1. Dr. James B. Keating, D.C., M.S.Ac. Preventive Medicine, PC

2. From the stone age to the bronze age.

3. Earliest uses documented in China 2000 years ago. References that go back 4000 years A procedure that got results

4. No modern understanding of anatomy and physiology The claim that it was illegal to dissect the dead Accurate measures in size and weight of organs Relatively good understanding of basic organ function Superimposing energy flow on to that model

6. From sharp stone to bronze spike to metal knives We now have needles that are thin sterile single use and steel Now with universal precautions infection rates are extremely low According to wrongdiagnosis.com in the years 1990 through 2003 only 0.04% of acupuncture practitioners had a malpractice claim against them.

8. The most effective medicine, but for what conditions? When you don’t have another option you have to treat everything with acupuncture Based on the energy flow theory any condition can respond to treatment Part of a system of medicine : herbs, tui na, acupressure, moxa, cupping, gua sha, plumb blossom, dietary therapy

9. Documenting/organizing: TCM is brought into being: Chairman Mao creates schools for the barefoot doctors in 1949 Points/meridians were consolidated, agreed upon and written down. The schools were also designed to take the taoist or spiritual influences from the healing art

10. Korea, Japan, Vietnam, etc. – acupuncture spread and was altered by each culture Micro systems are developed When TCM became organized international organizations began to form and acupuncture traveled to the Western European nations

11. The medical community in the west was quick to denounce this medicine as quackery when Nixon brought it to America. Much of it we now under stand in western terms: Endorphin release, pain gate, healing cascade, muscle stretch/tone, increase circulation, decrease INFLAMATION World Health Organization (WHO?)

12. Adverse reactions to radiotherapy and/or chemotherapy Allergic rhinitis (including hay fever) Biliary colic Depression(including depressive neurosis and depression following stroke Dysentery, acute bacillary Dysmenorrhoea, primary Epigastralgia, acute (in peptic ulcer, acute and chronic gastritis, and gastrospasm) Facial pain (including craniomandibular disorders) Headache Hypertension, essential Hypotension, primary Induction of labour Knee pain Leukopenia Low back pain Malposition of fetus, correction of Morning sickness Nausea and vomiting Neck pain Pain in dentistry (including dental pain and temporomandibular dysfunction) Periarthritis of shoulder Postoperative pain Renal colic Rheumatoid arthritis Sciatica Sprain Stroke Tennis elbow www.tcm.health-info.org/WHO-treatment-list.htm

13. What we do not understand now: mechanisms, hormones, internal conditions, emotions, Microsystems, lasting results Just because we cant explain how it worked…… By focusing on the statistics we can see that this form of medicine gets results.

14. My experiences with this form of medicine include: Fibromyalgia RA Weight loss Smoking Cessation PTS Chronic pain Headaches (chronic on going migraines) Sinus, allergy Parkinson's disease

15. At Preventive Medicine we combine it with: Massage therapy/manual therapy EMS (electric muscle stimulation) Hot moist pack/Cold Pack Ultra sound Chiropractic adjustment/manipulation Therapeutic exercises Nutritional supplements