1. An Introduction to Traditional Chinese Medicine theory of Addiction
An Approach to Smoking Cessation using Acupuncture, Herbs, and Lifestyle Management

2. World Health Organization
Tobacco Dependence
“Diseases, symptoms or conditions for which the therapeutic effect of acupuncture has been shown but for which further proof is needed”
Scientific studies for evaluation of effectiveness under controlled clinical conditions – a
Research methodology
Difficulties presented
Placebo effect
Power of suggestion / enthusiasm of patients – do they want to quit?
Knowledge /needling skill of practitioner

4. TCM Theory Principles of Diagnosis Eight principles Five Elements
Yin / Yang
Interior / Exterior
Hot / Cold
Deficiency / Excess
Five Elements
Emotional
Seasonal
Inter-connected relationships between organs

5. TCM Theory – Five Elements

6. Addiction – Finding a Root
Cessation / Replacement
Success?
Alternative manifestation of the addiction cycle?
Determination of ‘disrupted elements’
Any one or more of elemental characteristics
From past trauma – emotional, physical
Accumulation or single events
Excessive fear, anxiety, grief, anger, over-worry
Intake / Consultation
Detailed history
With focus on addressing addiction / withdrawal related complaints

7. NADA – National Addiction Detoxification Association
Protocol established 1971, USA
Trial and error
Empirical evidence
Ear Acupuncture (Auricular acupuncture)
Historical use in Traditional Chinese Medicine
French physician established somatotopic correspondences with sections of the ear
Homunculus – man in the ear
Inverted fetal representation

8. Left Ear – Homunculus Model

9. Left Ear - Acupoint Model

10. Acupuncture Treatment
Ear Acupuncture
Body Acupuncture
Constitutional treatment + empirical points for smoking cessation & theory behind addiction
Herbs
Strengthen lungs / relieve cough / mucus production
Insomnia / anxiety / depression
Lifestyle
Environment
Exercise: Tai qi, Qi gong
Diet

11. Overall… Acupuncture as a treatment?
Safe when performed by trained practitioner
Non-toxic
Minimal adverse reactions
Low cost
Availability
Health care settings, community clinics, private clinics
Training programs for widespread availability
Effectiveness