Posts Tagged ‘eczema’
Acupuncture and Chinese Medicine for Atopic Eczema
May 16, 2013
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 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.
Acupuncture and Chinese Medicine for Skin Conditions
Apr 24, 2013
Skin diseases are one of the most common reasons to see your doctor. Yet, they are often stubborn conditions which do not respond to medications. Or even worse the medications have side effects. Acupuncture and Chinese medicine offers a natural and effective treatment for many skin conditions, such as acne, eczema, psoriasis, perioral dermatitis, and others.
Acupuncture and Chinese medicine has been treating skin diseases for at least 3000 years. The treatment of many skin diseases were discussed in the first known book of Chinese medicine, The Yellow Emperor’s Inner Classic (Huang Di Nei Jing). In the thousands of years since, Chinese medicine doctors and scholars discussed and debated the best approaches to treatment of skin conditions.
Traditional Chinese Medicine Understanding of Skin Conditions
The key to effective Chinese medicine treatment of skin diseases is diagnosis of the underlying imbalance causing the condition. Not everyone with a given skin condition will have the same symptoms. The different symptoms reflect the imbalance which needs to be corrected. My teacher of Chinese Medicine Dermatology, Mazin Al-Khafaji, describes this as Chinese medicine’s method of assessing various types of inflammatory processes causing the skin condition.
Let’s take eczema as an example. Some eczema may presents with wet, weeping, and crusty lesions. In this case, the imbalance is Heat and Damp Eczema. In other cases, the eczema is dry and red. This type of eczema is understood to be caused by Heat and Dryness. The Chinese medicine practitioner will use this imbalance to guide the writing of the acupuncture and herbal prescription.
Traditional Chinese Medicine Treatment Approaches
The acupuncture and herbal formula must address the imbalance causing the skin condition. To do this, the herbal ingredients and acupuncture points are tailored to the specific imbalance causing the disease. Let’s return to the eczema I described earlier. Eczema caused by Heat and Dampness must be treated with herbs that remove heat and damp, such as huang qin and long dan cao, among others. Acupuncture points such as GB 34 and Sp 9 may be used to reduce dampness and heat. While the eczema caused by heat and dryness will require herbs that clear heat and moisten the skin including sheng di huang and mu dan pi, among others. In this case, acupuncture points such as LI 4 and LI 11 may be used to drain heat from the body.
By correcting the underlying imbalance, acupuncture and Chinese medicine can lead to long term improvement.
Here are a number of articles which explain Acupuncture and Chinese medicine treatment of skin conditions.
- Eczema Treatment with Acupuncture and Chinese Medicine
- Psoriasis Treatment with Acupuncture and Chinese Medicine
- Acne Treatment with Acupuncture and Chinese Medicine
- Perioral Dermatitis Treatment with Acupuncture and Chinese Medicine
What is Qi?
Dec 4, 2012
Qi is the body’s energy (Qi is pronounced “chee,” and is sometimes spelled “chi.”)
There is a mystical aspect to qi. In Chinese philosophy, qi is the building blocks of the universe. Energy combines and multiplies. It is the universal energy present in all living things as well as nature.
But there is a practical aspect to qi as well. Qi is the energy we use to keep us healthy. It allows us to work, grow, exercise, and reproduce. Imbalances in the qi can lead to many health issues.
Qi needs to be abundant and circulate through channels in the body or else illness occurs. In Chinese medicine, it is said “When the qi flows there is no pain, when qi stops, there is pain and illness.” Lifestyle habits such as poor diet, overwork, and stress or a person’s constitution can affect the amount and flow of qi. Chinese medicine and acupuncture focus on correcting these imbalances.
Imbalances of Qi
The main imbalances of Qi are Qi vacuity, or too little Qi or the Qi circulation in the channels can be impaired. This is called qi stagnation.
Those with too little qi may experience the symptoms of frequent colds, fatigue, shortness of breath, coughing, soft voice, poor digestion, a weak pulse, and pale tongue. This is also true often for people with chronic respiratory infections or autoimmune conditions, such as asthma, eczema, chronic bronchitis, or sinusitis and chronic sinus headaches.
Qi stagnation, when the qi is not circulating well, can also cause frequent colds and makes it difficult to fight them off. Those with qi stagnation will often get a cold after a stressful or emotional situation. They also may be prone to headaches, irregular bowel movements, ribside pain, and painful menstrual cramps.
What is Chinese Herbal Therapy?
Nov 27, 2012
Yesterday, an acupressure student of mine asked “What is Chinese Herbal Medicine?”. This is a good question that deserves a proper explanation.
Chinese herbal therapies have been used for centuries for improving health and treating disease. Chinese herbs work to bring the body’s systems back into balance so the body can heal itself, naturally.
The Chinese herbal pharmacy consists of over 500 herbs. Herbs are taken as combinations of 5-15 medicinal substances, which is called an herbal formula. Each formula is tailored to correct the specific imbalance that is the cause of the illness.
Ku Shen and Huang qin
The herbal formula can be taken in a number of forms: raw herbs, pills, tinctures, or granules. “Raw herbs” are dried herbs which are then cooked together to make a strong tea or soup called a decoction. Tinctures are herbs which are extracted in an alcohol base. Granules are made by extracting the herbs and condensing the cooked formula to make a powder. To take the herbs, you can reconstituted them as a tea.
How do Chinese herbs work?
The basic idea of Chinese medicine is that the Chinese herbs and acupuncture work by correcting imbalances in the body. For example, if you have eczema which is caused by damp heat and toxins, the herbal formula will contain herbs that rid the body of damp heat such as long dan cao and huang qin.
Of course, herbs also affect the body physiologically. For eczema, many of the herbs that are used are known to have immunoregulatory properties that help to regulate the inflammatory process causing the eczema. Other herbs have immune boosting properties or anti-bacterial and antiviral capabilities.
Chinese herbal therapies are very safe when taken under the care of a Chinese medicine practitioner.
Itch
May 22, 2012
Itching is an annoying and curious phenomenon. Your body feels an annoying sensation so you irritate the skin by scratching. It makes you feel extremely uncomfortable.
This causes pain. The pain trumps the itching sensation and you no longer feel the annoyance. But the scratching causes inflammation and irritation in the area. The scratch causes more itch and the cycle continues.
Pain trumps itch because the sensations are felt through many of the same nerve endings. Although researchers looking at itch specifically are finding more itch specific pathways in the spinal cord and brain.
Itching takes a toll on people’s lives. This annoying symptom keeps people awake at night, distracts from daily activities, and leads to habitual irritation of the skin.
The causes of itching
Itching can be caused by several conditions. Sometimes you know what causes the itch such as a mosquito bite. Or it may occur from inflammatory skin diseases like eczema. It may occur in other conditions such as psoriasis and even acne sometimes. In lichen simplex for example, itching is caused by anxiety or being nervous. Elderly patients may have pruritus which from unknown causes. Some serious diseases such as cancer, liver disease, and HIV can cause itching.
But even seeing another person scratch or thinking about itching can cause an itch sensation.
Acupuncture and Chinese Medicine Causes of Itch
Acupuncture and TCM discusses has long discussed the many causes of itching. Chinese medicine imagines a complex interaction between the environment and the body.
Imbalances in the body or the environment cause the itch. Common causes of itching are heat, dampness, and wind. These are descriptions of different presentations of the disease.
Each herb or acupuncture point is chosen to correct that specific imbalance. If the skin is red and dry, then heat may be predominating. If there is swelling and weeping, then it may be caused by dampness.
Acupuncture can be used for treating acute itching in atopic dermatitis as well as other conditions. I like to use auricular acupuncture and magnets which help to reduce itch in between sessions. Acupuncture may work to stop itch through similar mechanisms as pain relief.
photo: Tambako the Jaguar
Acupuncture reduces itch in atopic eczema
May 14, 2012
Atopic eczema causes profound itching. Often the itching is the first sign of the condition and scratching leads to the inflammation.
A recent research report examined acupuncture treatment of itch in atopic dermatitis (1). This study was quite sophisticated. They compared acupuncture versus antihistamine treatment to reduce itching. They also compared acupuncture and antihistamine to an acupuncture and an antihistamine placebo. Finally, they looked at if acupuncture was better for preventing the itch or treating the active itching.
The acupuncture was stronger than the antihistamine in its ability to reduce itching. In fact, the acupuncture was the only clinically relevant reduction in the itch. While the antihistamine also reduced itch, it was not as strong as the acupuncture. Also, acupuncture did not have any cognitive adverse effects which were induced by the antihistamine.
Both the antihistamine and the acupuncture were stronger than their placebos.
Interestingly, acupuncture performed before the itching was induced was not as effective as acupuncture done after the patients were itching. So it is important to think about the timing when treating the itch.
How does acupuncture reduce itch?
The authors theorized that acupuncture reduction of itch may act through the similar pathways as pain reduction including the release of endogenous opioids and neurological pathways. Acupuncture may also reduce inflammation which is a significant in atopic eczema.
References:
1. Pfab F, Kirchner MT, Huss-Marp J, et.al. . Acupuncture compared with oral antihistamine for type I hypersensitivity itch and skin response in adults with atopic dermatitis: a patient- and examiner-blinded, randomized, placebo-controlled, crossover trial. Allergy. 2012 Apr;67(4):566-73.
What Conditions Acupuncture Treats
Dec 29, 2011
What does acupuncture treat?
During the past year I have been adding a section to my website focusing on the commonly treated conditions in my clinic. It is not yet comprehensive, but over the next few months I will continue to build this section. Currently, I have a number of in depth articles detailing the acupuncture treatment.
Skin Conditions
- Acupuncture and Traditional Chinese Medicine for Eczema
- Acupuncture and Traditional Chinese Medicine for Psoriasis
Chronic Pain
Urology
- Acupuncture for Chronic Prostatitis and Chronic Pelvic Pain Syndrome
- Acupuncture for Interstitial Cystitis
Eczema Articles 2011
Dec 27, 2011
Here are a few articles explaining how acupuncture and Chinese herbs work for eczema.
- What is Eczema?
- Acupuncture and Chinese Herbs or Atopic Eczema
- Traditional Chinese Medicine for Dyshidrotic Eczema
- Acupuncture Calms Eczema Itch
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.
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
What Acupuncturists observe in a tongue
Oct 13, 2011
Observing the tongue and taking the pulse are two of the most common diagnostic techniques in Chinese medicine.
Why look at the tongue?
Chinese medicine uses diagnostic approaches, like the tongue and the pulse, because they reflect the imbalances that are causing your health problem.
What are we looking for in the tongue?
When I am looking at the tongue, I am looking at the the color of the tongue, the size and shape of the tongue body, and the coating on top of the tongue.
If the tongue is very red, or very pale that can show there is heat, or qi deficiency. If the tongue body is purplish, it can show stagnation, a lack of circulation in the body’s channels. If the tongue coating is very thick and white, it can be dampness. But if the tongue coating is yellow and sticky, that can signal intense heat. If the tongue is very red and there is very little tongue coating, then the heat has damaged the fluids in the body.
The size of the tongue can differ as well. A common tongue sign is called toothmarked, where the sides of the tongue almost look like they have teeth marks in them. The tongue body can also be cracked, which can show too little yin.
Eczema: A clinical example of the holistic diagnosis
The information from the tongue is not taken in isolation, but rather combined with other techniques, such as the pulse, asking questions, and in the case of eczema, observing the skin.
When it comes to eczema, looking at the skin is very important. If the skin is very red, irritated, dry, and itchy, then it is probably caused by heat. We then look at the tongue. If the tongue is red with a sticky yellow coating, then it is certainly excess heat causing the eczema. The herbs and acupuncture are focused clearing heat.
But if the tongue is pale and large, with a thick white coat, then it may be heat mixed with qi deficiency, or lack of energy. The herbs and acupuncture would have to also address the underlying lack of energy.
Read more on Acupuncture for Eczema
- Chinese herbs for Winter Eczema: A Success Story
- TCM Treatment for Dyshidrotic Eczema
- Personalized Acupuncture and Herbs for Eczema
Photo: Mike Burns
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