The journal of the American Academy of Medical Acupuncture with acupuncture research articles, reviews, abstracts and case studies.      
             
     

Medical Acupuncture
A Journal For Physicians By Physicians

Volume 13 / Number 2
"Aurum Nostrum Non Est Aurum Vulgi"

     
     
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Energy Healing In Arthritis:
Healing Touch And Medical Acupuncture

Allen Fein, MD


ABSTRACT
Healing Touch (HT) is an evolving collection of healing interventions using hands-on and energy-based techniques to balance and align the human energy field. Acupuncture can serve as a model for the physiologic changes elicited by HT. Like acupuncture, HT interacts with the body's energy system. Pain is interpreted as a sign of a disturbance in the patient's energy field. Several HT approaches can be applied to reduce the pain and swelling of arthritis. In addition, acupuncture techniques for arthritis include percutaneous electrical nerve stimulation, auriculotherapy, hand acupuncture, and scalp acupuncture. This article reviews the approach to treating patients with arthritis from HT and acupuncture perspectives.

KEY WORDS
Healing Touch (HT), Therapeutic Touch, Arthritis, Acupuncture, Auriculotherapy, Energy Field, Scalp Acupuncture, Hand Acupuncture, Neurotransmitters

INTRODUCTION
Healing Touch (HT) is an intentional process of directing or receiving energy through the hands of the practitioner to facilitate the healing process in the patient. Body, mind, emotion, and spirit are affected, and the patient is empowered to participate in the healing journey. In the 1970s, Dora Kunz, in conjunction with Dr Dolores Krieger, developed Therapeutic Touch (TT).1 In 1990, a certificate program was developed in HT with the American Holistic Nurses Association. In 1996, Healing Touch International was formed to meet the expanding needs of training and certifying HT practitioners worldwide.2 Today, hands-on modalities are recognized as legitimate medical techniques, and are used by more than 30,000 clinicians each year.3 Hands-on healing has been shown to accelerate wound healing and increase levels of hemoglobin.4

A model for a scientific basis of the physiological changes elicited by HT can be extracted from acupuncture research. Studies have shown that acupuncture points are often skin locations of decreased electrical resistance, and both the flow of injected isotopes and the transport of electrical current along meridians have been demonstrated.5

DISCUSSION
In acupuncture, as in HT and Qi Gong, the theory is that when energy is flowing through the body at balanced levels, the body stays healthy. When energy is out of balance or if blocks occur, physiology is affected, followed by signs and symptoms of pathology. Energy interventions serve to maintain health and prevent disease but in illness, patients can quickly regain health by re-establishing a normal balance in the energy system.6 HT can be thought of as a bioelectromagnetic interaction to stimulate bioelectromagnetic and physiological changes in the patient to promote healing.7

Using the SQUID (superconducting quantum interference device) magnetometer, scientists have been able to detect the minute energy fields around the human body,8 and significant increases in the magnetic field emanations from the hands of practitioners.4,9 These biomagnetic fields are associated with physiological activities inside the body. Electrical currents generate magnetic fields. Since living tissues have much electrical activity, it is reasonable to think of the entity known as the human aura as being, at least in part, the manifestation of these magnetic fields. There is also research on distant energy work, including prayer and Qi Gong, in which results cannot be easily explained by our current understanding of physics.10

TREATMENT
Healing Touch Techniques in Arthritis
The HT program teaches how to prepare and manage the practitioner's energy field to create change in the patient's field. In practice, the "healer" creates a healing environment (safe, trusting, caring) for the patient. There is an intake interview and a data sheet is completed. Pain, including that from arthritis, is thought to be a sign or message that there is a problem in the patient's energy field. Learning to hear and to understand what the body is revealing are important aspects of healing. For example, identifying events in the patient's life at the time problems were initially noticed would be useful. An assessment is then performed by the healer's hands, after first becoming centered (clear in the self) and open (able to receive without judgment).2

The hands, used as sensors, are slowly moved about near the body, 1-6 inches off the skin, to determine the shape and quality of the energy field, including comparing the right and left sides. Healers will also direct attention to scanning specific vortexes of energy (Chakras) to further determine where flow is affected. Many healers find the use of pendulums helpful in evaluating the strength and direction of energy flow over these Chakras. Attention should also be directed toward scars that may "leak energy" and contribute to problems locally and generally.

Sensations vary and include temperature (warm, cool), discomfort (painful, prickly, itchy), pressure (empty, dense), and movement (smooth or pulsating flow). The temperature perceived in the air is different than the actual temperature felt when the hand is placed on the person's skin. The healer listens to thoughts coming from within, and attentively to words the patient actually speaks for clues to the problem. In arthritis, the fields over the affected joints may feel cool or hot, empty or too full, smooth or pulsating. One cannot anticipate how the field will feel simply by taking a history. These same scans by hand and pendulum are repeated during and after the treatment to monitor changes.2

While energy changes already occur during the initial scanning, the next part of the healing sequence is the specific intervention. There are a multitude of hands-on approaches. Sessions may be strongly directed by intuition. I often first establish a connection with the patient by simply placing my hands in the air 1 or 2 inches above and under each foot. This initial calm and non-threatening approach is well accepted by patients, and I then continue with other interventions, such as full body techniques including smoothing the field with the "Magnetic Unruffle," and balancing the field and supporting flow with the "Chakra Connection."2

In arthritis, the intention of the healer is to reduce pain and swelling, to retard the degenerative process, and to restore the joint to function. The use of "therapeutic modulation" and the "pain drain" may be helpful. In modulation, the healer places a hand to either side of the affected part with the intention of normalizing the field; in the pain drain, the clinician places 1 hand over the area of pain, and positions the other hand away from the body as if to siphon away the pain or congestion. Pain may be felt by the healer during these interventions.1

Another arthritis technique is "ultrasound," in which the healer directs focused energy through the thumb and 2 fingers held together, moving the hand over the affected joint. Other more elaborate interventions are used to relax the muscles holding the vertebrae, while applying a variation of ultrasound; the "Hopi Indian technique" is used if specific areas of the spine remain blocked.2

Expertise in counseling is important. While some interventions may take a few moments, a full session usually involves 30-60 minutes. At the conclusion of the session, the patient should be fully alert, integrated, and relaxed; the energy field should feel balanced with a smooth, easy, comfortably warm flow.

Sometimes a person is seen only once for a healing intervention, but usually more sessions are useful, especially for chronic problems. The frequency of sessions can be daily, but they usually occur weekly and then, less often. Patients are advised not to abandon customary medical interventions and to seek the counsel of a conventional physician.

Acupuncture Techniques in Arthritis
As in hands-on healing, there are numerous acupuncture techniques. The author's preference is percutaneous electrical nerve stimulation (PENS).5 In this approach, an electrical device, powered by a 9-V battery, is connected to acupuncture needles using a pair of alligator clips. The placement of needles may be either around the affected joint or more proximally at the corresponding vertebral levels. Additional needles with electrical stimulation can be placed into points along the traditional meridians. HT interventions after needle placement is performed for most of my patients.

The frequency and intensity of electroacupuncture affect the outcome. Low-frequency (2-4 Hz) and high-intensity ($10 mA) stimulation mimics manual needle stimulation and produces analgesia that is slow in onset, generalized throughout the body, cumulative, endorphin-dependent, and continues after the stimulation has ceased. This type of analgesic response is blocked by opiate antagonists and requires an intact nervous system. High-frequency/low-intensity stimulation ($10 mA) activates low-threshold skin and muscle receptors to produce analgesia that is rapid in onset, is segmental (active only in the electrostimulated regions), ceases when the stimulation has stopped, is not cumulative, and is not endorphin-dependent. High-frequency stimulation appears to be mediated by the monoamine transmitters serotonin and norepinephrine, as well as dynorphins.5 Using a mid range of 20-30 Hz allows the advantages of both high and low frequency neurotransmitters.

Instead of using electricity, the needles can be manually twisted or heated. Energy can also be dispersed by using only the basic needle techniques. Additional approaches achieve sedation with other needle-twisting procedures, and attach importance to the angle of the needle's penetration and the importance of specific needle depth/size.5,11

Other acupuncture approaches to treating arthritis and other conditions include auriculoacupuncture (France), hand acupuncture (Korea), and scalp acupuncture (China and Japan). In North America, there is much interest in the neuroanatomic approach to needle placement, based on detailed knowledge of the anatomy and function of the nervous system.

CONCLUSION
The more traditional Chinese acupuncture school views arthritis as a "painful obstruction syndrome" (POS) of the channels, and sees the problem arising from invasion of external Wind, Cold, or Dampness. POS or "Bi" i.e., pain, soreness, or numbness due to obstruction/stagnation of Qi and Blood, is caused when invasion of the above 3 external evils overwhelms the person from relative deficiency of protective Qi and Blood. Overuse of the joints, injuries, mental problems, and aging are reasons for a joint's energy to be depleted or stagnated, leading to vulnerability when pathogenic factors converge with the joint's Blood and Qi.12

Certain points along the meridians have special functions and are selectively used in treating POS. In addition to expelling the external factors using traditional points, one may also select points to enhance Liver (for the sinews), Kidney (for the bones), and Governing Vessel (for general defensive Qi).12

REFERENCES

  1. Mentgen J, Bulbrook MJT. Healing Touch Level I & II Notebooks. Carrboro: North Carolina Center for Healing Touch; 1996.
  2. Wager S. A Doctor's Guide to Therapeutic Touch. New York, NY: The Berkley Publishing Group; 1996.
  3. Healing Touch International Website. Available at: http://www.healingtouch.net. Accessibility verified June 26, 2001.
  4. Hover-Kramer D. Healing Touch: A Resource for Health Care Professionals. Albany, NY: Delmar Publishers; 1996.
  5. Helms JM. Acupuncture Energetics: A Clinical Approach for Physicians. Berkeley, Calif: Medical Acupuncture Publishers; 1995.
  6. Micozzi MS, ed. Fundamentals of Complementary and Alternative Medicine. New York, NY: Churchill Livingstone; 1996.
  7. Stouffer D. Why does healing touch work? Healing Touch Newsletter. 1999;9(1).
  8. Brennan BA. Hands of Light: A Guide to Healing Through the Human Energy Field. New York, NY: Bantam Books; 1987.
  9. Oschman J, Oschman N. Researching mechanisms of energetic therapies. Healing Touch Newsletter. 1998;8(3).
  10. Dossey L. Reinventing Medicine. San Francisco, Calif: Harper; 1999.
  11. Gunn C. The Gunn Approach to the Treatment of Chronic Pain: Intramuscular Stimulation for Myofascial Pain of Radiculopathic Origin.
    New York, NY: Churchill Livingstone; 1996.
  12. Maciocia G. The Practice of Chinese Medicine. New York, NY: Churchill Livingstone; 1994.


AUTHOR INFORMATION
Dr Allen Fein is in private practice in Family Medicine and Medical Acupuncture in Southampton, New York, and is Chief of the Department of Family Practice at Southampton Hospital. Dr Fein is Diplomate, American Board of Family Practice, and Diplomate, American Academy of Medical Acupuncture (AAMA). He has completed Healing Touch Level IIb.

Allen L. Fein, MD
PO Box 2187
Southampton, NY 11968
Phone: 631-283-6446 • E-mail: allenfein@pol.net

     
     

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