Pain

What is Multiple Sclerosis and How to Manage MS with TCM & Acupuncture

Multiples Sclerosis is autoimmune disease,  Traditional Chinese Medicine & Acupuncture are very helpful to improve these condition.

 

Rocks Balanced Traditional Chinese Medicine
Rocks Balanced

 

Dr.Tan’s Case and Testimony

 

Mr. M- a healthy 50-year old Caucasian gentleman—first visited my office Art of Wellness Acupuncture a few years ago. As an attorney, he had been working very hard to support his two daughters, who were both in college. About four months ago, the onset of serve lower back pain along with tingling in his left leg changed his life completely. He saw several doctors, had a number of x-rays and an MRI which revealed a moderate bulging disk on L4-L5. He tried different pain pills, NSAIDs, and underwent three months of physical therapy, none of which had helped. Recently, he had been experiencing numbness and weakness in his left leg, and was suffering from depression due to his inability to carry on with daily work and regular activities. When he talked to me, I noticed that he constantly rubbed his eyes. I asked if he felt any abnormalities in his vision. He answered yes, and that he had periodic occurrences of blurred vision. When I suggested that he showed me how he walks, I noticed his poor balance. He tended to fall on his left side because his left leg did not seem to follow his motion. Then I checked his knee and ankle reflex and found that they were excessively active. I was almost certain that the condition that made him suffer so much in the last few months was not a simple bulging disk or sciatica; it was a disorder of the central nervous system-Multiple Sclerosis. Immediately, referred him to a neurologist and suggested that he have a brain and cervical MRI. Two weeks later, he came back to my office with a confirmed diagnosis of Multiple Sclerosis.

Mr. M. is just one of 200 patients who are diagnosed with MS every week in the United States. There are about 400,000 people in the U.S. and 2.5 million patients who are suffering from this disease in the world.

 

Cause of MS

MS is an autoimmune disease in which infections or environmental changes can confuse the body’s defense system. Sometimes a foreign antigen mimics a group of the body’s own proteins. When the immune system response by mounting an attack against these foreign invaders, it inadvertently destroys the foreign antigen along with any similar antigens, including the body’s own tissues.

 

A recent study shows that a virus called adenovirus type 2 looks remarkably similar to the composition of the protective covering around the spinal cord and parts of the brain—the myelin sheath cells. The attacks of the immune system of this virus along with the mistaken attack on the myelin sheath is believed to be the ultimate cause of multiple sclerosis。

 

Common symptoms of MS

  1. numbness or tingling, usually in the leg or arm
  2. muscle weakness
  3. dizziness
  4. spasticity
  5. pain (moderate to severe)

    Neuron surrounded by mylin sheath near brain
    Neuron surrounded by mylin sheath near brain
  6. Ataxia
  7. Tremor
  8. Slurred speech
  9. Blurry, double vision or blindness
  10. bladder malfunction
  11. bowel dysfunction
  12. sexual dysfunction
  13. depression
  14. euphoria
  15. cognitive abnormalities
  16. fatigue

Most commonly, MS first manifests itself in a series of attacks followed by complete or partial remission as symptoms mysteriously lessen. These symptoms, however, will return later after a period of stability. This is called relapsing-remitting (RR) MS.

Treatment of MS

Unfortunately, there is no cure for MS yet. In Western Medicine, the treatment focuses mainly on decreasing the rate and severity of relapse. Beta interferons, anti-cancer drugs (to weaken the immune system), and steroids are commonly used for the treatment of MS. These medicines can reduce the number of MS lesions, delay the progression of the disease, and provide symptomatic relief for the patient.

 

In TCM, a condition called “Wei Syndrome” with symptoms similar to MS, was documented 2000 years ago in a classic Traditional Chinese Medicine book called Emperor Classic Medicine. Acupuncture and Traditional Chinese Medicine has been involved in the treatment ever since. MS patients who have tried acupuncture report improvement in pain, spasticity, numbness and tingling, fatigue, depression, anxiety, and bowl, bladder function.

 

Maintaining a healthy lifestyle is very important for the MS patient. This includes:

  1. Getting enough time to sleep and rest. Go to bed early
  2. Exercise regularly. Tai Chi and Yoga are very good to help patient relax, balance and with muscle strength
  3. Balanced diet, a lot of vegetables and enough protein from white meat
  4. Stress management
  5. Daily meditation and positive thinking
  6. Staying connected with friends and joining a support group
  7. How to reduce and prevent inflammation 
                                   

Patient Story- Gilly

I was diagnosed with Relapsing Remitting MS in 1991 and I had no idea what a crazy, unpredictable journey I was about to embark on.

I woke up one morning, tried to get out of bed but my legs were like jello, I had no balance and had double vision.

I was given a spinal tap and MRI and lesions were detected on my brain & cervical spine.

When first diagnosed, my neurologist put me on one of the few FDA approved medicines for MS which don’t cure the disease, but delay the progression. For that I inject myself daily and have done so for 17 years

For the first 7 years after being diagnosed, I experienced relapses (flare up of symptoms) on average twice a year. The treatment for relapses was a 5 day course of steroids administered through IV, followed by 12 days of oral steroids.

The relapses affected my motor skills the most, especially walking but after a treatment of steroids, I was almost as good as new.

My friends suggested I try acupuncture. I was recommended to Dr Tan because he had studied MS in China. *

Dr Tan has been monumental in my life. He has given me treatments for a multitude of injuries I’ve suffered over the years due to frequent falls and is an expert in pain relief. He treats me for stress relief which contributes my general wellbeing. Dr Tan is very knowledgeable about Western medicine and MS treatments so I always ask his opinion.

I’ve been diagnosed with MS for 21 years and feel fortunate that Dr Tan has been treating me for a large part of that time. Although I partake in Western medicine, I know that Western medicine only treats the symptoms but Eastern medicine treats the cause of the symptoms.

My MS has progressed to the stage that I now use a wheelchair full time.

I go to acupuncture for preventative care. My immune system needs extra help especially during cold & flu season.

I am very aware that MS is a ‘designer’ disease, and no two people have the exact same symptoms. I would encourage anyone with MS to avoid stress, keep up a healthy immune system and try to stay positive and happy, because your emotional state affects your physical being.

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How to Reduce and Prevent Inflammation

How to Reduce and Prevent Inflammation

We usually think of inflammation as something that affects our muscles and joints, causing them to swell and ache. We observe these manifestations when people are injured causing knee pain or elbow pain from injuries like an ankle sprain. This suffering from pain and tenderness is actually our body’s normal protective response to restrict our body from further activity to cause more injury. For those acute inflammation incidences, we need to temporally put pressure near the heart end and apply ice to the injured area to discontinue bleeding and swelling. With time, we expect our body to reduce the inflammation and resume as normal. However, there are some conditions when the body is in a constant low grade heat or chronic inflammation, like rheumatoid arthritis, psoriasis, or celiac disease  this is even observed with kidney stone, gall bladder stones, and high cholesterol.

Cancer is another disease linked with chronic inflammation/toxins. Over time, chronic inflammation can cause DNA damage and lead to some forms of cancer, according to the National Cancer Institute. More recently, science has made it clear that inflammation is also part of what causes poor blood flow through the arteries, causing problems in the body’s circulator system and the heart. Obesity and unhealthy eating habits can increases inflammation in the body. Autoimmune disorders like Lupus, Multiple Sclerosis can cause chronic inflammation in healthy and unhealthy people. But really, the root cause of inflammation is a dysfunction of the metabolism, or digestive process. It is the body’s normal defensive response to excess internal heat.

In Traditional Chinese Medicine, there are two energy measurements: Yin and Yang; which is present in everything.  Yin represents cold, water, dark….and Yang represents hot, fire, light…..both energies need to be balanced in order to keep everything in shape. In our body, our organs need fire/heat to keep our body temperate normal and operate every part of the body well. However, if the fire is too strong, that will cause fever or infection or inflammation. In Chinese, fire is 火 (pronounced huo), inflammation is 炎(pronounced yan). As you can see, 炎 has two 火, means too much fire or excess heat.

Excess heat can be caused by stress, too heavy of a diet, and eating the wrong kinds of foods, and extreme environmental heat.

How to reduce and prevent inflammation?

Stress management is an important part of our daily task especially at the end of the day, we are able to unwind ourselves, release tension, and allow energy to flow. When there is ongoing or long term stagnation that is unaddressed, excess heat/toxins will be generated. Having acupuncture treatment regularly always helps people de-stress, calm the mind and body and achieve anti-anxiety. Once the whole body’s Qi/blood is flowing freely, the stagnation opens up, heat is reduced, and the inflammation will disappear. On top of acupuncture treatment, cupping is very helpful to clear excess heat and detoxify the body.

An anti-inflammatory diet is essential along with a low calorie diet. The meaning of “calorie” is, after all, a unit measurement of heat or energy. Simply put, ingesting more calories creates more heat in the body. If the calories aren’t being burned through physical activity, then they are stored in the body as excess fat. Fat not only weighs you down, but triggers the immune system, which tries to attack the fat as if it was a foreign substance. Carrying excess fat acts on several levels to create detrimental inflammation within the body, causing more Qi/Fluid blockage and that blockage creates more inflammation.

 

Second, anti-inflammation diet is cool or cold food. If you are an Art of Wellness member, you know what group of food you should stay on, either cooling food, like majority of vegetable, and fruit or add more warm/hot food kale, mustard green, turkey, walnut, black bean, ginger pecan, lamb to tonify your Yang. Besides of working on appropriate diet, having herbal supplements is very especial assisting reduce inflammation. Cause herbs are from plants, carry stronger energy than our food. Due to the poor taste, we do not consider eat them like other vegetable. It is important to pay attention not only to what you eat, and how much, but also how you eat, and when. Many people’s eating habits lead to poor digestion.

Eat sitting down. The body draws both blood and Qi into its center – the stomach and spleen – in order to digest food. Eating while standing or walking, or trying to concentrate on some other problem, draws much-needed energy to the extremities or the brain, away from the digestive process. And also , should eat in a relaxed environment avoid arguing.

Chew food thoroughly. Failure to chew adequately means that the rest of your digestive system has to work harder to break down your food into usable nutrition.

In general, choose more fresh, raw, and lightly cooked foods, and avoid baked, fried and heavily processed foods. These foods retain the heat energy that was used in their preparation, and that creates more heat inside you.

Increase your use of bay leaf, cilantro, dill and other herbs like rosemary, thyme, and oregano, all of which have anti-internal heat properties. Choose high Omega-fatty-acid fish such as salmon, and good quality fish oils. Eat lots of leafy greens. Avoid coffee, and drink green tea instead. Fermented foods such as pickles, sauerkraut/kimchee, miso and tempeh help to heal and promote good balance in the intestines. Shitake mushrooms are a source of copper, a rare nutrient, important in the prevention of arterial inflammation.

It probably comes as no surprise that we recommend cutting back on unhealthy fats (trans fats, processed cooking oils, and fatty red meat). And avoid sugar as strictly as possible, as sugar consumption leads to insulin resistance and is a major cause of inflammation.

Avoid the nightshade vegetables: peppers, eggplants, potatoes and tomatoes. This includes spices and seasonings made from peppers, such as paprika and red pepper flakes. These foods can irritate the intestines, affecting their permeability and setting off unwanted immune responses. These in turn lead to inflammation, muscle spasms and stiffness.

What to Eat to Beat the Heat/inflammation

In Chinese culture, we drink mung bean soup during the hot days of summer. Cooked mug beans cool down our internal body heat and detoxify the body. We even feed this soup to people who are suffering from heat strike. Mung Beans are very nutrition, offering easily digested proteins, and do not create gas like other beans can. Their natural sweet flavor and bright green color are pleasing, as well.

Try this simple recipe:

  1. Add one cup of mung beans to six cups of water
  2. Bring to a boil, simmer for 5-10 minutes
  3. Sweeten by adding Asian pear or add a pinch of salt and eat as a soup or tea.
  4. Or simply one table spoon of mung bean with two cups of boiling water, cover with lid, drink this tea when it is in room temperature. Refill two cups of water boiling water again in remained mung bean container, repeat 2-3 time, eat the mung bean at the end.
    To ice or not to ice?

In the early hours of the morning, it is always best to drink liquids that are body or room temperature, in order to protect the fire of the digestive system. In the afternoon on a very hot day, it is generally OK to have a cold or iced drink to refresh yourself. However, women who are about to have or who have their menstrual period should never drink ice-cold beverages. The stomach sits right above the uterus, and the action of cooling down the female organs too much can cause cramping. And of course, we would always advise against drinking sugary iced coffee drinks, which can actually cause dehydration.

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Acupuncture for chronic pain: individual patient data meta-analysis

Acupuncture is effective for the treatment for the chronic pain and therefore a reasonable referral option. Significant difference between true acupuncture and sham acupuncture indicate that acupuncture is more than a placebo. However, these difference are relatively modest, suggesting that factors in addition to the specific effects of needling are important contributors to the therapeutic effects of acupuncture.  We find this article very interesting, click here to READ FULL ARTICLE

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TCM for Common Injuries: Ankle Sprain

by Qineng Tan, L.Ac., PhD., O.M.D.
A sprained ankle is one of the most common injuries. It can happen to kids and adults of all ages. It can happen when you’re actively playing a sport, or just walking around in your own home.
A sprain can be one of three severity levels:
Grade I
A minor sprain can occur when you are just walking. The ankle turns in sharply, causing the muscles and ligaments to pull and tear slightly.
Grade II
A moderate sprain might happen when running, or because of a fall. In this case, the ankle is twisted further in, causing a partial tear of the ligament.
Grade III
A severe sprain happens because of significant impact—such as a fall at great speed or from a height, or a fall compounded by someone’s else weight, such as might happen while playing a sport like football, soccer or baseball. In this case, the ligament might be torn completely. In very severe cases, it may also cause some fracturing of the ankle and/or even dislocation.
The ankle is a wonder of design; it is a very stable joint that not only carries your body weight, but withstands a lot of pressure and impact when you run and jump. It is really made up of two joints; the true ankle joint is formed by the meeting of three bones–the tibia, fibia and talus—and works like a hinge to create the up and down movement of the ankle. The subtalar joint is formed by the talus and the calcaenus, and allows for the side-to-side motion of the ankle. Ligaments are the soft tissues that connect bones to bones, while tendons are the soft tissues that connect muscles to bones; both are made up of small fibers of collagen. Cartilage is the tough yet soft, slippery tissue that creates cushioning and slip between the bones. A sprained ankle can result in torn tissues in the muscles, tendons or ligaments, damage the cartilage, and in severe cases, may involve fractures in the bones.
The pathology of a sprain begins in the acute stage—the first 1-2 days–with internal bleeding at the injury site. Fluid builds up in the tissues of the joint, which leads to swelling. After a few days, the active bleeding stops and inflammation begins to exert pressure around the area, compressing the blood vessels and slowing down the flow of fresh blood. This results in blood stagnation.
When blood has built up in the joint and stopped moving freely, it has a negative effect on the healing process. Incomplete healing can mean that the ankle loses some of both its stability and flexibility. The tendons and ligaments can become fragile, which means the joint is now more susceptible to re-injury.
For immediate home care of a sprain, follow the Universal Rule of RICE. (see box below) Do not massage the area during the first week of recovery. After that, gentle self-massage between the knee and ankle, focusing on releasing tightness in the shin and calf, is best. Don’t walk or put any weight on the foot for 3-7 days, depending on the severity of the injury. When you are ready to being exercising the ankle, begin with gentle, non-weight-bearing movements.
A good exercise to try is the “A to Z Exercise”:
Lift the injured leg, or cross it over the other leg so the ankle and foot can move freely. Using the big toe as the point of your “pencil,” draw the letters of the alphabet in the air, using at first very small, circular movements of the ankle joint. Gradually, work up to making the letters larger.
After 2-3 weeks, you may be ready begin engaging in activities that increase the range of motion, yet still keep most of your weight off the ankle, doing exercises such as pedaling a bike, swimming, or walking through water.
Gradually, after 4-5 weeks, you will be able to resume walking on a flat surface.
It is good to see your acupuncturist as soon as possible after spraining an ankle. The treatment will focus on stopping the internal bleeding and reducing the swelling of the joint. Minimizing inflammation and maximizing the constant circulation of blood will speed healing and help to ensure that the injury does not become a chronic one.

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7 Reasons to Seek Out Acupuncture

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Do you ever feel your life’s a ride that won’t ever stop? How many nights do you wait for Mr. Sandman to magically appear? How often do you truly take time for yourself? Do you have aches and pains almost daily? Are over-the-counter or prescription medications controlling your life? When was the last time you actually felt at peace? If any of these questions resonate with you, then it might be time to look at Traditional Chinese Medicine and acupuncture for an answer. People in Asian countries have known the magnificence of acupuncture for thousands of years. Traditional Chinese Medicine is growing in popularity in the United States and here are some reasons why you might want to consider utilizing it also. continue reading »

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