ON PINS AND NEEDLES

The Acupuncture Terms You Should Know Before Your First Appointment

Certified acupuncturists break down "distal points," "meridians," and more.
person receiving acupuncture treatment
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To say that a practice that's been around long before the modern calendar is "having a moment" feels sorely out of touch. But if you're plugged into the wellness world, it's hard not to notice that everyone from supermodels to influencers to fashion stylists suddenly seems to be turning to acupuncture for pain relief, stress reduction, and even in the pursuit of tighter, brighter skin. (We think about this video Ashley Graham once posted mid-acupuncture facial at least twice a week.)

“I always remind my patients that there are lots of things that we did in the past that we don't do now, but acupuncture has stood the test of time," says Jill Blakeway, a doctor of acupuncture and Chinese medicine in New York City. And this most recent renaissance might be best explained by new research that quantifies just how impactful acupuncture can be, particularly when used in tandem with Western medicine in fields like fertility and oncology. But before you can truly appreciate the benefits of acupuncture, you’ve got to learn the lingo.

Acupuncture

noun,'a-ky -p ŋ(k)-ch r

The act of painlessly piercing the skin with ultrafine stainless steel needles, which penetrate anywhere from .5 to 1 inch deep, depending on the treatment. The needles, and their precise placement, are believed to realign one’s energy force (see “qi”) by prompting a healing response within the body. The practice was first documented in approximately 100 B.C.; today more than 10 million treatments are administered annually in the United States. And that number might be poised to explode; as of this year, Medicare will cover acupuncture for those seeking relief from chronic lower back pain.

Assisted Reproductive Therapy (ART)

noun, -'sistedrē-pr -'d k-tiv'ther- -pē

A 2002 German study conducted at the Christian-Lauritzen-Institute found that about 42 percent of a group of 80 patients who received acupuncture before and after embryo transfer had successful pregnancies, compared with about 25 percent in a control group that did not receive any acupuncture. “[This study] really made the medical community sit up and take notice,” says Blakeway, who credits the success in part to increased blood circulation to the ovaries and uterus and a reduction in inflammation.

Distal Points

noun,'di-st l'p intsf

In Western medicine, the solution to a shoulder ache could be a cortisone injection at the pain site; an acupuncturist might treat the same issue by targeting a point on the leg. That’s because the two areas are distal, meaning they fall along the same energy pathway (see “meridians”) and are therefore believed to be connected.

Will Anderson
Fascia

noun, 'fa-sh(ē-)

"I call it Spanx of your muscles," says Stefanie DiLibero, a licensed acupuncturist in New York City, of the collagen-rich connective tissue that surrounds and connects muscles and organs. "Fascia wraps the shape of the muscles." Research is ongoing, but there is evidence to suggest that signals sent through this highly conductive layer of tissue are partially responsible for the pain relief provided by acupuncture, says Blakeway.

Meridians

noun, m -'ri-dē- ns

The conceptual pathways along which energy moves throughout the body. Practitioners often liken meridians, which run lengthwise, to a network of rivers where water (representing qi) can be more concentrated in certain pockets than others. The areas where qi collects are called acupuncture points (or “acupoints”) and are the spots where needles are typically inserted. There are hundreds of acupoints in the body, but the hands, feet, and ears, in particular, are hot spots. Auricular — or ear — acupuncture has been proven to help treat anxiety and improve sleep quality; in addiction clinics, it’s the most common form of acupuncture practiced to help calm fear and suppress withdrawal symptoms.

Moxibustion

noun, mäk-si-'b s-ch n

Acupuncture is often combined with other techniques including therapeutic massage, meditation, cupping, and moxibustion, the burning of the herb mugwort on or very. near the skin in order to warm and further stimulate specific points on the body. "It can be used in a few different forms," says Paul Kempisty, a New York State–licensed acupuncturist. "Most commonly it is rolled into what resembles a cigar, which is lit with a flame and then the smoldering tip can be held close to the skin or acupuncture point." DiLibero, who doesn’t use moxibustion in her practice, warns that "it's almost impossible to find a landlord that will let you burn moxa nowadays."

Oncology

noun, än-'kä-l -jē

"[Western medicine] is very good at attacking cancer, but we sometimes lag behind in helping the body tolerate the toxicity of the treatment," says Ting Bao, an oncologist at Memorial Sloan Kettering Cancer Center who incorporates acupuncture into her treatment plans to help patients manage potential side effects. A 2018 study out of Columbia University Irving Medical Center and New York-Presbyterian hospital showed that acupuncture helps relieve joint pain caused by aromatase inhibitors, a type of medication used to slow the production of breast cancer cells. Bao is studying the positive effects of acupuncture that she has observed while treating chemotherapy-induced nerve damage that can cause patients to experience numbness in their fingers and toes.

QI

noun, kē

The body’s energy force. Kempisty tells Allure that, according to traditional Chinese medicine (TCM), if your qi is blocked, scattered, or otherwise unable to flow harmoniously, the imbalance could manifest itself as symptoms like chronic pain or headaches. Acupuncture practicing estimates that it takes approximately 28 minutes for qi to circulate through an average adult body, which is why needles sit in the skin for about that time, says Kempisty, who holds a master's degree in TCM. If you're skeptical, Bao suggests holding up your palms as if in prayer, then separating them from each other. The pull or warmth you might feel in between your palms could be considered qi.


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