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How to Treat Diarrhea With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Chronic diarrhea, explosive diarrhea, diarrhea after eating? Diarrhea may be related to IBS (irritable bowel syndrome), or an IBD (inflammatory bowel disease), or a reaction to a food allergy, parasites, or stress. Acupuncture and TCM offer an alternative diarrhea treatment, so you can get relief from stomach pain and diarrhea.
Why Do I Have Diarrhea?
There can be many different causes of diarrhea, also known as loose stool. Acute diarrhea, which only lasts one or two days, will usually go away on its own.
Watery diarrhea that lasts a few days is usually due to food poisoning. Eating something that was rotten, or not cooked properly to destroy bacteria, can cause vomiting and diarrhea. Watery diarrhea can also happen when you have some type of viral infection, such as the “stomach flu.”
Chronic diarrhea, or persistent diarrhea, which lasts for weeks, or bouts of diarrhea that come and go frequently, may be related to IBS symptoms, IBD symptoms, Celiac disease, or some other problem.
More than 6% of adults in the U.S. report having chronic diarrhea. Chronic diarrhea in children is also a serious health concern worldwide.
Top 10 Causes of Diarrhea
Diarrhea is a common condition that everyone experiences sometimes. Usually it is temporary, but it can become persistent and serious enough to require diarrhea treatment. The most common reasons a person experiences loose bowel movements include:
- Bacterial infection, traveler’s diarrhea, food poisoning, unsafe drinking water
- Viral infection, such as rotavirus, viral gastroenteritis, stomach flu
- Parasite infection, such as giardiasis
- Food allergy, food intolerance, food sensitivity, Celiac disease
- Reaction to medications like antibiotics, antidepressants, or Metformin
- Reaction to radiation therapy, cancer treatment
- IBS – diarrhea, constipation, and stomach cramps are common IBS symptoms
- IBD – colitis or Crohn’s disease, inflammatory autoimmune disorders that affect the gut
- Malabsorption of food, poor absorption of nutrients
- Menstrual cycle or Perimenopause – changes in hormones/estrogen can cause diarrhea
Certain foods can cause diarrhea, including: too much coffee, artificial sweeteners like mannitol and sorbitol, and red food coloring. Magnesium supplements can also cause loose stools.
If diarrhea lasts more than a few days, it is important to seek healthcare advice. Chronic diarrhea can lead to dehydration and fatigue, and may be happening because of some more serious condition that needs to be addressed.
What Causes Chronic Diarrhea?
Bouts of diarrhea that keep recurring can be a symptom of disorders such as:
- IBD (inflammatory bowel disease) – the most common IBDs are ulcerative colitis and Crohn’s disease. IBD symptoms usually include bloody diarrhea and abdominal pain. IBDs can cause chronic or recurring diarrhea, which can lead to dehydration, fatigue, and weight loss. IBDs can be mild, or so serious that they cause long-lasting damage to the gastrointestinal tract.
- Ulcerative colitis – an autoimmune disorder that causes inflammation and ulcers, or open sores, in the lower gastrointestinal system, including the colon and rectum.
- Crohn’s disease – an autoimmune disorder that causes inflammation mainly in the small intestine, but can affect any part of the GI tract.
- IBS – Irritable bowel syndrome can seem similar to IBDs, also causing recurring bouts of diarrhea and stomach pain. However, IBS is considered a functional gastrointestinal disorder. It is quite common. People with IBS symptoms may have alternating bouts of diarrhea and constipation. People who tend to have more diarrhea-dominant IBS have “IBS-D.”
- Celiac disease – an autoimmune disorder in which a reaction to eating wheat gluten causes serious inflammation of the GI system, leading to abdominal pain, bloated stomach, diarrhea, malnutrition, fatigue, and skin rashes.
With these conditions, diarrhea is brought on periodically—sometimes alternating with constipation, as in some cases of IBS—by factors having to do with the diet or stress, or with autoimmune processes.
Some surgeries that affect the gastrointestinal organs—like gastric bypass, gastric sleeve, or gallbladder removal—can cause chronic diarrhea.
Chronic diarrhea can be caused by an inability of the intestinal walls to absorb nutrients, and/or of the walls of the colon to absorb liquid. It may also be due to excessive action of the intestine in terms of peristalsis, the squeezing of the intestine to move matter through.
Diarrhea Treatment
Acute diarrhea usually goes away on its own in a day or two. Often, people will use OTC remedies for diarrhea and stomach pain, such as Immodium or Pepto-Bismol.
If you have been experiencing persistent diarrhea and seek medical advice, a doctor will perform tests to figure out what is causing the diarrhea, and will offer electrolyte fluids to help with dehydration. Blood tests or a stool test will show if the diarrhea is due to a bacterial infection or parasitic infection.
If chronic diarrhea is determined to be related to a medication you are already taking, then that may need to be adjusted.
Discovery of IBS or an IBD usually involves more diagnostic testing, including a colonoscopy and/or endoscopy, to see if there is inflammation or blockage in the GI tract.
Medical treatment for IBS may involve being offered antispasmodic medications that relax the intestinal walls and slow down the movement of the bowels and can help relieve stomach cramps and abdominal cramping. Dietary changes and behavioral therapy may be recommended.
Pharmacological treatment for IBDs like colitis and Crohn’s usually involves taking a combination of anti-inflammatories and immunosuppressants, to reduce inflammation in the gut and to block the inappropriate autoimmune responses that are triggering the inflammation. Unfortunately, steroids and medications like Xeljanz can cause other side effects and health problems.
Medical treatment for chronic diarrhea may help relieve symptoms and reduce the frequency of bouts of diarrhea, but it does not necessarily address the underlying causes of diarrhea.
Acupuncture and TCM offer an effective alternative treatment for diarrhea that is more suited to each patient’s individual situation.
Can Acupuncture Help Diarrhea?
Chronic diarrhea, according to TCM theory, is usually considered to be related to the health of the spleen. In TCM, the organ systems all interact harmoniously, unless there is imbalance. The imbalance of one organ system may throw off other systems, leading to various symptoms.
In TCM, the spleen is responsible for breaking down the nutrients from food and converting them into energy. If the spleen is not functioning properly, watery stool is often the result. Diarrhea, stomach pain, and other symptoms may differ from person to person, depending on how the spleen is interacting with the liver, stomach, or kidneys.
Common Chinese Medicine diagnosis patterns for chronic diarrhea include:
- Spleen Deficiency with Liver Qi stagnation: mucus in the stool, abdominal pain, cramping, gassiness, bloated stomach, irritability, and feelings of depression
- Spleen Deficiency with Stomach deficiency: watery stools, poor appetite, feeling full quickly, stomach distended after eating, pallor, and fatigue
- Spleen Deficiency with Kidney Deficiency: diarrhea in the morning, partially digested food in the stool, abdominal pain, lower back pain, knee pain, feeling cold
Acupuncture treatment for diarrhea, which may include moxibustion and herbs, aims to support the health of the spleen and other organs. Acupuncture has been shown to help relieve diarrhea and constipation related to IBS. Acupuncture treatment can also help with reducing stress and anxiety, which are common triggers for IBS symptoms.
Acupuncture can also help with diarrhea due to IBDs like ulcerative colitis and Crohn’s disease by reducing inflammation and helping to balance immune responses. TCM treatment for Crohn’s disease or colitis, incorporating nutrition and herbal supplements, can help improve the gut biome and strengthen the lining of the intestinal walls.
Acupuncture for Diarrhea Near Me, Los Angeles, West L.A., and Santa Monica
TCM treatment with an experienced acupuncturist near me can be very beneficial for anyone dealing with ongoing gastrointestinal distress. Both adults and children can find relief from diarrhea, constipation, stomach cramps, bloating, and abdominal pain related to conditions like IBS, IBDs, or celiac disease through acupuncture and herbs. At Art of Wellness, we have over 30 years of experience helping people with gastric disorders of all kinds.
*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 Dermatitis With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Itchy skin, dry skin irritation, or skin rash? Dermatitis is a broad term that covers many skin problems, including eczema, heat rash, diaper rash, and other kinds of skin allergy. Acupuncture and TCM offer a way to treat dermatitis, eczema, and itchy skin conditions.
The medical term “dermatitis” can refer to many types of skin irritation that involve inflammation. Inflamed skin can cause itching, redness, dryness, and rashes. A dermatitis itchy skin rash is caused by an inflammatory response related to the immune system.
Eczema, also known as atopic dermatitis, is a common inflammatory skin condition; over 30 million people in the U.S. have some type of eczema. Eczema can show up as early as a few weeks after birth in some babies, or during childhood, or during adulthood.
While what exactly causes atopic dermatitis to occur in some people is not completely understood, it is generally accepted that it is a combination of genetic, immunological, and environmental factors.
Dermatitis is not contagious; it is not passed from person to person. However, you are more likely to be susceptible to dermatitis or eczema if other people in your family have it, or if there is a family history of allergies and asthma.
Eczema and other forms of dermatitis tend to “flare up” when a person is exposed to some sort of trigger and has an allergic reaction. This could be due to something in the environment, or some product or plant that touched the person’s skin. It can also be due to internal causes, like an autoimmune problem, excess heat in the body, or emotional stress.
Signs of Dermatitis:
- Itchy dry skin rash skin irritations (pruritus)
- Red rash, red bumps on skin
- Rash like a burn
- Blisters
- Thick skin, hard skin, swelling
- Scaly skin, creasing skin
- Crusty sores, painful skin sores
- Bleeding rash, oozing skin rash
- Flaking skin (dandruff)
Symptoms of dermatitis can come and go. Scratching at itchy patches or blisters associated with dermatitis can cause a skin infection, so it is important to manage and control this condition.
Acupuncture and TCM herbs can help relieve itchy skin and inflammation, while also helping to balance the immune system to prevent further eczema flare ups.
Top 10 Types of Dermatitis
Many different conditions can cause dermatitis—meaning, inflammation of the skin. Different kinds of dermatitis include:
- Atopic dermatitis – also known as eczema, marked by dry, itchy, red patches of skin.
- Contact dermatitis – this is when a skin rash breaks out due to exposure to some kind of external irritant, such as a cosmetic product, piece of jewelry, or plant like poison ivy.
- Seborrheic dermatitis – flaking skin, also known as dandruff, occurs mostly on oily areas of the skin.
- Dyshidrotic dermatitis – (also called dyshidrotic eczema or pompholyx) small, itchy, fluid-filled blisters that appear on the soles of the feet or palms of the hands, or the tips of the fingers or toes. The blisters may break out due to exposure to an allergen or when hands and feet are often wet or sweaty.
- Diaper rash – a red rash that forms on a baby’s bottom or perineal area due to contact with the diaper and frequent wetness.
- Neurodermatitis – (also called lichen simplex chronicus) is a type of eczema marked by one or two very itchy, scaly patches that can become thickened and leathery – most often affects an area on the neck, ankle, arm, or groin. Neurodermatitis can itch so intensely that it affects a person’s sleep, and can be triggered by stressful events.
- Nummular dermatitis – (also known as discoid eczema) is marked by round, coin-shaped lesions that appear on the limbs or torso. These lesions can become infected with scratching, and may be related to poor circulation.
- Perioral dermatitis or Periorificial dermatitis – pink scaly patches or pustules that form around the mouth. This occurs more commonly in young women. Some doctors believe it may be related to candida, and/or influenced by hormones.
- Stasis dermatitis – (also called venous stasis dermatitis) itchy, scaly, discolored skin around the lower legs and ankles, due to poor circulation and blood pooling in the lower extremities.
- Dermatitis herpetiformis – a bumpy, blistered skin rash (looks similar to a herpes outbreak, but is not actually related to herpes simplex) that is related to celiac disease, triggered by ingesting gluten or wheat.
Psoriasis can look similar to eczema, but it is a separate condition that can coexist with various types of dermatitis. Rosacea redness can also look similar to dermatitis, but is a distinctly different condition that can occur at the same time as dermatitis.
What Causes Dermatitis?
A combination of the immune system reacting to irritants in the environment, and genetic predisposition.
Common environmental factors that can contribute to dermatitis include:
- Chemicals
- Air pollutants
- Fluoride in water or toothpaste
- Fragrances, perfumes, air freshener
- Fragrances in skin products, cosmetics, lotions, soaps
- Tobacco smoke
Other conditions that may occur simultaneously with dermatitis include: depression, anxiety, insomnia, allergies, and asthma.
Eczema Treatment
There are many different types of medical treatment for dermatitis. Some are topical—meaning, applied to the skin. Others are taken in an oral pill form, or injected into the skin.
Topical corticosteroid creams, which can help reduce skin inflammation, are the most common treatment for eczema and dermatitis. These can help reduce itching and swelling. However, prolonged use of topical steroids can cause side effects like thin skin, spider veins, and acne. Steroids can affect growth in children, and can cause eye problems like glaucoma or cataracts in older people.
Steroids that are taken orally, like Prednisone, can help control systemic inflammation for a time, while patches of scaly skin heal. However, there are many serious side effects associated with taking steroids for a long time, and it is also possible to experience a “rebound effect.” This means that the dermatitis symptoms come back even stronger when a person stops taking the steroid medications.
Calineuron inhibitors and JAK inhibitors are designed to stop certain chemical processes in the body related to immune responses. They can help block immune system reactions to calm the dermatitis skin problems.
There are many new types of treatment for eczema being developed. Phototherapy, or light therapy, using ultraviolet (UV) light, may be tried when topical treatments are not working for eczema that is widespread over the whole body. However, this kind of therapy can cause prematurely aging skin, changing skin pigmentation, and potentially increase the risk of skin cancer.
Acupuncture and TCM herbal supplements offer a way to treat eczema without any damaging side effects.
Can Acupuncture Help Dermatitis and Eczema?
One of the core concepts of TCM is the 5 Elements Theory, according to which organs of the body correspond with seasons and weather conditions. According to this theory, eczema and other kinds of dermatitis arise due to imbalances within the internal organ systems affected by external conditions, such as Wind and Heat.
The lungs, especially, are connected to the skin in the TCM system. The lungs can be affected by excess heat or stagnation in the liver. Thus, an itchy red rash on the skin is actually an expression of a deeper, more complex internal condition. Therefore, it is necessary to treat dermatitis and eczema not only with topical creams, but to use acupuncture and herbs to balance all of the organ systems.
The acupuncturist gets clues about which internal organs are out of harmony by observing the eczema symptoms: the type of rash or scaly skin, the color and temperature. Each individual case of dermatitis is unique, triggered by different irritants, and arising from a person’s overall state of health.
One study showed that acupuncture treatment worked better than antihistamines for helping to reduce the itchiness of atopic dermatitis pruritus. Acupuncture also helps to reduce inflammation and overall stress.
Studies done in China to determine the efficacy of an herbal formulation developed for eczema showed that it worked well to reduce itching and recurrence of rash.
As systematic review of over 350 studies on acupuncture for eczema showed the patients who were given acupuncture treatment instead of conventional treatment experienced better overall symptom reduction and quality of life.
Top 5 Tips to Prevent Dermatitis Itchy Skin
There are things you can do to help prevent eczema flare-ups from occurring and avoid recurrent rashes.
- Do not bathe in very hot water.
- Keep showers short and warm, and use gentle cleansers, without strong chemical perfumes.
- Do not scrub your skin during or after the shower, while drying. Pat gently.
- Use moisturizer frequently to maintain a protective layer on your skin.
- Wear long pants and sleeves when hiking and adventuring. Wear gloves when gardening.
Acupuncture Near Me for Dermatitis in Los Angeles and Santa Monica
Acupuncture can help relieve itching, aid in the healing of lesions, help stimulate healthier immune responses, and reduce stress. TCM treatment can also be sought as a safe treatment for children with eczema, or during pregnancy, as it is free of negative side effects.
TCM can also help patients with other skin conditions, including signs of aging, acne, hives (urticaria), rosacea, and psoriasis.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How To 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 Treat Chronic Fatigue Syndrome With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Chronic fatigue syndrome (CFS), also known as myalgic encephalitis (ME/CFS), is a condition marked by extreme fatigue that doesn’t get better, even with rest, and gets worse with physical and mental exertion. Chronic fatigue is not well understood by medical science, but acupuncture and Chinese medicine for chronic fatigue syndrome symptoms can be an effective treatment option.
People with chronic fatigue syndrome are always tired, even after getting a normal amount of sleep, and the condition persists for weeks, months, or years. Other chronic fatigue symptoms include body aches, cognitive problems, vision problems, and emotional or mental health problems, like depression and anxiety.
If a person feels tired all the time, with no medical explanation, for six months or more, and has several other chronic fatigue syndrome symptoms like dizziness, difficulty concentrating, headaches, or sensitivity to light, then they might be diagnosed with CFS, or myalgic encephalitis (ME CFS).
By definition, a syndrome is a collection of symptoms that often appear together in combination, for which the exact explanation is unknown. Chronic fatigue has been considered a syndrome for some time, but has more recently been given the designation of a “disease;” hence, the newer term “myalgic encephalitis,” which refers to muscle pain and inflammation of the brain and spinal cord.
Chronic fatigue syndrome symptoms can be very similar to those of fibromyalgia. People with fibromyalgia also experience severe fatigue, but the primary symptoms of fibromyalgia are musculoskeletal pain that comes and goes all over, especially in “tender points” around the major muscles and joints, along with swelling and inflammation. It is possible to have both ME/CFS and fibromyalgia.
Women are much more likely to have chronic fatigue than men. MECFS can begin to appear at any stage of life, but most usually develops in adulthood. It is estimated that up to 90% of people who have chronic fatigue go undiagnosed.
ME/CFS is a serious and disabling condition that can interfere with even the most basic daily activities. People with chronic fatigue may be able to participate in some events where they exert themselves mentally and/or physically, but afterwards, they will feel completely wiped out and have to take time to recover, often confined to bed. This is called post-exertional malaise (PEM).
Top 10 Chronic Fatigue Syndrome Symptoms
The most common ME/CFS symptoms include:
- Fatigue, tired all the time, weakness
- Sensitivity to light
- Trouble concentrating, hard to focus, memory problems, confusion
- Dizziness, especially when getting up from lying down
- Headaches
- Muscle aches, body ache, muscle weakness, joint pain
- Enlarged lymph nodes in neck or armpit area, sore throat
- Tired after exercise or mental exertion (post-exertional malaise)
- Depression, mood swings, moodiness
- Insomnia, sleep problems
Other signs of chronic fatigue syndrome may include: fever, abdominal pain, weight loss or weight gain, allergies, rash, rapid heart beat, and night sweats/hot flashes.
What Causes Chronic Fatigue?
The cause of ME/CFS is not known. Immune system dysfunction, the aftereffects of having a virus, and psychological factors have all been associated with the development of chronic fatigue.
Some people begin to have symptoms of chronic fatigue after having a viral infection, such as Epstein Barr, mononucleosis, or herpes.
While it does seem that some people who suffer from CFS also have immune system problems, chronic fatigue is not considered to be an autoimmune disorder in and of itself. As with other conditions like lupus or fibromyalgia, CFS sometimes appears after a person has gone through some sort of emotional trauma or physical injury.
Some people with chronic fatigue have hormone imbalances related to pituitary hormone, adrenal hormone, or hypothalamus hormones, but it is not understood how these might be related to their condition. Diabetes, anemia, or hypothyroidism can also create hormonal imbalances that can contribute to chronic fatigue.
In some cases, chronic fatigue could be due to a sleep disorder, such as sleep apnea or chronic insomnia. Long-standing mental health issues like depression, anxiety, or PTSD can interfere with sleep and hormone responses, contributing to the chronic fatigue syndrome symptoms.
Treatment for Chronic Fatigue Syndrome Symptoms
There is no clear treatment protocol within conventional Western medicine for ME/CFS. A doctor may diagnose myalgic encephalitis if they have ruled out other possibilities and then try to recommend medications or various types of therapy to help people deal with the symptoms of chronic fatigue.
Pain relievers or NSAIDs will often be the standard recommendation for handling ME/CFS related pain like headaches or muscles aches.
Doctors may prescribe antidepressants as a way of helping patients cope with depression and anxiety related to chronic fatigue. However, these medications can sometimes cause side effects that will exacerbate the chronic fatigue rather than helping it.
Some doctors have tried treating CFS with antiviral medications, corticosteroids, or thyroid hormone medications. None of the pharmacological interventions that have been used to treat chronic fatigue syndrome have proved to be very effective.
Thus, many patients with ME/CFS consider turning to alternative medicine or complementary therapies to relieve CFS symptoms. Acupuncture is now widely recognized as an alternative therapy for chronic fatigue.
Can Acupuncture and Chinese Medicine Help Chronic Fatigue Syndrome?
Traditional Chinese medicine is well suited to treatment for ME/CFS. Overall, TCM philosophy pays close attention to the subtle balance of energy, known as Qi, within the body as a whole, as well as within the various organ systems. By observing the specific symptoms each person experiences as part of chronic fatigue syndrome, we can pinpoint which organ systems are deficient and need strengthening.
Classic TCM patterns related to chronic fatigue diagnosis include:
- Spleen Qi deficiency
- Liver Qi stagnation
- Kidney deficiency
- Yin deficiency
- Heat toxicity
- Phlegm obstruction/dampness
Latent heat and dampness are sometimes the long-term effects of a viral infection or other illness, or a long period of emotional stress. These conditions originate from an external pathogenic factor, but then cause a series of imbalances which weaken the kidneys and other organs over time. Acupuncture treatment and herbs can help reduce inflammation and strengthen Qi.
A TCM doctor will choose acupuncture points and a combination of herbs that will help harmonize the affected systems. With herbs, we are able to get nutrients into the body beyond what you can do with foods alone. A balanced diet that cools heat and tonifies the organs will also be important for recovering strength and energy.
One controlled trial found that four weeks of acupuncture treatment led to improvements in CFS symptoms.
A systematic review of studies regarding acupuncture treatment for ME CFS showed a reduction in the severity of fatigue.
A study using acupuncture and moxibustion treatment for CFS showed a 90% effective rate, with half of the patients feeling that their CFS was “cured.”
Another study involving acupuncture and moxibustion found that the moxa treatment in particular became more and more effective as treatment sessions continued past the 10th treatment. Moxibustion was shown to have an effect on the vagus nerve, which controls the parasympathetic nervous system.
How long it takes to get results from acupuncture treatment for chronic fatigue will vary from person to person, depending on how long the person has been experiencing CFS, and how deeply the organ systems are affected. TCM treatment has a cumulative effect which strengthens over time and several sessions.
Acupuncture Near Me for Chronic Fatigue Syndrome (ME/CFS) in the Los Angeles Area
ME CFS is far more common than statistics show, because many people suffer in silence and invisibility. Now, many people are struggling with chronic fatigue after having COVID-19. TCM modalities like acupuncture, Chinese herbs, and moxibustion, can help relieve fatigue, depression, mental fogginess, poor sleep, and other symptoms of CFS. If you or someone you love has been feeling exhausted for months without improvement, it may be time to consider trying acupuncture for chronic fatigue.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How To Treat Claustrophobia Anxiety Disorder With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Claustrophobia is a specific kind of anxiety disorder in which fear of being in an enclosed space can bring on symptoms similar to those of panic attacks. Claustrophobic feelings like being anxious, hyperventilating, sweating, shaking, and rapid heartbeat can be eased with acupuncture and TCM.
Claustrophobia is actually quite common; at least 10% of people report experiencing some claustrophobic feelings. Women report having a fear of confined spaces more often than men do. Phobias are sometimes rooted in a childhood experience, but they can arise in anyone, at any age, and are considered mental health issues or psychiatric disorders.
Phobias are distinct from regular fears because of their intensity and, to some extent, irrational nature. Phobias are unreasonable fears; feeling very afraid, to the point of physical and emotional distress, of something that isn’t really happening. Claustrophobia becomes a serious mental health problem if it interferes with a person’s daily life or relationships.
Sometimes claustrophobia can get in the way of a person getting help for other health problems. For example, it may cause them to avoid undergoing an MRI. Some people might fear visiting a doctor’s office, which often means facing elevators, public restrooms, and other small rooms without windows. Some women report feeling claustrophobic during pregnancy, as if they are “trapped” inside their own bodies.
Other common triggers of claustrophobia include: airplanes, trains, tunnels, small cars, revolving doors, or amusement park rides with restraints. Even thoughts of having to be trapped in one of these situations can be enough to bring on symptoms of claustrophobia. Signs of claustrophobia can be similar to those of a panic attack.
Top 10 Symptoms of Claustrophobia:
- Sweating
- Shaking or trembling
- Trouble breathing
- Rapid heartbeat, fast heart rate, high blood pressure
- Tight feeling in chest, chest pain
- Flushed face, feeling hot
- Dizziness, feeling lightheaded or faint
- Ringing in ears, tinnitus
- Butterflies in stomach feeling, nausea, queasy feeling
- Numbness or tingling in parts of the body
Other signs of anxiety due to claustrophobia could include: dry mouth, difficulty swallowing, choking, chills, confusion, or disorientation. In addition to physical symptoms of panic, claustrophobia may cause a person to cry, yell, or to be overwhelmed by a desire to get out of a situation because they feel that they are in serious danger, even if it seems irrational.
Cleithrophobia is another type of anxiety disorder that is sometimes confused with claustrophobia. Cleithrophobia specifically refers to the fear of being trapped or confined with no way to escape. Claustrophobia is a fear of the small space itself. These two phobias can exist together. Either one could cause serious anticipatory anxiety, for example, if a person has to have an MRI.
Cleithrophobia is related to other “winter phobias,” which may include “cabin fever,” which is a sense that one is stuck inside, or a fear of being literally trapped in the ice or snow. Many people feel an extra sense of sadness or dread during the winter months; this kind of depression is known as SAD (seasonal affective disorder).
Over time, repeated panic attacks or bouts of intense anxiety brought on by claustrophobia can create long-term stress that is harmful to overall physical and mental health. Acupuncture and TCM offer an adjunct or alternative treatment for claustrophobia which can help reduce symptoms and offset the effects of stress.
What Causes Claustrophobia?
Phobias can be triggered by some event or experience in which a person felt endangered and was traumatized, similar to PTSD (post-traumatic stress disorder). Like other mental health conditions, claustrophobia is influenced by brain chemistry. Imbalances in the neurotransmitters in the brain can cause some people to experience symptoms of anxiety or panic attacks even if nothing scary is really happening. Then, they may associate those physical and emotional feelings with a specific place or situation, which causes the anxiety to be triggered whenever they approach that place or even think of that situation.
People can perceive things differently. One research study suggested that people with claustrophobia may have a different perception of how near something, like a wall, is to them. In other words, they underestimate distances, or their sense of “personal space” is different from other people’s.
The amygdala is the part of the brain that processes incoming sensory information from the environment and signals the autonomous nervous system if it detects danger. This is essentially the neurological pathway of fear. Some research has suggested that people who experience panic disorders are more likely to have a smaller-than-average amygdala.
Treatment for Claustrophobia
To be diagnosed with claustrophobia, a person will need to explain to their doctor that they have been having these intense feelings for a while and that they are having a negative impact on their lives. This could mean that they go out of their way to avoid certain places or situations. A mental health professional will try to determine whether these fears are normal, or could be attributed to some other condition.
Some doctors may prescribe SSRIs like Zoloft or Lexapro, which influence serotonin levels in the brain, to help patients who are suffering from claustrophobia or anxiety. Often therapy is recommended to help patients learn to cope with their feelings. Cognitive behavioral therapy (CBT) and/or exposure therapy aim to retrain the mind and may help people learn to get used to being in a small space without feeling so anxious.
Psychiatric medications can have unwanted side effects and may create a sense of dependence. Some people will avoid therapy because it can be very confronting and become another source of fear.
Acupuncture and other TCM modalities, including herbs and movement techniques like Tai Chi, may offer an alternative solution for panic attacks due to claustrophobia, without side effects or having to work through the problem with uncomfortable talk therapy sessions.
Can Acupuncture Help Claustrophobia?
According to TCM, the organ systems closely associated with fear are those of the kidneys, liver, and heart. Kidney deficiency, in particular, can cause fear and mental disturbances. These types of mental disorders can also be related to imbalances in Yin and Yang energies, and blood deficiencies. An acupuncture practitioner’s approach to treatment for claustrophobia may, therefore, focus on strengthening and nourishing the kidneys, while soothing the liver and heart.
One study compared patients who knew they had claustrophobic feelings going into an MRI; some were treated with acupuncture based on TCM acupoints. Control groups patients were given sham acupuncture (not really the points that would correspond with TCM theory). They concluded that the real acupuncture treatment did offer a therapeutic effect for claustrophobia, with a 92% rate of effectiveness; meaning, the patients were able to remain calm during the MRI.
A case study of a woman who had experienced bouts of claustrophobic symptoms since her teenage years, including shortness of breath, trembling, sweating, and loss of motor control in her hands and feet. After six acupuncture treatment sessions, she reported much improvement: feeling calmer, no headaches, palpitations, or anxiety. Chinese herbs can also be used, in conjunction with acupuncture treatment, help a person overcome claustrophobia.
Acupressure Points for Claustrophobia
In between acupuncture sessions, you can use self-care acupressure to relieve claustrophobia.
Shen Men is a Master point, located in the valley of the upper part of the ear. This is a classic point to help feelings of anxiety.
Shoujie, which is located on the palm of the hand between the metacarpals of the fourth and fifth fingers, along the topmost crease, helps relieve palpitations and dizziness.
Acupuncture for Claustrophobia Near Me in Los Angeles Area
TCM is an excellent way for people to find relief from mental health issues of all kinds, including depression, anxiety, panic attacks, and phobias. We will do all we can to make sure that you are comfortable in one of our larger treatment rooms with a window, and to make your acupuncture treatment experience relaxing and pain-free. If you or someone you know is finding that the thought of enclosed spaces is creating anxiety in day-to-day life, please do not hesitate to try acupuncture for claustrophobia.
*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.