Currently viewing the tag: "complementary therapy"

Christmas is one of the most testing periods of the year. It can be stressful but also challenging for our digestive system. We are excited but also anxious about organising the festivities and celebrations, whilst at the same time agonise about what presents to get for our friends and family. Being the end of the year we are also preparing to ‘wind down’ and regenerate for the New Year.

 

‘Tis the season for Flu and Colds’

Changes from autumn to winter means that the period prior to Christmas is full of flu and colds. This can carry on well into the spring. Frequent travel both local and distant exposes us to different cold viruses. Minimise your risks by maintaining a healthy immune system so you are more able to fight off any viruses. Eating a healthy diet, getting enough sleep and not smoking will help. More about flu supplements.

 

 ‘All I want for Christmas is Food’ 

Food and drink is a large part of Christmas. We must remember to stuff the turkey, but not ourselves. Food is always plenty at Christmas, turkey, nuts, chocolates, cheese, pudding, mince pies and cheese straws.  One Christmas dinner can add up to 3000 calories, between 500 -1200 calories more than the average adult requirement.  This does not include what we eat the rest of the day. Slowing down the speed of eating and savouring each bite will help to make the meal more satisfying. Remember that it takes our brain 20 min to register that the stomach is full.  A huge meal will give us indigestion and make us tired, thus contributing to weight gain. Be mindful about what you eat, and decide if it is something you really want before popping it into your mouth. Don’t eat it just because it is there.

 

‘Keep calm and say Ho, Ho, Ho……’                                                         

Don’t stress about making sure Christmas is Stress-Free. Most of us will be working through long lists of shopping, cooking and cleaning and visitors, so try to keep things manageable. Plan ahead and try to be organised. Shopping online can make things easier and if you are terrible at wrapping presents use gift bags.  It’s not a disaster if everything is not perfect and the mashed potatoes were a bit lumpy, or that the top of the Christmas tree you bought is not perfect – it’s what makes Christmas memorable. You could think ahead and consider organising some therapeutic treatments in the New year. Complementary therapies work really well for stress relief.

 

Peace, love and Joy’ 

Catching up with family and friends is a big part of the Christmas spirit. Instead of the usual salutatory wishes in a festive card, consider instead a photo card or a few sentences updating them about you and the family.   We have little choice in who we are related to, so there will always be a critical mother-in-law or a disapproving relative.  Prepare yourself for what is to come, but remember it is only for one day and you still have the rest of the year without them.

 

‘Silent night’

Make sure you rest and renew with plenty of restful sleep. Despite the time off work, late night celebrations from Christmas to the New Year will disturb our normal sleep pattern. Sleep hugely influences our physical and mental wellbeing. It is when our body heals and recovers from our waking activities. Try to return to your normal sleep pattern as soon as possible. Further about the benefits of sleep here.

 

‘Don’t get Ho, Ho, Hammered!’ 

During Christmas, alcohol is free flowing, mulled wine, bucks fizz, brandy, wine and even alcoholic punch. Don’t just indulge, decide what your limits are and then keep tabs on how much you are drinking. Mix non-alcoholic drinks in between and it will make it much more enjoyable. Excess alcohol can affect others. Be aware that although it can lift your mood initially, it is also a depressant and in some people can bring out unsociable and aggressive behaviour.  There is a considerable rise in the number of assaults and drink driving over Christmas and New Year. Added to this is increased incidence of alcohol poisoning.

 

Happy New Year! 

Let’s be honest, most of us spend the entire year not thinking about our health. Review the past year and consider if your health needs some attention. If you have had more frequent flu and colds, developed an allergy or skin condition, tend to get tired more quickly, fatigued most of the time, bones and joints ache, have a brain fog or spend time feeling frustrated and depressed, then it is time to make a plan to do something about it. It is more important than ever to get out the vitamins and minerals, consider having some therapies or book a doctor’s appointment.

 

Merry Christmas and a Happy New Year !

Moringa olifera Lam is a vegetable from the Brassica order. It is a small tree native to the sub-Himalayan region commonly used as a vegetable amongst the local people. Uniquely every part of the plant is edible; leaves, roots, seed, bark, fruit, flowers and the immature pods. Labelled as a superfood lately the Moringa has surged in its popularity and use.  Traditionally used as an Indian medicinal herb is usually found in tropical and subtropical countries, now most commonly found in both India and the Philippines but its cultivation has spread to other countries in Asia, Africa, Central America and the Caribbean islands.

Widely known for good health it has it is referred to as ‘the miracle tree’. For centuries it has been used for its anti-inflammatory, anti-spasmodic, anti-hypertensive, anti-tumour, anti-oxidant, anti-pyretic, anti-ulcer, anti-epileptic, diuretic, cholesterol lowering, renal, anti-diabetic and liver protective actions. Due to these amazing abilities it has been used to treat a variety of ailments, such as skin infections, anaemia, anxiety, asthma, blackheads, blood impurities, bronchitis, catarrh, chest congestion, cholera and many other illnesses.

 

Densely packed with Nutrition

Moringa is claimed to be ‘the most nutrient-rich plant yet discovered’. The reason for this is because it is densely packed with nutrients. Most greens constitute 90% water and 10% nutrients, in comparison moringa leaves are 80% water and 20% nutrients. This includes many essential nutrients such as, vitamins (B6, C,B2, A) , minerals (iron, magnesium, zinc), proteins and omega 3 and 6 fatty acids. Leaves are most commonly used part of the plant for nutrition and traditional medicine use because they are rich in protein, mineral, beta-carotene and antioxidant compounds.

High in Antioxidants

Naturally the trees are able to withstand environmental stresses, diseases and attack from pests due to a defense mechanism gained from phytochemicals, which includes antioxidants and other defence compounds. This benefit is gained when consumed by people. The tree stores these phytochemical compounds in an inactive form. When chewed or crushed by an insect the compound is activated through enzymatic action and released, thus deterring the insect with a bitter or spicy taste.

In the human body these same compounds act a potent anti-inflammatory, useful for combating conditions like cancer, diabetes or arthritis which are associated with chronic inflammation. In addition to vitamin C and beta-carotene it also contains powerful antioxidants like, Quercetin and Chlorogenic acid. A state of constant inflammation contributes to improper functioning and processing by the body therefore reducing the body’s ability to recover and heal.

In one study participants with type 2 diabetes were given 8gms of moringa daily for two months found that their glucose levels decreased by 28%.

Health Benefits

  1.   Regulate blood sugar levels: Isocyanates present in the plant helps to lower blood sugar levels in diabetics.
  2.   Lowers cholesterol levels through its anti-inflammatory effects
  3.   Improves anaemia: 100gms moringa leaf contains 28gms of iron.
  4. Water purification: moringa seed powder can be used to clarify and purify water by lowering bacterial concentration, making it safe for drinking.
  5. Enhances lactation; traditionally used to increase milk production in mothers.

Moringa can be extremely useful to improve nutritional health. In particular if there are underlying conditions with chronic inflammation. There is proven evidence on its role in benefiting diabetes, lowering cholesterol and as a water purifier.

 

Bibliography

Health benefits of Moringa oleifera. Abdull Razis AF et al. Asian Pac J Cancer Prev. (2014)

Cultivation, Genetic, Ethnopharmacology, Phytochemistry and Pharmacology of Moringa oleifera Leaves: An Overview.Leone A et al. Int J Mol Sci. (2015)

 

Happiness can be one of the most elusive things to achieve, whilst in today’s world being stressed, anxious, depressed, confused and tired is easily done. It is almost ‘acceptable’ to be stressed, tired or have Brain Fog. If we decide, then we can be unhappy about everything, including ourselves. So much of it is a matter of choice. Do we decide to be unhappy about our……. weight, size, hair, money, job, home, weather and much more ?, or do we decide that we can be happy despite everything ?

Happiness is not a secret, it is a state of mind, and our mind is never constant but there are things we can do to help ourselves, and tilt it in our favour. Finding happiness can be quite simple; if you know where to look, but conversely is can be very elusive if you are focusing in the wrong places. People find pleasure and joy in different places, so the best way is to identify habits and things that give you satisfaction and enjoyment – and then make them a part of your everyday life. This could be restful long walks or invigorating running or swimming sessions, creative crafts, cooking or baking for pleasure, mindful meditation, relaxing music, singing or dancing, playing an instrument, or connecting with friends and family. Regular, small doses of pleasurable moments are much more fulfilling, rather than once in a life time holiday that lasts only for 2 weeks.

What do other people think about happiness?

Here are a few quotes

 “Happiness lies in the joy of achievement and the thrill of creative effort.”   Franklin D. Roosevelt

  “Happiness does not come from doing easy work but from the afterglow of satisfaction that comes after the achievement of a difficult task that demanded our best”.   Theodore Isaac Rubin

 “If you wants others to be happy, practice compassion. If you want to be happy, Practice compassion.”  Dalai Lama

 “Happiness is a choice. You can choose to be happy. There’s going to be stress in life, but it’s your choice whether you let it affect you or not.”     Valerie Bertinelli

“My greatest beauty secret is being happy with myself. I don’t use special creams or treatments – I’ll use a little bit of everything. It’s a mistake to think you are what you put on yourself. I believe that a lot o how you feel about yourself and your life. Happiness is the greatest beauty secret”.    Tina Turner

Start your happiness mission today!

Today is the day you start being happy-  Now is the right time- This is the moment you change things and start being happy. Don’t wait till ‘later’ or ‘tommorow’ !

“Happiness is not something you postpone for the future; it is something you design for the present.”     Jim Rohn

Make a Happiness plan

  1. Self-awareness: Be aware of who you are and identify things that you get pleasure from regardless if it is big or small.
  2. Being physically active: Choose a regular physical activity, whether is walking or swimming Physical activity releases endorphins (feel good chemicals) and boosts your emotional wellbeing. You might feel sore or tired after but you will have a sense of satisfaction and feel good.
  3. Be Creative: Harness your creative genius and express your thoughts and emotions. You will gain a huge sense of satisfaction from your creation e.g. art, crafts, drawings, decorating colouring.
  4. Complete a challenge or a difficult task- especially something you have always wanted to do.
  5. Connect with others: make sure that you spend time talking to your loved ones, in particular with your partner and children. Communication is key to all relationships.
  6. Socialise and enjoy time with family and friends.
  7. Appreciate and be grateful for all that you have, and what others do for you. Make a list of all that you are grateful for.
  8. Expressing gratitude is beneficial for our emotional health, and studies have shown benefits for better sleep and lower risk of depression.
  9. ‘Make someone else happy’- making someone else happy will make you happy. Start volunteering or help a friend or relative.

Remember, you are in control of your own happiness.  Start your happiness plan Today !

 

Farmers know it:  If you hope for a good harvest, prepare the field well before planting. That’s as true for your family as it is for a crop of barley. This is true for both men and women, particularly if you are experiencing fertility problems or planning to undergo IVF treatment.

As science and medicine unlock the intricacies of our genes, we already know that they’re not an unalterable inheritance from our own parents.  Your body is constantly rewriting biological code. Add to this the contraceptive pill and HRT- major risk factors for heart and arterial disease and cancer (to name a few), nutrient deficiencies and stress, and you have a pretty potent chemical mix. Poofh ! and you have a new biological code giving the orders resulting in fertility problems.

When you give it optimal fuel and avoid environmental hazards, you help it repair transcription errors and disarm disease triggers.

If you are of reproductive age–even if you don’t intend to have children now, are not in a long-term relationship or aren’t sexually active–these suggestions are wise to consider.  Life can change in an instant.  Birth control can fail.  And even an unplanned-for child is entitled to be born as healthy as possible.  Just like a farming crop it takes 3 months for an egg or sperm to mature, so start to make changes as early as possible to get your health in good order.

Here are some helpful tips both for fertility problems or if you are planning to get pregnant.

  • Recognize that your physical and mental well-being are your greatest assets. If you’re in a relationship, encourage your partner to value good health too.
  • Good hormone status indicators are a regular menstrual cycle, free from pre-menstrual tension and mood swings. Hormones are highly dependent on micronutrients. Western diets high in processed foods, carbohydrates and sugar, along with antibiotics and use of hormones increases the risk of yeast infections e.g. vaginal thrush.
  • Take a good-quality daily multivitamin, essential fatty acids and vitamin C, D. This applies to both parents. No matter how good your diet is, the challenges of modern life put enormous stress on your body. Questionable modern farming methods also compromise the value of nutrients in food.   Good health is more than the absence of disease, and many of us are deficient in essential micro-nutrients.
  • If you are a smoker or drinker, your body is under even more stress, and you may be deficient in vitamin C and B-complex vitamins. Low levels of folic acid, for example, are a leading cause of some preventable birth defects, and B-vitamins are essential for good nerve function and energy metabolism. It’s important to remember that by the time most women realize they’re pregnant and begin receiving prenatal care, crucial developmental stages have already occurred in their babies’ brains and nervous systems. Get help in quitting. Unknowingly, you may be self-medicating for undiagnosed anxiety or depression.  Having a discussion with a non-judgmental health professional is the first step in freeing yourself from addictive behaviors.  Improving your diet may help you to resist cravings or to eliminate them entirely.
  • Reduce your toxic chemical load from e.g. processed foods, coffee, tea, alcohol, sugary drinks, additives, deodorants, shower gels and pesticides.
  • Stress is one of the biggest cause of fertility problems. Take time to relax. Stress affects the hypothalamus (part of the brain) which regulates the hormones needed for normal menstrual cycle and release of the egg. During stress the body behaves like it is in survival mode and starts to make more cortisol and adrenaline hormones. In chronic stress they have to be kept constantly high, and this is where the problem lies. For the adrenal glands to make cortisol they need progesterone – the pregnancy hormone. Thus, low progesterone levels create an imbalance with oestrogen and testosterone. Strengthening the adrenals and managing the stress will allow them to return to good function. The effectiveness of therapies such as acupuncture and massage in increasing fertility may be in their ability to counteract stress and support the adrenals thus normalizing hormone regulation.
  • A family health history will tell you if there is a history of early menopause or fertility problems then take this into consideration. Find a trusted health professional to discuss any concerns you may have now. In many cases, just because an illness may run in your family doesn’t mean you’ll inevitably get it too, or pass it down to future children. Improving your diet, exercising and reducing stress can all help armor you against a predisposition to serious disease.
  • If you have existing health problems then do all of the above plus get professional advice.

If you are planning to undergo IVF (fertility) treatment, then you may need additional support. Most clinics advise on having acupuncture treatments to alleviate stress, but also regulate your hormones. Acupuncture is well known to greatly boost your chances of IVF success.

Do you have questions or want further information on how we can help you have a healthy and successful pregnancy ?  Contact us.

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Diabetes is  life-long health condition where the amount of glucose (sugar) in the blood is too high because the body is not able to use it properly. Left untreated, the high blood glucose levels affect many different organs and tissue consequently resulting in serious health complications. Blood glucose levels are regulated by a hormone known as insulin, which is produced by the pancreas in the body. Glucose comes from food that is digested and also produced by the liver. Insulin allows glucose to enter the body’s cells where it is used as fuel for the cell functions.  In diabetes the body is not able to utilize glucose properly and so it builds up in the blood. 

There are two main types of diabetes;

Type 1 diabetes, is the most common type of diabetes in childhood accounting for around 10% of all diabetes. It usually develops at any time before the age of 40yrs, but most often in childhood. In this type the pancreas doesn’t produce any insulin. Treatment is regular insulin therapy.

Type 2 diabetes, is usually found in people over the age of 40 yrs, but can develop earlier. It accounts for around 85-95% of diabetics. This type is characterised by insufficient insulin production, OR the body cells may react to it poorly. In the early stages the condition can be well managed by changes to life style and diet.

There is no cure for diabetes hence developing methods that help the body to regulate blood sugar levels efficiently is the most effective strategy. Maintaining a healthy, balanced diet and regular exercise are crucial lifestyle factors that can help to achieve this, but introducing additional supportive dietary changes can further assist in blood sugar control.

Diabetes &  Apple cider vinegar

Apple cider vinegar (ACV)  is derived from cider or freshly pressed apple juice. ACV is produced after a slow process spanning several weeks or months in which sugars are broken down. There is some evidence suggesting that consuming apple cider vinegar may be useful in helping people with diabetes to control their blood sugar levels. One study  on rats with or without diabetes demonstrated that ACV had a lowering effect on blood sugar levels, but also a positive impact on cholesterol.

Researchers also looked at how carbohydrates affected blood sugar levels in 3 groups of participants who had type 2 diabetes, prediabetes, or neither condition. Typically, high carbohydrate foods will cause a spike in blood sugar levels immediately after eating. They gave all 3 groups less than half an ounce of ACV after a carbohydrate rich meal and compared it to consumption of a placebo drink. Results showed a significant reduction in blood sugar levels after taking ACV.  Another study  compared ACV and water in patients with type 2 diabetes. They found that drinking 2 tablespoons of  ACV along with a cheese snack before bedtime was sufficient lower blood sugar levels significantly the following morning.

It is thought that acetic acid found in ACV may play a role in slowing down the conversion of complex carbohydrates into sugar in the bloodstream. Thus providing more time for sugar to be removed from the bloodstream and allowing more constant blood sugar levels and limit spikes.

Diabetes & Cinnamon

Cinnamon is a well know spice made from the inner bark of the Cinnamomum trees. For thousands of years it has been highly prized for its medicinal properties. Scientific research has confirmed  its many health benefits. It has shown a potential role in the treatment of blood sugar control, as well as some associated symptoms. Research on blood sugar control is mixed and in the early stages and most studies have been very small, therefore more research is needed.

A 2003 study compared the effects of a daily intake of 1, 3, and 6 grams (g) of cinnamon with a group that received a placebo for 40 days. All three levels reduced blood sugar levels and cholesterol, which were observed even after 20 days after stopping cinnamon intake.

In a  2016 study of 25 people gave particiapnts 1 g of cinnamon for 12 weeks. They found that there was a reduction in fasting blood sugar levels, which may be beneficial for people with poorly controlled diabetes. However an earlier study in 2013 had a different result. The study, which used a more reliable method, and 70 participants found that 1 g of cinnamon per day for 30 days and 60 days offered no improvements in blood sugar levels.

A 2016 analysis published in the Journal of the Academy of Nutrition and Dietetics looked at 11 studies of cinnamon in the treatment of diabetes. All 11 produced some reductions in fasting blood sugar levels. Studies that measured HbA1C levels also achieved modest reductions, but only four studies achieved reductions in line with the American Diabetes Association’s treatment goals suggesting that cinnamon may be a useful treatment tool, but not a replacement for conventional diabetes treatments.

Summary

Despite the lack of, or mixed reports for people with type 2 diabetes it would be safe to consider consuming diluted ACV, 1-2 tablespoon in a large glass of water before bedtime to provide some benefit to blood sugar levels.

There is no research that suggests cinnamon negatively affects blood sugar, meaning that is safe to use for people who are looking for alternative diabetes treatment options. Cinnamon can be taken as a supplement to conventional diabetes medication should start small, with about 1 g per day (about ¼ to ½ teaspoon).

It is important for people to note that ACV or cinnamon should not be considered a quick fix or complete treatment for diabetes. Eating a diet low in carbohydrates, high in fiber, regular exercise, multivitamins, essential fatty acids  and complementary therapies to reduce stress and maximize body function will additionally help in diabetes control.

Electroacupuncture (EA) may be the answer to improving regulation of blood sugar levels in overweight and obese women. New research published in the FASEB Journal reported that scientists found that a single bout of (EA) activated the sympathetic and partly the parasympatheric nervous system which increased whole-body glucose uptake, an important consideration in the treatment of insulin resistance or prediabetes.

Researchers measured blood sugar levels in 21 women with and without polycystic ovarian syndrome (PCOS) during and after 45min of EA compared to the same number in a control group. PCOS is a common hormonal disorder, but also associated with an increased risk of Type 2 diabetes. The results showed improvement in both groups of women, suggesting a potential benefit for women with PCOS. In a second experiment they also investigated its effects in rats who received autonomic receptor blockers. They found EA caused muscle contractions which in turn activated the autonomic nervous system (responsible for blood sugar regulation), despite the receptor blockers. Previous studies have found that EA in rats1, 2  enhanced insulin sensitivity and lowered blood sugar levels.

EA is believed to be used as far back at the early 1800s, while others attribute it to Japanese scientists trying to improve bone fracture healing in 1940s or  pain control by the Chinese in the 1958.  As with traditional acupuncture in EA needles are inserted in the same way on specific points. Two needles are selected which are then attached to a pair of clips connected to a device that generates continuous electric pulses. The frequency and intensity of the pulses are adjusted according to the condition being treated. In this way several pairs of needles can be simultaneously stimulated for duration up to 30 min. People usually experience a light tingling sensation due to the electrical current.

Advantages of using EA are;

  • The current stimulates a larger area than the needle on its own, thus requiring less precision needling.
  • It can be used without needle insertion, commonly known as TENS (transcutaneous electrical nerve stimulation).

EA is considered to be particularly useful in conditions where there is stagnation or accumulation of Qi. In Chinese medicine Qi is a life energy that flows throughout the body and essential for good health.  Persistent chronic pain is associated with Qi accumulation and the effectiveness of EA has been reported to be particularly useful. This is supported by research evidence that electrical stimulation of acupuncture points activates the release of endorphins, thus lowering blood pressure and heart rate.

Research on EA in stroke has shown positive effects in cognition and quality of life.  When compared to manual acupuncture, EA is more effective in relieving spasticity in stroke. Other conditions that may benefit include; neurological conditions, fibromyalgia, nausea caused by cancer drugs and post operative pain control.

Treatment with (EA) should be avoided in those with a pacemakers as it may disrupt the electrical impulses. For similar reasons, it should not be used over the heart. Careful assessment should be carried out before treating people with a history of seizures and epilepsy.

 

 

It’s not uncommon for the proponents of conventional and of holistic systems of medicine to feel that they inhabit competing camps in the war to alleviate human suffering. In fact, Western and Eastern medicine are essential branches on the great tree of scientific knowledge.  Many of us are working towards the ideal of a continuum of care that provides the very best treatment to all patients. Western medicine has achieved remarkable triumphs.  Vaccination against many infectious diseases has greatly reduced their incidence; science has eradicated smallpox and come close to doing the same for polio.  It has saved millions of children from the scourges that once prevented so many from reaching their fifth birthday.

The specialties of surgery and emergency medicine save countless lives every day.

After decades of clinical practice I still wonder; Where does Western medicine fall short?  In the promotion of lifelong wellness; in the diagnosis and treatment of complex disorders; in the unnecessary or excessive use of pharmaceutical drugs; in safe, effective, ongoing pain management.

We’re certainly making progress in bringing these two branches of medicine closer, for example;  acupuncture has been proven to offer effective pain relief and increasingly accepted in medical pain clinics, and it doesn’t carry the risks associated with drug-based analgesia. Integration of auricular acupuncture in addiction clinics is another measure of its success. There is worldwide recognition of acupuncture for anxiety and stress particularly in cancer treatment, post traumatic stress disorder amongst veterans, and its potential value as anesthesia during surgical procedures.

I have always found that it is necessary to treat the whole person, and not just deal with an immediate crisis or what presents as their most significant symptom. I wanted to share this story (to ensure anonymity names and certain details have been changed).

Ria’s Story-  “Please… I Just Want the Pain to Stop”.

In the hospital waiting room Ria’s stomach churns and twists once again sending shooting pains throughout her body, followed by a cold sweat.  Over the past six months, she’s seen six different doctors; has endured repeated blood tests and other procedures.  No one has been able to offer her a definitive diagnosis. After each visit, she’s sent home with different prescriptions but no effective treatment for the repeated, alternating bouts of diarrhoea and constipation, sometimes nausea too.  Pain medication doesn’t bring any relief.  Her husband Pete feels equally anxious and frustrated.

Visits to six different doctors, blood tests and investigations all have proven to be unhelpful – there is no definitive diagnosis. Each time she is sent home with new meds, pain medication doesn’t work, one tells her that she is stressed and emotionally disturbed and prescribes her antidepressants another says there is some inflammation in her spleen, but nothing else. Ria is desperate, her symptoms are worsening.

Ria is beginning to doubt herself; wondering if it really is “all in her mind.”  She’s afraid to eat because everything just makes her feel worse, and she’s now two sizes smaller.

After yet another round of tests, Ria’s new consultant is also perplexed by her symptoms.  His examination of her shows nothing significant.  He’s ruled out cancer or other serious disease; all her other results are relatively normal. But fortunately for her, this doctor takes the time to listed to her and has a positive view of complementary therapies; he understands that functional disorders often underlie a patient’s stress and anxiety.  He knows that food intolerance is increasingly common and is often very hard to properly pinpoint. He asks her if she would be willing to accept a referral to a holistic physician.  Ria has always had an interest in complementary therapies and gladly agrees. He also gives her advice on juicing and enrolls her on to a mindfulness course.

As a holistic practitioner, I see Ria’s physical and emotional distress to be strongly interrelated, but requiring individual attention, with this in mind I begin acupuncture treatments. Almost immediately, they help to ease her distressed state and bring some relief for her stomach pain.

Over a period of months I guide Ria to make changes to her diet.  Together we develop a plan to identify problem foods. She learns about carbohydrate intolerance and how the FODMAP diet can help.  Ria finds the mindfulness course very effective in relieving her anxiety.  She began to realize her physical and emotional distress began years before the manifestation of painful bowel dysfunction.

Six months after starting treatment, Ria has made great progress.  She knows it will take time to regain the good health she thought was out of her reach, but she is no longer frightened and discouraged.  She is starting to take pleasure in eating again.  She and her husband are now enjoying what they thought might never be possible again–everyday pleasures.

 

A pragmatic randomised controlled trial of healing therapy in a gastroenterology outpatient setting

R.T. Lee, T. Kingstone, L. Roberts, S. Edwards, A. Soundy, P.R. Shah, M.S. Haque, S. Singh

Link to Full Article

Abstract     

Introduction

To determine the benefits of healing therapy (spiritual healing) as an adjunct to conventional management in irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD).

Methods

200 outpatients with IBS or IBD were randomised to either conventional treatment (control) or conventional plus five sessions of healing therapy (intervention). After 12 weeks controls also had healing therapy. Outcomes used were, the Measure Yourself Medical Outcomes Profile (MYMOP). IBS-QOL, IBDQ, and symptom measures.

Results

There was a significant improvement in the MYMOP score at week 6 (p < 0.001) which was maintained to week 12 (p < 0.001) and 24 (p < 0.001). Improvements in MYMOP were significantly greater in the intervention group at both 6 (p < 0.001) and 12 weeks (p < 0.001) with effect sizes of 0.7 (95% CI: 0.4–1.1) and 0.8 (95% CI: 0.4–1.2). Condition-specific data for IBS showed that most QoL dimensions had a significant minimum 10-point score improvement at 6 and 12 weeks. The overall score improvement was 12.9 units at week 6 (p < 0.001), 12.4 units at week 12 (p < 0.001) and 13.8 units at week 24 (p < 0.001). In IBD there was also similar score improvement, but only up to week 12 were there associations of improved social and bowel functions (p < 0.001, respectively). Between group differences were identified for QoL scores in IBS at both week 6 (p < 0.001) and 12 (p < 0.001) but only for week 12 (p < 0.001) in the IBD group.

Conclusions

The addition of healing therapy to conventional treatment was associated with improvement in symptoms and QoL in IBS, and to a lesser extent in IBD.

 

Irritable bowel syndrome (IBS) is a common chronic conditions of the digestiveStomach pain system found in around 1 in 5 people. Women are 2-3 times more likely to develop IBS. It is characterised by bouts of abdominal cramps, bloating, flatulence, diarrhoea and/or constipation. The severity varies from one person to another. They can last from a few days to months. Symptoms may ease after going to the toilet, often the condition is life-long. Unfortunately the cause of IBS is unknown, but most people find it is related to an increased sensitivity of the gut and problems with digesting certain foods. Stress is also a known contributor. IBS can be painful and debilitating affecting personal, social and professional life. Treatments for IBS are mainly limited to symptom control, stress reduction, altering the amount of fibre in the diet, regular exercise and identifying trigger foods in the diet.

IBS is described as a functional problem, which means that anatomically or physiological investigations are completely normal. Instead there is impairment of the body’s normal function. This makes it difficult to treat. An increasing number of studies have found that IBS can be safely and effectively managed using acupuncture.

In Chinese medicine, IBS is considered to be an imbalance between the liver and spleen. The liver is associated with emotions and stress, while the spleen is linked to digestive function in the body. A weak spleen Qi (energy) allows the liver to dominate. When this occurs over a long period of time the continued disharmony causes IBS symptoms to manifest.

Acupuncture
Research evidence has consistently demonstrated that a course of acupuncture improves IBS symptoms and general wellbeing. These include;
• Pain relief
• Regulating the motility and movement of the digestive tract
• Reducing gut sensitivity
• Reduce stress related sympathetic nerve impulses e.g. abdominal spasm, by increasing the parasympathetic tone of ‘rest and digest’.
• Reducing anxiety and depression by increasing production of mood altering chemicals serotonin and endorphins.

Nutrition
IBS related changes in diet are individualised. It should focus on identifying trigger foods and eliminating them from the diet. These can vary from wheat, dairy, alcohol, coffee, fatty foods and some fruits and vegetables In the case of constipation adding adequate fibre to the diet is helpful. Some people may find that soluble fibre like, oatmeal, berries, legumes, beans and lentils are easier than insoluble fibre from raw vegetables and bran. Probiotics, multivitamins and minerals can be helpful to normalise the digestive environment.

Life style changes
Some of the following lifestyle changes can benefit IBS symptoms, but are also good for general health and well-being.
• Regular exercise to relive stress, regulate the bowel and alleviate constipation
• Practicing meditation, mindfulness, yoga, breathing exercises will help to manage stress levels
• Good and adequate sleep is important for everyone, but particularly for those with IBS. It helps the body to rest and heal. Tiredness increases stress and irritability which in turn triggers IBS.

Book an appointment or Call  07810024687 to discuss your needs with Dr Rhonda Lee. Dr Lee is a Holistic Physician trained in medicine, acupuncture, nutrition, aromatherapy, massage and other techniques. She specialises in digestive disorder, chronic fatigue, pain management and stress and depression.

Part 9: Mechanical signaling as a mechanism for Acupuncture

To date much of the acupuncture mechanism of action has been related to the nervous system, linking it to the medical physiological concept of ‘‘Gate control theory of pain’. Based on this theory acupuncture needling or electrical stimulation is said to activate relevant neural pathways. However this theory does not explain other non-pain related effects, nor does it correlate with the Traditional Chinese Medicine (TCM) acupuncture concepts.

Acupuncture involves the process of needle insertion. In TCM acupuncture, depending on the result intended the needle is inserted to a particular depth at a chosen acupoint site. This is followed by its manipulation to attain the ‘Arrival of Qi’ (De Qi). De Qi is experienced by the patient as soreness, numbness or a feeling of fullness around the needle point. Alternatively, in ancient texts for practitioners it is described as “seems a fish bites on fishing pulling the line downward” and may be felt as a needle grasp. This is an essential step in the therapeutic process. However, practitioners may not readily attain ‘De Qi’, and will therefore need to resort to needle manipulation. Basic needle manipulation techniques include; lifting and thrusting, and twirling or rotating movements. If Qi still fails to arrive then further manipulations techniques may be used. These can be;

  • Pressing, the skin along the meridian line to promote the circulation of Qi and blood.
  • Plucking (lightly), the handle of the needle to stimulate the Qi.
  • Scraping, the needle with the finger to spread needing sensation.
  • Shaking, to strengthen the needling sensation.
  • Flying, is to twirl the needle quickly three times to promote needle sensation.
  • Trembling, is a quick and small lift-thrust movements to cause vibration and promote Qi.

Lagecin et al (2001) has refuted suggestions that muscle contraction is the cause of the needle grasp (De Qi), as the same effect is also seen in areas where skeletal muscle is absent. Instead, they suggest that the cause is mechanical coupling between the needle and winding of the local tissue around it. They established this through histological examination of rat tissue explants with acupuncture needle manipulation which showed marked thickening of the connective tissue layer around the needle, while changes in the dermis or muscle were not observed. Acupuncture needle insertion and manipulation is thought to have both local and distal therapeutic effects. These effects are based on;

  • Mechanical coupling of the needle to the connective tissue due to surface tension and electrical attraction between the two.
  • Winding of the tissue around the needle during insertion and manipulation
  • Generation of a mechanical signal through pulling of the collagen fibers during the manipulation process
  • Mechanotransduction of the signals into the cells

Mechanotransduction activates changes in the fibroblasts and/or other cells, which in turn starts a variety of downstream effect including; cell secretion, modification of extracellular matrix, amplification and transmission of nerve signals travelling along the planes of the connective tissue into the spinal cord and brain. At the same time there is modulation of the sensory input due to changes in the connective tissue environment.

Finally, within the phenomenon of mechanotransduction TCM acupuncture and its effects can have some scientific validity. It can be attributed as the common mechanism through which the effects of acupuncture needling are realised. De Qi is an essential contributory process which determines the overall effectiveness of the treatment, whilst downstreaming effects resulting in cellular changes explain the longer term effects of acupuncture. This is an important clinical understanding which could have considerable implications in changing our knowledge base of biological mechanisms and the future applications within medicine.

In Part 9, our Final in this series we will look at the phenomenon of  Mechanotransduction as a mechanism for acupuncture.

Part 1: How Does Acupuncture Work?
Part 2:  Qi: Vital Energy, Life Force
Part 3: Five Elements Theory
Part 4:  Chinese Diagnosis
Part 5: Integrating Western Physiology with TCM Philosophies
Part 6: TCM Meridians
Part 7: Meridians & Fascia
Part 8: Arrival of Qi (De Qi)

References: 
  1. Stux G, Berman B, Pomeranz (2003). Basics of acupuncture, 5th  edition.  Springer Berlin Heidelberg, New York.
  2. Xinnong C (2000). Chinese acupuncture and moxibustion, 5th edition. China Books & Periodicals Inc, San Francisco.
  3. Dong J (2013). Evidence-Based Complementary and Alternative Medicine. 2013:153148.
  4. Eachou Chen (2008). Does qi travel on meridian like thin membrane energy transmission through the fascia? 4(2): 84-86.
  5. Teppone M, Avakian R, Karneev. “Arrival of qi” phenomenon during ehf – puncture.
    1st International Symposium on Quantum Medicine. November 17-22, 2001, Bled, Slovenia, p. 116-118.
  6. Chen CW, Tai CJ, Choy CS et al. Wave-Induced Flow in Meridians Demonstrated Using Photoluminescent Bioceramic Material on Acupuncture Points. Evi Based Complement Alternat Med (2013). 2013:739293.
  7. Langevin HM, Churchill DL, Cipolla M J (2001). Mechanical signaling through connective tissue: a mechanism for the therapeutic effect of acupuncture. FASEB J. 15:2275–2282