Frequently Asked Questions

Click on a question to be taken to the answer:

1.

Does acupuncture hurt?

2.

Do I need to believe in acupuncture in order for it to work?

3.

How will I feel during and after acupuncture?

4.

Are there different types of acupuncture and what is the difference between them?

5.

What about the needles used?

6.

Is acupuncture safe?

7.

Is there any risk of cross infection from acupuncture?

8.

Can I donate blood after having acupuncture treatment?

9.

How can I know whether Chinese herbal medicine works for me?

10.

Is Chinese herbal medicine safe?

11.

Are there any minerals or animal products in Chinese herbal medicine?

12.

How about endangered species?

13

How is a consultation carried out in TCM practice?

14.

How is a Chinese herbal medicine prescription constructed by a practitioner?

15.

How should I prepare the herbal decoction?

16.

Is there any type of prepared Chinese herbal medicine available?

17.

What is Chinese herbal medicine used to treat?

18.

How long do I need to take Chinese herbal medicine for?

19.

Who can take Chinese herbal medicine?

20.

How long and in what form will I take the herbal medicine?

21.

Should I continue with my prescribed medication while undergoing a course of Chinese herbal medicine or acupuncture treatment?

22.

Is there any interaction between Chinese herbal medicine and conventional drugs?

23.

What happens if I'm unhappy with the standard of treatment I've received from my Chinese Medicine practitioner and want to make a complaint?

 

1. Does acupuncture hurt?
A: Not usually. A dull ache or some kind of sensation often develops at the point, which is called “Deqi” in Chinese medicine and is considered to be a good therapeutic sign. As the needles are so fine, people having treatment for the first time are usually pleasantly surprised to find the treatment to be virtually painless but very relaxing and therapeutic.
top
2. Do I need to believe in acupuncture in order for it to work?
A: No. Some people from biomedical background may argue that acupuncture works only as a placebo. However, can something survive that long as acupuncture if it is no more than a placebo? We believe that acupuncture works by stimulating body’s self healing power in some way modern medical science can not explain yet.
top
3. How will I feel during and after acupuncture?

A: Most people experience a feeling of peace and relaxation during acupuncture treatment. You may feel a little of pain when the needle is being inserted into your body, followed by a dull ache or other kind of sensation, described as heaviness, distension, pressure, or mild electric current by different people, which is called “Deqi” in Chinese medicine and is considered as a therapeutic sign. While the needles are retained in your body for 15-25 minutes, it is literally pain free.

After having acupuncture, you usually feel relaxed and calm, and you should be fine to drive or do routine work. If you are in any doubt, you could take a friend with you on your first visit. Occasionally you may feel a bit tired or drowsy for one hour or two if the treatment is particularly strong or you respond to acupuncture more sensitively. In a small number of people, there may be a short term flaring up of your symptoms as your Qi clears and resettles itself.
top
4. Are there different types of acupuncture and what is the difference between them?

A: Yes, there are differences in style of acupuncture outside China, such as Five Element acupuncture, western medical acupuncture.

Five Element style was never in the mainstream of Chinese medicine tradition but largely developed in Korea and Japan in 7-9 centuries AD. It is based on the Five Element theory, which, in our view, is too mechanistic and does not always correctly reflect the body’s physical activities and pathological changes.

Western medical acupuncture was developed in western world by medical professionals in the past 40 years or so. It uses the techniques of traditional acupuncture but abandons the theory of meridians/channels and acupoints. Instead it uses trigger points and tender points (basically coming from “Ashi” points in Chinese medicine style of acupuncture). As almost purely a pain-release therapy, western medical acupuncture is limitedly used in pain-related conditions only.

Traditional Chinese acupuncture is the oldest practice in the history. It has been widely used for various disorders or diseases.  Apart from pain related conditions, it is also for other internal, mental and gynecological conditions, etc. In particular, it is one of the best treatments known so far for Bell’s palsy, trigeminal neuralgia, tinnitus, etc. It is fair to say that Chinese traditional acupuncture is authentic.

In China, all TCM and acupuncture practitioners must have had an extensive training at a degree level in Chinese medicine and western medical science for 5 years full-time, before they can be statutorily registered and licensed with a doctor title and allowed to practise. This ensures that our acupuncture treatment is guaranteed out of a dab hand and to be of best quality.
top
5. What about the needles used?
A: We always use pre-sterilised disposable needles for single use only, which are disposed of after each treatment. As the members of The Association of Traditional Chinese Medicine (UK) - ATCM, we observe the Code of Practice which lays down stringent standards of hygiene and sterilisation of equipment.
top
6. Is Acupuncture safe?

A: All members of ATCM must observe the Code of Practice which defines the hygiene and safety standards relating to the practice of acupuncture. These procedures have been approved by the Department of Health and local authrity, and provide protection against the risk of injury and the transmission of infectious diseases.

The safety largely rely on the knowledge and experience of the practitioner on human anatomy, indication and contraindication of acupuncture, and his/her consciousness of responsibility on practice. Over last a decade or so, there are some reports worldwide on some very rare incidents in which patients suffer from infection, obsess, nerve damage, pneumothorax (puncture to the lungs), etc by acupuncture. All these incidents were caused by under qualified or careless practitioners. Therefore, in order to avoid such risk, it is crucial for you to make sure that you acupuncturist is well qualified and experienced, and very responsible.
top
7. Is there any risk of cross infection from acupuncture?
A: The acupuncture needles are always pre-sterilised, disposable and for single use only and then disposed of safely in order to eliminate any possibility of getting AIDS, hepatitis or other infectious diseases. It is guaranteed that you will not get any cross infection from our acupuncture treatment.
top
8. Can I donate blood after having acupuncture treatment?

A: ATCM’s Code of Practice Section 6 states:

The following equipment, all of which must be CE-marked and conform with current Medical Devices Agency legislation and EEC Directive 93/42/EC, must be used for safe and hygienic practice:

a. single-use pre-sterilised disposable solid needles (reusable needles are not acceptable)
b. guide-tubes which, if used, must be pre-sterilised, come packaged with each individual needle or set of needles, and must not be used or stored for use beyond the treatment session in which the seal on the package has been broken
c. plum blossom needles (‘Seven Star Hammers’) which, whether plastic or stainless steel, must be pre-sterilised and single-use only
d. glass cups which have been properly washed and stored
e. single-use paper tissues, paper towels, and couch roll
f. disinfectants, including pre-packed 70% isopropyl alcohol swabs
g. sterile cotton wool and non-sterile cotton wool/buds
h. sharps box conforming to BS 7320:1990 and clearly marked 'Danger - Contaminated Needles - To Be Incinerated' adjacent to the treatment surface and placed at a convenient height on a stable surface
i. a First Aid kit complying with current Health and Safety (First Aid) Regulations containing a sufficient supply of suitable bandages, dressings, antiseptic creams and plasters
j. disposable surgical gloves.


As ATCM members, we always comply with these rules while practising acupuncture so as to avoid any possibility of cross infection. However, as acupuncture profession is not statutorily regulated yet, National Blood Services require a six months deferral for our patients to give blood after they have acupuncture treatment from us.

top
9. How can I know whether Chinese herbal medicine works for me?

A: Although Chinese herbal medicine is effective to treat many different illnesses, some patients or some illnesses respond to the treatment better than others. So before you try, it is difficult for you to know if Chinese herbal medicine is good for you or not. If in any doubt, ask your practitioner first.

top
10. Is Chinese herbal medicine safe?

A: Generally speaking, Chinese herbal medicine (CHM) is very safe, especially when it is prescribed by a qualified TCM practitioner.  Undeniably there are some toxic herbs that have been used in CHM for many centuries. They were mostly used to treat some very serious and then otherwise untreatable diseases such as cancer, tuberculosis, etc, this is so-called “Use toxic to treat toxic”. Nowadays with new development in medicine such as chemotherapy and antibiotics being widely available, those toxic herbs are no longer commonly used in TCM at all. In our clinic, safety is always No 1 priority so we do not use any toxic herbs. All the herbs in our clinic are safe. This is guaranteed.

top
11. Are there any minerals or animal products in Chinese herbal medicine?

A: Strictly speaking, Chinese herbal medicine should be called Chinese materia medica, as indeed a small amount of minerals and animal parts are used in Chinese “herbal” medicine. According to Medicines Act (1968), only botanic sourced “herbs” are exempt from licensing and can be legally used without prescription in the UK, therefore in our clinic, we do not use any minerals or animal parts, except 2-3 kinds of seashells.

British government has been working on the reform of Medicines Act (1968) since 2002. In the foreseeable future, those effective and non-toxic minerals and animal products (non-endangered species) will be legalized for clinical use by statutorily registered TCM practitioners.

top
12. How about endangered species?

A: In the long history of TCM, some endangered species were used in Chinese “herbal” medicines. Chinese government in 1980s banned some endangered species for medical use, such as tiger bone, rhino horn. However, this has not completely stopped some money-driven criminals to manufacture and sell TCM products containing these species. And as unfortunately as this, due to the difference in culture and legal system, some endangered species defined in CITES , Convention of International Trade of Endangered Species, are still legally used in TCM in nowadays China.

As a TCM clinic based and operating in the UK, we fully obey the British and European Union law and respect British culture. We promise that no any endangered species are used in any forms of Chinese herbal medicine and its products in our clinic.

top
13. How is a consultation carried out in TCM practice?

A: The practitioner usually starts consultation with a patient by asking questions to obtain information on patient’s main complaint, present symptoms, medical history, etc., followed by other TCM diagnostic procedure such as pulse taking and tongue diagnosis. Sometimes a physical examination is necessary. Based on all these clinical data collected, the practitioner will recommend what treatment as the best, acupuncture, Chinese herbal medicine or tuina, or any combination. Then the patient should make their own decision on which treatment to have.

top
14. How is a Chinese herbal medicine prescription constructed by a practitioner?

A: In the initial consultation, the practitioner needs to collect the overall clinical manifestations a patient has, the patient's gender, age, and body constitution, etc. Then the practitioner is able to analyse all the information and determine the nature and state of illness. This of course requires adequate TCM knowledge as guidelines as delineated in TCM classical texts, as well as personal clinical experience, in order to form a TCM diagnosis of syndrome pattern(s). Based on such syndrome diagnosis, a treatment principle can be set up to provide a guideline for choosing or creating a herbal prescription. Such a prescription normally contains 8-15 different herbs- roots, stalks, leaves, flowers or seeds, and the daily dosage for each herb is on average 3-15 grams.

In the follow up consultation (usually once a week), patient’s condition and response to the treatment will be checked periodically   and the herbal mixture modified to the patient’s needs by adding or deleting various herbs, or manipulating the dosages of the compounds to fit the precise disharmony.

top
15. How should I prepare the herbal decoction?

A: You need to boil the herbs twice to make herbal decoction. On your first visit, you will be given the written instructions to tell you how to boil the herbs and you just follow the instructions. At the beginning, you may find it is rather time-consuming to do the boiling. Once you get the routine, you will know it is ease and straightforward.

top
16. Are there any types of prepared Chinese herbal medicine available?
A: Yes, there are many types of prepared Chinese herbal medicine available in the form of tablet, ointment, powder, oral liquid, etc. An alternative to raw herbs is concentrated herb powders which you can take straightaway without making decoction. Other forms of prepared CHMs such as tablets, pills etc are very convenient to take. But as they are not as powerful as herbal decoctions, they are more suitable for minor conditions and available over the counter.
top
17. What is CHM used to treat?
A: Many conditions apart from those requiring immediate western medicine intervention and serious degenerative diseases, although in which case CHM can still be used to subsidize and complement conventional treatment and enhance the patient's quality of life. TCM practitioners tend to treat more chronic ailments for which there is no conventional cure, such as migraine, chronic muscle and joint pain, asthma & allergies, IBS and other digestive system problems, PMS and menopausal issues and other gynecological problems, but the therapy can also be used to treat some acute conditions such as flu and colds and other viral or bacterial infections.
top
18. How long do I need to take CHM for?
A: This depends on how long you’ve had the problem, how ‘deep’ or serious the problem is, and your age and body constitution. A muscle problem such as tennis elbow may only need one or two sessions but if it’s been with you for months it will be harder to tackle because more muscles will probably become involved. An illness such as ME or rheumatoid arthritis will require long term treatment because many different aspects of the body’s structure and/or function have become involved - the illness is much more complex.
top
19. Who can take Chinese medicine?
A: Chinese Herbs can be taken by all age groups from young children to the elderly. However, you must notify your practitioner if you also take other medicines, suffer from allergies or other conditions, or if you are pregnant, as this may affect your treatment and herbal prescription may need to be modified accordingly.
top
20. How long and in what form will I take the herbal medicine?
A: Traditionally, Chinese Herbs are made up into tea or decoction. This involves boiling the herbs in water by patients themselves. you will be given detailed instructions on the method of preparation. Other forms, such as capsules, herbal powders, concentrated extracts and pills/tablets are also prescribed. A typical course of Chinese herbal medicine treatment would involve taking a herbal formula daily for several weeks to several months, depending on the nature and severity of the disease and patient’s body condition. The patient will be monitored regularly to ensure that the formula is effective and modified in order to best suit the case and achieve possible best effect.
top
21. Should I continue with my prescribed medication while undergoing a course of Chinese herbal medicine or acupuncture treatment?

A: Yes. Many people seek help from Chinese herbal medicine or acupuncture because of their dissatisfaction with drug treatment, either it does not seem to be working as effectively or it causes side effects. However, the medications prescribed by your GP could be crucial to your health, so you should NOT stop taking any medications without consulting your GP.

As TCM practitioners, we are not in the position to interfere with any treatments you receive from your GP or hospital specialist. Therefore, before, during and after your CHM or acupuncture treatment from us, we are not able to provide any advice on your conventional treatments from your GP.

top
22. Is there any interaction between Chinese herbal medicine and conventional drugs?

A: Chinese herbal medicine has been widely used alongside western drugs in China since western medicine was introduced into China in 19th century. Tens of millions of patients take CHM and western drugs together for their medical conditions every year and, generally speaking, it is very safe to take both together. We recommend that you should continue your medications from your doctor after you start herbal treatment from us, but you had better not take CHM and western drugs at the same time. A time gap of at least half an hour is advisable.

In recent years, Some research reports have suggested the interaction between certain CHMs and a very few groups of western drugs which can cause damage to the patients. These drugs are xxx. If you are on any of these drugs, you must let us know so we should avoid certain herbs.

top
23. What happens if I'm unhappy with the standard of treatment I've received from my practitioner and want to make a complaint?
A: If that is the case, you should speak or write to us in the first instance and we will do our best to help you. If you are still not happy and want to bring the matter further, you should write to our association, the Association of Traditional Chinese Medicine (UK) to make a formal complaint. The Professional Conduct Committee of the association will deal with your complaint.
top
Copyright © Acuherbs Chinese Medicine Centre. All rights reserved.