License 001

"When I first went to school, there was no law in North Carolina about it," says Paterson, a licensed acupuncturist who holds a masters in acupuncture and currently operates out of the Wilmington Acupuncture and Counseling Center. "The acupuncturists across the state went to the attorney general, who told us to get a license in another state. When theres enough of you, he said, you can lobby."

So it came to be that in 1989, Paterson opened up a practice jointly in Wilmington and in Chapel Hill. "There was no other acupuncturist here; in Chapel Hill, I joined an existing practice. I worked two days a week in Chapel Hill," Paterson says. She built her Wilmington clientele by giving talks at the Sun and Moon bookstore, no longer in operation, and by word of mouth. "In five years, I was busy enough that I sold my practice in Chapel Hill."

Paterson wasnt alone. Across the state, an ever-growing group of physicians wanted to use homeopathy in their practice, and an increasing number of acupuncturists were calling North Carolina home. The time had come to lobby for licensure, and, as luck would have it, the process took just one year. In 1994, Page Paterson became the very first acupuncturist licensed in the state of North Carolina, a distinction to which the framed certificate on her office wall, with its distinctive "001," attests. "We wrote a good law," she says, smiling.

That year, Paterson joined an elite group of six other individuals who received their acupuncture licenses. Today, according to the Community Acupuncture Network (CAN), around 400 licensed acupuncturists reside in the Tarheel State. Seventeen of them call Wilmington home (source: North Carolina Acupuncture Licensing Board). While our states acupuncturists constitute a mere fraction of the 27,965 U.S. licensees (as of July 2009), its a far cry from the seven pioneers who successfully lobbied for licensure sixteen years ago.

The last two decades have seen a dramatic increase in the United States acceptance of acupuncture as a complementary treatment method for all types of ailments, including fibromyalgia, migraines, infertility, cancer pain, asthma, drug addiction, osteoarthritis, and more. In 1996, the Food and Drug Administration (FDA) removed acupuncture needles from their "experimental medical device" list. The U.S. Department of Education now recognizes the Accreditation Commission for Acupuncture and Oriental Medicine, which has links to approximately 50 acupuncture schools. Multiple sources, including the National Institute of Health, have conducted studies and summits on the techniques efficacy and effectiveness.

Despite these developments, theres still a long way to go. "If youre thinking of doing acupuncture, be sure you go to a licensed acupuncturist. In North Carolina, chiropractors and doctors can do acupuncture without training for it specifically, and its covered by insurance," Paterson warns. Insurance coverage or the lack of it can be a significant impediment to receiving acupuncture treatment. "Progress Energy covers acupuncture, and so do a few other companies. But Blue Cross Blue Shield NC isnt required to cover it," she explains. Instead of traditional insurance coverage, they offer acupuncturists a compromise: lower your rates for our customers, and well include you on our list of providers. Its a compromise that Paterson and others like her, including local acupuncturist Daerr Reid of East Coast Acupuncture cant afford to make.

Reids introduction to acupuncture came in the early 1990s, when she saw Page Paterson for endometriosis. Though Reid eventually had a hysterectomy, her acupuncture treatments left her "feeling better overall." Reids interest in psychology she holds an undergraduate degree in the subject from Appalachian State University predisposed her to be intrigued by the mind-body connection implicit in the practice of acupuncture. "You could treat the mind through the body," she says. "It was a profound, life-changing experience." Today, after attending the Boulder, Colorado, branch of Southwest Acupuncture College as well as massage school, Reid specializes in acupuncture for fertility.

 How Does It Work, Anyway?

"There are many types of acupuncture," Paterson says pre- and post-communist Chinese, Japanese, Korean, Vietnamese and the list goes on. Overall, though, acupuncture is based in part on the theory that we all have energy, or qi (pronounced "chi") flowing through our body along a series of meridians, or pathways. Our bodies are balanced between yin and yang, with yin representing cold, slow or passive energy, and yang representing hot, active or excited energy. When the balance between the two types of energy is disrupted by stress, lack of sleep, or a precipitating event the flow of qi is blocked, and illness results. Acupuncturists insert thin, sterile, flexible needles into the skin at points along your body to restore the flow of qi.

"Its better to come in when you dont have a problem, so its preventative," says Paterson. "Sometimes its a last resort. Sometimes theyre healthy and would like to stay that way. Sometimes they dont want to be on medications, or their doctor says the next step is surgery and sometimes they tell me that somethings just not right."

In Reids case, she sees women "in all stages of fertility. All of the fertility clinics in the state have acupuncturists they work in conjunction with, and studies have shown that acupuncture can help increase in vitro success by 40 percent," she says. Like Paterson, Reid incorporates herbal medicine into her practice.

Acupuncturists use a range of diagnostic tools to treat clients, including observation, a detailed questionnaire, examining their tongues and taking their pulses. In the latter case, they arent just determining how clients hearts beat; theyre listening for as many as nine pulses, which may be slippery, wiry, full, knotted and other qualities that help diagnosticians determine where the qi deficiency or blockage may lie. In fact, trained acupuncturists can tell from a womans pulse if she is pregnant, says Reid.

"People come in with a whole lot of symptoms. Of course you want to get their history, build a relationship so that they trust you," says Paterson, who also practices complex homeopathics and follows the pre-Communist Chinese tradition of acupuncture. This tradition is based on five elements fire, water, wood, metal, earth each of which correspond to specific organs, tissues and senses within the body. "The five elements are all about observation. Youre looking for color, sound, odor, emotion, to make a diagnosis, and youre looking for those things at the deepest level, so that youll have much more long-lasting results."

One of Patersons best tools is a tongue diagnosis. "Its a diagnostic tool of eight principles. Someone with anxiety, insomnia, possibly panic attacks, low body temperature and night sweats might present with a peeled tongue," she says. "The relation between the kidneys and the bladder might be off. The kidney yin would be deficient, not able to anchor the heart. Certain patterns typically produce certain things."

While Reid also makes use of traditional diagnostic tools in her arsenal, shes "very tied into the Western approach to testing and technology," and likes to ensure that clients dealing with infertility have had a full clinical workup before coming to see her, so that she can treat them effectively. "When women come to see me, I ask them a lot of questions about their menstrual cycle," she says. "The more I work with them, the more I know whats going on. Sometimes its very complicated, but other times its literally a matter of an herbal formula."