AATCVM. Newsletter. The American Association of Traditional Chinese Veterinary Medicine

Transcription

1 AATCVM Newsletter The American Association of Traditional Chinese Veterinary Medicine Spring in the Year of the Horse The AATCVM Board wishes you a beautiful Spring in the year of the Wood Horse. The Year of the Horse started January 31, 2014 and will end February 18, The horse symbolizes energy, endurance, speed and racing forward toward goals. Events quickly change in Horse years and new projects and unexpected adventures abound. Since decisions tend to be impulsive during this time, care should be taken, as financial volatility is also a feature of the Year of the Horse. In this issue Year of the Horse..1 Female infertility 2 Foods to cool..2 AATCVM &WATCVM...3 WATCVM TCVM Convention...5 AJTCVM preview.6 AJTCVM news..7 AATCVM news.9 Advertisements 10 & AATCVM Board Seated left to right: Dr. Cheryl Chrisman (outgoing AJTCVM Editor), Dr. Judy Saik (incoming AJTCVM Editor); Standing left to right: Dr. Shen Xie (Executive Director), Mr. Zhen Zhao (IT and Member Services), Dr. Bruce Ferguson (President), Dr. Dan Hawkins (Research committee) and Dr. Suzy Brannan (Secretary-Treasurer) A non-profit organization passionate about veterinary acupuncture, Chinese herbal medicine, Tui-na and Food Therapy

2 Acupuncture and Chinese Herbal Medicine for Female Infertility Carolina Medina DVM, DACVSMR CVA, CVCH, CVTP, CVFT According to traditional Chinese veterinary medicine (TCVM), female reproductive function depends on the normal activities of Qi, Blood, the reproductive organs and the Channels. The Kidney controls the uterus and ovaries and Kidney Jing controls the germination and growth of the ovarian follicle. Kidney Qi gives rise to ovulation. The Liver regulates the estrus cycle and provides Blood to nourish the uterus and genital structures. The Channels carry Qi and Blood from the organs to the fetus. The primary Channels involved in reproduction are the Conception Vessel and the Chong Vessel. The Conception Vessel receives and regulates the Qi of the Yin Channels and assists the reproductive functions. The Kidney is closely connected to the Conception Vessel. The Chong Vessel originates from the uterus, preserves the Qi and Blood of the 12 Regular Channels and regulates fertility and estrus functions. The Liver is closely associated with the Chong Vessel. Female infertility syndrome includes the following disorders: anestrus due to ovary quiescence or persistent corpus luteum, irregular estrus, anovulatory follicles or silent estrus. Female infertility can be divided into 3 TCVM Patterns: Kidney Qi Deficiency, Kidney-Liver Yin Deficiency, and Qi-Blood Stagnation. The Kidney stores Jing and dominates reproduction through Kidney Qi. Therefore Kidney Qi Deficiency affects reproductive function and leads to infertility. Kidney Qi Deficiency can be treated with acupuncture points CV-1/3/4, GV-3/4, KID-7, BL- 24/26, Bai-hui, Shen-shu, Shen-peng, Shen-jiao and Yan-chi and the Chinese herbal medicine Yin Yang Fang. Kidney-Liver Yin Deficiency prevents the hormonal system from properly influencing the reproductive functions resulting in infertility. Kidney-Liver Yin Deficiency can be treated with acupuncture points SP-3/6, KID-6/7, BL-18/23/52, Bai-hui, Shen-shu, Shen-peng, Shen-jiao and Yanchi and the Chinese herbal medicine Liu Wei Di Huang. Qi-Blood Stagnation prevents reproductive organs from functioning properly despite normal hormone levels, causing infertility. Qi-Blood Stagnation can be treated with acupuncture points GV-14, LIV-3, GB-34, LI-4, SP-10, BL-17/23/52, Bai-hui, Shen-shu, Shen-peng, Shen-jiao and Yanchi and the Chinese herbal medicine Lotus Formula (Jing Tang, Cooling Foods for the Warm Weather Ahead As summer approaches, dogs and cats with a tendency toward Yin Deficiency will especially suffer, as they attempt to cool their bodies. Foods ods can be added to help them keep cool in the hot summer months. These foods are not recommended for Yang Deficient Animals. Proteins: turkey, chicken egg whites duck, rabbit, clams, crab Vegetables and Fruits: broccoli, celery, cucumbers, tomatoes, eggplant, mango, cranberries, watermelon, strawberries, pears, bananas, mushrooms, white radishes Grains: barley, brown rice, millet 2

3 AATCVM and WATCVM Join Forces to Meet Common Goals The inaugural meeting of the World Association of Traditional Chinese Veterinary Medicine (WATCVM) was held on September 14, 2013 in conjunction of the 15 th Annual International TCVM Conference in Madrid, Spain. The goals of the WATCVM are to: 1) unite the global TCVM community through promotion and publication of research on all aspects of TCVM, 2) make guidelines for standardized TCVM practice and 3) provide money for TCVM research and scholarships for veterinarians and veterinary students around the world to study TCVM. For more information visit: WATCVM and AATCVM Relationship The AATCVM will partner with WATCVM to support WATCVM membership and achieve our common goals. WATCVM Membership: The WATCVM will utilize AATCVM s membership function for prospective members to join WATCVM. Any TCVM practitioner can join WATCVM online at or via telephone toll free at ( AATCVM). The WATCVM is hoping that the on-line and telephone membership system will be convenient for all our members and also attract more to join. If having problems support@aatcvm.org or call toll-free ( AATCVM). Scholarship Fund: AATCVM is registered as a non-profit organization [501-c (3)] in the United States of America (USA), and the financial donations given are tax deductible according to the USA laws. The AATCVM is willing to work with the WATCVM to establish the TCVM Scholarship Fund. The 1 st WATCVM scholarship fund has been established. Stuart Rosenburg Memorial International Scholarship: The purpose of the scholarship is to honor the memory of our friend and TCVM practitioner Dr. Stuart (Stu) Rosenburg. Stu loved people, pets and places; he was always looking to learn and was an outstanding TCVM teacher. To honor this ideal, the scholarship will support deserving veterinary students, veterinary practitioners and faculty members from developing countries to study TCVM including acupuncture. We appreciate the leadership of Dr. Greg Todd in development of the scholarship. With the generous donations from the Animal Hospital of Dunedin (owner - Dr. Greg Todd), teachers and staff of the Chi Institute, we have more than $5,000 for the scholarship. The WATCVM scholarship committee is currently developing guidelines for scholarship for TCVM education and research. 3 Time to Join AATCVM or Renew Membership 10 Reasons to Join AATCVM 1. An active case discussion Forum organized by species 2. Free website classified advertising 3. Subscription to AJTCVM- the TCVM journal 4. Discounts on the annual TCVM conventions held around the world 5. PowerPoint presentation on the use of acupuncture for use at professional and lay meetings 6. An electronic library of references and abstracts 8. Inclusion in a TCVM practitioner directory 9. Assistance with scientific manuscript and grant writing 10. Low cost!! All these benefits are provided at the low cost of $65/year (US members), $85/year (international membersbecause of high journal mailing costs). Go to: and select membership, then scroll to the bottom of the page and select renew or join. You can also call toll free at (844-4AATCVM) to join, renew or ask questions over the phone or support@aatcvm.org

4 WATCVM President and Executive Director WATCVM President: Professor Wang Qinglan has had a long and distinguished career at the College of Veterinary Medicine, China Agricultural University (CVM-CAU), he mentored many students who currently provide TCVM leadership in China and in other countries. Before his retirement in 2001, Prof Wang was the vice dean and then the deputy dean of the CVM-CAU. After graduation, he worked under the direction of Prof. Yu Chuan who was a famous professor of TCVM and was engaged in teaching, research and clinical activities in TCVM. He taught veterinary acupuncture and moxibustion and TCVM for surgery and obstetrics. His research mainly focused on the mechanisms of veterinary acupuncture. Since the 1990 s, Prof Wang has lead international training courses on veterinary acupuncture for the veterinarians from foreign countries. He was invited to Brazil, Japan, United States, Australia, Korea, Germany, France and Italy to teach veterinary acupuncture and acupuncture analgesia as well as acupuncture and herbal treatment of the common diseases of racing horses. WATCVM Executive Director: Dr. Mushtaq A. Memon, a clinician scientist who specializes in Theriogenology is an internationally recognized scholar and a founding faculty member of the Allen School for Global Animal Heath at Washington State University (WSU). He was instrumental in starting, and currently serves as the Coordinator, of the Complementary and Alternative Veterinary Medicine and International Veterinary Education programs at WSU. Before joining WSU, Dr. Memon taught at the veterinary colleges of Oklahoma State, Louisiana State and Tufts Universities. Dr. Memon is the first veterinarian to serve as a Fulbright Ambassador. He promotes the Fulbright program on United States (US) University campuses, as it is the Flagship program of the US Department of State, and the largest Scholar Exchange program in the world. Dr. Memon is certified in veterinary acupuncture from the Chi Institute of Chinese Veterinary Medicine and currently serves as the Chair, Integrative Veterinary Curriculum Committee of the American Academy of Veterinary Acupuncture. He is author of more than 120 publications in refereed journals, conference proceedings and book chapters. He is co-editor of the recently published book entitled Food as Medicine. Dr. Memon has served as a visiting professor, consultant and volunteer in 18 countries. Currently he is on the Roster of Fulbright Specialists to assist in curriculum development and other 3-6 week assignments in any country of the world having an official relationship with the United States. MATERIA MEDICA Da Zao (Ziziphus) Common name: Jujube, Chinese date Botanical Name: Ziziphus jujuba Part Used: Fruit Channel/Organ: Spleen, Stomach Taste: Sweet Energy: Warm Energetic Functions: Tonifies Qi and Blood, generate fluids, harmonizes the Spleen, moderates the effects of other herbs in a formula Comments: Commonly used for weakness, shortness of breath, lassitude, reduced appetite, and loose stools; Nourishes the Blood and calms Shen; Added to formulas containing large amounts of pungent or bitter herbs to mitigate their harshness; Allergic reactions following the ingestion of decoctions made of this herb have been reported in humans Precautions: Caution in cases with abundant Dampness or Qi Stagnation; Contraindicated when there is Excess Heat, Damp-Heat, or Phlegm-Heat Ronald Koh DVM 4

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6 Basic Science Studies Clinical Studies Review Case Series Preview of the next AJTCVM issue The American Journal of Traditional Chinese Veterinary Medicine August 2014 Volume 9, No 2 Table of Contents A Randomized and Controlled Experimental Study of the Acute and Subacute Toxicity of Lentinan Extracted from Xiang Gu (Shitake) in Mice Zhenzhen Gao PhD, Rongrong Liu MS, Yuanliang Hu PhD, Deyun Wang PhD, Baokang Zhang DVM, Yufeng Xu MS, Dong Cai DVM A Randomized and Controlled Experimental Study of the Effects of Lycium Barbarum Polysaccharide on Diethylstilbestrol Induced Testicular Changes and Oxidative Stress in Adult Male Hamsters Caili Zhang DVM, MS, Ligen Meng DVM, Yujiao Liu DVM, MS, Xiaodan Wang DVM, MS, Aituan Ma DVM, MS, PhD Prospective Study on the Correlation of Positive Acupuncture Scans and Lameness in 102 Performance Horses Sarah S. le Jeune, DVM, DACVS, DACVSMR, James H. Jones, PhD, DVM A Randomized Controlled Blinded Clinical Trial of Electro-acupuncture Administered One Month After Cranial Cruciate Ligament Repair in Dogs Justin Shmalberg DVM DACVN, Jessica Burgess DVM Review of Clinical and Experimental Research from China of 8 Chinese Herbal Medicines for Gastrointestinal Disorders Caili Zhang, Aituan Ma PhD, Huisheng Xie DVM, PhD The Effects of Electro-Acupuncture of Pi-shu and Du-jiao Acupoints on Ruminal Movement and Fluid in Cattle with Ruminal Impaction Dehui Su DVM, Zhaochun Jiang DVM, Jiezheng Zou DVM, Dalu Song, Jurong Xu DVM, Hongtao Chen DVM, Wenqing Li DVM, Xiong Shi DVM, Hongxing Wu DVM, Deyun Wang DVM, PhD Jian Pili Qi San Treatment of Forestomach Atony in 54 Cattle and Rumen Contractions, ph, Fermentation and Ciliate Numbers Before and After Treatment in 5 Affected Cattle Dalu Song DVM, Deyun Wang DVM PhD, Hongxin Wu DVM, Guangliang Cao DVM, Bin Yang DVM Pearls from TCVM Practice Novel Equine Fetlock Points: Symmetry, Balance and New Acupoint Couplings Bruce Ferguson, DVM, MS Plus news, upcoming meeting, AAVA and AATCVM updates, herbal spotlight, herbal materia medica, selected abstracts and classified advertisements 6

7 Welcome to the New AJTCVM Editor-in-Chief Dr. Judith Saik will be assuming the Editor-in-Chef position of the American Journal of Traditional Chinese Veterinary Journal (AJTCVM) as of April Send manuscripts to: MESSAGE FROM THE NEW AJTCVM EDITOR- IN-CHIEF AJTCVM News I had my daughter Catie and started looking for a position that might not demand so much of my time. The University of Pennsylvania came to my rescue and offered me a position that would allow me time with my daughter while teaching residents and serving on the biopsy and necropsy services Once my daughter was a little older, I accepted a position as a toxicologic pathologist at Dupont s Haskell Laboratory in Delaware but continued to serve as a lecturer at Penn in the Large Animal Course. I remained at Dupont for a number of years learning development of products and working with regulatory agencies such as the FDA and EPA. It was the perfect preparation for a position that became available at Merial Animal Health Products, where I combined my love of domestic species pathology with research and development of veterinary pharmaceuticals. I hail from New Orleans, Louisiana and graduated from Louisiana State University Veterinary School in I met my husband in veterinary school (same class), married at the end of our senior year and the two of us headed for a mixed practice in Maryland. My duties were mostly with the large animal clientele while my husband joined the small animal team. After a couple of years, I set up my own mobile, predominately equine, practice. As time marched on, I became increasingly interested in the underlying mechanisms of the diseases I worked with daily. This led me to evaluate pathology residency programs and accept a 3-year residency program with the University of Pennsylvania Veterinary School. Following successful completion of this program and attaining pathology boards, I remained at the Large Animal Facility (New Bolton Center) as a lecturer for a year before accepting a position in the Comparative Pathology Section at the National Institutes of Health in Bethesda, Maryland. This position gave me the opportunity to work with a wide variety of species (snakes to turkeys to fish and just about any mammal you can think of) providing pathology support for research projects on the NIH campus along with investigating disease outbreaks in colonies maintained at the site. While at NIH, While I was working in the pathology positions, I continued to provide a small amount of clinical work on horses. I have been an avid horsewoman my entire life and continued to own horses and stay active in the equine community. While maintaining my state license to practice, I attended a continuing education course about 8 years ago where I watched an acupuncture demonstration on a horse with severe laminitis. It was one of the most amazing things I have ever witnessed and I vowed I was going to learn the technique. After all, how hard could it be to throw a few needles into an animal?! I have realized over the years how wrong that first simple assumption was as I daily learn new things when applying TCVM to my cases in our small animal clinic in Winterville Georgia. Under Dr. Cheryl Chrisman s expert guidance, the AATCVM journal has been instrumental in helping so many of us in our own educational journeys to master TCVM and I know I am personally excited when I see the journal show up in my mail twice a year. I hope as Editorin-Chief of this journal to continue to provide (along with our Associate Editors) the great mix of articles, which readers have come to expect that provide added clinical expertise, as well as delve deeper into current research, the cornerstone for evidence-based TCVM. Judith E Saik DVM, DACVP 7

8 New Associate Editors of AJTCVM Dr. Signe Beebe has participated as an Assistant Editor of AJTCVM, as well as a regular contributor since Dr. Beebe is certified in veterinary acupuncture, Chinese herbal medicine, Tui-na and Food Therapy by the Chi Institute and Canine Rehabilitation and Physical Therapy from the University of Tennessee. She is the owner of the Integrative Veterinary Center in Sacramento, California where she practices small animal and zoo animal TCVM Dr. Beebe is the president of the American College of Veterinary Botanical Medicine, a member of the International Veterinary Acupuncture Society, the American Academy of Veterinary Acupuncture, the American Association of Traditional Chinese Veterinary Medicine, the World Association of Traditional Chinese Veterinary Medicine and other veterinary holistic and botanical organizations. She is an author of the textbook Chinese Herbal Formulas for Veterinarians and the Clinical Handbook of Chinese Veterinary Herbal Medicine. As well she is the author of Small Animal Chinese Endocrinology in a new textbook, Practical Guide to Traditional Chinese Veterinary Medicine Volume 2: Small Animals, soon to be released by Chi Institute Press, Reddick Fl. Dr. Beebe lectures at TCVM conferences and Institutes nationally and internationally. Dr. G. Reed Holyoak received his DVM from Washington State University in He then went on to receive his PhD from the University of Kentucky in 1992 and specialty board certification from the American College of Theriogenologists in He received his veterinary acupuncture certification from the Chi Institute in From 2012 to present, Dr. Holyoak has assisted with the Veterinary Acupuncture Introduction Course cosponsored by South China Agriculture University AJTCVM News continued 8 and the Chi Institute in Guangzhou, China. He currently holds the Bullock endowed professorship of Equine Theriogenology at Oklahoma State University and is also Head of the Veterinary Clinical Sciences Department, Center for Veterinary Health Sciences. He is working on a variety of research projects, including: infectious diseases affecting reproduction; embryo-pathogen/toxin interactions with equine arteritis virus and others; embryo transfer in large animal species including food animals and equine. To date Dr. Holyoak has authored or co-authored 49 refereed scientific publications, 42 published abstracts, 14 book chapters and 94 proceedings and continuing education publications. He has presented 105 invited oral presentations. Dr. Holyoak has also been invited to provide training in Thailand and Ireland, returning multiple times over the years in developing international collaborations. Dr. Lindsey Wedemeyer has participated as a Webmaster and Assistant Editor of AJTCVM as well as a contributor since Dr. Wedemeyer is certified in veterinary acupuncture, Chinese herbal medicine, Tui-na and Food Therapy by the Chi Institute and is currently completing her Master s degree in TCVM with the South China Agricultural University. She is owner of the New York Veterinary Acupuncture Service where she practices TCVM Dr. Wedemeyer is a member of the American Association of Traditional Chinese Veterinary Medicine. She is the English editor of the 1 st complete translation from Chinese of Yuan Heng Liao Ma Ji, Yuan-Heng s Therapeutic Treatise on Horses. As well Dr. Wedemeyer is an editor of Practical Guide to Traditional Chinese Veterinary Medicine Volume 1: Emergencies and Five Element Syndromes, Volume 2: Small Animals, Volume 3: Equine and Volume 4: Exotic Animals and cowrote 5 chapters in these volumes. She lectures at TCVM conferences nationally and internationally and is an acupuncture laboratory instructor at the Chi Institute of Chinese Medicine..

9 AATCVM News AATCVM BOARD MEETING MARCH 12, 2014 The annual meeting of the AATCVM Board was March 12, Dr. Judith Saik was introduced and will assume the role of Editor-in-Chief of the American Journal of Traditional Chinese Veterinary Medicine (AJTCVM) May Dr. Suzy Brannan provided the financial report and the AATCVM is financially solvent. She also reported that the AJTCVM also has a solid list of advertisers. Dr. Cheryl Chrisman reported that the AJTCVM 9(2) will be another strong issue with a good balance of basic science and clinical studies, as well as continuing education. Dr. Hawkins reported that money is available for high quality TCVM research projects and 2 proposals should be submitted shortly. Dr. Shen Xie reported that applications have been made for inclusion of AJTCVM in the Thomson Reuters Science Citation Index (SCI) and United States National Library of Medicine (PubMed) databases. The process takes approximately 1 year. Inclusion in these databases will greatly increase the number of papers submitted to AJTCVM, since most Chinese researchers can only obtain MS and PhD degrees after publication in an SCI approved journal. Mr. Zhen Zhao presented membership recruitment and retention statistics and the Board discussed ways to promote membership and streamline the methods to join or renew. Individuals who do not have a pay-pal account are having trouble applying on-line with a credit card. Other people struggle with the on-line application process itself. A designated member service phone line and will be established to improve the membership process. Methods of streamlining AATCVM free memberships for current acupuncture students have been improved. AATCVM RESEARCH COMMITTEE Each spring, AATCVM evaluates research proposals related to Traditional Chinese Veterinary Medicine (TCVM) from individual researchers and those affiliated with any group or country and awards small grants to those that qualify. All research proposals should be well designed, following the outline listed on the AATCVM website ( illustrating that the applicant understands the problem and proposes a sound scientific method of investigation. Completed proposals should be submitted to: HawkinsDL@ajtcvm.org. All proposals must be received at the latest by April 1 of the award year and are reviewed by the AATCVM Research Committee chaired by Dr. Dan Hawkins. The committee may request an external review or consultation by an expert regarding specific issues pertaining to the proposal. The results of the Research Committee evaluation will be sent to the principal investigator by May 1 of the same year. Funding will be awarded to those investigators whose projects have been approved by May 30 of the current year. The AATCVM Research Committee requests submission of TCVM research proposals as outlined on the AATCVM website by April 31, AJTCVM Call for Papers Support the American Journal of Traditional Chinese Veterinary Medicine (AJTCVM) by submitting your manuscripts to the AJTCVM Editor-in-Chief Dr. Judy Saik at: saikj@ajtcvm.org. See Instructions to Authors at: 9

10 28 C.E. Hrs* Course Offered on Nov 13-16, 2014

11 Special Summer Acupuncture Program Certified Small Animal Acupuncture Audit Discount for Chi, IVAS or CSU graduates July 28 - August 3, 2014 On Campus Monday Acupuncture for Immune-mediated Diseases How to Treat Heart Failure How to Treat Behavioral Problems Acupuncture Point Lab (4 hours handson) Tuesday Tui-na Intro Avian Acupuncture Lecture and Demo and Demo Acupuncture Point Lab (4 hours handson) Wednesday Acupuncture for Liver Disease How to Treat Renal Failure Feline Acupuncture Acupuncture Point Lab (4 hours handson) Thursday How to Treat Skin Problems Acupuncture for Cancer Case Studies from Students Friday How to Sell TCVM Review Acupuncture Point Lab (4 hours handson) Saturday Acupuncture Point Lab (4 hours handson) Clinical Acupoint Exam Sunday This integrated, final course is ideal for any students seeking to gain their Certified Veterinary Acupuncturist (CVA) certification. Those who are already certified may take this course to refresh their TCVM knowledge. This course has been designed as a continuation for those who have taken the Chi Institute s Small Animal Acupuncture Guangzhou class, one-week acupuncture class at NAVC or Session 1 and Session 2 of the Chi Institute s Veterinary Acupuncture course. This acupuncture course includes an online portion of 36 hours lectures (June 1 to July 27, 2014) and an on-site portion of 7-day seminar (July 28 to August 3, 2014) held at the Chi Institute, Reddick, Florida. This program is equivalent to sessions three, four and five of the Certified Veterinary Acupuncture (CVA) program of the Chi Institute. The 2014 Class is filling quickly, therefore it is suggested that you register at your soonest convenience. Instructors Huisheng Xie, DVM, PhD Bruce Ferguson, DVM, MS, CVA, CVCH Cynthia West DVM, CVA, CVTP Suzanne Brannan, DVM, CVA Ron Koh, DVM, MS, CVA, CVCH, CVFT

12 On-line Lectures June 1 - July 27, 2014 Lecture Topics Speakers 1-4 Five Treasures: Qi, Blood, Shen, Jing, Body Fluid Dr. Cheryl Chrisman Physiology and Pathology 5-8 TCVM Diagnosis Dr. Cheryl Chrisman 9-10 Eight Extraordinary Channels Dr. Huisheng Xie Etiology and Pathology Dr. Huisheng Xie 13 How to Select Acupoints Dr. Huisheng Xie How to Make a TCVM Diagnosis Dr. Huisheng Xie Acupuncture for Neurological Disorders Dr. Cheryl Chrisman 19 How to Approach Clinical Cases Dr. Bruce Ferguson How to Improve Acupuncture Results Dr. Bruce Ferguson Small Animal Cases: TCVM Approach Dr. Connie DiNatale 25 Trigger Points and its Clinical Application of Acupuncture Dr. Carolina Medina 26 Small Animal Clinical Case Study Dr. Carolina Medina 27 Herbal Introduction Dr. Cindy West 28 Food Therapy Intro Dr. Cindy West Acupuncture for Endocrine Disorder Dr. Shen Xie Liver, Heart, Spleen, Lung Kidney Physiology and Pathology Dr. Shen Xie Tuition and Registration For more information, questions or registration, please visit register@tcvm.com Call ( for international callers). Tuition: $3,595 Discounted Audit Price The following discounted tuitions will be offered to those who have completed the CVA programs at Chi, IVAS or CSU. Online and On-site Portions: $2,275 Online Portion Only: $ days On-site Portion Only (Monday to Saturday Noon): $1, days On-site Portion Only (Monday to Thursday Noon): $1,000 These prices reflect the total amount due after discount. Classes will be held at Chi Institute of Chinese Medicine 9700 W. Hwy 318, Reddick, FL 32686