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Autoimmune Disease
How to Treat Sarcoidosis With Acupuncture and TCM
by Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Fever, fatigue, and muscle aches? Swollen lymph nodes, coughing, shortness of breath? Eye pain, or red eyes? These can all be signs of sarcoidosis, an autoimmune disorder. Acupuncture and TCM can help relieve sarcoidosis symptoms.
Sarcoidosis is a complex autoimmune disease characterized by the formation of granulomas—clumps of inflammatory cells—that can affect multiple organs in the body. It most commonly impacts the lungs and lymph nodes, but it can also involve the skin, eyes, heart, musculoskeletal system, and nervous system.
Sarcoidosis typically manifests in young adults, with the highest prevalence observed in individuals in their 20s and 30s, though it can affect people of any age. This condition’s exact cause remains unknown, but researchers believe it results from an overactive immune response to environmental or infectious triggers.
Sarcoidosis can cause serious and even life-threatening complications, especially when it is centered in the lungs. However, the good news is that many cases of sarcoidosis do eventually clear up or go into remission.
Acupuncture, herbs, and other TCM treatments for sarcoidosis can help address underlying issues that contribute to the formation of this autoimmune disorder, as well has help to relieve symptoms. TCM can also help with potential signs of dysautonomia (autonomic nervous system disorders) that can be caused by sarcoidosis.
Types of Sarcoidosis
There are different types of sarcoidosis depending on which organs are affected.
Pulmonary sarcoidosis, which targets the lungs, is the most common form and can lead to chronic respiratory issues.
Musculoskeletal sarcoidosis may cause joint inflammation (arthritis), muscle pain, or bone lesions, sometimes resulting in long-term complications such as osteoporosis.
Sarcoidosis can lead to vascular complications that involve inflammation of small, medium, or large blood vessels. These types of sarcoid-related vasculitis are rare but important to recognize, as they may present with overlapping features of other autoimmune or vascular conditions.
Small-vessel vasculitis in sarcoidosis primarily affects the skin. This type of vasculitis might coexist with sarcoidosis and manifests as petechiae (small red or purple spots on the skin), purpuric spots (purple “blood spots” under the skin, due to broken blood vessels), or infiltrative erythema (raised rash, like welts on skin).
Medium-vessel sarcoid vasculitis often involves pulmonary lymphatic capillaries and may present with systemic symptoms, including fever, arthritis, and cutaneous manifestations (skin rash or lesions).
Sarcoidosis symptoms can vary widely but may include persistent fatigue, fever, shortness of breath, coughing, swollen lymph nodes, and joint pain. Because of its wide range of manifestations, sarcoidosis can be difficult to diagnose and often requires imaging tests, biopsies, and bloodwork.
New Diagnostic Methods for Sarcoidosis
Diagnosing sarcoidosis remains a complex challenge for clinicians because there is no single definitive test for the disease. The diagnosis is often made by combining a thorough clinical evaluation, imaging studies, laboratory tests, and biopsy results. However, emerging research has identified new biomarkers that may help streamline the diagnostic process.
One promising development involves the discovery of type 1 innate lymphoid cells (ILC1) as a potential biomarker for sarcoidosis. A study led by researchers at the University of Pennsylvania compared skin samples from sarcoidosis patients to those with granulomas caused by other conditions. They found that levels of ILC1 were significantly higher in sarcoidosis-affected tissues. This trend was also observed in lung granulomas and even in the bloodstream, where sarcoidosis patients showed a 12-fold increase in circulating ILC1 levels compared to healthy individuals.
Sarcoidosis Treatment
The main goals of treatment for sarcoidosis are managing symptoms, reducing the risk of organ damage, and improving the patient’s quality of life. In some cases, sarcoidosis may go into remission, meaning that the condition is no longer causing complications.
Patients with mild or no symptoms might not require treatment, just monitoring. When treatment is necessary, Western medicine focuses on reducing inflammation and suppressing the overactive immune system. These treatments can be highly effective but often come with potential risks and side effects.
Prednisone is usually the first-line treatment for sarcoidosis. This steroid medication suppresses the immune system and reduces inflammation, which can help to improve symptoms and prevent organ damage. However, long-term use of prednisone may lead to significant side effects, such as weight gain, bone loss, high blood sugar, and an increased risk of infection. For this reason, corticosteroid doses are typically tapered once symptoms improve, or alternative medications may be introduced to minimize steroid use.
Methotrexate, a drug commonly used for severe rheumatoid arthritis, is another option for managing sarcoidosis. It is particularly effective in patients with significant organ involvement, such as lung, skin, or joint manifestations. Methotrexate helps to suppress the immune system and can be used in combination with corticosteroids to reduce the need for higher steroid doses.
Drugs such as hydroxychloroquine, which are typically used to treat malaria, can be effective for sarcoidosis that primarily affects the skin or joints. These medications may also be helpful for managing chronic fatigue and muscle pain associated with the condition.
Tumor necrosis factor (TNF) inhibitors, like infliximab or adalimumab, are biologic medications that help reduce inflammation. These drugs are often used in patients with severe sarcoidosis, particularly when other treatments have not been effective. TNF inhibitors can be administered intravenously or as an injection under the skin.
Corticotropin is a medication that stimulates the adrenal glands to produce natural steroid hormones. It can be injected under the skin to help manage inflammation and reduce immune system activity, offering an alternative to synthetic corticosteroids.
Acupuncture and other TCM treatments can be helpful for clearing inflammation and relieving symptoms related to sarcoidosis, as well as helping to manage the side effects that may be caused by other medications.
Can Acupuncture Help Sarcoidosis?
In TCM, sarcoidosis is viewed as a condition arising from underlying imbalances in the body. These imbalances are often associated with heat, phlegm, and stagnation of Qi and blood. Granulomas, for example, may be interpreted as accumulations of dampness and phlegm obstructing the free flow of Qi and blood. Furthermore, the systemic inflammation seen in sarcoidosis can be attributed to excessive heat in the body. TCM practitioners focus on identifying the root causes of these imbalances and tailoring treatments to the individual’s unique presentation.
Acupuncture treatments for sarcoidosis aim to reduce inflammation, support the immune system, and restore balance within the body. By stimulating specific acupuncture points, practitioners can promote the smooth flow of Qi and blood, reduce stagnation, and clear heat and dampness. This can help alleviate symptoms such as shortness of breath, fatigue, and joint pain, which are commonly experienced by those with sarcoidosis.
Research has shown that acupuncture can help modulate the immune system, reduce stress, and improve quality of life for people with chronic inflammatory conditions. For sarcoidosis patients, regular acupuncture sessions may not only provide symptom relief but also address the underlying imbalances contributing to the disease.
Chinese Medicine diagnosis is different from Western medicine diagnosis. An acupuncture practitioner will look carefully at each individual patient’s specific symptoms, medical history, and foundational constitution to discover the underlying causes of their particular presentation of disease.
In the case of sarcoidosis, possible TCM diagnoses might be:
- Lung Qi Deficiency – presents with symptoms like shortness of breath, weak lung sounds, throat rattling, spontaneous sweating, feeling cold, pale complexion, weak voice. Treatment will seek to tonify Lung Qi to strengthen respiratory function possibly with the inclusion of moxibustion treatment.
- Lung Yin Deficiency – symptoms: breathlessness, night sweats, 5-center heat (warmth in palms, soles, and chest), dry throat, non-productive cough, malar flush, red skin lesions. Treatment goals include nourishing Lung Yin and clearing heat.
- Lung Qi Stagnation – symptoms: chest congestion/blockage, difficulty breathing, emotional grief or melancholy, trouble letting go of the past, and constipation. Treatment will help improve circulation of Lung Qi to relieve stagnation and promote emotional well-being.
- Phlegm in the Lungs- symptoms: Chronic phlegm retention contributing to fibrous tissue and scarring, which can parallel conditions such as chronic bronchitis. There may also be phlegm-related symptoms like congestion or rattling breath. Treatment will seek to nourish Lung Qi, transform phlegm, and circulate Qi to reduce stagnation.
These differential diagnoses reflect the diverse ways in which TCM approaches pulmonary dysfunctions and can be used to tailor treatments for individuals with sarcoidosis, ensuring that the root causes and symptoms are addressed holistically.
Acupuncture for Sarcoidosis Near Me in West Los Angeles
If you or someone you know is suffering with sarcoidosis, or perhaps has some of the symptoms mentioned above, but has not been able to get adequate diagnosis or treatment for their condition, it may be appropriate to seek care from a qualified TCM doctor. Dr. Tan and Dr. Cai at Art of Wellness in Los Angeles, just east of Santa Monica, have over 35 years of experience helping people with all types of autoimmune disorders, skin conditions, respiratory problems, and musculoskeletal pain. We can help you find relief and better health.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Ankylosing Spondylitis With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Low back pain, morning stiffness, hip pain? Fatigue, losing weight, poor vision, skin rashes? These can all be signs of Ankylosing Spondylitis (AS). Ankylosing Spondylitis is a type of autoimmune arthritis. Acupuncture can help relieve Ankylosing Spondylitis symptoms like lower back pain.
Ankylosing spondylitis is a chronic inflammatory arthritis condition that most often affects the spine, usually the lower back and pelvis is an inflammatory disease; the primary symptom is inflammation in the sacroiliac joints, the joints where the base of the spine (the ilium) meets the pelvis (the sacrum).
Similar to rheumatoid arthritis (RA), ankylosing spondylitis is an arthritic condition triggered by a person’s immune system mistakenly attacking healthy tissues. Arthritis generally refers to pain and swelling in joint tissues.
Ankylosing spondylitis can also affect the hips, knees, shoulder joints, and/or the ribcage. When the body tries to heal affected bones, extra bone tissue begins to grow. This new bone growth is what causes joint stiffness and lack of flexibility. When the ribs are affected, it can restrict normal breathing.
Ankylosing spondylitis can, over time, weaken bones to the extent that they begin to collapse; these compression fractures can ultimately lead to curvature of the spine and a stooped posture. These fractures of the vertebrae can potentially affect the spinal cord and nerves.
“Ankylosis” is a term for the stiffening and fusion of bones. A “fused spine” can be the eventual outcome of Ankylosing spondylitis.
AS can also cause inflammation in the GI tract, causing gastrointestinal symptoms like diarrhea. In this sense, it is a type of inflammatory bowel disease (IBD).
In some cases, ankylosing spondylitis can cause eye inflammation, leading to vision problems like blurred vision, sensitivity to light, and painful eyes.
AS can also cause inflammation in the heart, which affects the function of the aortic valve and increases risk of heart disease.
As with other autoimmune disorders, modern medicine research has yet to discover what causes Ankylosing Spondylitis. Some gene mutations have been linked to ankylosing spondylitis, which is sometimes called axial spondyloarthritis.
Medical treatment for ankylosing spondylitis helps manage symptoms and slow the progression of the disease.
Acupuncture is widely recognized as an effective adjunct treatment for ankylosing spondylitis that can help reduce pain and improve mobility.
Top 10 Ankylosing Spondylitis Symptoms
The initial onset of symptoms of ankylosing spondylitis often includes episodes of lower back pain and stiffness or hip pain, which then may get more severe over time. But symptoms can vary widely from person to person, depending on which parts of the body are affected.
Symptoms of Ankylosing Spondylitis include:
- Persistent lower back pain and stiffness, typically worse in the morning and after periods of inactivity; back pain that improves with movement and exercise
- Pain and stiffness that radiate from the lower back to the buttocks, hips, and thighs, reduced flexibility and range of motion in the spine
- Hip pain, shoulder pain, chest pain, rib pain, knee pain, and/or ankle pain
- Difficulty taking deep breaths due to stiffness in the chest and ribcage
- Fatigue
- Bony fusion of vertebrae, leading to a stooped posture and loss of spinal mobility
- Eye inflammation (uveitis) causes eye pain, sensitivity to light, and blurred vision
- Loss of appetite, weight loss
- Psoriasis, skin rash
- Abdominal pain, diarrhea
There is usually a gradual progression of AS symptoms over time, potentially leading to severe spinal deformity and disability.
Conventional treatment, with acupuncture and TCM used as a complementary treatment, can be helpful for symptomatic relief.
Ankylosing Spondylitis Treatment
While there is no cure for AS, conventional medical treatments aim to manage symptoms, prevent complications, and improve quality of life for individuals with the condition.
NSAIDs such as ibuprofen, naproxen, and celecoxib are commonly used to reduce pain and inflammation associated with AS. They can help relieve symptoms and improve mobility, particularly during flare-ups.
Disease-Modifying Antirheumatic Drugs (DMARDs) like sulfasalazine and methotrexate may be prescribed to slow the progression of AS and reduce inflammation. These medications work by suppressing the immune system’s abnormal response, which contributes to inflammation, the formation of extra bone tissue, and damage to the joints.
Biologic drugs, such as tumor necrosis factor (TNF) inhibitors like adalimumab, etanercept, and infliximab, target specific components of the immune system involved in inflammation. They are often prescribed for individuals with moderate to severe AS who do not respond adequately to NSAIDs or DMARDs.
Physical therapy can play a crucial role in the management of AS by helping to improve flexibility, posture, and range of motion. Exercise programs tailored to the individual’s needs can help strengthen muscles, reduce pain, and maintain spinal mobility.
Orthopedic interventions, such as braces and orthotics, may be recommended to support proper posture and prevent spinal deformities caused by AS. In severe cases, surgical procedures like spinal fusion may be considered to stabilize the spine and alleviate pain.
Individuals with AS require regular monitoring by healthcare providers to assess disease activity, monitor medication effectiveness, and detect any complications early. Adjustments to treatment plans may be necessary based on disease progression and individual response to therapy.
Can Acupuncture Help Ankylosing Spondylitis?
Acupuncture and moxibustion have been used for centuries to help relieve joint pain and stiffness due to inflammation. In Chinese, conditions that might involve bone fusion are called “zhu jie yang,” which means “bamboo spine.”
According to TCM theory, the bones are nourished by the kidney system; we observe that the formation of AS symptoms occurs along the Kidney Meridian and the Governing Vessel meridian. Weakness in bones may be due to deficiency of kidney Qi and blockage of the Governing Vessel.
Painful areas arise when there are blockages in Qi. Blockages occur due to pathogenic forces of phlegm accumulation, cold, and dampness.
Acupuncture treatment, herbs, and moxibustion may be used to strengthen the kidneys, address kidney yang deficiency, and clear dampness and wind from the channels.
One study found that patients who were diagnosed with ankylosing spondylitis and kidney yang deficiency and were given acupuncture treatment and moxibustion focused on the Governing Vessel meridian experienced significant reduction of pain.
Moxibustion warms and invigorates yang energy and can help improve immune function. In the case of AS, this treatment protocol can help slow the progression of the disease, preventing inappropriate bone formation and reducing inflammatory responses.
A review of 26 studies that involved moxibustion treatment as an adjunct therapy for ankylosing spondylitis. The conclusion was that patients who had moxibustion in addition to conventional treatment fared better than those who did not receive moxibustion.
The British Acupuncture Council recommends TCM treatment for AS, as it has been shown to be effective at relieving back pain, without side effects.
One study of patients with ankylosing spondylitis who received acupuncture treatment and Chinese herb supplements, including herbal soak baths, found that people experienced pain relief and functional improvement.
A study that looked at 22 patients who received cupping therapy along with acupuncture and infrared heat lamps. The vast majority of the patients reported significant improvement in their pain symptoms.
Tuina therapeutic massage may also be helpful for helping to improve mobility and circulation.
A review of studies showed that acupuncture offers “unique advantages” in the treatment of ankylosing spondylitis, including localized pain relief, reduced inflammation, improvement of joint mobility, prevention of spinal deformity, and overall better quality of life.
Acupuncture Near Me for Ankylosing Spondylitis in West Los Angeles
Acupuncture can be an effective complementary treatment for many autoimmune disorders, including Sjogren’s disease, Lupus, as well as difficult-to-treat chronic pain conditions like fibromyalgia and complex regional pain syndrome (CRPS). Dr. Tan and Dr. Cai at Art of Wellness in West L.A. have over 35 years of experience helping patients find relief from all kinds of musculoskeletal pain.
*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 Sinusitis With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. and Qineng Tan, L.Ac., PhD.
Stuffy nose, nasal congestion, sinus pressure or sinus headache? Lost your sense of smell? These could be sinusitis symptoms. Acute sinusitis is a sinus infection that can cause sinus pain, postnasal drip, and difficulty breathing. Acupuncture and TCM can help relieve sinus congestion and prevent chronic sinusitis.
The sinuses are four sets of hollow cavities inside the head (forehead, cheeks, and nose) that produce mucus and then allow it to drain through the nasal passageways. This process helps keep bacteria and allergens out of your nose.
What causes sinusitis? Sinusitis occurs when a sinus infection causes the sinuses to become inflamed and not drain properly. This usually happens because of a viral infection, like the common cold, or a bacterial infection or fungal infection. A long-term candida infection can also contribute to the development of sinusitis.
Sinusitis can seem similar to rhinitis, also known as allergic rhinitis. Rhinitis refers to swelling and inflammation inside the nose, and can also cause symptoms like nasal congestion. The difference is that rhinitis is brought on by an allergic reaction—commonly “hay fever,” or seasonal allergies—instead of an infection, and rhinitis is centered in the nasal passages, rather than the sinuses.
Factors like allergies, asthma, structural blockages, or weakened immune systems can elevate the risk of someone getting sinusitis. When the sinuses are blocked, bacteria and other pathogens can proliferate more easily.
Acute sinusitis usually clears up on its own in about 10 days, although getting acupuncture treatment and herbs can help bring relief sooner.
If sinus pain, stuffed up nose, and yellow-green mucus are still present after two weeks, it may mean that there is an infection that isn’t clearing up.
People are more at risk for developing sinusitis if they have:
- Seasonal allergies, hay fever
- Large adenoids (tonsils)
- Cystic fibrosis
- Smoke cigarettes
- Weak immune system due to HIV
- Take immunotherapy for autoimmune condition
- Unusual formation of the sinuses
- Are in an environment where they are exposed to lots of germs, such as day care
About 14% of Americans are diagnosed with chronic sinusitis every year; it’s one of the most common reasons that people will be prescribed antibiotics. However, if the sinusitis is occurring due to a viral infection, antibiotics are not really helpful.
TCM modalities of acupuncture, herbs, and moxibustion can help relieve symptoms of sinusitis and sinus pain, as well as helping to address allergies, asthma, clear up infections, improve immune function, and reduce inflammation.
Chronic Sinusitis and Nasal Polyps
It is fairly common for people with chronic sinusitis to also have nasal polyps. Nasal polyps develop when the nasal tissue becomes swollen and inflamed to such a degree that fluid-filled sacs form.
If a person also suffers from allergies, then exposure to an allergen can cause the nasal polyps to become inflamed to the point that they block the nasal passages, causing difficulty breathing. When a person can’t breathe through their nose at night, in particular, it can lead to snoring and even sleep apnea.
Chinese herbal formulations that have antibacterial and antifungal properties can help to relieve overproduction of mucus and prevent nasal polyps from coming back.
Acupuncture treatment can also help people breathe easier and sleep better, stop snoring and relieve sleep apnea.
Top 5 Sinusitis Symptoms
Sinusitis typically begins with the usual symptoms of the common cold. Then, instead of clearing up after several days, the symptoms get worse. Symptoms of sinusitis include:
- Stuffy nose: thick, yellow, or greenish mucus causes a runny nose
- Postnasal drip: when mucus drips down the throat. Postnasal drip can be particularly uncomfortable at night, when you’re trying to sleep.
- Nasal Congestion: A blocked or stuffy nose makes it hard to breathe through the nasal passages.
- Sinus headache or Facial Pain: Pain, tenderness, and pressure around the eyes, cheeks, nose, or forehead, especially intensified when bending over.
- Loss of smell: Altered sense of smell.
Other signs of sinusitis may Include:
- Ear pressure
- Toothache
- Cough
- Sore throat
- Bad breath
- Fatigue
- Fever
Sinusitis Treatment
Medical treatment to help relieve symptoms of sinusitis typically involves:
- Regularly spraying saline nasal spray (or saltwater) into the nose helps rinse the nasal passages.
- Corticosteroid nasal sprays, such as fluticasone and budesonide, prevent and treat swelling in the nasal passages.
- Over-the-counter decongestants in liquid, tablet, or nasal spray can help relieve nasal congestion. However, nasal decongestants should be used for a limited time to avoid rebound congestion.
- If sinusitis is allergy-related, allergy medicines can alleviate allergy symptoms.
- Acetaminophen, ibuprofen, or aspirin may be recommended to manage face pain and sinus headaches.
- Antibiotics: Since acute sinusitis is often viral, antibiotics, which target bacteria, may not be immediately prescribed. Providers may adopt a “wait and see” approach, reserving antibiotics for severe, worsening, or prolonged cases.
For cases of sinusitis linked to allergies, immunotherapy, commonly in the form of allergy shots, may be recommended. Immunotherapy aims to desensitize the immune system to specific allergens, potentially reducing sinusitis symptoms triggered by allergies.
Acupuncture and Chinese herbs can provide a safe alternative treatment for sinusitis, without the side effects that some of these medications can cause.
Can Acupuncture Help Sinusitis?
TCM has been used for centuries to treat sinus conditions. An acupuncturist will carefully observe each individual patient’s symptoms and experience to determine whether warming or cooling herbs are necessary to help relieve sinus congestion and treat the underlying cause of the problem.
According to TCM theory, sinusitis can result from external factors of wind and cold, which can weaken the lungs, preventing the lung system from doing its job of protecting the body from infections. In TCM, we say that the spleen produces phlegm, and the lungs store phlegm.
In some cases, it is necessary to nourish the Spleen Qi in order to address underlying causes of mucus buildup and improve immune system function.
Specific acupuncture points can be very helpful for relieving sinus pressure, sinus headaches, and other symptoms of sinusitis. A few examples include Shen Ting (“Spirit Court”), Yin Tang (“Hall of Impression”), Ying Xiang (“Welcome Fragrance”), and Zhanzu.
One study of patients with sinusitis treated with acupuncture showed a 60% reduction in sinus pain, and significantly improved air flow.
Another study showed that patients who had already had surgery for nasal polyps who received Chinese herbs in addition to conventional medical treatment had better quality of life, with less symptoms of nasal discharge, difficulty breathing, and bad breath.
A review of studies pertaining to TCM treatment for chronic rhinitis concluded that acupuncture is indeed an effective alternative or adjunct treatment for symptomatic improvement.
A study that offered acupuncture treatment and herbal formulations to help relieve nasal polyps found that this method helped prevent the recurrence of polyps.
Acupuncture Near Me for Sinusitis
Sinusitis, nasal polyps, and rhinitis are common conditions that cause a lot of discomfort for millions of people every year. If you or someone in your family is prone to recurrent infections that cause sinus pain and pressure, it may be time to try alternative medicine to help address the underlying causes of sinus headache and a constant stuffy nose and postnasal drip.
*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 Sjogren’s Disease With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Dry mouth? Dry eyes? Joint pain that flares up and then goes away? These can be Sjogren’s disease symptoms. Sjogren’s Syndrome is an autoimmune disease that causes damage to the glands that produce saliva and tears. Acupuncture and TCM provide an alternative Sjogren’s treatment to help relieve Sjogren’s syndrome symptoms.
Sjogren’s autoimmune disease is becoming more common, with an estimated four million Americans affected.
Many people with Sjogren also have another autoimmune disorder, such as rheumatoid arthritis, scleroderma, or lupus. In these cases, it is called Secondary Sjogren’s syndrome.
Anyone can develop Sjogren’s syndrome, but it is much more prevalent among women, and in people over the age of 40.
What causes Sjogren’s disease? As with most autoimmune diseases, medical research has not discovered the exact cause of Sjogren’s syndrome. The immune system, which normally works to get rid of bacteria or other pathogens, sometimes malfunctions and begins attacking healthy cells.
In the case of Sjogren’s, the immune system mistakenly attacks cells of the salivary glands and the glands that produce tears. When these glands become inflamed and/or damaged, they no longer produce enough fluid to keep the eyes and mouth lubricated.
Acupuncture treatment can be a safe and effective way to help relieve symptoms of dry mouth (also known as xerostomia), dry eyes, fatigue, and joint pain.
Top 10 Sjogren’s Syndrome Symptoms
As with other autoimmune disorders, the symptoms of Sjogren’s disease can seem to come and go, or “flare up” periodically. A Sjogren’s flare is a sudden onset of symptoms that occurs when you’ve been feeling better for a while, and then something like work stress or doing too much can suddenly make you feel extreme fatigue and other symptoms.
The most common Sjogren’s Disease symptoms include:
- Dry mouth, dry throat, difficulty swallowing, “cotton mouth”
- Dry eyes, gritty eyes, burning, itchy eyes, sensitivity to light, blurred vision
- Joint pain, stiff joints, swollen joints
- Dry skin, skin rash
- Loss of taste, can’t taste, things taste different
- Dental cavities, oral thrush, oral yeast infections
- Mouth ulcers
- Dry cough, persistent cough
- Vaginal dryness
- Fatigue
Sometimes Sjogren’s can cause peripheral neuropathy, or tingling and numbness in the hands and feet. Some people may experience acid reflux, swollen glands, cognitive difficulties, like poor short term memory, shortness of breath, and trouble sleeping.
Less common but more serious complications of Sjogren’s disease can include a higher risk factor for getting pneumonia, kidney problems, and liver disease, like cirrhosis or hepatitis. In rare cases, people with Sjogren’s syndrome can develop lymphoma (cancer of the lymph nodes).
Medical treatment for Sjogren’s Syndrome is mostly about managing symptoms, so that a person can live comfortably.
Sjogren’s Treatment
Managing Sjogren’s symptoms like dry eyes and joint pain is the primary aim of medical treatment for Sjogren’s.
Dryness is the most common symptom of Sjögren’s, and one of the primary approaches to managing dry eyes and dry mouth involves moisture replacement therapies. Artificial tears and lubricating eye drops help alleviate dry eyes, while saliva substitutes and frequent sips of water can provide relief for dry mouth.
Medications that stimulate saliva production, such as pilocarpine or cevimeline, may be prescribed. These drugs can help improve saliva flow, but they can also cause side effects, like dizziness and headaches.
Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to manage pain and inflammation associated with Sjögren’s syndrome. In more severe cases, corticosteroids, which act as anti-inflammatories, may be prescribed. However, long-term use of steroid medications does, in many cases, cause unwanted side effects, increasing the risk of developing problems like cataracts, osteoporosis, and problems with blood sugar.
Immunosuppressive medications, such as hydroxychloroquine or methotrexate, are often prescribed for autoimmune diseases, to dampen the immune response. These drugs aim to reduce inflammation and alleviate symptoms, particularly in cases where there are complications involving organs like the kidneys or liver.
In cases where joint pain and inflammation are present, disease-modifying antirheumatic drugs (DMARDs) like methotrexate may be considered. These drugs work to modify the course of the disease and manage systemic symptoms.
Acupuncture and Chinese herbal supplements have been shown to work as an effective alternative or adjunct treatment for Sjogren’s disease.
Can Acupuncture Help Sjogren’s Syndrome?
Many diseases and syndromes have a variety of possible symptoms, which show up differently in different people. In TCM, we recognize that sometimes people can have the same sort of disorder, but with different patterns of symptoms, which give us clues about what sort of internal imbalance is causing the disorder. Thus, an acupuncturist will create a unique treatment plan for each individual patient.
According to TCM theory, Sjogren’s disease symptoms can be related to Yin deficiency, and a pattern of dry heat. Acupuncture and herbs can help to nourish and strengthen Yin, and bring more moisture to the organ systems.
In other cases, though, there may be dampness, stasis, or Qi deficiency. Herbs to strengthen the liver and help relieve depressed Qi may be used, and/or herbs to tonify the spleen, to help clear dampness.
One systematic review of clinical trials found that a Chinese herbal formula was superior to Hydroxychloroquine for helping to alleviate Sjogren’s symptoms.
A study comparing patients with Sjogren’s treated with hydroxychloroquine versus those who received acupuncture treatment and herbs found that the group who received TCM treatment for Sjogren’s had an 83% effective rate, versus a 60% effective rate among the people who took the immunosuppressant medication. This study measured saliva and tear production as well as immune system function.
It has been hypothesized that acupuncture treatment has a positive effect on the parasympathetic nervous system, helping promote relaxation and move patients out of a “fight or flight” mode, which, in turn, can help to restore natural salivation and improve appetite.
Another study found that Sjogren’s patients who received acupuncture to help dry eye symptoms reported that they were able to greatly reduce their use of artificial tears after receiving a course of acupuncture, and were still feeling these benefits several months after treatment.
Acupuncture Near Me for Sjogren’s Disease in Los Angeles, West L.A.
Acupuncture and TCM offer holistic treatment for Sogren’s syndrome and other autoimmune diseases. An experienced acupuncture provider can create a personalized health care plan for each patient that addresses their unique needs and situation. Dr. Tan and Dr. Cai at Art of Wellness in West Los Angeles have over 35 years of experience helping patients get relief from symptoms like joint pain and fatigue, and improving their quality of 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 Raynaud’s Syndrome With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac. Ph.D.
Fingers numb? Numbness in fingers and toes? Fingers turning white, poor circulation in fingers, cold fingers and toes? Raynaud’s disease, or Raynaud’s phenomenon, causes poor circulation in the extremities due to constriction of the blood vessels, usually triggered by cold weather or stress. Acupuncture can help relieve Raynaud’s disease symptoms.
Raynaud’s disease is a condition characterized by occasional narrowing of the blood vessels, primarily in the fingers and toes. The small arteries that supply blood to the skin of the fingers and toes (and sometimes, to the ears and the tip of the nose) become constricted in cold conditions.
Raynaud’s syndrome causes the tips of the fingers and/or toes to turn white due to the lack of circulation, and there may be numbness in fingers or tingling in toes. A “Raynaud’s attack” or episode lasts until the person warms up, at which point, there may be a burning sensation, and the affected skin may flush and turn red as blood flow returns.
Raynaud’s can occur in two forms: primary and secondary.
Primary Raynaud’s, also called Raynaud’s disease, is the more common form and isn’t usually related to another medical condition. Raynaud’s is considered to be an exaggerated response to cold, emotional stress or anxiety, leading to spasms in the small arteries.
People with primary Raynaud’s phenomenon usually begin to experience symptomatic episodes during their teenage years. Women are more likely to have Raynaud’s.
Secondary Raynaud’s is less common but more serious. It is associated with other diseases, typically autoimmune diseases or connective tissue disorders, like scleroderma, rheumatoid arthritis, thyroid disorders, or lupus.
Secondary Raynaud’s can be linked to conditions that directly damage the arteries or affect blood flow, like carpal tunnel syndrome. In these cases, it is considered a symptom rather than a separate condition.
Raynaud’s Syndrome Causes
For most people with Raynaud’s syndrome, there is probably a combination of genetic, physiological, and environmental factors at play.
Vascular abnormalities, or dysfunction in the blood vessels, involving excessive narrowing (vasospasm) and poor dilation in response to stimuli, may be involved.
Overactivity of the nerves controlling the blood vessels (sympathetic nervous system) may cause spasms.
Raynaud’s can tend to run in some families. If someone is already susceptible, then the numbness in fingers and toes may be triggered by cold temperatures, or a stressful situation. Smoking cigarettes can also cause Raynaud’s symptoms.
In secondary Raynaud’s, underlying autoimmune conditions can lead to inflammation and damage to blood vessels.
An injury to one of the limbs, like a broken wrist, or damage to the tissues from frostbite, could also trigger Raynaud’s phenomenon.
Some prescription medications, such as beta blockers, ADHD medications, medications for migraine headaches, and even some cold and flu medicines, could cause Raynaud’s symptoms.
Acupuncture treatment can help to relieve Raynaud’s syndrome symptoms and also address the underlying condition that may cause Raynaud’s.
Top 10 Raynaud’s Disease Symptoms
Raynaud’s symptoms may show up differently for each person. Symptoms of Raynaud’s disease can vary in severity and may include:
- Skin changes color: pallor (pale skin, white skin, or yellow skin) in the affected fingers or toes during an episode
- In rare cases, Raynaud’s phenomenon can affect other areas, such as the nose, ears, and lips.
- Some people may experience Raynaud’s in their nipples, which can cause a severe throbbing pain.
- Bluish discoloration (Cyanosis) as blood flow decreases
- Affected areas feel cold and/or numb during an episode
- Throbbing or tingling in the fingers or in the toes
- Sensitivity to cold temperatures, leading to more frequent episodes in cold weather.
- In severe cases, recurrent or persistent episodes of reduced blood flow can lead to skin sores or ulcers, particularly on the fingertips or toes.
- Changes in the texture and color of the nails, including nail beds that turn white and then blue during an episode.
- Some individuals may experience joint pain, particularly if there is an underlying connective tissue disorder.
Emotional stress, anxiety, or rapid changes in temperature can trigger Raynaud’s symptoms.
Raynaud’s disease is generally considered a benign condition, but repeated episodes can lead to more serious problems, like skin sores, chilblains, or even gangrene, which can cause permanent damage to tissues.
Raynaud’s Syndrome Treatment
Diagnosis of Raynaud’s disease may involve a test called nailfold capillaroscopy. This is a non-invasive test that allows the doctor to see the capillary size and action in the tips of the fingers and nail bed. This can help to determine whether the person has Primary Raynaud’s, or may have a connective tissue disorder, like lupus or Sjogren’s syndrome.
The standard medical treatment for Raynaud’s phenomenon aims to manage symptoms, improve blood flow, and prevent complications. While there is no cure for Raynaud’s, various medications and lifestyle modifications can be employed to alleviate symptoms and enhance circulation.
Medications that relax and widen blood vessels, known as vasodilators, are commonly prescribed. Calcium channel blockers, such as nifedipine, are often used to help dilate the small blood vessels in the extremities, reducing the frequency and severity of Raynaud’s episodes.
Phosphodiesterase inhibitors like sildenafil (which is also commonly prescribed to help erectile dysfunction, ED) can sometimes be beneficial in promoting blood vessel dilation and improving blood flow.
In some cases, topical nitroglycerin cream may be prescribed to increase blood flow to the affected areas.
Endothelin receptor antagonists, such as bosentan, may be considered in cases where blood vessel constriction is severe. These medications target endothelin, a substance that can cause blood vessels to narrow.
Antiplatelet agents like aspirin may be recommended to reduce the risk of blood clots and improve blood circulation.
If Raynaud’s is secondary to another condition, treating the underlying cause is crucial. For example, if it is associated with an autoimmune disorder, immunosuppressants might be considered.
Lifestyle changes play a significant role in managing Raynaud’s symptoms. Patients are typically advised to dress warmly.
Quitting smoking is strongly recommended, as smoking constricts blood vessels.
Can Acupuncture Help Raynaud’s Syndrome?
TCM has acknowledged Raynaud’s phenomenon as a condition of severe cold in the limbs for centuries. According to TCM theory, a deficiency of Qi and blood circulation is the root cause of Raynaud’s symptoms. In TCM, we consider that Qi (life force energy) and blood work together; Qi moves the blood throughout the body, and blood carries the Qi throughout the body.
In TCM, we are always looking at both external factors and internal factors that contribute to a condition. In the case of Raynaud’s disease, cold acts as a pathogenic factor that can be already present inside the body, and then, when a person is exposed to cold temperatures as an external factor, this triggers an extreme reaction.
So, in many cases, a person suffering from Raynaud’s is already dealing with too much cold and poor blood circulation. Herbs can be used to help warm the body internally and increase blood flow.
Some people develop Raynaud’s symptoms in response to stress. In this case, the liver may be involved. In TCM, the liver is associated with strong emotions, and when the liver is distressed, it can trigger muscular contractions that squeeze the blood vessels, restricting blood flow. In these cases, we will use herbal formulas and acupuncture points to help restore balance in the liver.
When there is an autoimmune disease also present, such as scleroderma or lupus, then there may also be blood stasis, and a thickening of the blood and tissues. TCM can address those conditions at their roots, as well.
An acupuncturist will make careful observations about how each individual is experiencing Raynaud’s symptoms, and address it according to the pattern presenting.
Top 3 Tips for Managing Raynaud’s Syndrome Symptoms
You can help prevent Raynaud’s attacks by keeping your whole body warm, especially your hands and feet.
- Protect your hands and feet. Wear mittens or gloves, thick socks and lined boots, and use hand and foot warmers in cold weather. Consider wearing gloves or oven mitts when reaching into the refrigerator or freezer.
- Exercise regularly, both to stimulate healthy blood circulation, and to help manage stress levels.
- If hands and/or feet do begin to feel cold or numb, take action to warm them up immediately by wiggling them, running them under warm water, massaging them, or putting your hands in your armpits or against your abdomen under your clothing.
Acupuncture Near Me for Raynaud’s Syndrome in West Los Angeles
It is important to address Raynaud’s disease to avoid damage to the nerves and skin tissue in your extremities, and to be sure whether or not Raynaud’s symptoms are related to an underlying autoimmune disorder. The acupuncturists at Art of Wellness Acupuncture in West L.A. have over 35 years of experience helping people with autoimmune conditions, circulatory problems, and nerve pain and tingling. The combination of herbs and acupuncture treatment can help relieve Raynaud’s phenomenon symptoms and address any autoimmune disease or nerve conditions.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.