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Acupuncture and TCM Treatment for Perimenopause Symptoms

By xiaomei | Published October 3, 2025

By Xiaomei Cai, L.Ac., Ph.D. and Qineng Tan, L.Ac., Ph.D.

 

Woman with hand to chest and head, feeling unwell.
Anxiety, palpitations, and vasomotor symptoms can be a part of perimenopause.

Changes in mood, sleep, energy levels, or menstrual cycle? Hot flashes, itchy skin, or joint pain? These can all be signs of perimenopause, the transitional period leading up to menopause. Acupuncture and Traditional Chinese Medicine (TCM) provide a holistic approach to managing perimenopause symptoms. 

While everyone experiences the perimenopause transition differently, it is common to have disruptive perimenopausal symptoms that can affect your physical and emotional well-being. Acupuncture and herbs can help balance hormones, regulate the menstrual cycle, reduce stress, restore energy, and improve your quality of life.

 

What Is Perimenopause?

Perimenopause refers to the years leading up to menopause, when hormone levels, particularly estrogen and progesterone, begin to fluctuate. This transition often begins in a woman’s 40s, but can start earlier. 

Perimenopause can last several years, with symptoms gradually intensifying until menstruation stops completely. “Menopause” is defined as having gone 12 months without a period, which means it technically is just one day! Most people with periods will experience perimenopause for years, and then be “post-menopausal” for up to a third of their lifetime.

Some doctors will recommend hormone replacement therapy (HRT) or medications to target specific symptoms. For some women, HRT is not recommended, due to their medical history. And some women prefer natural, non-pharmaceutical approaches. 

Acupuncture and Chinese herbal medicine work by addressing the underlying imbalances that contribute to perimenopausal symptoms, offering a safe and effective alternative or adjunct treatment to hormone therapy.

 

Top 12 Most Common Perimenopause Symptoms

small piles of Chinese herbs of many colors in a row
Herbs and acupuncture for perimenopause

TCM practitioners look for diagnostic patterns based on the range of symptoms an individual is experiencing and then creates a treatment plan to balance the organ systems and correct the root problem that is causing them. With menopause and perimenopause, typical TCM diagnosis might be:

  • liver and kidney yin deficiency
  • kidney yang deficiency
  • both yin and yang kidney deficiency
  • disharmony of heart and kidney
  • liver stagnation and spleen deficiency
  • stagnation of liver qi

Insomnia

Trouble falling or staying asleep is one of the most common complaints in perimenopause. In TCM, sleep disruption often reflects Yin deficiency (lack of cooling, nourishing energy) or Heart–Kidney disharmony. Acupuncture helps calm the Shen (spirit) and regulate the nervous system, while herbal formulas and dietary guidance focus on nourishing Yin and calming the mind. Simple lifestyle suggestions—reducing late-day stimulants, winding down with gentle stretching or qigong, and keeping a cool, dark bedroom—are part of an integrated plan.

 

Anxiety

Perimenopausal anxiety often shows as persistent worry, tension, or a feeling of being “on edge.” From a TCM point of view this is frequently Liver Qi stagnation or Heart Shen disturbance. Acupuncture points to move Liver Qi and settle the heart, paired with calming herbs and breath-work, can substantially reduce anxiety and the physical tension that accompanies it.

 

Depression

Low mood or persistent sadness (depression) may be linked in TCM to Liver Qi stagnation, Spleen Qi weakness (fatigue and poor appetite), or Heart blood deficiency. Treatment is individualized: acupuncture to regulate the flow of Qi, herbal formulas to strengthen the Spleen and nourish the Heart, and lifestyle counseling—regular movement, sunlight, and social support—are all used to lift mood and restore resilience.

 

Itching / Pruritis

Itchy skin in perimenopause can be triggered by hormone-related dryness or underlying heat from Yin deficiency. TCM treats this by nourishing Yin, clearing deficient heat, and resolving any skin dampness. Topical herbal washes, internal formulas that nourish fluids, and acupuncture to balance the Skin and Lung channels are commonly used approaches.

 

Joint Pain (including hip and shoulder pain, frozen shoulder)

Joint aches and stiffness often flare during perimenopause, due to declining Yin and Lubrication for the tendons and joints. TCM diagnoses may include Wind-Cold-Damp invasion or Kidney/Liver deficiency affecting the sinews. Local and distal acupuncture, moxibustion when cold is involved, herbal anti-inflammatory formulas, and therapeutic tuina or gentle mobilization help reduce pain, improve circulation, and restore range of motion.

 

Hip Pain

In TCM, hip pain is frequently associated with Kidney deficiency (which governs the bones and joints) or Blood stasis. Treatments focus on nourishing Kidney essence and moving blood to relieve stiffness and referred pain. Clinical outcomes are often improved when acupuncture is combined with targeted exercises for hip stability.

 

Shoulder Pain / Frozen Shoulder

Frozen shoulder is treated as a painful obstruction (a kind of Bi syndrome) in TCM. Needling local shoulder points together with distal points that move Qi and break up stagnation can help restore mobility. Repeated, gentle treatment sessions with acupuncture, adjunct cupping or gua sha, and rehabilitative stretching often bring gradual, sustained improvement.

 

Acne

Hormone-driven acne in perimenopause can result from Liver Qi stagnation transforming into Heat or from Phlegm-Damp accumulation. TCM treatment clears Heat, transforms Phlegm, and supports digestion (the Spleen) so skin eruptions calm. Herbal formulas tailored to the pattern, dietary adjustments (reducing spicy/fried foods and dairy for some people), and acupuncture to regulate hormones are commonly used.

 

Brain Fog

Difficulty concentrating, forgetfulness, and mental fog often accompany hormonal transitions. In TCM this can be modeled as Qi and blood not adequately nourishing the brain (the “Sea of Marrow”), or as Kidney essence declining. Acupuncture to improve circulation and nourish Yin and blood, herbal support to improve mental clarity, and lifestyle strategies (sleep hygiene, structured routines, mild aerobic exercise) are used together to sharpen cognition.

 

Irregular Periods

Perimenopause often brings irregular cycles, heavier or lighter bleeding, and spotting. In TCM irregular menses result from Liver Qi stagnation, blood deficiency, or Yin-Yang imbalance. Treatment aims to regulate the menstrual cycle by harmonizing Liver and Spleen, nourishing blood, and, when needed, cooling excess heat. Acupuncture can help re-establish more predictable cycles over time while herbs address the underlying pattern.

 

Fatigue

Persistent low energy is commonly related to Spleen Qi deficiency in TCM (poor digestion and energy extraction) or to Kidney depletion. Acupuncture protocols focus on strengthening Spleen Qi and boosting overall vitality; herbs like astragalus-based formulas and dietary adjustments—regular, nourishing meals—support long-term recovery.

 

Hot Flashes and Night Sweats

Perhaps the most classic perimenopausal complaint, hot flashes reflect Yin deficiency with relative heat in TCM theory. Acupuncture has a strong evidence base for reducing the frequency and severity of hot flashes by modulating autonomic balance and calming the underlying deficient heat. Herbal formulas that nourish Yin and clear deficient heat, combined with dietary/lifestyle strategies (cooling foods, layered clothing, avoiding triggers), round out the approach.

 

Can Acupuncture Help Perimenopause?

woman on a table receiving peaceful acupuncture treatment
Hormonal symptoms of perimenopause can be helped with acupuncture.

Multiple clinical trials and systematic reviews support acupuncture’s effectiveness for common perimenopausal symptoms. For instance, a randomized controlled trial examining perimenopausal insomnia found that acupuncture significantly improved sleep quality, total sleep time, and reduced time to fall asleep compared to control groups. Another systematic review evaluating acupuncture for comorbid insomnia and depression reported moderate to strong benefits in sleep metrics and mood with low risk of adverse events.

In addition to the sleep and mood benefits, acupuncture has been studied for vasomotor symptoms (hot flashes). A meta-analysis pooling several trials showed that acupuncture reduced the frequency and severity of hot flashes more than sham acupuncture and often matched hormone therapy in effect size, with fewer side effects. These studies underscore acupuncture’s potential not only to alleviate surface symptoms but also to exert beneficial regulatory effects on hormonal and autonomic systems.


Perimenopause is a highly individual transition; two people can have the same complaint (like insomnia or hot flashes) for very different energetic reasons. That’s why TCM emphasizes tailored treatment—your acupuncture points, herbs, and lifestyle plan are selected based on your unique pattern. Acupuncture offers real physiologic benefits (calming the nervous system, improving sleep architecture, reducing inflammation) while herbs and diet support deeper rebuild of Yin, Blood, and Digestive Qi. Regular treatments over several months are often most effective, with maintenance “tune-ups” to keep symptoms at bay.

If you’re struggling with perimenopausal symptoms, acupuncture and TCM can be a safe, effective complement to conventional care. At Art of Wellness we create personalized plans that combine acupuncture, Chinese herbal therapy, nutritional guidance, and qigong to help you move through this transition more comfortably and regain balance.

Acupuncture Near Me for Perimenopause in West Los Angeles

If perimenopause is impacting your sleep, mood, skin, joints or day-to-day energy, please don’t hesitate to reach out. We’re happy to schedule a consultation to review your symptoms, discuss a personalized TCM treatment plan, and answer any questions about how acupuncture and herbal medicine can support you through this phase of life. Call or book online to get started.

At Art of Wellness Acupuncture in Santa Monica, we specialize in women’s health and menopause care. If you are experiencing symptoms of perimenopause, reach out today to schedule a consultation. Together, we can create a personalized treatment plan to help you feel more like yourself again.



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How to Treat Insulin Resistance With Acupuncture and TCM

By xiaomei | Published September 19, 2025

By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.

Woman yawning and holding a large iced coffee drink.
Feeling tired and craving sugar can be signs of insulin resistance.

Hungry and tired all the time? Gaining weight even though you’re doing all the right things? These may be signs of insulin resistance. Acupuncture and TCM offer alternative treatment to help improve insulin sensitivity and support weight loss.

What Is Insulin Resistance? 

Insulin resistance is a condition where your body’s cells stop responding well to insulin, leading to elevated blood sugar levels and a cascade of metabolic stress. Left unchecked, insulin resistance can lead to prediabetes, type 2 diabetes, cardiovascular disease, and trouble managing a healthy weight.

Insulin is a hormone produced by your pancreas that helps glucose (sugar) enter cells for energy. When your body becomes resistant to insulin, more insulin is needed to keep blood sugar in a normal range. Over time, the pancreas struggles to keep up, and blood glucose levels rise.

Insulin resistance often shows up with other health problems, such as high triglycerides, low “good” HDL cholesterol, elevated fasting glucose, and sometimes high blood pressure. There may not be obvious symptoms at first, which is why many people have insulin resistance for years before they are ultimately diagnosed.

Insulin resistance is often a significant part of PCOS, which causes irregular periods and fertility issues, along with increasing the risk of diabetes. Acupuncture and TCM can be an effective way to treat PCOS and insulin resistance.

Top 10 Signs of Insulin Resistance

Woman having trouble getting her pants on.
Gaining weight, especially in the belly area, can be a sign of insulin resistance.

How do I know if I’m insulin resistant? Many people will not notice any signs of insulin resistance and will find out about it until they have a fasting blood glucose test or tests that show high cholesterol levels.

However, there are symptoms that may be indicators of insulin resistance:

  1. Increased hunger, especially after meals
  2. Frequent energy crashes or feeling tired even after rest
  3. Frequent urination
  4. Difficulty losing weight or belly fat accumulation
  5. Darkened skin patches (acanthosis nigricans), especially around the neck or underarms
  6. Elevated fasting glucose or hemoglobin A1c (if tested)
  7. High triglycerides, low HDL cholesterol
  8. Possible mild elevated blood pressure
  9. Fatigue
  10. Dizziness, headaches

Can Acupuncture Help Insulin Resistance?

In Traditional Chinese Medicine, insulin resistance is seen not just as issues with sugar, but as a broader imbalance among Qi (vital energy), Blood, Yin, and Yang, often involving the Spleen, Liver, and Kidneys.

Spleen Qi Deficiency – the Spleen is responsible for transforming food into energy. Weak Spleen Qi means sluggish digestion, poor nutrient absorption, and accumulation of Dampness.

Phlegm-Damp Obstruction – in TCM, phlegm/damp corresponds loosely to fat accumulation, insulin-resistant fat tissue, or lipid disturbances.

Liver Qi Stagnation –  can lead to emotional stress, which worsens metabolism, contributes to cravings, and disrupts hormonal balance.

Kidney Yin or Yang Deficiency – either or both depending on the person’s constitution and lifestyle. This can impair energy reserves, slow recovery, and reduce resilience.

TCM treatment is thus about addressing both root (constitutional) imbalances and branch (symptomatic) relief: strengthening digestion (Spleen), moving liver Qi, clearing dampness, nourishing the kidneys, and regulating blood sugar and energy.

Recent research has begun to show how acupuncture can directly influence the mechanisms behind insulin resistance, not just the symptoms.

A comprehensive review of both clinical and laboratory studies found that acupuncture helped improve common measures of insulin sensitivity, such as fasting blood glucose, insulin levels, and the HOMA-IR index. Patients who received acupuncture also saw improvements in cholesterol and triglyceride levels, reductions in abdominal fat, and better liver function in cases of non-alcoholic fatty liver disease.

plate with a variety of whole Chinese herbs
Chinese herbs and nutrition can help with blood sugar regulation and weight loss.

Chinese herbal formulas are tailored to each pattern—some patients may need herbs to strengthen the Spleen and resolve dampness; others might need formulas to soothe liver Qi, or nourish Yin or Yang depending on their pattern.

Diet in TCM is also crucial. Reducing sugar, refined carbohydrates, avoiding damp-producing foods, and choosing foods that support spleen function (warm, simple, easy to digest) will help, and your practitioner can give you specific dietary advice.

Lifestyle practices such as gentle exercise, stress reduction (meditation, breathing work), good sleep hygiene, and regular rest help reinforce the effects of acupuncture and herbs.

Acupuncture Near Me for Insulin Resistance in Los Angeles

If you suspect you’re dealing with insulin resistance, or if you’ve been diagnosed with prediabetes, type 2 diabetes, or PCOS, acupuncture and TCM can be helpful. At Art of Wellness Acupuncture in West Los Angeles, we tailor our treatments to your unique situation, addressing the root causes and supporting sustainable metabolic health.

Don’t wait until medication is your only option. Contact us today to schedule a consultation and see how acupuncture and TCM may support your journey toward improved insulin sensitivity, balanced hormones, and healthier weight.

 

*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.

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How to Treat Metabolic Syndrome With Acupuncture and TCM

By xiaomei | Published September 5, 2025

By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.

 

woman trying to button her pants
Gaining weight in the abdomen (belly fat) can be a sign of metabolic syndrome.

High blood pressure? Weight gain, especially belly fat? High blood sugar? These can be signs of metabolic syndrome (syndrome X). Acupuncture and TCM can help with metabolic syndrome and weight loss to reduce health risks associated with met syndrome.

Metabolic syndrome is not just one condition, but a cluster of health problems that increase the risk of heart disease, stroke, and type 2 diabetes. The good news is that with the right approach, metabolic syndrome can be managed—and even reversed.

Acupuncture and Traditional Chinese Medicine (TCM) offer an alternative treatment that can support weight loss, manage high blood pressure, balance blood sugar, reduce inflammation, and improve circulation.

 

What Is Metabolic Syndrome?

Metabolic syndrome (often abbreviated as Met Syndrome or Syndrome X) refers to a group of conditions that tend to occur together, raising the risk of serious cardiovascular and metabolic disease. 

Doctors usually diagnose metabolic syndrome when a patient has at least three of the following risk factors: abdominal obesity, high triglycerides, low HDL (“good”) cholesterol, high blood pressure, and elevated fasting blood glucose.

Having metabolic syndrome doesn’t mean a person is sick right now, but it does mean their risk of developing chronic illnesses like diabetes, heart disease, or fatty liver disease is much higher.

Because the condition is so closely tied to lifestyle, it is sometimes also referred to as metabolic syndrome and weight loss resistance, since many patients find it especially difficult to lose weight in the abdominal area.

 

Symptoms of Metabolic Syndrome

People with metabolic syndrome may not notice clear symptoms at first, which is why it can go undiagnosed for years. The most common signs of metabolic syndrome to be aware of include:

  1. Increased waist circumference or belly fat
  2. Elevated blood pressure readings
  3. High fasting blood sugar or prediabetes
  4. Low HDL cholesterol levels
  5. High triglyceride levels
  6. Fatigue or low energy
  7. Brain fog or difficulty concentrating
  8. Cravings for sugar and carbohydrates

If these problems are not addressed, metabolic syndrome symptoms can progress toward more serious complications, including diabetes, kidney disease, heart attack, and stroke.

 

What Causes Metabolic Syndrome?

woman checking her blood sugar monitor
Elevated blood sugar levels and insulin resistance are part of Syndrome X.

There isn’t one singular cause of metabolic syndrome. It develops over time, due to a combination of genetic predisposition and lifestyle factors. Insulin resistance (when the body no longer responds effectively to insulin and can’t regulate blood sugar properly) is considered central to the condition.

Other contributing factors include dietary choices, lack of exercise, chronic stress and high cortisol levels, increased visceral fat in the abdominal area, and sleep apnea and other sleep disorders. Hormonal imbalances arise, largely because of all of these factors.

In combination, all of these problems lead to a vicious cycle of weight gain, inflammation, high blood pressure, and increased strain on the cardiovascular system.

Treatment for Metabolic Syndrome

Doctors often recommend lifestyle changes as the first line of treatment: improving diet, losing weight, and increasing physical activity. When lifestyle modification isn’t enough, medications may be prescribed to address individual risk factors, such as:

  • Antihypertensive drugs to lower blood pressure
  • Statins to reduce cholesterol and triglycerides
  • Metformin to improve insulin sensitivity
  • Blood-thinning medications to reduce clotting risk

While these can help reduce complications, medications do not address the root cause of metabolic syndrome. This is why many people look for complementary therapies such as acupuncture and TCM to help restore balance and support long-term healing.

 

Can Acupuncture Help Metabolic Syndrome?

person receiving acupuncture treatment
Acupuncture and herbs can help manage metabolic syndrome symptoms.

From a TCM perspective, metabolic syndrome is a result of underlying imbalances in Qi, Blood, Yin, and Yang. TCM does not look at metabolic syndrome as a single disease, but rather as a collection of disharmonies that can manifest in different ways for different people.

Some of the most common TCM patterns associated with met syndrome include:

Spleen Qi Deficiency with Dampness: The body struggles to transform food into usable energy, leading to fatigue, bloating, and weight gain.

Phlegm-Damp Obstruction: Excess dampness and phlegm accumulate in the body, manifesting as belly fat, high cholesterol, and sluggish circulation.

Liver Qi Stagnation: Emotional stress and frustration disrupt digestion and metabolism, contributing to sugar cravings and insulin resistance.

Kidney Yin Deficiency: Over time, metabolic stress depletes the body’s reserves, causing high blood pressure, poor sleep, and heat symptoms.

By identifying the root imbalances, acupuncture and herbal medicine can be tailored to each individual’s needs.

Acupuncture works by regulating the nervous system, reducing inflammation, and improving circulation. For patients with metabolic syndrome, acupuncture can improve insulin sensitivity and help regulate blood sugar levels, lower blood pressure naturally, reduce stress, and improve sleep.

An acupuncture practitioner will work with each individual to improve their dietary habits, according to their personal constitution. Acupuncturists receive extensive training in nutrition and are able to prescribe foods and herbs that will help reduce cholesterol and triglycerides, support weight loss, and balance hormones.

A meta-analysis of studies that evaluated TCM treatment for metabolic syndrome found that TCM treatment compared favorably with conventional medical treatments, in terms of helping with controlling triglycerides, helping reduce waist circumference, and controlling blood glucose levels.

Lab studies showed that electro-acupuncture had a positive effect on metabolic processes by way of impacting the liver and gut health.

Another study showed that patients who received electroacupuncture treatment in addition to medication had improved outcomes, with decreased insulin resistance.

 

Acupuncture Near Me for Metabolic Syndrome in Los Angeles

At Art of Wellness Acupuncture in Santa Monica, we specialize in treating complex conditions like metabolic syndrome X, helping patients reduce risk factors while feeling more energetic and relaxed.

If you are concerned about metabolic syndrome or have struggled with weight loss, high blood pressure, or blood sugar imbalances, we invite you to schedule a consultation. Together, we can create a personalized treatment plan to help you regain balance and protect your long-term health.

 

 

*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.

 

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How to Treat Syncope With Acupuncture and TCM

By xiaomei | Published August 22, 2025

By Xiaomei Cai, L.Ac., Ph.D. and Qineng Tan, L.Ac., Ph.D.

acupuncture for fainting, dizziness, syncope - woman holding hand to her head, unsteady
Feeling dizzy and unsteady can be a sign that a vasovagal attack might occur.

Lightheaded and dizzy? Passing out for no reason or fainting without warning? Syncope, or vasovagal passing out due to a loss of blood flow to the brain, is also known as a vasovagal attack. Acupuncture can help regulate the autonomic nervous system and blood flow to prevent fainting and syncope.

A syncope episode, or vasovagal passing out, can be scary for the person fainting and for the people around them, because it happens suddenly. Usually, the fainting spell only lasts for a minute or two. The underlying causes of syncope can be complex, involving the nervous system, heart, or circulatory system.

 

What Causes Syncope?

Syncope definition: The term “syncope” refers to a temporary loss of consciousness due to reduced blood flow to the brain. One of the most common forms, vasovagal syncope, occurs when the vagus nerve triggers a sudden drop in blood pressure and heart rate.

A vasovagal attack happens when a trigger, such as stress, pain, standing too long, or sudden changes in posture, causes the vagus nerve to send signals that lower heart rate and dilate blood vessels. Blood pressure drops, less blood reaches the brain, and the person loses consciousness.

Other types of syncope may be caused by cardiac arrhythmias, orthostatic hypotension, or neurological conditions.

 

Top 5 Symptoms of Syncope

man holding head, with blurred vision circle around him
Blurry vision and tinnitus can be symptoms of a vasovagal fainting episode.

Although fainting often comes on suddenly, many people who suffer from fainting vasovagal syncope notice warning signs beforehand. Signs that a vagal attack is imminent may include:

  1. Feeling lightheaded or dizzy
  2. Sudden nausea, queasiness
  3. Blurred vision, tunnel vision
  4. Cold, clammy skin, sweating, flushing, or sudden pallor
  5. Ringing in the ears (tinnitus) or muffled hearing

Afterward, some people feel tired, weak, or mentally foggy for a few minutes or a few hours.

Syncope Diagnosis

When someone has been experiencing fainting spells, a physician will usually try to identify whether the cause is cardiac, neurological, or vasovagal in origin. Tests may include ECG, echocardiography, tilt-table testing, or blood work.

If episodes are vasovagal, standard recommendations include:

  • Avoiding known triggers like dehydration, overheating, or standing still for long periods
  • Learning counter-pressure maneuvers (such as leg crossing or hand gripping) to increase blood pressure during early warning signs
  • Medications such as beta-blockers or fludrocortisone in severe or frequent cases
  • In rare cases, pacemaker implantation

While these recommendations for syncope can reduce fainting episodes, they may not always address the underlying autonomic imbalance. Acupuncture and TCM can provide a more holistic solution that addresses the deeper issues that are leading to vasavagal passing out.

 

Can Acupuncture Help Syncope?

In Traditional Chinese Medicine, fainting is often considered to be a sudden loss of consciousness due to Qi deficiency, Qi and Blood stagnation, or excess pathogenic factors disrupting the flow of energy to the head.

Some common TCM patterns that may underlie syncope include:

  • Qi and Blood Deficiency – When the body lacks nourishment, the brain is deprived, leading to dizziness and collapse.
  • Liver Qi Stagnation with Heat – Emotional stress and tension cause sudden disruptions of the flow of Qi, triggering fainting spells.
  • Phlegm-Damp Obstruction – Excess dampness and phlegm block clear Yang from rising, clouding the head.
  • Excess Wind or Cold – External factors can constrict channels, cutting off circulation to the brain.

An acupuncture practitioner will focus their treatment protocol on balancing pathogenic forces, such as wind and cold, or heat and dampness, and strengthening Qi energy to prevent  recurrence of fainting and dizziness.

woman's hands placing acupuncture needles in a patient's back
Acupuncture treatment and herbs can help relieve dizziness and fainting.

Acupuncture is an excellent modality for helping to stabilize blood pressure and regulate vagal activity and the autonomic nervous system.

In addition to acupuncture, herbal formulas may be prescribed to strengthen Qi, clear heat, resolve phlegm, or calm the Shen (spirit). Therapies such as cupping, gua sha, and breathing exercises can also support circulation and prevent stagnation.

Several studies have shown that acupuncture can reduce fainting episodes and improve autonomic stability.

Recent research is helping modern medical science better understand that the autonomic nervous system is, perhaps, one of reasons that acupuncture works. The needling of acupuncture points stimulate sensory nerve fibers, which are connected throughout the body, as signals moving along the spinal cord to and from the brain.

This is what allows for acupuncture treatment to positively affect the brain, nervous system activity, relieve pain, and reduce inflammation throughout the body.

One study concluded that acupuncture can affect autonomic responses by activating parts of the brain when the sympathetic and sympathetic nervous system activities are out of balance.

A study looked at the use of acupuncture as an emergency treatment for syncope and found that the effect of acupuncture treatment for helping to normalize blood pressure and heart rate and bring the body back into homeostasis.

Another study followed three patients with syncope, with different presentations, according to TCM diagnostic criteria (yin deficiency, yang deficiency, and excess phlegm with qi deficiency). All three patients found relief from their symptoms after receiving individualized treatment with acupuncture and herbs.


Acupuncture Near Me for Syncope in Los Angeles

Living with syncope or vasovagal fainting can feel limiting and unpredictable. Acupuncture and TCM provide time-tested methods to calm the nervous system, restore healthy circulation, and strengthen your overall resilience. If you or someone you know struggles with fainting or frequent dizziness, integrative care can provide relief and help you regain a sense of stability. Contact Art of Wellness Acupuncture today to schedule a consultation and learn how acupuncture can help you prevent syncope episodes and feel more balanced and secure in your daily life.



*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.

 

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How to Treat Thoracic Outlet Syndrome With Acupuncture and TCM

By xiaomei | Published August 8, 2025

By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.

 

woman holding hand in pain
Tingling sensation in hand, fingers, and arms can be a sign of thoracic outlet syndrome.

Tingling in one arm? Stiff neck and shoulder? Neck pain or headache back of head? These can be symptoms of thoracic outlet syndrome (TOS), or compression of the nerves and blood vessels that run through the neck and shoulder. Acupuncture and TCM offer thoracic outlet treatment to help relieve pain and numbness in the arm and hand.

Tingling pain and weakness in the arm and hand are the most common signs of thoracic outlet compression syndrome. You might wake up with pins and needles in your arm, or have a feeling of weakness in your hand after lifting things overhead or working for long hours at your computer.

 

What Causes Thoracic Outlet Syndrome? 

There is a narrow space between your top rib and your collarbone, known as the thoracic outlet, through which a complex network of nerves and vessels run, connecting the neck and shoulder to the arm. 

These nerves and arteries can become constricted due to tight or misaligned muscles (particularly the scalene or pectoralis minor), poor posture, or repetitive movements at work or while participating in a sport, resulting in impaired circulation, and nerve irritation.

scalene muscles attach the neck to the top ribs
Tightness in the scalene muscles can lead to entrapment of blood vessels and nerves.

The three scalene muscles (anterior, middle, and posterior) attach the cervical vertebrae of the neck to the top two ribs. Key blood vessels (the brachial plexus, subclavian artery and vein) run through the narrow space between the scalene muscles. When these muscles become tight or pushed out of their proper alignment, this can cause compression or entrapment of the blood vessels, affecting blood flow and sometimes also putting pressure on the ulnar nerve, which extends from the neck all the way down to the hand.

Injury or trauma to the area due to a car accident (such as whiplash) could lead to thoracic outlet syndrome. Sports injuries or simply the repetitive movements involved in a sport could cause thoracic outlet syndrome to develop, particularly movements where the arm is extended above the head, as in swimming or baseball. Physical changes that occur during pregnancy and affect the posture can also aggravate nerves and blood vessels. 

People with Ehlers-danlos syndrome may be more prone to developing thoracic outlet syndrome because of instability in the shoulder girdle.

In rare cases, a person might have an extra rib or other anatomical variation, which can contribute to TOS.

 

Top 10 Symptoms of Thoracic Outlet Syndrome

Symptoms of thoracic outlet compression syndrome can come and go and change over time. Common signs include: tingling and numbness in ring finger or pinky finger, pain in neck, pain in shoulder blade, soreness in the armpit or front of chest.

Common symptoms of thoracic outlet:

  1. Tingling, numbness, or a “pins and needles” sensation in the arm or hand
  2. Feeling of fatigue in the arm, or arm feels heavy
  3. Weakness in the hand grip or difficulty lifting objects, loss of fine motor skills in the hand, clumsiness, dropping things
  4. Aching pain or tenderness and sensitivity in the neck, shoulder, collarbone or chest, sometimes radiating down the arm
  5. Shoulder appears to be drooping, slumped posture
  6. Swelling, discoloration, and/or a sensation of cold in the affected arm or hand
  7. Headaches, especially pain in the back of the head, headache at the base of the skull
  8. Loss of muscle in the base of the thumb
  9. Weak pulse in the affected arm
  10. Blood clots or deep vein thrombosis

Symptoms like tingling and weakness of the arm and hand usually become worse after the arm has been in an elevated position, performing activities that require the arm to be raised over the head.

Signs of thoracic outlet syndrome can appear similar to those of other conditions, like carpal tunnel syndrome, cubital tunnel syndrome, cervical radiculopathy, or other cervical spine issues. Some of the symptoms of thoracic outlet syndrome are also similar to the symptoms of a heart attack.

 

Typical Thoracic Outlet Syndrome Therapies

Diagnosis of TOS generally begins with a detailed medical history and physical exam, in which maneuvering the arm or neck rotation may reproduce symptoms. Imaging tests such as X-rays, MRI, CT scans, or Doppler ultrasound help assess anatomical contributors and vascular involvement. Nerve conduction studies can also confirm nerve compression.

Conventional treatment for thoracic outlet syndrome typically starts conservatively. A central focus is on physical therapy, aimed at stretching tight muscles, improving posture, and strengthening supportive muscle groups. Pain may be managed with medications like NSAIDs or muscle relaxants. If symptoms persist or worsen, interventions such as targeted injections (e.g., botulinum toxin into tight scalene muscles) or surgical options (like first-rib resection) may be suggested.

These methods can offer relief, especially when implemented early. Still, recovery can be prolonged and some patients may experience recurring symptoms. Acupuncture and TCM offer alternative management for thoracic outlet syndrome.

 

Can Acupuncture Help Thoracic Outlet Syndrome?

acupuncturist placing needles in a person's upper back
Acupuncture can help relieve symptoms of thoracic outlet syndrome.

In Traditional Chinese Medicine, thoracic outlet syndrome is viewed as a problem of Qi (energy) and blood stagnation within the meridians that traverse the neck and shoulders, especially the Liver, Gallbladder, and Lung channels. Emotional stress, poor posture, or physical strain may disrupt the smooth flow of Qi, leading to obstructions that manifest as pain, numbness, or movement difficulty.

Additional contributing factors may include Wind-Cold-Damp invasion, which contracts muscles; Liver Qi stagnation, which impairs flexibility; and Spleen or Kidney weakness, which fails to support the body’s structural integrity and recovery.

TCM addresses both the symptomatic blockage and the deeper systemic imbalances underlying the condition.

 

TCM Treatment for Thoracic Outlet Syndrome 

TCM takes a multi-dimensional approach to treating TOS. Acupuncture uses fine needles to stimulate key points that encourage the release of stagnant Qi and improve blood flow.

Cupping and Gua Sha  techniques help soften fascia, reduce muscle tension, and encourage lymphatic and blood circulation.

Herbal formulas may include herbs that invigorate blood, relax sinews, and strengthen muscles and fascia.

Lifestyle changes, emphasizing improved posture, ergonomic adjustments, mindful movement, stress management, and dietary tips can help reduce inflammation and support healing.

Controlled trials and case studies suggest acupuncture effectively reduces pain and improves function in conditions involving neurovascular compression. For instance, a controlled study published in 2019 reported significant decreases in pain and disability among patients receiving acupuncture for TOS symptoms.

Another case study found that acupuncture combined with TCM herbal therapy provided thoracic outlet syndrome relief by alleviating shoulder tightness, restoring flexibility, and reducing numbness.

Several clinical groups are exploring acupuncture-mediated modulation of microcirculation, inflammatory markers, and nerve conduction—underscoring its role as a promising complement to standard care.

 

Acupuncture Near Me for Thoracic Outlet Syndrome in West Los Angeles

TCM modalities are excellent for helping to relieve pain and tingling and improving range of motion for a wide variety of conditions. Acupuncture can provide symptom relief and fundamental improvement of conditions like nutcracker syndrome, carpal tunnel syndrome, cubital tunnel, syndrome, nerve pain, shoulder pain, neck pain, and thoracic outlet syndrome. Drs. Tan and Cai at Art of Wellness in Santa Monica/West Los Angeles have over 35 years of experience in treating vascular and nerve conditions.






*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.









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