AOMA Blog

KXAN interviewed with CEO & Acting President, Dr. Mary Faria to celebrate Acupuncture and Oriental Medicine day and AOMA's involvement in offering low-cost or free acupuncture to the Austin community. 

"The whole idea is we treat pain differently than we have in the past. Instead of using drugs, we use a variety of methods, including acupuncture, yoga, mindfulness, looking at nutritional aspects of pain. The program has done very well,” said Dr. Mary Faria, Chief Executive Officer and Acting President of the school."

AOMA offers free community classes throughout the year for those wanting to explore the benefits of qigong and yoga. Community Wellness Hour meets weekly, where participants are offered of free NADA treatments followed with mindful meditation led by Julia Aziz, LCSW-S. 

In addition to these on-campus programs, AOMA MAcOM students may choose to complete supervised internship hours at People's Community Clinic, Seton McCarthy, Austin Recovery Center and the Austin VA Clinic. 

To listen to the full interview check out KXAN's video below! 

Interested in community programs? The current calendar is available at  https://aoma.edu/calendar/grid. Community Wellness Hour, qigong and yoga are all free and open to the community. 

Dr. Yongxin Fan is an accomplished instructor of traditional Chinese tuina. He practiced and taught as an attending medical doctor and instructor at the Acupuncture Institute at the Chinese National Academy of TCM and at the Beijing International Acupuncture Training Center. A member of AOBTA, Yongxin Fan has lectured and worked as a visiting professor in Holland, Germany, and Japan. He has more than 16 years of clinical experience and his research has been published in the National Journal of TCM.

He specializes in applying an integrated therapy consisting of acupuncture, herbs, and tuina to treat various pain syndromes, including acute and chronic articulation and muscle injury lumbago, recovery from fractures, and headaches. Such integrative treatment is a hallmark of his approach to common ailments such as stress, allergies, insomnia, and gastrointestinal disorders. Fan has been on the faculty at AOMA since 2002.

Tell us a little about your time practicing TCM before you were at AOMA.

In Beijing, I worked at China Academy of TCM's hospital, the top Chinese TCM research academy (now Academy of Chinese Medicine Science). I also worked in the Acupuncture Institute and Beijing International Training Center.

After 1970, the World Health Organization asked China to provide training for outside professionals, as there was more international demand for TCM. The Acupuncture Institute and Beijing International Training Center was one of the first three international training centers in China to train non-national acupuncturists.

In 2001, I met Dr. Wu in Beijing, and I arrived to Austin 17 years ago to teach at AOMA.

How did you first become interested in becoming a TCM practitioner?

In China, Chinese Medicine is really popular and widely used. When I was about 2 years old, I fell off a bike and hurt my arm. Chinese Medicine helped me recover. When I was 6 or 7, I got the mumps and doctors prescribed topical herbs. I remember them being smelly, but they reduced the swelling in 2 days! Even today, I remember the color and texture of the paste. It was so effective, and provided quick relief, and so I knew I wanted to learn more.

In China, we use the traditional ways first to prevent or treat small things like a common cold or sore throat, stomach aches. My kids even ask for me to pinch their throats for sore throats now.  I’m open to Western medicine of course and always work collaboratively when it is called for.

How have you seen TCM change in China?

TCM right now in China is completely modernized. They use modern techniques with traditional herbs and acupuncture while using information from modern research. There’s a lot of new research about acupuncture and pain, especially with new knowledge and imaging of anatomy. In class, I try to explain physiologically why the 5 shu points can treat pain and proximal issues. We have a chance to use traditional techniques to treat modern diseases.

What are your specialties?

As TCM practitioners, we are all trained to be general practitioners, even though I treat mostly pain. I also treat many sleep issues, GI issues, and stress related problems. Another common issues I see is infertility due to stress.

What kind of soft tissue problems do you see most in clinic?

Most of the time I treat pain, but you have to do a thorough examination. We learn muscular examinations in tuina class. Here in the seminar we’ll learn how to differentiate 5 tissues pain. Joint pain is very complex.

Low back pain presents with lipomas. Fascia - people have started to understand it, but it’s still a mystery to most people. We know when we work on it it works.  

Finger joint pain. Factors that cause the pain are really important to know. Muscular, facia, nerve, bursa, ligaments.

Do you use herbs topically? What are your favorite ones we carry in the herb store?

I use the foot soak herbal combination we sell at White Crane for soft tissue damage and joint pain. It's a classical formula and patients find it to be very effective. We even have an AOMA alumna who has made it as a tincture/spray and has had some great results. 

I use jin gu shui, white flower oil, and other tinctures often as well. 

You are known as an effective but intense practitioner! What size needles do you usually use for soft tissue injuries? 

Most of the time I use 0.18 x 30 or 0.18 x 40. I used to be more aggressive in my treatments but have mellowed out in the 17 years since I arrived.

How do you prepare patients if you know they will be sensitive to the treatment or if it is their first time getting acupuncture?

I try to only use 6-10 needles for people who are nervous. If you have a diversity of tools you can use to treat, you don’t have to use as many needles.

You have to tell patients when they need to come back to feel better. You need to explain how you understand the pain and what your plan is. I try to tell them what I think. People like to know how long recovery will take. Tell patients what your past experience is treating their condition and give them a treatment window instead of a fixed amount of visits (ex: 4-6 visits). They want to know that you are confident that you can treat the pain, and that they will continue to improve. 

Do you work with any General Practitioners who refer patients to you regularly? 

We receive referrals from western doctors but usually just to the clinic. They come to see us because their GP told them to try. I’m glad to see that there are more and more doctors who are open to TCM. Because it works!

Recently I saw a patient with pain on his feet for 7 years - constant numbness and pain. He saw many doctors and specialists and tried many things. He had to wear a pad under the foot to relieve the pain. Acupuncture helped relieve his pain so he could sleep after the very first visit. It is patients like him that go back to their GP and advocate for acupuncture who help spread the word. 

How will your upcoming training help students and practitioners in clinic? 

We see a lot of soft tissue pathologies in clinic. The key to treating patients effectively is to diagnose the mechanism and where the pain originates from. It is muscular, nerve damage, or will working on the fascia or ligaments help?

My goal is to use TCM to treat soft tissue injury under the understanding of how anatomy has changed with pain. By introducing this technique to students, they will have more tools to improve their practice and patients’ outcomes.

In the class I will explain the different symptoms of these different tissues so you can diagnose effectively. We’re going to talk about how soft tissue damage affects pain and how we treat different kinds. We try to use traditional techniques and make them better and better to treat pain.

We will also go over the tools and techniques to use for each different indication (filiform needles, cupping, gua sha, bloodletting). Frozen shoulder, heel pain, or tendonitis are hard to treat with needles alone. You might help 80% of people with pain relief immediately, but for the remainder, you might need to incorporate different tools.

Although I do use them, the class won’t focus on topical herbs due to time.

Do you have any mentors in China or teachers you most look up to? How did they influence your career?

In China, most new practitioners, you have older doctor and senior doctors as mentors for several years until they are ready to advance themselves. They lead you and help you to practice and then you have to find your way.

For acupuncture, you always have to study on your own to make your own way. It can be from older teachers, books, lectures. It is important to keep learning.

What is your biggest piece of advice to students at AOMA and acupuncture practitioners who are just starting?

You need to really focus on foundations - they are so important! Most famous practitioners have a better outcome because they really understand their foundations.

When I was in school, my professors always told me that, and eventually I found that it was true. I tried to find magic techniques for a long time, but my biggest takeaway is that there is no magic technique and you can't take any shortcuts. You just have to put in the work.

Thank you so much for your time and thoughtfulness, Dr. Fan! We really look forward to learning more at your seminar in the fall.  

Billy Zachary is a licensed acupuncturist with over ten years of experience working as a professional practitioner. Since earning his master’s degree from AOMA Graduate School of Integrative Medicine in 2004, he has completed extensive training in the Hakomi method of mindfulness-centered somatic psychotherapy. He maintains an active clinical practice in Austin, Texas where he specializes in the use of acupuncture & herbal medicine in the treatment of emotional trauma.

In his previous life, he trained and taught Kuk Sool Won, a traditional Korean martial art that emphasizes mindfulness, meditation, joint locking and pressure points, though he currently practices and volunteers at Aikido of Austin. His first forays into East Asian medicine was in Shiatsu.

Thank you so much for your time Billy! Shiatsu 1 is offered this coming summer term for AOMA Students. 

John Howard is a licensed acupuncturist who started his career in Western medicine. He trained & served with the U.S. Marine Corps, as a Combat Medic & a certified EMT.

He was chosen to attend the Army's Delta Special Operations School of Medicine to become a Corpsman and the Uniformed Services University of Health Sciences where he trained in field surgical techniques. At George Washington Univ. Hospital he worked as an ER Trauma Technician.and as an Asst. Adjunct Professor of Emergency Medicine teaching medical students minor trauma and suturing techniques. John Howard then completed his degree in acupuncture from the Maryland Institute of Traditional Medicine in Bethesda, Maryland in 2004, and is nationally certified by NCCAOM.

After completing his degree, Prof Howard did a five-year fellowship with the US military under the direction of Dr. Richard Niemtzow, MD, PhD. It included working with Wounded Warriors only days removed from the battlefield.

John has gone on to create protocols for PTSD used worldwide and lactation that has become a staple method used to increase lactation production in a nationally acclaimed hospital. John maintains a private practice in Germantown, Maryland specializing in pain management, musculoskeletal and neurological disorders, sports medicine and sports related injuries. John travels around the world to bring his teachings to acupuncturists nationally and internationally. He has also authored nine books and 25 articles on both Acupuncture & Auriculotherapy.

John, have you always wanted to work in medicine?

One of the first things I wanted to do was practice acupuncture. In 1990, my senior year in high school, I went out for a long run. I returned home much later than I expected and before I went to bed, I laid on my living room floor to cool down. While I was doing this, I watched a TV show on acupuncture. The show was filmed in China and they were using acupuncture for anesthesia while they performed open heart surgery on a patient. At that point I wasn't sure if what they were doing was magic or medicine, but I knew I wanted to be part of that.

Next morning when I woke, I approached my mother and told her my plan to study acupuncture. I thought she would be happy and excited because at that time I planned to become professional runner and live in the basement for the next 30 years. When I told her, she looked at me and said, “You don't even look Chinese. Eating Chinese food doesn't qualify you. Are you nuts? Please don't tell your stepfather because he'll think we're both doing drugs.” 

How did your time in the military shape you as an acupuncturist? What are unique challenges and benefits of working for the military? 

It helped me out tremendously and plays a major role in how I practice acupuncture, even today. I was a Navy Corpsman who was selected for the US Army’s elite 18 Delta School for Medics. I dealt with a lot of pain in the military and a large part of my practice is dedicated to treating pain.

There are many benefits to working with the military. One of those is that acupuncture is part of standard care, meaning if you want narcotics you also have to receive acupuncture, or you will not get any narcotics. Another benefit is using acupuncture in medical departments on base that are not used in their civilian counterparts. For example, when I was at Bethesda Naval Hospital some years ago, we would use acupuncture in the PAU (post anesthesia unit). These surgical patients might receive acupuncture prior to surgery or just after surgery. You don't find many hospitals using acupuncture in surgery or in the PAU. This was a unique opportunity to be a part of and witness firsthand.

Were you familiar with NADA before your fellowship with Dr. Richard Niemtzow? What differentiates Battlefield Acupuncture (BFA) to NADA? Is there any overlap? 

They have some things in common, they are both auriculotherapy protocols. Each protocol has five ear points, though with BFA I hardly ever have to use more than a total of 3 to 5 needles, whereas with NADA you always use 10 needles. With BFA you stop when the patient reaches the desired pain level. NADA and the BFA protocols use different needles. Also, the BFA protocol will use a combination of gold, stainless steel and titanium needles to achieve the ultimate desired level of decreased pain.

Do you prefer one protocol over the other? 

It depends on the purpose of the treatment. For example, I do prefer to use the NADA protocol if my patient is already off narcotics and experiencing no pain other than withdrawal symptoms. If my patient is still on narcotics or being weaned off narcotics and still has pain, then I use the BFA protocol. With BFA, the needles will stay in from 3 to 5 days. In France where the BFA needles are made, professionals will leave the needles in for upwards of 40 days. Here we think 3 to 5 days is enough to get the desired outcome.

Over the years working with disabled combat vets I found a good mix of using NADA and BFA simultaneously. This is mostly for patients who have mild to severe hyper vigilance. Sometimes using BFA needles will over stimulate these patients. I found that if I combined both protocols it balances them out. This is done by inserting filiform needles for the BFA points on the patient’s dominant side and the NADA protocol points on the patient’s non-dominant side.

I’ve read a pretty nasty article on Forbes about BFA, from 2011. Has that attitude towards alternative medicine changed at all in the past 8 years in your opinion?

First, I think that was a great opportunity to advanced BFA and acupuncture in general. Forbes magazine is a very large magazine there's a lot of subscriptions and some clout.

The article that you were referring to was written by Stephen Barrett who in 1993 was forced to give up his medical license in Pennsylvania. It is common knowledge that Stephen Barrett has been Officially Declared by the US Court System, in a published Appeals Court Decision (NCAHF v King Bio), to be "biased, and unworthy of credibility." Officially - nothing he says can be legally relied upon. The Psychiatric profession rejected Barrett; he could not pass the examinations necessary to become Board Certified.

I believe that article did more good than bad to advance the reputation of BFA. 

Have you seen any changes in interactions you have in clinic with your patients or demographics since we have nationally focused on the opioid crisis?

You might have thought I would have said yes, but here in Maryland, those who prescribe opioids have been ahead of this trend for some time now. Though I still have patients who have scripts for opioids, most are taking them on a PRN basis and others are off them completely.

I’m not seeing the abuse that other parts of the country are experiencing. Perhaps it’s because acupuncture is more accessible and accepted in the Washington, DC Metro area. Most insurance companies in the area have some form of acupuncture coverage (and pay very well), so maybe this is why I don’t see what the rest of the United States is seeing.

Do you work alongside GP for the most part? 

I'm at Walter Reed Army hospital as a volunteer where they have three different departments in the hospital that use BFA, acupuncture and homeopathy. I work alongside Dr. Steve Sharp, a pediatric neurology doctor in charge of one of the acupuncture departments. He is also a retired Air Force Colonel.

I also worked in a chiropractic office for 8 years and they would send patients to me for treatment and vice versa. I currently get referrals from local medical doctors to do acupuncture treatments on their patients. In addition, I have treated referral patients from the DuPont Hospital for Children in Wilmington, DE (I live in Germantown, MD).

Acupuncture, of course, is only one part of the puzzle when treating patients with PTSD. How do you work to get them connected to the care and community they need?

Currently and throughout my whole career as an acupuncturist all the patients I have treated with PTSD and even depression have been under the care of the proper medical professional. If I ever get a patient who has one of these conditions and is not seeing a professional in the field of psychiatric medicine, I have physician friends who are psychiatrists they can reach out to. It's paramount that all of these patients be under the care of the proper medical professional. If they currently are not under the care of the proper medical professionals, I would try to convince them to go to one. If I couldn't, I would not treat them with acupuncture. I currently work with and mentor disabled combat vets who have severe PTSD and all of them see their psychiatrist on a regular basis.

A few of the disabled combat vets I worked with that have PTSD. These guys are allowed in some cases to use BFA on themselves or have their wives treat them (not my rule, nor my doing). Some of them will use BFA on their caregivers to treat their pain (again, not my doing). When the wives become pain free or have very little pain, the disabled vets tell me that they feel good about themselves once again. One guy told me when he treats his wife with BFA he feels like a functional member of society again. He went on to say that the treatments he gives his wife is a big part of his therapy.

What has surprised you most about this career? 

Many things! For instance, I was surprised and grateful on how generous my teachers and mentors have been with their time and knowledge. In keeping with the spirit of my teachers and mentors, I to emulate them by doing the same to those who would like my time or more knowledge.

One thing that has surprised me recently is how fast some people and institutions are becoming accepting of acupuncture. I always thought that in time they would see the benefit, but not as fast as they have. These include military units, a world-renowned University teaching hospital, Indian reservations, the VA and regional health care providers for one of the biggest providers of health care in the United States other than the military.

On a not so positive note, what surprises me is the lack of training through fellowships and apprenticeships after you graduate acupuncture school. I hope to one day be able to offer anybody the opportunities that I had when I spent 5 years learning from the US military.

Coming from a Western medicine background I would prescribe some of the most powerful drugs on this planet. I was quite confident that these drugs would work all the time and very quickly. This wasn't the case every time and that would frustrate me. Now some of the acupuncture protocols I use work quicker than those drugs and last longer with no side effects. I'm surprised that more hospitals and clinics don't see what I saw when I practiced in Western medicine. I think what really surprises me is how inexpensive acupuncture is compared to Western pharmacological therapies and why these institutions are not quicker to acupuncture as an adjunct or substitute.

Do you have any advice for students who want to work in an emergency response capacity? Do you have any recommended links/reading/research on organizations for those who may be interested?

I do know that BFA has been used in Australia on national ambulance services. About 2 years ago I was contacted to help train medical doctors at a large medical school in Southern California who wanted to do a research project on using BFA for compound femur fractures. Some large teaching hospitals are interested in using BFA in their emergency rooms. Cook County Hospital in Chicago, one of the largest hospitals in the US, is one of those institutions that have contacted me to help them implement BFA into their Emergency Department protocols. On my website I have a list of articles for research on BFA. For those who want to do more research, you can also look up BFA at PubMed. 

Any advice to students regarding trauma-informed care? 

Patients' piercings and tattoos will tell you a story they cannot or are not willing to share with you or anyone else at the time. That’s right - you can somewhat diagnose your patients by observing their piercings and tattoos. You might be surprised how much you know about a patient and not even know it. In my basic BFA class I will go over these clinical clues and signs.

Have you ever suffered from burnout, and how did you take care of yourself?

No, I have never had an issue with that. I have patients I treated that I could not wait till they regained their health back. These patients would eat up my time and I would fall behind on other of my patients. The other patients would get upset with me for running late but understood. The BFA fixed that problem.

With using BFA I can treat up to 10 patients per hour. Their pain level could be 7, 8 or even 9 out of 10 on a pain scale from 0-10. Within minutes most, if not all, of their pain is reduced to zero or to a comfortable level for them. I feel that getting their pain reduced to between 0 and 3 out of 10 on the pain scale is a good objective.

I don’t advise completely eliminating pain for most patients and endurance athletes. I had a runner that I treated and told him to take it easy. The next day I saw him doing a long run because I had eliminated all his pain. He was testing the limits which can result in additional injury. You do not want this to happen, so in a case like this, I would reduce the pain but not eliminate it to remind the patient to take it easy since the pain and cause of the pain are still there.

What the best piece of advice you’ve gotten from a mentor? 

Wow, I'm sure I can write a book on all the great advice and clinical pearls I received over the years from my mentors. All the knowledge they’ve given to me can be summed up as always be positive and choose positive words with your patients.

I will offer a simple clinical pearl that you can apply in your clinic as soon as you read it. We all do this in our clinics, but I am going to give you a positive way to say this. When you do, watch your patient’s face and demeanor change on the spot. When a patient come into our clinics for the first time, we need some basic information about them, like their name, their age and chief complaint. When I ask their age, I look them in eye and ask, “How young are you?”  Try this and see how well your results are compared to the last new patient you just saw if you ask them how old they are.

What will participants learn in your upcoming CE opportunity at AOMA?  

I will teach one of the strongest if not the strongest protocol to reduce both acute and chronic pain in a long-lasting way. You will learn how to unite auriculotherapy and acupuncture in a synergetic way to help their patients achieve their objectives.

I'll discuss the history of BFA, auriculotherapy and acupuncture. Most individuals don’t know that acupuncture has been used in the US since (at least) 1773.

We will also go over an in-depth understanding of the principles of auriculotherapy to help each student succeed in clinical practice. By the end of the seminar students will be able to diagnosis basic pathological conditions just by observing their patients’ ears. BFA has the ability to change your practice and your patients’ lives.

Each student will receive a gift bag from our sponsors (Lhasa OMS, Boston MA and Sedatelec of Lyon, France) with a mix of different kinds of needles to use and practice with throughout the seminar. The BFA protocol uses semi-permanent needles known as ASP ear needles. And of course, participants will receive 16 NCCAOM PDAs and California Acupuncture Board CEUs if applicable.

Thank you so much for your time and thoughtfulness, John! We really look forward to hosting your seminar here at AOMA in July.  

The average person in Austin knows a friend, a neighbor, a family member, or acquaintance who has tried acupuncture. Many of these first-time clients come in for pain-related conditions, as acupuncture is known to be very effective at treating pain. It is a relatively non-invasive and affordable option when compared to surgery, and patients don’t run the risk chemical dependency as they do with opioids.

Here are a couple of exciting policy changes and research regarding the treatment and medication of pain in the US:

1. May 2017: proposed changes on educating providers about treating pain from the Food and Drug Administration (FDA). They recommend that doctors “get information about chiropractic care and acupuncture as therapies that might help patients avoid prescription opioids."
2. Starting in 2019: Blue Cross Blue Shield Tennessee made changes to its opioid coverage. They now cover a week of short-term opioid prescriptions and instead added acupuncture as a covered alternative pain therapy for clients.
3. New Research for Acute Pain: Emergency departments are starting to look away from the use of opioids as a first line of treatment, and studying how acupuncture can be used in this setting. The Journal of Pain released a study in their April 2019 publication on how acupuncture was received in an emergency room setting. In 2017, 706 emergency department patients were approached and 379 of those agreed to try acupuncture (53.7%). Those who chose to receive opioids did not show improvement during their time at the clinic (self reported, 0-10 scale). Acupuncture “significantly decreased pain regardless of whether a patient received opioids during their [...] visit.”

We know that acupuncture works for pain already, but it was interesting to see that most people in the study were willing to try it as a solution for acute pain. As the national debate on the use of opioids continues, it’s encouraging to see patients who chose more natural options as a first-line therapy for pain management. 

Current research on acupuncture’s effects on pain are vital to change the way patients, doctors and policymakers make decisions on and recommendations for pain management. Are you interested in participating in a Doctoral survey study on pain? Doctoral candidate Zhenni Jin is looking for 15-20 participants for a survey.

This study might be a good fit for you if:

• You are at least 18 years old.
• You have had persistent pain longer than 12 weeks
• You have not had acupuncture in the last 3 months

Your responsibilities by participating:

• Complete survey before initial treatment
• Complete survey after third treatment
• Complete survey after fifth treatment

Contact Zhenni Jin directly at 737-203-7138 if interested in participating!