Posts Tagged ‘Traditional Chinese Medicine’
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.
Chinese medicine for April Allergies
Apr 1, 2013
April allergies can be cruel. Headache, itchy eyes, sneezing, and scratchy throat are overwhelming. Chinese herbal formulas are very effective for reducing the runny nose and stuffiness, headaches, and itchy eyes,
Nasal Symptoms and Sinus Headache
For people with hay fever and sinus symptoms like sneezing, runny nose, and sinus headache the overall most effective formulas is called Bi Min Gan Wan, the nasal congestion formula. This is a mild formula that helps to reduce headache, nasal congestion.
Itchy Eyes
In Chinese medicine, itchy eyes from allergies is generally from heat. The herbal formula best for itchy eyes form heat is Sang Ye Tang. This formula has mulberry leaf and chrysanthemum flowers that help to relieve itchy eyes. Another effective formula for itchy eyes is called Qi Ju Di Huang Tang, which has gou qi zi and ju hua that stop eye itching.
Asthma with Allergies
Because allergies and asthma are so closely connected, allergies can trigger asthma attacks, those with asthma often need different herbal formulas. Sometimes there is too little qi. In this case, formulas like Jade Wind Screen works to boost qi and release external wind. Also, the mushroom Cordyceps or Reishi is helpful to boost the qi.
All About Acupressure
Jul 11, 2012
Acupressure is the massage of acupressure points and channels. I often use acupressure and tui na (Chinese medical massage) combined with with acupuncture in my NYC acupuncture clinic.
Acupressure in context
To really understand how acupressure works, we have to see it as part of the whole of Traditional Chinese Medicine.
Chinese medicine dates back thousands of years. The first book of Chinese medicine is called the Huang di nei jing, or the Yellow Emperor’s Inner Cannon.
The book is a conversation between the Yellow Emperor and his doctor, named Qi Bo. Qi bo explains that health comes from a state of balance within the body, and between the body and the environment. To prevent illness, people should live a balanced life. It is a very simple idea.
Chinese medicine uses many therapies, including acupuncture, acupressure, and Chinese herbs to bring balance to the body by regulating the nervous system, decreasing inflammation, and improving circulation. Once the body is in balance, it can work to heal itself.
Acupuncture channels, called the jing lou in Chinese, connect the body. These channels provide a pathway for the circulation. Qi flows through the channels, warming the body and protecting it from disease.
Acupressure and acupuncture manipulates these channels to bring you back to a healthy state.
What is Chinese Medicine?
Feb 13, 2012
Traditional Chinese Medicine is a term that refers to medicine practices developed in China and other parts of Asia. Traditional Chinese Medicine generally covers many types of modalities including acupuncture and moxibustion, Chinese Herbal remedies, Tui Na or Chinese Medical Massage, as well as other manual therapies including gua sha (spoon massage or coining) and cupping.
In China, the term Chinese medicine (in Chinese it is called Zhong Yi 中医) often refers to the practice of Chinese herbal medicine. Although it can also refer to the entire practice of Chinese medicine. While acupuncture refers to acupuncture and moxibustion.
Some of these therapies are performed only by experienced physicians, such as prescribing complex herbal formulas or doing acupuncture. But others are considered more home remedies. This may include folk herbal remedies for common colds or manual therapies such as gua sha which can be used for nausea, car sickness, the common cold, and other common illnesses.
Common ideas in Chinese Medicine
While the therapies are diverse, done both by physician and family members, they all rest on the holistic view of the body and health that developed over 2000 years ago. A primary idea is that health is a state of balance in the body and between the body and the environment. The body has qi, energy, which flows through channel and meridians. Also, that environmental factors such as cold, heat, and dampness can cause illness. And these environmental factors represent certain illness within the body.
For example, if you have a cold, a physician may write an herbal prescription to release the heat to help you get rid of the cold. But the home remedy of gua sha spoon massage on the neck and upper back can also release the heat.
Chinese Medicine: An Evolution of Ideas
Many of the dominant concepts in Chinese medicine were discussed in the early books of the Yellow Emperor’s Inner Classics as well as the Treatise on Cold Diseases. Although they referenced older works, they are no longer in existence. Over the years, physicians and scholars have debated these ideas evolving into the contemporary tradition of modern Chinese Medicine.
Yet, it is important to understand that Chinese medicine is an evolving tradition. These are not static concepts, but ideas that scholars, physicians and even individual family lineages have expanded on and explored. Chinese medicine has a strong tradition of writing, discussion, and debate. There is a great diversity of ideas. Through experience and training a Chinese Medicine practitioner will develop their own style.
For example, certain physicians believed that the best way to use Chinese medicine for psoriasis was to clear heat and toxins from the body. However, other physicians believed that psoriasis developed from internal cold and the body must be warmed. These debates continue today.
In fact, some of the significant therapeutic strategies of modern Chinese medicine physicians were not developed until recently. As I mentioned in my last post, the development of electro-acupuncture for pain was only developed within the last century, a relatively short time for the history of Chinese medicine.
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
Traditional Chinese Medicine: A Literary Medicine
Nov 29, 2011
“And when you do find one, observe with care…they almost always have crystals in their hearts.”
From Love in the Time of Cholera by Gabriel Garcia Marquez
To understand Chinese medicine better, we also have to think about how acupuncture and Chinese medicine conceptualize and describe the body.
The Language of Acupuncture and Chinese medicine
Acupuncture and Traditional Chinese medicine is a comprehensive medical system with it own diagnosis and treatment. The terminology and language is also unique.
Sometimes, acupuncture language may sound a little magical. We may say that a headache is caused by liver qi stagnation in one person but in another person it may be from heat. Similarly, anxiety can come from heart blood vacuity but it also can be related to heat irritating the heart.
It is very important that the language and theory is consistent throughout the acupuncture diagnosis and treatment. In fact, if the wrong diagnosis is made, say heat instead of liver qi stagnation, the incorrect treatment will be used which can make the condition worse.
I like to think of these imbalances as metaphors describing the symptoms of your illness.
A Scholarly History
The causes and treatment of disease have been debated, discussed, and experimented with by clinicians and scholars throughout the more than 2500 years of Chinese medicine history.
They have evolved, as historian Paul Unschuld has written, into a system of medical correspondences. These debates still continue today about the best methods to approach and treat different diseases.
Health in Traditional Chinese Medicine
Acupuncture and Chinese medicine view health as a state of balance in the body, as well as balance within the enviornment.
Some of the most common imbalances pertain to the body’s energy, or qi. The qi can be too little, what we call qi vacuity, or it may not circulate as it should, called qi stagnation.
Other imbalances coorespond to the enviornment. Cold, heat, dryness, and wind can all cause diseases.
The Body Acupuncture
Acupuncture Channels
Acupuncture visualizes the body as a complex interconnected web. Meridians travelling throughout the body, connecting the surface to the interior, the upper body with the lower body.
The body’s energy circulates freely. If there is too little energy or if the energy gets stuck, imbalances occur. A build up of any imbalance, heat, cold, stagnation, or others leads to developing into an illness.
To correct the imbalance, we use acupuncture points and treatment methods specific to your imbalance.
For example, a headache from liver qi stagnation, we could use the acupuncture points LI 4, Liver 3, and Liver 14. But if it is from heat, we may choose Liver 2, Gallbladder 34, and San Jiao 5.
photo: geishaboy500
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
Acupuncture for Frequent Urination following Prostate Surgery
May 5, 2011
In my last post I wrote about research that shows acupuncture helps reduce hot flashes in men with androgen ablating therapy. In addition to hot flashes, men can experience frequent urination, incontinence, and sexual dysfunction following prostate cancer surgery.
Here are two articles I wrote focusing on prostate cancer surgery recovery. The first is a case study published in Medical Acupuncture.
ABSTRACT
Background: Radical prostatectomy, while a successful treatment for prostate cancer, often results in chronic adverse effects.
Objective: To report the use of acupuncture to treat frequent urination and nocturia following radical prostatectomy.
Design, and Patient: A 62-year-old man reported frequent urination, nocturia, and urinary leakage. He had a history of overactive bladder for about 5 years, originally developed from type 2 diabetes. One year prior to acupuncture treatment, the patient underwent radical laparoscopic prostatectomy for early stage prostate cancer. After the surgery, his frequent urination and nocturia worsened, with the need to urinate every hour both day and night. Occasionally, he experienced urinary leakage, which he managed by wearing a pad. The nocturia caused poor sleep and chronic fatigue, as he awoke 5–7 times every night to urinate.
Intervention: Acupuncture treatment was performed twice per week. Points included a front treatment of CV 3, CV 4, and KI 12 with pole moxa, and LR 5, SP 6. Back treatment was GV 4, GV 3, GV 2, UB 23, UB 32, and UB 33 with pole moxa, as well as UB 57.
Main Outcome Measure: Change in urinary frequency and nocturia.
Results: After 10 treatments, there was a great reduction in frequency of urination during both the day and night. In addition, this patient’s ability to hold his bladder was also reported to have increased. He was awaking to urinate 0–2 times per night, a major reduction in nocturia.
Conclusions: Traditional acupuncture was successful in helping this patient with frequent urination. This theory, background, and treatment can help stimulate more research into the treatment of frequent urination and nocturia following prostatectomy.
The second article is entitled “Acupuncture Treatment of Incontinence following Prostate Cancer Surgery“ explaining more of the Traditional Chinese Medicine view of acupuncture, incontinence, and frequent urination.
Acupuncture for Adult Acne Treatment
Apr 21, 2011
Some think that only teenagers get acne. But many adults, mostly women, develop acne in their 20’s and remain with it well into their 40’s. Adult acne is a very common issue I treat in my acupuncture clinic. The combination of acupuncture and Chinese herbs are very effective for adult acne treatment.
One theory is that stress causes hormone imbalances which effect the development of acne. Also, as many people know, the menstrual cycle can influence acne.
Traditional Chinese Medicine Acne Treatment
Acupuncture helps the body to manage stress and encourages the body to relax. Chinese herbs work to regulate hormone imbalances, especially if there are irregular menstrual cycles. Herbs can help to control bacteria levels and decrease inflammation.
The key to successfully adult acne treatment is interrupting the cycle that causes acne. Acupuncture and Chinese herbs work to correct imbalances in the body. By removing the imbalances causing the acne, it disrupts acne cycle and allows the body to heal itself. Physiologically, this happens through regulating hormonal imbalances and removing the opportunity for bacteria and skin inflammation to develop.
Favorite Acupuncture Book Recommendations
Feb 22, 2011
Patients are always interested in learning more about acupuncture and Chinese medicine. Here are my favorite books for theory, history, and clinical applications of acupuncture and Traditional Chinese Medicine.
Introductory Books to Acupuncture and Chinese medicine
The History of Acupuncture and Chinese Medicine
My Favorite Acupuncture Manual
My Favorite Qi Gong Book
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