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Autoimmune Disease
How to Treat Dermatitis With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Itchy skin, dry skin irritation, or skin rash? Dermatitis is a broad term that covers many skin problems, including eczema, heat rash, diaper rash, and other kinds of skin allergy. Acupuncture and TCM offer a way to treat dermatitis, eczema, and itchy skin conditions.
The medical term “dermatitis” can refer to many types of skin irritation that involve inflammation. Inflamed skin can cause itching, redness, dryness, and rashes. A dermatitis itchy skin rash is caused by an inflammatory response related to the immune system.
Eczema, also known as atopic dermatitis, is a common inflammatory skin condition; over 30 million people in the U.S. have some type of eczema. Eczema can show up as early as a few weeks after birth in some babies, or during childhood, or during adulthood.
While what exactly causes atopic dermatitis to occur in some people is not completely understood, it is generally accepted that it is a combination of genetic, immunological, and environmental factors.
Dermatitis is not contagious; it is not passed from person to person. However, you are more likely to be susceptible to dermatitis or eczema if other people in your family have it, or if there is a family history of allergies and asthma.
Eczema and other forms of dermatitis tend to “flare up” when a person is exposed to some sort of trigger and has an allergic reaction. This could be due to something in the environment, or some product or plant that touched the person’s skin. It can also be due to internal causes, like an autoimmune problem, excess heat in the body, or emotional stress.
Signs of Dermatitis:
- Itchy dry skin rash skin irritations (pruritus)
- Red rash, red bumps on skin
- Rash like a burn
- Blisters
- Thick skin, hard skin, swelling
- Scaly skin, creasing skin
- Crusty sores, painful skin sores
- Bleeding rash, oozing skin rash
- Flaking skin (dandruff)
Symptoms of dermatitis can come and go. Scratching at itchy patches or blisters associated with dermatitis can cause a skin infection, so it is important to manage and control this condition.
Acupuncture and TCM herbs can help relieve itchy skin and inflammation, while also helping to balance the immune system to prevent further eczema flare ups.
Top 10 Types of Dermatitis
Many different conditions can cause dermatitis—meaning, inflammation of the skin. Different kinds of dermatitis include:
- Atopic dermatitis – also known as eczema, marked by dry, itchy, red patches of skin.
- Contact dermatitis – this is when a skin rash breaks out due to exposure to some kind of external irritant, such as a cosmetic product, piece of jewelry, or plant like poison ivy.
- Seborrheic dermatitis – flaking skin, also known as dandruff, occurs mostly on oily areas of the skin.
- Dyshidrotic dermatitis – (also called dyshidrotic eczema or pompholyx) small, itchy, fluid-filled blisters that appear on the soles of the feet or palms of the hands, or the tips of the fingers or toes. The blisters may break out due to exposure to an allergen or when hands and feet are often wet or sweaty.
- Diaper rash – a red rash that forms on a baby’s bottom or perineal area due to contact with the diaper and frequent wetness.
- Neurodermatitis – (also called lichen simplex chronicus) is a type of eczema marked by one or two very itchy, scaly patches that can become thickened and leathery – most often affects an area on the neck, ankle, arm, or groin. Neurodermatitis can itch so intensely that it affects a person’s sleep, and can be triggered by stressful events.
- Nummular dermatitis – (also known as discoid eczema) is marked by round, coin-shaped lesions that appear on the limbs or torso. These lesions can become infected with scratching, and may be related to poor circulation.
- Perioral dermatitis or Periorificial dermatitis – pink scaly patches or pustules that form around the mouth. This occurs more commonly in young women. Some doctors believe it may be related to candida, and/or influenced by hormones.
- Stasis dermatitis – (also called venous stasis dermatitis) itchy, scaly, discolored skin around the lower legs and ankles, due to poor circulation and blood pooling in the lower extremities.
- Dermatitis herpetiformis – a bumpy, blistered skin rash (looks similar to a herpes outbreak, but is not actually related to herpes simplex) that is related to celiac disease, triggered by ingesting gluten or wheat.
Psoriasis can look similar to eczema, but it is a separate condition that can coexist with various types of dermatitis. Rosacea redness can also look similar to dermatitis, but is a distinctly different condition that can occur at the same time as dermatitis.
What Causes Dermatitis?
A combination of the immune system reacting to irritants in the environment, and genetic predisposition.
Common environmental factors that can contribute to dermatitis include:
- Chemicals
- Air pollutants
- Fluoride in water or toothpaste
- Fragrances, perfumes, air freshener
- Fragrances in skin products, cosmetics, lotions, soaps
- Tobacco smoke
Other conditions that may occur simultaneously with dermatitis include: depression, anxiety, insomnia, allergies, and asthma.
Eczema Treatment
There are many different types of medical treatment for dermatitis. Some are topical—meaning, applied to the skin. Others are taken in an oral pill form, or injected into the skin.
Topical corticosteroid creams, which can help reduce skin inflammation, are the most common treatment for eczema and dermatitis. These can help reduce itching and swelling. However, prolonged use of topical steroids can cause side effects like thin skin, spider veins, and acne. Steroids can affect growth in children, and can cause eye problems like glaucoma or cataracts in older people.
Steroids that are taken orally, like Prednisone, can help control systemic inflammation for a time, while patches of scaly skin heal. However, there are many serious side effects associated with taking steroids for a long time, and it is also possible to experience a “rebound effect.” This means that the dermatitis symptoms come back even stronger when a person stops taking the steroid medications.
Calineuron inhibitors and JAK inhibitors are designed to stop certain chemical processes in the body related to immune responses. They can help block immune system reactions to calm the dermatitis skin problems.
There are many new types of treatment for eczema being developed. Phototherapy, or light therapy, using ultraviolet (UV) light, may be tried when topical treatments are not working for eczema that is widespread over the whole body. However, this kind of therapy can cause prematurely aging skin, changing skin pigmentation, and potentially increase the risk of skin cancer.
Acupuncture and TCM herbal supplements offer a way to treat eczema without any damaging side effects.
Can Acupuncture Help Dermatitis and Eczema?
One of the core concepts of TCM is the 5 Elements Theory, according to which organs of the body correspond with seasons and weather conditions. According to this theory, eczema and other kinds of dermatitis arise due to imbalances within the internal organ systems affected by external conditions, such as Wind and Heat.
The lungs, especially, are connected to the skin in the TCM system. The lungs can be affected by excess heat or stagnation in the liver. Thus, an itchy red rash on the skin is actually an expression of a deeper, more complex internal condition. Therefore, it is necessary to treat dermatitis and eczema not only with topical creams, but to use acupuncture and herbs to balance all of the organ systems.
The acupuncturist gets clues about which internal organs are out of harmony by observing the eczema symptoms: the type of rash or scaly skin, the color and temperature. Each individual case of dermatitis is unique, triggered by different irritants, and arising from a person’s overall state of health.
One study showed that acupuncture treatment worked better than antihistamines for helping to reduce the itchiness of atopic dermatitis pruritus. Acupuncture also helps to reduce inflammation and overall stress.
Studies done in China to determine the efficacy of an herbal formulation developed for eczema showed that it worked well to reduce itching and recurrence of rash.
As systematic review of over 350 studies on acupuncture for eczema showed the patients who were given acupuncture treatment instead of conventional treatment experienced better overall symptom reduction and quality of life.
Top 5 Tips to Prevent Dermatitis Itchy Skin
There are things you can do to help prevent eczema flare-ups from occurring and avoid recurrent rashes.
- Do not bathe in very hot water.
- Keep showers short and warm, and use gentle cleansers, without strong chemical perfumes.
- Do not scrub your skin during or after the shower, while drying. Pat gently.
- Use moisturizer frequently to maintain a protective layer on your skin.
- Wear long pants and sleeves when hiking and adventuring. Wear gloves when gardening.
Acupuncture Near Me for Dermatitis in Los Angeles and Santa Monica
Acupuncture can help relieve itching, aid in the healing of lesions, help stimulate healthier immune responses, and reduce stress. TCM treatment can also be sought as a safe treatment for children with eczema, or during pregnancy, as it is free of negative side effects.
TCM can also help patients with other skin conditions, including signs of aging, acne, hives (urticaria), rosacea, vitiligo, and psoriasis.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Colitis With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Diarrhea, bloody stool, fatigue, fever? These could be colitis symptoms. Ulcerative colitis is an inflammatory bowel disease (IBD) that causes swelling in the large intestine, abdominal pain, bloating and bloody diarrhea. Acupuncture and TCM can offer an alternative colitis treatment to help relieve ulcerative colitis symptoms.
Colitis is a gastrointestinal disease in which the colon—also known as the bowel, or the large intestine—becomes inflamed and can develop open sores, or ulcers.
Ulcerative colitis is the term for colitis that is caused by an autoimmune disorder. The immune system launches an attack on the tissues of the intestinal lining, causing inflammation and sores. It is similar to Crohn’s disease: an autoimmune disease that can affect any part of the digestive tract.
What causes colitis? There are several problems that can lead to abdominal pain and diarrhea, and sometimes it can be difficult to discover what is causing a person to have colitis symptoms.
Parasites, bacterial infections, or food poisoning can cause pain, inflammation in the colon, and diarrhea. For example, e coli bacteria, sometimes found in improperly cooked beef, can cause colitis symptoms. This is known as e colitis, or hemorrhagic colitis.
IBS (irritable bowel syndrome) symptoms can seem similar to those of colitis. People who suffer from IBS can have abdominal pain and diarrhea, urgency and mucus in their stool. However, IBS is considered a functional gastrointestinal disorder, not a disease. IBS does not cause permanent damage to the intestinal lining, while colitis can.
Ischemic colitis is a specific type of colitis caused by a blockage of blood flow to the intestine. This is more common in older adults, and can be the result of a blood clot in an artery, or low blood pressure due to heart failure or recovery from some major surgery. Some conditions, like lupus or sickle cell anemia, can restrict blood flow to the gastrointestinal tract. It could also happen due to a bowel obstruction caused by a tumor or hernia. Some medications can also restrict blood flow to the intestine.
TCM and acupuncture treatment, whether alone or as an adjunct to conventional treatment, can help relieve the symptoms of colitis by reducing inflammation in the intestine, helping to stop bleeding and helping to restore normal bowel movements.
Colitis Symptoms
Ulcerative colitis symptoms can be mild at first and become more persistent and/or severe over time. Some common symptoms of colitis, or IBD symptoms, include:
- Loose stool, loose bowel movements, diarrhea
- Urgency to go to the bathroom, feeling like you have to poop all the time
- Feeling like you have to poop, but not being able to
- Bloody stool, bloody poop
- Mucus in stool
- Abdominal pain
- Abdominal cramps, cramping
- Rectal pain
- Fatigue, feeling tired all the time, no energy
- Fever
- Weight loss
Symptoms of ulcerative colitis can come and go, or “flare up” at times. When symptoms abate, this is called “remission.”
Children can have colitis, which may cause them to not grow properly.
Colitis Treatment
Testing for IBDs might start with some basic blood tests and a stool sample test to see if there are any bacterial or parasitic causes of diarrhea. If inflammation needs to be looked at more closely to discover its location and cause, a colonoscopy or sigmoidoscopy may be done. Imaging—X-ray, ultrasound, or MRI—may be used to show if there is some kind of obstruction of the intestine.
If testing and treatment have ruled out IBD and other potential causes, a tissue biopsy may be used to diagnose ulcerative colitis, the autoimmune form of colitis.
Generally, once colitis or inflammatory bowel disease has been diagnosed, the main goal is to reduce inflammation in the colon. Anti-inflammatory drugs will usually be prescribed. Anti-diarrheal medications and pain relievers provide some symptomatic relief.
Ulcerative colitis is usually treated with a combination of anti-inflammatories and immunosuppressants. Unfortunately, these types of medications can have significant side effects. Long term use of corticosteroids can cause bone loss and swelling, while immunosuppressants can stress the liver and pancreas.
Newer pharmacological treatments include “small molecules,” like Xeljanz, which act as anti-inflammatories and immunosuppressants. However, these drugs have been flagged for potentially causing heart problems, and maybe even cancer.
When medications and dietary changes don’t help enough, surgery to remove part of the large intestine may be sought.
Acupuncture and TCM offer an alternative treatment for colitis, which may help relieve symptoms without side effects.
Can Acupuncture Help Colitis?
TCM herbs and acupuncture treatment are excellent modalities for helping to reduce inflammation. In the case of colitis and ulcerative colitis, the central problem is that the body is producing an inflammatory response in the large intestine that leads to pain and dysfunction. According to TCM theory, imbalances in the internal organs can cause heat, dampness, or blood stasis. In different people, the ways that colitis shows up may vary, depending on the pathogenic forces at work.
Acupuncture points to help relieve diarrhea, bloating, and bleeding in the colon will be combined with beneficial herbs to help clear heat and dampness. One study done in China showed that patients with ulcerative colitis who received acupuncture and herbal supplements in addition to conventional pharmaceutical treatments healed more quickly than those who did not receive TCM. They also reported feeling less anxiety and depression.
A systematic review of studies done regarding TCM for colitis concluded that acupuncture and herbs were effective compared to medical treatments.
Studies have shown that acupuncture can help balance the gut biome and help strengthen the intestinal walls.
Acupuncture has been shown to help people whose colitis is in remission to maintain better function.
TCM herbs, used in combination with conventional treatment, may help improve the healing of the mucosal lining of the intestine. One study showed that herbs helped stop bleeding from the colon in patients with ulcerative colitis.
Moxibustion has also been shown to help as a treatment for IBD, helping to relieve diarrhea, nausea, and abdominal cramping.
Acupuncture is believed, in part, to help regulate inflammatory bowel diseases by providing positive stimulation of the vagus nerve, which plays an important role in inflammatory responses.
Acupuncture Near Me for Ulcerative Colitis in Los Angeles and Santa Monica
Acupuncture can be an excellent adjunct to standard treatment for gastrointestinal disorders of all kinds, including: IBS, Crohn’s disease, Celiac disease, and Candida. At Art of Wellness, we have over 30 years of experience helping people with IBD and colitis to improve 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 Anemia With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D & Xiaomei Cai, L.Ac., Ph.D
Tired, weak, and pale? These can be symptoms of Anemia. Whether anemia is due to deficiency of iron, or inherited, as with sickle cell anemia or thalassemia, TCM and acupuncture can provide an alternative or adjunct anemia treatment.
Anemia (sometimes spelled ‘anaemia’) is a broad term referring to blood disorders that cause people to either not have enough red blood cells, or to have red blood cells that don’t function properly. Red blood cells are made by the bone marrow, using iron, folic acid, and vitamin B12 as building blocks.
Red blood cells carry hemoglobin to organs and tissues throughout the body. Hemoglobin is a protein that contains iron. Hemoglobin picks up oxygen from the lungs and carries it to the rest of the body. If this process is disrupted, then cells in the body don’t get the oxygen they need.
Top 5 Types of Anemia
There are many different types of anemia. Some are genetically inherited. Others may manifest due to conditions like pregnancy, an injury, an illness like mononucleosis, or nutritional deficiencies. Some types of anemia are related to autoimmune disorders, such as lupus, Crohn’s, or Celiac disease. Anemia can also be caused by blood loss due to an accident or surgery, or internal bleeding. The most common types of anemia include:
- Sickle cell anemia
- Pernicious anemia
- Iron deficiency anemia
- Thalassemia
- Aplastic anemia
Sickle cell disease is an inherited condition in which some red blood cells form in an unusual shape, like a sickle or crescent. These cells have a harder time moving through the blood vessels, so blood flow can become slow or blocked.
Thalassemia is also inherited. With this condition, the body does not make enough hemoglobin.
Iron deficiency anemia occurs when a person doesn’t have enough iron to nourish their red blood cells, so they have low hemoglobin levels. This type of anemia can happen due to a loss of blood, or because a person’s digestive system isn’t absorbing enough iron from their food. Sometimes people develop this type of anemia during pregnancy, because a lot of iron is going to the growing fetus.
Low levels of Vitamin B12 and/or folate can also cause anemia. Pernicious anemia is a type of autoimmune disorder in which the digestive tract cannot properly absorb vitamin B-12 because immune cells are attacking the lining of the stomach. Megaloblastic anemia is another kind of anemia, where the red blood cells are too large, that happens due to a B12 deficiency, or lack of folate.
People can also develop a form of pernicious anemia after having a gastric bypass or other surgery in which a part of the stomach or small intestine is removed. This inhibits their ability to absorb nutrients during digestion.
Aplastic anemia occurs when the bone marrow cannot produce enough blood cells. Aplastic anemia is rare, but it may happen when a person has gone through chemotherapy or radiation treatment, had a reaction to some toxin or medication, or after a viral infection.
Aplastic anemia can also manifest as an autoimmune disorder, in which the immune system attacks the bone tissue. Fanconi anemia is a genetic condition that also affects the bone marrow’s ability to make red blood cells.
Top 10 Anemia Symptoms
What are the signs that you are anemic? Pallor, or pale skin, weakness and fatigue, dizziness, and headaches are some of the most well-known iron deficiency symptoms.
Other signs of anemia include:
- Fatigue, feeling tired all the time
- Muscle weakness
- Markedly pale skin, pallor, or yellow skin
- Shortness of breath, rapid breathing
- Changes in stool
- Dizziness, light-headed
- Palpitations, rapid heart rate
- Low blood pressure
- Feelings of irritability, anger, frustration, depression, anxiety
- Headaches
Other signs of low iron can include:
- bruising easily
- pounding or “whooshing” in the ears
- cravings for ice or clay
- brittle nails
- hair loss
- sore tongue
- enlarged spleen
If anemia worsens, low iron symptoms or low hemoglobin symptoms could include:
- fainting, passing out
- whites of the eyes look blue
- chest pain
Treatment for Anemia
Doctors will usually order a CBC test first to check for anemia. This can reveal how many red blood cells you have, and the shape of the cells. Tests can also show B12 and iron levels.
Iron supplements and high iron foods will be recommended. In more severe cases, iron may be supplied intravenously, or with a blood transfusion. Vitamin B12 shots or supplementation of folic acid and Vitamin C may also be recommended.
Genetic types of anemia like sickle cell disease and thalassemia may be treated with a bone marrow transplant.
Autoimmune related anemia, like aplastic anemia, is usually treated with blood transfusions, immunosuppressant medications and steroids, and ultimately, bone marrow transplant, or stem cell transplant.
Anemia is, for the most part, considered a chronic illness that can be managed with additional iron and other nutrients. TCM allows us to look more deeply at the root causes of anemia, and to help increase iron absorption by addressing deficiencies affecting the digestive tract.
Can Acupuncture Help Anemia?
In TCM, we see many conditions as occurring due to a deficiency of Qi (vital energy) and/or blood. Blood deficiency can be the result of excessive blood loss, as after an injury, or due to heavy menstrual bleeding, as when a person has uterine fibroids. It can also happen because the organ systems are not able to perform their roles in the production of blood. Blood stasis, which occurs when blood is not being moved or replaced properly, can also be a factor.
In TCM theory, blood is considered to be governed by the heart, stored in the liver, and produced by the spleen. TCM differentiates different patterns of blood deficiency according to which organ systems seem to be affected:
- Heart blood deficiency: restlessness, difficulty concentrating, memory problems, heart palpitations
- Spleen blood deficiency: weight loss, lack of appetite, mental fatigue
- Liver blood deficiency: irritability, dry, brittle nails, spasms
Acupuncture treatment for anemia may involve, then, using specific acupoints to help strengthen the Qi of the liver, stomach, and/or spleen.
The root cause of anemia is that the digestive tract is not able to absorb nutrients adequately. Acupuncture has been shown in studies to help increase iron absorption in the intestinal tract. In laboratory studies, acupuncture treatment was seen to increase levels of serum ferritin, a protein that carries iron in the blood.
Chinese herbal supplements for anemia can help to remove blood stasis, strengthen the spleen and heart, and provide nourishment for the production of blood cells.
One study showed that TCM herbs helped reduce mortality risk when used as an adjunct or alternative to medical therapies in patients with aplastic anemia.
Acupuncture Near Me for Anemia in Los Angeles and Santa Monica
Anemia can have an impact not only on your energy and physical well-being, but your mental health, as well. TCM treatment for anemia involves a combination of acupuncture, herbs, and nutrition that can help strengthen the process of blood production and transportation throughout the body, while also helping to relieve symptoms like dizziness, fatigue, headaches, and irregular heartbeat. The acupuncturists at Art of Wellness have over 30 years of experience helping patients overcome chronic conditions like anemia.
*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 Encephalitis With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Headache, sensitivity to light, stiff neck, short-term memory loss? These could be signs of encephalitis, or inflammation in the brain. Infectious encephalitis can happen due to an infection; autoimmune encephalitis (AIE) is a type of autoimmune disorder. Acupuncture and TCM offer an adjunct treatment for encephalitis recovery.
What is encephalitis? Encephalitis refers to a serious condition in which the tissues of the brain become inflamed. It can happen to anyone, but is more common among children and older people.
The symptoms of encephalitis are sometimes ignored, because headaches, neck pain, and “brain fog” are so common and may not seem that serious at first. However, in combination, these signs should not be taken lightly. Like meningitis (inflammation of the membrane surrounding the brain and spinal cord), encephalitis can cause serious complications if left untreated. Encephalitis needs to be caught early and treated in order for people to make a full recovery.
What causes encephalitis? Brain inflammation can be caused by the body’s immune response to an infection, or due to an autoimmune disorder, in which the body produces antibodies that attack the brain tissues.
Top 10 Causes of Encephalitis
Viral infections are the primary reason that people develop encephalitis. These could be viruses carried by insects, especially mosquitoes, which are then contracted by humans through bites. Other communicable viral infections that pass from person to person through bodily fluids or close contact can also cause infectious encephalitis.
Infections that can lead to encephalitis include:
- Mosquito-borne viruses such as: West Nile Virus, Eastern Equine encephalitis, Western Equine encephalitis, St. Louis encephalitis, LaCrosse encephalitis
- Tick-borne viruses
- Rabies virus – can be contracted through being bitten by an infected animal
- Polio virus
- Herpes Simplex, Type 1 and Type 2 (HPV1 and HPV2)
- Epstein-Barr virus (mono, mononucleosis)
- Varicella Oster virus (chicken pox, shingles)
- Measles (rubeola)
- German measles (rubella)
- Mumps
There have been cases of people developing encephalitis as a complication of a COVID-19 infection.
Some cases of encephalitis can be caused by bacterial or fungal infections, or by a parasite. It could also be caused by exposure to some sort of allergen or toxin in the environment.
People with weakened immune systems—for example, due to HIV/AIDs—or who take immunosuppressant medications are at a higher risk for developing encephalitis.
Immunotherapy used to treat certain kinds of cancer, such as melanoma, ovarian cancer or lung cancer, has been shown to cause encephalitis in some cases.
Some cases of autoimmune encephalitis, called Anti-NMDAR encephalitis, appear to be related to a certain kind of tumor called a teteroma. In women and young women, especially, this can be an ovarian tumor that produces the antibodies for NMDAR.
Symptoms of Encephalitis
A mild case of encephalitis might only cause some flu-like symptoms that clear up within a few weeks. These types of symptoms include:
- Headache
- Stiff neck, neck pain
- Muscle aches, joint pain
- Fever
- Fatigue, feeling tired and weak
- Sensitivity to light
More severe symptoms of encephalitis can affect both cognitive and motor function:
- Mental confusion, brain fog, difficulty concentrating
- Memory problems, short term memory loss
- Hallucinations
- Seizures
- Severe headache
- Trouble with coordination or balance
- Loss of sensations in parts of the body or face
- Loss of muscle control in parts of the body or face
- Problems with speaking or hearing
- Mood swings, changes in personality
Anti-NMDAR encephalitis (when there may be an ovarian tumor involved, especially) can cause symptoms like pro-domal headache, nausea, and fever, which may then progress to more severe complications, including involuntary movements or tremors, urinary incontinence, rapid heartbeat, and psychiatric symptoms like anxiety, paranoia, or mania.
In severe cases, encephalitis can cause loss of consciousness and even cause a person to go into a coma. It is very important to seek urgent medical attention if you experience any of these symptoms.
Treatment for Encephalitis
Blood tests can confirm whether a viral or bacterial infection is causing encephalitis. Imaging tests like an MRI or CT scan may show the inflammation in the brain. A spinal tap may show an imbalance in cerebral fluids, or an EEG may show unusual electrical impulses in the brain.
However, there are times when these tests will not show exactly what is causing the encephalitis. As with many autoimmune disorders, it can be hard to pinpoint a clear diagnosis for autoimmune encephalitis (AIE).
Medical treatment for encephalitis will depend on what type it is determined to be. Mild inflammation will usually be treated with over the counter anti-inflammatory medications. Antivirals or antibiotics will be prescribed if a specific infection is found to be the cause. Steroids will often be used to help reduce inflammation. In more serious cases, a person may require breathing assistance or anti-seizure medications.
In cases where the cause is believed to be an autoimmune response, immunotherapy is used to try to interfere with the antibodies that are attacking the brain tissues. Steroids will be usually used in combination with other treatments. Plasmapheresis, or plasma exchange, removes some of these antibodies from the blood. Intravenous immunoglobulin therapy introduces healthy antibodies to block the action of the malfunctioning antibodies.
In cases of anti-NMDAR encephalitis where a tumor is present, treatment will include the removal of the tumor in addition to immunotherapy. Patients with this type of encephalitis may also be prescribed antipsychotic drugs to relieve psychiatric symptoms.
Immunotherapy works for some patients, but not all. Many patients will be offered second-line treatments such as monoclonal antibodies or antimetabolites. In some cases, people may seem to recover from encephalitis for a while, and then have a relapse in which the inflammation flares up again.
Most people will need significant time and rehabilitation to help them make a full recovery from encephalitis. Some people will have long-lasting effects, such as memory problems, balance and coordination issues, speech problems, and emotional volatility.
Many of the pharmaceutical treatments available for encephalitis cause significant side effects and can even lead to more physical, emotional and mental health issues. Fortunately, acupuncture and other TCM modalities offer a way to reduce inflammation in the brain and help relieve encephalitis, as well as helping to offset any side effects from other medical interventions.
Can Acupuncture Help Encephalitis?
With acupuncture and Chinese herbs, we seek to treat the root cause and the various symptoms and complications of each condition according to recognizable patterns. This allows us to effectively treat some conditions, such as autoimmune diseases, neurological disorders, and inflammatory conditions that may not readily respond to conventional medicine.
In the TCM view, inflammation occurs because there is too much heat in the body. Yang energy provides the “fire” we need to keep the body warm and energetic. But, if there is an imbalance, and too much heat, this leads to conditions like fever, infections, and inflammation. So, we see pathogenic internal heat as contributing to encephalitis, in addition to outside pathogens like viruses or bacteria. To clear heat that is trapped or stagnant in the body, we will use specific herbs and cooling foods, along with acupuncture treatment and lifestyle changes to reduce physical and mental stress. TCM herbs can also be highly effective against bacterial and viral infections.
The motor control and cognitive problems that can result from encephalitis occur because the inflammation in the brain is affecting the functioning of the central nervous system. With acupuncture, we can help to reestablish connections and neural pathways.
Autoimmune disorders are still not well understood by Western medicine, but with acupuncture we can help to balance and regulate the immune system, so that it is not being inappropriately triggered. This is why acupuncture works well as an adjunct treatment for encephalitis and many other autoimmune disorders.
Acupuncture Near Me for Encephalitis in Los Angeles and West Los Angeles
It can be very difficult when you or someone you love is facing a serious illness and a long, difficult recovery. TCM offers a healthcare option that treats each person in a highly individualized and caring way. At Art of Wellness, we have over 30 years of experience helping people gain back their strength and mobility after suffering from conditions like encephalitis, meningitis, Lyme disease, Guillain Barré Syndrome, Myasthenia Gravis, and many others.
*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 Chronic Fatigue Syndrome With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Chronic fatigue syndrome (CFS), also known as myalgic encephalitis (ME/CFS), is a condition marked by extreme fatigue that doesn’t get better, even with rest, and gets worse with physical and mental exertion. Chronic fatigue is not well understood by medical science, but acupuncture and Chinese medicine for chronic fatigue syndrome symptoms can be an effective treatment option.
People with chronic fatigue syndrome are always tired, even after getting a normal amount of sleep, and the condition persists for weeks, months, or years. Other chronic fatigue symptoms include body aches, cognitive problems, vision problems, and emotional or mental health problems, like depression and anxiety.
If a person feels tired all the time, with no medical explanation, for six months or more, and has several other chronic fatigue syndrome symptoms like dizziness, difficulty concentrating, headaches, or sensitivity to light, then they might be diagnosed with CFS, or myalgic encephalitis (ME CFS).
By definition, a syndrome is a collection of symptoms that often appear together in combination, for which the exact explanation is unknown. Chronic fatigue has been considered a syndrome for some time, but has more recently been given the designation of a “disease;” hence, the newer term “myalgic encephalitis,” which refers to muscle pain and inflammation of the brain and spinal cord.
Chronic fatigue syndrome symptoms can be very similar to those of fibromyalgia. People with fibromyalgia also experience severe fatigue, but the primary symptoms of fibromyalgia are musculoskeletal pain that comes and goes all over, especially in “tender points” around the major muscles and joints, along with swelling and inflammation. It is possible to have both ME/CFS and fibromyalgia.
Women are much more likely to have chronic fatigue than men. MECFS can begin to appear at any stage of life, but most usually develops in adulthood. It is estimated that up to 90% of people who have chronic fatigue go undiagnosed.
ME/CFS is a serious and disabling condition that can interfere with even the most basic daily activities. People with chronic fatigue may be able to participate in some events where they exert themselves mentally and/or physically, but afterwards, they will feel completely wiped out and have to take time to recover, often confined to bed. This is called post-exertional malaise (PEM).
Top 10 Chronic Fatigue Syndrome Symptoms
The most common ME/CFS symptoms include:
- Fatigue, tired all the time, weakness
- Sensitivity to light
- Trouble concentrating, hard to focus, memory problems, confusion
- Dizziness, especially when getting up from lying down
- Headaches
- Muscle aches, body ache, muscle weakness, joint pain
- Enlarged lymph nodes in neck or armpit area, sore throat
- Tired after exercise or mental exertion (post-exertional malaise)
- Depression, mood swings, moodiness
- Insomnia, sleep problems
Other signs of chronic fatigue syndrome may include: fever, abdominal pain, weight loss or weight gain, allergies, rash, rapid heart beat, and night sweats/hot flashes.
What Causes Chronic Fatigue?
The cause of ME/CFS is not known. Immune system dysfunction, the aftereffects of having a virus, and psychological factors have all been associated with the development of chronic fatigue.
Some people begin to have symptoms of chronic fatigue after having a viral infection, such as Epstein Barr, mononucleosis, or herpes. Postural orthostatic tachycardia syndrome (POTS) is also strongly associated with chronic fatigue.
While it does seem that some people who suffer from CFS also have immune system problems, chronic fatigue is not considered to be an autoimmune disorder in and of itself. As with other conditions like lupus or fibromyalgia, CFS sometimes appears after a person has gone through some sort of emotional trauma or physical injury.
Some people with chronic fatigue have hormone imbalances related to pituitary hormone, adrenal hormone, or hypothalamus hormones, but it is not understood how these might be related to their condition. Diabetes, anemia, or hypothyroidism can also create hormonal imbalances that can contribute to chronic fatigue.
In some cases, chronic fatigue could be due to a sleep disorder, such as sleep apnea or chronic insomnia. Long-standing mental health issues like depression, anxiety, or PTSD can interfere with sleep and hormone responses, contributing to the chronic fatigue syndrome symptoms.
Treatment for Chronic Fatigue Syndrome Symptoms
There is no clear treatment protocol within conventional Western medicine for ME/CFS. A doctor may diagnose myalgic encephalitis if they have ruled out other possibilities and then try to recommend medications or various types of therapy to help people deal with the symptoms of chronic fatigue.
Pain relievers or NSAIDs will often be the standard recommendation for handling ME/CFS related pain like headaches or muscles aches.
Doctors may prescribe antidepressants as a way of helping patients cope with depression and anxiety related to chronic fatigue. However, these medications can sometimes cause side effects that will exacerbate the chronic fatigue rather than helping it.
Some doctors have tried treating CFS with antiviral medications, corticosteroids, or thyroid hormone medications. None of the pharmacological interventions that have been used to treat chronic fatigue syndrome have proved to be very effective.
Thus, many patients with ME/CFS consider turning to alternative medicine or complementary therapies to relieve CFS symptoms. Acupuncture is now widely recognized as an alternative therapy for chronic fatigue.
Can Acupuncture and Chinese Medicine Help Chronic Fatigue Syndrome?
Traditional Chinese medicine is well suited to treatment for ME/CFS. Overall, TCM philosophy pays close attention to the subtle balance of energy, known as Qi, within the body as a whole, as well as within the various organ systems. By observing the specific symptoms each person experiences as part of chronic fatigue syndrome, we can pinpoint which organ systems are deficient and need strengthening.
Classic TCM patterns related to chronic fatigue diagnosis include:
- Spleen Qi deficiency
- Liver Qi stagnation
- Kidney deficiency
- Yin deficiency
- Heat toxicity
- Phlegm obstruction/dampness
Latent heat and dampness are sometimes the long-term effects of a viral infection or other illness, or a long period of emotional stress. These conditions originate from an external pathogenic factor, but then cause a series of imbalances which weaken the kidneys and other organs over time. Acupuncture treatment and herbs can help reduce inflammation and strengthen Qi.
A TCM doctor will choose acupuncture points and a combination of herbs that will help harmonize the affected systems. With herbs, we are able to get nutrients into the body beyond what you can do with foods alone. A balanced diet that cools heat and tonifies the organs will also be important for recovering strength and energy.
One controlled trial found that four weeks of acupuncture treatment led to improvements in CFS symptoms.
A systematic review of studies regarding acupuncture treatment for ME CFS showed a reduction in the severity of fatigue.
A study using acupuncture and moxibustion treatment for CFS showed a 90% effective rate, with half of the patients feeling that their CFS was “cured.”
Another study involving acupuncture and moxibustion found that the moxa treatment in particular became more and more effective as treatment sessions continued past the 10th treatment. Moxibustion was shown to have an effect on the vagus nerve, which controls the parasympathetic nervous system.
How long it takes to get results from acupuncture treatment for chronic fatigue will vary from person to person, depending on how long the person has been experiencing CFS, and how deeply the organ systems are affected. TCM treatment has a cumulative effect which strengthens over time and several sessions.
Acupuncture Near Me for Chronic Fatigue Syndrome (ME/CFS) in the Los Angeles Area
ME CFS is far more common than statistics show, because many people suffer in silence and invisibility. Now, many people are struggling with chronic fatigue after having COVID-19. TCM modalities like acupuncture, Chinese herbs, and moxibustion, can help relieve fatigue, depression, mental fogginess, poor sleep, and other symptoms of CFS. If you or someone you love has been feeling exhausted for months without improvement, it may be time to consider trying acupuncture for chronic fatigue.
*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.