Acupuncture treats health conditions by stimulating "acu-points" found at specific locations on the surface of the body. Acupuncturists stimulate the acu-points by inserting very thin needles through the skin to produce physiological effects.

The general theory of acupuncture is that proper physiological function and health depend on the circulation of nutrients, substances and energy called Qi (pronounced "chee") through a network of "channels" or "meridians." This network connects every organ and part of the body, providing balance, regulation and coordination of physiological processes.

Pain and ill-health result when the flow of Qi through the body is disrupted or blocked by many things, including disease, pathogens, trauma/injuries and medication (side-effects), as well as lifestyle factors such as overwork, poor diet, emotions, lack of rest and stress.

Stimulation of the appropriate acu-points through acupuncture treatments helps to restore sufficient, continuous and even flow of Qi and other nutrients throughout the body, thereby restoring health and balance to the body, while relieving pain and other symptoms.

The acupuncturist uses a sophisticated and complex system of diagnostic methods that take into consideration the person as a whole, discerning the body's pattern of disharmony rather than isolated symptoms. The aim is not only to eliminate or alleviate symptoms, but more importantly to treat the underlying cause, increase the ability to function and improve the quality of life.

Acupuncture and Oriental medicine is one of the newest primary health care professions in California. The potential benefits of acupuncture are widely recognized, and it is being increasingly integrated with mainstream health care. Since the 1970's, when acupuncture and Oriental medicine first became available in the United States, more than 15 million Americans have tried it. The risk of side effects is low and the potential benefits are high. Knowing what to expect from acupuncture will help patients get the most benefit from treatments. The purpose of this booklet is to help consumers approach acupuncture treatment from an informed perspective.

What to expect from acupuncture treatment?

Diagnosis: An acupuncturist's diagnosis is determined in part using methods similar to other health care practitioners: asking patients for a thorough history of their health, diet, exercise patterns and chief complaints; performing a physical exam, and making a referral to a specialist, as necessary. However, the acupuncturist also uses unique diagnostic techniques, such as taking the patient's pulse on both wrists and observing the tongue, complexion and other signs. The three pulses felt on each wrist are thought to correspond to certain organs and functions. The practitioner should explain the nature of your problem, the recommended treatment plan and an anticipated prognosis (outcome).

Treatment Procedures: Modern acupuncture needles are stainless steel, between one-half and three inches long, ultra-fine and quite flexible. They are pre-sterilized; nontoxic and disposable (single use). When the needles are tapped into the skin, there may not be any sensation.
Much depends on the location (hands and feet tend to be more sensitive), the condition being treated and the acupuncturist's technique. Needles are typically placed in several acu-points and are usually left in about 20-40 minutes. The goal is to normalize the circulation of Qi and blood by stimulating the energy point, which encourages the body's natural healing process. Stimulation can be done by rotating the needles manually or attaching electrodes to send a weak electric current through the needles (electro acupuncture). The number of treatments depends upon the duration, severity and nature of your health condition. Two or three treatments may be sufficient for an acute condition, while a series of 5 to 15 treatments may be needed to resolve chronic conditions. Some degenerative conditions may require ongoing treatments over a long period of time. Techniques used may include: moxibustion (burning herbs to heat acupoints), cupping (suction), auricular therapy (ear acupuncture), tui-na (manipulation) and acupressure.
Patients should evaluate their progress after each session. Some relief should be apparent in two or three sessions, or six to eight sessions for more pervasive conditions. Sometimes the results are immediate. If you see encouraging signs, stick with it. Ask your practitioner questions about your treatment and improvement. If your response to treatment is not satisfactory, the practitioner may consider further diagnostic exams, modify the treatment plan or refer to an appropriate practitioner, if necessary.

Who can benefit from Acupuncture?

Patients of acupuncturists range from infants to senior citizens. They may be seeking an alternative to Western medicine or it may be their last hope for relief, having exhausted other methods of treatment for a chronic condition. Or, an acupuncturist may be their first choice of health care practitioner for a low-risk form of treatment with few side effects.

What are the conditions treated by acupuncture?

Treatment efficacy depends on the severity and nature of the condition being treated. Acupuncturists are trained to identify conditions that may require referral to a specialist, so it is important for you to provide detailed information about your condition so that important medical problems are not overlooked. If you are under the simultaneous care of different health practitioners, it is important to keep all of them informed about your treatments to ensure there are no adverse interactions among treatments.

The following is a list of health conditions commonly treated by licensed acupuncturists:

• allergies/asthma
• anxiety/depression
• arthritis/joint problems
• back and neck pain
• bladder/kidney problems
• childhood illnesses
• constipation/diarrhea
• colds/influenza
• cough/bronchitis
• dizziness
• drug/alcohol/smoking addiction
• effects of chemotherapy
• fatigue
• gastrointestinal disorders
• headache/migraine
• high blood pressure
• immune system deficiency
• knee pain
• menopausal discomfort
• musculoskeletal injuries
• pre-menstrual syndrome
• paralysis/numbness
• rhinitis
• sciatica
• sexual dysfunction
• sinusitis
• skin problems
• stress/tension
• tendonitis

Is Acupuncture approved by the state of California?

The State of California has led the nation in the field of acupuncture, being the first to license qualified practitioners as primary health care professionals in 1979. To qualify for licensing in California, a student must attend a California Acupuncture Board-approved school to receive theoretical and clinical training and graduate with a master's degree. Upon graduation, qualifying candidates must pass a comprehensive state licensing exam. A valid license issued by the Board must be posted in a conspicuous office location.

Are there any precautions I need to make?

It is not recommended to have an acupuncture treatment if you are very hungry or extremely tired. Some bruising may occasionally occur after needling. If you have a bleeding disorder or are on blood thinning medications, you should inform your acupuncturist before undergoing treatment.

If you are pregnant or have a pacemaker, tell the acupuncturist so that appropriate herbs and acu-points will be chosen.

What's herbal therapy?

In the course of your treatment Chinese herbal remedies may be prescribed. They may be dispensed as raw herbs or in pills, capsules, granules, or tinctures which make them easier to ingest. Most herb formulas can treat a wide variety of symptoms while stimulating the body's natural healing process.

Who can prescribe herbs?

In California, acupuncturists are the only licensed health care professionals who are required to be trained and tested for competency in prescribing Chinese herbal medicine.

The California Acupuncture Board strongly recommends consulting an acupuncturist before beginning any herbal therapy. Also, it is very important to inform both your physician and acupuncturist of all the products you are currently taking (drugs, herbs, other supplements) so they can monitor effectiveness, ensure safety from adverse reactions and watch for possible interactions. If you have an allergic reaction to any herbs, let your acupuncturist know.

What about insurance coverage?

Most California insurance plans include acupuncture treatment in their policies. Ask your insurer about coverage or reimbursement. Some plans that don't normally cover acupuncture will pay for treatments if a physician recommends them. Many acupuncturists are providers for traditional PPO and HMO plans. Acupuncturists are covered under California State Workers' Compensation.