212 ICMART-iSAMS 2018 World Congress on Medical Acupuncture supporting self-learning. Integration of manual techniques into standard health care delivery raises a number of issues, for example What

- is the underlying theory of health and disease, - is the professional role of the therapist, - about self-help an empowerment, - is the scope of indications and contraindications, - are typical risks, adverse effects and complications.

The oral presentation deals with these issues looking at the evolving relationship of traditional Chinese orthopedics and TuiNa with western conservative orthopedics, osteopathy and manual medicine. https://doi.org/10.1016/j.jams.2018.08.097

S22 - Symposium 22 Gunn Intramuscular Stimulation (Gunn IMS) - Beyond Neuropathic Pain T. Ong

Chan Gunn Pain Center, Penang, Malaysia Abstract Gunn IMS is a known modality for treatment of neuropathic pain worldwide. The needling technique was invented by Professor C. Chan Gunn of the Institute for the Study and Treatment of Pain (iSTOP), Vancouver, Canada. It is based on neurophysiology and anatomy. With the understanding that neuropathy causes Shorten Muscle Syndrome and modulates immune system, we started to treat conditions beyond neuropathic pain with considerable success. Four clinical cases with photographs and video will be presented for discussion:

1. Adolescent Idiopathic Scoliosis. 2. Thyroid Associated Orbitopathy. 3. Mononeuritis Multiplex. 4. Motor Neuron Disease. https://doi.org/10.1016/j.jams.2018.08.098

S22 - Symposium 22 Integration of Acupuncture and Osteopathy in the Treatment of the Lateral Knee Pain U. Mazzanti 1,2,3,4,5

1 Association of Medical Acupuncturists of Bologna (AMAB), Itay 2 AMAB - Italian-Chinese Acupuncture School, Itay 3 Italian Federation of Acupuncture Societies (FISA), Itay 4 Pan European Federation of TCM Societies (PEFOTS), Netherlands 5 World Federation of Chinese Medicine Societies (WFCMS), China Abstract The author presents his experience as a medical specialist in physiotherapy, acupuncture and osteopathy dealing with lateral knee pain that occurs more or less slowly, often without evidence of a specific traumatic cause, but usually as a result of awkward postures or repeated microtrauma related to sports. This localization has an imprecise diagnosis, ranging from the suffering of the lateral meniscus to the tendinopathy of the biceps femoris. The proposed therapy is an integrated approach between osteopathy and acupuncture that is based on a diagnosis of MO which finds its completion in the pursuit of the dysfunction of the joint mobility and the energy imbalance of the two own CAM. ICMART-iSAMS 2018 World Congress on Medical Acupuncture 213 https://doi.org/10.1016/j.jams.2018.08.099

S22 - Symposium 22 A New Strategy for Migraine Patients: The Combination of Neural Therapy, Acupuncture and Osteopathy S. Popat

German Society for Acupuncture and Neural Therapy (Deutsche Gesellschaft fu¨r Akupunktur und Neuraltherapie, DGfAN), Germany Abstract The strategy in treating patients with migraine type headache is sometimes very challenging. In Chinese medicine the classical diagnosis using history, tongue and pulse diagnosis leads to a selection of points used which can vary a lot according to the imbalance detected. In the last few years more and more patients presented to me with sometimes more than 3 years of pain and agony and migraine attacks more than 3 times a week. A faster approach seemed to be necessary! I started to combine the classical acupuncture treatment and after that injected procaine 1% to specific points in the areas in the mouth to reduce silent inflammatory activity due to e.g. chronic tonsillitis. The points which needed injection were identified due the neck reflex points described by Weinschenk et al. In 1 case I detected 3 teeth as responsible trigger of the migraine attacks. In another case I used Low Level Laser therapy because my patient was only 11 years young. The results are very promising, after 3 treatments the patients reduced the migraine frequency to one attack per month, after a couple more treatments there was no more migraine left. It is to discuss if the western medical diagnosis migraine is at all the correct, or if there is a headache which needs due to disturbed head joints and ongoing silent inflammation a complete different classification. The combination of related techniques in addition to acupuncture also includes the soft tissue techniques of repositioning the head joints, this is probably also a part of the fast success in these cases. https://doi.org/10.1016/j.jams.2018.08.100

S22 - Symposium 22 Prevention of Migraines by Treatment of Jing Bie, Electroacupuncture and Chrono Acupuncture: Synthetic Study about Two Clinical Cases J.M. Stephan 1,2,3

1 Association Scientifique des Me´decins Acupuncteurs de France -Ecole Franc¸aise d’Acupuncture (ASMAF-EFA), France 2 Fe´de´ration des Acupuncteurs pour leur Formation Me´dicale Continue (FA.FOR.MEC), France 3 Faculte´ de Me´decine Lille 2, Universite´ de Lille, France Abstract Introduction: The objective of this work is to evaluate the possibility of using acupuncture and electroacupuncture in the prevention of migraines, both for the crisis and in the background treatment. Methods: Two clinical case studies of migraines make it possible to study the treatment protocol according to the differ- entiation of syndromes (bianzheng) but especially by using the miu sting applicable to jingbie meridians, electro- acupuncture and chronoacupuncture (seasonal point theory and that of ziwu liuzhu). After a review of the pathophysiology according to Traditional Chinese Medicine (TCM) and that of experimental medicine, an inventory of meta-analyzes and randomized controlled trials (RCTs) is carried out. Results: Acupuncture can be used alone or in combination with conventional therapy in integrative medicine. Evidence from meta-analyzes, RCTs and even expert recommendations can be considered useful, effective and without adverse effects. Conclusion: The use of acupuncture in the prevention of migraines can be proposed with a grade A of scientific evidence established according to the recommendations of the French High Authority of Health (HAS). https://doi.org/10.1016/j.jams.2018.08.101