{"id":6036,"date":"2019-06-14T10:52:10","date_gmt":"2019-06-14T14:52:10","guid":{"rendered":"https:\/\/www.monmouth.edu\/magazine\/?p=6036"},"modified":"2021-06-23T12:21:41","modified_gmt":"2021-06-23T16:21:41","slug":"taking-root","status":"publish","type":"post","link":"https:\/\/www.monmouth.edu\/magazine\/taking-root\/","title":{"rendered":"Taking Root"},"content":{"rendered":"\n<header class=\"wp-block-magazine-hero alignfull is-style-twothirds-right\"><div class=\"media\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI.jpg\" alt=\"\" width=\"2100\" height=\"2790\" class=\"wp-image-6087\" srcset=\"https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI.jpg 2100w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-226x300.jpg 226w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-768x1020.jpg 768w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-771x1024.jpg 771w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-1120x1488.jpg 1120w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-560x744.jpg 560w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-280x372.jpg 280w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-320x425.jpg 320w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-640x850.jpg 640w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-2048x2721.jpg 2048w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-1536x2041.jpg 1536w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-1400x1860.jpg 1400w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-1024x1360.jpg 1024w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-828x1100.jpg 828w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-360x478.jpg 360w, https:\/\/www.monmouth.edu\/magazine\/wp-content\/uploads\/sites\/7\/2019\/06\/04-Acupuncture-color-3-DAVIDE-BONAZZI-9x12.jpg 9w\" sizes=\"auto, (max-width: 2100px) 100vw, 2100px\" \/><\/div><div class=\"textcontainer\" style=\"background-color:#0c5735\"><div class=\"textcontainer-centering\"><h1 class=\"story-title\">Taking Root<\/h1><div class=\"story-subhead\">With an Expanding Understanding of Wellness, Western Medicine Looks East<\/div><div class=\"story-byline\">Interview by Breanne McCarthy<br \/>Illustrated by Davide Bonazzi<\/div><\/div><\/div><\/header>\n\n\n\n<p class=\"has-drop-cap\">Acupuncture is gaining mainstream acceptance in the medical community. Belinda Anderson, director of Monmouth University\u2019s Institute for Health and Wellness and a practicing acupuncturist, explains how this therapy is being used to help everyone from couples trying to get pregnant to individuals suffering from chronic pain\u2014and why it\u2019s so effective. <\/p>\n\n\n<p><strong class=\"question\">What is acupuncture as a practice?<\/strong><\/p>\n\n\n<p>Acupuncture is one of the modalities that belongs to the practice of Chinese medicine.<a class=\"tooltip\" title=\"Traditional Chinese medicine originated in China thousands of years ago. It spread to other countries in Asia and the West, gaining popularity in the U.S. in the 1970s.\" href=\"#notes\">[1]<\/a> The most common modality people know about is acupuncture, but there are several other techniques that acupuncturists use on a regular basis when they\u2019re treating patients. Another common one is cupping\u2014think of Michael Phelps in the Olympics. There are other things like moxibustion, a warming technique; Chinese herbal medicine; tui na, which is Chinese medical massage. There\u2019s a common misconception<a class=\"tooltip\" title=\"Another misconception is that acupuncture only treats pain, but Anderson says \u201cit treats any condition that a patient walks in with, from digestive disorders to gynecological problems.\u201d\" href=\"#notes\">[2]<\/a> that if you go for a treatment, you\u2019re only going  to get acupuncture. It\u2019s very unusual that someone will only get acupuncture. <\/p>\n\n\n<p><strong class=\"question\">How is Chinese medicine different from conventional medicine?<\/strong><\/p>\n<p><!-- \/wp:post-content --><\/p>\n<p>In conventional medicine we&nbsp;say that bacteria or a virus&nbsp;caused a cold or pneumonia&nbsp;or something to occur in the&nbsp;body. But in Chinese medicine,&nbsp;we see it more as a dynamic&nbsp;interplay between the&nbsp;outside and the inside. We\u2019re&nbsp;surrounded by bacteria and&nbsp;viruses all of the time but we&nbsp;don\u2019t always get sick. Part of&nbsp;it is because sometimes the&nbsp;body is in a weakened state&nbsp;and sometimes it\u2019s very strong&nbsp;and able to fight that off. In&nbsp;the Chinese medicine model,&nbsp;we think of our body as a garden,&nbsp;and our body, like a garden,&nbsp;is significantly impacted&nbsp;by the environment. So, you&nbsp;can think about a person like&nbsp;this too. What sort of person&nbsp;is this?<a class=\"tooltip\" title=\"Anderson says people have different \u201cconstitutions\u201d or physical makeups, and so weaknesses show up differently in each individual.\" href=\"#notes\">[3]<\/a> What are the weaknesses&nbsp;that will develop easily&nbsp;when this person is put under&nbsp;unfavorable conditions?<a class=\"tooltip\" title=\"\u201cUnfavorable conditions\u201d creating stress in the body can be caused by myriad things, both physical and mental\u2014from the food we eat, to exercising too much or too little, to the loss of a loved one.\" href=\"#notes\">[4]<\/a>&nbsp;It becomes a default pathway&nbsp;that an individual\u2019s body will&nbsp;go into when the body is put&nbsp;under stress.<a class=\"tooltip\" title=\"Anderson says stress can show up in physical symptoms ranging from headaches to cramps to joint pain.\" href=\"#notes\">[5]<\/a><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p><strong class=\"question\">What are some of the most common reasons a patient seeks out an acupuncturist?<\/strong><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Pain\u2014any type of musculoskeletal pain. It can be arthritis, neck pain, back pain, knee pain, shoulder pain. Pain<a class=\"tooltip\" title=\"According to Anderson, 50 percent of patients who go to an acupuncturist go for pain, and the majority of those are going in for back pain.\" href=\"#notes\">[6]<\/a> is definitely the most common reason. And headaches are very common. Often a patient will come in with migraine headaches and say they\u2019re worse when under stress. Mental health is another\u2014people with anxiety and depression, stress. Mental health disorders are really on the increase.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p><strong class=\"question\">So acupuncture is effective for treating both physical and mental symptoms?<\/strong><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p>In Chinese medicine it\u2019s impossible to separate the mind and the body. So it doesn\u2019t matter if somebody comes in and only ever talks about their physical symptoms. You, as the clinician, know that there is a whole psycho-emotional dynamic, and you treat them according to their physical symptoms, which will automatically treat their psycho-emotional symptoms. And it\u2019s the same in reverse. In fact, the most common diagnosis for depression in Chinese medicine also often has a physical component\u2014a classic example is back pain. A person comes in, they\u2019ve got this back pain, and it\u2019s been really bad in the last month, and you start talking to them and they\u2019re describing to you that they\u2019ve got this job, it\u2019s been really stressful, they\u2019re having a really hard time with their boss, and so you know that this is a mind-body thing.<\/p>\n<p><!-- wp:paragraph --><\/p>\n<p><strong class=\"question\">Why does acupuncture work?<\/strong><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>It\u2019s what we call a complex intervention. Because there\u2019s the practitioner-patient relationship, there\u2019s the relaxation on the table, there\u2019s the needles,<a class=\"tooltip\" title=\"BA: \u201cAcupuncturists manipulate needles by twirling, lifting, and thrusting them. When you do that, these fibers that are in the underlying fascia (connective tissue) matrix wrap around the needle, placing stress and strain forces on those fibers. The cell is registering that, and that mechanical force stimulus goes right into the nucleus and regulates gene expression.\u201d\" href=\"#notes\">[7]<\/a> there are other things that the acupuncturist does, there\u2019s the patient\u2019s belief system about what\u2019s going to happen, and so there are many different components. It\u2019s not just the treatment\u2014you\u2019re also giving a lot of lifestyle advice. The patient is seeing their practitioner regularly, so there\u2019s an element of coaching where you\u2019re checking in with the person every week and discussing why and how they are trying to improve their health. You\u2019re helping make modifications to their lifestyle habits. When someone changes their diet and exercise program, and starts thinking of what the sources of stress are, this can be very powerful over an extended period of time.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p><strong class=\"question\">Why is a change in lifestyle so important to healing?<\/strong><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>It takes time to recover. We\u2019ve been lulled into this sense that when you\u2019re sick, you go to somebody who tells you what\u2019s wrong with you and then they come up with a solution, which usually involves taking a pill. Then we expect a very immediate response, even though we don\u2019t necessarily change any of the things that caused the problem in the first place. So you can see how that whole approach is a bit illogical. In fact, it makes a lot more sense to think of our body as a garden or as a natural ecosystem, and when we\u2019re doing things that are constantly disruptive, you can\u2019t just fix it by adding something else to the system, or having surgery and chopping something out. Because you need to change the things that are causing the problem in the first place. You might be able to take away the symptoms temporarily but the disturbed systems will continue to be disturbed.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p><strong class=\"question\">Given that pain is the most common complaint among patients\u2014why should they choose a non-pharmacological<a class=\"tooltip\" title=\"The American College of Physicians recently declared that non-pharmacological intervention\u2014management of pain without medication\u2014should be the first line of therapy for both chronic and acute back pain.\" href=\"#notes\">[8]<\/a> approach over, say, medication?<\/strong><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Opioid medications are not very effective for chronic pain. For acute pain: yes. It relates to the fact that chronic pain has a complex psycho-emotional-physical dynamic, so it\u2019s not like you can treat it with just the chemical approach. If these psycho-emotional components are the dominant ones, then medication is not really going to help. And of course, one can develop a tolerance to these medications, so if you\u2019re taking them over an extended period of time, it\u2019s another reason why they might become less effective.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p><strong class=\"question\">You have extensive experience in utilizing acupuncture for women&#8217;s health issues. Why is it so effective for women?<\/strong><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>Chinese medicine has been used for gynecological conditions for thousands of years, and we know for women, Chinese medicine can be really effective for anything from painful periods, unusual bleeding, and ovarian cysts, to struggling to get pregnant. In terms of regulating entire physiological systems, like the reproductive system, we don\u2019t yet know the exact molecular mechanisms.\u2026 But there are animal studies that have shown acupuncture can regulate the hypothalamus-pituitary system in the brain, and once you start regulating the hypothalamus and pituitary, then you\u2019re also regulating the endocrine system.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p><strong class=\"question\">Is acupuncture becoming more accepted by the mainstream medical community?<\/strong><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p>If we look at current trends, yes, there are a lot more referrals by conventional healthcare practitioners, and we\u2019re seeing acupuncture being brought into mainstream medical facilities, hospitals, and other clinics. There\u2019s a growing body of research evidence to demonstrate its effectiveness, and we\u2019re steadily seeing an in-crease in insurance coverage. One of the best research facilities, arguably, in this country\u2014Harvard Medical School\u2014is doing very sophisticated research looking at acupuncture\u2019s ability to modulate brain function. The other big driver is that a lot of the conditions people struggle with are more chronic, lifestyle-based conditions, and often conventional medicine hasn\u2019t got a lot to offer, and so that\u2019s where the complementary therapies [like acupuncture] can be really effective.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p><strong class=\"question\">Who should see an acupuncturist<a class=\"tooltip\" title=\"Anderson says when choosing an acupuncturist, patients should make sure they have a state license and are certified with the National Certification Commission for Acupuncture and Oriental Medicine.\" href=\"#notes\">[9]<\/a> and when should they go?<\/strong><\/p>\n<p>Chinese medicine is fundamentally preventative\u2014so anybody can go to an acupuncturist, even if they don&#8217;t have an ailment, because it&#8217;s all about maintaining wellness. That&#8217;s the fundamental philosophy.&nbsp;<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:heading {\"level\":4} --><\/p>\n<h4>To the Point<\/h4>\n<p><!-- \/wp:heading --><\/p>\n<p><!-- wp:list {\"ordered\":true} --><\/p>\n<ol id=\"notes\">\n<li>Traditional Chinese medicine originated in China thousands of years ago. It spread to other countries in Asia and the West, gaining popularity in the U.S. in the 1970s.<\/li>\n<li>Another misconception is that acupuncture only treats pain, but Anderson says &#8220;it treats any condition that a patient walks in with, from digestive disorders to gynecological problems.&#8221;<\/li>\n<li>Anderson says people have different &#8220;constitutions&#8221; or physical makeups, and so weaknesses show up differently in each individual.<\/li>\n<li>&#8220;Unfavorable conditions&#8221; creating stress in the body can be caused by myriad things, both physical and mental\u2014from the food we eat, to exercising too much or too little, to the loss of a loved one.<\/li>\n<li>Anderson says stress can show up in physical symptoms ranging from headaches to cramps to joint pain.<\/li>\n<li>According to Anderson, 50 percent of patients who go to an acupuncturist go for pain, and the majority of those are going in for back pain.<\/li>\n<li>BA: &#8220;Acupuncturists manipulate needles by twirling, lifting, and thrusting them. When you do that, these fibers that are in the underlying fascia (connective tissue) matrix wrap around the needle, placing stress and strain forces on those fibers. The cell is registering that, and that mechanical force stimulus goes right into the nucleus and regulates gene expression.&#8221;<\/li>\n<li>The American College of Physicians recently declared that non-pharmacological intervention\u2014management of pain without medication\u2014should be the first line of therapy for both chronic and acute back pain.<\/li>\n<li>Anderson says when choosing an acupuncturist, patients should make sure they have a state license and are certified with the National Certification Commission for Acupuncture and Oriental Medicine.<\/li>\n<\/ol>\n<p><!-- \/wp:list --><\/p>","protected":false},"excerpt":{"rendered":"<p>With an expanding understanding of wellness, Western medicine looks 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