- Art of Wellness Acupuncture & Traditional Chinese Medicine (TCM)11704 Wilshire Blvd, Suite 295, Los Angeles, CA, 90025
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Migraines & Headaches
How to Treat BPPV (Vertigo) With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac. Ph.D.
Dizzy when lying down? Waking up dizzy? Head spinning sensation when you move from one position to another? These could be BPPV symptoms. Benign Paroxysmal Positional Vertigo (BPPV) is a common vertigo cause. Acupuncture and TCM offer an alternative or adjunct BPPV treatment to help relieve positional dizziness.
Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common causes of vertigo, a condition characterized by a feeling that the room is spinning.
BPPV is an inner ear disorder that affects the vestibular system, which controls your sense of balance. BPPV causes you to feel dizzy. The words “positional vertigo” in the name refer to the fact that the dizziness happens after you move your head, either by tilting or turning it, or you get dizzy when getting up from laying down.
Unlike some other forms of vertigo, BPPV is considered relatively harmless; hence the word “benign” in the name. However, its sudden and unpredictable nature can be very unsettling, and have a real impact on your daily life.
BPPV occurs when small calcium particles called otoconia, which are normally located in the inner ear, become dislodged and migrate into one of the ear’s semicircular canals. When these particles move with changes in head position, they can disrupt the normal flow of fluid in the canals, sending incorrect signals to the brain about the body’s position. This mismatch between visual and vestibular signals leads to the characteristic symptoms of BPPV.
What Causes BPPV?
In most cases, doctors do not find a clear BPPV cause when patients see them about recurring dizziness. However, it is possible for certain conditions to possibly cause BPPV. These could include:
- Head injury, head trauma
- Migraine headaches, vestibular migraine
- Meniere’s disease
- Labyrinthitis
Migraine associated vertigo is common, and vice versa; people with BPPV are more likely to experience vestibular migraine, or a migraine headache due to problems with the inner ear. Patients who have BPPV treatment in the form of repositioning, as discussed below, may also be more likely to have migraines afterwards.
Top 10 BPPV Symptoms
That dizzy, spinning sensation is the primary, recognizable symptom of vertigo, but when a person has BPPV, there may be other signs, too. These are the most common symptoms of BPPV:
- Dizziness: Sudden and intense episodes of dizziness, often triggered by changes in head position, such as rolling over in bed or tilting your head back.
- Vertigo: A spinning or whirling sensation, as if the room is rotating around you. This sensation is usually brief but can be severe.
- Light-headed: feeling faint or dizzy.
- Nystagmus: Involuntary, rapid eye movements, typically triggered when changing head position. These eye movements are a hallmark of BPPV and can help doctors diagnose the condition. It may feel like you’re seeing wavy lines or objects around you “jumping” or moving.
- Blurred Vision: the inner ear is connected with the eye muscles, so this imbalance can affect vision, and even cause foggy vision, double vision, and/or sensitivity to light.
- Imbalance: Difficulty maintaining balance, especially when getting up from a lying or seated position. This can lead to unsteadiness and an increased risk of falling.
- Nausea: Some people with BPPV may experience nausea or vomiting, particularly during severe vertigo episodes.
- Fatigue: The unpredictability of BPPV attacks and the effort required to maintain balance during episodes can lead to feelings of exhaustion.
- Anxiety: BPPV can cause anxiety, as individuals may fear the sudden onset of vertigo and its potential impact on their daily activities.
- Tinnitus: Some individuals with BPPV may experience ringing in ear or buzzing in the affected ear, or even hearing loss.
BPPV Treatment and Diagnosis
There really are no lab tests that confirm a diagnosis of BPPV. A doctor will usually perform a test called the Dix-Hallpike maneuver, in which you are asked to turn your head and lie down, and then sit up again 20 to 30 seconds later. During this test, the physician will carefully observe for signs of nystagmus, the rapid eye movement that is one of the classic signs of BPPV.
A doctor may perform other tests like an MRI or CT scan to rule out other possible causes of vertigo.
Sometimes, doctors will recommend a wait and see approach, as many times, BPPV symptoms will resolve on their own in a matter of weeks or months.
Benign paroxysmal positional vertigo treatments can include vestibular suppressant medication. Medications for BPPV aim to provide vertigo treatment that reduces symptoms of dizziness and nausea.
Benzodiazepines, like Valium, may be prescribed because they can help reduce acute vertigo and the sensations of motion sickness. These medications can be habit-forming and have side effects. They also have to be reduced gradually, because of withdrawal symptoms.
Antihistamines, like Benadryl, may be recommended, as they can also reduce feelings of nausea.
Anticholinergics are vestibular suppressants that block receptors in the nervous system. They are used to treat many conditions that involve involuntary movement. However, they can cause a lot of side effects and worsen other conditions like prostate problems, irregular heartbeat or rapid heartbeat, glaucoma, dementia, and depression.
None of these medications address the root cause of dizziness.
The preferred treatment for BPPV is usually a canalith repositioning procedure (CRP) can be done with one of a few different maneuvers that doctors can perform to try to move the particles in the inner ear that are causing BPPV. These are often helpful in the short term to relieve vertigo, but often patients do have a recurrence of BPPV symptoms again.
For some people, repositioning is not a good option—if you have problems with your cervical spine, or serious cardiovascular problems, for example.
Acupuncture and TCM offer an alternative treatment for BPPV that can relieve dizziness and other vertigo symptoms without any unwanted side effects.
Can Acupuncture Help BPPV?
According to TCM theory, phlegm is one of the pathogenic forces that can take hold in the body, along with things like dampness, dryness, etc. Phlegm builds up when fluids in the body are not being transported and moving the way they should; they get caught in an area and become condensed and thick, causing blockages of energy and movement.
The San Jiao, or “triple burner,” is an important concept used in TCM theory; the San Jiao controls the movement of fluids in the body. In cases of vertigo, phlegm and heat become stagnant due to the malfunctioning of the Jiao. This causes phlegm to be pushed upwards in the body.
In TCM, we may diagnose BPPV and other vestibular problems as having their root cause in a buildup of phlegm in the head that is causing a blockage in the inner ear.
Wind is another pathogenic force that can get into the body and cause problems that seem to come and go. Some cases of dizziness may be due to wind in the head.
Thus, the TCM protocols for BPPV treatment will aim to clear dampness, phlegm, and wind, and get fluids and Qi energy moving again.
Herbs can play an important role in treating vertigo. Chinese herb formulas that warm Yang energy and strengthen the kidneys and spleen can help to clear phlegm.
Use of specific acupoints with acupuncture treatment can help relieve vertigo—sometimes patients feel much less dizziness, even after one treatment. Not only can TCM treatment for BPPV help improve vertigo right away, but regular acupuncture session can help prevent bouts of dizziness from happening.
Acupuncture Near Me for BPPV in Los Angeles, Santa Monica
TCM is a great modality for helping to relieve dizziness due to all types of health conditions, including migraines, POTS, Ehlers-Danlos Syndrome, Meniere’s disease, multiple sclerosis (MS), diabetes, sinus issues, ear infections, and the side effects of medications. Acupuncture can be an excellent alternative for vertigo if other treatments have not helped. Dr. Tan and Dr. Cai at Art of Wellness in West L.A. can help get to the bottom of recurring dizziness, so you can feel steady again.
*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 Help Dependence on Hydrocodone and Other Opioid Pain Medication With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Many people are prescribed strong pain medication when they are in need of pain relief. Opioid drugs may help relieve pain, but they can also create a physical dependence as a person develops a tolerance for the painkillers. Acupuncture and TCM offer an alternative to opiate drugs and opioids like Codeine and Vicodin for treating pain, and a way to help treat both opioid dependence and addiction.
We often hear in the news that the U.S. is facing an “opioid epidemic.” Recent statistics suggest that over ten million Americans may have an opioid use disorder. CDC data showed that over 75,000 people died from opioid overdoses in 2021.
Some of the most commonly used pain medications include:
- Oxycodone (Oxycontin)
- Hydrocodone (Vicodin)
- Oxymorphone
- Morphine
- Methadone
- Fentanyl
- Codeine
- Tramadol
- Buprenorphine
Opioid medications are also known as “narcotics.” “Opiate” drugs are derived naturally from the poppy plant. These include: opium, codeine, and heroin. “Opioids” are synthetically produced in a lab. These include: oxycodone and fentanyl.
People are prescribed opioids or opiates to help them deal with severe pain, but the medications themselves can then become the primary cause of suffering in their lives. Roughly a quarter of people who are prescribed opioid pain medications end up misusing them.
Opioid misuse can mean different things, like: taking more than the prescribed dosage, using someone else’s medication, or continuing to take the medication even though it is having a negative impact on your health and life.
Dependence on opioids is different from addiction, and it is possible to experience drug dependence with or without also having a substance use disorder.
When a person becomes dependent on a medication, it means that they require a certain dose of that substance in order to avoid withdrawal symptoms. This is why these medications are closely monitored by the prescribing medical doctor, so that the dosage is carefully controlled. A person may need to be slowly weaned off the medications when they are no longer necessary, so as to avoid withdrawal.
It is also possible for a person to develop an addiction to opioids, as they stimulate the release of endorphins, which help to block pain signals and produce positive feelings. When this process is repeated over and over, the body starts producing less endorphins naturally, and a higher dosage of the opioid medication is required to produce the same effect; this is what we mean by “tolerance” to the drug.
Addiction to opioids—or an opioid use disorder—is more likely the longer a person takes them—for example, for a chronic pain condition. Other factors, like depression or anxiety, high levels of stress at work or home, and use of other substances like tobacco and alcohol, can also play a role in addiction risk.
It can be difficult, even for doctors, to distinguish between physical dependence and addiction. Addiction is usually defined by “abuse” or “misuse.” When a person feels that they cannot live without the medication, though, there is clearly a problem.
Acupuncture and TCM may play an important role in helping both individuals, and society as a whole, overcome dependence on opioid pain medications because it addresses the problem in several ways.
Top 10 Reasons Acupuncture Is a Good Alternative to Opioids for Pain Relief
Acupuncture has a natural analgesic effect and can help relieve severe pain and chronic pain, without negative side effects.
- Acupuncture and other TCM modalities are an effective alternative for pain relief.
- Acupuncture can be used to treat both acute pain and chronic pain.
- Acupuncture can help reduce the need for opioid-like medications after surgeries, by helping relieve postoperative pain.
- Acupuncture and herbs can help postoperative wounds heal more quickly.
- Acupuncture can help cancer patients by providing pain relief and additionally helping to relieve nausea and mitigating other side effects of cancer treatment.
- Acupuncture provides pain relief without negative side effects.
- Acupuncture can help individuals who are trying to stop taking opiates avoid withdrawal symptoms.
- Acupuncture can help alleviate cravings for addictive substances.
- Acupuncture helps to effect the release of endorphins naturally, which provides the same good feelings as drugs initially do.
- Acupuncture can be a more cost effective way to treat pain and addiction than other methods.
Treatment for Opioid Dependence
Methadone Maintenance treatment (MMT) is widely used to treat opioid addiction or dependence. This method involves replacing the opioid drug with methadone, which is a synthetic opioid, so it acts on the same centers of the brain, which helps to reduce cravings and withdrawal symptoms. This can help people wean themselves off of pain medications or heroin. However, there can be side effects, and MMT does not help everyone stop using or misusing opiates or prescription pain medications.
Long-term use of opioids can be detrimental to a person’s overall health, both mentally and physically. Hydrocodone side effects and oxycodone side effects can include: drowsiness, dizziness, nausea, vomiting, constipation, irregular heartbeat, and increased risk of respiratory problems for people with asthma or COPDs like emphysema or chronic bronchitis.
Mental health issues and opioid misuse often go together. People who suffer from depression or anxiety are much more likely to use opioids to treat pain and then become emotionally dependent on them.
Overall, evidence suggests that pharmacological methods for treating opioid misuse are not very successful. TCM and acupuncture offer an alternative treatment for opioid dependence.
Can Acupuncture Help Relieve Pain Better Than Opioids?
While there is still much to be done in the way of scientific research to demonstrate exactly how acupuncture is able to effect changes in the body and help relieve pain, there is ample enough evidence to convince the medical community that acupuncture does, indeed, have a significant analgesic effect. For two decades now, the WHO has recommended acupuncture and TCM for many different pain conditions, including:
- neck pain
- back pain
- low back pain
- Sciatica, hip pain
- postoperative pain
- headaches and migraines
- shoulder pain
- heel pain, plantar fasciitis
- TMJ pain
- Neuropathy pain
Acupuncture may work so well to relieve pain because it appears to have an effect on the central nervous system and opioid peptide neurotransmitters, including endorphins. This means that acupuncture works on the opioid receptors in the brain.
One study of patients who were in methadone treatment for opioid dependence found that people who received acupuncture were able to reduce the amount of methadone they needed.
A study on patients who had lumbar spine surgery to help severe back pain showed that acupuncture worked well as a postoperative analgesic.
Acupuncture Near Me for Pain Management and Opioid Dependence in Los Angeles
It is absolutely necessary for so many people to find pain relief when they have an acute condition, or a chronic pain condition, or are in treatment for cancer or other serious illness. Serious pain causes mental anguish as well as physical limitations. Acupuncture and TCM offer an alternative treatment for pain management that helps not only to block pain, but also to relieve stress and anxiety. At Art of Wellness, we have over 30 years of experience helping people to manage pain safely and effectively.
*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 Detox With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Why is it important to do a detox or body cleanse periodically? When done with the right support from an acupuncturist near me, detoxing can help improve your digestion, immune function, fertility, and many other aspects of your health. Store bought colon cleanse products or a juice cleanse won’t really do the job, though. A detox program with acupuncture and Chinese herbs will do more to optimize your health than just a detox diet will.
When we recommend our Detox Program at Art of Wellness, we are not talking about fasting or detox drinks, like a master cleanse. The goal of our program is to detoxify the organ systems of the body: it’s a liver detox, kidney cleanse, lungs, heart, and spleen. This is a full body cleanse designed to give you a health reset. According to TCM philosophy, your body knows how to repair and renew itself, but it cannot do this job when it is congested and out of balance.
In TCM, we have a broad concept of what “toxins” are and how they can affect our bodies and our health. Toxic chemicals that come from our environment, such as food additives, pesticides, cleaning products, and beauty and hygiene products are certainly part of the problem. Drugs, medicines, alcohol, and unhealthy foods can also be toxic. So can behavioral habits, like sitting and looking at our screens and devices too long.
But our own bodies produce toxins, too. The waste products our organs create are “toxic,” and if they are held in the body too long without being adequately cleared out, they can negatively impact organ function. Imbalances in the system can cause conditions of excess heat or phlegm, which can lead to all kinds of problems with both your physical and mental health.
Stress, lack of sleep, and extreme emotions can also contribute to toxic conditions in the body and mind. When the organ systems are out of balance, the body is under constant pressure to keep functioning, but we do not feel our best.
Signs you need to detox include:
- Fatigue, low energy, tired all the time
- Foggy head, memory problems, trouble concentrating
- Constipation
- Trouble sleeping, insomnia
- Weight gain
- Hair loss
- Hormone imbalances
- Signs of rapid aging
- Skin rash, acne
- Fingernails are brittle, lined or ridged
- Severe PMS symptoms or menopause symptoms
- Headaches, migraine
- Water retention, edema, swelling in extremities
Inflammation is largely created by toxic conditions in the body, and most pain conditions and chronic illnesses stem, at least in part, from inflammation somewhere.
Why You Need a Liver Detox
In conventional medicine, we think of the liver as being a sort of filter that removes toxins from the blood and helps metabolize fat. In TCM theory, we consider the liver to be the storehouse and distributor of blood; therefore, it also plays a crucial role in the menstrual cycle. The liver is also strongly connected to a person’s emotional life.
Stress, lack of sleep, too much sugar, alcohol, fatty, fried foods, pharmaceutical medicines, and recreational drugs all tax the liver above and beyond what it needs to do just to keep the blood flowing to nourish the body. When too many demands are placed on the liver, it can cause all kinds of symptoms, including: fatigue, insomnia, and headaches. Feelings of anger, frustration, anxiety, and irritability may arise. Conversely, when a person is feeling bitter and resentful, and isn’t able to express it, those unresolved emotions may begin to cause trouble with liver function.
Just as the liver governs the blood, in TCM, the kidneys govern the water of the body, controlling elimination through the bladder, and maintaining blood pressure by keeping the right amount of water in the bloodstream. Signs that the kidneys are not balanced include: problems with blood pressure, edema, puffiness in the face or extremities, UTIs, chronic fatigue, and menopause symptoms, like dryness and hot flashes.
Detoxing the organ systems, including the liver and kidneys especially, can help rejuvenate the digestion and allow better nutrition to reach all parts of the body, as the quality and flow of blood and other bodily fluids will be improved.
Making sure that your excretory system is in good working order before starting a cleanse is important. If you are already having problems with constipation, for example, we will want to make sure we get things moving before we start cleansing the organs. Our detox also focuses on the body’s largest excretory organ: the skin.
Top 10 Reasons To Detox
It is a good idea for everyone to detox periodically; detoxing every six months is reasonable for most people. Sometimes we will specifically recommend a detox for a patient when they are struggling with a particular health problem, or if they are planning a pregnancy.
Detoxing can help:
- Boost Immunity – a cleanse will help get your lymphatic system, which produces and transports immune cells and removes waste from cells, moving, improving the efficacy of your immune system.
- Break Free From Addiction – if you are ready, a commitment to the detox program and food plan can help you end patterns of substance abuse, drug use, alcohol addiction, smoking, and other types of dependency.
- Infertility – We often advise people who come to Art of Wellness for fertility treatment to begin with the Detox Program. Not only will this help increase the chances of conception occurring, whether naturally or with the aid of ART, but it will also lay the foundation for your child’s health in the future.
- Improve sleep – This works both ways. In order for the body to do its routine daily work of removing toxic waste, it needs plenty of sleep. The Liver, in particular, is working hard through the night to clean and deliver fresh blood to the cells. Sleeping on your side enhances your body’s ability to do this work, allowing the internal organs to drain properly. When your body is functioning well, your sleep will be of better quality, more restful and refreshing.
- Improve skin and hair – Dull eyes and skin, dark circles or bags, puffiness, and thinning hair are signs of stagnant blood and Qi. Nutrients from the right foods and Chinese herbs help to nourish the skin, and clear heat, dampness, and dryness. When old cells are removed, hair and eyes can shine again. Acupuncture treatment can help stimulate collagen production, which also happens while you sleep.
- Weight loss – While our acupuncture detox is not about how to lose belly fat fast, many people will find that it gives them a good foundation for new eating habits. Detoxing the liver and kidneys will help your body metabolize fat better.
- Balance hormones – severe PMS symptoms, bloated stomach and mood swings, perimenopause symptoms, infertility in women and infertility in men (oligospermia) can all be improved when hormone function improves. Acupuncture treatment can also help relieve conditions like PCOS, fibroids/leiomyoma, and endometriosis for women, and BPH in men.
- Reduce inflammation – many illnesses and pain conditions are inflammatory in nature. If you are suffering from pain due to plantar fasciitis, gout, rheumatoid arthritis, tennis elbow, carpal tunnel syndrome, shoulder or hip pain, acupuncture can help.
- Increased energy – better nutrition, better circulation, better sleep, and better organ function will all work synergistically to help you feel more energetic.
- Chronic illness – many chronic illnesses are rooted in toxic conditions within the body or exposure to toxins. Hard-to-treat conditions like autoimmune conditions and other systemic problems may be helped with alternative medicine when conventional medical treatments have not been successful. We treat many conditions with acupuncture and herbs, such as: lupus, lyme disease, celiac disease, fibromyalgia, and Crohn’s disease. We also provide support for people going through cancer treatment.
7 Steps of Detox Program With TCM Acupuncture and Herbs
Pain and dysfunction occur when there is imbalance and when there are areas of stagnation within the body. Think of the metaphor of a house that needs to be deep-cleaned; there are dark corners of the body that have been ignored for a while, where dust and cobwebs have gathered. The Detox program reaches into these pockets of stagnation, sweeps them clean, and makes sure they get some fresh air and sunlight shining on them, in the form of invigorated Qi and blood.
- Acupuncture Treatments – the primary goal of acupuncture treatments during the detox phase is to get Qi moving freely, remove blockages, and to assist in elimination of toxins from the body.
- Cupping Treatment – the TCM modality of cupping creates a vacuum-like suction that moves Qi and blood from the innermost parts of the body outwards. During the detox program, cupping helps to pull toxins out of the lungs and other organs.
- Detox Herbs – the Chinese herb detox tea helps to clear heat and toxins from the body and improve digestion and elimination.
- Foot Pad Detox – detox foot patches, worn as you sleep at night and removed in the morning, help to pull toxins and fatty deposits from the body.
- Detox Bath – Sweating is an excellent way to remove toxins through the skin; this is why so many traditions rely on saunas and hot baths. Our herbal sachets allow you to enjoy a therapeutic herbal soak in your own bathtub.
- Exercise – Your acupuncturist will instruct you on how to practice daily exercises, based on QiGong movements, that will help to get Qi and blood moving.
- Nutrition – the food plan during the detox is based on whole grains, lean proteins, and plenty of vegetables, flooding your system with nutrients.
Detox Near Me Los Angeles, Westside
The beginning of the year, springtime, after recovery from a long illness, while preparing for a healthy pregnancy–anytime may be the right time for you to detoxify your system and get a fresh start. We recommend that you take the time to dedicate yourself to a week of cleansing with the Art of Wellness Detox Program at least twice a year for optimal health benefits.
*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 PMS With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Monthly mood swings, bloated stomach, headaches, and weight gain. Why is PMS so bad? Premenstrual syndrome (PMS) is a set of symptoms that occur in the days before a woman gets her period. PMS symptoms affect every woman differently, and can be serious enough to disrupt your life every month. TCM is an effective way to deal with PMS, because acupuncture treatment can help relieve both physical and emotional symptoms of PMS and severe PMS, also known as PMDD (premenstrual dysphoric disorder).
To say that PMS is common among women is an understatement. The vast majority of women experience some changes in both their mental health and their bodies the week before their period starts. Whether or not a woman feels that it has a negative impact on her daily life may change over time. For some women, PMS isn’t a big deal; for others, it’s a major problem that can affect their relationships, impact their work, and make life hell every month.
Most women find their own particular pattern of PMS is somewhat predictable–until it isn’t. One of the most frustrating aspects of menstrual problems is the sense that things change without warning, and symptoms can come on suddenly with ferocious intensity. It can be difficult to describe how you feel before your period, because the symptoms seem to come and go. Some women find that their PMS symptoms are different from month to month. In some cases, they might find that every other month is bad, while the alternating months aren’t so bad. Why is PMS worse some months?
Other than the basic understanding that PMS is caused by fluctuations in hormones and brain chemistry, conventional medical science does not offer much in the way of clear answers about what causes PMS.
TCM provides a different framework for looking at menstrual problems and has been used to treat women’s health issues of all kinds for many centuries. TCM treatments including acupuncture, acupressure, moxibustion, and Chinese herbs can not only help relieve PMS symptoms, they can also be beneficial for other menstrual problems like irregular periods, PCOS, painful periods, endometriosis, heavy periods, fibroids, and symptoms of perimenopause.
Top 10 Symptoms of PMS
As a syndrome, PMS is considered a collection of symptoms that often appear together, in various combinations in different individuals. In the case of PMS, a woman may feel that her own symptoms change as often as every month, or gradually over the course of years. Girls in their teenage years may experience PMS in one way. Then, a woman in her early adult years may develop a different set of symptoms. After having a baby, a woman may find that her PMS symptoms have changed again. Then, many women in middle age experience changes in PMS symptoms as they go through perimenopause, approaching menopause. The most common signs of premenstrual syndrome include:
- Mood swings, low mood, feelings of sadness or anger
- Anxiety, feeling tense and irritable, cry easily or lose temper, want to be left alone
- Trouble sleeping, insomnia, disturbed sleep
- Breast tenderness, sore breasts, swollen breasts
- Food cravings, changes in appetite
- Weight gain, stomach bloating, water retention, pelvic pressure
- Gassiness, changes in digestion and elimination
- Acne, skin problems
- Changes in libido
- Headaches, migraines, difficulty concentrating, foggy head
Less obvious or well-known symptoms of PMS include: vision problems, tingling in the arms or legs, lack of coordination (clumsiness, dropping things), bruising easily, heart palpitations, dizziness, itchy skin, cold sores, toothaches, back pain, joint pain, and increased TMJ jaw pain.
Other health problems can be amplified during the premenstrual period, such as: chronic fatigue syndrome, fibromyalgia, interstitial cystitis, migraines, IBS, Meniere’s disease (dizziness, vertigo), clinical depression and anxiety disorders.
The physical and emotional aspects of PMS can affect each other, causing the typical mood swings. Feelings of sadness and frustration, or lack of sleep, may lead to comfort eating, but then the sight and sensation of your bloated stomach can cause you to feel depressed about your body. Minor problems with your spouse or co-workers can suddenly seem overwhelming and make you feel angry or helpless.
For some women, PMS symptoms are so bad that they feel unable to function the week before their period. Severe PMS is now diagnosed as PMDD.
What Is PMDD?
PMDD (premenstrual dysphoric disorder) is a severe form of PMS marked by intense emotional symptoms that dramatically impact a woman’s life, in addition to physical symptoms. “Dysphoria” is the opposite of “euphoria;” in other words, it is a mental state characterized by profound unhappiness and negative feelings. It is estimated that about 5% of all women experience this extreme type of PMS. Signs of PMDD include:
- Severe anxiety, panic attacks, paranoia
- Severe depression, in some cases even suicidal thoughts, lack of self-worth
- Anger and irritability that provokes rage and causes conflicts with other people
- Fatigue, low energy, inability to concentrate, feelings of confusion
- Intense food cravings, possibly leading to binge eating
Again, there is currently no scientific answer for what causes PMDD, although it is generally believed to be related to the way estrogen levels and progesterone levels change between ovulation and the onset of the menstrual period. Mood is considered to be related to serotonin levels in the brain, and this is why PMDD is usually treated with birth control pills, which suppress ovulation, and/or antidepressants (SSRIs), which affect serotonin uptake.
Medical Treatment for PMS
Naturally, when a woman asks for advice about PMS or PMDD, she is going to hear suggestions like: “try meditating, exercise more, eat a healthy diet, and get more sleep.” And it is true that making good lifestyle choices is an important part of helping to reduce PMS symptoms. But women who are suffering with serious PMS need solutions beyond these kinds of lifestyle guidelines.
When women complain of PMS symptoms, doctors will most often recommend OTC pain medications like ibuprofen or acetaminophen (NSAIDs) to relieve pain. Diuretics may be used to relieve bloating or premenstrual weight gain. Of course, most commonly, women are prescribed oral birth control pills, which suppress ovulation, and therefore may reduce the severity of PMS symptoms. More and more frequently, women may be prescribed antidepressants to try to deal with emotional symptoms and mood swings, or anxiety medications to take as needed during PMS. In effect, doctors often treat PMS the same way they would depression or anxiety.
Clearly, birth control pills are not helpful for women who may want to get pregnant, and some women may be concerned about how taking the pill or antidepressants may affect their fertility in the future. None of these pharmacological solutions for PMS address the root cause of the symptoms, and all of these medications carry side effects that may impact a woman’s overall health. Health care for women with TCM seeks to address the deeper internal causes of hormonal imbalances and other problems with the organ systems that are impacting the health of the ovaries and the regularity of the menstrual cycle.
Can Acupuncture Help PMS?
While it is only in recent years that conventional medicine has begun to acknowledge connections between physical health and emotional health, TCM has understood for many hundreds of years that health conditions of all kinds, especially those related to the menstrual cycle, are rooted in the balance of energies. Menstruation represents an ongoing process of transformation that occurs not only within the reproductive organs, but which affects every part of a woman, and even the people around her.
The concept of Yin and Yang in Chinese philosophy describes two opposing yet complementary forces that are constantly acting upon each other in order to achieve balance. The menstrual cycle is very much based on Yin and Yang energies; during the follicular phase of the cycle (before ovulation), Yin is increasing while Yang is decreasing, and in the luteal phase (after ovulation, before the period), Yang is increasing while Yin is decreasing. The system is designed, naturally, to create the right conditions for conception; this process of Yin and Yang exchange is what determines a woman’s fertility.
While the health of the uterus and ovaries is definitely central to the process, within the TCM philosophy, they are not the only organs involved with menstruation. The Kidneys, Liver, and Heart all have important roles to play, as well. In TCM, we also view the elements of Fire–to provide warmth, controlled by the Heart–and Water, controlled by the Kidneys–to provide moisture, as being vital to all processes within the body, especially to menstruation. Blood is cleansed, stored, and then distributed to the other organs by the Liver. Blood being central to the process of menstruation, the Liver’s role is really key in how the whole thing plays out.
According to TCM theory, most PMS and PMDD symptoms are caused by problems with Liver Qi. When the Liver Qi is out of balance, it can lead to feelings of anger, frustration, depression, and irritability. The Liver system is particularly susceptible to negative effects of stress.
There are a few different variations of Liver Qi imbalance and other patterns that can contribute to PMS symptoms:
- Liver Qi invasion – This is a condition of excess, in which there is too much rising Liver Qi, characterized by overall negative emotions that are disruptive, including anger and anxiety, breast tenderness, headaches, dizziness, and constipation.
- Liver Qi depression – In this case, there is not enough Liver Qi, causing feelings of sadness, heaviness in chest, painful swelling of breasts, sighing, bloated stomach, lack of appetite, cramping during period, scanty blood during period.
- Spleen Kidney deficiency – In this case, stagnant energy in the Kidney system is preventing water from moving appropriately, causing water retention or edema.
From the scientific medical standpoint, acupuncture treatment has been shown to have a positive effect on neurotransmitters like serotonin, and to impact levels of estrogen and progesterone. This happens naturally because we are using TCM methods to restore optimal function of all the organs. With Chinese herbs we are able to get specific nutrients into the body that we cannot get from the foods we normally eat.
Acupuncture treatment accompanied with specific herbs for PMS patterns can help balance the liver Qi, and bring all of the organs into synergistic harmony.
In order to make lasting change, it is best to have acupuncture treatment at least once or twice a week. We need to deal with each phase of the menstrual cycle as it occurs by tailoring the acupuncture treatment and herbs to your PMS and period symptoms.
A systematic review of ten controlled trials using acupuncture to treat PMS concluded that TCM treatment of PMS significantly improved symptoms.
Top 3 Tips for PMS Relief From TCM Perspective
There are still a lot of taboos surrounding women’s health, and many girls and women have never learned how to take care of their reproductive health. Working with an experienced TCM doctor will enable you to get personalized care and advice about how to eat the best diet for PMS symptoms, what activities to avoid before your period, and other female hygiene tips that you may not have heard before.
- Nutrition – conventional Western thinking about healthy eating currently focuses on eating fresh, whole foods, which is good, except that people tend to think this means eating a lot of foods raw or cold, as in salads and smoothies. According to the TCM philosophy of nutrition, though, eating cold foods is actually one of the worst things you can do when it comes to relieving PMS and painful periods. Putting a lot of cold food into the stomach cools down the temperature of the other internal organs, which can contribute to more cramping and worse cramps. During the week before your period, concentrate on eating plenty of nourishing, cooked foods like soups and stews, proteins and vegetables, and whole grains like brown rice and quinoa. Avoid too much dairy, sugar, caffeine, hot, spicy or fried foods (that includes chips and crackers), and definitely avoid icy cold beverages and frozen treats.
- Keep track of your period – there are many apps available now to help with this, but it can also be a simple chart with room for notes about your symptoms. Keeping track of your PMS symptoms every month can help you recognize patterns in your own behaviors and experiences. A record of PMS symptoms will also help you communicate what you’re feeling to your health care providers when you are seeking treatment for PMS or PMDD.
- Exercise – gentle movement modalities that move Qi through the body are great to help PMS: Tai Qi, yoga, or dancing are all good. Avoid deep twists that could squeeze or put pressure on the ovaries and other organs. Again, keep track of your exercise routines and how they affect your physical and emotional wellbeing from month to month so that you can see which type of workout is best for you, or if some types of exercise make PMS worse.
Acupuncture Near Me for PMS in Los Angeles, CA
Many women come to us at Art of Wellness seeking help with menstrual problems or fertility issues. We have over 30 years of experience in helping to relieve symptoms of PMS and all types of period pain and dysfunction. It is possible for the menstrual cycle to flow without extreme feelings or strong physical discomfort. If you feel like PMS or PMDD is negatively impacting your life every month, please do not hesitate to give us a call.
*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.
The Ultimate Guide to the Acupuncture Point on Head for Headaches
by Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Why does the TCM doctor always put an acupuncture needle in top of head? If you’ve had acupuncture before, it’s likely that your acupuncturist used some acupuncture points on head during your treatments. Using pressure points on the head is something TCM doctors do often, because there are so many useful acupressure points on the head, especially acupuncture points top of head. There are head pressure points for headaches, points to relieve migraines, acupressure head points to help anxiety, fatigue, allergies, and many other conditions.
Even if you’re coming in for acupuncture to help some other condition, whether it’s chronic pain, an autoimmune disease, heart problems, or kidney problems, probably at some point your acupuncture practitioner is going to use acupoints on head to help you relax during your treatment. Every single person who comes into our office for acupuncture is suffering from some form of stress, and using certain points on the top of the head can help with stress relief right away.
Other common reasons to use pressure points in neck and head include:
- to fight fatigue
- headache and migraine
- allergies, asthma, hives, rhinitis, sinus problems, common cold
- anxiety
- nervous disorders
- thyroid disorders
- hormone imbalances
- more mental focus, improved memory and cognition
- tinnitus, ringing in the ears
- vertigo, Meniere’s disease
- toothache, dental pain, dental anxiety
Why are pressure points on the head so powerful? To answer this question, let us explain a bit about the meridian system in TCM.
TCM Meridian Head Points
TCM is based on interdependent systems of organs and energy channels that run through the body. The channels are known as meridians, and along them flows Qi, the life energy that animates the body and all of its functions. There are 12 major meridians and 8 major vessels; the meridians are close to the surface of the skin, and the vessels, which essentially connect all the meridians, are deeper inside the body. While the way in which we think of the meridian pathways is more metaphorical than physical in nature, they can be considered roughly analogous to the circulatory system of blood vessels or the network of nerves of the nervous system as we think of them in conventional Western medicine.
Along the meridians lie acupoints, specific points that we stimulate with acupuncture needles during acupuncture treatment or with the fingers and thumbs during acupressure massage. The interconnectedness of the organs, meridians, and individual points is the foundation of acupuncture theory.
We use specific points on a meridian in order to address issues in a particular organ or organ system that corresponds (energetically) with that meridian. There are several pressure points for head and neck pain, points to help relieve allergies, pressure points for frontal headache, and more.
Several of the major meridians originate or end in the head:
- Gall Bladder (GB) meridian – points of the gall bladder meridian wrap around the side of the head, the forehead above the eyebrow, the temple, around the ear, and down the back side of the neck–just as the pain of a migraine often does. Then it continues down from the intersection of the neck and shoulder, zig-zagging across the torso, and finally running down the leg and ending in the fourth toe. This meridian is used to treat severe headaches, stress, tension that affects the shoulder and neck, and bile-related problems.
- Large Intestine (LI) meridian – begins at the points of the index finger, travels up the arm, through the shoulder and neck, then comes up to the lower corner of the nose. This meridian is involved in “letting go,” both from the eliminatory organs of the lower body, and exhalations from the nose.
- Stomach (ST) meridian – the ST meridian starts near the eye, swoops up to the side of the top of the head, comes down next to the mouth, and continues down through the neck, chest, center of the body, down the leg, ending at the point of the second toe. This meridian is used to treat Shen (spirit) disorders, like insomnia, anxiety, palpitations, memory problems, and blood deficiency.
- Small intestine (SI) meridian – originates in the little finger, runs up the arm into the shoulder and then branches out, some of it going into the major organs of the heart, stomach, and small intestine; then other branches go up into the face, by the cheekbone and right in front of the center of the ear. The SI is used to treat fevers and mental health conditions, among other things.
- Bladder (UB) Meridian – begins at the inner canthus of the eyes, goes up and over the top of the head, about an inch away from the midline on either side, and then all the way down the back and leg, ending in the little toe. Used to help with invasion disorders (wind, cold, heat etc.) that affect the eyes, sinus headaches, allergies, stuffy head, neck pain and stiffness.
- Triple burner meridian, also known as San Jiao (SJ) – begins at the tip of the ring finger, then goes up the arm, through the shoulder and chest, up the side of the neck and comes up around the ear, and into the temple and outer brow bone. The San Jiao head points are used to work on dizziness, headaches, eye twitching, and dental pain.
- Conception vessel – also known as the Functional Channel, or the Front Channel, or Ren Mai, this vessel originates at the navel, then drops down to the perineal area, and runs back up the center of the front of the body, ending in a point on the chin, in the dip just under the lower lip. This vessel controls the Yin energy of the body and is essential to the health of the reproductive organs and fertility.
- Governing vessel, also known as the Extraordinary vessel, the “Sea of Yang” or Du Mai – originates in the lower back near the kidneys, runs up the spine and around and over the top of the head, ending in the middle of the face. This vessel controls the Yang energy of the body, and in particular the kidneys, the back and spine.
Top 10 Acupuncture Points on Head
Of course, your acupuncturist will not only use acupoints on your head during a treatment session. We choose a variety of points that will work together to alleviate symptoms and help optimize the functioning of the organs. These specific head points may be used as part of a treatment to work on a specific symptom or condition:
- Yin Tang, or the “Hall of Impression” – this is what is called an “extraordinary point,” meaning it doesn’t really belong to a meridian; it stands on its own. Right in the third eye, it is used to reduce anxiety, vertigo (dizziness), help promote better sleep, clear wind and congestion, and relieve sinus pain and headache.
- DU21 – Shen Ting, “Spirit Court” – Right in the front middle of the top of the head, about an inch above the hairline. This is one of the pressure points for frontal headache, also good for sinusitis, nosebleeds, anxiety, panic attacks, and sleep problems.
- DU 20 – Baihui, or “The meeting of the 100s” – right in the very center of the top of the head, master of endocrine and nervous system, used for anxiety, fatigue, mental focus, relaxation, hypothyroid, adrenal problems, hormone imbalance, headaches.
- Si Shen Chong – “Four Alert Spirit” – this is actually a set of four “extraordinary points,” which surround DU20. Very helpful for sleep disorders, memory disorders, dizziness, and headaches.
- GB20 – Feng Chi, “Wind Pool,” low back of the head, where the skull meets the neck muscles, helps headaches, migraine, blurred vision, fatigue, neck pain and stiffness. We may use this point when a patient has a cold; this is a point where cold wind can get into the body, and why it is important to wear a scarf to protect your neck when it’s cold and windy out.
- Taiyang “Great Sun” – Right in the depression of the temple, this point can help dizziness, one-sided headaches, migraines, sensitivity to light, and jaw pain, TMJ.
- GV26 Shui Gou – in the mustache area, between the nose and mouth, right in the center of the crease, this point helps to calm the mind and restore mental focus. Also used as first aid when a person faints or is in shock. Helps stop hiccups. Helps with serious neurological disorders like epilepsy, seizures. Also good for low back strain.
- LI20 Ying Xiang “Welcome Fragrance” – located in the lower corner of the nose, right in the nasolabial groove, used to alleviate congestion, allergy itching in the nose, and to clear the nasal passages.
- ST8 – Touwei, about 5 finger widths above the eyebrow, dispels dampness, used for “splitting headaches,” frontal headache, migraines, headache with nausea and/or vomiting, vision problems, tearing eyes, eye twitching, dizziness/vertigo, hair loss. Helps with mental health, when a person is “overthinking” things, or having repetitive thoughts.
- BL2 – Zhanzhu – located at the inner corner of the eyebrow, good for itchy, watery eyes due to allergies, other eyes problems like glaucoma, night blindness, and sinus headache.
Facial Acupuncture Points
As we have mentioned, some pressure points on the face are used to help relieve sinus congestion, nasal congestion, and other issues related to common colds and flus or allergies. Points on the face may also be used to help the facial paralysis of Bell’s Palsy, or TMJ jaw pain.
Naturally, we also use acupuncture points on the face as acupuncture points for the face, that is, when we are striving for facial rejuvenation. This technique is sometimes called an acupuncture facial. Using points on the face can help to stimulate collagen production, help to tighten the skin, reduce the appearance of wrinkles, and strengthen the facial muscles. People of all ages and genders can benefit from acupuncture skin care. Cosmetic acupuncture can treat signs of aging skin like sagging, puffiness under the eyes, and dryness.
Self-Care With Acupressure Head Points
What is acupressure? Acupressure is a form of massage that goes back thousands of years in Chinese Medicine. Stimulating the same points we needle in acupuncture treatment with your fingers and thumbs can be beneficial for different types of headaches and neck stiffness, to calm anxiety, and bring more mental clarity.
Choose a time when your environment is quiet and free of distractions, the same as you would for a meditation practice or home workout. Be sure to breathe deeply and smoothly as you perform self-acupressure. Press firmly, applying deep pressure to a point in a small, gentle circular motion. Giving yourself an acupressure treatment only takes a few minutes, and it is a great way to take care of yourself between acupuncture sessions.
Acupuncture Near Me for Headaches and More
Every time you come in for acupuncture treatment, your TCM doctor is looking for ways to treat your overall condition, but also focusing on how you are feeling right now, today. Often, people are feeling tired and stressed, beyond and in addition to the health condition that caused them to seek out alternative medicine in the first place. Using points on the head that help fatigue, calm a racing mind, and reduce the physical effects of stress is one way that your acupuncturist is practicing preventative care, while at the same time, making sure you leave your treatment feeling rested and reenergized. The next time you come in for a visit, be sure to let us know how you’re feeling, and feel free to ask us, “What is that point on my head for?”
*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.