• Professional Development

    Acupuncture Relief Project offers opportunities for volunteers to gain valuable field experience and earn continuing education credits.
  • Primary Care

    Since 2008, Acupuncture Relief Project volunteers have delivered over 300,000 primary care visits in rural Nepal.
  • objective outcomes

    Our volunteers hone their clinical skills by properly assessing their patient's condition and setting achievable outcome goals.
  • community supported

    The care we provide is deeply appreciated and the communities we serve trust our commitment, knowledge and expertise.
  • Providing Access

    According to the World Health Organization, Nepal's healthcare system ranks 150th in the world with less than one doctor per 6000 people.
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Our Mission

Our unique model provides effective, efficient, primary care in rural Nepal. Read More
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Our Clinics

Since 2008, our clinics have provided over 350,000 primary care visits. Read More
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Our Partners

Influencing government policy and achieving educational goals. Read More
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Volunteer With Us

We need your help. Serve others while learning new skills. Read More
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Our Evidence

Case studies and field research helps us analyze our efficacy. Read More
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VOLUNTEER COMMUNITY CARE CLINICS IN NEPAL

Nepal remains one of the poorest countries in the world and has been plagued with political unrest and military conflict for the past decade. In 2015, a pair of major earthquakes devastated this small and fragile country. 

Since 2008, the Acupuncture Relief Project has provided over 300,000 treatments to patients living in rural villages outside of Kathmandu Nepal. Our efforts include the treatment of patients living without access to modern medical care as well as people suffering from extreme poverty, substance abuse and social disfranchisement.

Common conditions include musculoskeletal pain, digestive pain, hypertension, diabetes, stroke rehabilitation, uterine prolapse, asthma, and recovery from tuberculosis treatment, typhoid fever, and surgery.

Read More

Featured Case Studies

  • Febrile-Induced Cerebellar Ataxia +

    58-year-old male patient presents with ataxia, severe dizziness, vertigo and slurred speech. Symptoms started after a severe febrile Read More
  • Chronic Non-Healing Ear Ulcers +

    15-year-old female presents with purulent, non-healing ulcers in the right ear canal. After 20 treatments, using an integrative Read More
  • Primary Hypertension +

    3 patients present with stage 2 essential hypertension (HTN), 1 of which is a female (76 yo) and Read More
  • Bilateral Leg Weakness and Paralysis +

    42-year-old female presents with an inability to walk due to slow-onset, partial bilateral leg paralysis occurring over a Read More
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Compassion Connect : Documentary Series

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    In the aftermath of the 2015 Gorkha Earthquake, this episode explores the challenges of providing basic medical access for people living in rural areas.

    Watch Episode

    Episode 1: Rural Primary Care

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    Acupuncture Relief Project tackles complicated medical cases through accurate assessment and the cooperation of both governmental and non-governmental agencies.

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    EPISODE 2: INTEGRATED MEDICINE

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    Cooperation with the local government yields a unique opportunities to establish a new integrated medicine outpost in Bajra Barahi, Makawanpur, Nepal.

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    EPISODE 3: WORKING WITH THE GOVERNMENT

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    Complicated medical cases require extraordinary effort. This episode follows 4-year-old Sushmita in her battle with tuberculosis.

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    EPISODE 4: CASE MANAGEMENT

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    Drug and alcohol abuse is a constant issue in both rural and urban areas of Nepal. Local customs and few treatment facilities prove difficult obstacles.

    Watch Episode

    EPISODE 5: SOBER RECOVERY

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    Interpreters help make a critical connection between patients and practitioners. This episode explores the people that make our medicine possible and what it takes to do the job.

    Watch Episode

    EPISODE 6: THE INTERPRETERS

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    This episode looks at the people and the process of creating a new generation of Nepali rural health providers.

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    EPISODE 7: FUTURE DOCTORS OF NEPAL

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    In this 2011, documentary, Film-maker Tristan Stoch successfully illustrates many of the complexities of providing primary medical care in a third world environment.

    Watch Episode

    COMPASSION CONNECTS: 2012 PILOT EPISODE

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From Our Blog

 


Stacey Kett MAcOM LAc
October 2011
Overview

Acupuncture Case Study

43-year-old female presents with a severe headache. 9 months ago, the patient contracted Typhoid fever. During the illness, she had a headache that covered her entire head and a mild fever for 5 days. She has had severe headaches ever since. Acupuncture is providing some relief from the headache, but she needs more consistent treatment. Case analysis after 7 visits over two months.

SUBJECTIVE

The patient presents with a headache located primarily in the temporal and vertex regions. Light and sound do not trigger the headache. She has sinus pressure that contributes to the pain. Her sense of smell is inhibited by the sinus congestion. She presents with occipital neck pain further aggravating the headache. Her hands and feet are cold and sweaty during the day. She sweats profusely when the pain is severe and at night. Her digestion is normal. Menstruation is regular with 4 days of bleeding, 2 of which are heavy.

Medications: PRAN 10 (Propanolol HCL) - a beta blocker used for hypertension, anxiety and panic; Depthyline 25 (Amitriptyline Hydrochloride) - a tri-cyclic antidepressant; Paracetamol 500 mg (Acetaminophen/Tylenol); Anims - pain reliever

OBJECTIVE

Patient appears to be in good health for age and environment.

Tongue is dusky and red. Pulse is deep, thin and rapid.

Blood pressure: 135/109;Heart rate: 110; Follow-up BP measurements: 128/82 and 128/98

The occipital and frontal sinuses are tender upon palpation.

An imaging study CT/MRI was done within the last 6 months and showed no abnormalities in her brain.

Assessment

Acupuncture Case StudyDX: Headache from the sequela of Typhoid fever, sinus blockage, occipital neck pain

TCM DX: Blood stagnation in GB/LV channels, blood deficiency due to the febrile disease, phlegm in the LI and BL channels, qi and blood stagnation in the BL channels

PROGNOSIS: This is difficult to treat due to the fact that the patient lives 2 hours away and is not able to come for consistent treatments. If she is able to come for more regular treatments, the prognosis will be better.

Initial Plan

Treat 3 times per week for 10 treatments before reassessing. Focus on building and moving the blood in the channels, clearing the blockage in the sinuses and moving blood and qi in the occipital region. Five day course of Xue Fu Zhu Yu Tang to help move the blood and stop the pain.

Typical treatment: HT8, HT3, SP10, TB5, GB41, GB20, BL10, Bi Tong, BL2, GB8, Tai Yang, Yin Tang, BL7, SP6, ST36, BL60

Outcome

The patient came to the clinic 7 times. She came in 2 sets of treatments. 1 was 3 treatments every other day and the next set was 4 treatments in a row. The treatment sets were 3 weeks apart. She noticed after the first set of treatments that her hands warmed-up and she stopped sweating at night. Her headache was better and she had less sinus congestion and pain. The second set of treatments yielded a reduction in pain and an increased sensation in her hands and wrist.

The severity of her headache decreased by 50% during the treatment plan, showing that she responds well to acupuncture. She was advised to increase the frequency of treatments. However, because she lives far away, she is not able to come as often as would be necessary to significantly affect the pain level.

Conclusion

This case is incomplete and more information is needed on several topics. The frequency of the headaches is not understood or charted. Which medications are being used is not clearly understood and were charted on 2 separate days indicating that I may not have all the information. The treatment that she received for the Typhoid fever is not known, nor do we know what her other symptoms were from the Typhoid fever. The course of Typhoid fever can include a dormant period of the pathogen. Therefore, if treatment was not given, she may be a carrier, and the bacteria may present itself at a later date. More information is also needed for a clear TCM diagnosis. Are there other LV/GB signs? Are there true heat signs?

After analysis, it is clear that acupuncture treatment had good results, despite the lack of a full diagnostic work-up. However, a more comprehensive exam is necessary to further progress this case further. The herbal treatments may have been too short-term to properly evaluate its therapeutic benefit.

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