Reinventing Acupuncture (2nd Edition)
A new concept of ancient medicineI reviewed the previous edition of this book, published in 1993, as follows:
His early books on acupuncture were based on the traditional ideas, being written before he revised his opinions. This one reflects his present position and is therefore non-traditional, not to say iconoclastic. Acupuncture points in the traditional sense, he says, do not exist, and nor do 'meridians' (channels). Also, Mann has introduced some ideas that do not form part of the traditional system, such as the use of periosteal needling and the concept of 'strong reactors'—people who are particularly sensitive to the effects of acupuncture. As he acknowledges, many acupuncturists disagree with his ideas, but he is unrepentant. Generally, he insists, effective needling sites are not 'points' but rather areas varying in size. In certain patients it makes little difference where the needle is placed, so that anywhere in the body will do; in others anywhere in a particular limb works, or else segmental treatment will be the answer (dermatome, myotome, sclerotome). Some modern acupuncturists regard acupuncture points as identical with trigger points. Mann does use trigger points but he does not regard them as the whole basis of acupuncture. He points out that some areas, such as his favourite Liver 3 in the foot, are seldom tender (which trigger points are, by definition), yet they are extremely effective.
The new edition contains two new chapters, including a useful discussion of the best intervals to leave between treatments and when to re-treat. The biggest innovation, however, is the description of what Mann calls Hyper-Strong Reactors. Mann originally introduced the idea of Strong Reactors (patients who respond unusually strongly to acupuncture and who generally do well), and this is now widely accepted among practitioners of modern acupuncture, but now he has taken the notion further by identifying a subgroup who respond even more strongly. Such patients, he holds, need to be treated correspondingly gently; indeed, they may require what he calls Hyper-Micro-Acupuncture, in which the surface of the skin is just touched or pricked very lightly with the tip of the needle. This may sound like absurdly minimalist treatment, but in fact a number of modern acupuncturists, myself included, have been independently moving in the direction of doing less and less. There are undoubtedly some patients who will respond only to very gentle needling. At the same time, one does wonder how far the trend can be taken before it ceases to be a treatment at all.
This book remains one of the best textbooks of acupuncture for acupuncturists who follow the modern (non-traditional) approach.
Book review by Anthony Campbell. Copyright © Anthony Campbell (1999).
%T Reinventing Acupuncture
%S A new concept of ancient medicine
%A Mann, Felix
%G ISBN 0-6-4857-0
%P xii + 208 pp
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