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How to Treat POTS With Acupuncture and TCM

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

 

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

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

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

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

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

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

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

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

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

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

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

 

Top 10 POTS Symptoms

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

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

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

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

POTS symptoms may resemble many other conditions, such as:

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

 

Medical Treatment for POTS

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

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

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

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

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

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

 

Can Acupuncture Help POTS?

acupuncture treatment
Acupuncture treatment can help relieve POTS symptoms.

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

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

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

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

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

 

Acupuncture Near Me for POTS in West Los Angeles

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



 

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

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How to Treat Encephalitis With Acupuncture and TCM

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

encephalitis neck pain stiff
Neck pain or stiffness can be a sign of encephalitis.

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:

  1. Mosquito-borne viruses such as: West Nile Virus, Eastern Equine encephalitis, Western Equine encephalitis, St. Louis encephalitis, LaCrosse encephalitis
  2. Tick-borne viruses
  3. Rabies virus – can be contracted through being bitten by an infected animal
  4. Polio virus
  5. Herpes Simplex, Type 1 and Type 2 (HPV1 and HPV2)
  6. Epstein-Barr virus (mono, mononucleosis)
  7. Varicella Oster virus (chicken pox, shingles)
  8. Measles (rubeola)
  9. German measles (rubella)
  10. 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

encephalitis in children
Children can develop encephalitis due to a viral or bacterial infection.

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

encephalitis brain inflammation
Imaging may show inflammation in the brain.

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?

Chinese herbs reduce inflammation
Chinese herbs can help reduce inflammation.

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 Gravisand 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.

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How to Treat Occipital Neuralgia With Acupuncture and TCM

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

occipital neuralgia migraine neck pain back of head
Occipital Neuralgia causes neck pain and back of head pain.

Throbbing headache and back of neck pain? Occipital Neuralgia, sometimes called “occipital migraine,” is a kind of chronic headache that causes stabbing neck pain and headache back of head. Acupuncture and TCM offer a way to help ease occipital nerve pain.

Occipital headache causes are usually due to compression of the occipital nerves, which start at the top of the spine where the neck is joined to the head and then run up into the scalp. A pinched nerve in the neck area, or tight muscles in the neck can lead to occipital pain, like a headache at base of skull.

Neck pain and back of head pain from an occipital migraine is often described as feeling like an electric shock or “zap,” or a sharp, shooting pain in the back of the head. The sensation may come on suddenly and last for only a few seconds, or it can go on throbbing for hours.

Occipital neuralgia pain is similar to that of Trigeminal Neuralgia, in which the intense nerve pain is on one side of the face, rather than the back part of the head. Occipital pain can also resemble that of chronic migraines and other kinds of headache disorders.

Occipital Neuralgia pain areas can include:

  1. Pain starts in the back of the neck and spreads upwards
  2. Back of head pain, behind the ears
  3. Pain on one side of the head
  4. Scalp pain, scalp tender to the touch
  5. Pain in the forehead
  6. Pain behind the eyes
  7. Eyes are sensitive to light

Occipital neuralgia pain can make the scalp feel so sensitive that even shampooing your hair or resting your head on a pillow feels unbearable. It can also feel like a burning sensation, or simply an aching neck.

Acupuncture can be used as an alternative or adjunct therapy for occipital neuralgia to bring headache and neck pain relief.

 

What Causes Occipital Neuralgia?

occipital neuralgia back of head pain migraine
Occipital headaches often start at the base of the skull and move upwards

Occipital neuralgia occurs when the occipital nerves in the back of the head and neck are irritated or injured. There can be many different kinds of factors that trigger occipital neuralgia, such as:

  • Pinched nerve in the neck
  • Tension or tight muscles in the neck cause compression
  • Compression of the nerves due to osteoarthritis in the spine, degenerative disc disease, or a herniated disk
  • Trauma to the back of the head or the neck
  • Tumor or other type of lesion in neck compresses the nerves
  • Gout
  • Diabetes
  • Vasculitis (inflamed blood vessels)

Holding the head and neck in a position where it is tilted forward and down, such as when reading or looking at a screen for long periods of time can be associated with occipital neuralgia. 

Often, though, the exact cause of the occipital pain in the head and neck is not discovered.

There is no clear test used to diagnose occipital neuralgia. The symptoms of occipital nerve pain are similar to other types of migraine headaches, and it is possible for a person to have both migraines and occipital neuralgia, so it can be challenging for doctors to determine exactly what is going on.

Conventional Treatment for Occipital Neuralgia

One of the ways that medical doctors will try to confirm a diagnosis of Occipital Neuralgia is by injecting a combination of anesthetic and steroids (occipital nerve block) into the affected area, to see if it deadens the pain. Botox injections can also be used to produce this effect. The hope is that the irritated nerve will heal over time.

If neck tension seems to be the issue, muscle relaxants may be prescribed. Massage therapy can sometimes be helpful in these cases.

Occipital neuralgia treatment at home might involve alternating ice packs and heating pads to help relieve pain at the back of the neck. Exercises like yoga may also be helpful for relieving neck tension that triggers the nerve pain.

If none of these treatments provides relief, then surgical options might include occipital nerve stimulation, in which electrodes are implanted to block nerve signals.

Acupuncture and TCM can be sought as an alternative way to deal with occipital neuralgia, and many other types of nerve pain.

Can Acupuncture Help Occipital Neuralgia?

acupuncture for neck pain headaches and migraine
Acupuncture can help relieve neck pain, headaches, migraines, and nerve pain.

From the TCM point of view, pain conditions that come and go, or cause periodic pain and stiffness, fall under a category called “Bi Syndromes.” “Bi” means “obstruction.” Bi Syndromes occur when an external pathogenic force like wind, cold, or dampness gets into an area of the body and causes blockages in the flow of Qi. Then, the muscles and joints may be tender, swollen, or sore, or numb and tingling, or have limited range of movement. Most types of arthritis, for example, are Bi Syndromes, according to TCM theory.

Occipital neuralgia is considered a Bi Syndrome, where tightness in the neck and base of the skull causes the stabbing nerve pain to flare up. The goals of acupuncture treatment for occipital headache and neck pain are to reduce tension, stress, and inflammation, to clear blockages in the Qi at the organ system level, and to provide natural analgesic relief from nerve pain signals.

One case study of a patient who had been suffering from occipital headaches for over a year found that her pain resolved after five acupuncture treatments.

A systematic review of evidence related to TCM treatment for occipital neuralgia in China showed that acupuncture was effective both as an alternative to medical treatment, and as an adjunct to medicine.

Acupuncture Near Me for Occipital Neuralgia in Los Angeles

At Art of Wellness Acupuncture near Santa Monica and Brentwood, we have over 30 years of experience helping people heal from all kinds of neurological conditions and nerve pain. Conditions related to nerve compression, such as Carpal Tunnel syndrome (wrist pain), Morton’s Neuroma (ball of foot pain), Sciatica (hip pain), Plantar Fasciitis (heel pain), and even dental pain (toothaches) can all be relieved with acupuncture and TCM treatment. If you or someone you know is suffering with recurring headaches, migraines, or neck pain, please consider giving acupuncture a try.



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

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How to Treat Chronic Fatigue Syndrome With Acupuncture and TCM

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

 

chronic fatigue syndrome
When you have CFS, sleep doesn’t feel refreshing.

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

ME CFS chronic fatigue
Dizziness and headaches can be signs of chronic fatigue.

The most common ME/CFS symptoms include:

  1. Fatigue, tired all the time, weakness
  2. Sensitivity to light
  3. Trouble concentrating, hard to focus, memory problems, confusion
  4. Dizziness, especially when getting up from lying down
  5. Headaches
  6. Muscle aches, body ache, muscle weakness, joint pain
  7. Enlarged lymph nodes in neck or armpit area, sore throat
  8. Tired after exercise or mental exertion (post-exertional malaise)
  9. Depression, mood swings, moodiness
  10. 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

tired all the time fatigue
Feeling exhausted after mental or physical activity is called post exertional malaise (PEM).

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.



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How to Treat Meningitis With Acupuncture and TCM

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

meningitis headache
A sudden, severe headache and aversion to bright light can be a sign of meningitis.

Fever, vomiting, stiff neck, skin rash, aversion to light, bad headache? These are possible early signs of meningitis. Bacterial meningitis can become very serious very quickly—and even be deadly—,so it is important to be aware of meningitis symptoms. Acupuncture and TCM can provide adjunct treatment for meningitis in addition to conventional medicine.

Meningitis is a general term for any kind of swelling or inflammation in the tissue that surrounds the brain and spinal cord. These membranes are called the meninges. Sometimes called “spinal meningitis,” this type of inflammation is most often caused by either a bacterial infection or viral infection, but other things can cause meningitis, too.

The bacteria and viruses that can cause meningitis can be spread from person to person in the same ways as most colds, flus, and other infections. If you suspect you may have bacterial meningitis, it is important to seek treatment right away. Similar to encephalitis (inflammation of the brain), this illness can progress quickly, sometimes causing seizures and even death. 

Even after meningitis moves past an acute phase, many people will suffer from after effects and complications of meningitis, like headaches, vision or hearing problems, or cognitive issues. TCM and acupuncture can help people recover more fully from the effects of brain swelling due to meningitis. 

Top 5 Types of Meningitis:

Swelling in brain can be caused by meningitis bacteria, or can manifest due to a virus or some other condition. Causes of meningitis can include:

  1. Bacterial meningitis – meningitis can be triggered by various bacteria, such as the kinds that cause strep throat, pneumonia, tuberculosis, and colds and flu. This type of meningitis can become serious, even causing death if left untreated. Symptoms usually appear quite suddenly, and can worsen in a matter of hours. 
  2. Viral meningitis – Viruses that can cause meningitis include non-polio enteroviruses, herpes virus, West Nile, Epstein-Barr, measles, mumps, and chickenpox/shingles viruses. Typically meningitis caused by these types of viral infection is milder than bacterial meningitis. Certain types of meningitis are also associated with HIV/AIDS.
  3. Certain types of cancer – if a cancer tumor, such as a brain tumor, or a breast cancer tumor, begin to break apart and move through the body, they can get into the meninges and cause carcinomatous meningitis.
  4. Lupus – sometimes meningitis can be part of an autoimmune response that affects the central nervous system, such as occurs with Lupus.
  5. Injury to the head or spine, brain surgery – swelling around the brain can be caused by some kind of external physical trauma

Meningitis can also be caused by a fungus or parasite that gets into the body.

The effects of meningitis, especially bacterial meningitis, can be very serious, so if you see a combination of symptoms from those listed below, you should seek urgent medical attention.

Top 10 Meningitis Symptoms:

meningitis in children
Signs of meningitis in children include irritability, not eating or sleeping.

Brain swelling symptoms or symptoms for meningitis can include:

  1. Fever
  2. Nausea and/or vomiting
  3. Stiff neck, neck stiffness 
  4. Severe headache
  5. Meningitis rash on any part of the body: small red spots, red blotches, blood blisters
  6. Aversion to bright light
  7. Fatigue, sleepy, hard to stay awake
  8. Confusion, delirious, foggy head, difficulty concentrating
  9. Seizures
  10. No appetite or thirst

In infants and young children, signs of meningitis might include: crying, not wanting to eat, hard to wake up, high fever, stiffness in the body, swelling or bulging on the top of the head (fontanel).

There are a few types of meningitis vaccine, or meningococcal vaccine, which can help to prevent bacterial meningitis. 

Diagnosis and Treatment for Meningitis

When a patient presents with these types of symptoms, a doctor will probably want to err on the side of caution and test for bacterial meningitis, since time is of the essence when treating what could be a very serious condition.

meningitis diagnosis
Checking for swelling in the brain and spinal cord for meningitis diagnosis.

Blood tests, CT scan, or MRI may all be used to check for signs, but a spinal tap to collect cerebrospinal fluid is considered the definitive way to confirm a diagnosis of bacterial meningitis. 

Bacterial meningitis is treated with antibiotics and corticosteroid medications to get rid of the bacterial infection and reduce swelling.

Viral meningitis will not respond to antibiotics. Some doctors may prescribe steroid medications to reduce swelling.

It can take longer to figure out what is causing swelling in the brain if it is caused by some other factor, such as a fungal infection, or in relation to an autoimmune disorder. In some cases, a doctor may choose to start treating with antibiotics and/or antivirals until the root cause is determined.

Even after meningitis treatment, some people will continue to have after effects, some of which can even lead to disability. Cognitive problems with memory and concentration, vision problems, headaches, tinnitus (ringing in the ears), dizziness, problems with balance and coordination, and even seizures, can be some of the long-term effects of meningitis. Acupuncture and TCM can be very helpful for treating these lingering symptoms of meningitis.

Can Acupuncture Help Meningitis?

In Traditional Chinese medicine, we classify many infectious diseases—including cold and flu, strep throat, chicken pox, SARS, tuberculosis, and meningitis—as “warm” diseases. When these types of external pathogens get into the body, they cause fever, which depletes the Yin (cool, liquid) energy of the body. The TCM approach, then, is primarily to clear the heat.

acupuncture meningitis
Acupuncture treatment for meningitis.

TCM has its own way of looking at symptoms occurring in a pattern, from which we deduce what kind of pathogenic forces are creating disharmony. The TCM view of meningitis is that it relates to an invasion of Heat that leads to a deficiency of Yin energy. A pattern of symptoms that includes: fever, red skin rash, irritability, confusion, and trouble sleeping would indicate that pathogenic heat is depleting the body of fluids and affecting the pericardium, which in TCM means “protector of the heart.”

When these symptoms are present, we know that there is inflammation causing swelling of tissues and preventing the smooth flow of nutrition and Qi to the vital organs. Chinese herbs and acupuncture can help reduce inflammation that causes symptoms of meningitis.

Chinese herbal formulations that go back centuries can also have antibacterial and antiviral effects.

Acupuncture treatment can not only help, then, the root cause of meningitis, but can also deal with the symptoms many people experience as a result of swelling in the brain, such as headaches, dizziness, and spasms.

Acupuncture Near Me for Meningitis – Los Angeles Area

Meningitis is a condition that needs urgent care because it can be a very serious illness in the short-term. Meningitis can also lead to long-term effects that are debilitating. Acupuncture and TCM can provide relief and recovery from meningitis symptoms.

 

 

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

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