Acupuncture & the Culture of Pain

Instructor: Dr. Da'an Pan, Muhlenberg College
Time: 3:00-4:15 Tuesdays & Thursdays
Place: 214 Ettinger
Office: 135 Old Commons
Office Hours: 11:00-12:00 Tuesdays & Thursdays (or by appointment)
Phone & E-mail: x3642 (O), pan@hal.muhlberg.edu

Goals of the Course

This course explores the cross-cultural significance of Chinese acupuncture in relation to the culture of pain in the West and particularly the United States. As one of the key components of traditional Chinese medicine, acupuncture rises in response to people's need to understand pain and cope with it. Throughout its history, acupuncture has always been associated with the concept of pain in theory as well as practice. The concept of pain figures importantly in the West, giving rise to a unique and yet popular subculture. Such a subculture generates a profound sociocultural discourse and turns acupuncture from a foreign custom into a familiar cure.

Using the needle and pain as two antithetical metaphors, this course investigates the symbolism of acupuncture as both a body booster and pain buster and as a means to patient-empowerment. This course progresses through three mutually related topics: It first examines the history and theory of Chinese acupuncture in the larger context of traditional Chinese medicine. It then investigates the culture of pain in terms of its psychosocial impact and the triangular relationship between pain, the patient, and the doctor. It finally explores the cross-cultural implications of acupuncture as an alternative means of pain management in the particular context of contemporary American society, in which this ancient Chinese practice gains increasing acceptance among individual patients, the medical community, and the health insurance industries.

This course serves as a complement to the existing course "The Tao of the Body and the Mind: An Introduction to Traditional Chinese Medicine" by focusing on one of the key components of traditional Chinese medicine and by relating Chinese acupuncture to Western culture. It deepens students' understanding of pain and the culture of pain by examining this concept across cultures and disciplines. The comparative approach adopted by this course contributes toward a genuine appreciation of the uniqueness of traditional Chinese medicine and facilitates a cross-cultural understanding and dialogue between the East and the West.


The Instructor's Philosophy and Pedagogy

This course aims at empowering students in a congenial and stimulating learning environment. Integrating team work with individual contribution, the class as a whole forms a think tank. The instructor encourages independent and original research against parrot-thinking and xeroxized learning. Students are expected to develop critical perspectives and analytical abilities through a mutually challenging and mutually inspiring interaction with the instructor and among themselves. Through focused reading, viewing, and discussions students will learn to think creatively and critically. Through instructor-guided writing of research papers students will learn to synthesize knowledge, analyze textual-contextual data, and articulate their thinking.

The Format of the Class

The format of this course is lecture-discussion with an emphasis on students' engagement and contribution so as to realize the concept of student empowerment in the learning process. Instructor's lectures on weekly topics are augmented by students questions and comments and complemented by class discussions. The midterm and final brainstorms help students refresh and reinforce their comprehension of course subjects and materials.


Requirements

No foreign languages prerequisite; all the texts are read in English translation. The instructor's support is available to those who are interested in reading Chinese texts in the original to enhance their understanding. Students are encouraged to discuss with the instructor on the various aspects (conceptual as well as technical) of their term projects and the criteria for grading. They are free to propose their own theses on chosen topics and also have the option to work with the instructor to develop appropriate theses.

Grading

Total grade consists of the following components:

a) Writing assignment (80% in total) includes three research papers on three topics respectively:
1. Understanding acupuncture: 4 pages, 20%;
2. Understanding the culture of pain: 4 pages, 20%;
3. Understanding the relationship between acupuncture and the culture of pain: 6 pages, 40%

All three papers should be word-processed in double space. Students are advised to refer to the MLA Handbook for Writers of Research Papers (ISBN 0-87352-379-2) and the Muhlenberg Academic Behavior Code governing writing assignments. The basic criteria for grading are creative thinking, critical thinking, and clear thinking.

b) Class engagement (20% in total) includes regular attendance, timely fulfillment of reading and writing assignments, and particularly active participation in class. Passive presence in class is not participation. A total of five absences without legitimate, non-frivolous excuses reduces the total grade by 10%.

Required Reading

Chaitow. Acupuncture Treatment of Pain.
Eckman. In the Footsteps of the Yellow Emperor.
Morris. The Culture of Pain.
MacPherson & Kaptchuk. Acupuncture in Practice: Case History Insights from the West.

In addition to the above-listed books, supplementary readings will be on reserve at the campus library or handed out in class.

Weekly Progress

WK 1 (Tues., 8/26; Thurs. 8/28)

:-) Get Acquainted with Your Instructor, Classmates, and Syllabus
:-) Topic: The Tao of the Body: From Philosophy to Medicine

Reading: The Yellow Emperor's Classic of Medicine (trans., Ni): Chap. 1. The Universal Truth;
Between Heaven and Earth (Beinfield & Korngold): Chap. 1. Our Journey East: Exploring Foreign Territory;
In the Footsteps of the Yellow Emperor (Eckman): Chap. 4. From Mythology to Medicine: A History of TCM

Viewing: The Mystery of Chi

WK 2 (Tues., 9/2; Thurs., 9/4)

Topic: The Body as Yin-Yang & the Qi: Physiology, Etiology, & Pathology

Reading: The Yellow Emperor's Classic of Medicine: Chap. 5. The Manifestation of Yin and Yang from the Macrocosm to the Microcosm, Chap. 6. The Interplay of Yin and Yang; Between Heaven and Earth: Chap. 4. Cycles of Circles: A Theory of Relativity Yin- Yang

Viewing: Taoism

WK 3 (Tues., 9/9; Thurs., 9/11)

Topic: The Body as the Five Elements: Metaanatomy, Diagnostics, & Therapeutics

Reading: The Yellow Emperor's Classic of Medicine: Chap. 4. The Truth from the Golden Chamber, Chap. 23. The Paradigm of The Five Elemental Phases, Chap. 67. The Five- Phase Circuits; Between Heaven and Earth: Chap. 6. Five-Phase Theory: Evolutionary Stages of Transformation

Viewing: Wu-xing

WK 4 (Tues., 9/16; Thurs., 9/18)

Topic: The Body as the Meridians: The Basics of Acupuncture--I

Reading: The Yellow Emperor's Classic of Medicine: Chap. 59. Pathways of the Channels, Chap. 62. Regulation of the Channels; Between Heaven and Earth: Chap. 13. Acupuncture: A Unified Field of Invisible Channels; The Acupuncture Treatment of Pain (Chaitow): Chap. 2. How Does Acupuncture Work?, Chap. 3. How to Use Acupuncture, Chap. 4. When to Use Acupuncture Viewing: China Zhenjiuology: Introduction

WK 5 (Tues., 9/23; Thurs., 9/25)

Topic: The Body as a Plumbing System: The Basics of Acupuncture--II

Reading: The Yellow Emperor's Classic of Medicine: Chap. 21. Meridian Pathology and Corresponding Pulse Signs, Chap. 49. Channel Pathology in Accordance with the Energy Almanac; Between Heaven and Earth: Chap. 13. Acupuncture: A Unified Field of Invisible Channels (continued) Viewing: China Zhenjiuology: Jingluo

WK 6 (Tues., 9/30; Thurs., 10/2)

Topic: Acupuncture as Body-"Plumbing": The Basics of Acupuncture--III

Reading: Between Heaven and Earth: Chap. 13. Acupuncture: A Unified Field of Invisible Channels (continued) Viewing: China Zhenjiuology: Points; Needling Methods PAN: Acupuncture Page 5

WK 7 (Tues., 10/7; Thurs., 10/9)

Midterm

Brainstorm Paper #1 Due Before Fall Recess :-)

Fall Recess: Fri., 10/10 - Wed., 10/15

WK 8 (Thurs., 10/16)

Topic: The Body of Pain

Reading: Pain in America (Sheridan): 1. Feeling Pain; The Culture of Pain (Morris): 7. Pain Is Always in Your Head; Migraine (Sacks): Chap. 1: Common Migraine Viewing: Cries and Whispers

WK 9 (Tues., 10/21; Thurs., 10/23)

Topic: The Culture of Pain

Reading: Pain in America: 2. Psychosocial Aspects of Pain; The Culture of Pain (Morris): 3. An Invisible Epidemic

WK 10 (Tues., 10/28; Thurs., 10/30)

Topic: The Triangle of Pain: Patient, the Doctor, & Pain

Reading: Pain in America: 4. Professional Caregivers, 6. Patients; Migraine (Sacks): Chap. 14: General Measures in the Management of Migraine; U.S. News & World Report: No Excuse for Pain (Cover Story): "The Quality of Mercy" (Brownlee & Schrof) Viewing: Healing from Within

WK 11 (Tues., 11/4; Thurs., 11/6)

Topic: The Tao of Pain: Tong (Pain) vs. Tong (Unclogged)

Reading: Pain in America: 10. Meanings, 11. In Search of Solutions; The Culture of Pain (Morris): 2. The Meanings of Pain, 12. The Future of Pain

Paper #2 Due

WK 12 (Tues., 11/11; Thurs., 11/13)

Topic: The Needle vs. Pain--I

Reading: In the Footsteps of the Yellow Emperor (Eckman): Chap. 5: History as Mystery: Traditional Acupuncture's Journey to the West; The Acupuncture Treatment of Pain (Chaitow): Chap. 1: Acupuncture for Pain Relief, Chap. 7. Acupuncture Anaesthesia; Acupuncture in Practice (Macpherson & Kaptchuk): 7. Treating the untreatable (Haines), 40. Headaches, angels and guiding spirits (Young) Viewing: China Zhenjiuology: Diagnosis & Treatment of Internal Medicine

WK 13 (Tues., 11/18; Thurs., 11/20)

Topic: The Needle vs. Pain--II

Reading: The Acupuncture Treatment of Pain (Chaitow): Chap. 6: Formulary for the Treatment of Pain; Acupuncture in Practice: 12. Elinor in the dance (Connelly), 22. Challenges that take their toll (Cote) Viewing: China Zhenjiuology: Diagnosis & Treatment of Gynecology & Pediatrics

WK 14 (Tues., 11/25)

Topic: The Needle or the Pill, This Is a Question

Reading: Pain in America: 9. Relieving Pain; Time Special Issue: The Frontiers of Medicine: "Challenging the Main Stream" (Langone); Acupuncture in Practice: 1. The cruel virus: a case of HIV and AIDS (Thong), 31. Coffee, marijuana and back pain (Nielsen) "Acupuncture--NIH Consensus Development Statement" (NIH); Skeptic: Acupuncture's Secrets Revealed (Ulett) Viewing: China Zhenjiuology: Diagnosis & Treatment of E.N.T. Department & etc. :-)

Thanksgiving Recess: Wed., 11/26 - Mon., 12/1

WK 15 (Tues., 12/2; Thurs., 12/4)
Final Brainstorm
Paper #3 Due