The Treatment of Hepatitis The Treatment of Hepatitis with Acupuncture & Qi with Acupuncture & Qi

GongGong

Chad J. Dupuis, M.Ac., L.Ac.Chad J. Dupuis, M.Ac., L.Ac.Yin Yang HouseYin Yang House

Acupuncture & Wellness CenterAcupuncture & Wellness Center512 Tremont Street, Chattanooga512 Tremont Street, Chattanooga

Acupuncture in BriefAcupuncture in Brief

• Medicine is used worldwide both as a Medicine is used worldwide both as a complementary and as a primary complementary and as a primary mode of treatment.mode of treatment.

• Natural Medicine with many branches, Natural Medicine with many branches, styles, and theories.styles, and theories.

• Theories and Techniques drawn from Theories and Techniques drawn from long-term observation and testing. long-term observation and testing.

• Written texts date back as far as 168 Written texts date back as far as 168 AD.AD.

Acupuncture Training in the USAcupuncture Training in the US

• The majority of practitioners graduate The majority of practitioners graduate from 3-4 year post-graduate level from 3-4 year post-graduate level programs with clinical rotations.programs with clinical rotations.

• Some states also allow MD’s and/or Some states also allow MD’s and/or Chiropractors to practice with minimal or Chiropractors to practice with minimal or no additional training.no additional training.

• National Certification is required in most National Certification is required in most states and licensure from the states Board states and licensure from the states Board of Medicine is required.of Medicine is required.

Acupuncture DiagnosesAcupuncture Diagnoses

• Conditions are not treated, people and their Conditions are not treated, people and their unique set of signs and symptoms are.unique set of signs and symptoms are.

• This adaptability is a large part of the This adaptability is a large part of the effectiveness of acupuncture.effectiveness of acupuncture.

• Treatments are based on Chinese Medicine Treatments are based on Chinese Medicine diagnoses which are arrived at from many diagnoses which are arrived at from many sources, including your symptoms, pulse, sources, including your symptoms, pulse, tongue, pressure pain, emotional state, etc.tongue, pressure pain, emotional state, etc.

Treatment MethodsTreatment Methods

• Acupuncture is not just needles… many Acupuncture is not just needles… many practitioners include massage (tuina), practitioners include massage (tuina), energy work (qigong), and other techniques energy work (qigong), and other techniques such as cupping and moxibustion. such as cupping and moxibustion.

• Herbal Medicine is also an important branch Herbal Medicine is also an important branch of Chinese Medicine – which includes dietary of Chinese Medicine – which includes dietary adjustments and recommendations.adjustments and recommendations.

• Lifestyle changes and exercise are an Lifestyle changes and exercise are an important part of the healing process. important part of the healing process. Exercises such as Tai Chi, for example, are Exercises such as Tai Chi, for example, are well known for their effects on the immune well known for their effects on the immune system.system.

A Science and an ArtA Science and an Art

• Traditionally acupuncture was taught in a Traditionally acupuncture was taught in a teacher/student model instead of formal teacher/student model instead of formal schooling as it often is now.schooling as it often is now.

• While many conditions can be treated well While many conditions can be treated well with acupuncture with established with acupuncture with established protocols, it is still an art form requiring protocols, it is still an art form requiring good instruction and techniques.good instruction and techniques.

• You are likely to get different results from You are likely to get different results from different practitioners as well as from different practitioners as well as from different styles of acupuncture.different styles of acupuncture.

Hepatitis IntroductionHepatitis Introduction

• Autoimmune HepatitisAutoimmune Hepatitis– Jaundice, Unresolved Acute Hepatitis, etc.Jaundice, Unresolved Acute Hepatitis, etc.– Corticosteroids/PrednisoloneCorticosteroids/Prednisolone

•Calcium Absorbtion/Bone FormationCalcium Absorbtion/Bone Formation

•Hypertension, Fatigue, Weight Gain, Hypertension, Fatigue, Weight Gain, DepressionDepression

– 50% 5 Year Survival Rate w/o Tx.50% 5 Year Survival Rate w/o Tx.– Pre Cirrhosis / 90% 5 Year Survival Rate Pre Cirrhosis / 90% 5 Year Survival Rate

w/Tx.w/Tx.

Chronic Hepatitis BChronic Hepatitis B

• 5% Acute HBV to Chronic Liver 5% Acute HBV to Chronic Liver Disease.Disease.

• InterferonInterferon– Fatigue, malaise, diarrheaFatigue, malaise, diarrhea– Lowered immunity via bone marrow Lowered immunity via bone marrow

interruptioninterruption

• 3-5% w/o Treatment Resolve3-5% w/o Treatment Resolve

• 50% w/Interferon Treatment Resolve50% w/Interferon Treatment Resolve

Hepatitis CHepatitis C

• May be asymptomatic, chronic liver May be asymptomatic, chronic liver disease leading to cirrhosis.disease leading to cirrhosis.

• InterferonInterferon

• 80% Chronic Carriers and develop 80% Chronic Carriers and develop cirrhosis over 20+ years.cirrhosis over 20+ years.

Chinese Medicine IdeasChinese Medicine Ideas

• Hepatitis effects the Liver, Gall Bladder Hepatitis effects the Liver, Gall Bladder and Spleen Systems of the Bodyand Spleen Systems of the Body

• Liver in Chinese Medicine:Liver in Chinese Medicine:– Stores the Blood, Circulates Qi/Energy, Controls Stores the Blood, Circulates Qi/Energy, Controls

the Tendons, Manifests in the Nails, Opens into the Tendons, Manifests in the Nails, Opens into the Eyes, Houses the Ethereal Soul (spirit).the Eyes, Houses the Ethereal Soul (spirit).

– Five Element Associations – Eyes, Tendons, Five Element Associations – Eyes, Tendons, Sour Taste, Green Color, Shouting, Emotions of Sour Taste, Green Color, Shouting, Emotions of Anger and Frustration, Spring Time, WindAnger and Frustration, Spring Time, Wind

Gall Bladder in TCMGall Bladder in TCM

• Yin/Yang Pair with the Liver.Yin/Yang Pair with the Liver.– Stores and Excretes Bile (digestion)Stores and Excretes Bile (digestion)– Ability to make decisionsAbility to make decisions– Controls the Tendons – energy for Controls the Tendons – energy for

strength, whereas Liver supplies Blood strength, whereas Liver supplies Blood for nourishment.for nourishment.

Spleen in TCMSpleen in TCM

• Controls the Blood, Produces energy Controls the Blood, Produces energy from proper digestion and from proper digestion and assimilation, Controls the muscles assimilation, Controls the muscles and limbs, controls the raising of and limbs, controls the raising of energy, houses the “Yi” (intellect).energy, houses the “Yi” (intellect).

MeridiansMeridians

Functions of AcupunctureFunctions of Acupuncture

• Strengthen ImmunityStrengthen Immunity

• Resolve Auto-Immune ActivityResolve Auto-Immune Activity

• Control Pain and Side Effects of Control Pain and Side Effects of Complementary Treatments (Endorphin Complementary Treatments (Endorphin Effect)Effect)

• Stress Reduction/Improved Healing Stress Reduction/Improved Healing PotentialPotential

• Improve Nerve Function/Energy CirculationImprove Nerve Function/Energy Circulation

Example TCM DiagnosisExample TCM Diagnosis

• Damp Heat in the Liver and GallBladderDamp Heat in the Liver and GallBladder– Signs: Chest a/or hypochondriac Signs: Chest a/or hypochondriac

pain/distention, jaundice, fever, bitter taste in pain/distention, jaundice, fever, bitter taste in the mouth, poor appetite, nausea, vomiting, the mouth, poor appetite, nausea, vomiting, swelling a/or itching of the genitals.swelling a/or itching of the genitals.

– Tongue Dx: Red w/yellow Sticky CoatTongue Dx: Red w/yellow Sticky Coat– Pulse Dx: Slippery, Wiry RapidPulse Dx: Slippery, Wiry Rapid– Treatment Points – LV 14 (LV Mu), GB 24 (GB Treatment Points – LV 14 (LV Mu), GB 24 (GB

Mu), UB 18 (LV Shu – T9), UB 19 (GB Shu – Mu), UB 18 (LV Shu – T9), UB 19 (GB Shu – T10), SP 9, LV 2, LI 11T10), SP 9, LV 2, LI 11

UB 18 Liver Shu PointUB 18 Liver Shu Point

• Main point for all Liver related conditions: Main point for all Liver related conditions: hepatitis, jaundice, cirrhosis, Blood hepatitis, jaundice, cirrhosis, Blood stagnation, Qi stagnation, etc. stagnation, Qi stagnation, etc.

• Main point for eye problems, pain, itching, Main point for eye problems, pain, itching, dryness, redness, blurred vision, visual dryness, redness, blurred vision, visual dizziness, twitching. dizziness, twitching.

• Main point for LV related emotional issues Main point for LV related emotional issues such as anger, depression, irritability, such as anger, depression, irritability, frustration, stress a/or PMS. frustration, stress a/or PMS.

• Useful for hypochondriac a/or sub costal Useful for hypochondriac a/or sub costal pain/distention. pain/distention.

Tam Healing SystemTam Healing System

• Developed by Tom Tam, acupuncturist, Developed by Tom Tam, acupuncturist, healer, and tai chi master, for the treatment healer, and tai chi master, for the treatment of complicated medical conditions.of complicated medical conditions.

• A unique composition of western and A unique composition of western and eastern medical ideas along with strong eastern medical ideas along with strong clinical experiences over 30 years.clinical experiences over 30 years.

• Based on pressure pain as a primary Based on pressure pain as a primary diagnostic tool.diagnostic tool.

• Primarily involves acupuncture, massage Primarily involves acupuncture, massage and energy work – very little herbal and energy work – very little herbal medicine. medicine.

Hepatitis Treatment AreasHepatitis Treatment Areas

• Primary T9 (Right Side)Primary T9 (Right Side)• T1, T2, T3, T4, GB 34, LV 3 +T1, T2, T3, T4, GB 34, LV 3 +• Why?Why?

– Nerve function/communication with Liver.Nerve function/communication with Liver.– T1 effects bone marrow – Immune system T1 effects bone marrow – Immune system

strengthening/regulationstrengthening/regulation– T2 effects thymus gland – Produce T CellsT2 effects thymus gland – Produce T Cells– T3 effects Lung system and Lymph – removal of T3 effects Lung system and Lymph – removal of

toxic heat, pimples on backtoxic heat, pimples on back– T4 regulates sweat glands, dissipate internal T4 regulates sweat glands, dissipate internal

heatheat

Treatment ProgressionTreatment Progression

• As with western medicine, acupuncture As with western medicine, acupuncture treatments and results should be seen as a treatments and results should be seen as a longer-term investment.longer-term investment.

• Symptomatic improvement, particularly with Symptomatic improvement, particularly with side effects of medicines, are often side effects of medicines, are often experienced within the first 3-7 treatments.experienced within the first 3-7 treatments.

• Treatments are generally weekly until Treatments are generally weekly until symptoms improve and then symptoms improve and then bi-weekly/monthly/quarterly as each person bi-weekly/monthly/quarterly as each person requires.requires.

Clinical ResultsClinical Results

• The majority of people will have a The majority of people will have a favorable reaction to acupuncture and favorable reaction to acupuncture and at the very least will have symptomatic at the very least will have symptomatic improvement and improved well-being.improvement and improved well-being.

• With the Tam Healing system we With the Tam Healing system we experience higher resolution rates than experience higher resolution rates than general acupuncture as it is more general acupuncture as it is more targeted.targeted.

Yin Yang House CenterYin Yang House Center

• Located at 512 Tremont Street, Suite A Located at 512 Tremont Street, Suite A in the North Shore.in the North Shore.

• Website – Website – http://clinic.yinyanghouse.com/http://clinic.yinyanghouse.com/

• Email – Email – clinic@yinyanghouse.comclinic@yinyanghouse.com

• Acupuncture treatments are $60/session.Acupuncture treatments are $60/session.

• General Info – General Info – http://http://www.yinyanghouse.comwww.yinyanghouse.com//