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	<title>LondonShiatsu</title>
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	<link>http://londonshiatsu.com</link>
	<description>Just around the corner when you&#039;re just around the bend</description>
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		<title>Our Move and Summer 2010 Schedule</title>
		<link>http://londonshiatsu.com/2735/announcing-our-move-and-summer-2010-schedule/</link>
		<comments>http://londonshiatsu.com/2735/announcing-our-move-and-summer-2010-schedule/#comments</comments>
		<pubDate>Fri, 06 Aug 2010 14:15:47 +0000</pubDate>
		<dc:creator>healer</dc:creator>
				<category><![CDATA[Featured Articles]]></category>
		<category><![CDATA[Shiatsu Massage]]></category>

		<guid isPermaLink="false">http://londonshiatsu.com/?p=2735</guid>
		<description><![CDATA[LondonShiatsu moved to  a new home from 18th June in an artist’s community in North London. At present the new space will for current clients and old friends. It&#8217;s a great space for shiatsu so come on by soon Sessions will be evenings and weekends only. Home visits and site visits weekends only London Shiatsu <a href='http://londonshiatsu.com/2735/announcing-our-move-and-summer-2010-schedule/'>[...]</a>


No related posts.]]></description>
			<content:encoded><![CDATA[<div class="announcement_post"><p><strong>LondonShiatsu moved to  a new home from 18th June in an artist’s community in North London.</strong></p>
<p><strong>At present the new space will for current clients and old friends. </strong></p>
<p><strong>It&#8217;s a great space for shiatsu so come on by soon</strong></p>
<p><strong>Sessions will be evenings and weekends only.</strong></p>
<p><strong> Home visits and site visits weekends only </strong></p>
<p><strong>London Shiatsu<br />
</strong></p>
</div>


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		<title>Can Shiatsu help with..? Yes!</title>
		<link>http://londonshiatsu.com/140/can-shiatsu-help-with/</link>
		<comments>http://londonshiatsu.com/140/can-shiatsu-help-with/#comments</comments>
		<pubDate>Sat, 12 Jun 2010 00:14:36 +0000</pubDate>
		<dc:creator>healer</dc:creator>
				<category><![CDATA[Featured Articles]]></category>
		<category><![CDATA[Holistic Health Tips]]></category>
		<category><![CDATA[Shiatsu Massage]]></category>
		<category><![CDATA[sciatica]]></category>
		<category><![CDATA[Sciatica Pain]]></category>
		<category><![CDATA[Shiatsu Massage Therapist]]></category>
		<category><![CDATA[Shiatsu Session]]></category>
		<category><![CDATA[Shoulder Pain]]></category>

		<guid isPermaLink="false">http://thelasthealer.wordpress.com/?p=140</guid>
		<description><![CDATA[Some basic reports by the Shiatsu Society here in the U.K. Basic but informative. To find out if shiatsu can help you contact LondonShiatsu or call 07799746429 for a free consultation. Can Shiatsu help with &#8230;.. The documents below contain any information, research or case studies on Shiatsu and a particular condition. Shiatsu &#38; AIDS <a href='http://londonshiatsu.com/140/can-shiatsu-help-with/'>[...]</a>


Related posts:<ol><li><a href='http://londonshiatsu.com/744/university-of-ulster-news-release-acupuncture-good-for-lower-back-pain-ulster-research/' rel='bookmark' title='Permanent Link: Acupuncture Good For Lower Back Pain &#8211; University Of Ulster'>Acupuncture Good For Lower Back Pain &#8211; University Of Ulster</a> <small>Acupuncture Good For Lower Back Pain &#8211; Ulster Research 19th...</small></li>
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<li><a href='http://londonshiatsu.com/2579/shiatsu-and-pain-management-a-study/' rel='bookmark' title='Permanent Link: Shiatsu and Pain Management &#8211; A Study'>Shiatsu and Pain Management &#8211; A Study</a> <small>Shiatsu and Pain Management...</small></li>
</ol>]]></description>
			<content:encoded><![CDATA[<h4>Some basic reports by the Shiatsu Society here in the U.K.</h4>
<p>Basic but informative.</p>
<p><strong>To find out if shiatsu can help you contact <a href="http://londonshiatsu.com" target="_self">LondonShiatsu </a></strong><strong>or call 07799746429 for a free consultation.</strong></p>
<p><strong>Can Shiatsu help with &#8230;..</strong></p>
<p>The documents below contain any information, research or case studies on Shiatsu and a particular condition.</p>
<p><a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20AIDS%20&amp;%20HIV.pdf">Shiatsu &amp; AIDS /HIV </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Alzheimers.pdf">Shiatsu &amp; Alzheimer&#8217;s</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Arthritis.pdf">Shiatsu &amp; Arthritis</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Asthma.pdf">Shiatsu &amp; Asthma </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Back%20Problems.pdf">Shiatsu &amp; Back Problems</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Cancer.pdf">Shiatsu &amp; Cancer </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Carers.pdf">Shiatsu &amp; Carers </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Chronic%20Obstruct%20Pulmonary%20Dis.pdf">Shiatsu &amp; Chronic Obstruct Pulmonary Disease </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Depression.pdf">Shiatsu &amp; Depression</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Digestive%20Problems.pdf">Shiatsu &amp; Digestive Problems</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Drug%20&amp;%20Substance%20&amp;%20Alcohol%20Abuse.pdf">Shiatsu &amp; Drug / Substance / Alcohol Abuse / Hepatitis C </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Headaches-%20Migraines.pdf">Shiatsu &amp; Headaches / Migraines </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Heart%20Problems.pdf">Shiatsu &amp; Heart Problems </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Hysterectomy.pdf">Shiatsu &amp; Hysterectomy</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20IBS%20Bowel%20Problems.pdf">Shiatsu &amp; IBS / Bowel Problems</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Insomnia.pdf">Shiatsu &amp; Insomnia </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Joint%20Problems.pdf">Shiatsu &amp; Joint Problems</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Knee%20Problems.pdf">Shiatsu &amp; Knee Problems</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Low%20Energy.pdf">Shiatsu &amp; Low Energy </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20M.E..pdf">Shiatsu &amp; M.E.</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Menstrual%20Problems.pdf">Shiatsu &amp; Menstrual Problems</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Mental%20Health.pdf">Shiatsu &amp; Mental Health </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Multiple%20Sclerosis.pdf">Shiatsu &amp; Mulitple Sclerosis </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Musculoskeletal%20Problems.pdf">Shiatsu &amp; Musculoskeletal  Problems </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Neck%20Pain.pdf">Shiatsu &amp; Neck Pain </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Pain%20Management.pdf">Shiatsu &amp; Pain Management </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Palliative%20Care.pdf">Shiatsu &amp; Pallative Care</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Panic%20Attacks.pdf">Shiatsu &amp; Panic Attacks </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Pregnancy.pdf">Shiatsu &amp; Pregnancy </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Psychological%20Problems.pdf">Shiatsu &amp; Psychological Problems </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Raynauds.pdf">Shiatsu &amp; Raynauds </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Rheumatism.pdf">Shiatsu &amp; Rheumatism </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Sciatica.pdf">Shiatsu &amp; Sciatica</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Shoulder%20Pain.pdf">Shiatsu &amp; Shoulder Pain</a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Stress.pdf">Shiatsu &amp; Stress </a><br />
<a href="http://www.shiatsusociety.org/public/downloads_public/Shiatsu%20and%20Ulcerative%20Colitis.pdf">Shiatsu &amp; Ulcerative Colitis </a></p>


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<li><a href='http://londonshiatsu.com/2353/shiatsu-corsi-gratuiti-4/' rel='bookmark' title='Permanent Link: SHIATSU CORSI GRATUITI 4'>SHIATSU CORSI GRATUITI 4</a> <small>http://WWW.SHIATSUDOACCADEMIA.IT Shiatsu Do Corsi Professionali &#8212; Accademia Italiana Shiatsu Do...</small></li>
<li><a href='http://londonshiatsu.com/2404/18-ways-shiatsu-can-rock-your-world-gina-marks/' rel='bookmark' title='Permanent Link: 18 Ways Shiatsu Can Rock Your World- Gina Marks'>18 Ways Shiatsu Can Rock Your World- Gina Marks</a> <small>Gina Marks writes about Shiatsu from somewhere in Pennsylvania. Her...</small></li>
<li><a href='http://londonshiatsu.com/2446/shiatsu-and-do-in-master-class-ffst-france/' rel='bookmark' title='Permanent Link: Learn Shiatsu and Do-in'>Learn Shiatsu and Do-in</a> <small>Learn Do-In at London Shiatsu. Do-in is a set of...</small></li>
<li><a href='http://londonshiatsu.com/2579/shiatsu-and-pain-management-a-study/' rel='bookmark' title='Permanent Link: Shiatsu and Pain Management &#8211; A Study'>Shiatsu and Pain Management &#8211; A Study</a> <small>Shiatsu and Pain Management...</small></li>
</ol></p>]]></content:encoded>
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		<item>
		<title>Ki shifting can be uncomfortable sometimes and we often quit right before a positive change is about to happen</title>
		<link>http://londonshiatsu.com/2744/ki-shifting-can-be-uncomfortable-sometimes-and-we-often-quit-right-before-a-positive-change-is-about-to-happen/</link>
		<comments>http://londonshiatsu.com/2744/ki-shifting-can-be-uncomfortable-sometimes-and-we-often-quit-right-before-a-positive-change-is-about-to-happen/#comments</comments>
		<pubDate>Sun, 06 Jun 2010 19:00:14 +0000</pubDate>
		<dc:creator>healer</dc:creator>
				<category><![CDATA[Shiatsu Massage]]></category>

		<guid isPermaLink="false">http://londonshiatsu.com/2744/ki-shifting-can-be-uncomfortable-sometimes-and-we-often-quit-right-before-a-positive-change-is-about-to-happen/</guid>
		<description><![CDATA[Yes change can sometimes be very unsettling and it&#8217;s possible to freak out. What you don&#8217;t want to do is stop the process of healing. We&#8217;ll come back to this topic in detail Posted via email from London Shiatsu No related posts.


No related posts.]]></description>
			<content:encoded><![CDATA[<div class='posterous_autopost'>
<p>Yes change can sometimes be very unsettling and it&#8217;s possible to freak out.</p>
<p>What you don&#8217;t want to do is stop the process of healing.</p>
<p>We&#8217;ll come back to this topic in detail</p>
<p style="font-size: 10px;">  <a href="http://posterous.com">Posted via email</a>   from <a href="http://londonshiatsu.posterous.com/ki-shifting-can-be-uncomfortable-sometimes-an">London Shiatsu</a>  </p>
</p></div>


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		<title>Great Healers Series</title>
		<link>http://londonshiatsu.com/2745/great-healers-series/</link>
		<comments>http://londonshiatsu.com/2745/great-healers-series/#comments</comments>
		<pubDate>Sun, 06 Jun 2010 19:00:14 +0000</pubDate>
		<dc:creator>healer</dc:creator>
				<category><![CDATA[Shiatsu Massage]]></category>

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		<description><![CDATA[Great Healers- Amir Latif (Charles Lewis) LondonShiatsu&#8217;s first shiatsu lesson was with him in 1976 Posted via email from London Shiatsu No related posts.


No related posts.]]></description>
			<content:encoded><![CDATA[<div class='posterous_autopost'>
<p><img src="http://posterous.com/getfile/files.posterous.com/londonshiatsu/netc5SP1FKQijlfOJSj3Ab9GHqVplorHOxGji4FKN5AMEMyH2Waa52XZHIRh/amir_latif_-1976.jpg" width="461" height="578"/> </p>
</p>
<div>
<div>
<p><strong></strong><strong><span style="font-family: Times New Roman; font-size: small;"><span style="font-size: 12.0pt;">Great Healers- Amir Latif (Charles Lewis)</span></span></strong></p>
<p><span style="font-family: Times New Roman; font-size: medium;"><span style="font-size: 16px; font-weight: 800;">LondonShiatsu&#8217;s first shiatsu lesson was with him in 1976</span></span></p>
</p></div>
</p></div>
<p style="font-size: 10px;">  <a href="http://posterous.com">Posted via email</a>   from <a href="http://londonshiatsu.posterous.com/nogallery-10">London Shiatsu</a>  </p>
</p></div>


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		<title>Masunaga Meridian Chart</title>
		<link>http://londonshiatsu.com/2738/masunaga-meridian-chart-2/</link>
		<comments>http://londonshiatsu.com/2738/masunaga-meridian-chart-2/#comments</comments>
		<pubDate>Sun, 06 Jun 2010 14:27:03 +0000</pubDate>
		<dc:creator>healer</dc:creator>
				<category><![CDATA[Shiatsu Massage]]></category>

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		<description><![CDATA[This is the enhanced Shiatsu Meridian Chart of Sensei Shizuto Masunaga the father of Zen Shiatsu. Note the cross-sections of the limbs. For more read Zen Shiatsu Sent from my BlackBerry® wireless device Posted via email from London Shiatsu No related posts.


No related posts.]]></description>
			<content:encoded><![CDATA[<div class='posterous_autopost'>
<p><a href='http://posterous.com/getfile/files.posterous.com/londonshiatsu/F5sbK82oebZ63XjayrjmSf0468GQbodY778j4ud2SAmN3hbj377ZxCrSHLSl/masunagameridianchart.jpg.scaled.1000.jpg'><img src="http://posterous.com/getfile/files.posterous.com/londonshiatsu/XjinAfP2guTRr01K6R07oYg6Foqbf5M83z2SHmmIRIcYXP0vVdTtzwW1AjIP/masunagameridianchart.jpg.scaled.500.jpg" width="500" height="838"/></a> </p>
<p>This is the enhanced Shiatsu Meridian Chart of Sensei Shizuto Masunaga the father of Zen Shiatsu. <br />Note the cross-sections of the limbs. <br />For more read Zen Shiatsu <br />Sent from my BlackBerry® wireless device</p>
<p style="font-size: 10px;">  <a href="http://posterous.com">Posted via email</a>   from <a href="http://londonshiatsu.posterous.com/masunaga-meridian-chart-0">London Shiatsu</a>  </p>
</p></div>


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		<title>London Shiatsu offers confidential drug detox services</title>
		<link>http://londonshiatsu.com/2625/london-shiatsu-offers-confidential-drug-detox-services/</link>
		<comments>http://londonshiatsu.com/2625/london-shiatsu-offers-confidential-drug-detox-services/#comments</comments>
		<pubDate>Sun, 06 Jun 2010 09:05:59 +0000</pubDate>
		<dc:creator>healer</dc:creator>
				<category><![CDATA[Auricular Acupuncture]]></category>
		<category><![CDATA[Music]]></category>

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		<title>Free Reiki Healing Sessions@London Shiatsu!!!</title>
		<link>http://londonshiatsu.com/2647/free-reiki-at-london-shiatsu/</link>
		<comments>http://londonshiatsu.com/2647/free-reiki-at-london-shiatsu/#comments</comments>
		<pubDate>Wed, 07 Apr 2010 23:52:38 +0000</pubDate>
		<dc:creator>healer</dc:creator>
				<category><![CDATA[Healing]]></category>
		<category><![CDATA[Shiatsu Massage]]></category>
		<category><![CDATA[Special Offers]]></category>

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		<description><![CDATA[Free Reiki session with every Shiatsu Massage Session in your home . From today every time you have a shiatsu massage session with London Shiatsu &#8211; you&#8217;ll get a free Reiki Healing session as well! Want to know more? Book a session today! No related posts.


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			<content:encoded><![CDATA[<p><strong>Free Reiki session with every Shiatsu Massage Session in your home .</strong></p>
<p><strong>From today every time you have a shiatsu massage session with London Shiatsu &#8211; you&#8217;ll get a free Reiki Healing session as well!</strong></p>
<p><strong>Want to know more? Book a session today!<br />
</strong></p>
<div class="zemanta-pixie"><img class="zemanta-pixie-img" src="http://img.zemanta.com/pixy.gif?x-id=002e070a-fe7c-8509-9cc5-2d953eff9a13" alt="" /></div>


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		<title>Longer Sessions at London Shiatsu</title>
		<link>http://londonshiatsu.com/2645/longer-sessions-at-london-shiatsu-no-extra-charge/</link>
		<comments>http://londonshiatsu.com/2645/longer-sessions-at-london-shiatsu-no-extra-charge/#comments</comments>
		<pubDate>Wed, 07 Apr 2010 23:46:36 +0000</pubDate>
		<dc:creator>healer</dc:creator>
				<category><![CDATA[Featured Articles]]></category>
		<category><![CDATA[Healing]]></category>
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		<description><![CDATA[Over  the last year or so I&#8217;ve noticed that the average shiatsu massage session is lasting well over one hour -sometimes even going to two hours. My conclusion is that these days people need just that much more time to relax enough to receive the benefits of the shiatsu massage. Maybe it&#8217;s the fact that <a href='http://londonshiatsu.com/2645/longer-sessions-at-london-shiatsu-no-extra-charge/'>[...]</a>


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			<content:encoded><![CDATA[<p><span style="font-family: verdana;"><strong>Over  the last year or so I&#8217;ve noticed that the average shiatsu massage session is lasting well over one hour -sometimes even going to two hours.</strong></span></p>
<p><span style="font-family: verdana;"><strong>My conclusion is that these days people need just that much more time to relax enough to receive the benefits of the shiatsu massage.</strong></span></p>
<p><span style="font-family: verdana;"><strong>Maybe it&#8217;s the fact that we are all under so much stress today- the economy,climate change, politics, the wars, life in general  seems so much tougher.</strong></span></p>
<p><span style="font-family: verdana;"><strong>Maybe today&#8217;s demands mean we won&#8217;t meet as often and it&#8217;s important to do a lot with the time we have to carry you over till next time.</strong></span></p>
<p><span style="font-family: verdana;"><strong>Maybe it&#8217;s that I&#8217;ve come to enjoy the clients I work with so much that I want to give my best and a little more.</strong></span></p>
<p><span style="font-family: verdana;"><strong>Whatever the reason you can expect more from London Shiatsu. More time- more expertise- better results.</strong></span></p>
<p><span style="font-family: verdana;"><strong>It&#8217;s what we do best- caring for you.<br />
</strong></span></p>
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		<title>The Giliberto Technique- Exclusive to London Shiatsu</title>
		<link>http://londonshiatsu.com/2626/the-giliberto-technique-exclusive-to-london-shiatsu/</link>
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		<pubDate>Mon, 29 Mar 2010 10:44:36 +0000</pubDate>
		<dc:creator>healer</dc:creator>
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		<description><![CDATA[It&#8217;s not for everyone but if it works for you- it really works! No related posts.


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			<content:encoded><![CDATA[<h2><strong>It&#8217;s not for everyone but if it works for you- it really works!</strong></h2>


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		<title>Decoding an Ancient Therapy-How Acupuncture Works</title>
		<link>http://londonshiatsu.com/2610/decoding-an-ancient-therapy-how-acupuncture-works-2/</link>
		<comments>http://londonshiatsu.com/2610/decoding-an-ancient-therapy-how-acupuncture-works-2/#comments</comments>
		<pubDate>Thu, 25 Mar 2010 18:20:51 +0000</pubDate>
		<dc:creator>healer</dc:creator>
				<category><![CDATA[Auricular Acupuncture]]></category>
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		<description><![CDATA[Acupuncture has long baffled medical experts and no wonder: It holds that an invisible life force called qi (pronounced chee) travels up and down the body in 14 meridians. Illness and pain are due to blockages and imbalances in qi. Inserting thin needles into the body at precise points can unblock the meridians, practitioners believe, <a href='http://londonshiatsu.com/2610/decoding-an-ancient-therapy-how-acupuncture-works-2/'>[...]</a>


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			<content:encoded><![CDATA[<div id="attachment_2615" class="wp-caption alignleft" style="width: 272px"><img class="size-full wp-image-2615" title="ear acupuncture" src="http://londonshiatsu.com/wp-content/uploads/2010/03/ear-acupuncture.jpg" alt="ear acupuncture" width="262" height="174" /><p class="wp-caption-text">ear acupuncture for stress</p></div>
<p>Acupuncture has long baffled medical experts and no wonder: It holds that an invisible life force called qi (pronounced chee) travels up and down the body in 14 meridians. Illness and pain are due to blockages and imbalances in qi. Inserting thin needles into the body at precise points can unblock the meridians, practitioners believe, and treat everything from arthritis and asthma to anxiety, acne and infertility.</p>
<p>Does It Work?</p>
<p>While scientists say further research is essential, some studies have provided evidence of acupuncture&#8217;s effects.</p>
<p>* Arthritis of the Knee: Acupuncture significantly reduced pain and restored function, according to a 2004 government study.<br />
* Headaches: Two 2009 reviews found that acupuncture cut both tension and migraine headaches.<br />
* Lower Back Pain: Acupuncture eased it in a big study last year, but so did a sham treatment where needles didn&#8217;t penetrate the skin.<br />
* Cancer: Has proven effective in reducing nausea and fatigue caused by chemotherapy.<br />
* Infertility: Improves the odds of pregnancy for women undergoing in-vitro fertilization, according to a 2008 review of seven clinical trials.<br />
* Addiction: Often used to help quit smoking, drinking, drug use and overeating, but there is no conclusive evidence that it works.</p>
<p>After decades of cynicism, Western medical experts are using high-tech tools to unravel the ancient mysteries of how acupuncture works. WSJ&#8217;s Health columnist Melinda Beck joins Simon Constable on the News Hub to discuss.</p>
<p>As fanciful as that seems, acupuncture does have real effects on the human body, which scientists are documenting using high-tech tools. Neuroimaging studies show that it seems to calm areas of the brain that register pain and activate those involved in rest and recuperation. Doppler ultrasound shows that acupuncture increases blood flow in treated areas. Thermal imaging shows that it can make inflammation subside.</p>
<p>Scientists are also finding parallels between the ancient concepts and modern anatomy. Many of the 365 acupuncture points correspond to nerve bundles or muscle trigger points. Several meridians track major arteries and nerves. &#8220;If people have a heart attack, the pain will radiate up across the chest and down the left arm. That&#8217;s where the heart meridian goes,&#8221; says Peter Dorsher, a specialist in pain management and rehabilitation at the Mayo Clinic in Jacksonville, Fla. &#8220;Gallbladder pain will radiate to the right upper shoulder, just where the gallbladder meridian goes.&#8221;</p>
<p>Many medical experts remain deeply skeptical about acupuncture, of course, and studies of its effectiveness have been mixed. &#8220;Something measurable is happening when you stick a needle into a patient—that doesn&#8217;t impress me at all,&#8221; says Edzard Ernst, a professor of complementary medicine at the University of Exeter in England and co-author of the book, &#8220;Trick or Treatment.&#8221; Acupuncture &#8220;clearly has a very strong placebo effect. Whether it does anything else, the jury is still out.&#8221;</p>
<p>Even so, the use of acupuncture continues to spread—often alongside conventional medicine. U.S. Navy, Air Force and Army doctors are using acupuncture to treat musculoskeletal problems, pain and stress in stateside hospitals and combat zones in Iraq and Afghanistan. Delegations from Acupuncturists Without Borders are holding communal ear-needling sessions to reduce stress among earthquake victims in Haiti. Major medical centers—from M.D. Anderson in Houston to Memorial Sloan-Kettering in New York—use acupuncture to counteract the side effects of chemotherapy.</p>
<p>In a 2007 survey, 3.2 million Americans had undergone acupuncture in the past year—up from 2.1 million in 2001, according to the government&#8217;s National Center for Complementary and Alternative Medicine.</p>
<p>The most common uses are for chronic pain conditions like arthritis, lower back pain and headaches, as well as fatigue, anxiety and digestive problems, often when conventional medicine fails. At about $50 per session, it&#8217;s relatively inexpensive and covered by some insurers.<br />
Journal Community</p>
<p>It is also generally safe. About 10% of patients experience some bleeding at the needle sites, although in very rare cases, fatalities have occurred due to infections or injury to vital organs, mostly due to inexperienced practitioners.</p>
<p>Most states require that acupuncturists be licensed, and the Food and Drug Administration requires that needles be new and sterile.</p>
<p>Diagnoses are complicated. An acupuncturist will examine a patient&#8217;s tongue and take three different pulses on each wrist, as well as asking questions about digestion, sleep and other habits, before determining which meridians may be blocked and where to place the needles. The 14 meridians are thought to be based on the rivers of China, and the 365 points may represent the days of the year. &#8220;Invaders&#8221; such as wind, cold, heat, dampness, dryness factor into illness, so can five phases known as fire, earth, metal, water and wood.<br />
Using Acupuncture to Treat Stress</p>
<p>&#8220;It&#8217;s not like there&#8217;s a Merck Manual for acupuncture,&#8221; says Joseph M. Helms, who has trained some 4,000 physicians in acupuncture at his institute in Berkeley, Calif. &#8220;Every case is evaluated on an individual basis, based on the presentation of the patient and the knowledge of the acupuncturist.&#8221;</p>
<p>Dr. Helms notes that Western doctors also examine a patient&#8217;s tongue for signs of illness. As for qi, he says, while the word doesn&#8217;t exist in Western medicine, there are similar concepts. &#8220;We&#8217;ll say, &#8216;A 27-year-old female appears moribund; she doesn&#8217;t respond to stimuli. Or an 85-year old woman is exhibiting a vacant stare.&#8217; We&#8217;re talking about the same energy and vitality, we&#8217;re just not making it a unique category that we quantify.&#8221;</p>
<p>Studies in the early 1980s found that acupuncture works in part by stimulating the release of endorphins, the body&#8217;s natural feel-good chemicals, much like vigorous exercise does. Now, a growing body of research suggests that it may have several mechanisms of action. Those include stimulating blood flow and tissue repair at the needle sites and sending nerve signals to the brain that regulate the perception of pain and reboot the autonomic nervous system, which governs unconscious functions such as heart beat, respiration and digestion, according to Alejandro Elorriaga, director of the medical acupuncture program at McMaster University in Ontario, which teaches a contemporary version to physicians.<br />
[healthcolJ] Vitaly Napadow</p>
<p>A specialized MRI scan shows the effects of acupuncture. The top two images show the brain of a healthy subject. In the middle two images, a patient with carpal tunnel syndrome registers pain (indicated by red and yellow). The bottom images show the calming effect (indicated by blue) in the brain after acupuncture.</p>
<p>&#8220;You can think Western, you can think Eastern. As long as your needle goes to the nerve, you will get some effect,&#8221; Dr. Elorriaga says.</p>
<p>What&#8217;s more, an odd phenomenon occurs when acupuncture needles are inserted into the body and rotated: Connective tissue wraps around them like spaghetti around a fork, according to ultrasound studies at the University of Vermont. Helene Langevin, research associate professor of neurology, says this action stretches cells in the connective tissue much like massage and yoga do, and may act like acupuncture meridians to send signals throughout the body. &#8220;That&#8217;s what we&#8217;re hoping to study next,&#8221; she says.</p>
<p>“ My former spouse had shingles. Doctors told her that the terrible pain would probably last 2 or 3 years. She got acupuncture treatments, plus some Chinese herbs, and the pain was totally gone with 6 weeks. ”</p>
<p>—Alan Agardi</p>
<p>Meanwhile, neuroimaging studies at the Martinos Center for Biomedical Imaging at Massachusetts General Hospital in Boston have shown that acupuncture affects a network of systems in the brain, including decreasing activity in the limbic system, the emotional part of the brain, and activating it in the parts of the brain that typically light up when the brain is at rest.</p>
<p>Other studies at the Martinos Center have shown that patients with carpal tunnel syndrome, a painful compression of nerves in the wrist, have heightened activity in parts of the brain that regulate sensation and fear, but after acupuncture, their brain patterns more closely resemble those of healthy subjects. Brain scans of patients with fibromyalgia show that both acupuncture and sham acupuncture (using real needles on random points in the body) cause the release of endorphins. But real acupuncture also increased the number of receptors for pain-reducing neurotransmitters, bringing patients even more relief.</p>
<p>The fact that many patients get some relief and register some brain changes from fake acupuncture has caused controversy in designing clinical trials. Some critics say that proves that what patients think of as benefit from acupuncture is mainly the placebo effect. Acupuncture proponents counter that placebos that too closely mimic the treatment experience may have a real benefit.</p>
<p>&#8220;<strong>I don&#8217;t see any disconnect between how acupuncture works and how a placebo works,&#8221; says radiologist Vitaly Napadow at the Martinos center. </strong></p>
<p><strong>&#8220;The body knows how to heal itself. That&#8217;s what a placebo does, too.&#8221;</strong></p>
<p>Melinda Beck at HealthJournal@wsj.com</p>


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