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How to Treat Toothaches With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Sharp tooth pain, toothache, or throbbing pain in teeth usually means you need to see the dentist. The pain of dental work often necessitates the use of anesthetics, while post-operative pain from dental surgery is usually treated with over the counter pain medications or opioid painkillers. Acupuncture offers an alternative way of dealing with dental pain and can also relieve the dental anxiety many people experience when they have to have dental work done.
Oral pain makes it hard to eat, hard to talk, hard to even think straight. Mouth pain felt in relation to problems with the teeth, or a hurting tooth, is often nerve pain that may be sharp in one place, or radiate to other parts of your face and head. Acupuncture acts upon the neurotransmitters that carry signals between parts of the body and the brain, helping to block pain sensations and relieving tooth pain.
Different types of mouth pain, not necessarily related to dental problems or the teeth, can also be alleviated by acupuncture, including TMJ jaw pain, clicking or locking of the jaw, tension from grinding teeth, and dry mouth (xerostomia). Myofascial pain, pain in the muscles of the face, and migraines that cause pain in the neck and side of the head can also be helped with acupuncture treatment.
Acupuncture and herbs do not replace the need for regular dental visits or necessary dental procedures. However, TCM methods, used in conjunction with good oral hygiene, can help to promote the development of strong teeth in children, and the maintenance of healthy teeth and gums in adults. TCM treatments help improve immune function, as well, which can help prevent mouth infections.
While dentists have a variety of anesthetics they can use to help reduce pain during dental procedures, many people find the injection of anesthetic to be painful and anxiety-inducing in and of itself. There are definitely downsides to the pain relief offered during dental visits, so much so that many people avoid going to the dentist, or at the very least wish there was some alternative form of anesthesia. Recently, there is growing interest and research to show that acupuncture can be an effective means of providing pain relief before, during, and after dental procedures.
It is estimated that up to 30% of people report feeling dental anxiety, while about 10% of patients experience dental phobia. Acupuncture has been shown to help produce a clinically significant decrease in feelings of anxiety or fear of going to the dentist.
Managing Dental Pain
It is common to experience pain while you are waiting to get into the dentist for a toothache caused by a broken filling or because a crown has fallen out. Most dental pain is usually managed with non-steroidal inflammatory drugs (NSAIDs), also known as OTC pain medications like ibuprofen and acetaminophen. However, some people cannot tolerate the regular use of these medicines, as they can cause damage to the lining of the stomach.
Different types of anesthesia used during dental work include:
- local anesthetics (lidocaine, articaine, etc.), which numb the area where a tooth is being worked on
- sedation (nitrous oxide gas, Valium, Versed, etc.), which helps relax the patient
- general anesthesia, which means a patient is rendered unconscious for the duration of the dental procedure
Pain after oral surgery is most often treated with over the counter analgesics like ibuprofen or acetaminophen, but severe dental pain may be treated with opioid painkillers. Dentists in the U.S. are far more likely to prescribe opioid pain medications than they do in other countries. Dentists are also more likely to prescribe long-acting opioids, and to prescribe opioids for a longer period of time. The growing numbers of people addicted to opioids in America is largely due to over-prescription of these drugs. TCM methods like acupuncture can relieve a toothache and reduce post-operative pain and bleeding without side effects or risk of dependence.
Can Acupuncture Help Tooth Pain?
Acupuncture treatment has an analgesic effect, reducing pain and inflammation of all kinds. Acupuncture not only offers natural pain relief for toothache, but can also help reduce bleeding during dental procedures such as tooth extractions.
A controlled study that compared two groups of patients have teeth extracted, one group treated with articaine hydrochloride injections and the other groups treated with acupuncture needles, found that pain relief was comparable between the anesthesia and acupuncture groups, while bleeding was less amongst those patients given acupuncture.
In addition to helping with pain and bleeding during and after a dental procedure, many people find it helpful to come in and have an acupuncture treatment just prior to their dental appointment in order to help alleviate anxiety. Acupuncture may also help to reduce a person’s gag reflex, which can be easily triggered during fittings for orthodontic devices, or impressions.
With acupuncture treatment, we can also effectively treat dental anxiety, allowing for patients to feel more relaxed going into their dental appointment and feel less pain during and after a dental procedure.
Top 3 Pressure Points to Help Tooth Pain
Acupressure has been shown to help reduce anxiety, gag reflex, and the need for dental injections for pain during fittings for prosthetics. Specific points on the head and face, in particular, can help relieve toothache and swelling.
If you are experiencing acute tooth pain, plan to see your dentist as soon as possible. In the meantime, using these acupressure points for toothaches can help you stay calm and alleviate the pain until you can get treatment.
- ST6, Stomach Meridian Point 6, is located in the cheek, equidistant between the corner of the mouth and the earlobe. Apply pressure to the jaw muscle here to help relieve toothache and jaw pain.
- SI18, Small Intestine Meridian Point 18, is right in the cheek hollow, perpendicular to the corner of the eye and outside of the nose. Apply pressure to this point to help relieve tooth pain and swollen gums.
- LI4, Large Intestine Meridian Point 4, is located in the webbing between the thumb and index finger. Squeeze with firm pressure here. Often used to relieve headaches, but this point helps tooth pain, as well.
Acupuncture Near Me for Tooth Pain on the Westside of Los Angeles
No one likes going to the dentist. However, if you have a hurting tooth but you’ve been avoiding the dentist out of fear, or if you know you have to have some major work done, and you are dreading it, please consider scheduling an acupuncture appointment before your next dentist appointment. Discover for yourself how acupuncture can help relieve dental anxiety and post-procedural dental pain. You may find you feel much more relaxed about the whole thing, and herbs and acupuncture can help staunch bleeding and speed recovery after dental work.
*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.
How to Quit Smoking With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Have you been trying to stop smoking, but are having a hard time quitting? You know that quitting smoking will definitely improve your overall health and longevity, but that doesn’t mean it’s easy to do. Acupuncture treatment can reduce cravings, alleviate withdrawal symptoms of nicotine, and help relieve anxiety you feel when you stop smoking.
Smoking tobacco causes several million unnecessary deaths every year, and is associated with multiple chronic diseases, including lung disease, cardiovascular disease, diabetes, lung cancer and other types of cancer. But deaths related to smoking are just the tip of the iceberg. According to the CDC, over 16 million Americans are currently living with a chronic disease caused, at least in part, by smoking. Smoking increases the risk of stroke, erectile dysfunction in men (ED), low sperm count, and autoimmune diseases such as rheumatoid arthritis. On average, smoking takes ten years off a person’s life.
Why do we keep doing this to ourselves? Because once you have a smoking habit, quitting smoking is very hard. Tobacco contains a natural chemical called nicotine. Nicotine is a highly addictive substance. It acts upon the neurotransmitters in the brain that release dopamine: the “feel-good” chemical. When you inhale tobacco smoke, nicotine goes directly to your brain, and you get an immediate “reward” in the form of dopamine. Once your brain gets used to this reaction, it wants more of it. Even when you know you should stop smoking, and you want to quit, a part of your brain is signalling you not to stop.
Vaping, or smoking from a vape pen, or e-cigarette, is the latest trend. There has been some suggestion that this form of smoking causes less damage than cigarettes do, because Juul pens don’t have many of the toxic additives that are in regular cigarettes. So far, researchers don’t know how long-term vape use will affect people’s overall health. However, it is clear that people who vape can easily become just as addicted to nicotine as smokers of cigarettes, cigars, and pipes do.
Once the brain has become attuned to the dopamine reaction caused by nicotine, a very powerful social-emotional component is added to the physical, chemical component. Being in a place where you have smoked in the past, seeing a friend who smokes, smelling smoke in the air, and of course, seeing an ad for cigarettes–all these sorts of cues in your daily environment can have a dramatic impact on your desire to smoke.
Almost half of all smokers in the U.S. make an attempt to quit smoking each year. But, obviously, people fail in their attempts to stop smoking all the time. Nicotine withdrawal symptoms include intense anxiety. When faced with a powerful combination of physical and emotional stress, most people will return to that quick fix. Even when a person develops serious problems due to smoking, like a constant cough, emphysema, sleep apnea/snoring, infertility, acid reflux/heartburn, loss of smell and taste; even when a person knows that second hand smoking can hurt their loved ones, they still may find it impossible to quit. People need help to quit smoking.
Typical smoking cessation aids include nicotine gum or patches, medications, and programs designed to educate and support people as they try to overcome smoking addiction. While these methods offer help, they do not work for everybody. Most people have to try to quit smoking many times and try different methods before finding success.
Many people gain weight when they quit smoking, because the cravings for a cigarette are replaced by cravings for sweets or other foods and drinks that keep your hands and mouth occupied. It’s more than just an oral habit, though; nicotine affects the way your body uses insulin and releases glucose, so when you quit smoking, there is a very real change in blood sugar levels and a subsequent desire to eat more carbohydrates. When it feels like you have to choose between two different risk factors–being a smoker, or being overweight–,it may seem like a hopeless situation.
TCM for smoking cessation offers a different, multi-pronged approach. With acupuncture treatment for nicotine addiction, we can work on several of the problems smoking causes at the same time. Using acupuncture to stimulate specific pressure points for reducing cravings and alleviating symptoms of smoking withdrawal is only one way that TCM can help people quit smoking and regain good health. Our TCM detox program may also be helpful.
Top 10 Symptoms of Nicotine Withdrawal
When you try quitting smoking “cold turkey,” you will probably feel more severe symptoms of withdrawal for the first few days. Withdrawal symptoms can last for several weeks. Nicotine withdrawal symptoms include:
- Intense cravings for a cigarette that last for 5-10 minutes
- Feelings of anxiety and stress
- Food cravings, weight gain, rise in blood sugar
- Sleep problems, insomnia
- Persistent cough, “smoker’s cough”
- Flu-like symptoms: fever, fatigue, body ache, headache
- High blood pressure, fast heart rate
- Memory problems, difficulty concentrating
- Dizziness
- Constipation, bloated stomach
Medical Approach to Quitting Smoking
Nicotine replacement therapy (NRT) has been the common form of help for nicotine withdrawal for decades. This involves using nicotine patches, nicotine gum, or lozenges, which help people gradually wean themselves off of nicotine by lowering the dose over time. Nicotine patch side effects can include a rapid heart beat, dizziness, headaches, and nausea.
Medications such as Zyban and Chantix are also used to help people quit smoking. Zyban (Bupropion) is also known as Welbutrin, which is used to treat depression. A prescription medication called Varenicline (Chantix) is the newest medical treatment available to help people stop smoking. Varenicline works by blocking the receptors in the brain that react to nicotine to stimulate dopamine production. Varenicline is still fairly new, and researchers do not yet know the long-term effects of taking it. Common Chantix side effects include nausea, insomnia, and headaches; more serious psychiatric reactions, such as depression and suicidal ideation have also been reported. Drug interventions for smoking cessation are more effective when combined with education and counseling.
The most effective methods to help people stop smoking treat both the brain chemistry that is causing nicotine addiction and the emotional symptoms that arise when quitting. TCM methods of acupuncture and herbs are naturally able to help address addiction because they work on the whole person–physically, mentally, and spiritually.
How Can Acupuncture Help You Quit Smoking?
In conventional medical terms, we mostly think of cigarette smoking as being harmful to the lungs, due to smoke inhalation, and the cardiovascular system, due to the well-known fast heartbeat we associate with nicotine use. In TCM, we do consider that smoking weakens the lungs, but this, in turn, causes problems in the other major organ systems of the body. A buildup of heat in the Heart and Stomach can lead to stagnant Liver Qi. These forces are what cause the withdrawal symptoms of anxious feelings, heart palpitations, irritability, food cravings, and poor sleep. With acupuncture and herbs, we work to clear heat and detoxify the lungs and all of the organs.
A specific set of points on the outer ear are often used to help combat the cravings associated with overcoming addictions of all kinds, including nicotine dependence. Often we will send a patient home with small ear seeds fixed to these points so that they can be squeezed and stimulated whenever you feel an urge to smoke. This will also help with food cravings and prevent overeating and weight gain when you quit smoking.
Acupuncture helps to release endorphins, replacing the familiar dopamine hit with a different sense of relaxation. Endorphins promote a sense of wellbeing and relieve pain. Dopamine works on the reward center of the brain, causing a mental and emotional reaction that leads to addiction. Acupuncture treatment works holistically to help relieve emotional pain–symptoms of anxiety and depression–by positively impacting neurochemical activity. Shifting from dopamine dependence to more abundant endorphins and serotonin will help restore restful sleep.
A controlled trial study compared patients who received acupuncture, patients who received acupuncture and education and counseling, and patients who received sham acupuncture to help them quit smoking over a period of four weeks. The percentage rate of patients who had quit smoking after 18-month follow up was highest among those who received acupuncture, and especially highest among those who had acupuncture and counseling.
A study of almost 3000 people who received acupuncture treatment for smoking over an eight week period showed that the treatment helped many people abstain from cigarettes, and helped many more to cut back on how many cigarettes they smoked.
Chinese Medicine Near Me to Stop Smoking in the Great Los Angeles Area
The decision to quit smoking for good can be a life-changing one. But for most people, it’s also one of the most difficult things they will ever do. Cigarettes are addictive, and to stop smoking, you may need professional help. If you’ve already tried NRT and not been able to finally quit, you may want to consider trying the TCM approach. Whether you chain smoke or only vape socially, whether you are quitting smoking because you want to increase your chances of getting pregnant, or you have lung cancer stage 4, it is never too early or too late to stop smoking. Acupuncture for smoking cessation can help you get past the cravings for cigarettes that make it so hard to quit. Acupuncture and herbs can not only help you kick the habit, but can also help you get rid of that cough, brighten your skin, and sleep better. Most of all, you will have made an important choice to prioritize your health and prevent chronic illness from taking hold later in 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.
How to Treat UTI With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Why do I feel like I have to pee all the time? A urinary tract infection, usually referred to as UTI, is a bacterial infection that affects the bladder and/or other parts of the urinary system, causing urinary urgency, often accompanied by a burning pain when you go to the bathroom. Acupuncture and TCM is a good way to get to the root causes of frequent urination, including recurrent UTIs.
Urinary frequency, or an unusual urgency to urinate, can be caused by several different health conditions. A common cause of bladder pain, pressure on the bladder, or a burning sensation when peeing is a bacterial infection in the urinary tract, or UTI. But there can be many other reasons for constantly feeling like you have to pee, including diabetes, interstitial cystitis (IC), pregnancy, prostate problems, ovarian cysts, and more.
Over half of all adult women have experienced a UTI (also called cystitis) at some point in their lives. Many women get UTIs frequently, making them the most common type of non-hospital-related infection in the U.S. Up to 6% of all doctor visits are related to UTIs. A UTI can occur when bacteria, usually E. coli, gets into the urethra and travels up into the bladder, or further into the urinary tract. This can happen because of hygiene habits, after sex or exercising, or the use of contraceptives or period products. It can also happen when urine sits in the bladder for too long, or because a person has a weakened immune system.
While UTI treatment at home remedies such as drinking cranberry juice are popular, most women recognize that once they get that constant urge to pee, they have no choice but to rush to the doctor for antibiotics. Typical UTI medical treatment almost always involves confirming the infection by lab analysis, and a prescribed course of antibiotics, along with analgesic medicine (such as Pyridium) to help the UTI pain in bladder. Unfortunately, many women keep getting UTIs. Infections that are antibiotic resistant are increasingly common, and antibiotics do not get to the root of the problem.
Interstitial cystitis (IC), or painful bladder syndrome, is a condition that causes a constant sensation of having to pee, or bladder pressure, even when there is no infection present. Recurrent UTI and IC are a significant source of anxiety and depression for women, as they can cause almost constant pain and an inability to leave the house due to the constant urge to urinate.
UTI in men is not as common as UTI in women. The more common cause of frequent urination in men is benign prostatic hyperplasia (BPH), in which an enlarged prostate presses on the urinary organs, blocking the flow of urine, and causing backup that can lead to bacterial urinary tract infection men.
Sometimes what feels like a UTI might be something else. Growths in the pelvic area, such as ovarian cysts, uterine fibroids, or tumors can cause pressure in the bladder, bladder pain, or urinary frequency at night. Even when there is no infection, there may urinary symptoms such as:
- Strong urge to pee frequently (more than 8 times per day)
- Difficulty urinating
- Urine is different color than usual
- Pain during peeing, or burning sensation when peeing
- Nocturia, frequent urination at night
The conventional medicine answer to UTI is antibiotic treatment, but this is not the only answer for everyone. TCM methods of acupuncture and herbs can help with improving the function of bladder and kidney systems, reducing symptoms from recurrent UTIs, as well as helping to address the deeper problems that cause inflammation and pressure in the bladder.
Top 10 Urinary Frequency Causes
There are many possible causes of frequent urination.
- UTI (urinary tract infection, also called cystitis, or bladder infection)
- Kidney infection – when bacteria move further up into the urinary tract, the kidneys can become infected. Sometimes people with nerve damage in the spine cannot feel UTI symptoms (neurogenic bladder), so the infection becomes more widespread.
- Bladder stones – when the bladder does not empty completely, urine can crystallize and form hard stones, causing pain during urination.
- Interstitial cystitis (painful bladder syndrome) – a syndrome of urinary pain symptoms, the exact cause of which is unknown. Inflammation of the bladder lining may be due to trauma (from surgery or delivery/birth), overdistension, or dysfunction of the pelvic floor muscles.
- Prostatitis – inflammation of the prostate accompanied by irritation of the nerves in the area; not necessarily an infection, although a bacterial infection of the prostate can occur.
- Urinary incontinence – leakage of urine, occurs when the urethral sphincter that controls the flow and stoppage of urine is weak. More common in women and older people.
- Vaginitis – inflammation of the vagina, usually due to infection. Candida, or yeast infection, is one type of vaginitis.
- Diabetes – can cause a variety of urinary problems, due to the body producing more urine to process blood sugar, and nerve damage that leads to urinary retention and incontinence. Constant thirst is also a sign of diabetic urinary symptoms.
- Side effects of cancer treatment in pelvic area – cancer treatments that affect the pelvis, including radiation, chemotherapy, immunotherapy, and surgeries to remove pelvic organs, can all cause irritation or damage to the bladder.
- Overactive bladder (OAB) – a group of symptoms, including frequent urination, leakage, nocturia (getting up to pee at night), and primarily, a strong urge to urinate often. Considered to be caused by inappropriate signalling of the nerves that communicate between the brain and the urinary tract organs.
Causes of frequent urination vary somewhat according to biological sex. Frequent urination in men is often caused by prostate problems, while frequent urination in women may be due to pregnancy or other womens’ health conditions related to the ovaries or uterus.
Pressure on the bladder because of pregnancy, or from other organs, can also cause urinary frequency and discomfort. This can happen due to an anterior prolapse, when the pelvic floor is weakened, and the uterus, intestine, or bladder drop from their normal position. When a woman is pregnant, the heavy uterus often causes more frequent urination, or, in some cases, urinary retention. Damage or trauma to the pelvic floor can occur during delivery, so many women experience weak pelvic floor muscles, prolapsed uterus or bladder, and ongoing urinary urgency after they have had a baby.
In men, an enlarged prostate or prostatitis (infection and inflammation of the prostate) can put pressure on the bladder and other parts of the urinary system.
A frequent need to pee can also be caused by drinking too much coffee or alcohol, or taking diuretics.
Can Acupuncture Help Frequent Urination?
In Chinese Medicine, urinary problems come under the classification of “Lin Syndromes.” Lin disorders generally involve painful, “dribbling” urination and are caused by disharmonies in the Bladder and Kidneys, as well as involving other major organs like the Heart, Liver, and Spleen. Dampness and Heat are the primary pathogenic factors, so we use acupuncture treatment and herbal formulations to clear heat and dampness from the body.
Top 5 TCM differentiations of UTI:
- Damp Heat – characterized by frequent urination, burning sensation when peeing, painful pressure in bladder, dark urine or cloudy urine that smells unusual, feelings of nausea, bitter taste in mouth
- Heart Fire – frequency and urgency, thirst, hot, red face and chest, trouble sleeping/insomnia, irritability, anxiety, heart palpitations
- Liver Fire – excess heat causes painful burning during urination, headaches, ringing in ears/tinnitus, constipation, feelings of anger and frustration, redness in eyes and face.
- Fatigue Lin – covers urinary disorders that involve incomplete emptying of the bladder, due to prostate enlargement or prolapsed pelvic organs.
- Stone Lin – obstructions of the urinary system due to buildup of minerals that create stones in the bladder, kidney stones, etc.
Patients who have problems with recurring UTIs may be resistant to the antibiotics they’ve been given. TCM herbs can be used as an additional or alternative remedy from antibiotics and help to strengthen the immune system overall. One review of studies involving the use of Chinese herbal medicine (CHM) for UTIs concluded that the herbs, whether used alone or in conjunction with antibiotics, worked better than antibiotics alone.
One study showed that women who were prone to getting UTIs who were treated with acupuncture as preventative care only got a UTI one-third as often as women who didn’t receive acupuncture. Acupuncture has also been shown to be highly effective for bladder pain due to interstitial cystitis. Studies have also shown that TCM treatment can relieve the blockage of urine caused by an enlarged prostate (BPH).
Top 5 Tips for Preventing UTI
What a relief! Now that you’ve gotten over that urinary tract infection, it’s important to take steps to prevent getting another UTI. Here are some natural ways to prevent UTIs:
- Drink more water – This may seem counterintuitive, as you don’t want to have to pee even more. But you do want to be constantly flushing bacteria out of the urinary tract. Avoid drinks like coffee and soda, which can be irritating to the bladder.
- Go when you feel you need to – Some therapies for overactive bladder or IC involve training yourself to hold urine, but for most people, this is not a good idea. Retaining urine for too long contributes to bacterial growth and causes overdistension of the bladder.
- Hygiene – be sure to wipe from front to back when you go to the bathroom. Change clothes and underwear often, especially after sweating. During your menstrual period, change your pad and tampon frequently.
- After sex – always go to the bathroom and urinate before falling asleep.
- Avoid chemical products – Avoid using deodorants, douches, or scented wipes around the genital area. Consider whether contraceptive products like spermicides might also be part of the problem.
Acupuncture Near Me for UTI
While it is rare for a UTI to become so serious that you have a fever or become nauseated, urinary problems should be taken seriously before they become worse. If your UTIs keep coming back, or you constantly feel like you have to pee, it may be a sign that there is something deeper going on. As people age, urge incontinence, prolapsed organs due to weak pelvic floor muscles, and nerve damage can lead to more serious bladder problems. TCM provides a holistic way to treat urinary tract issues, as well as other, possibly hidden conditions in the pelvic region. Urinary urgency may be a signal of something else, so don’t ignore it. Consult with your acupuncturist to find urinary frequency relief.
*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.
How to Treat Herpes Simplex With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac. Ph.D.
Cold sores around mouth, blisters on lips? Burning, itching sores around the genital area? Herpes simplex is a skin disorder caused by one of two viral infections: HSV-1 or HSV-2. TCM methods, including acupuncture and herbs, can help clear up a painful herpes outbreak and prevent herpes simplex outbreaks in the future.
Herpes simplex is one of the most common kinds of infectious disease, affecting several billions of people worldwide. It is estimated that about 66% of the world’s population has had a HSV-1 infection at some point in their lives. Herpes simplex virus type 1 (HSV-1) is the viral infection that is associated with oral herpes or orolabial herpes–the one that causes sores around the mouth, often referred to as “cold sores” or “fever blisters.” Herpes simplex virus type 2 (HSV-2) is the kind that causes genital herpes. Herpes virus is related to varicella-zoster viruses, the viruses that cause Chickenpox and Shingles.
How do you get herpes? The skin infection caused by herpes simplex spreads from person to person through close contact. HSV-1, or oral herpes, can spread through sharing utensils, toothbrushes, or towels, or by touching one of the mouth sores, or kissing. HSV-2, or genital herpes, is usually spread through sexual contact is therefore considered a sexually transmitted disease (STD). In fact, either one of the two viral infections can cause sores on the mouth or genital area, or even on other parts of the body. If oral herpes, or HSV-1, gets into the eyes, it can cause serious damage, even causing scarring or permanent loss of vision.
A person can pass herpes to another person even if they aren’t having an active outbreak with visible sores. A pregnant woman can pass the herpes virus to her baby during birth, and the virus can also be passed during breastfeeding. Once a person has been infected with HSV-2, the virus stays in the body and can lie dormant, then resurface in periodic recurrent outbreaks.
Initially, herpes skin disorders manifest in the skin cells, causing the red, painful, blister-like sores. After a while, the infection moves deeper, into the nerve cells, where it can lie dormant until something happens to activate it again, like an illness or stressful life event.
Medical treatment for herpes simplex focuses on minimizing the pain of an outbreak of sores and attempting to prevent future outbreaks with antiviral medications. People who have genital herpes must take care to practice safe sex and avoid sex during outbreaks in order to prevent spreading herpes to their partners. People with herpes can suffer from depression brought on by the knowledge that they may have to live with this highly contagious viral infection for the rest of their lives, and with the danger of possibly transmitting herpes simplex to others with whom they are intimate.
Fortunately, TCM herbs and acupuncture offer an alternative medicine option for dealing with herpes simplex. TCM can help with quick healing of the burning sores that signify an outbreak, but can also work on a deeper level to strengthen the immune system so that it can fight the virus better from within.
Top 5 Symptoms of Herpes Simplex
Signs of a herpes simplex infection depend on which type of viral infection you have, and where the infection spreads. Usually, symptoms manifest either around the mouth or genital area, but sometimes the herpes virus can spread to the eyes (herpes keratitis). The most common symptoms of herpes include:
- Itching, burning, tingling around the mouth or genital area
- Painful, fluid-filled blisters or sores around the mouth or genital area
- Flu-like symptoms: fever, body aches, swollen glands
- Trouble urinating, burning sensation when peeing
- Pain in eyes, cloudy vision
Once a person has had their first symptomatic period of a herpes infection, they may have recurrence of symptoms periodically–in some cases, frequently. The majority of people who have been infected with HSV-2 experience another outbreak within a year; some people experience recurrent outbreaks several times a year or as often as once a month.
There are a few other skin conditions that might sometimes be mistaken for herpes simplex. Impetigo is a bacterial infection that can cause red sores to form around the mouth and nose. “Jock itch” is a fungal infection that can cause a red rash in the groin area. Folliculitis is when hair follicles become inflamed and form pimples with pus; this can happen in the facial or genital region due to shaving, but it can also be related to herpes, if the viral infection causes irritation and blockages in the hair follicles. Molluscum contagiosum is another viral skin infection that causes raised lesions to form; however, they are generally painless and flesh-colored, not similar to herpes lesions. Bacterial vaginosis, a common bacterial infection which can cause a burning sensation in the vagina, may increase a woman’s chances of getting herpes and other STDs.
What Triggers a Herpes Outbreak?
The herpes virus is similar to the varicella virus (chickenpox) in that it stays in the body long after the initial infection, and can flare up and cause trouble later on. The varicella virus can lie dormant for many years, and then emerge as a case of Shingles late in life, causing a very painful rash.
Herpes can cause rare or frequent outbreaks, depending on the severity of the initial infection, how or if it was treated, and what sort of care a person takes to prevent recurrences. A person who has experienced recurrent outbreaks may become aware of early signs that show up a few days before sores actually break out on the skin, such as tingling or shooting pain in the genital area or around the hips or legs.
The things that can trigger a herpes simplex outbreaks include:
- Illness, fever
- Suppression or weakness of the immune system
- Exposure to sunlight, changes of the season or temperature
- Menstrual period, hormonal changes
- Prolonged period of stress, emotional stress
- Surgery, trauma
Medical Treatment for Herpes Simplex
The typical treatment for herpes simplex HSV-1 and HSV-2 includes the use of antiviral medications such as acyclovir (Zovirax), famciclovir (Famvir) and valacyclovir (Valtrex). These medications may be taken intermittently, to help treat outbreaks when they occur, or, in some cases, may be recommended for daily usage to help prevent outbreaks from occurring. For some people, these medications help to reduce the frequency of outbreaks, and there is some evidence that they may help prevent a person’s sexual partner from being infected. However, these antiviral medications do not help everyone who has herpes simplex. They can only reduce the spread of the virus in the body; they do not eliminate it completely. Some people may become allergic or resistant to the drugs. Some people experience side effects, including potentially serious kidney problems or unusual bleeding.
TCM treatment with herbs and acupuncture can help to reduce the severity of herpes outbreaks and prevent recurrence, without any negative side effects.
Can Acupuncture Help Herpes?
From the TCM point of view, the redness and burning of the blister-like rash that accompanies viral infections like herpes and varicella is caused by heat and dampness. Clearing heat and damp from the liver and gallbladder will usually be one of the primary goals of acupuncture treatment and herbal supplementation, as this will help to quickly cool down an outbreak of the painful sores. Maintaining the health and balance of the liver system long-term will help to prevent future outbreaks.
TCM also factors in emotional well-being when considering each individual’s presentation of a disease. The flare up of herpes simplex viral infection is associated with stress and negative emotions, especially anger. Anger is connected to the Liver and Gallbladder, and also to the eyes, which is why sometimes the herpes skin disorder will manifest in the eyes. Learning lifestyle behaviors and dietary choices that will help to balance the emotions and reduce excess heat in the body will also help reduce the occurrence of herpes flare ups.
Some herbal formulations work well to heal sores related to herpes outbreak. There are also specific Chinese herbs that function as “antivirals.” These herbs can help control the virus in the body, which, when combined with treatment and herbs that strengthen the immune system, can be effective at reducing the risk of recurrent outbreaks of herpes.
Acupuncture Near Me for Herpes Simplex
While herpes simplex is often considered a disease one has to “learn to live with,” it is not necessary to suffer the pain and emotional burden of herpes simplex infection without relief. Alternative medicine for herpes in the form of acupuncture and herbs offers a holistic treatment option that can help relieve the physical symptoms of recurrent herpes outbreaks as well as associated mental and emotional struggles with shame, anxiety, depression, and relationship concerns. Boosting the immune system, strengthening the Qi and organ systems, reducing heat through proper nutrition, and relieving stress can all work to help people with herpes live free of the fear of the next outbreak.
*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.
How to Stop Snoring With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Have you been told you’re snoring loudly? Do you feel tired even after 8 hours of sleep? Waking up with a dry mouth, feeling tired all the time, and having trouble staying asleep at night are all signs that you might have sleep apnea. Sleep apnea is a sleeping disorder in which normal breathing is interrupted repeatedly. Acupuncture and TCM offer a natural way to treat obstructive sleep apnea, insomnia, fatigue, and other sleep-related problems.
Sleep Apnea (also known as sleep apnoea) is when a person does not breathe normally during sleep. When there is a pause in normal breathing during the night, the body is not getting enough oxygen, and the brain sends an urgent message to start breathing again. The person wakes, so briefly that they usually do not remember it, gasps for air and starts breathing again. Often people do not realize that they are snoring or making snorting or choking sounds while they sleep unless another person tells them it’s happening. Because of this, many cases of sleep apnea go undiagnosed, and people go on feeling fatigued all the time.
While people of any age or gender can experience sleep apnea, it is most common among older men. There are a few different kinds of sleep apnea; the most prevalent type is obstructive sleep apnea (OSA), in which the throat and/or airway is physically obstructed by the positioning of the neck, jaw, and soft tissues of the throat, like the tongue and uvula. OSA is associated with being overweight or obese, because extra weight can affect the musculature of the upper respiratory system. Women who have already gone through menopause are more likely to develop sleep apnea because postmenopausal weight gain is more likely to occur in the upper body than it does prior to menopause. Sleep problems and obesity are related in many ways; getting less sleep or poor quality sleep can cause people to gain weight or have trouble losing weight. People with diabetes and/or metabolic syndrome are also at higher risk for obstructive sleep apnea.
Besides disturbing sleep and causing fatigue, apnea can lead to other serious health conditions, especially cardiovascular problems like high blood pressure, irregular heartbeat, and stroke. Sleep apnea can increase the heart rate and the production of stress hormones. Men with OSA are more likely to experience erectile dysfunction (ED). Lack of quality sleep can also have a negative impact on mental health, contributing to depression, anxiety, and cognitive decline.
The typical treatment for snoring involves the use of a sleep apnea machine, called a CPAP machine (continuous positive air pressure machine), which pushes air into the nose while you sleep, ensuring that the airway stays open and continuously active. This treatment can help people breathe easier throughout the night, but some people may find the machine noisy and uncomfortable.
TCM methods like acupuncture treatment for snoring and sleep apnea offer a way to address these problems at their source holistically, helping people to sleep well and breathe more freely.
Top 3 Types of Sleep Apnea
Sleep apnea causes loss of oxygen due to shallow breathing (hypopnea) and/or interrupted breathing while sleeping. Different types of sleep apnea are classified by their physiological causes:
- Obstructive sleep apnea (OSA) – this is caused by the improper relaxation of the throat muscles while sleeping.
- Central sleep apnea (CSA) – is caused by disordered signalling from the brain to the organs that control breathing.
- Complex sleep apnea – (or treatment emergent sleep apnea) is a combination of both of the above.
Restless legs syndrome (RLS), also known as Willis-Ekbom disease, is a condition wherein a person has an uncontrollable urge to move the legs, or sometimes arms or other parts of the body, accompanied by a sensation of itching, burning, crawling or throbbing. This usually happens when the person is lying in bed, trying to fall asleep. Restless leg syndrome can coexist with OSA, compounding the problem by making it difficult to get to sleep or stay asleep during the night.
Narcolepsy is a sleeping disorder in which overwhelming sleepiness during the daytime causes people to suddenly and uncontrollably fall asleep. Many people who suffer from narcolepsy also have sleep apnea. In this case, the sleep problem is not related to breathing so much as how the brain and body are moving through sleep cycles, like REM sleep. For people who have narcolepsy, treatment with a CPAP machine is often not very helpful.
Sleep apnea or snoring does not seem to be related to other abnormal sleeping behaviors (parasomnia), such as sleepwalking, night terrors, or sleep-related eating.
Top 10 Symptoms of Sleep Apnea
Many people snore and do not realize it. It is important to pay attention to the subtler sleep apnea symptoms. Signs of sleep apnea include:
- Loud snoring
- Interrupted breathing – moments during the night when the person’s breathing actually stops and then starts again
- Gasping for air while sleeping
- Waking up with a dry mouth or sore throat
- Headaches in the morning
- Insomnia, difficulty getting to sleep or staying asleep during the night
- Feeling very sleepy during the daytime (hypersomnia)
- Difficulty paying attention
- Feeling irritable
- Getting up often during the night to urinate (nocturia)
What Causes Snoring?
Sleep apnea is caused either by a physical obstruction of the throat and airways or by problems with brain signals to the breathing apparatus. Not everyone who has sleep apnea snores loudly. On the other hand, not everyone who snores necessarily has sleep apnea. Other reasons people snore may include:
- Congestion of the nose due to a cold or allergies
- In late pregnancy, the growing belly puts upward pressure on the respiratory system
- Sleeping pills, medications that work as relaxants, like Ativan or Valium
- Alcohol consumption
- Anatomy – large tongue or uvula, or swollen tonsils
People with sleep apnea are often advised to sleep on their side rather than on their back, as this helps prevent the obstruction, but it can be difficult for people to control their behavior while sleeping.
Treatment for Sleep Apnea
To firmly establish whether a person has sleep apnea, and what type, doctors will often evaluate the situation in a sleep study session. People will spend the night in a sleep center, where their heart and breathing functions are monitored (polysomnography).
CPAP machines are generally considered to be the best care available for sleep apnea. These devices can help stop snoring, allow a person to get more restful sleep, and cut the risks of serious issues like heart disease that are associated with sleep apnea. However, the machine does not actually do anything to improve the weak musculature that causes OSA or the disordered signalling that causes CSA. It is possible to swallow air while breathing with the CPAP machine, which can lead to gas and a bloated stomach. Some people may find the face mask, which must be strapped to the face, uncomfortable. The noise of the machine may be disturbing to the person using it, as well as to the person’s bed partner. It may be difficult for some patients to get used to using the machine, and if they are not using it regularly, they are not getting the health benefits.
There are also some oral appliances available, such as mandibular advancement devices (MAD), which are worn in the mouth to alter the placement of the jaw and tongue in order to keep the airway open during sleep. These can also be effective in terms of helping people breathe better while they sleep. Compared to CPAP, they are quiet, discreet, and cost-effective. Again, the main question is whether a person will be able to tolerate the device; some people may experience toothache or dental pain, TMJ jaw pain, dry mouth, or too much saliva.
Surgery for snoring and sleep apnea is usually only recommended if other methods of treatment have failed. Different procedures involve removing soft tissues (uvula, tonsils, adenoids), or changing the shape of the jaw bones. Small rods may be inserted into the upper palate to help keep the airway open. A device that monitors breathing and stimulates movement of the tongue may be implanted in the chest.
Sometimes people may use melatonin as a natural sleep aid. Melatonin may have a positive impact in terms of helping people fall asleep more easily. It also has strong antioxidant properties, which means it may help with the control of the breathing apparatus and the amount of oxidation a person is getting while sleeping. While it is generally considered safe as a health supplement, melatonin side effects can include problems with dizziness, headaches, and nausea, and it can also be contraindicated with other medications. Melatonin can affect blood coagulation, so it may be unsafe to take if a person is also taking blood thinners, for example.
Can Acupuncture Help Stop Snoring?
According to TCM theory, the spleen and stomach are responsible for transforming nutrients from food and fluids into Qi (life energy), which is then delivered to the heart and lungs. In the TCM view, sleep apnea is often a problem related to phlegm and Qi stagnation, as are many conditions related to fatigue or insomnia. If phlegm builds up and becomes stagnant in the spleen, the lungs cannot get the Qi they need. So, one possible differentiation for sleep apnea is Spleen Deficiency with Qi Stagnation. This condition of dampness and phlegm will often cause people to feel heavy and bloated.
In some cases, too much internal heat contributes to the problem. Snoring, combined with sweating, and waking up with a sore throat, is a sign that we need to clear heat and toxicity from the body.
Sleep disturbed by nightmares is associated with the gallbladder, while difficulty falling asleep is associated with the liver. An acupuncture practitioner will listen carefully to what specific symptoms of sleep apnea each individual patient is experiencing, and tailor the treatment accordingly.
A meta-analysis of over 200 randomized trials involving the use of acupuncture to treat sleep apnea concluded that acupuncture was more effective overall than CPAP treatment, in terms of improving breathing and oxygen levels.
Can Chinese herbs help snoring and sleep apnea? Specific herbs have been shown to help reduce inflammation and improve oxygen levels in patients with sleep apnea. Chinese herbal formulations can help stop snoring and reduce daytime fatigue.
Natural Remedies for Snoring
Acupressure can help snoring and sleep apnea. Since we are trying to clear heat and phlegm from the stomach, spleen, and large intestine, use acupressure points along the Stomach Meridian, which runs down the leg. On the front of the shin, apply pressure, kneading with your thumb, starting to the side of the shin bone a few inches below the knee, then moving down about 3 inches and doing the same thing. Knead each of the four points about 30 times as your move down the leg. If you are aware that one side of the nose is more blocked than the other while you are breathing during the night, practice the acupressure on the opposite leg. For example, if your left nostril is the one that is more stuffed up, do acupressure on the right leg.
Acupuncture Near Me for Snoring
As the population ages, and unfortunately, more people suffer from obesity and metabolic syndrome, sleep apnea is a growing health concern all over the world. Snoring can have a seriously negative impact on quality of life, health, and longevity. Conventional methods of treatment for sleep apnea can be effective, but many people find CPAP uncomfortable and inconvenient for long-term use. If you suspect you may have sleep apnea, or are worried because your partner snores loudly at night and seems to be gasping for air, do not wait to get help. Acupuncture and TCM herbs can help relieve fatigue due to snoring and reduce the risk of more serious problems related to sleep apnea.
*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.