• Understand your patient!
• Understand the symptoms!
• Understand the severity!
• Understand the effectiveness of your treatments!

“50% – 20% – 20% – 10%” Rule

• 50%: Patients will naturally respond to acupuncture treatments with full efficacy results.
• 20%: Patients will respond slower and more gradual and will need acupuncture prescription modifications.
• 20%: Patients will need long treatment courses, herbs, and lifestyle changes.
• 10%: Patients will not respond to Chinese medicine.

“Mild – Moderate – Severe” Rule

1.) Quantity: based on severity and duration of symptoms:
• Mild Conditions: (3-6 Tx).
• Moderate Conditions: (6-12 Tx).
• Severe Conditions: (12-24+ Tx).
• Short Duration/Acute Conditions: (3-12 Tx).
• Long Duration/Chronic Conditions: (12-24+ Tx).

2.) Frequency: based on severity and duration of symptoms:
• Mild Conditions: (1 Tx/wk).
• Moderate Conditions: (1-2 Tx/wk).
• Severe Conditions: (2 Tx/wk).
• Short Duration/Acute Conditions: (2 Tx/wk).
• Long Duration/Chronic Conditions: (1 Tx/wk).

3.) Every individual person is different.
• Every individual will respond uniquely to acupuncture based on your particular lifestyle, diet, exercise, work, and sleep habits.
• Emotional, environmental and genetic factors will also play a role and are a necessary consideration.

Treatment Schedule

1.) Set up acupuncture protocol based on diagnosis.
2.) Give the patient a predetermined set amount of treatments based on severity.
3.) Continue treatments if there are changes in: Severity, Duration, or Frequency of symptoms.
4.) If there are no changes, modify acupuncture prescription and repeat.
5.) Once the patient’s symptoms are manageable and controlled (within quality of life parameters), start spacing out the treatments or start maintenance treatments.
6.) If there are no changes after set amount of treatments, add herbal prescriptions and suggest lifestyle modifications.

“Constant changing of acupuncture prescriptions, herbal prescriptions, and lifestyle modifications, may lead to the increased difficulty of knowing which therapy is the key to the patient’s symptom alleviation.”

Sample Protocol:

1.) Regulate zang-fu organs, harmonize digestion, and calm shen. (“The Oil Change”)
2.) Regulate qi, clear/drain heat, and drain dampness if necessary.
3.) Nourish and build qi and blood.
4.) Sedate yang.
5.) Supplement kidneys.

Dr. Brian Grosam