Monday, June 18, 2018

Acupuncture—A Chinese Puzzle: By JOHN WHITE


Courtesy: Medical Miracles, from Readers Digest 1981. November.
From the frontiers of science and the far horizons of personal courage, these stories of medical triumphs and miracles will reaffirm your faith in the awesome powers of the human spirit. Dramatic victories and human triumphs.
Selected and edited by the editors of Readers Digest
“That a needle stuck into one’s foot should improve the functioning of one’s liver is obliviously incredible.  The only trouble is that, as a matter of empirical fact, it does happen.”
So wrote novelist Aldus Huxley many years ago, in his forward to Dr. Felix Mann’s book, Acupuncture: The ancient Chinese art of healing.  Mann described how a skilled acupuncturist can, by inserting needles into the body at various points and depths, cure, improve or arrest a wide range of afflictions: migraine, headache, ulcers, arthritis, high blood pressure, conjunctivitis, hay fever, acne, sciatica, hepatitis, asthma, hemorrhoids, angina pectoris, lumbago, weak eye sight, tonsillitis, anemia, insomnia.  No surgery of drugs, mind you—just needles.
Today, as China’s bamboo curtain lifts, Americans are becoming aware of the Oriental therapeutic and anesthetic treatment-by-needles.  In 1971, in China, Seymour Topping, managing editor of the New York Times, and his wife, Audrey, witnessed heart surgery performed on a woman whose only anesthetic was acupuncture.  During the operation the surgeon actually held the patient’s heart in his hands for all to see.  The woman, who was calmly sipping orange juice through a straw, apparently held the patient’s heart in his hands for all to see.  The woman, who was calmly sipping orange juice through a straw, apparently felt no pain and smiled at observers.  “We almost fainted,” said Mrs. Topping.
Later, the prestigious journal of the American Medical Association carried a long article about acupuncture by Dr. E. grey Diamond of the university of Missouri.  Dr. Diamond had made a trip to China several months earlier with cardiologist Dr. Paul Dudley White.  On their return, both indicated that acupuncture anesthesia warrants further investigation.  In addition, two New York medical men visiting China, Dr. Samuel Ronsen of Mount Sinai School of Medicine and Dr. Victor Sidel of Montefiore Hospital and Albert Einstein College of Medicine commented favorably about acupuncture anesthesia to the press.
The headlines sparked by such serious interest in acupuncture have made some scientist uncomfortable, even angry.  “It’s all in the mid,” they say.  “Needles instead of sugar pills.  Hypnosis.  Traditional Chinese stoicism.  Trickery.”  To which others respond that acupuncture also is supposed to work well on animals, which presumably are not receptive to hypnosis ad placebos.  And so controversy rages.
What do we actually know about acupuncture [from Latin acus,”needle” and punctura, “puncture”] so far?  Legend has it that the system originated in the chance discovery that arrows shot into one part of the soldiers’ bodies could cure illness in other parts.  Acupuncture was known, according to tradition, as early as 2600B.C., during the reign of Emperor Huang Ti.  More than 2000 years lager, the practice was described in the Yellow Emperor’s Classic Internal Medicine, and since then has bee an ever-present method of healing in the Orient.  Today Japan has 50,000 licensed acupuncturists, and China has about one million, of whom 150,000 are physicians.
Traditional acupuncture theory is intimately bound up with Chinese philosophy, Taoism and the yin-yang concept of dynamically opposing, yet harmonizing, energies in the universe—energies that are believed to wax and wane rhythmically.  Man is a microcosm of the universe, and therefore also has the same regular change in his body’s vital energy—variously identified as CH’I, QI or T’CHI.  The skilled acupuncturist, using a little-known method of pulse diagnosis, determines his patient’s “yin” and “yang” condition and, if there is an imbalance, treats them for what he coerces will go wrong if not corrected.  He aims at prevention rather than cure.
Should illness actually arise, he treats the person, not the illness.  A disorder is thought to be due to a malfunction or imbalance of the ‘chi’s’ as it circulated throughout the body along 12 bilateral channels called meridians.  Each meridian is associated with an integral organ such as the heart, lings or stomach.  And on the meridians are about 900 puncture points, each about 1.10 of an inch in diameter and carefully located on charts of the human body.  By inserting fine, stainless-steel [bone, porcelain, gold, and silver have been used in the past] needles* (An alternative to the needle treatment is moxibustion, in which small cone of powdered Artemisia vidgaris, commonly called mugwort, leaves are placed on the appropriate points, ignited and left to burn until the skin reddens.  Massage of the puncture points is still another treatment possibility) into appropriate points and varying the depth and speed of insertion, the traditions acupuncturist claims that he affects the energy flow—either stimulating or dispersing it.  He thus restores equilibrium to the energy system, and the patient is returned to health.  [Since the points of insertion avoid vital organs, the needles do not damage the body, although they may cause a little soreness.]
Besides using acupuncture for treatment, the Chinese now use it as a means of anesthesia.  Classically, needles were placed in the skin superficially and left for 10 to 30 minutes.  In a new anesthetic as well as therapeutic technique, sparked by Mao Zedong’s exhortations to improve medicine, needles are sometimes placed deeper, up to tow inches.  In addition, they are constantly manipulated in a rapid half-inch, up-and-down motion [about 120 times a minute] while being twirled between thumb and fingers.  In a yet more dramatic innovation, electro acupuncture has developed, primarily by a woman, Chu Lien.  In this procedure, a patient receives though implanted needles a 0.5-milliampeares current for 20 minutes, which completely anesthetizes the area to be incised.
The list of ills which acupuncture can cure is growing.  In 1968, a Chinese army medical team located the acupuncture points that effect hearing by experiments on themselves.  They say they have successfully treated deafness in 90 percent of cases resulting from a childhood disease.  They offer as proof 11 children, deaf and mute prior to 1969 but now completely cured.  Also, Chinese doctors have combined acupuncture with herbal medicine, modern drugs and doctor-patient discussions to treat Illness.  They claim that such treatment has cured 79 percent of inmates at a medical hospital in Human Province.
Similar advances in using acupuncture have been reported in the U.S.S.R., where there are said to be 1000 specialists in the art.  Stanley Krippner, a psychologist at the new Humanistic Psychology Institute in San Faransico, visited the Soviet Union and reported that Moscow physiologist G.S. Vassilchenko has successfully applied acupuncture to treat bedwetting, sexual impotence and frigidity.  But Russians acupuncturists rarely use needles.  Instead, they employ electrical stimulation, message, and ointments and occasionally laser beams.  Moreover, the Russians do not completely rely on the ancient charts.  They have found that Caucasians have acupuncture points at slightly different places than Orientals, and that the placement may vary even with different individuals.
I asked Dr. John W.C.Fox, former assistant professor of anesthesiology at the State University of New York’s Downstate Medical Center in Brooklyn, if he could explain acupuncture.  “Western physicians are not at all satisfied with the classical Chinese theory,” he said.  “They want to explain acupuncture in terms that are readily understood or will fit in with our neuropsychological concepts.”
Perhaps Ronald melzack, a neurophychologist at McGill University in Montreal, and Patrick Walls, and a neurophysiologist at University College in London have offered the most promising modern explanation of acupuncture anesthesia.  They suggest that there are certain inhibitory mechanisms in the spinal cord that allow or block the transmission of impulses which, when they reach the brain, are interpreted as peripheral stimuli, such as a needle prick, can eliminate pain by altering the transmission of pain-producing impulses.
A French physician, Dr. Georges Cantoni, offers an electronic theory of acupuncture.  Dr. Cantoni has found that people in good health have an electrical potential difference of 30 to 40 mill volts between the head and the fingertips, the head being the positive pole and the fingertips the negative pole.  If one’s health is less than void, this difference in potential decreases or can event get inverted.  This electrical balance of imbalance is, according to Dr. Cantoni, one of the main aspects of what the Chinese mean by “the circulation of energy.”
Science will continue to search for an explanation of what is presently an inexplicable phenomenon.  In the Winter, 1971, issue of the Yale Review, Arthur Galston, a plant physiologist, offered some counsel: “Since the Chinese seem happy to blend Western medicine with traditional Chinese practices, should we be less willing to learn from the wisdom of the East?’