
There are two major approaches that may guide acupuncture practice:
the eight principles (used particularly in TCM acupuncture),
and the five-element theory. The eight principles are in fact
four sets of complementary opposites:
yin/yang,
internal/external,
excess/deficiency,
and hot/cold
The five-element theory of acupuncture
holds that there are five elements in the universe-wood, fire,
earth, water, and metal-and that these correspond to the internal
organs and produce a specific sequence of circulating energy
in the body. In parallel with these five elements, there are
five internal organs regulating the human body. These five organs-liver,
heart, spleen, lung, and kidney-correspond to more than a specific
bodily part. The kidney, for example, represents not only the
kidney itself, but the entire urinary system and the adrenal
glands as well. The heart represents both the heart and the
brain.
While there are over 70 identified
meridians in the body, acupuncture treatment generally
focuses on points that lie along the 12 principal meridians
and 2 "extraordinary" ones. A practitioner may also
needle "extra" points identified as a result of clinical
experience or "ah shi" points that are identified
by their tenderness to the touch. The 12 principal meridians
are Lung, Large Intestine, Stomach, Spleen, Heart, Small Intestine,
Urinary Bladder, Kidney, Pericardium, Gallbladder, Liver, and
Triple Warmer. Points are identified by the abbreviation of
a meridian and a number to indicate the point. For example,
SP6 refers to point 6 along the Spleen meridian, while GB20
refers to point 20 on the Gall Bladder meridian. It is important
to remember that the names of these meridians do not refer to
the same meanings one might attach, for example, to gall bladder
or liver in conventional Western medicine.
The
type of needle used and the needling technique are also important.
Needles may be inserted at particular angles, for example, they
may be stimulated manually, electrically (electro-acupuncture),
or with lasers; they may be manipulated and quickly removed,
or left in place for up to 30 minutes. In certain acupuncture
traditions, particularly some of those practiced in Japan, needles
may not be actually inserted into the skin at all.
There are a number of different approaches to the practice
of acupuncture; five of those most commonly found in the United
States today are as follows:
TCM-based acupuncture is the most commonly practiced in the
United States today and focuses on a diagnosis based on
the eight principles (yin/yang, internal/external, excess/deficiency,
hot/cold).
French energetic acupuncture is mostly used by MD acupuncturists
and emphasizes meridian patterns, in particular the yin-yang
pairs of primary meridians, as well as treatment of the extraordinary
vessels.
Korean hand acupuncturists believe that the hands and
feet are regions of concentrated qi; applying acupuncture needles
to these areas is effective for the entire body.
Auricular acupuncture is based on the idea that the ear
is a microcosm of the body; applying acupuncture needles to
certain points on the ear affects corresponding organs. This
type of acupuncture is used widely in treating addiction disorders.
Myofascially-based acupuncture, often practiced by physical
therapists, involves palpation of the meridian lines in search
of tender points, which indicate areas of abnormal energy flow,
often without the comprehensive diagnoses associated with other
approaches. Acupuncture needles are then applied to those locations.
Japanese styles of acupuncture (sometimes referred to
as "meridian therapy") tend to put more emphasis on
needling technique, often using very subtle needle stimulation,
and a more extensive use of palpation in diagnosis.
Is infertility a common problem?
About 12 percent of women (7.3 million) in the United States
aged 15-44 had difficulty getting pregnant or carrying a baby
to term in 2002, according to the National Center for Health
Statistics of the Centers for Disease Control and Prevention.
What causes infertility in women?
Problems with ovulation account for most cases of infertility
in women. Without ovulation, there are no eggs to be fertilized.
Some signs that a woman is not ovulating normally include irregular
or absent menstrual periods.
Less common causes of fertility problems in women include:
blocked fallopian tubes due to pelvic inflammatory disease, endometriosis, or surgery for an ectopic pregnancy physical problems with the uterus uterine fibroids.
What things increase a woman\'s risk
of infertility?
Many things can affect a woman\'s ability to have a baby. These
include:
- age
- stress
- poor diet
- athletic training
- being overweight or underweight
- tobacco smoking
- alcohol
- sexually transmitted diseases (STDs)
- health problems that cause hormonal changes
How does age affect a woman\'s ability
to have children?
More and more women are waiting until their 30s and 40s to have
children. Actually, about 20 percent of women in the United
States now have their first child after age 35. So age is an
increasingly common cause of fertility problems. About one third
of couples in which the woman is over 35 have fertility problems.
Aging decreases a woman\'s chances of having a baby in the following ways:
- The ability of a woman\'s ovaries to release eggs ready
for fertilization declines with age.
- The health of a woman\'s eggs declines with age.
- As a woman ages she is more likely to have health problems
that can interfere with fertility.
- As a women ages, her risk of having a miscarriage increases.
How long should women try to get pregnant
before calling their doctors?
Most healthy women under the age of 30 shouldn\'t worry about
infertility unless they\'ve been trying to get pregnant for at
least a year. At this point, women should talk to their doctors
about a fertility evaluation. Men should also talk to their
doctors if this much time has passed.
In some cases, women should talk to their doctors sooner. Women in their 30s who\'ve been trying to get pregnant for six months should speak to their doctors as soon as possible. A woman\'s chances of having a baby decrease rapidly every year after the age of 30. So getting a complete and timely fertility evaluation is especially important.
Some health issues also increase the risk of fertility problems. So women with the following issues should speak to their doctors as soon as possible:
- irregular periods or no menstrual periods
- very painful periods
- endometriosis
- pelvic inflammatory disease
- more than one miscarriage
As yet, Western science has no satisfactory
theory for acupuncture's phenomenal success. Traditional
Oriental theory however points to the role of life energy (qi)
in human health. Maintaining the balance and flow of this energy
through the organs and structures of the body is seen to be
of greatest importance.