Skip to content

How to Treat Graves Disease With Acupuncture and TCM

By xiaomei | Published August 25, 2023

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

 

checking for goiter
Checking for goiter, or enlarged thyroid gland.

Goiter? Bulging eyes? Red eyes, eye pain? Feeling anxious and irritable? Hand tremor? These can all be signs of Graves disease, an autoimmune disorder that causes hyperthyroidism. Acupuncture and TCM can help relieve Graves disease symptoms.

Graves disease is an autoimmune disorder in which the immune system creates antibodies that make the thyroid produce too much thyroid hormone. This is known as an “overactive thyroid,” or hyperthyroidism.

Many different conditions can lead to excessive levels of thyroid hormone, but Graves disease is the most common cause of hyperthyroidism. About 80% of people with hyperthyroidism have Graves disease. Graves disease tends to affect women more often than men.

A person is more likely to have Graves disease if other people in their family have it, or have Hashimoto’s disease. People who have Graves may also have other autoimmune disorders, like Rheumatoid arthritis, autoimmune gastritis, Type 1 diabetes, or vitiligo (an autoimmune skin condition).

As with other autoimmune diseases, there is still limited understanding from a medical research perspective about what exactly causes Graves disease. Graves disease requires attention, as it can lead to serious health issues.

 

What Is Overactive Thyroid?

The thyroid gland is located in the front of the throat and is responsible for producing hormones that control metabolism, or how the body converts food into energy. The main thyroid hormones are thyroxine (T3) and triiodothyronine (T4).

The thyroid hormones impact many processes in the body, including your metabolic rate (how you use calories), how quickly food passes through your digestive tract, your heart rate, maintenance of body temperature, and the production of new cells to replace dying ones. 

Thyroid function can have a big impact on your weight and digestion. Thyroid hormone imbalances can cause skin problems, vision problems, and problems with menstrual cycles, libido, and fertility.

Acupuncture can be an effective treatment for managing hyperthyroidism symptoms.

 

Top 10 Graves Disease Symptoms

Graves disease most typically begins to show up in midlife, between the ages of 30 and 50. Signs of Graves disease may develop slowly over several weeks or months. Each individual’s experience with symptoms may be different; you may have some of the following symptoms, but not others.

Common symptoms of Graves disease include:

  1. Rapid weight loss
  2. Increased appetite
  3. Diarrhea, more frequent bowel movements
  4. Rapid heartbeat, heart palpitations
  5. Feeling shaky, hand tremor, tremor in fingers
  6. Clammy skin, sweating, feeling hot
  7. Insomnia, trouble sleeping
  8. Goiter, enlarged thyroid gland on the front of the throat
  9. Changes in menstrual cycle
  10. Muscle weakness

About a third of people with Graves disease will also develop Graves ophthalmopathy, or thyroid eye disease. This happens due to inflammation and swelling of the muscles and tissues around the eyes. This can happen in both eyes, or just one eye.

Graves disease eye symptoms can include:

  1. Bulging eyes
  2. Eyelids don’t close all the way
  3. Puffy eyes, swelling around the eyes
  4. Eye pain, eye pressure
  5. Sensitive to light
  6. Eye irritation, gritty eyes
  7. Double vision
  8. Blurred vision
  9. Red eyes
  10. Trouble moving the eyes

 

Treatment for Graves Disease

thyroid testing Graves
Testing for thyroid disorders

Diagnosis of Graves disease will usually involve blood tests to check for elevated thyroid hormones and the presence of antibodies that stimulate thyroid hormone production. A thyroid uptake scan will show how much iodine your thyroid absorbs; high absorption of iodine is a sign of Graves disease. A Doppler ultrasound may also be done to see if there is extra blood flow to your thyroid gland.

Graves disease is considered a chronic condition with no cure. However, medications and other interventions can help control thyroid hormone levels. Antithyroid medications like Tapazole block the overproduction of T3 and T4. Side effects of these medications can include itchy skin rashes, nausea, hair loss, muscle pain or joint pain, headaches, dizziness, and other problems. Some people can develop serious liver problems.

Radioiodine therapy, or radioactive iodine ablation (RAI),  is a treatment for Graves disease that involves taking radioactive iodine, which, as it is absorbed by the thyroid, will destroy the overactive cells of the thyroid gland. Many patients who undergo this treatment will end up being hypothyroid (low thyroid levels) and will have to have thyroid hormone replacement treatment. RAI treatment can affect the salivary glands, causing dry mouth and sometimes a loss of the ability to taste.

A thyroidectomy is a surgical option, which involves the removal of some or all of the thyroid gland. This may be recommended if a person has a very enlarged goiter, or thyroid gland. As with RAI, this may require that a person takes thyroid hormone replacement in the future. There is a risk that the vocal cords can suffer damage during this procedure, which may affect a person’s voice long-term.

Acupuncture and TCM offers an alternative or adjunct treatment for Graves disease that can help address the root cause of hyperthyroidism as well as help to manage symptoms.

 

Can Acupuncture Help Graves Disease?

Chinese herbs in powder form
Chinese herbs can help relieve hyperthyroid symptoms.

According to TCM theory, hyperthyroidism and Graves disease are related to imbalances in Qi: typically, yin deficiency is the result of excessive yang energy. Stagnation of phlegm in the liver meridian around the throat area can also have an impact on the thyroid gland.

Herbal formulations that help address liver qi stagnation can help relieve many of the symptoms associated with Graves disease, including palpitations, increased heart rate, and insomnia. Other Chinese herb treatments can help to reduce thyroid hormone levels and even the size of an enlarged thyroid.

One study that compared patients who were treated with acupuncture and herbs versus those who were treated with antithyroid medications. Over 95% of the group who received TCM treatment had positive outcomes, while 73% of the group who were given medications saw positive improvement.

Another independent study showed a similar result, with some patients given acupuncture plus conventional medications, while another group received medication only. The acupuncture group had a 96% positive outcome, while the medication only group had a 64% success rate.

One case study of a woman who had tried antithyroid medications but had suffered from hives as a side effect had good results after taking TCM herbs. Her thyroid levels returned to normal and remained in the normal range even after she discontinued the herbs.

An overview of research shows that acupuncture and herbs have the potential to help patients with Graves disease and hyperthyroidism by lowering thyroid hormone levels, relieving stress, improving sleep, and relieving symptoms like tremors and muscle weakness, as well as IBS-like symptoms of diarrhea.

A TCM practitioner can also give personalized advice regarding dietary and other lifestyle changes that can further help to alleviate symptoms and strengthen Qi.

 

Acupuncture Near Me for Graves Disease in West Los Angeles

Acupuncture and herbal medicine can be excellent modalities for hard-to-treat disorders, because TCM offers a different lens through which we can see health issues like autoimmune disorders and hormonal imbalances. TCM treatments can strengthen a person’s health on the deepest levels, while also relieving a wide variety of symptoms. Acupuncture can be very helpful for thyroid disorders like Graves disease and hyperthyroidism, as well as Hashimoto’s thyroiditis (Hashimoto) and hypothyroidism. 




*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.

 







Posted in Autoimmune Disease, Herbal Medicine, Insomnia, Uncategorized | Tagged , | Comments Off on How to Treat Graves Disease With Acupuncture and TCM

How to Treat POTS With Acupuncture and TCM

By xiaomei | Published August 11, 2023

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

 

POTS dizzy nausea headaches
POTS is most common in girls and women and often starts in adolescence.

Do you often feel shaky, like you’re fainting, or experience dizziness, especially when you’re getting up from sitting down or lying down? Do you feel like you have a rapid heartbeat, or shortness of breath? Postural orthostatic tachycardia syndrome, known as PoTS syndrome, or POTS, is a condition that causes unstable blood pressure when changing positions. Acupuncture and TCM can help relieve dizziness and other symptoms of POTS.

Postural tachycardia syndrome (or postural orthostatic tachycardia syndrome) is a chronic disorder related to the autonomic nervous system that causes people to experience dizziness and increased heart rate when they move into an upright position; this is known as orthostatic intolerance, which is a type of dysautonomia.

POTS syndrome is fairly common, affecting up to 3 million people in the U.S. POTS occurs more often in people assigned female at birth, and often first shows up during the teenage years. 

The most common symptom of POTS is feeling light-headed when changing your position from sitting to standing, or when getting up from lying down.

Whenever we have been sitting or lying down for a while, blood pools in the lower parts of the body. When we get up, the autonomic nervous system starts a series of actions to move blood back up into the top half of the body. This involves squeezing blood vessels, and releasing adrenaline and norepinephrine, to make the heart beat faster.

When a person has POTS, more blood tends to pool in the legs, and the nervous system process doesn’t cause the normal, quick response from the blood vessels, so more hormones are released, which can cause the person’s heart rate to increase, and a dizzy, faint feeling.

Medical science has not yet discovered exactly what causes POTS, but there are different characteristics that allow for categorizing these different types of POTS syndrome:

  • Neuropathic POTS – damage to small fiber nerves that control blood vessel constriction in the abdomen and limbs
  • Hyperadrenergic POTS – when a person has elevated levels of norepinephrine
  • Hypovolemic POTS – when a person has unusually low blood levels
  • Secondary POTS – when POTS symptoms are related to another condition that causes neuropathy, such as Lyme disease, diabetes, or autoimmune disorders like Lupus or celiac disease.

While POTS is not rare, it can be difficult to get a diagnosis, because the criteria can be vague, and the symptoms can so often be related to other conditions, or just seem “normal.” 

For many people, POTS is truly debilitating and can have a serious, negative impact on daily life. It can also contribute to feelings of anxiety and depression. Acupuncture and TCM offer an adjunct or alternative treatment for POTS that can help with dizziness, irregular heartbeat, digestive problems, muscle weakness, migraines, trouble sleeping, and other symptoms, all at the same time.

 

Top 10 POTS Symptoms

The primary symptoms of POTS are related to the cardiovascular system: rapid heartbeat, and dizziness. However, there can be many other POTS symptoms.

  1. Irregular heart rate, rapid heart rate, fast heartbeat, chest pain, heart palpitations
  2. Dizziness, especially when standing up or getting up from lying down, feeling faint
  3. Breathing problems: hyperventilating, bronchial asthma, shortness of breath
  4. Constipation, diarrhea, nausea, abdominal pain
  5. Muscle weakness, muscle pain, tremor
  6. Skin rash, flushed face, flushing, sweating
  7. Migraine headaches
  8. Cognitive issues, brain fog, difficulty concentrating
  9. Trouble sleeping
  10. Frequent urination, nocturia
POTS dizziness
Symptoms of POTS include dizziness, fatigue, and migraines.

Other symptoms of POTS may include: tinnitus (ringing in the ears), blurred vision, red or purple appearance of the legs when standing up, and a “jittery” feeling or general nervousness.

As with many syndromes, different people will experience different combinations of symptoms. While dizziness and rapid heartbeat are the signs most commonly associated with POTS, many people with POTS will also suffer from abdominal pain and gastrointestinal problems, perhaps without realizing there is a correlation.

POTS symptoms may resemble many other conditions, such as:

Because POTS is often misunderstood or misdiagnosed, many patients will be offered medications to manage headaches, vertigo, or depression, which may not offer much relief.

 

Medical Treatment for POTS

As there is no definitive cure for POTS, Postural orthostatic tachycardia syndrome treatments typically aim to manage symptoms and improve quality of life.

Dietary modifications are a fundamental component of POTS management. Adequate daily fluid intake is crucial. A diet that includes plenty of salt helps maintain blood volume, aiding blood flow to vital organs. Patients are typically advised to avoid alcohol and carefully monitor caffeine intake, as these substances can exacerbate symptoms.

Exercise is gradually introduced, often starting in reclined or horizontal positions, with the goal of increasing exercise tolerance over time. Physical therapy helps retrain the autonomic nervous system, enhancing blood circulation.

Compression garments can help reduce blood pooling, and specific postures while sitting or sleeping may alleviate symptoms. Identifying triggers such as prolonged sitting, heat, or certain drugs allows for better symptom control. Regular monitoring of blood pressure and pulse, along with adequate sleep hygiene, aids overall well-being.

While no single pharmacological solution is universally effective, some medications may be prescribed based on individual symptoms. These may help to improve blood volume, aid sodium retention, reduce heart rate, and enhance blood vessel constriction.

While POTS symptoms may intermittently improve with medications and lifestyle modifications, the underlying cause of POTS may persist. Acupuncture and TCM treatment can provide a holistic solution for individuals living with POTS, which may help to address the root causes of this syndrome.

 

Can Acupuncture Help POTS?

acupuncture treatment
Acupuncture treatment can help relieve POTS symptoms.

POTS is a kind of Dysautonomia; this is a general term that describes conditions that involve malfunctioning of the autonomic nervous system. This causes people’s bodies to have problems with regulating the sorts of functions that are typically automatic, like the beating of the heart, circulation of blood, breathing, and temperature control. 

Western medicine offers some treatments that can help address individual symptoms of dysautonomia, but it does not have a way of treating the root of the problem. It can be difficult to get proper treatment, because people who suffer from POTS and other kinds of dysautonomia often seem reasonably healthy, and their complaints—dizziness, headaches, mental health problems—seem vague.

Acupuncture and TCM have been used to treat these kinds of problems for centuries. Acupuncture treatment can help provide positive effects on the subtle communications of the nervous system, as well as the heart rate, and physiological symptoms of anxiety. According to TCM theory, several organ systems may be involved and need support: not only the heart, but also the kidneys or spleen.

Studies have shown that acupuncture for dysautonomia can help relieve symptoms like heart palpitations, insomnia, and digestive problems.

A qualified acupuncturist is also well-versed in nutrition and can offer more detailed information regarding dietary and lifestyle changes that can help each individual patient. Your TCM provider will spend time learning more about you, so that they can offer personalized advice.

 

Acupuncture Near Me for POTS in West Los Angeles

TCM and acupuncture can help people with all types of autoimmune disorders, nerve disorders, and conditions involving fatigue and dizziness that may be difficult to solve with conventional methods. Acupuncture works on a deeper, more subtle level to help address complex syndromes. If you are regularly experiencing trouble with feeling light-headed, having unexplained headaches and sleep problems, it may be time to seek a more holistic alternative treatment.



 

*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.

Posted in Acupuncture, Autoimmune Disease, Blood Pressure, Circulation, Depression, Diet, Digestive Disorders, Exercise, fatigue, Headaches/Migraines, Insomnia, Migraines, Neurological Conditions, Sleep, Uncategorized, What We Treat | Tagged , | Comments Off on How to Treat POTS With Acupuncture and TCM

How To Treat Psoriasis With Acupuncture and TCM

By xiaomei | Published July 28, 2023

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

 

Psoriasis often flares up on elbows or knees.
Psoriasis often flares up on elbows or knees.

Rash, scaly skin, itchy skin? These could be signs of psoriasis, a chronic skin condition that causes skin to form in thick, scaly, discolored patches, especially on the elbows and knees. Acupuncture and TCM treatment can help relieve psoriasis and address the root causes of this autoimmune skin disease. 

Autoimmune disorders stem from the body’s immune system malfunctioning. In the case of psoriasis, the body produces too many skin cells, forming thick scales, known as “plaques,” or  a bumpy rash. 

As with other conditions that involve skin rashes or other skin problems—like vitiligo, eczema, dermatitis, scleroderma, celiac disease, and lupus—psoriasis tends to flare up periodically, becoming worse for a few weeks or months at a time, and then improving. A psoriasis flare up happens because of widespread inflammation.

 

What Causes Psoriasis Flare Ups?

 

Getting a cut or burn on your skin can trigger a psoriasis flare up.

So can infections like a staph infection, strep infection, helicobacter pylori bacterial infection (which can also cause stomach ulcers), or chlamydia. 

Viral infections like HIV and hepatitis C can trigger psoriasis. Fungal infections like candida, or yeast infections, can also trigger a psoriasis flare up.

Psoriasis affects millions of people, of all ages. Psoriasis rash can cause intense itching (pruritus), so much so that it can affect a person’s ability to concentrate in daily life and can also have a negative impact on sound sleep.

Medical research has not yet discovered exactly what causes psoriasis, but it may be partly due to genetics and partly due to environmental factors. It is not uncommon for a person to have psoriasis and also have another autoimmune condition, such as lupus, celiac disease, Crohn’s disease or inflammatory bowel disease (IBD), multiple sclerosis (MS), or autoimmune thyroid disease.

Acupuncture and TCM are excellent modalities for helping to relieve the symptoms of skin conditions like psoriasis and many autoimmune disorders. Acupuncture and herbs can help relieve itchy rashes and also help to improve the functioning of the immune system. Acupuncture treatment can also help with the emotional and psychological toll of dealing with psoriasis.

Top 5 Types of Psoriasis

Plaque psoriasis is by far the most common type of psoriasis, accounting for about 80% of cases. Other types of psoriasis are more rare and can be very serious.

 

  1. Plaque psoriasis or Psoriasis vulgaris – the most common type of psoriasis; thick scales that are red or pink with a silvery coating on them. These patches, or plaques, can itch intensely. 
  2. Guttate psoriasis – small red or pink bumps that appear suddenly, covering the torso, arms, and/or legs. This condition sometimes clears up and does not return. In some cases, though, it can keep coming back, or later turn into plaque psoriasis. Guttate psoriasis may be triggered by infections, like strep throat.
  3. Pustular psoriasis – this is a rash of painful bumps that are filled with pus. Generalized pustular psoriasis is an extreme version of this condition, which can quickly cover the whole body and be accompanied by other symptoms like fever, headache, and muscle weakness. Generalized pustular psoriasis is a serious condition requiring medical care.
  4. Inverse psoriasis or Intertriginous psoriasis – develops in areas where skin folds upon itself, like armpits and around the genital area
  5. Erythrodermic psoriasis – usually develops as a more severe condition after a person has already been struggling with psoriasis. The skin becomes very red and appears to be burned. The person will feel very ill, with fever and chills and a rapid heart rate. Requires immediate medical attention.

Psoriasis is not only intensely uncomfortable, but the scaly skin can also have a significant impact on a person’s confidence in their appearance. These factors can mean that having psoriasis can have a negative effect on a person’s mental health and emotional health. 

Acupuncture, when used as an adjunct therapy for psoriasis and other autoimmune conditions can help address anxiety, depression, and mood disorders, as well as helping with physical symptoms.

 

Medical Treatments for Psoriasis

scaly rash psoriasis
Psoriasis causes a scaly, intensely itchy rash.

Conventional treatment for psoriasis aims to help slow down the overproduction of skin cells and relieve pain and itching.

Topical Medications for Psoriasis

Topical products are applied directly to the skin.

  • Corticosteroids: Frequently prescribed for mild to moderate psoriasis, available in various forms like oils, creams, lotions, etc.
  • Vitamin D Analogues: Synthetic forms of vitamin D that slow skin cell growth, used alone or with corticosteroids.
  • Retinoids: Available as gel or cream, they reduce skin cell growth and may cause skin irritation and sensitivity to light.
  • Calcineurin Inhibitors: Calm the rash and reduce scaly buildup, useful in areas of thin skin.
  • Salicylic Acid: Reduces scaling of scalp psoriasis and prepares the scalp to absorb medication more easily.
  • Coal Tar: Reduces scaling, itching, and inflammation, available in various forms like shampoo, soap, cream, and oil.

 

Oral or Injected Medications for Psoriasis

Systemic medications may work on the immune system or on skin cell production to help relieve psoriasis.

  • Steroids: Injection of triamcinolone into small, persistent psoriasis patches.
  • Retinoids: Pills to reduce skin cell production, not recommended during pregnancy.
  • Biologics: Injected drugs that alter the immune system to improve symptoms in moderate to severe psoriasis.
  • Methotrexate: Weekly oral dose to decrease skin cell production and suppress inflammation.
  • Cyclosporine: Oral calcineurin inhibitor for severe psoriasis.
  • Treatment approach based on needs and psoriasis severity.
  • Start with milder treatments and move on to stronger ones if necessary.
  • Pustular or erythrodermic psoriasis may require stronger systemic medications.

 

Phototherapy exposes the skin to ultraviolet light under a dermatologist’s supervision. UVB can help slow down cell production. Light therapy may use lamp units with bulbs, or a laser may be used to target very specific areas of affected skin.

 

Can Acupuncture Help Psoriasis?

 

acupuncture treatment
TCM can help many types of skin conditions and autoimmune disorders.

In TCM, elemental factors like heat, wind, dampness, dryness, and so on, are considered to act as pathogens, having a negative effect on bodily systems when they are either in excess or deficient. 

According to TCM theory, the root causes of psoriasis may be related to pathogenic factors of excessive heat and dryness. Heat, as a pathogen, can cause redness and itchy skin. Wind can cause dryness of the blood. These conditions in combination can lead to stagnant blood and a fiery heat building up. TCM classifications for diagnosis related to psoriasis would include:

  • Blood heat
  • Blood stasis
  • Blood dryness
  • Blood deficiency

An individual, depending on their specific presentation of skin rash and other symptoms, may be diagnosed with a combination of these factors.

In Chinese medicine, the skin and the lungs are connected, with the skin being the outward presentation of what is going on in the lungs. So, acupuncture treatment for psoriasis may focus on strengthening lung Qi. 

In other cases, the large intestine may be related; because of dryness, it may not be receiving enough fluid to be able to do the job of moving toxins out of the body.

In some cases, it may be that intense emotions are affecting the liver, causing blood stagnation due to stress. Liver Qi stagnation can cause overheating and for blood to “overflow” from vessels, causing red bumpy rashes.

Thus, herbal remedies and acupuncture treatment will often aim to clear heat, cool the blood, and improve circulation. Many herbs are helpful for this, as well as for helping to reduce inflammation and soothe dryness and itching.

Chinese medicine herbal preparations have been shown by modern scientific studies to inhibit immune-inflammatory reactions, regulate Th cells, and mediate the formation of skin lesions.

Review of scientific studies of TCM for psoriasis have shown that it can be effective for reducing the severity of skin lesions and help prevent recurrences of flare ups.

 

Acupuncture Near Me for Psoriasis in West Los Angeles

 

Psoriasis is a painful skin condition that requires special treatment. As an autoimmune condition, psoriasis needs to be addressed on a deeper level, as opposed to simply trying to relieve the itchy, scaly rash on the skin’s surface. TCM offers a holistic way of treating both skin diseases and autoimmune disorders that can bring deep relief. Consider seeking acupuncture as an adjunct treatment for psoriasis.



 



*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.




Posted in Acupuncture, Autoimmune Disease, Inflammation, Skin, Skin Care, Stress, Uncategorized, What We Treat | Tagged , , | Comments Off on How To Treat Psoriasis With Acupuncture and TCM

How to Treat Scleroderma With Acupuncture and TCM

By xiaomei | Published July 14, 2023

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

 

scleroderma skin hard
Scleroderma causes hardening skin and can cause internal scarring.

Hard, thickening, tight skin? Itchy, dry skin that is shiny? Changing skin color? These could be symptoms of scleroderma, an autoimmune disorder that causes your body to produce too much collagen. Acupuncture and TCM treatment can help relieve inflammation and pain while helping to resolve the underlying cause of scleroderma.

Scleroderma can be considered a type of dermatosis (skin lesion), and also a type of connective tissue disease (negatively impacting tissues that connect structures in the body), as it usually affects skin and cartilage, often starting in the extremities, and then extending up the limbs towards the trunk.

Collagen is a form of fibrous protein that the body produces to maintain the structure of skin cells, muscles, bones, and connective tissue. The immune system triggers collagen production when we are injured, but in the case of scleroderma, the body is overproducing and accumulating too much collagen.

Localized scleroderma affects primarily the skin tissue, but can also spread to subcutaneous tissues, like fascia and muscles.

In some cases, scleroderma can also impact internal organs, like the esophagus, lungs, heart, and kidneys. This is known as systemic scleroderma.

 

Top 3 Types of Scleroderma

Localized scleroderma can be differentiated into 3 types: 

  1. Localized scleroderma – a few patches of discolored skin (circumscribed morphea); these skin lesions can vary in size, may be oval shaped, and are usually yellow in the center with a red border.
  2. Generalized scleroderma – also called generalized morphea, with this type there are more patches of thick, hard skin on various parts of the body, which may overlap.
  3. Linear scleroderma – more common in children, may show up as one band of affected skin on a limb or on the trunk, with a few patches of morphea. Linear scleroderma on arms and legs may affect the growth and development of that limb, as scleroderma may impact the muscle and bone tissues as well as the skin.

Systemic scleroderma is rare, but happens more commonly in women between the ages of 30 and 50. This type of scleroderma can manifest in different ways.

Systemic scleroderma can sometimes first show up as Raynaud’s phenomenon, or Raynaud’s syndrome, in which the blood vessels in the hands and feet close up when the weather is cold and cause color changes to the skin, as well as sensations of numbness, prickling, tingling, or pain. Stress can also trigger Raynaud’s.

Systemic scleroderma can cause scarring on the skin and internal organs, which can lead to gastrointestinal problems like acid reflux, cardiovascular and pulmonary problems, or renal disease.

Acupuncture treatment can be used as an adjunct treatment to help relieve symptoms of pain related to skin hardening, as well as helping to alleviate heartburn and GERD type symptoms in patients with esophageal symptoms of scleroderma. TCM can also help address the root causes of scleroderma and other autoimmune disorders.

What Causes Scleroderma? 

scleroderma hands
Localized scleroderma usually affects skin on the extremities or limbs.

As with most autoimmune disorders, medical science has not yet discovered exactly why some people develop this condition. While it is not passed from parent to child the way genetic diseases are, you are more likely to have scleroderma if someone else in your immediate family has it, too.

It is believed that factors like environmental toxins and/or viral infections can trigger scleroderma symptoms to flare up. The overproduction of collagen is due to abnormal functioning of the immune system.

Because women develop scleroderma more often than men do, it may be that there is a hormonal factor that affects the disease, as well.

 

Diagnosis and Medical Treatment for Scleroderma

There is no cure for scleroderma, so conventional medical treatments aim to alleviate symptoms and slow down the progression of the disease. The treatment plan may vary depending on the specific manifestations and severity of the disease.

To diagnose scleroderma, doctors rely on a combination of clinical assessments, medical history review, physical examinations, and lab tests. A doctor will first observe skin changes, such as thickening and hardening, then look for internal organ involvement and other symptoms.

Blood tests can help identify specific antibodies associated with scleroderma, such as antinuclear antibodies (ANA), anti-centromere antibodies (ACA), and anti-Scl-70 (anti-topoisomerase I) antibodies. Additionally, blood tests can assess organ function, including kidney and liver function, as well as inflammatory markers.

X-rays, ultrasound, or CT scans may be used to evaluate internal organ involvement, such as lung fibrosis, gastrointestinal complications, and cardiac abnormalities.

A skin biopsy sample may be taken to confirm the presence of fibrosis and assess the degree of inflammation.

cold weather Raynaud's hands
Cold can trigger Raynaud’s numb fingers and toes.

Medications that may be recommended for treating scleroderma symptoms include:

  1. Immunosuppressants: Medications such as methotrexate, mycophenolate mofetil, and azathioprine may be prescribed to suppress the immune response and reduce inflammation.
  2. Corticosteroids: Oral or topical corticosteroids can help manage inflammation and alleviate symptoms in certain cases. However, long-term use may have potential side effects and is usually minimized.
  3. Vasodilators: Medications like calcium channel blockers and prostacyclin analogs may be prescribed to improve blood flow and manage Raynaud’s phenomenon.
  4. Proton pump inhibitors (PPIs): These medications can help manage gastroesophageal reflux disease (GERD) symptoms, which are common in scleroderma patients.

Patients are often advised to make lifestyle changes to manage their condition effectively. These may include:using skin moisturizers and avoiding excessive sun exposure, and using sunscreen with a high SPF, avoiding cold temperatures and stress to prevent triggering Raynaud’s, quitting smoking, and eating an anti-inflammatory diet.

 

Can Acupuncture Help Scleroderma?

TCM treatment for scleroderma focuses more on addressing the underlying causes of the condition, rather than simply trying to relieve symptoms. An acupuncturist will look closely at the whole person, listen carefully to hear all the symptoms they are experiencing, even those which may seem unrelated, feel their pulse and make other observations, and then ascertain which diagnostic pattern may apply. 

According to TCM theory, scleroderma symptoms may occur due to:

  • Blood stagnation
  • Yang deficiency
  • Kidney Qi deficiency or yang deficiency
  • Liver and Gallbladder damp heat
  • Liver blood deficiency
  • Liver win
  • Spleen yang deficiency
  • Stagnation of cold, wind, and/or damp

Depending on the diagnosis, the TCM practitioner will then plan a treatment protocol to address the root cause, using acupuncture and herbs. For example, herbs can help move stagnant blood, relieving the skin conditions related to scleroderma. Herbs can even help to inhibit collagen production, to help reduce skin hardening.

Acupuncture has been shown to help reduce the number of Raynaud’s attacks.

Moxibustion treatment may also be used to help relieve symptoms related to Raynaud’s phenomenon.

The use of acupuncture for stress relief is also integral to treatment for scleroderma, as stress can trigger a worsening of symptoms.

Acupuncture can help reduce esophageal reflux in cases where esophageal strictures have developed due to scleroderma in the digestive tract and help improve kidney function when kidneys have been impacted by fibrosis.

TCM herbal formulations for scleroderma will be individualized for each patient’s needs. Herbs may be used to help warm and nourish the organs, while clearing dampness and activating stagnant blood and Qi.

Acupuncture Near Me for Scleroderma in Los Angeles

Acupuncture and TCM herbal medicine can be excellent modalities for helping with difficult to treat skin conditions, connective tissue disorders, and autoimmune disorders, including:

If you are experiencing painful skin problems or digestive problems, consider seeking out alternative care in addition to conventional treatments.





*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.







Posted in Autoimmune Disease, Digestive Disorders, Herbs, Immune System, Inflammation, Moxibustion, Skin, Stress, Uncategorized, What We Treat | Tagged , , | Comments Off on How to Treat Scleroderma With Acupuncture and TCM

How to Treat CRPS With Acupuncture and TCM

By xiaomei | Published June 30, 2023

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

 

CRPS complex regional pain syndrome
Complex regional pain syndrome (CRPS) involves chronic pain, usually in an arm or leg.

Chronic pain, changes in skin temperature, and swelling in a specific limb or body part? Pain, swollen limbs, edema and inflammation after a seemingly minor injury? These could be signs of a condition known as Complex Regional Pain Syndrome (CRPS). Acupuncture and TCM can help relieve chronic pain due to CRPS.

CRPS is a relatively rare condition that usually causes pain and inflammation in an arm or leg. It most often occurs after someone experiences an injury to a limb, or has surgery on one of their limbs. The painful area may be swollen, turn red and hot sometimes, and blue and cold at other times. 

CRPS is marked by pain that seems disproportionate to the injury or outside stimulus. For example, a person with CRPS may feel severe pain when the affected area is touched lightly, or when a breeze blows. While CRPS is not fully understood by medical science, it is generally considered to be a neurological disorder.

While most cases of CRPS do improve in the long run, there may be a long period of time during which the injured area seems to be getting more inflamed. 

CRPS pain may worsen and spread to involve more of the affected limb. In some cases, the pain may even be “mirrored” in the opposite limb. This is partially why CRPS is theorized to be caused by problems with the nervous system.

Sometimes CRPS manifests without any evidence of nerve damage. This condition is known as CRPS-I, or Reflex Sympathetic Dystrophy Syndrome. (RSD or RSDS).

Some cases of CRPS can be associated with proven nerve damage; this is called “causalgia,” or CRPS-II.

Conventional Western medicine approaches primarily focus on managing symptoms with pain medications and physical therapy. In some cases, CRPS pain can be so severe that it causes disability, as the person cannot use their limb normally in daily activities.

Traditional Chinese Medicine (TCM) and acupuncture can help address the root causes of CRPS. Acupuncture and TCM offer a holistic approach to relieve pain and enhance overall well-being.

 

Top 5 Symptoms of Complex Regional Pain Syndrome (CRPS)

CRPS chronic pain
Prolonged pain and inflammation are symptoms of CRPS.

CRPS symptoms can change. A CRPS flare up may last days or weeks, when pain and swelling get worse. Sometimes, the pain may seem to come out of nowhere; other times, it may be triggered by exertion, stress, or other factors.

 

  1. Intense and prolonged pain: Individuals with CRPS experience severe and persistent pain that may seem disproportionate to the initial injury or cause. There may be “pins and needles” or a burning sensation. Light contact with something may cause severe pain; this phenomenon is known as “allodynia.” Or something that would usually cause mild pain, like a pin prick, causes severed pain; this is called “hyperalgesia.”
  2. Changes in skin temperature and color: The affected area may become warmer or cooler compared to the surrounding areas, and skin may appear blotchy, pale, red, or blue or gray.
  3. Swelling and sensitivity: Swelling, edema, and increased sensitivity to touch or even a slight breeze are common symptoms of CRPS.
  4. Limited range of motion: Stiffness, muscle weakness, and difficulty moving the affected limb or body part may occur. There may be tremors or jerky motions of the limb. 
  5. Changes in skin texture, hair and nail growth: Abnormal hair and nail growth patterns, such as excessive hair growth or brittle nails, may develop in the affected area. The skin may become thinner or thicker, or may be shiny or scaly.

CRPS may cause unusually heavy sweating in the affected area, or cause there to be a total absence of sweating in the area.

 

Medical Treatment for CRPS

In the realm of conventional medicine, Complex Regional Pain Syndrome (CRPS) is understood as a multifaceted condition that often arises following an injury or trauma to a limb or body part. While the exact cause of CRPS is not fully understood, it is believed to involve abnormal responses of the central and peripheral nervous systems. Nerve damage, inflammation, and changes in blood flow are thought to play a role in the development of CRPS.

Certain risk factors may increase an individual’s susceptibility to the condition, such as a history of fractures, surgery, or repetitive motion injuries. Additionally, psychological factors and genetic predisposition may contribute to the development of CRPS. 

CRPS can be triggered by a variety of factors, including surgery, immobilization, infections, emotional stress and trauma.

Diagnostic testing for CRPS may include a bone scan, x-rays, MRI, and a sweat production test. 

Medications recommended may include pain relievers, corticosteroids to help bring down inflammation, and nerve blocking injections. Low doses of ketamine are sometimes used to help relieve pain. Topical analgesics may help reduce sensitivity in the affected area, as may heat therapy.

Other therapies for CRPS may include biofeedback and transcutaneous electrical nerve stimulation (TENS). Mirror therapy, in which a person stands or sits in front of a mirror set-up that tricks the brain into thinking it sees the injured limb working the way the healthy limb does, can be helpful for retraining the nervous system.

Acupuncture treatment for CRPS can work on multiple levels to help relieve pain, improve motor function, reduce inflammation, help heal nerves, and reduce stress.

 

Can Acupuncture Help CRPS?

acupuncture chronic pain
Acupuncture can help relieve pain and inflammation.

In Traditional Chinese Medicine (TCM), Complex Regional Pain Syndrome (CRPS) is understood as a disruption in the flow of Qi (energy) and Blood in the affected area, leading to pain and dysfunction. According to TCM theory, the underlying causes of CRPS are often related to the stagnation of Qi and Blood, as well as the blockage of meridians (energy channels) that run through the affected limb or body part. TCM treatments aim to restore the smooth flow of Qi and Blood, harmonize the body’s internal balance, and alleviate pain.

Acupuncture, a key component of TCM, is believed to stimulate specific acupoints along the meridians, helping to regulate the nervous system’s response and promote healing. Chinese herbal medicine is also commonly used in TCM to support the treatment of CRPS by addressing underlying imbalances and promoting overall well being. By addressing both the physical and energetic aspects of the condition, TCM aims to restore harmony and alleviate pain in individuals with CRPS.

One study looked at two soldiers whose upper extremities were injured in combat and were later diagnosed with CRPS. When conventional methods did not help relieve pain, they were given one or two acupuncture treatments per week for a few weeks. They had 80% improvement in pain and functionality and with no recurrence at a 20-month follow up.

An individual case study of a 34-year-old with CRPS showed improvement in pain and emotional well-being after a series of acupuncture treatments.

When dealing with Complex Regional Pain Syndrome (CRPS), incorporating certain lifestyle changes, behavioral adjustments, dietary modifications, and home remedies can be beneficial in managing the condition. Here are some recommendations:

Stress Management: Practicing stress-reducing techniques such as deep breathing exercises, meditation, and mindfulness can help alleviate CRPS symptoms. Stress management techniques promote relaxation and can positively impact pain perception.

  • Gentle Exercise: Engaging in low-impact exercises like walking, swimming, or yoga can help improve blood circulation, maintain joint flexibility, and reduce muscle stiffness. It is important to consult with a healthcare professional or physical therapist to determine the most appropriate exercise program for your specific situation.
  • Heat and Cold Therapy: Applying heat packs or cold compresses to the affected area may provide temporary relief from pain and inflammation. Experiment with both methods to see which works best for you. Remember to protect your skin and avoid extreme temperatures.
  • Balanced Diet: Maintaining a healthy and well-balanced diet is crucial for overall well-being. Include nutrient-rich foods such as fruits, vegetables, whole grains, lean proteins, and healthy fats. Avoid excessive consumption of processed foods, refined sugars, and caffeine, as they may contribute to inflammation and worsen symptoms.
  • Adequate Hydration: Staying hydrated is important for promoting optimal bodily function and supporting overall health. Aim to drink an adequate amount of water throughout the day to keep your body hydrated and support proper circulation.
  • Stress Reduction: CRPS symptoms can be exacerbated by stress. Engaging in activities that promote relaxation, such as hobbies, listening to soothing music, spending time in nature, or engaging in creative outlets, can help reduce stress levels and improve overall well-being.
  • Sleep Hygiene: Getting sufficient and quality sleep is essential for managing chronic pain conditions. Establish a regular sleep routine, create a comfortable sleep environment, and practice good sleep hygiene habits like avoiding electronic devices before bed.

It’s important to note that these lifestyle changes, behavioral adjustments, dietary modifications, and home remedies should complement your comprehensive treatment plan and be tailored to your individual needs. Consult with a healthcare professional or a qualified practitioner of Traditional Chinese Medicine (TCM) for personalized guidance and recommendations based on your specific condition and symptoms.

 

Acupuncture Near Me for CRPS in Los Angeles and Santa Monica

At Art of Wellness Acupuncture in West L.A., we have over 35 years of experience treating neurological conditions and chronic pain of all kinds. Acupuncture is a modality that is particularly suited to treating conditions like CRPS, where it may be difficult to find relief through conventional treatment methods. If you are experiencing excessive pain in one of your limbs, with temperature sensitivity and inflammation, it may be worth seeking out alternative treatment with TCM.



 

*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.









Posted in Acupuncture, Inflammation, Neurological Conditions, Pain, Sports injury, Stress, Uncategorized, What We Treat | Tagged , , | Comments Off on How to Treat CRPS With Acupuncture and TCM
310-451-5522 Directions Contact/Schedule