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SOURCES: 1.http://www.yinyanghouse.com/theory/auricular/nada_detox_protocol 2.TheNationalAcupunctureDetoxificationAssociationwebsite:http://www.acudetox.com/ 3.LectureNotesandClasshandoutsfromTSCASpring2009 4.http://www.nlm.nih.gov/medlineplus/ency/article/000764.htm 5. http://www.chinesemedicinetimes.com/section/75/1/tcm_in_the_treatment_of_ssri_withdrawal_syndrome 6.http://mayoclinic.com/health/drugaddiction/DS00183/DSECTION=treatmentsanddrugs OVERVIEW: Drugaddictionisadependenceonastreetdrugoramedication.Whenyou'readdicted,youmaynotbe abletocontrolyourdruguseandyoumaycontinueusingthedrugdespitetheharmitcauses.Drug addictioncancauseanintensecravingforthedrug.Youmaywanttoquit,butmostpeoplefindtheycan't doitontheirown. Noteveryonewhousesdrugsbecomesaddicted,butformanywhatstartsascasualuseleadstodrug addiction.Drugaddictioncancauseserious,longtermconsequencesincludingproblemswithphysical andmentalhealth,relationships,employmentandthelaw.[6]

Home Protocols

TCMPATTERNOFDISHARMONY: Thedetoxificationprotocols,incontrastwithmuchofChinesemedicine,involvenodiagnosisandare usuallynotmodifiedinanyway.Duetothefixednatureoftheprotocol,manylocalitiesallownon acupuncturiststoadministertheauricularacupuncturetreatments.[1] ThoughthereisalwaysanunderlyingKDYinDeficiencyleadingtosignsofemptyheat+fire.Theempty heatsymptomsareuncomfortableandthecyclebeginsandKDYinisconstantlybeingdrained.[3]

CLINICALMANIFESTATION:[4] SpecificNicotinewithdrawalS/S: Anintensecravingfornicotine Tension Irritability Headaches Difficultyinconcentrating Drowsinessandtroublesleeping Increasedappetiteandweightgain

SpecificCocainewithdrawalS/S: AgitationandrestlessbehaviorDepressedmood Fatigue Generalizedmalaise


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Beth Conroy Compendium - Substance Withdrawl & Dependence - Traditional Chinese Medicine

Increasedappetite Vividandunpleasantdreams Slowingofactivity SpecificAlcoholdetoxificationS/S: Mildtomoderatepsychologicalsymptoms: Jumpinessornervousness Shakiness Anxiety Irritabilityoreasyexcitability Rapidemotionalchanges Depression Fatigue Difficultythinkingclearly Baddreams Mildtomoderatephysicalsymptoms: Headachegeneral,pulsating Sweatingespeciallythepalmsofthehandsortheface Nauseaandvomiting Lossofappetite Insomnia(sleepingdifficulty) Pallor Rapidheartrate Eyepupilsenlarged(dilatedpupils) Clammyskin Tremorofthehands Involuntary,abnormalmovementsoftheeyelids Severesymptoms: Deliriumtremensastateofconfusionandvisualhallucinations Convulsions Blackoutswhenthepersonforgetswhathappenedduringthedrinkingepisode

TREATMENTPRINCIPLES:[3] Preventrelapseandsupportrecovery. Throughthewithdrawalphaseofaddictionstherearetoxinsandheatbuiltoffromyearsofusing.Four organsareinvolvedintheeliminationoftoxinsandtheyaretheLI,LV,KD,&LU.

TREATMENTSTRATEGIES:[2] NADAProtocol About:Atfivedesignatedearpointsineachauricle(outerear),clinicianstrainedthroughNADAapplyfine gauge,sterilized,onetimeusestainlesssteelneedlesjustundertheskin,wheretheyremainforuptoan hourwhilethepatient(inmostcircumstances)relaxesquietlyinacomfortablechair.Ordinarily,groupsof patientssittogetherwhileundergoingthetreatment.Theprocedurefunctionsasanadjuncttoa comprehensiveaddictiontreatmentprogramofferingthebasictherapeuticelementsofcounseling, education,familyinvolvement,mutualsupportgroupinvolvement,supportivehealthcareofgeneral nature.Patientsinalltypesoftreatmentsettingsincludinginpatient,outpatient,incarcerated,shelters, harmreductionandstreetoutreachcanutilizethistreatment.Amongthebenefitsreportedbypatientsand cliniciansareimprovedprogramretention,amoreoptimisticandcooperativeattitudetowardtheprocess ofrecovery,aswellasreductionsincravings,anxiety,sleepdisturbanceandneedforpharmaceuticals. [2] 1. Lung2addictionrelatedlungissues 2. ShenMenstress,anxiety,excessivesensitivity 3. AutonomicPointbalancesymphatheticandparasymphatheticnervoussystems,blood circulation
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Beth Conroy Compendium - Substance Withdrawl & Dependence - Traditional Chinese Medicine

circulation 4. Liverhepatitis,cirrhosis 5. C.Kidneykidneydisorders,urinationissues

[5]

AmericanCollegeofAddictionologyandCompulsiveDisorders(ACACD)TreatmentProtocol: 1. PointZerogeneralhomeostaticbalance 2. ShenMenstress,anxiety,excessivesensitivity 3. AutonomicPointbalancesymphatheticandparasymphatheticnervoussystems,blood circulation 4. C.Kidneykidneydisorders,urinationissues 5. Brainpituitarygland,endocrineglands,addictions,sleep 6. LimbicSystemaggressiveness,compulsivebehavior

PATIENTEDUCATIONS/RECOMMENDATIONS: Itisimportanttodiscussadecisiontowithdrawalfromanyaddictionwithaprimarycarephysicianto determineinmedicalinterventionanddetoxificationisnecessary. Inadditionherapiessuchascounseling,addictiontreatmentprogramsandselfhelpgroupmeetingscan helpyouovercomeanaddictionandstaysober.

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