This document discusses an integrative approach to pain relief using biomedicine, Chinese medicine, and science. It provides an overview of pain management techniques from both Western and Traditional Chinese Medicine (TCM) perspectives, including acupuncture and auricular therapy. TCM aims to regulate yin and yang and treat the root cause of pain. When integrated with Western medicine, TCM can enhance efficacy, reduce side effects, and improve quality of life for pain patients.
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Integrative Pain Relief
1. Pain Relief
Integrative Approach:
Biomedicine/Western Medicine
Chinese Medicine
Science
Presented by:
Dr Katalin Csoka
L.Ac., Diplomate in Acupuncture, Ph.D., M.D. (Hungary)
Website: www.biorient.com
2. Contents:
I. Facts
What is Pain?
Clarification on pain-related terms
Characteristics of pain
Pain management/Facts
Treatment of pain (East-West)
Traditional Chinese Medicine-TCM
TCM Treatment Modalities
Auricular Pain Management
Integration of TCM with Western Medicine
Advantages of TCM
II. Summary
3. What is Pain?
Pain is a feeling triggered in the nervous system.
Pain may be sharp or dull. It may come and go, or it may be constant.
You may feel pain in one area of your body.
Pain can be helpful.
Without pain, you might seriously hurt yourself without knowing it,
or you might not realize you have a medical problem that needs
treatment. Once you take care of the problem, pain usually goes
away. However, sometimes pain goes on for weeks, months or even
years. This is called chronic pain. Sometimes chronic pain is due to
an ongoing cause, such as cancer or arthritis. Sometimes the cause is
unknown.
4. Clarification on pain-related terms
The word pain used without a modifier usually refers to physical
pain, but it may also refer to pain in the broad sense, i.e. suffering
Nociception, the unconscious activity induced by a harmful stimulus
in sense receptors, peripheral nerves, spinal column and brain
Qualifiers, such as mental, emotional, psychological, and spiritual,
are often used for referring to more specific types of pain or suffering
The term unpleasant or unpleasantness commonly means painful or
painfulness in a broad sense
5. Certain characteristics of the pain
Quality
Intensity
Localization
Radiation
Frequency and Duration
Onset and Offset
Exacerbating Factors
Ameliorating Factors
6. Cont….Certain characteristics of the pain
Localization of pain
Referred pain
Pain threshold
Pain tolerance
hyperalgesia
hypoalgesia
pain scale
7. Pain management
Multidisciplinary approach
Pharmacologic measures-analgesics/anesthesia
Physical exercise,
Psychological measures
Medical specialties
Anesthesiologist, Neurologist, Physiatrists or Psychiatrists
Physiotherapists, Chiropractors, and Occupational Therapists
Complementary and Alternative Medicine (CAM)
Traditional Chinese Medicine, herbal medicine, acupuncture
Nutritional Supplements
Hypnosis
8. Fact #1
*Sources:
Pain – 76.2 million people, National Centers for Health Statistics
Diabetes – 20.8 million people (diagnosed and estimated undiagnosed), American Diabetes Association
Coronary Heart Disease (including heart attack and chest pain) and Stroke – 18.7 million people,
American Heart Association
Cancer – 1.4 million people, American Cancer Society
Highlights from the National Center for Health Statistics Report: Health, United States, 2006, Special
Feature on Pain1
9. Fact #2
The annual cost of chronic pain in the United States,
including healthcare expenses, lost income, and lost
productivity, is estimated to be $100 billion.
When asked about four common types of pain,
respondents of a National Institute of Health
Statistics survey indicated that low back pain was
the most common (27%), followed by severe
headache or migraine pain (15%), neck pain
(15%) and facial ache or pain (4%).
10. Treatment of Pain
Fortunately, there are many ways to treat pain.
Treatment varies depending on the cause of pain.
P a in R e lie v e r s
TC M , A c u p u nc tu re
S urg e ry
11. 1. Pain Relievers
The major classes
Paracetamol and NSAIDs
COX-2 inhibitors
Opiates and morphinomimetics
Specific agents
Combinations
Topical or systemic
Psychotropic agents
Atypical and/or adjuvant analgesics
ADDICTION! ADVERSE EFFECTS! INTERACTIONS!
12. 2. TCM, Acupuncture
Zhou dynasty (1128-220 BC) for orthopedic pain conditions
Ming/Qing dynasties (1368-1644)
Diagnostic techniques + physical rehab + physical modalities:
Heat Therapy
Moxibustion
Massage and Manipulation of tissues and joints
New Millennium:
Transdisciplinary Assessment
13. What is Traditional Chinese Medicine (TCM)?
TCM is defined as a medical science governing the theory and
practice of traditional Chinese medicine. It includes:
Chinese medication,
pharmacology/herbalogy, acupuncture,
Massage,
Qigong.
There are fundamental differences in TCM and the western medical
system. With some understanding of Chinese culture and
philosophies, it may help one to see through and start to appreciate
the value of TCM.
Colleges of traditional Chinese medicine and acupuncture have been
founded in France, US, Italy and Australia.
Cooperation in TCM has been established between China and Japan,
the United State and Germany.
14. Traditional Chinese Medicine
Traditional Chinese medicine is a range of traditional medical
practices used in China that developed during several thousand years.
It is a form of Oriental medicine, which includes other traditional
East Asian medical systems such as Japanese and Korean medicine.
TCM says processes of the human body are interrelated and
constantly interact with the environment. Therefore the theory looks
for the signs of disharmony in the external and internal environment
of a person in order to understand, treat and prevent illness and
disease. TCM theory is based on a number of philosophical
frameworks including the Theory of Yin-Yang, the Five Elements,
the human body Meridian system, Zang Fu theory, and others.
Diagnosis and treatment are conducted with reference to these
concepts. TCM does not usually operate within a scientific paradigm
but some practitioners make efforts to bring practices into an
evidence-based medicine framework. (From Wikipedia, the free
encyclopedia)
15. What is PAIN by Traditional Chinese Medicine
(TCM)?
Qi and Blood stagnation!
Qi stagnation - distension
Blood stagnation - PAIN
16. C o n t …. T C M , A c u p u n c t u r e
N e w S t u d ie s C o n f ir m
A c u p u n c t u r e R e lie v e s P a in
MRI Scans Provide Objective Evidence that Treatment Works
"I t is important for W estern medicine to recognize that these
acupoints really mean something in regard to pain relief,"
"So many people with pain, whether from cancer, headache or
a chronic, unexplained condition, rely on medications such as
morphine, which can become addicting.
A c u p u n c t u r e a s n o s id e e f f e c t s ,
and other studies have shown the pain relief it provides can
last for months."
17. C o n t …. T C M , A c u p u n c t u r e
Pain related conditions commonly treated by licensed
acupuncturist:
Anxiety/Depression
Arthritis/Joint problems (TMJ, etc)
Back and Neck pain
Colds/Influenza
Cough/bronchitis
Effects of chemotherapy
Fibromyalgia
GI problems (IBS, Crohn’s disease, etc)
Headache/Migraine
Muscolosceletal injuries
PMS
Paralysis/Numbness
Sciatica
Skin problems
Tendonitis
…..many MORE
20. Integration of
TCM with Western Medicine
Western biomedicine emphasizes:
Analgesics (pain relievers)
TCM aims:
Overall condition of patient
Regulating Yin and Yang
Treating the disease by pattern identification
Side effects are minor
Less invasive
Generally more acceptable to patients
21. cont. Advantages of TCM
TCM has certain advantages:
Enhancing the immune system
Reinforcing the body’s Vital Qi
Cultivating the Root
Preventing, correcting, reducing iatrogen pain
due to surgery, radio-and chemotherapy
22. cont. Advantages of TCM
The combined approach shows significant improvement
in the efficacy of Western medicine:
Reduces symptoms associated with pain
Treats the side-effects of Western interventions
Enhances recovery time
Raising Quality of life
Reducing recurrence
Alleviating sufferings (pain)
23. Q&A
Is pain preventable?
Examples from my practice
Q&A
24. Summary
Chinese medicine can
be used as part of an
overall treatment
strategy to bring new
hope to patients with
PAIN.