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How to Treat Cirrhosis With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Tired all the time? Upper right abdominal pain? Itchy skin? Muscle cramps? These can be cirrhosis of the liver symptoms. Acupuncture and TCM can help relieve liver pain due to cirrhosis and help to improve liver function.
Cirrhosis of the liver is a serious and progressive condition characterized by the scarring of liver tissue, which can lead to liver failure over time. This condition can be caused by various factors, like chronic viral hepatitis infections, primary biliary cirrhosis, and long-term alcohol overuse (alcoholic cirrhosis).
Other conditions that cause cirrhosis include: cystic fibrosis, autoimmune hepatitis, non-alcoholic fatty liver disease, hemochromatosis (iron buildup), and primary biliary cholangitis (hardening of the bile ducts).
The liver is a vital organ responsible for detoxifying harmful substances from the body, producing bile to aid in digestion, and storing nutrients. When cirrhosis of the liver occurs, these functions are significantly impaired, which can lead to a wide range of health problems.
Cirrhosis of the liver symptoms can vary depending on the severity and progression of the disease. Many people have liver cirrhosis without realizing it, as it is possible to have cirrhosis for years without being symptomatic.
Top 10 Symptoms of Cirrhosis of the Liver
Cirrhosis symptoms include:
- Bruise easily, bleed easily
- Nausea
- Fatigue, drowsiness
- Lack of appetite
- Itchy skin, pruritus
- Edema in legs, edema in ankles, edema in feet
- Jaundice – yellow eyes, yellow skin
- Spider veins
- Pale fingernails, clubbed fingers, red palms
- Cognitive difficulties, slurred speech
Cirrhosis can affect menstruation, causing irregular periods or no period, and cause female infertility. Cirrhosis can also affect sexual function (erectile dysfunction/ED), libido and male fertility.
In its early stages, cirrhosis may present with mild or no symptoms, making it challenging to diagnose without medical testing.
An enlarged spleen can be a symptom of liver cirrhosis.
As the condition advances, cirrhosis symptoms will usually worsen, signaling the need for intervention.
4 Stages of Liver Disease
It is important to recognize the stages of cirrhosis of the liver. Early intervention can help slow down the progression of liver disease.
- Stage I: Steatosis (Fatty Liver) – The first stage involves inflammation of the bile duct or liver. Abdominal pain is often the first sign. If not treated, the inflammation can damage the liver. Symptoms and inflammation are usually treatable at this stage, preventing progression to stage II.
- Stage II: Fibrosis (Liver Scarring) – Many people don’t notice symptoms until stage II or III. In this stage, scarring begins to block the normal blood flow in the liver. The liver doesn’t function properly, but with treatment, it can still recover and slow down the disease.
- Stage III: Cirrhosis – Cirrhosis occurs when scar tissue replaces healthy liver tissue. This happens over several years due to untreated disease or infection. The liver becomes hard and lumpy, making it difficult for blood to flow through it. The blocked blood flow can also affect the spleen, causing additional issues.
- Stage IV: Liver Failure – At this final stage, the liver stops functioning. Immediate medical intervention is needed to prevent fatal outcomes.
Early diagnosis and treatment for cirrhosis are crucial to prevent further liver damage and manage cirrhosis effectively. Acupuncture and TCM offer an alternative treatment for cirrhosis to help restore liver function.
Medical Treatment for Liver Cirrhosis
Cirrhosis treatment focuses on slowing the progression of the disease, managing liver cirrhosis symptoms, and preventing complications. The specific approach can vary depending on the underlying cause of cirrhosis, such as hepatitis, alcoholic liver disease, or nonalcoholic fatty liver disease.
Common conventional treatments and strategies used to manage liver cirrhosis include medications to reduce inflammation and manage symptoms.
For cirrhosis caused by chronic hepatitis B or C, antiviral medications can help reduce liver inflammation and prevent further liver damage.
Diuretics are often prescribed to reduce fluid retention and swelling (edema) in the legs and abdomen (ascites). Paracentesis is a procedure that drains excess fluid from the abdomen in cases of severe ascites.
Beta-blockers decrease the risk of bleeding from esophageal varices (enlarged veins in the esophagus) by lowering blood pressure in the portal vein.
Frequent blood tests, imaging studies (such as ultrasounds), and endoscopies to monitor liver function and detect complications early.
In cases where cirrhosis progresses to end-stage liver disease and liver function is severely compromised, a liver transplant is sometimes the only option. This involves replacing the damaged liver with a healthy one from a donor.
For alcoholic cirrhosis, abstaining from alcohol is crucial. Medical support, counseling, and rehabilitation programs can aid in alcohol cessation.
Lifestyle modifications, including a healthy diet, weight loss, and regular exercise, are essential for patients with nonalcoholic fatty liver disease (NAFLD) related cirrhosis. Eating a balanced diet low in sodium to reduce fluid retention and avoiding alcohol and substances that can further harm the liver.
By combining these treatments, healthcare providers aim to manage cirrhosis effectively, improve the quality of life, and extend the lifespan of individuals with this chronic condition. However, some of the medications recommended for cirrhosis, such as antiviral drugs and diuretics, can potentially cause harm to other organ systems and do not serve to address the deeper root causes of liver dysfunction. Acupuncture and TCM offer a holistic treatment for cirrhosis that takes the whole body into account.
Can Acupuncture Help Cirrhosis?
According to TCM theory, the liver is responsible not only for removing toxins from the bloodstream and body; it also disperses nutrients and medicinal substances throughout the body.
In modern life, people’s livers have to work much harder to process all of the chemicals and other toxins to which we are exposed on a daily basis. When the liver is overtaxed, it cannot provide adequate energy and nutrition, and it may not be able to eliminate all of the toxins.
This buildup of chemicals and unhealthy “food” substances in the liver contributes to the formulation of scar tissue in the liver.
Symptoms such as nausea and vomiting, diarrhea, itchy skin or skin rashes indicate that the liver is trying to purge toxins. When the liver cannot expel enough of the toxins, they will begin to affect the kidneys, too.
Medical treatments that aim to get rid of rashes or other symptoms may help the person feel more comfortable, but they do not help the root cause of the problems in the liver; they only cover them up. The use of antiviral and antibiotic medications, likewise, may seem to be taking care of infections, but they are potentially causing further damage to the organs.
In TCM, internal pathogens like cold, damp, and stagnation affecting the organ systems contribute to disease. Liver disease is not only about the liver, but also the kidneys, heart, stomach, and spleen. Symptoms like stomach distension, edema in the legs and feet, varicose veins or spider veins, and jaundice occur because of deficiencies in the various organs.
An acupuncturist will listen and observe each individual’s symptoms carefully to see which organs are affected. The TCM treatment plan will then involve acupuncture treatment and herbs to help strengthen all of the organs (heart, kidney, spleen and stomach), not just the liver.
A review of 15 studies in China in which TCM was used to treat liver cirrhosis concluded that acupuncture is effective both as a primary treatment and an adjunct treatment for chronic liver disease, helping to relieve symptoms and improve liver function.
If acupuncture treatment is sought before there is too much liver damage, TCM can help slow the progression of the disease and reduce painful symptoms.
One study showed that four weeks of electro-acupuncture treatment helped to reduce muscle cramps in liver cirrhosis patients.
Acupuncture helps to treat the underlying conditions that cause cirrhosis, including hepatitis, and fatty liver disease.
Another study showed that patients who received acupuncture treatment in addition to conventional treatment for liver cirrhosis showed less liver fibrosis (scarring) and fewer gastrointestinal symptoms than patients who only received conventional treatment.
Most doctors will advise patients with liver disease to quit drinking and cut out certain foods. Acupuncturists have expertise in nutrition that allows them to give each patient personalized care when deciding what dietary changes need to be made. Acupuncture treatment can also be very helpful when people are ready to cut out alcohol and eat the right foods to help improve liver health.
Acupuncture Near Me for Cirrhosis in West Los Angeles
TCM has been used to help improve liver health for many centuries. Acupuncture and Chinese herbs can help address liver problems of all kinds. At Art of Wellness, we are able to help patients improve liver function and feel better through acupuncture, customized herbal formulas, and individualized nutritional counseling.
*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 SIBO With Acupuncture and TCM
by Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Abdominal pain, bloating, diarrhea? These can be SIBO symptoms. SIBO, or small intestinal bacterial overgrowth, can cause bloated stomach, abdominal cramps and pain. Acupuncture and TCM can offer alternative SIBO treatment and bloating relief.
Small Intestinal Bacterial Overgrowth (SIBO) is a condition in which an abnormal increase in the population of bacteria occurs in the small intestine.
Unlike the large intestine, which is rich in bacterial flora essential for digestion and immune function, the small intestine typically contains relatively few bacteria. When these bacteria proliferate excessively in the small intestine, they can disrupt normal digestion and nutrient absorption, leading to a variety of uncomfortable and sometimes debilitating symptoms.
Problems with gut motility also contribute to SIBO symptoms. Peristalsis is the process by which the smooth muscle tissues in the intestine move food matter through the gastrointestinal tract. When peristalsis isn’t happening the way it should, this is known as dysmotility. This can lead to stagnation of food matter in the intestine, which allows for an overgrowth of bacteria to build up. This in turn can causes hydrogen and methane gas to be produced by the fermentation of carbohydrates that are stagnant in the small intestine. This excess gas causes painful bloating and distension of the abdomen.
SIBO can cause a range of digestive symptoms, such as bloated stomach, abdominal pain, diarrhea, constipation, and malabsorption of nutrients from food, which can result in unwanted weight loss and nutritional deficiencies. Vitamin B12 deficiency is particularly common among people suffering from SIBO.
Other symptoms, seemingly unrelated to the gastrointestinal system, can include: fatigue, headache, low fever, and rosacea.
SIBO is often associated with other health issues, including irritable bowel syndrome (IBS), celiac disease, and diabetes.
Acupuncture and TCM can work as an adjunct or alternative treatment for SIBO symptoms.
This can lead to hydrogen and methane gas being produced by the fermentation of carbohydrates that are stagnant in the small intestine. This excess gas can cause painful bloating and a distended abdomen.
What Causes SIBO?
A wide variety of different issues can play a role in the development of SIBO. Many conditions may cause problems with the secretion of gastric acids, with motility of the small intestine, gut immune function, and structural issues related to surgeries, injuries, or other abnormalities of the intestine.
Conditions that may contribute to SIBO include:
- Gastroparesis due to diabetes, or connective tissue disorders, viral infection, or ischemia
- Cirrhosis
- Chronic renal failure
- Scleroderma
- Crohn’s disease
- Celiac disease
- Recurrent rounds of antibiotics
- Excessive consumption of alcohol
- GI tract surgeries that create structural abnormalities
- Immune deficiencies of T-cell or antibody responses
What’s the Difference Between IBS and SIBO?
Symptoms of SIBO are very similar to IBS symptoms, and it is possible for a person to have both IBS and SIBO at the same time. The difference between SIBO and irritable bowel syndrome is that IBS is a functional syndrome stemming from issues in the large intestine, whereas SIBO occurs in the small intestine.
One review of studies showed that the incidence of SIBO among patients with IBS is much higher than among people who don’t have IBS symptoms. The exact link between IBS and SIBO has not yet been clarified by medical science.
Medical Treatment for SIBO
In Western medicine, the treatment of SIBO typically involves a multi-faceted approach aimed at reducing the bacterial overgrowth, addressing the underlying causes, and managing symptoms.
Along with trying to find and address any underlying conditions that may be causing or contributing to SIBO, the mainstays of conventional treatment include antibiotics and medications to help improve gut motility.
The primary treatment for SIBO is the use of antibiotics to reduce the bacterial load in the small intestine. Commonly prescribed antibiotics include rifaximin, metronidazole, and ciprofloxacin. These antibiotics are chosen for their ability to target the small intestine bacteria while minimizing disruption to the rest of the gut microbiota.
Unfortunately, while antibiotics may help reduce bacteria, but they can also come with unwanted side effects. Rifaximin can cause bladder pain, urinary frequency, difficulty urinating, and cloudy urine. It can also contribute to feelings of anxiety, dizziness, headaches, fast breathing, fast heartbeat, and problems sleeping.
Antibiotics do not necessarily ease symptoms like gas and bloating, and can cause constipation and black, tarry stool.
Prokinetics are medications that help improve gut motility, ensuring that food and bacteria move efficiently through the digestive tract, which can help prevent bacterial stasis and overgrowth. Common prokinetics include erythromycin in low doses, prucalopride, and metoclopramide.
Dietary modifications will usually be recommended to help manage SIBO. Patients are often advised to follow specific diets such as the low FODMAP diet, which reduces the intake of fermentable carbohydrates that can feed bacterial overgrowth. Other dietary approaches may include the Specific Carbohydrate Diet (SCD) or an elemental diet, which involves consuming easily digestible, nutrient-rich formulas.
It can be difficult for people to follow a SIBO diet, and many physicians are not able to spend the time with patients that is required to properly support these behavioral changes. Without dietary support, the antibiotics and prokinetics may not do enough to get rid of SIBO.
Successful treatment of SIBO often requires addressing any underlying conditions that contribute to bacterial overgrowth. This could involve treating gastrointestinal motility disorders, managing chronic pancreatitis, or addressing structural abnormalities such as strictures or diverticula.
By understanding the underlying causes and employing a comprehensive treatment strategy, conventional medicine aims to alleviate symptoms and reduce the recurrence of SIBO. However, due to the chronic nature of the condition and the complexity of the gut microbiome, many patients seek complementary treatments such as acupuncture and herbal medicine to support their overall gut health and enhance the effectiveness of their treatment plan.
Can Acupuncture Help SIBO?
Chinese herbal medicine has its own way of helping to relieve SIBO, improve motility and digestion, and soothe uncomfortable stomach pain and bloating.
TCM theory views stagnation of Qi and blood as being one of the primary pathogenic forces in the body that causes pain and disease. In the case of SIBO, weakness or stagnation of organ systems, such as the stomach, liver, and spleen, is often part of the diagnostic pattern.
Diet, herbs, and supplements may all play an important role, in addition to acupuncture treatment for SIBO. Digestive enzymes and/or probiotics may be helpful in some cases. It may be necessary to eliminate some foods for a time to help control excessive fermentation and bacterial proliferation that is causing the gas and bloating.
There are foods and herbs that can work as natural prokinetics, to help improve gut motility and aid in proper absorption of nutrients. Ginger, turmeric, and peppermint oil are a few easy-to-find products that can help with digestion. There are also classic Chinese herbal preparations that can work even better than pharmaceutical prokinetics to help relieve constipation and indigestion.
A review of trials in China using Modified Runchang-Tang (MRCT) showed that in a sampling of over 2000 patients, this herbal formula worked better than conventional laxatives for relieving constipation.
Another review found that Modified Chaihu Shugan powder (MCSP) worked better than chemical prokinetics to help resolve symptoms of dyspepsia, or indigestion.
In addition to specific Chinese herb formulas that can help relieve digestive issues and work to get rid of unhealthy bacteria, there are other well-known common herbs that can also be helpful:
- Black cumin
- Garlic
- Cloves
- Cinnamon
- Thyme
- All-spice
- Bay leaves
- Mustard
- Rosemary
Acupuncture practitioners have generally received much more specialized training in nutrition than conventional doctors. Your acupuncturist will be able to make dietary recommendations that are specific to your symptoms and condition.
Acupuncture for SIBO Near Me in Los Angeles
Dr. Tan and Dr. Cai at Art of Wellness in West Los Angeles/Santa Monica have over 30 years of experience helping people with all types of gastrointestinal disorders. You do not have to suffer with gas pain and bloating, constipation or persistent diarrhea. Try Chinese medicine as an alternative or adjunct treatment for SIBO and IBS.
*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 Pruritus With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. and Qineng Tan, L.Ac., Ph.D.
Itchy skin, hives all over the body, or skin rashes that itch? Pruritus, commonly known as itching, is an irritating and persistent condition that affects many people. Acupuncture and TCM herbs can offer a holistic approach to alleviate itching.
Pruritus is simply a medical term that means “itching,” or that feeling that you need to scratch your skin. It can refer to itchy skin on one part of the body, or systemic itching that feels like it moves around or affects the whole body. The sensation can be mild, even ticklish, or painful and constant to the point that it is debilitating.
The sensation of itching all over body can significantly impact one’s quality of life, as it can be painful, distracting, and make it difficult to concentrate, relax, or sleep.
Persistent itching requires treatment that takes many possible underlying factors into consideration. This is why acupuncture and TCM can be a good alternative treatment for pruritus.
What Causes Pruritus?
Pruritus can stem from various causes. It can be a primary condition, arising due to a skin problem or skin allergy, such as:
- Atopic dermatitis
- Dermatitis herpetiformis
- Psoriasis
- Eczema
- Hives, urticaria
- Folliculitis
- Dry skin
- Hemorrhoids
- Head lice infestation
Pruritus can also be caused by many other conditions, such as nerve damage, renal disorders that require dialysis, blood diseases like polycythemia vera, hepatitis, liver cirrhosis, infections like chicken pox and shingles, HIV, thyroid disorders, MCAS, pregnancy and perimenopause.
Top 10 Pruritus Causes
Because the sensation of itching, like that of pain, can be influenced by so many factors, there are many possible causes of pruritus. Itchy skin can be caused by a wide variety of conditions, including:
- Allergic Reactions: Common allergens include certain foods, medications, and insect stings or bites. Immune system disorders like MCAS can cause pruritus.
- Dermatitis: Conditions like atopic dermatitis (eczema) and contact dermatitis can lead to persistent itching.
- Skin Infections: Bacterial, viral, and fungal infections can cause itching.
- Dry Skin (Xerosis): Often exacerbated by environmental factors, dry skin can cause itching.
- Internal Diseases: Liver disease, chronic kidney disease, thyroid problems, and certain cancers can cause systemic itching. Chronic kidney disease that require dialysis treatment, in particular, can cause a condition known as Uremic Pruritus.
- Nervous System Disorders: Conditions such as multiple sclerosis, pinched nerves, and postherpetic neuralgia can lead to pruritus. Brachioradial pruritus, for example, is a condition in which irritation of the cervical nerves (C5-C8) causes itching on one or both of the the upper arms.
- Mental Health Issues: Stress, anxiety, and obsessive-compulsive disorder can manifest with itching.
- Pregnancy: Some women experience pruritus during pregnancy due to hormonal changes.
- Perimenopause: Some women experience pruritus during perimenopause and menopause due to a reduction in estrogen levels.
- Reactions to medications: Many drugs can cause pruritus as a side effect, including antibiotics like penicillin, amoxicillin, erythromycin, blood pressure medications, statins, or cholesterol medications, analgesics like aspirin, and tricyclic antidepressants.
Treatment for Pruritus
Conventional medicine typically treats pruritus by trying to find and address the underlying cause, while using medications to alleviate the symptom of itching. This may include topical treatments like over-the-counter or prescription creams and ointments that contain corticosteroids, menthol, or capsaicin to soothe the skin and reduce inflammation. These creams may help relieve localized itching for a time, but they cannot do much to control widespread, systemic itching.
Antihistamines, such as diphenhydramine or cetirizine, may be prescribed to reduce allergic reactions and relieve itching. These can be helpful in some acute cases of pruritus, but again, they do not resolve the problem of chronic itching. Overall, most people with chronic pruritus do not get adequate relief from antihistamine treatment for itching.
For severe itching, oral corticosteroids or immunosuppressants may be prescribed to reduce inflammation and immune response.
TCM and acupuncture can be an effective alternative or adjunct treatment for itching, as TCM addressed both underlying conditions and the symptoms of itchy skin.
Can Acupuncture Help Pruritus?
TCM methods like acupuncture and moxibustion have been used for over 2000 years to help relieve itchy skin conditions and systemic pruritus. Now, scientific research is beginning to show that Chinese medicine is an effective alternative treatment for itching.
The mechanisms that cause the sensation of itching often stem from the brain and the peripheral nervous system. Acupuncture has been shown to have an effect on the nervous system, and specifically, to help reduce the activation of the itch response in the brain.
Itching responses are also activated by the behavior of mast cells, like cytokines. Acupuncture, particularly electroacupuncture, has been shown to help regulate the activity of cytokines, which can help reduce inflammation and sensation.
Acupuncture is well known, now, to help relieve pain by stimulating receptors in the brain. This same action can help to reduce itchy sensations, as well as pain.
The chemical and mechanical activations that cause itching can lead to a chronic problem referred to as the “itch-scratch vicious cycle,” which occurs because of a neural loop in the spinal cord. Acupuncture can potentially help to disrupt this chronic loop of activations that causes the urge to scratch.
Acupuncture and TCM herbal remedies can also help to clear up skin conditions that are directly causing itching, and can help to address deeper underlying conditions, such as liver and kidney ailments, that can be the secondary cause of systemic itching.
Uremic pruritus, which is associated with dialysis treatment for chronic kidney disease or renal failure, affects many people. This type of pruritus can cause sleep problems and affect patients on a daily basis and is believed to be caused by severe dryness of the skin, along with sweating, and chronic inflammation. It may also be related to opioid receptors and inappropriate nerve signaling that triggers the release of cytokines. A review of studies about acupuncture treatment for chronic kidney disease suggests that TCM is highly effective for reducing itching related to uremic pruritus.
One specific study looked at patients undergoing dialysis who were given acupressure treatment. The conclusion was that acupressure was both helpful for relieving itching and cost effective as a treatment alternative.
Acupuncture treatment has an impact not only on the autonomic nervous system, but also on histamine release, and studies have shown that acupuncture is more effective at controlling histamine-related itching than many antihistamine medications.
One study done with 16 patients suffering from brachioradial pruritus (itching on the upper arm/s) found that the majority experienced total resolution of their itching, while the remaining patients experienced partial relief of itching.
Acupuncture Near Me for Pruritus in West Los Angeles
Acupuncture can be beneficial for itchy skin conditions like hives, dermatitis, and rashes. During pregnancy and perimenopause, acupuncture can help balance hormones to relieve itching and insomnia. Acupuncture can also help relieve anxiety, PTSD and panic disorders that can sometimes exacerbate itching sensations. Liver problems, kidney problems, and side effects of cancer treatment can all be addressed with TCM, which may help relieve persistent pruritus.
*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 MCAS With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. and Qineng Tan, L.Ac., Ph.D.
Shortness of breath, dyspnea? SIBO or fungal infections? Sensitive to smells? Signs of orthostatic low blood pressure? Itchy skin rash or hives? Musculoskeletal pain, joint pain? These can be some of the many different MCAS symptoms. Acupuncture and TCM can offer alternative treatment for MCAS, or mast cell activation disorders.
Mast Cell Activation Syndrome (MCAS) is a complex and often underdiagnosed condition characterized by the inappropriate activation of mast cells, which are immune cells involved in allergic and inflammatory responses throughout the body.
In short, mast cells are what cause people to have an allergic reaction to something. When mast cells encounter an allergen (or sometimes a medication, infection, or insect venom), antibodies inside them surface and send out “mediators.” Mast cells can produce hundreds of different types of mediators. These include histamine, leukotrienes and cytokines.
In MCAS, mast cells release excessive amounts of mediators, leading to a wide range of symptoms affecting various organ systems throughout the body. There are so many different mediators that science is not yet able to pinpoint which mediators may be causing which symptoms, in many cases.
This systemic activation of mast cells can occur spontaneously or in response to triggers such as stress, exercise, medications, infections, or environmental factors.
The symptoms of MCAS can vary widely among individuals and may mimic those of other conditions, making diagnosis challenging. There are five categories of MCAS symptom, affecting different parts or systems of the body:
Skin-related MCAS Symptoms:
Itching (pruritus)
Hives (urticaria)
Flushing or redness of the skin
Rashes or eczema-like lesions
Swelling (angioedema), particularly of the face, lips, tongue, or throat
Gastrointestinal MCAS Symptoms:
Abdominal pain or cramping
Nausea and vomiting
Diarrhea or constipation
Acid reflux or heartburn
Bloating or abdominal distension
Respiratory MCAS Symptoms:
Wheezing or difficulty breathing (dyspnea)
Chest tightness or pain
Coughing or throat clearing
Nasal congestion or runny nose
Sneezing or postnasal drip
Cardiovascular MCAS symptoms:
Rapid or irregular heartbeat (palpitations)
Low blood pressure (hypotension)
Fainting or near-fainting episodes (syncope)
Fluctuations in blood pressure upon standing (orthostatic hypotension)
Raynaud’s phenomenon (abnormal blood vessel spasm in response to cold or stress)
Neurological MCAS symptoms:
Headaches or migraines
Dizziness or lightheadedness
Cognitive dysfunction or brain fog
Anxiety or panic attacks
Fatigue or malaise
These symptoms can vary in severity and may occur intermittently or chronically.
What Causes MCAS?
Medical science is unclear about the underlying cause of MCAS. Mastocytosis is a different mast cell disorder, in which people have an elevated number of mast cells. However, with MCAS, people have a normal number of mast cells; they just behave in an exaggerated manner when triggered.
MCAS is “primary” when there is a particular genetic mutation, which may happen due to mastocytosis or monoclonal mast cell activation syndrome (MMAS,) in which there is a clonal line of mast cells.
In some cases, when a person also has a diagnosed autoimmune disorder, allergy, or infection the MCAS is considered “secondary,” meaning that the overactive mast cell activity may be stemming from that other primary condition.
A diagnosis of “Idiopathic MCAS” indicates that neither of the above factors is present.
MCAS can begin at any point in a person’s life, including during childhood.
MCAS Treatment
Treatment for Mast Cell Activation Syndrome (MCAS) in Western medicine typically involves a combination of medications and lifestyle modifications aimed at stabilizing mast cells and alleviating symptoms.
Antihistamines, such as H1 receptor blockers (e.g., loratadine, cetirizine) and H2 receptor blockers (e.g., famotidine, ranitidine), are commonly prescribed to reduce the effects of histamine released by mast cells.
Mast cell stabilizers, such as cromolyn sodium, can help prevent the release of inflammatory mediators from mast cells and may be used as preventive therapy. In cases of severe or refractory symptoms, corticosteroids or leukotriene inhibitors may be prescribed to suppress the immune response and reduce inflammation.
Medications to manage specific symptoms, such as gastrointestinal distress or cardiovascular symptoms, may be recommended.
Lifestyle modifications, such as avoiding known triggers, managing stress, and following a healthy diet, may also play a crucial role in managing MCAS symptoms.
It’s important for individuals with MCAS to work closely with their healthcare providers to develop a personalized treatment plan. Acupuncture and TCM can provide adjunct treatment for MCAS that address each patient’s unique symptoms and needs.
Can Acupuncture Help MCAS?
One of the central concepts of Traditional Chinese Medicine, which dates back many centuries, is that of the meridian system. The 12 meridians are channels of energy, or Qi, that flow throughout the body. Along the meridians are many acupoints: spots where Qi is activated when thin acupuncture needles or acupressure are applied to them.
But do the meridians exist as physical entities, or are they metaphorical?
Scientific research in the twentieth century sought to explain the various phenomena produced by the activation and manipulation of acupoints. It was found that both blood vessels and nerves are located near the acupoints in greater concentration than in other areas of the body. These studies suggested that acupuncture treatment functions through the vascular and nervous systems.
Later, further studies showed that acupuncture has effects on the production and releasing of hormones, such as endorphins, which has a analgesic effect of reducing pain.
The sensations that people feel as a result of acupuncture treatment cannot be fully explained by saying they are related to blood vessels, nerves, or hormones. Further questioning continued, asking if other cells or tissues could also be involved in how acupuncture works.
One female scientist, researcher, and professor in China, Jimei Song, hypothesized that activity around acupoints may be related to mast cell activation. This idea was Song’s Mast Cell Theory of Acupuncture (now called Song’s MC Theory for short, originally published in the Liaoning Journal of Traditional Chinese Medicine (TCM) in 1977.
Studies suggest that when an acupuncture needle penetrates the skin, mast cells are released, which then in turn, affect the blood vessels and nerves, leading to both sensations experienced by the patient in the moments, and systemic effects on the release of histamines, serotonin, and other chemicals than go on to create systemic effects. This is now considered a milestone in TCM research.
Acupuncture has been shown to have a positive effect on histamine response. Specific Chinese herbal formulas have also been shown to be effective in dampening mast cell activation. Compounds found in some herbs can help inhibit the production of cytokines.
An acupuncturist is able to address the problem both at its root, and help take care of the wide variety of symptoms a person may be experiencing. Acupuncture treatment can help relieve problems like itchy skin rash, sensitivities, orthostatic low blood pressure, and joint pain, all in one treatment session. A personalized herb formula can be prescribed to suit each individual patient.
Acupuncture Near Me for MCAS in Los Angeles
MCAS can mimic many other conditions and be difficult to diagnose and treat. This is what makes acupuncture, herbs, and moxibustion excellent modalities for helping to relieve MCAS symptoms such as: dizziness, headaches, musculoskeletal pain, insomnia, anxiety, hives, GERD, SIBO, IBS, interstitial cystitis bladder pressure, and more. Acupuncture and TCM can offer an adjunct or alternative treatment for MCAS symptoms.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Shin Splints With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Shin pain, especially during or after exercise? Tenderness and swelling around the shin bone? These may be signs of shin splints, or a shin strain. Acupuncture and TCM can provide shin splints treatment.
Shin splints, also known as medial tibial stress syndrome (MTSS), are a common condition characterized by pain along the inner edge of the shinbone (tibia). This discomfort typically occurs during or after exercise, particularly activities that involve running, jumping, or repetitive stress on the legs.
Shin splints are often attributed to overuse or excessive strain on the muscles, tendons, and bone tissue of the lower leg. This condition involves stress to the soft tissues that causes them to become swollen and hard.
Shin splints pain can be similar to compartment syndrome symptoms, but these are two distinctly different conditions. Compartment syndrome occurs when swelling in the calf area causes a blockage of blood flow to the lower leg. This usually happens due to an injury (acute compartment syndrome) or extreme exertion (chronic exertional compartment syndrome) and causes a severe lack of oxygen in the area. Compartment syndrome usually causes severe pain, sometimes with a tingling or burning sensation, and requires medical attention.
What Causes Shin Splints?
Several factors can contribute to the development of shin splints. One of the primary causes is repetitive stress or overloading of the leg muscles, particularly those responsible for dorsiflexion (lifting the foot upwards) and supporting the arch of the foot. This can occur due to sudden increases in activity level, such as starting a new exercise regimen or intensifying training too quickly, without allowing adequate time for the body to adapt and recover.
Some people may be more prone to developing shin splints because of issues like flat feet, overpronation (excessive inward rolling of the foot), and muscle imbalances in the lower limbs can place additional strain on the shinbone and surrounding soft tissues, increasing the risk of injury.
Wearing footwear with insufficient cushioning or support, running on hard or uneven surfaces, and running downhill or on inclined terrain can all exacerbate the stress on the lower legs and contribute to the development of shin splints. Additionally, factors such as tight calf muscles, weak shin muscles, and not warming up or stretching before exercise can further increase susceptibility to this condition.
Taking care to stretch and warm up before working out, wearing shoes with enough support, and gradually increasing intensity of training can help prevent shin splints.
However, runners and athletes who play basketball or soccer are likely to experience shin splints when they are training and competing.
Shin splints treatment generally requires time and patience. Acupuncture can provide pain relief and help speed recovery from shin splints.
Top 10 Signs and Symptoms of Shin Splints
These signs and symptoms may vary in severity and duration depending on the individual and the underlying causes of shin splints.
- Pain along the inner edge of the shinbone (tibia), typically felt during or after physical activity.
- Tenderness and soreness along the shinbone, especially upon palpation or pressure.
- Swelling or inflammation of the lower leg, often localized to the area of pain.
- Dull, aching pain that may worsen with activity and subside with rest.
- Discomfort that initially occurs at the beginning of exercise but may progress to persist throughout the activity.
- Pain that gradually increases in intensity or becomes more widespread over time.
- Pain that may be accompanied by a feeling of tightness or stiffness in the muscles of the lower leg.
- Pain that persists even after cessation of activity and may interfere with daily activities.
- Possible development of small lumps or bumps along the inner border of the shinbone due to inflammation or irritation of the surrounding tissues.
- Pain that improves with rest but recurs upon resuming physical activity, especially activities that involve impact or weight-bearing on the legs.
Shin Splints Treatment
Conventional treatment of shin splints usually involves rest and over the counter pain relief. Typically, a doctor will recommend that a person with shin splints limits their exercise to low-impact activities. Icing the area several times per day is advised.
Acupuncture treatment for medial tibial stress syndrome can help relieve shin pain quickly.
One case study showed that a patient who had been suffering from shin splints for six weeks got pain relief after one session of acupuncture treatment, and at a four week follow, was still pain-free.
Can Acupuncture Help Shin Splints?
Acupuncture treatment helps with the healing of soft tissue injuries by increasing circulation to the area, relieving inflammation, and aiding in the release of endorphins for pain relief. It does this by activating Qi to move blood and energy more efficiently through the body.
One study of three groups of athletes with shin splints looked at patients who received conventional sports medicine, patients who received acupuncture, and patients who received both. The groups who received acupuncture treatment reported significantly lower pain levels and used less NSAIDs than those who did not receive acupuncture.
Acupuncture Near Me for Shin Splints in West Los Angeles
Acupuncture is an effective modality for treating many kinds of repetitive stress injuries and nerve pain conditions, including sprained ankles, Baker’s cyst, tendinitis, and carpal tunnel syndrome. Dr. Tan has over 35 years of experience helping patients find pain relief and improved mobility through treating all kinds of orthopedic and musculoskeletal conditions. While each case is unique, it is possible to get pain relief quickly with TCM treatment, including acupuncture, electro-acupuncture, therapeutic massage like Tui Na, topical herbal patches, and herbal ointments. If you are in pain and need to heal quickly to get back to your regular activities, acupuncture can help.
*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.