Posts Tagged ‘ear acupuncture’

Acupuncture and Chinese Medicine for Atopic Eczema

May 16, 2013

acumannikin1 200x300 Acupuncture and Chinese Medicine for Atopic Eczema

The itch in atopic dermatitis can take over your life. It is so intense, those with atopic eczema of wake up scratching. And after your scratch, the skin becomes more inflamed, itchy, dry, and lichenified.

Most people with atopic eczema have a family history eczema, hay fever, and asthma. Allergies to foods, mold, or irritant substances may cause a flare in the condition (1). Atopic eczema is increasing rapidly in industrialized countries. Atopic eczema is treated most often with topical steroids that suppress the inflammatory response. Unfortunately, steroids also have many side effects.

Acupuncture and Chinese medicine can help reduce eczema naturally.

Acupuncture and Chinese Medicine approach to Atopic Eczema

Traditionally, Chinese medicine called eczema the “wind of four crooks” referring to the eczema rashes on the inside of the elbows and knees which are the common locations of the condition (2).

Chinese medicine treats eczema not by suppressing the immune response, but rather correcting the imbalances that are causing the eczema. By correcting or removing these imbalances your body is able to heal on its own.

In eczema, the most common underlying imbalances are dry heat or dampness. To determine the imbalance, I will observe how the skin looks. If the skin is dry, cracked, and irritated, then too much dry heat may be the most significant factor in the eczema. If there is more swelling, crusting, and vesicles, then dampness may be the most significant factor.

Because Chinese medicine is holistic, we also consider how digestion, allergies, sleep, and emotional health play a role. Acupuncture points and herbs are selected specifically for their ability to correct that specific imbalance.

Acupuncture and Chinese medicine treatment of Atopic Eczema

The therapy may combine acupuncture, Chinese herbs, and topical herbal creams.

Chinese herbal medicine focuses on correcting the imbalance. If heat is the cause of the eczema, we will use herbs that traditionally are used to “clear heat” from the body, such as sheng di huang (rehmannia) and jin yin hua (honey suckle). Many of the heat reducing herbs are also potent anti-inflammatory and immunoregulatory properties.

If dampness is causing the eczema, herbs that drain dampness such as ku shen (sophroa) can be used. There are also herbs specifically for the symptoms. For example, di fu zi (broom cypress) is very effective in reducing itch.

External herbal creams are very effective at decreasing inflammation and stopping itching. For some people, reduction in inflammation and itching happens after the first visit.

 

ear 150x150 Acupuncture and Chinese Medicine for Atopic Eczema

Ear Acupuncture Model

Acupuncture is very effective to control the itching in eczema. I find that auricular and body acupuncture combination to be the most effective. After the acupuncture, I often will use magnet stickers in ear acupuncture points that correspond to the specific area of the body the itch is found. It is possible that the same physiological mechanisms which acupuncture uses to reduce pain are effective for stopping itch in eczema (3).

For many patients, acupuncture and Traditional Chinese Medicine leads to long term reduction of symptoms. This is because Chinese medicine focuses on correcting the root imbalance causing the condition, not just masking the symptoms. The long term benefit of the herbs may be due to immunoregulatory mechanisms of Chinese medicine.

References

1. PubMed Health. Atoptic Eczema. Accessed 5/14/2013.

2. Mazin Al-Khafaji. Atopic Eczema “Wind of the four crooks.” Journal of Chinese Medicine. Number 77: p5-8. February 2005.

3. Pfab F, Huss-Marp J, Gatti A., et al. Influence of acupuncture on type I hypersensitivity itch and the wheal and flare response in adults with atopic eczema – a blinded, randomized, placebo-controlled, crossover trial.Allergy. 2010 Jul;65(7):903-10. Epub 2009 Dec 11.

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The Body Acupuncture

Jan 17, 2012

Acupuncture can target chronic pain in any location of the body.  Sometimes, an acupuncturist will put needles in the place of the pain.  But other times an acupuncturist will place needles far away from the location, such as in acupuncture points on the legs and feet for chronic headaches.

The primary way acupuncturists can focus the treatment for chronic pain in specific places because of the acupuncture channels.   Acupuncture channels connect different parts of the body and run along different places in the body.  The acupuncture channels create a type of map that interconnects different regions of the body.

li4cuse 150x150 The Body Acupuncture

Large Intesting 4

For example, the Large Intestine acupuncture channel starts on the hand, up the forearm, through the shoulder to the face.  This is why LI 4 on the hand can be very effective for frontal and sinus headaches.

On the other hand, the Gall Bladder channel runs from the toes, along the sides of the body, and then to the sides of the head.  This is why Gall Bladder 34 near the knee can be effective for headaches on the side or temples.

Auricular acupuncture

Auricular acupuncture, or ear acupuncture, is particularly effective for chronic pain.

In acupuncture, the ear lobe provides a map of the body with points for specific areas and organs.

In ear acupuncture, the best way to target the chronic pain is to find the most sensitive points in the ear for that region and place the needle in that acupuncture point.

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Psoriasis

Nov 3, 2011

“The Heartbreak of Psoriasis” is a phase the author John Updike, a sufferer of psoriasis himself, used to describe his experience with the condition. While psoriasis is a skin condition, it impacts people’s daily lives in social situations and has a significant emotional impact. In addition, psoriasis may cause itching, physical discomfort, and is often associated with arthritic joint pain.   Acupuncture and Traditional Chinese Medicine has been extensively used to treat psoriasis.

What Causes Psoriasis?

In both acupuncture theory and western medicine, psoriasis is more than skin deep. Psoriasis is caused by dysfunction and dysregulation of the immune system, leading to an auto immune reaction.  In acupuncture,  this dysfunction is described as imbalances which disrupt the body and keep it from healing. Once the imbalances are corrected, your body can work to heal itself and stay healthy.

Psoriasis causes auto-immune reactions which make skin cells overgrow, leading to the development of plaques and scales.  The environment also influences the development of the condition including drugs, trauma, infection, and stress.

What are Psoriasis symptoms?

Psoriasis on back 150x150 Psoriasis

Psoriasis Plaque

Psoriasis causes the formation of round and oval raised lesions. Often there is silvery white scale over these lesions. If removed it may bleed easily, which is called an Auspitz’s sign. Itching is common, and can be severe in certain cases, but it is very variable. In those with psoriasis, the lesion may appear at a site of physical trauma, which is called a Koebner phenomenon. Many people with psoriasis also suffer from chronic joint pain and arthritis.

Psoriasis tends to affect the outside of the arms and legs more than the inside. Common areas that are most effected from psoriasis are the back, elbows, scalp, groin area, fingernails, and toenails. Some medications and drugs may exacerbate the development of this condition.

There are many types of psoriasis, the most common type being chronic plaque psoriasis. This chronic form is the most common and the lesions may last for months, even years when they develop. This form reacts well to acupuncture and Chinese medicine treatment.

There are some acute inflammatory forms of psoriasis, which must be treated immediately by a physician or in the emergency department.

Psoriasis in Acupuncture and Chinese Medicine

In acupuncture and Chinese medicine, psoriasis is caused by imbalances in the body. For autoimmune conditions like psoriasis, the concept of imbalances really makes sense. The immune system is overactive and the body attacks itself.

The diagnosis of the specific imbalance is based upon your symptoms, such as itch, pain, or irritation, the appearance of the skin lesions. The most common imbalances, which cause psoriasis, are blood heat, dryness, and blood stagnation. Damp heat can also be a factor, particularly in pustular psoriasis.

Chinese medicine and acupuncture doctors have long said that removing these imbalances is like hitting the reset switch.  In this case, resetting the immune system.

The Most Common Acupuncture and Chinese Medicine Imbalances

Blood Heat- Blood heat is characterized by the acute onset of psoriasis with possible severe itching. The lesions are often bright red irregular patterns of plaque. The size and extent of the lesions suggest the amount of heat. The greater number and larger the lesions, the greater amount of heat. The bleeding upon scratching is easy to elicit (1).

Blood Dryness- Blood dryness occurs with chronic cases of psoriasis. Itching may or may not be present. The lesions can appear pale red or dull red in color. The scales may appear to be dryer with blood dryness.

Blood Stagnation- Blood stagnation also occurs when there is long term chronic psoriasis. It often is characterized by remission and relapses. The plaques are irregular, hard, and thick and may be purplish and dry in color. Bleeding may be difficult to elicit but itching is still present.

Damp heat occurs in pustular psoriasis. This is when there is a large amount of inflammation, swelling, fissures, and exudate. The lesions may be moist and swollen and there may be pus.

Psoriasis Treatment with Acupuncture and Chinese Medicine

Chinese herbal therapy works by correcting the specific imbalance causing underlying psoraisis. The prescription is tailored to your symptoms and imbalance specifically.

The treatment usually combines both acupuncture and Chinese herbal therapy. Acupuncture can help to reduce itch and, if there is pain associated with the condition, help to kill the pain. Acupuncture points such as LI 11 and LI 4 help to clear heat. GB 34 and GB 31 can help relieve the itching. Ear acupuncture and ear magnet therapy I find helps to relieve itching very quickly.

Ku shen and hunag qin 150x150 Psoriasis

Ku Shen and Huang qin

In addition to acupuncture, Chinese herbal therapy is necessary for having substantial results with psoriasis. Chinese herbs are given in formulas, which may contain 10-15 herbs. They are most often cooked and drank as teas. The ingredients are chosen specifically for your condition. For example, if there is blood stagnation and blood dryness, the formula would focus on moving the blood stagnation and nourishing the dryness.

The Immunologic Effects of Herbs for Psoriasis

A review of herbs used for psoriasis explored the immunologic effects of commonly used herbs for psoriasis (2). Chinese herbs are complex natural products. Rather than being a single chemical, like most medications, they are combinations of naturally occurring substances. Formulas are even more complex because they can have 10 or more herbs.

sheng di huang and ku shen 150x150 Psoriasis

sheng di huang and dan shen

Three of the most powerful and commonly used herbs for psoriasis are Sheng di huang (Rehmania glutinosa), Dan shen (Salvia miltiorriza), and Zi cao (lithospermum erythrohizon).

Sheng di huang is used to cool the blood and clear heat. It is effective for many types of psoriasis, including psoriasis from blood heat and blood dryness. In the laboratory, sheng di has shown to inhibit histamine release from mast cells and regulate the cytokines TNF-α and IL-1 in astrocytes.

Dan shen is good for blood stagnation and heat type psoriasis. Dan shen was shown to reduce edema, inhibit the secretion of IFN-γ and IL-12, and inhibited the degranulation of mast cells.

Zi cao very strongly cools the blood and is often used with psoriasis. This in combination with other herbs showed a complete suppression of IL-α and TNF-α, which are factors in psoriasis. These anti-inflammatory effects may have a beneficial effect for psoriasis.

Chinese Herbal Formulas

Some of the herbs may not directly correct the immune system, but rather work synergistically with other herbs in the formula to enhance their action, or in some cases, protect from side effects. You can see how complicated the situation is and why it is important to be well trained in Chinese herbal medicine.

Licorice root, or gan cao (Glycyrrhiza uralensis), is widely used in Chinese medicine for psoriasis by boosting qi and harmonizing the effects of other herbs. It has long been know for immunoregulatory abilities. Studies are now showing that it can also reduce possible toxicity and helped to repair damaged liver cells. This is the harmonizing effect Chinese medicine doctors have been talking about for centuries.

How long does acupuncture and Chinese medicine treatment take?

Overall, a treatment course for psoriasis is about 3-6 months. This time period can vary depending on the severity and symptoms you are experiencing.

I want to see psoriasis symptoms such as itching and pain to improve within the first month to 6 weeks of treatment. By the end of the second month, I would like to see a reduction in the amount of redness and size of the plaque, which will continue throughout the treatment course.

One of the phenomenal aspects of acupuncture and Chinese medicine treatment is that it can lead to long term reduction in psoriasis.  We describe this as correcting the imbalances in the body rather than masking the psoriasis symptoms.

AlbanAcupuncturebutton Psoriasis

References:

1. Treatment of psoriasis with traditional Chinese medicine. Lin Li. Hai Feng Publishing, 1990.

2. Tse, T. W. Use of common Chinese herbs in the treatment of psoriasis. Clinical and Experimental Dermatology. 28: 5. 469-475. 2003

Photos: The Wednesday Island of English Wikipedia

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Atopic Eczema

Oct 20, 2011

Acupuncture and Traditional Chinese Medicine are effective treatments for atopic eczema. This guide will explain how acupuncture and Chinese herbs work to treat atopic eczema.

Atopic eczema, also called atopic dermatitis, is the most common type of chronic eczema (1).  Those with atopic eczema often have a family history eczema, hay fever, and asthma.

Symptoms of Atopic Eczema

Atopic eczema nearly always begins in childhood.  For most people, it clears before becoming an adult.  However, for some it will cycle between flare ups and remittance.  Flare up can be caused by infection, stress, chemical irritants, or sometimes changes in the weather.

Eczema causes terrible itching.  Particularly in atopic patients, the scratching of an itch in many cases is what leads to the development of dry, irritated, and inflamed skin associated with eczema.   The itch is very intense it is often difficult to control during sleep.

Eczema can occur on the face, or patches in the body.  Commonly, eczema occurs on the inside of the elbows and back of the knees.  Chronic, long term eczema, may lead to thickening of the skin called lichenification.

Acupuncture and Chinese Medicine approach to Atopic Eczema

Traditionally, Chinese medicine called eczema the “wind of four crooks”  referring to the eczema rashes on the inside of the elbows and knees (2).

Chinese medicine takes a holistic approach to diagnosing eczema, considering physical, emotional, and environmental factors. The primary diagnosis is made by looking at the skin.  This is combined with information from taking the pulse, observing the tongue and the skin, and asking in depth questions.

In Chinese medicine, too much “heat” is a common cause of eczema, which leads to the itch, redness, and irritation.  Other imbalances called “dampness” can result in swelling and in some cases vesicles.  Another possible imbalance is too little energy, or what we call “qi deficiency.”  The acupuncture and herbs help to clear the heat from the body or to boost the body’s energy.

Acupuncture and Chinese medicine treatment of Atopic Eczema

The treatment will often combine acupuncture, Chinese herbs, and topical herbal creams.  Acupuncture is very effective to control the itching in eczema.  I find that auricular and body acupuncture combination to be the most effective.  After the acupuncture, I often will use magnet stickers in ear acupuncture points that correspond to the specific area of the body the itch is found.  It is possible that the same physiological mechanisms which acupuncture uses to reduce pain are effective for stopping itch in eczema (3).

Chinese medicine focuses on correcting the imbalance. If heat is the cause of the eczema, we will use herbs that traditionally are used to “clear heat” from the body, such as sheng di huang (rehmannia) and jin yin hua (honey suckle) may be used to clear heat.  Many of the heat reducing herbs are also potent anti-inflammatory and perhaps have immunoregulatory properties.   Dampness is also a possible cause of eczema.  For this, ku shen (sophroa) is effective.  There are also herbs specifically for the symptoms.   For example, di fu zi (broom cypress) is very effective in reducing itch.

External herbal creams are very effective at decreasing inflammation and stopping itching.  For some people, reduction in inflammation and itching happens after the first visit.  Generally, I want to see some reduction in itching and inflammation within the first 2-4 weeks. The treatment course is about 3-4 months.

For many patients, acupuncture and Traditional Chinese Medicine leads to long term reduction of symptoms.

AlbanAcupuncturebutton Atopic Eczema

References:

1. PubMed Health. Atoptic Eczema. Accessed 10/21/2011.

2. Mazin Al-Khafaji.  Atopic Eczema “Wind of the four crooks.” Journal of Chinese Medicine. Number 77: p5-8. February 2005.

3. Pfab F, Huss-Marp J, Gatti A., et al. Influence of acupuncture on type I hypersensitivity itch and the wheal and flare response in adults with atopic eczema – a blinded, randomized, placebo-controlled, crossover trial.Allergy. 2010 Jul;65(7):903-10. Epub 2009 Dec 11.

written by Joseph Alban

edited 5/14/2012

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Acupuncture Calms Itch from Eczema

Feb 25, 2011

Eczema causes terrible itching.  The itching in many cases is what leads to the development of dry, irritated, and inflamed skin associated with eczema.  I often use acupuncture to help control the itching in eczema.

A research paper from last year showed that acupuncture helps to reduce itching in people with eczema.  In this study, the researched caused a hypersensitivity reaction in eczema patients.  Then, they used acupuncture to help reduce that itching.

In my NYC Acupuncture clinic I often use acupuncture to help patients with itching from eczema.  I find that auricular and body acupuncture combination to be the most effective.  After the acupuncture, I often will use magnet stickers in ear acupuncture points that correspond to the specific area of the body the itch is found.

Read More: Here are a few posts that explain the Acupuncture and Chinese medicine approach to Eczema.

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Time to Quit Smoking in New York City

Apr 1, 2009

no smoking 300x300 Time to Quit Smoking in New York CityToday the federal government put an extra 62 cents tax on cigarettes. That makes a pack over $9 in New York City, which means more than $250 per month for those who smoke a pack per day.

You can do it!!!

Quitting is a challenge for many, but you can do it. The NYC Department of Health and Human Services is offering help with free nicotine patches and support groups. They also have some good suggestions on their website about preparing mentally like making a list of reasons to quit, finding friends and family who will support you, creating a plan with a specific date that you will quit, and exercising regularly for stress relief. Click here to read more about their program.

I also suggest, as part of the plan, to know what you will do instead of smoking. So if you crave a cigarette, often eating an apple, a pretzel, or chewing gum can occupy the physical habit of doing something.

I hear some people use acupuncture to quit smoking, is this true?

ear 225x300 Time to Quit Smoking in New York City

Ear Acupuncture Model

Yes, a lot of people use acupuncture for smoking. Acupuncture helps to relax the body and mind to calm the craving for cigarettes, which makes you more comfortable and less irritable. Feeling good can certainly give your will power a boost!

Often, acupuncture for quitting smoking is focused on the ears. It can be used alone or in combination with other methods, such as stress reduction, nicotine replacement, and a supportive group of friends and family.

Want to read more?

Here is a good article about the concept and theory of acupuncture for smoking cessation, and here is one about the research.

Photos: hegarty_david, Pelikanol

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Acupuncture for Weight Loss

Jan 26, 2009

Patients and acupuncturist have long touted acupuncture as effective for weight loss, and the scientific community finally agrees.  A recent metanalysis in the International Journal of Obesity showed that acupuncture was effective at promoting weight loss.  For those who do not know, a metanalysis is more definitive study which examines many many previously performed studies.

The people who received acupuncture lost more weight and were more likely to reduce obesity that either people receiving placebo acupuncture,  lifestyle changes, or medication.

Sound like great news, how does it work?

Acupuncture works by addressing imbalances in your body, and correcting them removes the impediments to loose weight.  Some people have a qi imbalance.  Qi is the body’s energy, if you have too little qi, then it is hard for you to loose weight.

Qi also circulates in the body, and stress can lead to the slowing of this circulation, also called qi stagnation.

Correcting these imbalances will lead to more energy and an increased in your ability to take off pounds.  Your acupuncturist is trained in determining the correct imbalance in your body and addressing it.

It’s Amazing, It’s Powerful, It’s a Little Mysterious, but it’s Not Magic

Unlike what has made the media, acupuncture needles are not magic.  Acupuncture helps people to loose weight by, as I said, correcting imbalances.  Once the imbalance is corrected, the treatments help to boost your metabolism.  Acupuncture has also been shown to stimulate the brain and to release neurochemicals and hormones.  This helps you relax, and gives you more energy.  Also, for many, poor digestion and constipation lead to weight gain, which acupuncture is great at addressing.

But it is only a part of a weight loss plan.  Healthy food choices and exercise are also essential, and this combination is the most powerful way to loose weight and keep it off.

I hear ear acupuncture works to calm hunger, is this true?

Yes it can, but make sure that you are getting a qualified acupuncturist to do a full diagnosis and treatment.

A practice called ear stapling has gotten a lot of attention recently.  This treatment that is unhelpful and it is also dangerous.  They use large needles which are inserted into the ear and remain in the ear for a number of weeks. This can lead to infection and in the worse cases, loss of an ear.

Generally, an acupuncturist will use ear seeds, ear magnets, or small safe ear needles.  These all can work safely and effectively to help you loose weight.

If you are interested in learning more about how acupuncture may help you loose weight and keep it off, and you are in New York City,  please call us at 917-887-4946 for a free consultation.  If you are not in our region, please go to Acufinder.com to find an acupuncturist.

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    Joseph Alban is a licensed acupuncturist. All information provided on alban acupuncture.com is for informational and educational purposes only. It is not meant for diagnosis or treatment. If you have a specific health concern, please contact us at 917.887.4946 regarding the applicability of any opinions or recommendations with respect to your symptoms or medical condition.



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