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Distribution of licensed acupuncturists and educational institutions in the United States at the start of 2023,during the late stage of the COVID-19 pandemic

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Journal of Integrative Medicine 2024年第4期22卷 379-384页

作者： Arthur Yin Fan De-guang He Anu Sangraula sarah faggert al.mi Amy Matecki American Traditional Chinese Medicine Association ViennaVA 22182USA McLean Center for Complementary and alternative Medicine ViennaVA 22182USA New England School of Acupuncture Massachusetts College of Pharmacy and Health SciencesBostonMA 02115USA Lombardi Comprehensive Cancer Center Cancer Prevention and Control ProgramGeorgetown UniversityWashington DC 20057USA Eastern Roots Wellness PLCMcLeanVA 22101USA Sutter Health Alta Bates Summit Medical CenterOaklandCA 94609USA

This study was conducted to identify the number and density of active licensed acupuncturists(LAcs),as well as the number of accredited schools in acupuncture and Oriental medicine(AOM),as of January 1,2023,in the United States(U.S.).The number of active LAcs as of January 1,2023 was 34,524,potentially33,364 after removing license duplication in multiple states,among which the largest three states were California(with 7317 LAcs[21.19%of the total]),New York(5024[14.55%])and Florida(2644[7.66%]).The total number of LAcs decreased by 8.87%from 2018,and fell short of our projected number of LAcs in 2023 by 9037,or 20.75%.The overall LAc density in the *** as the number of LAcs per 100,000 populationDwas 10.36,less than in *** were 56 active,accredited AOM schools which offered a total of 147 programs(121 at the level necessary for licensing[entry-level],12 for an advanced practicing degree[advanced-level],and 14 for certifications).Broken down further,offerings included 50 master's degrees in acupuncture,40 master's degrees in Oriental medicine,31 entry-level doctorate degrees(10 in acupuncture and 21 in acupuncture plus Chinese herbal medicine),and 12advanced-level doctorate degrees in *** certification programs included one in East-Asian Medical Bodywork and 13 in *** these schools in 2023,institutions in the West and East Coast states comprised 67.86%(decreased from 77.42%in 2018)of the national ***,Florida and Illinois represented 39.29%.There were 48 jurisdictions with acupuncture practice laws in *** data suggests that the acupuncture profession in the *** been significantly impacted during the coronavirus disease 2019 pandemic.

关键词： Acupuncturist Acupuncture educational institution Distribution Density Oriental medicine United States

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Distribution of licensed acupuncturists and educational institutions in the United States in early 2015

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Journal of Integrative Medicine 2018年第1期16卷 1-5页

作者： Arthur Yin Fan sarah faggert McLean Center for Complementary and alternative Medicine PLC Vienna VA 22182 USA American Traditional Chinese Medicine Association Vienna VA 22182 USA

In recent decades, acupuncture has been used more widely and extensively in the United States （U.S.）. However, there have been no national surveys or analyses reported in academic journals on the number of practicing or licensed acupuncturists, This study was conducted to identify the approximate number of licensed acupuncturists active in 2015. The Board of Acupuncture or Board of Medicine in each state or U.S. territory was contacted to collect data, Online license information searching was also performed in order to get accurate numbers of licensed acupuncturists for those states in which a board was unable to be contacted. The study found that the number of licensed acupuncturists in 2015 in the U,S, was 34,481. Of this, more than 50% were licensed in three states alone： California （32.39%）, New York （11,89%） and Florida （7.06%）. The number of licensed acupuncturists increased 23.30% and 52.09%, compared to the year 2009 （n = 27,965） and 2004 （n = 22,671）, respectively; increasing about 1,266 per year. There were 62 and 10 accredited acupuncture institutions providing master and doctoral degrees, respectively. The West Coast comprised 51.39% of degree granting programs, while the East Coast comprised 29.17%; together the coastal states housed more than 80% of all programs, with the remainder sprinkled across the southern （9.72%）, northern （8.33%）, and the middle/central states （1.39%）. Forty-four states and the District of Columbia regulated acupuncture practice by law at the time of data collection. Acupuncture continues to be a quickly growing profession in the U.S,

关键词： Acupuncturist Acupuncture educational institution Acupuncture regulation Oriental medicine United States

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Long-term outcomes of titanium-nitride-oxide coated stents and drug-eluting stents in acute coronary syndrome:A systematic review and meta-analysis

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World Journal of Cardiology 2024年第5期16卷 293-305页

作者： Muhammad Ahmed ali Fahim Afia Salman Hira Anas Khan Syed Muhammad Hasan Muskan FatimaBhojani sarah Aslam Amna Zia Ul Haq Vishal Reddy Bejugam Beena Muntaha Nasir Wajiha Gul Abdul Moeed Abdelrahman S Abdalla Muhammad Majid Muhammad Sohaib Asghar Md al Hasibuzzaman Department of Internal Medicine Dow University of Health SciencesKarachi 74200Pakistan Department of Internal Medicine North Central Bronx HospitalBronxNY 10467United States Department of Urology Center for Academic MedicineStanford University School of MedicinePalo AltoCA 33872United States Department of Cardiovascular Imaging Cleveland ClinicClevelandOH 44195United States Division of Nephrology and Hypertension Mayo Clinic RochesterRochesterMN 55905United States Institute of Nutrition and Food Science University of DhakaDhaka 1000Bangladesh

BACKGROUND In severe cases of coronary artery disease,percutaneous coronary intervention provide promising *** stent used could be a drug-eluting stent(DES)or a titanium-nitride-oxide coated stent(TiNOS).AIM To compare the 5-year effectiveness and safety of the two stent *** The following systematic review and meta-analysis was conducted in accordance with the preferred reporting items for systematic reviews and meta-analysis guidelines,and PubMed/MEDLINE,Scopus,and Cochrane Central were searched from inception till August *** outcomes were major adverse cardiac events(MACE),cardiac death,myocardial infarction(mi),cardiac death or mi,and ischemia-driven total lesion revascularization(ID-TLR).RESULTS Four randomized controlled trials(RCT),which analyzed a sum total of 3045 patients with acute coronary syndrome(ACS)after a median follow-up time of 5 years were *** statistically insignificant,an increase in the ID-TLR was observed in patients receiving TiNOSs vs *** addition,mi,cardiac death and mi,and definite stent thrombosis(DST)were significantly decreased in the TiNOS *** analysis revealed no significant results with meta-regression presenting non-ST elevated mi(NSTEmi)as a statistically significant covariate in the outcome of *** TiNOS was found to be superior to DES in terms of mi,cardiac death or mi,and DST outcomes,however,the effect of the two stent types on ID-TLR and MACE was not significant.A greater number of studies are required to establish an accurate comparison of patient outcomes in TiNOS and DES.

关键词： Stents Drug-eluting Major adverse cardiac events all-cause death Meta-analysis

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Dr. Gene Bruno: The beginning of the acupuncture profession in the United States(1969–1979) — acupuncture, medical acupuncture and animal acupuncture

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Journal of Integrative Medicine 2015年第5期13卷 281-288页

作者： Arthur Yin Fan sarah faggert McLean Center for Complementary and alternative Medicine PLC. Vienna VA 22182 USA

Acupuncture was practiced by both Western medical doctorst and Chinese medicine doctorst in the United States （U.S.） in the 19th century; however, after 1910, it seems that people seldom heard about it until it was re-introduced during the 1960s-1970s. Acupuncture legislation, acupuncture practice and the start of acupuncture education were some of the events that marked the re-introduction of acupuncture in the U.S..

关键词： acupuncture United States history Of medicine Gim Shek Ju Tin Yau So Gene Bruno Animal Acupuncture

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Chinese herbal medicine for COVID-19: Current evidence with systematic review and meta-analysis

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Journal of Integrative Medicine 2020年第5期18卷 385-394页

作者： Arthur Yin Fan Sherman Gu sarah faggert al.mi Research Group for Evidence-based Chinese Medicine American ICM Association(ATCMA).Vienna VA 22182USA McLean Center for Complementary and alternative Medicine PLCViennVA 22182.USA Federation of Chinese Medicine 8 Acupuncture Societies of Australia(FCMA) Victoria 3011Australia Knox Chinese Healing 8 Myotherapy Wantima SouthVictoria 3152Australia East Roots Wellness PLCMcleanVA 22101USA

Background: There is currently no drug or therapy that cures COVID-19, a highly contagious and life-threatening ***: This systematic review and meta-analysis summarized contemporary studies that report the use of Chinese herbal medicine(CHM) to treat *** strategy: Six electronic databases(PubMed/MEDLINE, Cochrane Library, ScienceDirect, Google Scholar, Wanfang Data and China National Knowledge Infrastructure) were searched from their beginning to May 15, 2020 with the following search terms: traditional Chinese medicine, Chinese medicine,Chinese herbal medicine, COVID-19, new coronavirus pneumonia, SARS-CoV-2, and randomized controlled *** criteria: Randomized controlled trials(RCTs) from peer-reviewed journals and non-reviewed publications were included. Further, included RCTs had a control group that was given standard care(SC;such as conventional Western medicine treatments or routine medical care), and a treatment group that was given SC plus *** extraction and analysis: Two evaluators screened and collected literature independently;information on participants, study design, interventions, follow-up and adverse events were extracted, and risk of bias was assessed. The primary outcomes included scores that represented changes in symptoms and signs over the course of treatment. Secondary outcomes included the level of inflammatory markers, improvement of pneumonia confirmed by computed tomography(CT), and adverse events. Dichotomous data were expressed as risk ratio or hazard ratio with 95% confidence interval(CI);where time-to-event analysis was used, outcomes were expressed as odds ratio with 95% CI. Continuous data were expressed as difference in means(MD) with 95% CI, and standardized mean difference(SMD) was used when different outcome scales were ***: Seven original studies, comprising a total of 732 adults, were included in this *** to SC alone, CHM plus SC had a superior effect on the

关键词： Chinese herbal medicine Traditional Chinese medicine COVID-19 SARS-CoV-2 Systematic review Meta-analysis

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Decoding an Old 1907 Prescription of *** Hay(“Doc Hay”):One of the Earliest Chinese Medicine Doctors in the United States

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Chinese Medicine and Culture 2020年第4期3卷 232-240页

作者： Arthur Yin Fan Louis Lei Jin Boling Huang mingxia Yu Xiaoyin Zhao sarah faggert alem American TCM Association McLean Center for Complementary and alternative Medicine PLCVienna International Institute of Systems Medicine Inc.MilwaukeeWI 53222USA Nanjing Institute of Chinese Medicine Nanjing University of Chinese Medicine the Third HospitalNanjingChina Eastern Roots Wellness PLCMcLeanVA 22101

Objectives:Chinese medicine doctors have practiced in the United States since April of 1854,the world's first Chinese medicine doctor's memorial is Kam Wah Chung Museum in John Day,Oregon,U.S.,to commemorate *** Hay(“Doc Hay”伍于念)and his business partner Lung On(梁光荣).There were few studies to explore Doc Hay's real practice and prescription,while most of papers focused on Doc Hay's legend *** paper aims to analyze and interpret one of the intriguing herbal prescriptions that Doc Hay had *** and Methods:*** Yin Fan made an academic travel to Kam Wah Chung museum on August 5,2018 and examined the books and hand-written prescriptions of Doc Hay,which were not exhibited to the public at that *** paper analyzes and interprets one of herbal prescriptions that Doc Hay had hand-written in *** process included four steps:(1):Transform Doc Hay's hand-written prescription(with original herb names)to standard herb names in Chinese.(2):Induct and rearrange the herb name into groups based on herb property characteristics and then translate them into both PinYin names and English *** of the prescription may include in what classic formula(s)routinely introduced in Chinese medicine textbooks.(3):Analyze the herbal action for each group and potential symptoms or conditions the patient may have *** analysis of classic formula(s)used in the prescription may represent what clinical condition was being treated at that time.(4):Combine the analysis to give a comprehensive picture of the ***:The prescription consists of 67 herbs,total 934.6 grams,and including Yin Qiao Powder(银翘散),Sang Ju Decoction(桑菊饮),Zhi Sou Powder(止嗽散),Qing Ying Decoction(清营汤),Xi Jiao Di Huang Decoction(犀角地黄汤),Long Dan Xie Gan Decoction(龙胆泻肝汤)and Chai Hu Shu Gan Powder(柴胡疏肝散).Speculation indicated that the prescription was for a patient who had obvious pulmonary infection accompanied by severe cough,and probably had prolonged pulmonary

关键词： Prescription composition Ing Hay(伍于念) Kam Wah Chung(金华昌) epidemic disease Spanish flu COVID-19

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Discussions on real-world acupuncture treatments for chroni clow-back pain in older adults

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Journal of Integrative Medicine 2019年第2期17卷 71-76页

作者： Arthur Yin Fan Hui Ouyang Xinru Qian Hui Wei David Dehui Wang Deguang He Haihe Tian Changzhen Gong Amy Matecki sarah faggert al.mi American TCM Association (ATCMA) McLean Center for Complementary and alternative Medicine PLC YIN & YANG Healthcare Rusk Rehabilitation at NYU Langone Health Wei’s Chinese Medical Center Ohio State Integrative Medicine Wexner Medical Center Ohio State University New England School of Acupuncture Chinese Acupuncture and Herbs Center American Academy of Acupuncture & Oriental Medicine Division of Integrative Medicine Alameda Health System Affiliated with School of Medicine University of California San Francisco Eastern Roots Wellness PLC

Chronic low-back pain(CLBP) is one of the most common pain conditions. Current clinical guidelines for low-back pain recommend acupuncture for CLBP. However, there are very few high-quality acupuncture studies on CLBP in older adults. Clinical acupuncture experts in the American Traditional Chinese Medicine Association(ATCMA) were interested in the recent grant on CLBP research announced by the National Center for Complementary and Integrative Health. The ATCMA experts held an online discussion on the subject of real-world acupuncture treatments for CLBP in older adults. Seven participants, each with more than 20 years of acupuncture practice, discussed their own unique clinical experience while another participant talked about the potential mechanism of acupuncture in pain management. As a result of the discussion, a picture of a similar treatment strategy emerged across the participants for CLBP in older adults. This discussion shows that acupuncture may have complicated mechanisms in pain management, yet it is effective for the treatment of chronic pain involving maladaptive neuroplasticity;therefore, it should be effective for CLBP in older adults.

关键词： Acupuncture Pragmatic clinical trials as topic Real world Treatment strategies Low-back pain Older adults Discussion

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Discussion about the training or education for“dry needling practice”

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World Journal of Acupuncture-Moxibustion 2016年第2期26卷 6-10页

作者：樊蓥蒋见元 faggert sarah 徐俊美京中医中心美国弗吉尼亚维也纳22182 加利福利亚奥汗博拉医科大学康州格林威治康复医学与针灸中心

Dry needling is one style of acupuncture, therefore, practitioners of dry needling should abide by laws of the Food and Drug Administration （FDA） and acupuncture boards in the U.S.. along with following the laws of practice should be included basic acupuncture education requirements. The education or training requirements regarding regulations for practicing acupuncture among different professionals in the U.S. were investigated for this article. The facts are, in the U.S., licensed acupuncturists are required to attain a minimal of 1 905 educational or training hours via an accredited （such as the Accreditation Commission for Acupuncture and Oriental Medicine, ACAOM） school or program before they apply for a license. The physician or medical acupuncturists are required to get a minimum of 300 educational hours in a board （American Board of Medical Acupuncture, ABMA） approved acupuncture training institution and have 500 cases of clinical acupuncture treatments to get certified in medical acupuncture. Some physical therapists （PTs） receive only 20-30 hours of acupuncture training in the form of dry needling in weekend continuing education classes and want to be able to practice acupuncture. For the sake of public safety, they should get a formal education in an accredited acupuncture school or program.

关键词： acupuncture dry needling physical therapy legal scope education

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Acupuncture price in forty-one metropolitan regions in the United States: An out-of-pocket cost analysis based on Ok ***

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Journal of Integrative Medicine 2019年第5期17卷 315-320页

作者： Arthur Yin Fan David Dehui Wang Hui Ouyang Haihe Tian Hui Wei Deguang He Changzhen Gong Jipu Wen ming Jin Chong He sarah faggert al.mi Sudaba Rahimi Acupuncture Profession Survey Project American Traditional Chinese Medicine AssociationViennaVA 22182USA Tongrentang ming Qi Clinic New YorkNY 10016USA Oriental Asclepius LLCPlantationFL 33317USA Eastern Roots Wellness PLCMcLeanVA 22101USA McLean Center for Complementary and alternative Medicine PIC.ViennaVA 22182USA Ohio State Integrative Medicine Wexner Medical CenterOhio State UniversityColumbusOH 43221USA YIN & YANG Healthcare FriendswoodTX 77546USA Chinese Acupuncture and Herbs Center LargoFI 33778USA Wei's Chinese Medical Center Lake WorthFL 33467USA New England School of Acupuncture NewtonMA 02458USA American Academy of Acupuncture Oriental Medicine RosevilleMN 55113USA TCMzone TempeAZ 85281USA

Few studies have focused on the cost of acupuncture treatments although acupuncture has become popular in the United States(U.S.). The purpose of the current study was to examine the out-of-pocket costs incurred from acupuncture services based on an online website, Ok ***. We examined descriptive statistics(range, median and 20% intervals) for the cost of acupuncture "first-time visits"and "follow-up visits" in 41 metropolitan regions in the U.S. The acupuncture prices of 723 clinics throughout 39 metropolitan regions were included, except for Birmingham, alabama and Detroit, michigan as there was no online data available at the time of the study for these two regions. The cost range for a first-time acupuncture visit was $15–400;the highest median was $150 in Charleston, South Carolina,while the lowest was $45 in St. Louis, missouri. The top 10 cities for the highest median were:Baltimore, Washington, D.C., New York, San Francisco, San Jose, Boston, Atlanta, Seattle, Portland and Indianapolis, with the median $120, while the median for all 723 clinics was $112. For the follow-up visits,the cost range was $15–300;the highest median was $108 in Charleston, South Carolina, and the lowest$40 in miami, Florida. The 10 cities with highest median follow-up acupuncture visit costs were: New York, Baltimore, New Orleans, Washington, D.C., Philadelphia, San Francisco, San Jose, Seattle, Boston and Atlanta, with the median $85, while for all 723 clinics the median price was $80. The estimation of the average gross annual income of each acupuncturist from the regions studied was $95,760, while the total annual cost of patients seeking acupuncture services in the U.S. was about $3.5 billion in 2018.

关键词： Acupuncture Price Out-of-pocket cost Annual cost City, United States

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Acupuncture's Role in Solving the Opioid Epidemic: Evidence, Cost-Effectiveness, and Care Availability for Acupuncture as a Primary, Non-Pharmacologic Method for Pain Relief and Management-White Paper 2017

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Journal of Integrative Medicine 2017年第6期15卷 411-425页

作者： arthur yin fan david w.miller bonnie bolash matthew bauer john mcdonald sarah faggert hongjian he yong ming li amy matecki lindy camardella mel hopper koppelman jennifer a.m.stone lindsay meade john pang the american tcm association ViennaVA 22182USA the american society of acupuncturists ChicagoIL 60618USA the joint acupuncture opioid task force La VerneCA 91750USA pacific college of oriental medicine ChicagoIL 60601USA the acupuncture now foundation CA 91750USA the acupuncture evidence project ProvidenceRI 02860USA the acupuncture society of virginia ViennaVA 22182USA the national federation of chinese tcm organizations New YorkNY 11501USA the american alliance for professional acupuncture safety GreenwichCT 06878USA the american traditional chinese medicine society New YorkNY 11501USA highland hospital alameda health systemOaklandCA 94602USA indiana university school of medicine IndianapolisIN 46202USA university of california san diego school of medicineSan DiegoCA 92093USA

The United States （U.S.） is facing a national opioid epidemic, and medical systems are in need of non- pharmacologic strategies that can be employed to decrease the public＇s opioid dependence. Acupuncture has emerged as a powerful, evidence-based, safe, cost-effective, and available treatment modality suitable to meeting this need. Acupuncture has been shown to be effective for the management of numerous types of pain conditions, and mechanisms of action for acupuncture have been described and are understandable from biomedical, physiologic perspectives. Further, acupuncture＇s cost-effectiveness can dramatically decrease health care expenditures, both from the standpoint of treating acute pain and through avoiding addiction to opioids that requires costly care, destroys quality of life, and can lead to fatal overdose. Numerous federal regulatory agencies have advised or mandated that healthcare systems and providers offer non-pharmacologic treatment options for pain. Acupuncture stands out as the most evidence-based, immediately available choice to fulfil these calls. Acupuncture can safely, easily, and cost-effectively be incorporated into hospital settings as diverse as the emergency department, labor and delivery suites, andneonatal intensive care units to treat a variety of commonly seen pain conditions. Acupuncture is already being successfully and meaningfully utilized by the Veterans Administration and various branches of the U.S. military, in some studies demonstrably decreasing the volume of opioids prescribed when included in care.

关键词： acupuncture opioid epidemic pain opiate dependency effectiveness safety cost-effectiveness mechanism United States

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