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How does Acupuncture Work? Western and Chinese Medicine explanations

Updated: Feb 29

Acupuncture has been practiced for thousands of years as a wholistic healing technique in Traditional Chinese Medicine (TCM). This blog aims to explore the underlying mechanisms of acupuncture, elucidating both the Western medicine and Chinese medicine perspectives.


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Western Medicine Acupuncture Explanation

Acupuncture in Western medicine is often viewed through the lens of neurophysiology and anatomy. When an acupuncture needle is inserted into specific points on the body, it triggers a series of physiological responses that are believed to contribute to its therapeutic effects.


1. Neural Stimulation:

The insertion of acupuncture needles stimulates sensory receptors in the skin, fascia, and muscles. This stimulation activates Aδ and C fibers, which transmit signals to the spinal cord and brain. These signals can either inhibit or enhance the transmission of pain signals, modulating the perception of pain and promoting pain relief.


2. Release of Endogenous Opioids:

Acupuncture has been found to stimulate the release of endogenous opioids, such as endorphins, enkephalins, and dynorphins. These natural pain-relieving substances bind to opioid receptors in the brain and spinal cord, effectively reducing pain perception and promoting a sense of well-being.


3. Modulation of Neurotransmitters and Neurohormones:

Acupuncture has been shown to influence the levels of various neurotransmitters and neurohormones, such as serotonin, norepinephrine, dopamine, and gamma-aminobutyric acid (GABA). By regulating the balance of these substances, acupuncture can help restore homeostasis and improve overall health.



Chinese Medicine Acupuncture Explanation

In Chinese medicine, the acupuncture explanation focuses on the concept of Qi (pronounced "chee"), which represents the vital energy that flows through the body along meridians or pathways. By stimulating specific acupuncture points, the flow of Qi is believed to be regulated, leading to improved health and well-being.


1. Balancing Yin and Yang:

Chinese medicine sees health as the harmonious balance between Yin and Yang energies. Acupuncture aims to restore this balance by manipulating the flow of Qi through the meridians. When Qi is obstructed or imbalanced, it can result in various health issues. By inserting needles into specific acupuncture points, Qi is stimulated and redirected, helping to restore the equilibrium between Yin and Yang.


2. Activation of Acupuncture Points:

Acupuncture points are believed to be areas of heightened electrical conductivity and increased sensitivity to stimulation. Inserting needles into these points helps to activate and regulate the flow of Qi, promoting healing and restoring optimal function to the corresponding organs or body systems.


3. Regulation of Zang-Fu Organs:

Chinese medicine recognizes specific organs as essential for maintaining health and vitality. Acupuncture is thought to influence the function of these organs, known as Zang-Fu organs,













by regulating the flow of Qi. By stimulating acupuncture points associated with specific organs, the harmony within these organs can be restored, resulting in improved health.


Conclusion:

Acupuncture is a therapeutic technique that has gained recognition and acceptance in both Western medicine and Traditional Chinese Medicine. While Western medicine emphasizes the neurophysiological and anatomical effects of acupuncture, Chinese medicine focuses on the regulation of Qi and the balance of Yin and Yang. By combining these perspectives, a deeper understanding of the mechanisms underlying acupuncture can be achieved, paving the way for further research and integration of this ancient practice into modern healthcare.


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References:

1. Langevin HM, Wayne PM, MacPherson H, et al. Paradoxes in acupuncture research: strategies for moving forward. Evid Based Complement Alternat Med. 2011;2011:180805.

2. Han JS. Acupuncture analgesia: areas of consensus and controversy. Pain. 2011;152(3 Suppl):S41-S48.

3. Cheng KJ. Neurobiological mechanisms of acupuncture for some common illnesses: a clinician's perspective. J Acupunct Meridian Stud. 2014;7(3):105-114.

4. Zhang R, Lao L, Ren K, Berman BM. Mechanisms of acupuncture-electroacupuncture on persistent pain. Anesthesiology. 2014;120(2):482-503.

5. Maciocia G. The Foundations of Chinese Medicine: A Comprehensive Text. 3rd ed. Elsevier; 2005.

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