Myra parran unit5_assignment_capstone_hw499=01

Intro to Complementary and Alternative
Medicine Syllabus
Fall 2014
Instructor Information
Instructor Email Office Location & Hours
Myra C. Parran mparran@college.edu 123 College Rd.
Health Admin Bldg. Rm 222
Mon.-Thurs. 2:00-4:05
Fri. by appointment ONLY
General Information
Description
Welcome to an exciting and rigorous 3 day informative course on Complementary and
Alternative Medicine. During our time together we will cover: the history of Complementary and
Alternative Medicine, the definition of both, ethical practices, legal standards and we will be
reviewing statistical data on both. In addition, we will be discussing various relaxation
techniques as well as meditation techniques and stress management.
Expectations and Goals
It is my expectation that all participants leave this course very knowledgeable about
Complementary and Alternative Medicine. I expect everyone to arrive on-time to ensure they
don’t miss any valuable information, because I will be starting on time. My goal is to provide
each participant with the knowledge and skills needed to fully understand Complementary and
Alternative Medicine as a whole leaving no questions unanswered.
Course Materials
Required Materials
[1] Notebook (for taking notes)
[1] Highlighter
Pen/pencil

Course Schedule
Day Topic
Aug. 9 0900 – 10:30 History/Statistics/Practices
and Standards
Aug. 16 0900 – 10:30 Relaxation Techniques
Aug. 23 0900 – 10:30 Meditation Techniques
and Stress Management
NOTE: If you are going to be absent from a session, please be sure to email me so that we
can make arrangements for you to get the information that you need. THIS IS VERY
IMPORTANT to ensure that we all meet our goal.
Additional Information and Resources
Lesson 1 – Handout
Scholarly Article - State of Complementary and Alternative Medicine in Cardiovascular, Lung,
and Blood Research
Lesson 2 – Handout
Resources Listing

LESSON PLAN-1
Instructor: Myra Parran
Subject: Intro to Complementary and Alternative Medicine
Brief Description: Participants will be introduced to a number of alternative practices that are
available in the place of various medication regiments. They will receive background
information on different practices, types of treatments, benefits of choosing Complementary and
Alternative Medicine as opposed to traditional practices, and information on helpful physical and
online resources to turn to for assistance.
Objectives: Participants will review a brief history and origin of complementary and alternative
medicine to include examples of each.
Participants will understand the difference between complementary and alternative medicine.
Participants will understand the importance of both ethical practices and legal standards.
Participants will review statistical data.
When: Saturday August 9, 2014
Time: 0900 – 10:30 a.m.
Materials: Note pad, handouts, pen, and highlighter
Lecture Notes:
I. Introduction-define both Complementary and Alternative Medicine: Complementary
Medicine-non main stream approach along with conventional medicine. Alternative
Medicine-non mainstream approach without the use of conventional medicine.
A. Discuss misconceptions
1. Few Americans use these methods
2. No scientific evidence for natural therapies
3. Doctors do not discuss natural therapies
B. History and Origin – Research/Office of Eternal Medicine
C. Statistical Data

1. Research for allocated funding; ≈$70 million a year
2. >40% of the population using CAM in some way at an annual expenditure of
≈$30 billion
D. Ethical and Legal practices
1. Issues of establishing an appropriate standard of care in cases of medical
negligence
2. Regulation and integration
II. Question & Answer Session

LESSON PLAN-2
Instructor: Ms. Parran
Subject: Relaxation Practices
Brief Description: Participants will be introduced to a number of relaxation practices that are
available in the place of various medication regiments. They will receive background
information on different practices, types of treatments, benefits of choosing Complementary and
Alternative Medicine as opposed to traditional practices, and information on helpful physical and
online resources to turn to for assistance.
Objectives: To familiarize community with mind and body practices that are available as an
alternative to traditional medicines.
When: August 16, 2014
Time: 0900 – 10:30 a.m.
Lecture Notes
I. Background information
A. Used in the U. S. as part of a comprehensive plan to treat, prevent, or reduce
symptoms for conditions such as, stress, high blood pressure, chronic pain
B. Since 2007, about 12% of Americans uses these techniques
II. Relaxation techniques include can include practices such as guided imagery,
biofeedback, self-hypnosis, and deep breathing exercises. These techniques all
concentrate on consciously producing the body’s natural relaxation response by
slower breathing, lower blood pressure, and a feeling of calmness and well-being.
a. Biofeedback – a relaxation technique that uses electronic devices to teach how to
consciously produce the relaxation response
b. Deep breathing – this technique focuses on have the individual consciously slow
their breathing to focus on taking regular and deep breathes.

c. Guided imagery – focusing on pleasant images to replace the negative one in
order to achieve a relaxing feeling. This practice can be guides by a practitioner or
self-guided.
d. Progressive Relaxation – this technique focuses on tightening and relaxing each
muscle group. It is sometimes used in conjunction with guided imagery and
breathing exercises.
III. Risk & side effects
IV. Training and certification
V. Helpful online resources and physical locations for assistance.

LESSON PLAN-3
Instructor: Ms. Parran
Subject: Meditation Techniques and Stress Management
Brief Description: Participants will be introduced to a number of meditation practices that are
helpful in promoting stress reduction and better health. They participate in two 15 minute
mediation exercises to get a personal experience in how beneficial mediation can be in helping
them to relax.
Objectives: To familiarize community with mind and body practices that are available as an
alternative to traditional medicines.
When: August 23, 2014
Time: 0900 – 10:30 a.m.
Lecture Notes
I. Stress can be defined as any undue pressure placed on the body. It can come from a
busy schedule, a demanding challenge, a hardship situation and many other
unforeseen situations. How some people deal with stress - smoking, drinking, sleep,
loss of appetite/over eat, lashing out
II. Participants will share stories of things that stress them out and how they currently
deal with stress. (10 minutes)
III. Effects of stress on the human body
A. Nervous System – fight/flight response, glands release adrenalin and cortisol
B. Heart – decrease effective blood flow, raise blood pressure, risk for heart disease
C. Respiratory system – fast breathing, hyperventilation can lead to panic attacks
D. Sex Drive – decreases sexual desire, feelings of depression, mood swings, anxiety
IV. Participants will engage in meditation exercises (two 15 minute sessions)
V. We will discussion effects of exercises. Review

Lesson 1 Handout
Circulation. 2001; 103: 2038-2041 doi: 10.1161/01.CIR.103.16.2038
 Special Report
State of Complementary and Alternative
Medicine in Cardiovascular, Lung, and Blood
Research
Executive Summary of a Workshop
1. Michael C. Lin, PhD;
2. Richard Nahin, PhD;
3. M. Eric Gershwin, MD;
4. John C. Longhurst, MD, PhD;
5. Kenneth K. Wu, MD, PhD
+ Author Affiliations
1. From the National Heart, Lung, and Blood Institute (M.C.L.) and the National Center for
Complementary and Alternative Medicine (R.N.), National Institutes of Health, Bethesda,
Md; the Departments of Medicine, University of California, Davis (M.E.G.) and Irvine
(J.C.L.); and the Department of Internal Medicine and Hematology, University of Texas,
Houston (K.K.W.).
1. Correspondence to Michael C. Lin, National Heart, Lung and Blood Institute, NIH, 6701
Rockledge Drive, Suite 10193, MSC 7956, Bethesda, MD 20892-7956.
Next Section
Abstract
Abstract—The National Heart, Lung, and Blood Institute and the National Center for
Complementary and Alternative Medicine recently cosponsored a workshop on the use of
complementary and alternative medicine (CAM) in cardiovascular, lung, and blood research. In
view of the increasing use of CAM by the general public, it is imperative to promote credible
research by the established biomedical community. The goal of this workshop was to enhance
the exchange of information and ideas between alternative medicine practitioners and scientists
in cardiovascular, lung, and blood research and to foster collaborative research among these
researchers. The workshop focused on 5 areas of research, including a historical and cultural
perspective of CAM, methodological issues in clinical trials, herbal medicine, chelation therapy,

mind/body (meditation) therapy, and acupuncture. CAM has become widely used without
rigorously proven efficacy and safety. To protect the public, it was recommended that the
fundamental mechanistic research for these CAM approaches be vigorously pursued and that any
large-scale clinical trial be carefully executed to avoid any waste of resources and any
unnecessary risk. It was felt that standardization of botanical products and procedure-based
CAM intervention, such as acupuncture and meditation, is essential for meaningful basic and
clinical research. Although botanical products properly consumed are perceived as generally
safe, potential herb-drug interactions are a major safety concern. Clearly, many challenges need
to be addressed by the scientific community before the public can be assured of the proper use of
CAM.
Key Words:
 acupuncture
 medicine, herbal
 cardiovascular diseases
 alternative medicine
 meditation
A workshop entitled “Complementary and Alternative Medicine in Cardiovascular, Lung and
Blood Research,” which was sponsored by the National Heart, Lung, and Blood Institute and the
National Center for Complementary and Alternative Medicine (NCCAM), was convened June 12
through 13, 2000 in Bethesda, Maryland. This workshop was co-chaired by Kenneth Wu, John
Longhurst, and Eric Gershwin. In addition to the 20 speakers, the workshop was attended by
nearly 100 participants.
The objective of this workshop was to promote the exchange of information and ideas, to
identify opportunities, and to foster collaboration among scientists who are interested in using
complementary and alternative medicine (CAM) in cardiovascular, lung, and blood research. The
workshop focused on 5 areas of research, including a historical and cultural perspective of CAM,
methodological issues in clinical trials, herbal medicine, chelation therapy, mind/body
(meditation) therapy, and acupuncture.
Previous Section Next Section
Background and History
Wayne Jonas provided a historical and cultural overview of CAM. CAM approaches in health
maintenance have recently become highly popular in the United States, with >40% of the
population using it in some way at an annual expenditure of ≈$30 billion. This trend is partly
prompted by increasing appreciation of the importance of the “whole person” in health and the
skepticism of the general public about orthodox medicine.
Several CAM therapies have been shown to be effective for specific ailments (see the National
Institutes of Health [NIH] Consensus Conference on Acupuncture and NIH Technology
Assessment Conference on Integration of Behavioral and Relaxation Approaches Into the

Treatment of Chronic Pain and Insomnia), and many more remain untested and unproven.
Therefore, care in using alternative approaches is imperative. Complete evaluation of
complementary medicine must include both scientifically rigorous and clinically pragmatic
perspectives when assessing its value or danger.
A recent survey on the use of alternative care providers was reported by Barbara Altman. It has
become clear that most people who use CAM do so without informing their primary care
physicians and that few physicians are knowledgeable about CAM. CAM therapies encompass a
diverse and growing assortment of healthcare approaches. These approaches, which are often
used in conjunction with conventional medicine, include acupuncture, biofeedback, chiropractic,
herbal medicine, massage, and meditation.
William Harlan stressed the need to use the randomized, controlled trial as the “gold standard” to
determine the efficacy and effects of CAM. However, recognizing the broad use of CAM,
observational studies by CAM practitioners should not be disregarded. For many CAM therapies,
no reliable information exists concerning the numbers and types of patients who use them,
delivery and dosage, patient condition before and after treatment, and relevant side effects. These
issues can be investigated adequately in observational studies. Such studies form the basis of
further studies, provide information on the consistency of the delivery of a therapy, and give an
estimate of the effect size. Although recent reviews suggest that observational studies may
provide the same answer as a randomized, controlled trial, it is premature to equate the 2 types of
studies as sources of confident and specific information about the value of a therapy. The
uniqueness of many CAM therapies, such as the special need for standardization and
characterization of botanicals and the need to insure their purity and absence of potentially
harmful contaminants in these botanicals also presents special challenges in designing any
rigorous clinical trials, ensuring the safety of patients in the trial, and determining the potential
reproducibility of the trial.
Stephen Straus described the role of the NIH in the support of research in CAM. In 1991,
Congress mandated the establishment of the Office of Alternative Medicine at the NIH. This
office was elevated to the status of Center in 1998, with a current funding of ≈$70 million a year.
The goals of the NCCAM are to invest in research, both through investigator-initiated projects
and solicitations, to expand the cadre of researchers by training and recruiting established
scientists, to compile data on CAM approaches, and to disseminate pertinent information about
CAM more effectively to the community. The philosophical difference between the practitioners
of ancient approaches and mainstream researchers is a major challenge. The extensive use of
untested CAM practices by the US public has dictated that NCCAM make clinical research its
highest priority and the centerpiece of its research portfolio. Currently, NCCAM has supported
clinical trials on such topics as St John’s wort in depression, gingko biloba and dementia, gingko
biloba and vascular function in peripheral artery disease, shark cartilage and cancer, acupuncture
in osteoarthritis and cardiovascular disorders, and glucosamine/chondroitin and arthritis.
Recently, NCCAM initiated the Frontier Medicine Research Program, which covers areas in
which there have been few, if any, rigorous attempts at research. These include Reiki for
rehabilitation after cardiac surgery and distance healing (prayer) for AIDS.

Botanicals
Varro Tyler gave the opening talk on herbal medicine. As much as a third of the US population
has used herbal medicine, spending nearly $4 billion in 1998. The most popular remedies are
echinacea, St John’s wort, garlic, and ginkgo biloba. The use of herbal medicine continues to
increase rapidly. Because current law allows herbs to be sold as dietary supplements, herbal
products are not subject to any regulation, and their purity, safety, and efficacy are not
controlled. Unfortunately, the quality of herbal products is extremely variable. In fact, many
products available on the market do not even contain any of their purportedly active
ingredient(s). Therefore, in the interest of public health, it would be reasonable for the Food and
Drug Administration (FDA) to allow drug approval only with associated mandatory quality and
safety standards based on “reasonable” efficacy.
Norman Gillis discussed the protective effect of ginseng against lung injury caused by free
radicals. Using cultured cells and an intact lung model, it was shown that ginseng or its active
ingredient, ginsenosides, promotes vasodilation and prevents injury by enhancing the
biosynthesis of nitric oxide in the endothelial lining of the lung. Eric Gershwin examined the
possible relationship between dietary changes and the increased prevalence of asthma in the
United States. The use of food coloring, excessive dietary salt in processed food, and reduced
zinc intake due to lower red meat consumption can potentially contribute to the severity of
asthma. In addition, the replacement of animal fats with vegetable oils in the American diet may
have changed the lipid composition in the body, causing a different distribution of fatty acid
metabolites, many of which modulate ion transport, mucus secretion, and smooth muscle
contraction. Although some of these dietary changes have been beneficial in the prevention of
cardiovascular disease, their potential impact on asthma is complex and remains to be examined.
Consumption of microorganisms in yogurt is thought to help reduce susceptibility to a variety of
diseases. Dietary magnesium is also a contributing factor to bronchodilation. Some herbs, such
as ginseng and ephedra, have been shown to be effective in relieving the severity of asthma.
Therefore, CAM approaches incorporating the use of dietary supplements may be beneficial in
the management of asthma.
Garlic is one of the most studied herbs in the United States. The ability of garlic supplements to
lower elevated serum cholesterol levels and reduce atherosclerotic plaque formation is equivocal,
with early trials demonstrating an effect but more recent trials failing to confirm these
observations. One possible cause for these discrepancies is differences in the garlic preparations
tested. Considerable evidence indicates that allicin is essential to garlic’s hypolipidemic and
antithrombotic effects. Efficient release of allicin requires high alliinase enzymatic activity.
Larry Lawson found that several preparations used in the recent negative studies released very
low concentrations of allicin. He suggested that these low levels are a result of low alliinase
activity in the tested products or alliinase instability in the acidic conditions found during
digestion in the stomach. Therefore, the release of allicin from a product needs to be
standardized under U.S. Pharmacopeia–defined gastrointestinal conditions and verified before
beginning a clinical trial. A meta-analysis of all existing randomized trials investigating the
effects of garlic on cardiovascular factors was performed by Ron Ackerman and Cindy Mulrow.
They confirmed the short-term benefits of garlic on lipid lowering and antiplatelet effects.
However, no significant effect on blood pressure or glucose level was found.

A highly standardized extract of ginkgo biloba, EGB761, is widely used in Europe for treating
disorders due to vascular insufficiency, including diminished cognitive function associated with
aging. Many products containing ginkgo biloba extracts, some of uncertain purity or
standardization, are also being widely used in the United States. John Farquhar presented
evidence indicating that ginkgo biloba may have either an anti-platelet aggregation or an
antioxidant effect, which could be responsible for some of its beneficial effect on the vascular
system. Three major active ingredients have been identified in ginkgo biloba, and at least one of
these has been shown to enhance endothelial cell-derived NO levels in an in vitro study. The
question has been raised whether the NO effect is due entirely to decreased NO breakdown (due
to ginkgo’s known in vitro antioxidant action) or by a direct stimulation of NO synthase. A
mechanistic study of ginkgo’s vascular effects is currently in progress in patients with peripheral
vascular disease.
Chelation Therapy
Chelation therapy for metal poisoning has been used for many years. One agent, ethylenediamine
tetra-acidic acid (EDTA), was found by clinical observation to benefit patients with vascular and
degenerative diseases. However, no clinical trials have confirmed its potential benefit. Ted
Rozema, who has used this therapy to treat cardiovascular diseases for nearly 2 decades,
suggested that calcium chelation may be responsible for this effect of EDTA. He recommends a
major research effort, including clinical trials, to resolve the controversy. This recommendation
was supported by a number of other speakers.
Iron is required for cell growth and, in particular, DNA replication. Iron chelators, such as
deferoxamine, have been shown to have an antiproliferative effect. Lawrence Horwitz
discovered a novel chelator, exochelin, which was isolated from Mycobacterium tuberculosis
bacteria. Because of its solubility in lipids, exochelin is 10 times more effective than
deferoxamine in arresting the growth of vascular smooth muscle cells. The proliferation of
vascular smooth muscle cells is characteristic of restenosis after angioplasty. Furthermore,
excessive iron stores are associated with myocardial infarction. Exochelin, with its reversible
growth inhibition and lack of cytotoxicity, may be used as a therapeutic agent for several
cardiovascular complications.
Mind-Body Medicine
Stress is a major contributor to high rates of cardiovascular disease morbidity and mortality. The
transcendental meditation (TM) program is the most widely researched standardized meditation
technique for stress reduction. Robert Schneider and colleagues conducted a randomized,
controlled trial of stress reduction with TM for hypertensive black Americans. This trial was the
first to show that TM can be effective in reducing blood pressure, with high cultural acceptability
and compliance in a high-risk minority population. Follow-up randomized trials and other

controlled studies have reported reductions in other cardiovascular disease risk factors, such as
smoking, alcohol abuse, psychosocial stress, and oxidized lipids. Furthermore, recent studies
have demonstrated reductions in myocardial ischemia and regression of carotid atherosclerosis in
subjects randomized to the TM program compared with controls. Clinical outcome studies have
reported reduced rates of cardiovascular disease morbidity and mortality in TM practitioners
compared with controls. The cost-effectiveness of the TM program in the prevention and
treatment of cardiovascular disease is also emphasized. Vernon Barnes further showed that a
decrease in vasoconstrictive tone during TM may be the hemodynamic mechanism responsible
for reducing blood pressure. Changes of the levels of stress-related neuromodulators, such as
cortisol, catecholamines, and serotonin, have also been found to occur during or after TM
practice.
Acupuncture
Lixing Lao reviewed the history and the safety of acupuncture. At a NIH Consensus
Development Conference on acupuncture in 1997, conference panel members recognized
promising aspects of acupuncture research, affirmed acupuncture’s efficacy in certain conditions,
such as pain relief and treatment for nausea, and noted encouraging research on acupuncture
treatments for asthma, bronchitis, myocardial infarction, and rehabilitation from stroke.
Appropriate use of acupuncture by trained practitioners seems to be very safe. During the last 35
years, only 80 cases of complications and adverse effects of acupuncture have been reported in
the United States, and there were an estimated 5.4 million patient visits in 1997 alone. Zang-Hee
Cho reported his use of positron emission tomography and functional MRI in the mechanistic
study of the neural basis of acupuncture. These techniques detect changes in blood flow and
oxygenation relating to neural activity in the brain. Specific activation of certain brain regions,
including some of the pain perception centers such as the limbic area and hypothalamus, can be
demonstrated during the application of acupuncture. It was suggested that a neural imaging
center dedicated to CAM research is highly desirable.
Recent evidence suggests that hypertension and certain cardiovascular diseases can be improved
by treatment with acupuncture. Peng Li defined the neuronal pathways responsible for the long-
lasting effect of electroacupuncture on blood pressure in a rodent model and demonstrated that
low-frequency electroacupuncture activates opioid receptors and provides a therapeutic effect on
hypertension. Conversely, high-current electroacupuncture activates the cholinergic system and
leads to increased blood pressure, which alleviates shock and bradycardia. Using a feline model,
John Longhurst demonstrated that stimulating a well-recognized acupoint over the median nerve
on the ankle reduces the extent of myocardial ischemia. Acupuncture seems to act through the
direct stimulation of sensory nerves to release endorphins and opiates. Although acupuncture has
been used as a treatment for hypertension in China and Russia, it has yet to gain acceptance in
the United States. Using a randomized, doubled-blind, crossover design, Norman Kaplan hopes
to show that acupuncture at certain acupoints produces long-lasting blood pressure reductions in
hypertensive patients but not in normotensive subjects. To be of clinical value, acupuncture must
provide an antihypertensive effect that persists far beyond the actual procedure.

Previous Section
Recommendations
During the final discussion, it was emphasized that in most cases, CAM has become widely used
without rigorously proven efficacy and safety. To protect the public, there is an increasing
demand to accelerate the initiation of large scale clinical trials with major expenditure. It was
argued that without rigorous research to understand the fundamental mechanisms for these CAM
approaches, the clinical trials are often wasteful in time and resources and even risky. It was
thought that a few alternative therapeutic approaches currently in use by the public are
premature. However, without compelling and overwhelming evidence to prove their
ineffectiveness, it is unlikely that the public will be dissuaded from further use. At the same time,
it would be equally difficult to justify the need to have a large scale and costly trial simply to
prove the ineffectiveness of certain approaches. Clearly, many challenges need to be addressed
by the scientific community before the public can be assured of the proper use of CAM. The
recommendations resulting from the discussion fall under 2 broad categories.
Standardization
Standardized formulations of botanical products have not occurred in either the US market or the
research arena. Before supporting clinical trials on botanical remedies, several issues regarding
the characterization of botanical products must first be addressed, including whether to use
whole extract or a specific fraction, the method of extraction (eg, alcoholic, tea, pressed juice),
and the chemical and genetic standardization of the product. Reliable and well-characterized
products will assure the quality of study outcomes. The recent release of a draft of the FDA
Guidance for Botanical Drug Products (http://www.fda.gov) should help guide the development
of reliable products for research.
Procedure-based CAM (eg, acupuncture, meditation, massage, etc.) has a separate set of
questions. Most types of procedure-based CAM are not clearly defined interventions, as are
synthetic drugs or some types of herbal remedies. Procedure-based CAM interventions are used
in many different ways and are geared toward the individual patient; this creates a situation in
which the prescribed set of treatments used for one patient may not be appropriate for another
patient presenting with the exact same signs and symptoms. This variability greatly increases the
complexity of designing high-quality research. For instance, taking acupuncture as an example,
can we test whether a standardized set of needling points is more appropriate for treating
hypertension then individualized treatment? Assuming a standardized set of points is applicable,
what “dose” of acupuncture should we use to treat hypertension, ie, how long and frequent are
the treatment sessions, and how many sessions do we need? It is essential to answer these basic
questions before proceeding to large clinical trials.
Safety
Many CAM therapies have been used for generations, if not centuries, and they are often the first
line of treatment for individuals without access to conventional Western medicine, suggesting

some level of safety. Although most botanical products are probably safe when used properly by
trained practitioners, some products are toxic at high doses and others may have potentially
adverse effects in some susceptible individuals. In addition, the widespread usage of herbal
remedies, the high probability that herbal remedies and pharmaceutical drugs are being used
together, the general potential for herb-drug interactions, and the recently published reports of
adverse herb-drug interactions support the need for further research in this area. Particularly
needed are more data on the uptake, bioavailability, pharmacodynamics, and mechanisms by
which herbal remedies might exert their effects.
 Copyright © 2001 by American Heart Association

Lesson 2 Handout
Helpful Resources
Useful Website:
National Center for Complementary & Alternative Medicine (NCCAM)
http://nccam.nih.gov/
Complementary and Alternative Medicine – Mayo Clinic
http://www.mayoclinic.org/healthy-living/consumer-health/in-depth/alternative-medicine/art-
20045267
Medline Plus
http://www.nlm.nih.gov/medlineplus/complementaryandalternativemedicine.html
Offices that offer Complementary and Alternative Medicine Services
Integrated Therapies
(254) 781-0105 office
2100 E Stan Schlueterloop, J
Killeen, TX 76542
Live Oak Acupuncture & Herbal Medicine
1221 Hewitt Drive, suite C
Waco TX 76712
(254) 741-6030
Acupuncture & Chinese Herbal Medicine
1708 Walnut Avenue
Austin, Texas 78702
(512) 296-1541
The Hills Medical Group
4201 Bee Caves Road,
Suite B112, West Lake Hills, Texas 78746
P: 512-327-4886, F: 512-327-4958

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