use in medicine (despite the fact that it is abundant in the wild environment). In other instances, the wild-crafted vs. cultivated nature of the product determines its fundamental identity. For example, chi shao (red peony) and caowu (wild aconite) are exclusively wild-crafted products, while baishao (white peony) and chuanwu (Sichuan aconite) are exclusively cultivated products.

Despite the overly simplistic and sometimes erroneous assumption that wild products are inherently better than cultivated products, we find that some uninformed or unscrupulous vendors in Chinese wholesale markets still label products for sale as "wild tian ma.” In actuality, wild tian ma is exceedingly rare, and it does not exist on the commercial market in any significant quantity. The large bags of tian ma that are sold as "wild” are not genuine; rather, they are cultivated roots that have been deprived of nutrition, causing them to appear shriveled and wrinkled (to create an appearance similar to the wild product). Some experts say there is no wild tian ma left, others say there is only a trace amount left in the wild, but all agree that there is no wild tian ma that is slipping into the inexpensive commercial supply chain.

Tian ma is an unusual plant that mystified ancient people due to its difficulty in propagation. It requires the presence of a symbiotic fungus in order to grow, and its cultivation techniques did not develop until the 1970s. In the 1970s and 1980s, it became extremely scarce until cultivation advanced, and all tianma that is now sold on the market is cultivated.

Shi Hu (Dendrobium)

Shi hu is an orchid product that comes from one of several species of dendrobium. All species of orchids are controlled by CITES regulations and permits are required for trade. The shihu used in Chinese medicine is exclusively cultivated and the wild product is not found in general trade, so the use of shihu in everyday clinical Chinese medicine does not have any negative ecological impact in terms of endangered species. Damage to wild populations continues through exotic flower collectors or seekers of rare, overpriced exotic objects, but the average modern TCM practitioner will never encounter wild dendrobium products in their lifetime.

Historically, dendrobium orchids have been over-collected in the wild for both medicinal and ornamental applications, and the CITES regulations play an essential role in their continued preservation. CITES regulations permit trade in cultivated products, and the vast amount of international trade in ornamental orchids has allowed a generally effective management system to emerge over time. CITES exemptions for finished products from cultivated dendrobium are also periodically discussed, which would greatly simplify international trade in shihu.

While trade in shihu is permitted with the correct documentation, much of what is sold on the market as shihu in the West is actually a different plant, known botanically as Ephemeranthafimbriata (Bl.) P.E. Hunt et Summ. This plant, known in Chinese as you guashihu, is also an orchid that requires CITES documentation, but it is a relatively inexpensive substitute that is commonly used in place of genuine shihu. Many Western TCM practitioners have relatively little exposure to shihu, and its high price combined with its relative obscurity causes it to have an extremely small market in the West. Despite being a cultivated product subject to legal trade, genuine shihu is rarely seen in the West due to its small income potential relative to its high bureaucratic hassle. It can be differentiated readily from the substitute you guashihu by appearance, and it is distinctively sticky when chewed.

Chinese medicine is a new phenomenon in the West, and it is essential that TCM practitioners understand the complex issues surrounding endangered species. Although products from endangered wild animals and endangered wild plants are absent in the supply chain that Western practitioners rely upon, we must nonetheless stay well informed about the ecological background of the products that we use. It is unreasonable to expect a deep level of subject matter expertise from reporters and customs officials that work with a wide range of issues, so perhaps the practitioner community can help reach out to bring more facts into the discussion when similar articles surface in the future.

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