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Resources

For Pratitioners

New Practitioners

Setting up a Business

Doctoral Programs

Teaching Resources

Education Resources

Herbal Resources

For Patients & Public

Medical Practice Act and Scope

Acupuncture and Related Modalities

Herbal Medicine

Chinese Medicine Theory

For Policy Makers

Acupuncture Education and Practice Standards

Acupuncture Regulation

Herbal Medicine Regulation

Other Resources

Resources for Practitioners

New Practitioners

Welcome to a growing profession. The following resources are not exclusive or comprehensive and are provided as general guidance.

Professional Liability Insurance

Even before you get licensed, you can get postgraduate/pre-license liability insurance that covers you when you are assisting or volunteering. The ASA has partnered with CM&F. They offer a combined policy that covers you and your location.

Location Liability Insurance

If your professional liability does not cover your locations.

Open a business bank account

This will be required for many insurance programs, contracting jobs, or employment.  Use it to pay for business expenses.

Medicare News

Setting Up a Buisness

Select a Business Type

Sole proprietorship doing business as (DBA) your business name, partnership, limited liability company, or corporation.

Apply for state, city, and or county business permits

It is often required to post these in a public area of the clinic.

Apply for a free EIN (tax ID number)

This must be done before registering your business for taxes or completing a W2 or W9 for contracting work.

Register your business for taxes

This includes state, city, and county. This can be done in conjunction with applying for permits and tax exemption if you are going to resell items.

Register with CAQH

or other third-party verifier of licensure and insurance coverage.

Consider accounting software

such as QuickBooks, which can pull data directly from bank account and credit cards.

Consider management software

such as Jane or Unified Practice, which can house all patient data and medical encounters on a secure cloud. Many packages offer scheduling, billing, and forms.

Business Forms

while many management software packages, form are standard, such as informed consent, practice policies, Agreement, and signature on file for filing insurance claims on behalf of patient.

Additional Resources

Teaching Resources for Practitioners

Become a National Provider

Want to teach? Consider becoming a Professional Development Activity (PDA) provider for NCCAOM. Visit here for more information.

    Some PDA Provider Benefits

    Represent the profession, use the NCCAOM PDA Provider Digital Badge, enjoy approved course advertising opportunities, and more! Visit here for more information.

    Education Resources for Practitioners

    Acupuncture Doctoral Programs

    Ready for the next step in your career and want to search various programs by state, language, and focus? Visit here for more information.

    Education Events

    Visit the education opportunities section for the latest advertised local and national PDA or CEU events.

    Herbal Medicine for Practitioners

    Introduction to Chinese Herbs

    Visit this page to learn about Chinese herb history, herbal pharmacology, single herbs, and formulas.

    Herbal Medicine Resources

    Visit this area for more information on Herbal medicine regulation and resources.

    Resources for Patients & the Public

    Medical Practice Act and Scope

    Understanding Acupuncture Medical Practice Acts and Scopes of Practice in the United States

    Acupuncture, an ancient healing practice originating from traditional Chinese medicine, has gained popularity in the United States as an integrative component of the U.S. healthcare system or alternative to mainstream medicine. To ensure the safe and effective delivery of acupuncture services, each state in the U.S. has established specific regulations known as Medical Practice Acts. These acts define the legal framework within which acupuncturists can practice, outlining their scope of practice and setting guidelines for licensure, education, and patient care. In this article, we will delve into the general state acupuncture Medical Practice Acts and Scopes of Practice to help you understand the regulatory landscape surrounding acupuncture in the U.S.

    What are Medical Practice Acts?

    Medical Practice Acts refer to state laws that govern the practice of medicine, including acupuncture. These acts are designed to protect public health and safety by ensuring that healthcare practitioners meet specific standards of education, training, and ethical conduct. They establish the legal requirements for licensing and outline the scope of practice for various healthcare professions, including acupuncturists.

    Medicare & Health News

    Acupuncture Scope of Practice

    The scope of practice for acupuncturists varies slightly from state to state. However, there are certain core elements that are commonly included in the scope of practice for licensed acupuncturists across the United States. These typically encompass the following:

    • Diagnosis and Assessment: Acupuncturists are trained to conduct thorough patient assessments, including evaluating medical history, physical examination, and assessing the patient’s energy imbalances or disruptions.
    • Acupuncture Treatment: Acupuncturists are authorized to perform acupuncture techniques, which involve the insertion of fine needles into specific points on the body to promote balance and stimulate the body’s natural healing response.
    • Adjunctive Techniques: In addition to acupuncture, licensed acupuncturists may use other complementary techniques such as cupping, moxibustion (heat therapy), herbal medicine, and lifestyle recommendations to support their patients’ overall well-being.
    • Patient Education: Acupuncturists often play a crucial role in educating patients about healthy lifestyle practices, stress management, dietary modifications, and self-care techniques that can enhance the effectiveness of treatment and promote long-term wellness.

    Licensure and Education

    To practice acupuncture legally, acupuncturists must meet the licensing requirements set forth by their respective state’s Medical Practice Act. These requirements typically include completing an accredited acupuncture program, passing national board examinations, and obtaining a state license. The exact educational and training standards can vary from state to state, but they generally involve a comprehensive curriculum covering acupuncture theory, anatomy, physiology, diagnostics, and clinical training.

    Importance of Medical Practice Acts

    Medical Practice Acts provide a vital framework for ensuring the safety, competency, and accountability of acupuncturists. By setting clear guidelines and standards, these acts protect patients from unqualified practitioners and maintain the integrity of the profession. They also facilitate collaboration with other healthcare providers, ensuring that acupuncturists work within a broader healthcare system to provide holistic and integrated care to patients.

    Understanding the Medical Practice Acts and Scopes of Practice is essential for both acupuncturists and patients seeking acupuncture services in the United States. By adhering to these regulations, licensed acupuncturists can provide safe and effective care while promoting the well-being of their patients. It is important to consult your state’s specific Medical Practice Act and seek treatment from licensed acupuncturists to ensure the highest standards of care and professionalism.

    Exploring Acupuncture and Related Modalities: A Comprehensive Guide

    Acupuncture, originating from Chinese medicine, has gained recognition and popularity in the U.S as an effective form of medicine. This article aims to provide a basic overview of acupuncture and related modalities commonly practiced in the field. We will explore the benefits, techniques, and applications of acupuncture, moxibustion, infrared heat lamp therapy, low light laser therapy, injection therapy, cupping, gua sha, tui na massage, and herbal medicine.

    Acupuncture

    Acupuncture is the core modality within the practice of Chinese medicine. It involves the insertion of thin, sterile needles into specific points on the body to stimulate blood movement, improve nerve conductivity, restore function, or enhance balance. Acupuncture is known to provide relief for a wide range of conditions, including pain management, stress reduction, fertility support, digestive disorders, and respiratory conditions. There is a range of acupuncture techniques, such as acupuncture with electric stimulation, bloodletting, and trigger therapy release. There is also a ranch of approaches such as meridians (peripheral nervous system), microsystems, scalp, post-stroke, bone needling, and nerve release. To determine the best course of action, Chinese medical acupuncturists will engage in basic questions and advanced assessment to establish a differential diagnosis. For more information on this aspect, see Chinese Medicine Theory (link to the that topic).

    Moxibustion

    Moxibustion is a technique often used in conjunction with acupuncture. It involves the burning of mugwort (Artemisia vulgaris) near specific acupuncture points or areas of the body to promote healing and improve function. Moxibustion can be performed directly or indirectly, and it is particularly beneficial for conditions involving cold or stagnation.

    Infrared Heat Lamp Therapy

    Infrared heat lamp therapy utilizes special lamps that emit infrared radiation to penetrate the body’s tissues. This therapy can be used as a standalone treatment or in conjunction with acupuncture. The gentle heat from the lamps helps promote circulation, relax muscles, and alleviate pain and inflammation.

    Low Light Laser Therapy

    Low light laser therapy, also known as cold laser therapy or photobiomodulation, involves the application of low-intensity lasers to specific points or areas of the body. This non-invasive treatment stimulates cellular activity, enhances tissue repair, reduces inflammation, and relieves pain. Low light laser therapy is commonly used for musculoskeletal conditions, wound healing, and dermatological issues.

    Injection Therapy

    Although this adjunct modality is part of accredited programs and included in textbooks, there is a required step to involve state pharmacy boards to determine acceptable agents that licensed acupuncturists can procure. In some states, licensed acupuncturists may have the scope to offer injection therapy as an adjunct to acupuncture treatment. This involves the injection of natural substances such as vitamins, homeopathic remedies, or herbal extracts into specific acupuncture points or affected areas. Injection therapy can provide targeted support for pain management, inflammation reduction, and tissue healing.

    Cupping

    Cupping involves placing special cups on the skin to create suction. This therapy helps promote blood flow, release tension, and alleviate muscle soreness. Cupping is often used for musculoskeletal conditions, respiratory issues, and detoxification.

    Gua Sha

    Gua sha is a technique that involves scraping the skin using a smooth-edged tool. This therapeutic scraping motion helps release stagnation, improve circulation, and relieve muscle tension. Gua sha is commonly utilized for pain management, immune support, and detoxification.

    Tui Na Massage

    Tui na is a form of Chinese therapeutic massage that combines various manual techniques and manipulation, including, kneading, stretching, and joint mobilization. Tui na helps promote circulation, relieve muscle tension, and address dysfunction. It is often used in conjunction with acupuncture for musculoskeletal issues, stress reduction, and overall wellness.

    Herbal Medicine

    Herbal medicine is an integral component of traditional Chinese medicine. It involves the use of natural substances, such as plants, minerals, and animal products, to restore balance and support healing. Herbal prescriptions are tailored to individual needs and can be used internally or externally to address a wide range of conditions.

    Chinese Medicine Theory

    Understanding Chinese Medicine Theory

    Chinese medicine, rooted in ancient wisdom, provides a holistic approach to healthcare that aims to prevent or restore health, function, and balance. This article provides brief descriptions of the most basic Chinese medicine theories. We will explore key concepts such as meridian theory, yin and yang, the three vital fluids, the four levels, the five elements, the six syndromes, the seven evils, and the eight principles. Note: Please keep in mind that these are brief descriptions of complex theories in traditional Chinese medicine. They serve as introductory explanations and should not be considered exhaustive or comprehensive.

    Meridian Theory

    Meridian theory forms on of the many foundations of Chinese medicine. It describes a network of energetic pathways, known as meridians, through which Qi (vital energy) flows. These meridians overlap with the nervous system to connect specific organs and body systems. The term, “Qi” is an umbrella for movement (fluids, muscle firing, nerve conduction) and function. Acupuncture points along meridians overlap or connect with the nervous system. Stimulation in these areas results in a variety of outcomes depending on direction, depth, and technique.

    Yin and Yang

    Yin and yang represent the fundamental duality and interdependence found in nature and within the human body. Yin encompasses qualities such as darkness, coolness, and substance, while yang represents qualities like light, warmth, and activity. In Chinese medicine, health is achieved when yin and yang are in dynamic balance. Imbalances between these forces can lead to various health issues, and the goal of treatment is to restore equilibrium.

    Three Vital Fluids

    Chinese medicine recognizes three vital fluids that circulate within the body: Qi, Blood, and Body Fluids. Qi is the vital substance that animates and nourishes the body. Blood carries nutrients and oxygen to tissues. Body Fluids can be beneficial or pathogenic.

    Four Levels Theory

    The Four Levels Theory is a diagnostic framework in traditional Chinese medicine (TCM) that assesses the progression of disease through four energetic levels: Wei (Defense), Qi (Qi), Ying (Nutritive), and Xue (Blood). Each level represents a different layer of the body, and imbalances or pathogenic factors can manifest at these levels. The theory helps practitioners understand the progression and location of the disease, guiding the selection of appropriate treatments and therapies.

    Five Elements Theory

    The Five Elements Theory is a fundamental concept in TCM that categorizes phenomena into five elements: Wood, Fire, Earth, Metal, and Water. These elements correspond to various organs, tissues, emotions, and other aspects of the human body and the natural world. The theory emphasizes the dynamic relationships and interactions between the elements, helping practitioners understand patterns of disharmony and design treatment strategies to restore balance.

    Six Syndromes Theory

    The Six Syndromes Theory, also known as the Six Stages Theory, describes the progression of disease and the body’s response to pathogenic factors. It categorizes diseases into six stages: Tai Yang, Yang Ming, Shao Yang, Tai Yin, Shao Yin, and Jue Yin. Each stage represents a different level of disease progression and symptoms, guiding practitioners in identifying the underlying patterns and selecting appropriate treatment approaches to restore health.

    Seven Evils Theory

    The Seven Evils Theory refers to a set of external pathogenic factors that can disrupt the body’s balance and cause disease in TCM. These evils include Wind, Cold, Heat, Dampness, Dryness, Summer Heat, and Fire. Each evil has specific qualities and affects different body systems. By understanding the nature of these pathogenic factors, practitioners can diagnose and treat conditions associated with their influence, employing therapies to expel or counteract their effects.

    Eight Principles Theory

    The Eight Principles Theory is a diagnostic framework that analyzes patterns of disharmony by assessing eight fundamental principles: Yin and Yang, Exterior and Interior, Cold and Heat, and Deficiency and Excess. These principles describe the nature and characteristics of a patient’s condition, helping practitioners identify imbalances and select appropriate treatment strategies. The theory provides a systematic approach to diagnosis and forms the basis for individualized treatment plans.

    Resources for Policy Makers

    Acupuncture Regulation

    Forty-seven states (and the District of Columbia) have practice acts in place to define and regulate the practice of acupuncture. Of these 47 states, 22 states require National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) Board Certification to issue an acupuncture license while 26 states use NCCAOM examinations as at least a portion of the licensure requirements.

    The NCCAOM is a not-for-profit organization in the United States that aims to “establish, assess, and promote recognized standards of competence and safety in acupuncture and Oriental medicine for the protection and benefit of the public.

    Medicare Covered Acupuncture

    Currently, the Centers for Medicare and Medicaid Services (CMS) covers acupuncture for chronic low back pain but licensed / qualified acupuncturists cannot directly submit claims to Medicare. While the licensed / qualified acupuncturist medical service is recognized, they are not considered qualified Medicare providers.

    H.R. 3133 – Acupuncture for Our Seniors Act of 2023 – will codify licensed / qualified acupuncturists as providers under Medicare who can work and bill independently as licensed / qualified acupuncturists.

    Herbal Medicine Regulation

    Dietary supplements and good manufacturing practices are regulated by the Food and Drug Administration (FDA).

    Policies

    1. Dietary Supplement Health and Education Act of 1994 – US Food and Drug Administration . Read Full Act
    2. FDA Industry Guidance on Complementary and Alternative Medicine Products and their Regulation by the Food and Drug Administration.
      Read Full Article
    3. Dietary Supplement and Non-Prescription Drug Act. United States Government Printing Office; Washington, DC, USA: 2006. Public Law 109–462.
    4. Current Good Manufacturing Practice in Manufacturing, Packaging, Labeling, or Holding Operations for Dietary Supplements: Final Rule. Read Here

    Guidance

    1. Herb-Drug Interactions – Chen X.W., Sneed K.B., Pan S.Y., Cao C., Kanwar J.R., Chew H., Zhou F. Herb-drug interactions and mechanistic and clinical considerations. Curr. Drug Metab. 2012;13:640–651. doi: 10.2174/1389200211209050640.
    2. FDA on Botanical Drugs and Supplements – Read Here

    Legislation News

    Additional Resources

    Journals

    Acupuncture Today

    Journal of Acupuncture & Integrative Medicine Online

    Journal of Acupuncture & Medicine Studies

    Journal of Acupuncture Research

    Sage Journals – Acupuncture in Medicine

    Medical Acupuncture

    Publications

    Nierhaus T, Chang Y, Liu B, Shi X, Yi M, Witt CM, Pach D. Somatosensory Stimulation With XNKQ Acupuncture Modulates Functional Connectivity of Motor Areas. Front Neurosci. 2019 Mar 11;13:147. doi: 10.3389/fnins.2019.00147. PMID: 30914909; PMCID: PMC6421982.
    Read Full Article

    Khan MNA, Ghafoor U, Yoo HR, Hong KS. Acupuncture enhances brain function in patients with mild cognitive impairment: evidence from a functional-near infrared spectroscopy study. Neural Regen Res. 2022 Aug;17(8):1850-1856. doi: 10.4103/1673-5374.332150. PMID: 35017448; PMCID: PMC8820726.
    Read Full Article

    Matos LC, Machado JP, Monteiro FJ, Greten HJ. Understanding Traditional Chinese Medicine Therapeutics: An Overview of the Basics and Clinical Applications. Healthcare (Basel). 2021 Mar 1;9(3):257. doi: 10.3390/healthcare9030257. PMID: 33804485; PMCID: PMC8000828.
    Read Full Article

    Acupuncture Practice in Military Medical Treatment Facilities

    Establishes procedures to expand the availability and utilization of acupuncture as a non-pharmacologic therapy for acute and chronic pain as an essential element of the Military Health Service Pain Management Campaign, and guidance for implementing tiered acupuncture training, privileging, and documentation and to support the clinical practice of acupuncture by designated clinical staff throughout the Department of Defense, as a complement to existing pharmacologic and non-pharmacologic therapies. This guidance applies to all military medical treatment facilities and staff supporting the delivery of healthcare to beneficiaries. See Defense Health Agency Procedural Instruction. Acupuncture Practice in Military Medical Treatment Facilities. Found at https://www.health.mil/Reference-Center/DHA-Publications/2020/02/20/DHA-PI-6025-33

    A Protocol of a Guideline to Establish the Evidence Ecosystem of Acupuncture

    “Acupuncture clinical practice should be based on high-quality evidence, which could help in decision-making. Thus, acupuncture research should provide sufficient data to enable funders, reviewers, and steering committees to appraise the scientific and methodological rigor of the studies, and for the researchers to replicate and implement these studies.

    The United Nations Educational, Scientific, and Cultural Organization placed acupuncture on the Representative List of the Intangible Cultural Heritage of Humanity and this therapy had been deemed safe and effective. Acupuncture is an important Chinese medicine treatment method suitable for a wide spectrum of diseases. More than 60,000 randomized controlled trials 6,000 systematic reviews, and 1,000 recommendations had been published, while some studies were published in top journals which promoted the use of acupuncture worldwide.”

    See Wang Q, Li N, Li J, He Y, Li Y, Zhong D, Liu X, Fan J, Jin R, Kang D, Zhang Y. A Protocol of a Guideline to Establish the Evidence Ecosystem of Acupuncture. Front Med (Lausanne). 2022 Feb 15;8:711197. doi: 10.3389/fmed.2021.711197. PMID: 35252220; PMCID: PMC8896352.
    Found at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8896352/

    Frequently Asked Questions

    For the Public

    What to look for in an acupuncturist?

    When performed by a properly trained clinician, acupuncture is a safe, effective, and holistic form of care. Your experience with acupuncture may vary depending on the provider you choose. Finding a licensed acupuncturist (L.Ac) will ensure your needs are met with the highest level of training and educational standards. Licensed Acupuncturists may be generalists or have areas of specialty.  It is reasonable to ask about each provider’s training and if they have a particular area of focus in their practice.  Licensed Acupuncturists are the only professionals who have completed nationally accredited training and have shown competency via nationally certified board examinations specific to acupuncture.

    ACAOM Accredited School

    The first step toward becoming a trained and licensed acupuncturist is graduation from an accredited school. Sanctioned by the United States Department of Education (USDE), the Accreditation Commission for Acupuncture and Oriental Medicine (ACAOM) ensures that qualifying programs meet the educational standards established by Congress The degree program of choice often includes options for master’s level and doctorate level degrees. The foundation of the curriculum is centered on traditional and modern (biomedical) applications of acupuncture diagnostic theory.

    Master’s Degree

    Within the United States, there are rigorous training standards to become a licensed acupuncturist. Most states require a three to five-year master’s degree from an accredited acupuncture school and passage of standardized board exams before licensure. A master’s may be attained in acupuncture or Oriental medicine.   A master’s degree in Oriental medicine highlights practitioners who have completed additional training and course work in Chinese herbal medicine, above and beyond the standard acupuncture course curriculum. After passage of board examinations, acupuncturists are entitled to identify themselves as a Dipl. Ac. (Diplomate of Acupuncture) or Dipl. O.M. (Diplomate of Oriental Medicine) by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM).

     NCCAOM Diplomate Standing

    The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) provides national board certification for Acupuncture and Herbal Medicine practitioners. To be eligible to take the NCCAOM exams, an applicant must have successfully completed a formal education in acupuncture or Oriental medicine through an accredited school. 

    Earning certification from the NCCAOM represents a significant professional achievement. NCCAOM certification makes an important statement about professional competence that is recognized by regulatory bodies, third-party payers, the profession, and the public.

    Types of NCCAOM Certifications

    1. Acupuncture
    • Three-year master’s program
    • 1,905 hours/105 credits of didactic and clinical education.
    1. Acupuncture and Oriental Medicine
    • Four-year master’s program in Oriental medicine.
    • 2,625 hours/146 credits of didactic and clinic coursework in both acupuncture and Chinese herbal medicine
    1. Certification in Chinese Herbology
    • Four-year master’s program in Oriental medicine OR a master’s in acupuncture and a post-graduate Chinese Herbal Certificate recognized by ACAOM
    • 450 hours of didactic instruction in herbs
    • 210 hours of herbal clinical training

     

    Licensing

    Each state has its own licensing and educational requirements to practice as an acupuncturist. Currently, 46 states plus the District of Columbia, require NCCAOM certification as a prerequisite for licensure. Successful completion of the Clean Needle Technique course and examination administered by the Council of Colleges of Acupuncture and Oriental Medicine is also needed. Maintenance of an active license requires ongoing professional development activities (PDAs) or continuing education units (CEUs) towards renewal.

    Continuing Education and Specialties

    In addition to maintaining licensing requirements, many practitioners utilize continuing education to advance their studies in a specialized area. This may be through weekend seminars or full certificate programs. These programs include pediatrics, fertility, dermatology, sports medicine, and more.

    When seeking out a licensed acupuncturist with expertise in a particular field, inquire about their credentials, training, and experience in the area. Often, you will find practitioners with a history of patient testimonials and a track record of successful outcomes.

    Advanced Studies: Doctorate Degrees

    The Doctorate of Acupuncture and Oriental Medicine (DAOM) is a postgraduate degree and provides acupuncturists specialization within a particular field. The DAOM entails advanced classes, clinical training, and research. It also prepares graduates for practice in integrative settings, such as hospitals, as well as academia. It is the highest level of training offered and the terminal degree in the field. Currently, there are eleven accredited schools nationwide offering this level of training.

    Following other allied health professions, such as physical therapy and pharmacy, several institutions have begun to offer an entry level or first professional doctoral degree: the Doctorate of Acupuncture and Chinese Medicine (DACM). In addition to the aforementioned master’s degree curriculum, this program entails coursework that provides supplementary skills for practice in multidisciplinary settings and referral networks that support collaborative approaches to health care.

    What is Acupuncture?

    Acupuncture is a holistic treatment which incorporates the use of acupuncture, herbs, moxibustion, physical therapies, dietary and lifestyle guidance to restore balance to the body.  It is not uncommon to incorporate acupuncture in conjunction with other forms of care. This may help to speed healing and rehabilitation after a health crisis, pain syndrome, or emotional trauma.

    Acupuncture is a safe, effective and relaxing treatment for a variety of health conditions. The number of treatments you will need depends on your condition and treatment plan. While working to decrease your symptoms, acupuncture also frequently produces a feeling of well-being and deep relaxation.

    What is an Acupuncture Treatment?

    Your care is based on a medical diagnosis and a treatment plan developed during your initial clinical consultation. The assessment is based on medical history, presentation and onset of symptoms, as well as pulse and tongue diagnostics. After a diagnosis is made, the most appropriate and effective treatment plan will be chosen based on the diagnosis of a pattern or set of patterns. For example, five people might see an acupuncture practitioner all complaining of migraine headaches, however, each patient may be diagnosed with a completely different Chinese medical pattern. This pattern will be based on their main complaint and unique symptomatology.

    What does Acupuncture treat?

    Acupuncture enjoys a high level of evidence for a variety of conditions. Research into acupuncture as a medical treatment has grown exponentially in the past 20 years, increasing at twice the rate of research over other methods of care in biomedicine.

    Over this period, there have been over 13,000 studies conducted in 60 countries, including hundreds of meta-analyses summarizing the results of thousands of human and animal studies. Acupuncture is recognized by medical experts as a viable intervention for a spectrum of conditions and is one of the most widely recommended treatments in the current landscape of medicine.

    How Does Acupuncture Work?

    Acupuncture is a recognized form of therapy that has its origins in ancient Chinese medicine. Current application of acupuncture clinically is performed using both historic understandings of its mechanisms and indications, and from modern, biomedical perspectives. From the biomedical viewpoint, acupuncture has been shown to have numerous mechanisms of action. Research into further mechanisms is on-going, but the neural pathways from the periphery, through the spinal cord, and to pain perception centers have been mapped and are thought to play a foundational role in acupuncture’s pain modulating effects. Acupuncture is also well known to cause the release of numerous chemical mediators of pain such as endogenous opioids, ATP and adenosine, GABA, and substance P, and to affect the brain’s sensitivity to opioids.

    When viewed from the Traditional Chinese Medicine (TCM) paradigm, acupuncture is the insertion of fine needles into acupoints to manipulate the functions of the body. It has been observed over the millennia that certain points on the body have identified functions, and different combinations of points can affect the body in specific ways. Classical Chinese medicine is based in the observation of nature, and how humans interact with and are affected by natural forces. The early Chinese scholars studied how the body moved and functioned under numerous sets of conditions. They learned to apply acupuncture to help the body return to balance when, through natural influences or problematic dietary or lifestyle choices, individuals developed “disharmonies” or illnesses. Practitioners trained to apply acupuncture from the classical perspective utilize this ancient knowledge in the modern setting. They identify patterns of imbalance and are trained in the application of acupuncture as one tool in restoring health and harmony.

    It is important to recognize that the system of medicine in which acupuncture developed is highly structured and complex. It is also elegant, and its genius is often missed in mainstream criticisms; those criticisms generally put forth by individuals who have not taken the time to study the profound body of material that has evolved over time. Chinese medicine looks at the body from the viewpoint of physiologic systems rather than individual parts, and so its treatments aim to balance complex sets of functions and restore health at the root of illness,

    rather than by fixing a single, broken piece. Licensed Acupuncturists are trained in this way of organizing human physiology, and have learned full treatment plans for restoring health.

    What is Herbal Medicine?

    Traditional Herbal Medicine utilizes ingredients from the animal, plant and mineral kingdoms to treat many different health conditions. All ingredients are collectively referred to as “herbs”.   Each herb offers a variety of chemical constituents that have specific biological functions. Different parts of the plant (i.e. roots, stems, leaves, flowers, fruit, seed and bark) can often perform different functions. When multiple ingredients are combined to make a formula, the sum of the chemical constituents is often more powerful and efficacious than the individual parts.

    How Does Herbal Medicine Work?

    When we ingest herbal medicines, the same way as food, we breakdown the herb and assimilate the chemistry in the herb. But instead of assimilating the nutrients, we assimilate the medicinal chemicals.

    In some ways, herbs work similarly to many pharmaceutical preparations. In fact, some pharmaceutical medicines are based upon extractions from plants. For example, the malaria medicine quinine is extracted from the bark of the cinchona tree, and the pain medicine morphine is produced from the opium poppy.

    However, herbal medicine differs from pharmaceuticals because it uses the complete form of the herb to ensure the balance of constituents within it, instead of just using a specific extraction or single chemical from the plant.

    What Does Herbal Medicine Treat?

    Traditional herbal medicine formulas address the root cause of a health condition, not just a symptom. They treat the body as a holistic system and facilitate the body’s own healing mechanisms. As such, they can be used to treat a variety of conditions including:

    • Allergies
    • Anxiety and Depression
    • Arthritis
    • Cold and Flu
    • Chronic Fatigue
    • Headaches and Migraines
    • High Blood Pressure
    • Infertility
    • Menstrual Irregularities
    • Pain
    • Sexual Dysfunction
    • Skin Issues
    • Sports Related Injuries

    Side Effects of Herbal Medicine

    Herbal medicine typically does not incur the unwanted side effects that are often seen in conventional pharmaceutical treatments. However, herbal medicine can be very potent and, if used incorrectly, can rarely cause serious adverse effects. Additionally, some herbs can affect how your body responds to prescription and over-the-counter medicines, either decreasing or increasing the effects of these medicines. In this way, it is very important to let your herbalist know what other drugs and supplements you are taking so they can advise or modify your formula to best avoid complications. Properly trained and certified herbalists are able to adapt herbal use to be safest for each patient.

    Herbal Medicine Formulas

    Herbal medicines formulas are sold as tablets, capsules, powders, teas, extracts, syrups, poultices, lotions, compresses, and fresh or dried plants. The form of your herbal medicine will depend upon your practitioner’s preferences, medical condition and sometimes, patient preferences.

    Herbalists are trained to dispense remedies for specific conditions and symptoms and to determine how much should be taken and for how long. Herbs can be selected to address each person’s unique constitution and sensitivities in addition to their disease or symptoms.  For this reason, many herbalists, especially those that utilize raw herbs, will meet with their patients every few weeks to adjust the formula ingredients to meet the changing needs of their patients, as they heal, or to address different symptoms if they appear.  This makes herbal medicine extremely flexible and customizable during every step of the treatment time process.

    What is Moxibustion, Cupping, Gua Sha, & Tui Na?

    In addition to acupuncture, licensed acupuncturists also use moxibustion, cupping, gua sha, and/or tuina. These adjunctive therapies have been used for over 2000 years. They can be used alongside an acupuncture treatment or alone.

    Moxibustion

    Moxibustion involves heat therapy using the mugwort plant (Artemisia vulgaris or Artemisia argyi), also known as “moxa,” to stimulate acupoints. Moxibustion is used for treating many conditions. In a quantitative study of 50 years of bibliometric material, up to 364 types of diseases have been shown to be treated with moxibustion. Moxa is used for digestive, urinary, gynecological/obstetric and orthopedic issues.  It has been shown to aid in pain reduction.  Moxibustion can be done in a variety of methods – each with different thermal effects. When moxa is lit, it emits visible and infrared electromagnetic waves. This energy is absorbed by the body to promote blood circulation.

    Cupping

    Cupping therapy involves the use of a cup or a jar. The World Health Organization (Code 5.3.2) defines the cupping method as a “therapeutic method involving the application of suction by placing a vacuumed cup or jar onto the affected or any part of the body surface.”  Cupping is used for many conditions from musculoskeletal pain to cardiovascular issues to early colds and flus.

    Gua Sha

    Gua sha is an instrument assisted manual therapy whereby the body surface is compressed with a smooth-edged tool. This therapeutic process intentionally creates petechiae (tiny red or purple dots on the skin) and increases blood flow into the fascia. The “sha” or redness that is created can last up from one day to one week. This technique increases blood flow to local tissues, helps the body activate a local healing response, and assists in the removal of toxins from the tissue (such as by-products of metabolism in areas with myofascial dysfunction).  Gua sha has also been shown to reduce internal organ inflammation by upregulating heme-oxygenase-1. It has been shown to produce a four-fold increase in the surface tissue microcirculation, reduce inflammation and stimulate the immune system. Gua sha is used for many conditions ranging from asthma to musculoskeletal pain and spasms.

    Tuina

    Tuina is a school of Chinese manual bodywork therapy. Literally translated as “push” and “grasp,” it is used to promote blood flow, improve function, and enhance resistance to disease. Tuina involves different manipulation techniques for different conditions. Similar to the other therapies described, tuina can be used to treat many types of conditions ranging from musculoskeletal pain to digestive disorders. The use of herbal liniments and oils may be used by the practitioner, depending on the condition presented.

    What is Dry Needling?

    “Dry needling” has created a great deal of confusion in recent years, both among patients and healthcare providers. It is one of many names  that refer to a form of acupuncture utilized by Western medicine clinicians. The term was coined by Janet Travell, MD, and came into prominence during the early 1980s when discussed in her seminal text Myofascial Pain and Dysfunction: The Trigger Point Manual. It was used to distinguish from the implied “wet needling,” which is the injection of a fluid with a hypodermic needle. While a “dry needle” initially referred to an empty syringe, it has evolved to include monofilament/filiform needles routinely used by acupuncturists. The latter of which is utilized in the modern application of “dry needling.” Acupuncture, by default, encompasses “dry needling,” and any suggested distinction, in actuality, exists largely in name.

    The current interpretation of “dry needling” largely refers to an aggressive form of acupuncture entailing a piston-like motion of deep needling into tender areas in muscles known as trigger points. Many “dry needling” adherents, whether due to being genuinely misinformed or otherwise, suggest that it never occurred to ancient Chinese physicians to manipulate a needle in a piston-like motion or treat trigger points, utilizing the equivalent language of their time. In an attempt to distinguish it from “dry needling,” they unfortunately misrepresent acupuncture as being relegated to superficial or “energetic” needling based on a mystical paradigm. Neither the needling method, nor the concept of trigger points, is new or innovative. This is recognized by numerous clinicians and researchers, acknowledging the historical precedent set by acupuncture. 32-38 For instance, “The Yellow Emperor’s Inner Classic of Medicine” (Huang Di Nei Jing), dating back to between the 2nd century BC and 2nd century CE (Han Dynasty), describes this. The technique, hegu ci, is still used to treat musculoskeletal conditions. It is characterized by deep needling into muscles accompanied by partial retraction and reinsertion at varying angles, which is currently described as “fanning” or “coning.” With regards to trigger points, in his 7th century CE work, “Prescriptions Worth a Thousand Gold” (Qian Jing Yao Fang), the famous physician, Sun Simiao, described ashi points. Ashi, which translates to “Ah, yes!” or “That’s it!” refers to points that are tender or painful upon local pressure and can produce radiating pain – hallmarks of trigger points.

    These are just a couple of innumerable examples demonstrating acupuncture’s historicity and development over the course of more than 2000 years. Numerous styles and techniques of needling factor in several variables: depth, angle, intensity, frequency, proximity to the diseased/injured area, etc. 39 Acupuncturists are trained in both traditional and biomedical paradigms, evidenced by their educational requirements. In addition, numerous continuing education courses and certificate programs in orthopedic/sports medicine/trigger point acupuncture have been well established prior the recent emergence of “dry needling.”

    For further information on this subject, please read Andy McIntyre’s article “Dry Needling is Acupuncture; but Acupuncture is not Dry Needling.”

    For Practitioners

    What are the Laws regulating Acupuncture in Wisconsin?

    https://docs.legis.wisconsin.gov/statutes/statutes/451

    How Do I Become Licensed in Wisconsin?

    An applicant for licensure as an acupuncturist in Wisconsin shall file an application(https://dsps.wi.gov/Credentialing/Health/fm1715.pdf) with the WI DSPS (Wisconsin Department of Safety and Professional Services (https://dsps.wi.gov/pages/Home.aspx) that includes the following:

    1. Evidence of successful completion of clean needle technique (CNT) course sent directly to the Department from Council of Colleges of Acupuncture and Oriental Medicine (CCAOM).
    2. Evidence of successful completion of course of study and residency, the equivalent of at least two (2) consecutive years of full-time education and clinical work in Oriental diagnostic and therapeutic theories and practices at a school accredited by the National Accreditation Commission for schools, and colleges of Acupuncture and Oriental Medicine or the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). This must include dates attended and number of hours completed in program. Transcripts must be sent directly to the Department from the school.
    3. Evidence of successful completion of NCCAOM examination in acupuncture, with a passing score, determined by NCCAOM, sent directly to the DSPS from NCCAOM.

    If the applicant has ever been licensed as an acupuncturist in another state, he/she shall also submit the following document(s):

    1. Verification of Certification (active or inactive) as an acupuncturist in other state or territory, sent directly to the Department from state board(s). (If applicable)
    2. A copy of the current rules and statutes of state or territory in which credentialed. (Reciprocal Applicants only)
    3. Affidavit of Active Acupuncture Practice (Form #2773 – https://dsps.wi.gov/Credentialing/Health/fm2773.pdf ). (Reciprocal or Re-Registration applicants only)

    All documents shall be submitted to the DSPS in English.

    Wisconsin Act 210 (effective June 1, 2012)

    This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty.

    This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education requirements, in order to have the license extended.

    Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewal Extension Form #R210 (https://dsps.wi.gov/Credentialing/Renewal/FmR210.pdf) for further information.

    How Do I Renew My Wisconsin License?

    To renew online, simply pay the renewal fee by clicking here (https://online.drl.wi.gov/UserLogin.aspx). Currently, Licensed Acupuncturists in WI are on a bi-annually renewal term (charged every consecutive odd year / two years)

    Reg Type: 55

    Profession/Entity: Acupuncturist

    Renewal Date: June 30 of every odd year

    Renewal Fee: $75/yr

    With Late Fee: $100/yr

    What is WI DSPS?

    The Department of Safety and Professional Services (DSPS) is responsible for ensuring the safe and competent practice of licensed professionals in Wisconsin. The department also administers and enforces laws to assure safe and sanitary conditions in public and private buildings. It provides administrative services to the state occupational regulatory authorities responsible for regulation of occupations and offers policy assistance in such areas as evaluating and establishing new professional licensing programs, creating routine procedures for legal proceedings, and adjusting policies in response to public needs.

    DSPS licenses and regulates more than 200 different types of credentials. The agency also provides centralized administrative services to nearly 100 boards, councils, and advisory committees. The boards, councils, and advisory committees have varying levels of responsibility and professional oversight based on statutory provisions.

    The Department is organized into five divisions and the Office of the Secretary. The divisions are Industry Services, Legal Services and Compliance, Management Services, Policy Development, and Professional Credential Processing. Information on each division can be viewed by clicking on each of the titles.

    Recommended reading: https://dsps.wi.gov/Pages/Professions/Acupuncturist/Default.aspx

    How do I become an NCCAOM diplomate?

    To become an NCCAOM Diplomate, applicants must pass the NCCAOM Examinations. There are 4 exams: Acupuncture with Point Location, Biomedicine, the Foundations of Chinese Medicine and Chinese Herbology. There are 3 certifications available.  For acupuncture certification, applicants must pass the Acupuncture with Point Location, Biomedicine and Foundation of Chinese Medicine examinations. For Chinese herbology certification, applicants must pass the Biomedicine, Foundations of Chinese Medicine, and Chinese Herbology examinations.  For those seeking a certification in Oriental Medicine, all four examinations must be passed. Study guides are available.
    WISCONSIN REQUIRES CERTIFICATION IN ACUPUNCTURE TO APPLY FOR A LICENSE.  YOU MAY CHOOSE TO COMPLETE CERTIFICATiON IN ORIENTAL MEDICINE BY TAKING THE ADDITIONAL, CHINESE HERBOLOGY, EXAMINATION.

    There are several routes possible to be eligible to sit for the NCCAOM examinations. The most common route is with formal education in the United States, at a school that is accredited by the Accreditation Commission for Acupuncture and Oriental Medicine (ACAOM). ACAOM is a specialized accreditation agency recognized by the United States Department of Education (USDE). International students may also apply; however, the programs must meet requirements and are subject to third party review. Other than the formal education route, students who have completed apprenticeship education may also apply. However, this route will be terminated in December 31, 2021. Education should follow ACAOM standards and have to be approved by the NCCAOM. Finally, a combination of apprenticeship and formal education may be submitted for NCCAOM approval for examination eligibility. 

    Those who were previously NCCAOM Diplomats, but have lapsed in their renewal, may be able to apply for reinstatement (https://www.nccaom.org/certification/reinstatement/).

    Do memberHow Do I Renew My NCCAOM diplomate?

    NCCAOM diplomates are responsible for renewing their certification every four years and are expected to maintain their status by participating in Professional Development Activities (PDA). Diplomates must earn a minimum of 60 PDA points during the four-year period immediately preceding the expiration of their certification. The NCCAOM renewal process is completed online. Diplomats can renew up to 6 months prior to the expiration date of their certification.

    Active Status diplomates (http://www.nccaom.org/diplomates/certification-renewal/recertification-process-for-active-diplomate/) must complete the online form, complete a minimum of 60 PDA points and submit payment. Diplomates are required to complete a CPR course plus a minimum of 30 PDA points/ CEU credits in Core Competency coursework in the following areas. All 60 points may be earned in the Core Competency section. One can also choose to have up to 30 points in the Professional Enhancement category. Please review the NCCAOM® Recertification Handbook (https://www.nccaom.org/certification/certification-renewal/) for more information.

    For lapsed (http://www.nccaom.org/diplomates/certification-renewal/recertification-process-for-lapsed-constituent/)or terminated (https://www.nccaom.org/certification/reinstatement/) diplomates, additional requirements will be applied. Please visit NCCAOM.org for more information.

    WISCONSIN LAWS DO NOT REQUIRE ACUPUNCTURISTS TO MAINTAIN NCCAOM STATUS, HOWEVER MANY ACUPUNCTURISTS IN WISCONSIN CHOOSE TO MAINTAIN THEIR ACTIVE STATUS.

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    Other questions about your WISCA membership?

    WISCA members, please refer to [https://drive.google.com/open?id=1biqw4YbQ2vXE49cAC2Mv54nI33IlTIVH] for an updated Members FAQ from May, 2018, by Attny Barbara Zabawa.