Acupuncture is one facet of a larger discipline. It is a component of Chinese medicine, which includes regionally-focused herbology, bodywork and therapies based on traditional Asian medical principles. It is estimated that 25% of the Asian population uses acupuncture or one of its relatives.
Oriental medicine considers the body as energy rather than biochemical processes. It works on the premise that Qi (Chi) is vital energy that flows along meridians located in different areas of the body. When there is an imbalance or blockage in the meridians, illness occurs. Acupuncture works because it unblocks those meridians, allowing the Qi to once again flow unimpeded. There are a number of different types of acupuncture, each unique in its own way:
Traditional - the most common and most practiced method of acupuncture.
Japanese - this style uses fewer needles with less stimulation. The needles are also thinner.
Korean Hand Acupuncture - focuses on points in the hand that control certain areas of the body.
Auricular Acupuncture - Uses points in the ear for treating illness. Addictions and pain are particularly responsive to this kind of acupuncture.
History:
Chinese medicine has been in use for more than three millennia. It is a belief system in many parts of Asia, and has made the ideas of 'yin' and 'yang' popular around the world. In Chinese medicine, and particularly in acupuncture, the body has the natural capacity to heal itself, as long as its energy force (Qi) is allowed to flow unimpeded. In acupuncture, thin, metallic needles are manipulated either by hand or electrically to unblock the Qi. In the United States, acupuncture became popular in 1971, after a New York Times reporter covered the subject and brought it to nationwide attention.
Treatment:
The first visit to an acupuncturist involves more talking than anything else, as the practicioner wants to know the medical condition and history of his patient. In order to get a complete picture, he will ask for a family history and current medications. He will use pulse and tongue diagnosis in addition to palpation of points to make an accurate diagnosis. Once the information has been gathered, the acupuncturist will use hair-thin needles to unblock areas of the body that the practitioner believes to be blocked. Little or no pain should be expected.
Treatment may continue as necessary for days or weeks, depending on the severity and nature of the problem, and the attitude of the patient.
Conditions Treated:
Headaches
Migraines
Hypertension
Asthma
Food allergies
Ulcers
Indigestion
Diarrhea/constipation
PMS
Infertility
Irregular menstruation
Angina
Neuralgia
Insomnia
Sinusitis
Vertigo
Anorexia
Cough
Stress Incontinence
UTIs
Conjunctivitis
Sciatica
Osteoarthritis
Benefits:
Acupuncture can help eliminate the need for pain medication, avoiding addictions that often go along with them.
Patients of acupuncture recover faster from injuries.
Acupuncture helps strengthen the immune system and leads to patients being able to better combat colds and minor infections.
Acupuncture treatment can often make people feel better even when not affected by a physical disorder.
Side-Effects/Contra-Indications
For those particularly afraid of needles, acupuncture may not be the first choice for treatment.
Although there are no "absolute" contra-indications, avoid acupuncture: in the first trimester of pregnancy; if you suffer from congestive heart failure; if you have a severe infection.
People need to make sure to use a licensed acupuncturist, or ensure that they know the qualifications of the practitioner treating them, as needles of any size can cause damage if manipulated improperly.
Education and Schools:
Since acupuncture is beginning to reach more acceptance among the medical community and those who use it, schooling requirements are becoming standardized and accepted as well. In the United States, students are usually expected to complete some formal schooling before beginning an acupuncture program, although how much schooling is required is very particular. Some states require students to complete 60 semester hours, others require a four year bachelor's degree. Many times, acupuncture training includes classes in CPR, Tai Chi, herbology, and ethics, along with more field-specific coursework such as acupressure and needling techniques. Before testing to become an acupuncturist, students must take anywhere from 1500-2500 hours of didactic study and up to 900 hours (12 months) of clinical training before taking the NCCAOM exam in acupuncture.
Although there are many students of acupuncture who have no prior knowledge in medicine or Chinese healing, many studying to become acupuncturists are physicians or in the process of becoming a doctor. Some states will not allow anyone else to study acupuncture, including Maine, New Hampshire, and New Jersey.
Degree/License offered : Master of Science in Acupuncture
Length of study : 2-4 years
Cost/Financial Aid : Costs vary widely from school to school. The current range is anywhere from $6,000-$12,000 per year for tuition, books and other necessary purchases. Those attending a school that is accredited by the ACAOM (Accreditation Commission for Acupuncture and Oriental Medicine) might be eligible for federal aid.
Research:
There have been a number of research attempts in recent years to determine the effectiveness of acupuncture including:
Whether it works for certain chronic conditions, such as low-back pain, osteoarthritis, and headache, and, if it works, how.
How to better determine the neurological properties of the meridians and acupuncture points used.
How to improve the quality of research in the field.
The process that occurs in the brain during an acupuncture treatment.
In 25 states, physicians are qualified to use acupuncture with their medical licenses. Other states require physicians to complete specific training in acupuncture, including some 300 or more hours of class work and clinical experience. Although most states now have statutes regulating the art of acupuncture, some states, such as Michigan and Kansas, currently only allow practitioners to work through the assistance of the Board of Medical Examiners. In addition, there are states that do not recognize acupuncturists as licensed medical practitioners, and in these states, acupuncturists will often work under the supervision of a licensed physician.
Average Salary/ Hourly Rate:
Depending on where they work, acupuncturists can make anywhere from $30,000 to over $100,000 per year. A large hospital will pay more than a non-profit organization. In terms of hourly pay, different areas of the country will vary in how much clients are willing to pay, but generally, a licensed acupuncturist can make between $75-$95/hour for initial visits, which are more intensive, and $50-$60/hour for follow-ups.
The state requirements in the USA for licensure:
The following is an outline of formal schooling and examination requirements for licensure in the various states. It does not provide complete information regarding eligibility requirements. For example, some states require applicants to graduate from an accredited college or fulfill an English language requirement. A few recognize apprenticeship as a route to licensure; most do not.
In 25 states, the practice of acupuncture is included within the scope of a physician's license, and thus no further restrictions are imposed. In contrast, 15 states require further training. To become members of the American Academy of Medical Acupuncture, physicians must complete 300 training hours, 2 years of clinical experience, and pass a two-part exam. Membership in AAMA has become the standard for determining state credentialing, hospital privileges, liability insurance, and third party
reimbursement. California, however, requires practitioners to complete a separate exam. About 40 states have instituted training standards for certification of non-physicians, though requirements differ greatly from state to state.
ALASKA
Formal schooling requirements: A course of study consistent with the core curriculum and guidelines of the CCAOM
Undergraduate Requirements: None
Examination: NCCAOM examination in acupuncture
Contact:
Department of Commerce and Economic Development
Division of Occupational Licensing - Acupuncture
PO Box 110806
Juneau, AK 99811-0806
(907) 465-2695
ARIZONA
Formal schooling requirements: 1850 hours including 800 hours of clinical
Undergraduate Requirements: None
Examination: NCCAOM examination in acupuncture
Contact:
Arizona Board of Acupuncture Examiners
1400 W. Washington #230
Phoenix, AZ 85007
(602) 542-3095
ARKANSAS
Formal schooling requirements: 4 academic years including 800 hours of clinical
Undergraduate Requirements: 60 semester credit hours, including 30 credit hours in science
Examination: NCCAOM examination in acupuncture and Chinese herbology
CALIFORNIA
Formal schooling requirements: 4 academic years (2348 hours including 800 clinical) with a minimum of 1548 hours of theory including biology, organic biochemistry, physics, psychology, anatomy and physiology, pathology, nutrition and vitamins (400 hours); history of medicine, medical terminology (30 hours); clinical sciences such as internal medicine, pharmacology, neurology, surgery and clinical medicine including dentistry, nursing, chiropractic and homeopathy, western pharmacology and CPR (128 hours); Tai Chi, Qi Gong, traditional Oriental medicine theory and diagnosis, needling techniques, moxibustion, and acupressure (660 hours); herbology (300 hours including botany); practice management and ethics (30 hours)
Undergraduate Requirements: None
Examination: California examination
Contact:
Department of Consumer Affairs
Medical Board, Acupuncture Committee
1424 Howe Ave. Suite 37
Sacramento, CA 95825-3233
(916) 263-2680
Additional California Information
For acupuncture, the schools in California conform to the standards set by the national accreditation body, ACAOM, that is recognized by the federal Department of Education. To be licensed, you must graduate from an accredited school and pass the national board exam. Unlike some states, California also requires additional hours of training in herbal medicine and the passing of an herbal medicine exam. The California schools all include this as part of their regular master's program.
In most cases, licensing of acupuncture is reciprocal -- i.e. if you're licensed in one state, you're licensed in all the states that license acupuncture. However, approximately 20 states do not license the profession and a few do not allow the independent practice of acupuncture. It's worth checking BEFORE you move. For the most accurate and up-to-date information concerning the laws governing acupuncture, the National Acupuncture Foundation publishes a book called "Acupuncture and Oriental Medicine Laws." Most schools have a current copy available in their library or career counseling center.
Contact:
Department of Regulatory Agencies
Office of Acupuncturists Registration
1560 Broadway, Suite 680
Denver, CO 80202 - 5140
(303) 894-2464
CONNECTICUT
Formal schooling requirements: 1350 hours including 500 hours of clinical
Undergraduate Requirements: 60 semester hours
Examination: NCCAOM examination in acupuncture
Contact:
Department of Public Health
Division of Medical Quality Assurance
410 Capitol Ave.
MS # 12 APP P.O. Box 34308
Hartford, CT 06134-0308
(860) 509-7562
DISTRICT OF COLUMBIA
Formal schooling requirements: 3 academic years including 500 hours of clinical
Undergraduate Requirements: None
Examination: NCCAOM examination in acupuncture
Contact:
Advisory Committee on Acupuncture
D.C. Board of Medicine
614 H. Street. N.W. Room 108
Washington, DC 20001
(202) 727-5365
FLORIDA
Formal schooling requirements: 3 years (2413 hours including 600 clinical) including 330 hours of biomedical clinical science (including 90 hours of pathology, 120 hours of anatomy and physiology, and 120 hours of western biomedical and diagnostic terminology); 1155 hours of traditional Oriental acupuncture diagnosis and treatment (including 705 hours of Oriental medical theory, diagnosis and treatment in acupuncture and related studies and 450 hours of herbal studies); 30 hours of adjunctive therapies, 200 hours electives of adjunctive therapies; 15 hours of universal precautions; 3 of HIV/AIDS, and 20 in Florida laws
Effective July 1, 2001, a 4-year course of study in acupuncture and Oriental medicine including western anatomy, western physiology, western pathology, western biomedical terminology, first aid, and CPR
Any person who enrolled before August 1, 1997 must have completed a 2-year course of study including courses in western anatomy, Western physiology, and Western pathology Undergraduate Requirements: 60 college credits
Examination: NCCAOM examination in acupuncture
Contact:
Division of Medical Quality Assurance
Board of Acupuncture
220 Capital Circle S.E., Bin #C 06
Tallahassee, FL 32399-32560761
(904) 488-6015
HAWAII
Formal schooling requirements: 1500 hours including 2 academic years (600 hours) of didactic plus 12 months (900 hours) clinical
Undergraduate Requirements: None
Examination: NCCAOM examination in acupuncture
Contact:
Department of Commerce and Consumer Affairs
Professional and Vocational Licensing Division
Board of Acupuncture
PO Box 3469
Honolulu, Hawaii 96801
(808) 586-3000 (for application information)
Contact:
Illinois Department of Professional Regulation
320 W. Washington Street
Springfield, IL 62786
(217) 782-8556
IOWA
Formal schooling requirements: 2 years
Undergraduate Requirements: 60 semester hours including at least 30 semester hours from an accredited institution of higher education other than accupuncture school. Of the 60 semester hours, 12 shall be in the biosciences such as human anatomy, physiology, and general or advanced biology
Examination: NCCAOM examination in acupuncture
Contact:
Licensure and Administration
Iowa Board of Medical Examiners
1209 E. Court Avenue
Des Moines, IA 50319-0180
(515) 281-6489
LOUISIANA
Formal schooling requirements: 36 months
Undergraduate Requirements: None specified
Examination: None
Contact:
Louisiana State Board of Medical Examiners
830 Union Street, Suite 100
New Orleans, LA 70112-1449
(504) 524-6763
MAINE
Formal schooling requirements: 1000 hours of didactic plus 300 hours of clinical
Undergraduate Requirements: Baccalaureate degree, a professional nursing license or physician's assistant training and examination
Examination: NCCAOM examination in acupuncture
Contact:
Dept. of Professional and Financial Regulation
Office of Licensing and Enforcement, State House Station #35
Augusta, ME 04333
(207) 624-8603
MARYLAND
Formal schooling requirements: 1800 hours, including 300 clinical hours
Undergraduate Requirements: None specified
Examination: NCCAOM examination in acupuncture
Contact:
State Board of Acupuncture
Room 320
4201 Patterson Avenue
Baltimore, MD 21215
(410) 764-4766
MASSACHUSETTS
Formal schooling requirements: 1350 clinical/didactic hours combined including 100 hours of clinic with sole responsibility for diagnosis and treatment of patients, 30 hours of herbal training Undergraduate Requirements: 2 academic years including human anatomy and physiology and general biology (2 hours each)
Board Certification for Chinese Herbology: completion of ACAOM herbology program or its equivalent
Examination: NCCAOM examination in acupuncture
Contact:
Board of Registration in Medicine
Acupuncture Unit
10 West Street 3d Floor
Boston, MA 02111
(617)727-3086, #363
Contact:
State Board of Chiropractic Examiners
PO Box 672
Jefferson City, MO 65102-0672
(573) 751-2104
MONTANA
Formal schooling requirements: 1000 hours
Undergraduate Requirements: None
Examination: NCCAOM examination in acupuncture
Contact:
Department of Commerce
Board of Medical Examiners
111 N. Jackson
PO Box 200513
Helena, MT 59620-0513
(406) 444-4284
NEVADA
Formal schooling requirements: DOM - 3-year course in acupuncture or a 4-year course in Oriental medicine plus 6 years of practice; Acupuncture Assistant - 3-year course in acupuncture
Undergraduate Requirements: None
Examination: Nevada examination
Contact:
Nevada State Board of Oriental Medicine
201 Sarah Drive
Carson City, NV 89706
(702) 486-4279
NEW HAMPSHIRE
Formal schooling requirements: ACAOM or board approved, including anatomy and physiology
Undergraduate requirements: Baccalaureate, registered nurse or physician's assistant degree
Examination: NCCAOM examination in acupuncture
Contact:
New Hampshire Board of Acupuncture Licensing
Department of Health and Human Services
6 Hazen Drive
Concord, NH 03301-6527
(603) 271-5127
NEW JERSEY
Formal schooling requirements: 2 year program
Undergraduate Requirements: Baccalaureate degree
Examination: NCCAOM examination in acupuncture
Contact:
Board of Medical Examiners
Department of Law and Public Safety
Acupuncture Examining Board
140 East Front Street, 2nd Floor
Trenton, NJ 08608
(609) 826-7100
NEW MEXICO
Formal schooling requirements: Entered prior to September 30, 1993, and application for licensing prior to July 15, 2000: 1800 clock hours, including 950 hours of didactic and 750 hours of clinical Entered after September 30, 1993: 2400 clock hours of classes including 1100 hours of didactic and 900 hours of clinical
Undergraduate Requirements: None
Examination: NCCAOM examination in acupuncture and Chinese herbology
Contact:
New Mexico Board of Acupuncture and Oriental Medicine
PO Box 25101
Santa Fe, NM 87504
(505) 476-7100
NEW YORK
Formal schooling requirements: 3-year program of didactic and clinical work
Undergraduate Requirements: 60 semester hours including 9 semester hours of biosciences
Examination: NCCAOM examination in acupuncture
Contact:
NY State Board for Acupuncture
State Education Department
Cultural Educational Center Room 3103
Albany, NY 12230
(518) 473-0221
Formal schooling requirements: ACAOM accredited or candidacy status or equivalent
Undergraduate: None
Examination: NCCAOM examination in acupuncture
Contact:
Board of Medical Examiners
620 Crown Plaza
1500 SW First Avenue
Portland, OR 97201-5770
(503) 229-5770
PENNSYLVANIA
Formal schooling requirements: 2 academic years
Undergraduate Requirements: 2 years
Examination: NCCAOM examination in acupuncture
Contact:
Board of Osteopathic Examiners/Board of Medical Examiners
PO Box 2649
Harrisburg, PA 17105
(717) 783-4858
RHODE ISLAND
Formal schooling requirements: Satisfactory to the department
Undergraduate Requirements: None
Examination: NCCAOM examination in acupuncture
Contact:
State of Rhode Island & Providence Plantations
Department of Health, Cannon Building
Three Capitol Hill Rm. 104
Providence, RI 02908
(401) 277-2827
Contact:
Department of Labor, Licensing and Regulation
Board of Medical Examiners 110 Centerview Dr. Suite 202
PO Box 11289
Columbia, SC 29211-1289
(803) 896-4500
TEXAS
Formal schooling requirements: 1800 didactic, including anatomy-histology, bacteriology, physiology, symptomatology, pathology, meridian and point locations, hygiene, and public health plus at least two terms of clinical
Undergraduate Requirements: 60 semester hours including basic science courses
Examination: NCCAOM examination in acupuncture and Chinese herbology
Contact:
Texas State Board of Medical Examiners
PO Box 2018 MC-231
Austin, TX 78768-2018
(512) 305-7067
Contact:
Division of Occupational and Professional Licensing
160 East 300 South, Box 146741
Salt Lake City, UT 84114-6741
(801) 530-6740
VERMONT
Formal schooling requirements: 3-year program including 800 hours of clinical
Undergraduate Requirements: None
Examination: NCCAOM examination in acupuncture
Contact:
Office of Professional Regulation
109 State Street
Montpelier, VT 05609-1106
(802) 828-2373
VIRGINIA
Formal schooling requirements: Graduate of ACAOM accredited school: 1000 hours with 700 didactic and 250 clinical hours in no less than 18 months. Individuals who graduated after July 1, 1990 must document 90 semester credit hours of full time study
Non-accredited school: 2 year course with 1000 hours (700 didactic and 250 clinical) and 5 years of licensed practice in another state
Undergraduate Requirements: 2 academic years of not less than 60 semester credit hours including 18 semester hours in biological sciences (3 hours each in anatomy and physiology)
Examination: NCCAOM examination in acupuncture
Contact:
Virginia Board of Medicine
6606 W. Broad Street 4th Floor
Richmond, VA 23230-1717
(804) 662-9908
WASHINGTON
Formal schooling requirements: 2 years of academic coursework including 75 credits of acupuncture sciences (750 hours) and 45 credits (450 hours) of Western sciences including anatomy, physiology, bacteriology, biochemistry, pathology, hygiene, survey of Western clinical sciences and CPR; 1 academic year of clinical including 29 quarter credits of supervised practice with 100 hours of observation and 400 documented patient treatments with 100 different patients
Undergraduate Requirements: None
Examination: NCCAOM examination in acupuncture
Contact:
Department of Health
1300 S.E. Quince Street
PO Box 47868
Olympia, WA 98504-7868
(360) 664-3230
WEST VIRGINIA
Formal schooling requirements: 1800 hours including 300 clinical hours
Contact:
Dept. of Regulation and Licensure
Bureau of Health Service Professions
Acupuncture Certification
PO Box 8935
1400 E. Washington Ave.
Madison, WI 53708
(608) 266-0070