Case review – Acute Sprained Ankle

Case review- Acute Sprained Ankle

“One evening in 2020, I accidentally miss stepped on the stairs and fell into my right foot ankle. There was severe pain and tears fell. When I slowly stood up, it was already difficult to walk, because I had a meeting the next day, so I immediately took ice cubes. According to experience, if I don’t get treatment in time, I may not be able to fully recover for a few months, because there was a western medicine clinician who had the same sprain and required 3 months plaster caster.”

“I found Ponsonby Wellness through Google search. Virginia didn’t put a needle in my affected area but put a needle in my hand. At the same time, the ankle pain began to decrease within 10 minutes. Additionally, Virginia asked me to move my ankle around, as well as doing some jumping on the affected foot, with the needle still in my hand. What is particularly miraculous is that the pain basically disappears after leaving the needle in for 20 minutes. Virginia told me to keep balance when I walk and tells me not to turn corners, she told me if local bruising and swelling are severe, bloodletting can be done the next day. The next morning, the pain basically disappeared, there were only a few bruises and swellings, but I still didn’t dare to walk normally, I worried that the weight of the foot would aggravate the injury. I gave a lecture to the students in the morning. Because I was very involved in the lecture, I forgot about my sprain last night. I walked back and forth in front of the podium. After class, I suddenly realized that my sprained ankle had recovered. I suddenly realised why Virginia let me walk normally.”

Treatment method

Waiguan point is used for an external ankle injury, Neiguan point for internal malleolus injury. Neiguan penetration puncture is used to treat internal ankle pain or injuries which are leading to external ankle pain, and Waiguan penetration puncture for external ankle pain or injury leading to internal ankle pain.

acupuncture for ankle sprain

Shenmai acupoints on the left ankle and foot can cooperate with acupuncture points for the Taiyang Meridian of the right hand, known as the Yanglao point.

acupuncture for ankle sprainacupuncture for ankle sprain

 

Pain affecting point, Qiuxu point can cooperate with the Yangchi point on the right hand.

acupuncture for ankle sprainacupuncture for ankle sprain

Take Shenmen or Yangxi on the opposite side of the affected area. When taking Shenmen point, raise your palm and make a fist slightly, and puncture in the direction of Yanggu point; when taking Yangxi point, bend your palm and slightly bend your wrist and puncture in the direction of Taiyuan point. Houxi is one of the eight-meridian junction points, which connects the Du Meridian and takes a quick twisting needle.

 

 

 

 

 

 

 

 

 

An ankle sprain is a very common joint soft tissue injury, which often starts suddenly and can occur at any age. The ankle joint is the most weight-bearing joint of the human body, and it is at the distal end. Once muscle bonds and ligaments are damaged, blood stasis will result in changes in the microenvironment in the joints, causing inflammation, oozing, and accumulation of pain-causing substances, which will affect local metabolism. Self-repairing ability and intra-articular stress can easily lead to prolonged disease and is often difficult to heal, resulting in ankle pain, poor flexion and extension, dysfunction and other symptoms, which bring inconvenience to daily life.

Cooperating with the movement of needle retention for ankle sprains, which can not only make the meridian qi reach the disease quickly, but also stretch the muscles and muscles that have a spasm, loosen the adhesive ligaments, strengthen the tension of the relaxed muscles, promote the anatomical reduction of local tissues, and promote blood The circulation speeds up the absorption and dissipation of edema and blood stasis.

“Treating the upper part disease from the bottom, and treating ankle disease from hand” can be a good, simple and inexpensive method for clinical treatment for an acute ankle sprain.

Our acupuncture pain relief treatment

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Acupuncture Treatments for Coughs

what is cough and how can acupuncture help?

Types of cough and treatment methods and curative effects of Chinese acupuncture

Cough is a common symptom of lung disease. Various causes of internal injuries can cause lung Qi to fail to propagate or subdue, causing lung Qi to reverse and cause coughing. A long-lasting cough is called chronic cough.

【Cause and Pathogenesis】
Weak lungs, or other diseases involving the lungs, causing a cough, are all chronic coughs. The internal organs are all weak, not just the lungs. However, the lung is the master of Qi, and all Qi will cough when it is against the lungs. Coughing is “not only in the lungs but also in the lungs.”

1. Spleen deficiency produces phlegm
If the spleen loses its health and transport, it can’t transfer the essence of water and grains, which can cause dampness and produce phlegm, further staining the lungs, block the lung Qi, affect the flow of Qi, and causes coughing. “The spleen is the source of phlegm, and the lung is the organ of phlegm storage.” For people who are usually deficient in Yang, their cold drink enters the stomach, from the stomach to the diaphragm, through the lungs and up to the lung system, resulting in unfavourable lung Qi and coughing.

2. Deficiency of Kidney Qi
“Lung is the master of Qi, and the kidney is the root of Qi”, “kidney is in charge of receiving Qi”. If the kidney is insufficiency, it causes a cough. If the kidney Yang is weak and the gasification is not good, the water will stop accumulating, and the lung will be attacked, which will also cause coughing.

【Differentiation】
1. Phlegm cough symptoms
Prolonged cough, heavy turbid cough, sputum in the throat, multi-coloured sputum, accompanied by nausea in the chest, reduced appetite, the fatigue of the limbs, white fur on the tongue, slippery pulse.

2. Qi deficiency cough symptoms
Coughing for a long time, low and weak cough, short breath, low breath, clear and thin phlegm, fatigue, fear of wind, spontaneous sweating, easy to catch cold, thin tongue coating, pale tongue, weak pulse.

3. Yang deficiency of cough symptoms
Coughing recurring, usually caused by cold, clear phlegm and saliva, dizziness, heart palpitations, chills, heavy limbs, or difficulty in urination, white tongue coating, slippery pulse.

 

Ponsonby Wellness’s patients feedback from cough treatment.

Patient 1- WeChat review feedback

patient 1's response after effective treatment for cough

Patient 2 and 3- google review feedbacks

 

Patient 4- specialist letter


patient 4's response after effective treatment for cough

patient 4's response after effective treatment for cough (part2)

 

 

【alternative treatment methods】

1. Phlegm cough
Treatment method: invigorate the spleen and dry dampness, regulate qi and resolve phlegm
Prescription: Feishu, Pishu, Taiyuan, Fenglong, Hegu.
Fang Yi: Taiyuan, the original point of the lung meridian of the hand Taiyin, is injected for the Zhenqi of the internal organs. It is combined with Feishu and Pishu to invigorate the spleen and reduce dampness, replenish lung Qi, treat the symptoms and root causes at the same time, take the foot-yang ming meridian points Fenglong and hand Mingjing Yuan acupoints hegu, to harmonize the stomach Qi, and the Qi will flow into Jinbu, the phlegm will be self-dissolved, so the cough can be stopped. Add Zusanli and Neiguan for severe chest tightness.

2. Qi Deficiency Cough
Treatment method: to replenish lung Qi, resolve phlegm and relieve cough.
Prescription: Feishu, Pishu, Shenshu, Qihai, Fenglong.
Fang Yi: Qihai, Shenshu nourishes Qi, nourishes the essence, nourishes the kidney and strengthens the essence; Feishu and Pishu xuanfei invigorates the spleen, nourishes the lung Qi; enriches the stomach and reduces phlegm and turbidity.

3. Yang deficiency cough
Treatment method: warming the sun to dispel cold, transforming Qi into water.
Prescription: Mingmen, Guanyuan, Shenshu, Gaolingshu, Shenque, Feishu.
Fang Yi: Mingmen, Guanyuan Wenshen Peiyuan, Shenshu and Gaolingshu nourishes the kidney and nourishes Qi, Shenque warms the yang, Feishu promotes Qi, and plays the power of warming yang and dispelling cold, transforming Qi and promoting water.

If you need professional treatment, please call 09 3601229 or make an appointment online here

Nourishing Blood with Chinese Medicine

Nourishing Blood with Chinese Medicine

Nourishing ‘Blood’ is a really important therapeutic strategy in Chinese Medicine.

This strategy you can take on for your own self-care to strengthen the effects of your treatment.  This will help you get where you want to be and maintain it.

Nourishing ‘Blood’ is really important for women, as most women of menstruating age literally lose blood regularly.

 

What is ‘Blood’ in Chinese Medicine?

So what do we mean when we say Blood in Chinese Medicine? It can be very confusing. Let’s clear it up.

When we talk about Blood in Chinese Medicine, we don’t mean blood in the way you know it from a Western biomedical sense.

It’s the same with organs.

It’s a translation issue. Classically, the Chinese have a very precise way to describe the functional physiology of the human body. They have Chinese terms for it,  I would prefer to call them by their original Chinese terms. But in Western translation, we use Western words that unfortunately have already important associations – ie blood, organs.

 

Blood As A System, Not A Bodily Fluid

Chinese Medicine is a systems medicine. We are looking at how various systems in your body function together to generate health but also how they behave in dysfunction.

‘Blood’ in Chineses Medicine primarily includes the functional relationship AND physiology of the:

  • digestive system
  • bone marrow
  • reproductive system
  • cardiovascular system
  • central nervous system
  • endocrine system
  • neuro-musculo-fascial planes.

It also includes:

  • nutritional status
  • tissue hydration
  • hormone and neurotransmitter balance.

Blood is a broad term that you can drill down into depending on what type of pathology you are experiencing.

Nourishing Blood in the human body

Why is Nourishing Blood Important?

When practitioners encourage you to ‘nourish your Blood’, we are talking about your ability to nourish yourself.  This is achieved through a proper digestive process, the building of sufficient material resources and the effective distribution of those resources.

 

Qi + Blood are always connected. Qi is Yang and Blood is Yin.

Qi moves the Blood, and Blood nourishes the organs that produce Qi.

Blood moistens and warms the body and its tissues. Areas that suffer from lack of Blood nourishment are cold and often painful.

Blood tends to get deficient or stagnant or a combination of both.

Blood  ‘anchors your Heart-Mind’. Adequate blood levels are really important for your mental health, cognitive function, emotional resilience and ability to fall asleep and stay asleep.

 

What Happens if You Don’t Have Nourished Blood?

Fatigue is the first and most obvious sign. You’ve pushed too hard and consumed your resources. Yin/Yang starts to become unbalanced. Qi and Blood are consumed and need rebuilding.

Other signs of lack of Blood nourishment can include:

  • Anxiety
  • Insomnia
  • Emotional turbulence
  • Depression
  • Feeling faint when you stand up or dizziness
  • Palpitations
  • Floaters in your eyes.
  • Poor memory
  • Cold limbs/hands and feet
  • Slow healing and recovery
  • Weak immune system
  • Menstrual irregularities
  • Gynecological conditions
  • Absent periods
  • Pale complexion
  • Pale gums
  • Easily startled
  • Feeling weak.

 

How to Nourish Your Blood

  1. Eat food. Sounds basic but part of nourishing Blood is the willingness to be open to receive nourishment and to feed yourself well. Supplementation may be needed in Blood deficiency but you cannot build blood without eating.
  2. Improve your digestion. Improper digestion, inc absorption and assimilation, can be the root cause of so many pathologies. How is your microbiome? Do you have leaky gut? Are you experiencing inflammation in the gut? Do you have an overgrowth of bacteria or parasites? Do you have adequate stomach acids and enzyme production? Has chronic stress impaired your digestive function? Do you have chronic bloating, constipation or diarrhoea? Even if you are making great choices with the food that you eat, if your digestion can’t break it down and absorb it, you may be malnourished. See the list below for Blood-nourishing foods. Acupuncture and Moxibustion are very effective in improving digestive function.
  3. Engage in adequate movement and rest. Exercise regularly, have an active lifestyle and know-how to rest well, relax regularly, protect your leisure time and have good sleep hygiene.
  4. Replenish after blood loss. Such times include menstruation, postpartum, during breastfeeding and post-surgery.

 

Foods for Nourishing Blood

As Blood (in Chinese Medicine) is also made from bone marrow, bone broths and slow-cooked bone dishes are very effective at Blood nourishment. Protein and good fat in every main meal are essential for Blood building.

 

Excellent foods for nourishing Blood include:

Broths

  • Chicken soup
  • Beef bone broth
  • Lamb shanks
  • Osso Bucco
  • Kombu dashi (V)

 

Meats

  • Pate
  • Parfait
  • Offal and traditional dishes containing blood, eg blood sausage
  • Animal protein and good fats are highly effective at building blood. Any animal products should be hormone-free, grass-fed, free-range and ethically treated.

 

Plants

  • Soaked goji berries
  • Chinese dates
  • Figs
  • Prunes
  • Cherries
  • Pomegranates
  • Dark leafy greens; kale, spinach, watercress, silverbeet, rucula
  • Nettles and nettle tea
  • Macro (seaweeds) and micro (spirulina, chlorophyll etc) algae
  • Cereal grasses (wheat and barley grass)

Nourishing Blood - pomegranates

Cooking in a cast-iron pot can be an easy way to increase your iron intake.

Chinese Medicine doesn’t advocate a vegetarian, vegan or raw food diet, especially for women. It most certainly advocates a wholefood, locally grown, an organic diet where you eat seasonally. Any animal products should be hormone-free, grass-fed, free-range and ethically treated.

The original post can be found here

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Moxibustion & Acupuncture for Menorrhagia

Moxibustion & Acupuncture for Menorrhagia

Traditional Chinese Medicine (TCM) moxibustion at seventeen vertebrae points has been effective in treating more than 20 cases of menorrhagia (menstrual periods with abnormally heavy or prolonged bleeding). The method is simple and easy to implement.

It has the best effect on patients with menorrhagia syndrome and body dampness. It is also suitable for uterine bleeding and postpartum hemorrhage, and pelvic inflammation. It also has a certain effect, so it is introduced as follows:

  • Point selection and treatment Seventeen vertebrae points are located under the spinous process of the fifth lumbar vertebra.
  • During the treatment, the patient lay prone and warmed moxibustion on the acupuncture point for 40 minutes. After moxibustion, there is obvious heat in the pelvic cavity. The effect is better when combined with acupuncture for 2 to 5 minutes before moxibustion.

Moxibustion & Acupuncture for Menorrhagia

Typical case Female, 32 years old, married. First visit.

The patient has menorrhagia, accompanied by dizziness, weakness, and fatigue for two days. In the past six months, the patient’s menstrual volume has been significantly increased than before, and the menstrual course has been prolonged for 6-8 days. At the same time, her face was pale, her speech was weak, and her waist and knees were sore and empty.

After the diagnosis, moxibustion was used at the seventeen vertebrae points for 15 minutes, she commented the lower abdomen and lower back are more gentle and comfortable. Moxibustion then continued for another 40 minutes. On the same day, the menstrual volume was significantly reduced, and the second and third days were treated with the same method twice. “I felt that my appetite was doubled, and my menstrual period was shortened to five days. It is now normal.”

The patient was followed up several months later, the effect was consolidated.

In conclusion

The seventeen vertebrae points are unique points outside the meridian. They are located on the path of the Du Channel and are in the neighbouring uterus. Using moxibustion at this point can pass through the meridians, replenish qi and activate blood, and regulate Ren, Du, and Chong. This method is used to treat menorrhagia, especially for those with the deficiency-cold syndrome. If the symptoms are large in the menstrual flow, the colour is pale red, the quality is thin, or the complexion is white, shortness of breath, and weakness.

period pain

Through clinical practise, we have realized that this method is also suitable for metrorrhagia and postpartum hemorrhage, and has a certain effect on pelvic inflammation.

Hidden white, seventeen vertebrae Yinbai is the “root” of the Taiyin, which nourishes the temper, and the spleen governs the movement and transformation needs the promotion of Yang Qi.

Moxibustion & Acupuncture for Menorrhagia

If the spleen yang is not shaken and loses its control, the blood does not return to menstruation, which can cause uterine bleeding in women. Buyingbai (or moxibustion) can raise the sinking yang and with moxibustion on the seventeen vertebrae (external acupoints) for warming and tonifying the kidney, the uterine bleeding will stop.

If you need professional treatment, please call 09 3601229 or make an appointment online here

Treating Period Pain with Acupuncture

Treating Period Pain with Acupuncture

period pain

From the perspective of visceral syndrome differentiation, period pain (dysmenorrhea) is mainly related to the liver, spleen, and kidney, so the acupuncture method is to take Guanyuan, Sanyinjiao, Xuehai, and other foot’s Sanyin meridian and Renmai points.

period painperiod pain

period pain

 

However, it has been found in clinical practice that when period pain occurs, the immediate analgesic effect of acupuncture at the above-mentioned acupoints is not ideal.

The disease location of period pain is in the uterus, that is, the female scorpion. The female cell is one of Qiheng’s organs. Because the Chong, Ren, and Du channels all arise in the cell, the treatment of this disease cannot be separated from the Chong, Ren, and Du channels. Although the three organs of the liver, spleen, and kidney can be effective, it is far inferior to regulating the Chong and Ren Du Channel and directly acting on the uterus. Therefore, the seventeen vertebrae or Shenque points are often used for clinical treatment, and the effect is quite good.

period pain

 

“During an early trip, a girl suffered from period pain. She knew that I was an acupuncture doctor. She asked me for acupuncture. The needles were kept for 30 minutes at Guanyuan, Sanyinjiao, and Xuehai according to the conventional acupuncture prescription (pictures from above). The pain did not decrease significantly. After the acupuncture was started, I wanted to acupuncture the Balao and other acupoints, but there was no obvious tenderness. On the contrary, the tenderness was very obvious in the seventeenth vertebrae” (circled in red below).

period pain

After pressing with the thumb for less than 1 minute, the pain has disappeared. Later, several cases of period pain were treated, the acupuncture at Guanyuan, Sanyinjiao, and other acupoints failed to relieve the pain immediately, but the pain of the seventeen vertebrae was stopped by pressing the needle. For more than 20 years, in cases of period pain, pressing the seventeen vertebrae was done first, then acupuncture, these two methods cooperate shows an immediate effect.

When having acupuncture at the seventeen vertebrae, you can also add acupuncture to the Chengshan point.

period painUse a 3-inch needle to obliquely puncture upwards. After the needle is lifted, you can cup the seventeen vertebrae for 5 to 10 minutes. The effect is better. The seventeenth vertebra is under the spinous process of the fifth lumbar vertebra. Although it is an odd acupuncture point outside the meridian, the effect of acupuncture on the line of the governor channel is related to the fact that the governor channel is a sea of yang channels and arises in the cell. The most suitable for period pain with blood stasis.

Period pain is mostly abdominal pain, the abdomen is yin, the seventeen vertebrae are in the lumbosacral region, and the lumbosacral region is yang, so the seventeen vertebrae treatment of period pain also belongs to “inducing yin from yang” and “yin disease treating yang”. Shenque point is also very effective in treating period pain. The treatment of primary period pain with medicine-separated moxibustion on the umbilical cord was used as a research topic. As a result, 30 cases were treated with an effective rate of 100%. In theory, Shenque can cure all gynecological diseases. Why? The basic pathogenesis of gynecological diseases is the injury of the 4 meridians of the Chongrendu belt, and the navel-Shenque point directly communicates with the 4 meridians. Therefore, the use of umbilical acupuncture while treating dysmenorrhea can have a needle-to-pain relieving effect.

If you need professional treatment, please call 09 3601229 or make an appointment online here

How to Cooperate AIP Diet in IBS treatment

IBS treatment

AIP= Autoimmune Protocol

AIP diet therapy: mainly through taboos, reduce the intake of harmful or irritating substances into the human body to restore intestinal health and balance the human immune system.

AIP natural therapy is a compensatory, exploratory, non-antagonistic treatment. The purpose is to adopt dietary methods and structures and store health to adjust the body. Different dietary patterns are aimed at people with different needs. A change in diet results in a change in the body. 

AIP diet and autoimmune diseases

Strictly implement AIP diet therapy has effective results on various types of autoimmune diseases. AIP diet has shown significant improvement in diseases such as:

Hashimoto’s thyroiditis, hyperthyroidism, rheumatoid arthritis, lupus erythematosus, psoriasis, multiple sclerosis, polyarteritis, celiac disease, Ankylosing spondylitis, Crohn’s disease, ulcerative colitis, fibromyalgia, Sjogren’s syndrome, autoimmune hepatitis, dermatomyositis, scleroderma, myasthenia gravis, type 1 diabetes, Edison’s disease and more.

Note: The recovery mentioned here does not mean cure, but the disappearance of symptoms. Autoimmune diseases are in a dormant state and hardly affect normal life. There is currently no cure for autoimmune diseases. For some autoimmune patients, after a few months of strict implementation of AIP diet therapy, the symptoms can disappear completely, the antibody becomes negative, and there is no need to take immunosuppressants and hormones with major side effects. (If you want to reduce your medication, please be sure to do it under the guidance of your doctor. Don’t reduce the drug without confirmation).

What is in the AIP diet?

The diet advocates the food our ancestors ate before agricultural civilisation, such as grass-fed non-polluting pigs, cows, muttons, fish, shrimps, seafood, eggs, vegetables, fruits, nuts, and healthy fats (such as olive oil, Coconut oil, animal fat), grains, dairy products, beans, refined sugar, hydrogenated fats, vegetable oils, preservatives, and various processed foods that were introduced into our human diets after the rejection of agricultural civilisation.

The AIP diet also requires avoiding foods such as solanaceous vegetables, nuts, and seeds, because they may damage the intestines and increase the autoimmune response. In addition to avoiding the foods mentioned above, AIP emphasizes selecting specific foods that are rich in nutrients such as most vegetables, meat, animal offal, bone broth, seafood, fermented vegetables, olives Oil, low-sugar fruits, etc. Additionally, AIP foods protect the intestines and nourish the intestinal flora. However, for chronic diseases such as autoimmune diseases, diet therapy is only part of the treatment. The other part lies in the adjustment of lifestyle and mood. In other words, even if you follow the AIP diet at 100%, but your mood has been bad, the therapy effect will be limited. Examples of a bad mood include a strained interpersonal relationship, psychological pressure, staying up late, sitting for a long time, and not exercising. 

 

Causes of IBS

The general cause of Irritable Bowel Syndrome (IBS) is the result of the interaction between the body’s stress response and psychological factors. Different individuals may be involved in genetic, environmental, psychological, social, and gastrointestinal infections, leading to changes in gastrointestinal motility and brain-gut axis interaction. Changes in autonomic nerves and hormones, or with mental disorders (such as panic, anxiety, post-traumatic stress disorder, etc.), sleep disorders, and psychological coping disorders, stressful life events can often cause symptoms to aggravate. Researchers emphasize the influence of mental and psychological factors on the pathogenesis of IBS and pay more attention to the role of neuropeptides and related receptor functions in the pathogenesis of IBS.

IBS vs IBD

In recent years, people have strengthened research on the connection between IBS and inflammatory bowel disease (IBD). A few scholars even believe that IBS is the early performance of IBD. IBD is a group of chronic and recurrent intestinal inflammatory disease with unknown etiology. In recent years, the role of brain-gut interaction in the pathogenesis of IBD has received more and more attention. A large number of studies have shown that In patients with IBD, the central nervous system, hypothalamus-pituitary-adrenal axis (HPA axis), hypothalamic-autonomic nervous system axis (HANS axis), and intestinal response function all have different degrees of imbalances, and they are closely related to disease activity.

Acupuncture as a treatment

It has been proven that acupuncture is an effective method for the treatment of IBD. The overall regulation of the brain-intestine interaction may be the key mechanism of acupuncture in the treatment of IBD. Acupuncture treatment consists of three needles for the stomach (Zhongwan, Zusanli, Neiguan) and three needles for the intestine (Tianshu, Guanyuan, Shangjuxu) as the main points.

IBS treatmentIBS treatment

IBS treatment

AIP is just a targeted, temporary, phased, dietary adjustment model, and it is not suitable for everyone. Acupuncture and Chinese medicine can be combined with AIP to treat IBS and IBD.

If you need professional treatment, please call 09 3601229 or make an appointment online here

TCM treatment for Endometriosis

TCM treatment of Endometriosis

By Virginia Jin 24/11/2020

Endometriosis is a blood stasis syndrome of traditional Chinese medicine. It is mostly caused by the external evil invasion, emotional, elemental factors or surgical injury, etc., which cause the body’s viscera dysfunction, impulsive injury, qi and blood loss, the formation of blood stasis, and stagnation in the lower abdomen. If the blood stasis is blocked and the veins and collaterals are blocked, dysmenorrhea will be seen; the blood stasis will accumulate for a long time and form a symptom; Heavy volume or prolonged menstrual period. In short, the key to this disease is blood stasis, and the cause of blood stasis is different from deficiency and excess, cold and heat.

  1. Qi stagnation and blood stasis   usually due to depression or anger, liver injury, stagnation of liver qi, disharmony between Chong and Ren, resulting in meridian stasis.

2. Cold blood stasis   more than after the menstrual period, the blood chamber is opening, the remaining blood is not clean, carelessness in taking life, feeling cold, blood coagulation when cold, leading to cold blood stasis.

3. Damp-heat stasis   element body spleen deficiency, water dampness stops, accumulates heat for a long time; or liver depression and spleen deficiency, damp-heat endogenous; or after the menstrual period, the blood vessels are empty and feel the evil of damp-heat. Damp heat stays in Chongren and accumulates in the uterine cytokine, which blocks the circulation of qi and blood and causes blood stasis.

  1. The body of phlegm and blood stasis is a body that has a deficiency of spleen and is full of phlegm, or eating disorderly, excessive fatigue, excessive thinking, damage to spleen qi, spleen deficiency and dampness, dampness accumulates into phlegm, phlegm dampness injection flushes the blood flow and causes phlegm Stasis knots each other.

5. Qi Deficiency and Blood Stasis   Irregular diet, excessive thinking, excessive fatigue, or serious illness, chronic illness, damage to the spleen, deficiency of qi and blood circulation, stagnation of blood circulation, impediment of Chong and Ren stasis.

6. Kidney deficiency and blood stasis   congenital insufficiency, or acquired injury, serious illness and prolonged illness, prolific labour, and damage to kidney qi. Insufficiency of kidney yang will cause yin and cold to grow in the body. Chong Ren Deficiency and cold, blood loss of warmth will promote blood stasis; insufficient kidney yin, deficiency of fire endogenous, internal heat burning blood can also cause blood stasis; and insufficient kidney water, unable to contain wood, liver disorders Chong and Ren’s stasis caused by dysfunction of dredging, qi and blood discord.

Patients with chronic endometritis are best treated with Chinese acupuncture and acupuncture points. Acupuncture can promote blood circulation, clear blood stasis, remove toxins accumulated in the body, and improve body resistance, thereby significantly speeding up the improvement of endometritis and reducing the chance of its recurrence.

Generally speaking, the physical acupuncture points that can be used in the treatment of endometritis are related to Yuan, Qihai, and Sanyinjiao. The selected points include Zusanli, Qichong, Ligou, and Yinlingquan. In the specific treatment, one or two points can be selected based on the main points of acupuncture and moxibustion according to other symptoms. Moderate stimulation can be used, and the needles can be retained for 15-20 minutes. Acupuncture and moxibustion is sufficient once a day, and one week of continuous treatment is a course of treatment. Most patients can obtain obvious therapeutic effects after acupuncture and moxibustion once or twice.

 

In addition to acupuncture and moxibustion, patients with endometritis can also be treated by ear acupuncture. The acupuncture points that can be selected for ear acupuncture include the uterus, ovaries, and endocrine. In addition, it is not enough for patients with endometritis to treat with acupuncture and moxibustion alone. During this period, they can also be treated with Chinese medicine.

The traditional Chinese medicine acupuncture treatment of endometritis is not difficult. The key is to choose the right acupuncture points and techniques for acupuncture. In addition, acupuncture and moxibustion cannot lack the help of other treatment methods. Only by combining multiple methods for treatment and taking various nursing and health care measures can you better improve your physical fitness and speed up the recovery of inflammation.

 

Virginia very successful in helping with fertility life and gynecologic disorder and women health care.

Call us :09 360 1229 for Consultation

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Irritable bowel syndrome (IBS) & TCM

TCM treatment of IBS etiology and pathogenesis

Irritable bowel syndrome (IBS) is a relatively common chronic intestinal dysfunction disease. The pathophysiological basis of IBS is mainly abnormal gastrointestinal motility and visceral perception, and the mechanism of these changes has not been fully elucidated. Western medicine treatment of IBS has side effects, and its clinical application is subject to many restrictions, and patients are reluctant to accept it. Many patients will seek TCM treatment, so what method and theory should TCM treat IBS?

1. Soothing the liver and regulating qi, improving abnormal emotional pain
Patients seeking treatment for IBS often have emotional disorders, suggesting that the symptoms may be related to abnormal central emotion and pain perception. IBS disease is located in the intestine, and its pathogenesis is liver depression and spleen failure. Soothing the liver and regulating qi can obviously improve the abnormal central emotion and pain, and the traditional Chinese medicine for soothing the liver can obviously alleviate and improve symptoms. The treatment medication focuses on regulating qi.

2. Invigorate the spleen and replenish qi, regulate the intestinal transport function
IBS patients’ bowel habits change, suggesting that there may be intestinal dysfunction, the disease is located in the spleen, and the main pathogenesis is deficiency. Clinically, by eliminating the hyperresponsiveness of intestinal smooth muscle. So as to alleviate the symptoms of abdominal pain and diarrhea in IBS patients.

3. Dispel dampness and turbidity, improve the environment in the intestine
Deficiency of the spleen and loss of transport, diarrhea, accumulation of damp heat or cold and dampness, loss of intestinal conduction, and poor qi flow. When the spleen rises and the stomach falls, the dampness will rise and fall abnormally, especially the stagnation of qi. It is seen that there is pain in the abdomen or bowel diarrhea, sticky stools, foaming, or diarrhea and constipation. Therefore, the general combination of dampness and qi regulation.

Conclusion:
It can be seen that the pathogenesis of IBS is mainly liver depression and spleen deficiency, and the liver and spleen are closely related to the internal organs. The main principle of treatment is to sooth the liver, invigorate the spleen and dissipate dampness.

How does acupuncture for fertility work? Increase chance of conception without side effects

 

How Does Acupuncture for Fertility Work? Increase Chance of Conception Without Side Effects

fertility and acupuncture

The overwhelming anguish and sense of loss experienced by women struggling with infertility issues is an unwelcome motivator, driving them to seek other treatment options to overcoming infertility. From home remedies, fertility drugs, and even surgery, to in vitro fertilization (IVF) and donor eggs and embryos, modern healthcare has vastly expanded the array of options available for couples struggling to conceive.

But not all can afford the financial costs of infertility which can range from hundreds of dollars spent on drugs to tens of thousands spent on advanced procedures such as Intrauterine insemination (IUI) and IVF. In the search for affordable and effective health care, alternative and holistic treatments are gaining wider appeal among the general public.

Traditional Chinese medicine, for example, has been practised for thousands of years and includes techniques and practices such as tai chi, moxibustion, tui na, Chinese cupping, and acupuncture. Acupuncture, in particular, has rapidly grown in acceptance by the general public and practice among therapists today. Not only is acupuncture valued for stress-relieving and relaxing benefits, but also as a component of fertility treatments.

When used in conjunction with Western fertility treatments, acupuncture increases conception rates by 26%. A recent study from Tel Aviv University reports, “When combining IUI with TCM treatments, 65.5%of the test group were able to conceive, compared with 39.4%of the control group, who received no herbal or acupuncture therapy.” For the 4.5 million couples experiencing infertility each year, acupuncture may be just what the doctor ordered.

The Evolution and History of Acupuncture
With a recorded history of about 3,000 years, the foundations of acupuncture are believed to date back to the Stone Age when sharp-edged tools were used to puncture the skin and drain blood and abscesses.

The Chinese document titled Lingshu (translated as “Miraculous Pivot”) listed nine classical acupuncture needles: Filiform, Shear, Round-Pointed, Spoon, Lance, Round-Sharp, Stiletto, Long, and Big. These classical needles were originally made from bronze, gold, or silver, but modern acupuncture uses only stainless steel filiform needles.

In the U.S., physicians have been practising acupuncture since the early 1800s. When the New York Times published the documentation of James Reston’s visit to China in 1971, acupuncture piqued public interest. In 1997, the National Institutes of Health Consensus Statement advocated for acupuncture’s potential to manage postoperative pain, vomiting, and nausea. Ten years later, according to a report published by the National Center for Biotechnology Information (NCBI), a “. . . survey conducted by the Centers for Disease Control and Prevention’s National Center for Health Statistics, almost 40% of adults used complementary and alternative therapies, such as acupuncture, in the prior year.”

The rise in popularity of acupuncture has compelled researchers to take a closer, scientific look at the full potential of acupuncture. From aiding in weight loss efforts to reducing stress and relieving pain, the benefits of acupuncture have raised interest in its potential to increase the chances of conception.

The Science Behind Infertility
Because of the delicate balance between the hypothalamus, pituitary, and reproductive glands, stress is capable of preventing a woman from ovulating entirely. This can contribute to the cause of female infertility. Stress can also create spasms in both the fallopian tubes and the uterus, which can interfere with movement and implantation of a fertilized egg. In men, stress can alter sperm counts, motility, and cause impotence. Acupuncture infertility treatment counters the effects of stress and cortisol by releasing endorphins in the brain. A herbal impotence cure is also an option for men and can reduce stress.

Hormonal balance does not have to be disrupted by cortisol to cause infertility. The most common cause of female infertility is an ovulation disorder, in which the release of a mature egg from the ovary is prevented, usually because of a hormonal imbalance. Without enough progesterone, for example, the fetus is unable to attach to the uterus. High levels of prolactin, the hormone that stimulates the production of breast milk, can also prevent ovulation.

Acupuncture for Fertility and treatment
An imbalance in reproductive hormones can also negatively affect male reproductive function, such as sperm motility and production. However, the fertility drugs that stimulate ovulation in women by regulating the hypothalamus and pituitary, the glands that control reproductive hormones, don’t perform nearly as well for men (success rates are about a third of those for women), nor have they been approved for men by the FDA. Male infertility treatment must take another track. A herbal impotence cure — if impotence is a factor in a couple’s infertility — causes no side effects and has a reported success rate when taken in conjunction with male infertility treatment.

While the fertility drugs commonly prescribed for women can produce a 20% to 60% pregnancy rate, they also commonly include such side effects as abdominal tenderness, bloating, fluid retention, weight gain, and nausea. Some studies show that they may also cause breast cancer.

The Potential of Acupuncture to Increase Chance of Conception
Acupuncture can increase fertility by reducing stress, increasing blood flow to the reproductive organs and balancing the endocrine system, according to several studies and medical research. “The goal of an infertility treatment from a Chinese medicine perspective is not just to get pregnant, but to stay pregnant and to have a healthy baby,” says Deb Davies, LAc, a Pacific College alumnus. Among many other benefits, acupuncture can provide better blood flow to the ovaries and uterus, creating a stronger chance for an egg to be nourished and carried to term.

Modern acupuncture consists of the gentle insertion and stimulation of thin, disposable sterile needles at strategic points near the surface of the body. Over 2,000 acupuncture points on the human body connect with 14 major pathways, called meridians. Chinese medicine practitioners believe that these meridians conduct qi, or energy, between the surface of the body and internal organs. It is qi that regulates spiritual, emotional, mental and physical balance. When the flow of qi is disrupted through poor health habits or other circumstances, pain and/or disease can result. Acupuncture helps to keep the normal flow of this energy unblocked, thereby increasing a couple’s chances of conceiving.

Acupuncture infertility treatment can improve almost every cause of this obstacle. While 40% of infertility is caused by problems in the female, another 40% is caused by problems in the male, such as low sperm count or motility. The cause of female infertility stems from problems such as anovulation and endometriosis. The remaining 20% is caused by unknown factors.

One of the ways acupuncture treatment increases fertility is by reducing stress, which is often a key factor in the fertility of both men and women. When people are under stress, the hormone cortisol is released in the brain. This alters the brain’s neurochemical balance, thus changing hormone levels and disrupting the pituitary balance that is key to the reproductive cycle.

If the thyroid is over or under-functioning, acupuncture can help address the effects on fertility. Acupuncture can also “. . . be used to treat any type of fertility disorder including spasmed tubes. Spasmed tubes are often de-spasmed with acupuncture, though blocked tubes will not respond to acupuncture,” according to the American Pregnancy Association.

However, acupuncture cannot address issues with tubal adhesions. Acupuncture is also contraindicated for the abdominopelvic area, which includes the following points: Gallbladder 21, Large Intestine 4, Bladder 60, Stomach 12, Spleen 6, and Bladder 67, as well as any other points on the lower abdomen.

“Chinese medicine can help support a woman through this important time in her life—whether that is emotionally or physically, acupuncture can help with much more than just conception. It can help with morning sickness, nausea, aches and pains (low back pain, for example), anxiety preparation for birth, and insomnia, among many others,” explains Davies.

Acupuncture’s Side Effects
Acupuncture for infertility treatment, by contrast, produces few or no side effects while performing the same function as the drugs do: stimulating the hypothalamus to effectively balance the endocrine system and its hormones and to get to the root cause of female infertility as well as male infertility.

The natural, time-tested alternative treatment used by eastern cultures just might be worth a try.

Click here to learn more about Pacific College of Oriental Medicine’s Chicago acupuncture school, New York acupuncture school, and San Diego Acupuncture School Programs.

ACC & Acupuncture

 

Acupuncture and ACC
Accident compensation has a long history in New Zealand. The Accident Compensation Corporation (ACC) began in 1974 and has continued to evolve ever since. ACC helps prevent injuries and get New Zealanders and visitors back to everyday life if they’ve had an accident. ACC help pays for a range of medical, health and treatment costs if we cover your injury. You may have to pay for part of your treatment costs. Includes serious injury and disability.
You can register with us if you’re a treatment provider or registered health professional under the Accident Compensation Act 2001. This includes: acupuncturist
To register as a health provider you need to:
Be registered with the appropriate authority, eg your professional body
Hold a current annual practising certificate from the same authority

 

How does ACC work?

Acupuncture modalities currently funded by ACC The Accident Compensation Corporation (ACC) includes acupuncture within the suite of allied health treatment modalities. Allied Health is the third major group in the New Zealand health and disability workforce (alongside medical and nursing professionals) and includes physiotherapists, chiropractors, osteopaths, occupational therapists, speech therapists and acupuncturists (www.ahanz.org.nz). ACC currently funds two sets of treatment modalities within acupuncture services, conventional therapies and adjunct therapies. The conventional therapies are comprised of traditional acupuncture, Western acupuncture, laser acupuncture, electroacupuncture, and auricular acupuncture; the adjunct therapies include cupping, Gua Sha scraping, tuina massage, and moxibustion. ACC does not fund herbal plasters, liniments, herbalism, nutritional supplements, and ion-pumping cords. Acupuncturists have been recognised under ACC cost of treatment regulations since 1990. The Accident Compensation Act (AC Act) defines an acupuncturist as a person who is a) a full member of the New Zealand Register of Acupuncturists Incorporated (NZRA), now known as Acupuncture NZ (AcNZ), or the New Zealand Acupuncture Standards Authority Inc (NZASA) and b) who holds a current practising certificate. Other Health Practitioners (as defined under the Health Practitioners Competence Assurance Act 2003) may utilise acupuncture interventions as determined under the scopes of practice within which they work.

Musculoskeletal conditions may be eligible for cover if it can be established that the condition is a personal injury caused by an accident (PICBA) or a work-related gradual onset condition (e.g. carpal tunnel syndrome) (WRGPDI). The criteria for each are described in the Accident Compensation Act 2001. ACC does not cover musculoskeletal injuries which are considered to be wholly or substantially due to noninjury factors, such as disease or aging.

muscularskeletal and ACC coverage

Neck Pain

Mechanical Neck Pain Included evidence: seven systematic reviews, which included eight individual RCTs, and one additional RCT were identified. Study quality varied, however, most were of moderate to high quality. Included studies investigated treatments using either a TCM or western medical framework and delivered traditional acupuncture, electroacupuncture, dry needling and cupping. Acupuncture interventions were mainly compared with sham acupuncture, wait-list or inactive treatment (e.g. sham laser or TENs). Participants within the included studies varied significantly regarding the duration and severity of neck pain, with conditions ranging from acute to chronic durations. The reported number, duration and frequency of treatment sessions was often 15 – 30 minutes long, with 5 – 15 sessions delivered over 3 – 5 weeks of treatment. Length of follow-up was mostly short to medium term with a small number of studies reporting long-term functional or pain outcomes. There is conflicting evidence suggesting that traditional acupuncture may be more effective at reducing pain and improving disability in the short-term for patients with mechanical neck pain when compared to sham acupuncture, however, the evidence does not provide support for a long-term effect. Based on two HQ++ SRs of level 1+ evidence and one LQ- SR of level 1- evidence. The SRs included 4 relevant RCTs. There is conflicting evidence regarding the benefits of dry needling and electroacupuncture on the outcome of pain over the short-term in patients with mechanical neck pain when compared to control interventions. Based on one HQ++ SR of level 1+ evidence, three AQ+ SRs of level 1 evidence and one HQ++ RCT. The SRs included three relevant RCTs, two on dry needling and one on electroacupuncture. Insufficient evidence is available on other acupuncture therapies including auricular acupuncture, laser acupuncture, moxibustion, cupping and Gua Sha scraping for patients with mechanical neck pain.


Shoulder Pain
Frozen Shoulder Included evidence: four systematic reviews, which included six RCTs, and one additional RCT. Studies were of low to moderate quality. Included studies investigated treatments which mainly used a TCM framework and delivered a combined or individual treatment of acupuncture (traditional acupuncture, cupping, electroacupuncture, tuina therapy and laser acupuncture) and rehabilitation, physiotherapy or electrotherapy. These interventions were mainly compared with physiotherapy, electrotherapy and injections alone. Patients were commonly aged in their 50’s and varying and poorly reported stages of the condition. The number, duration and frequency of treatment sessions were around 30 – 40 minutes long, with 8 – 10 sessions delivered over 4 – 6 weeks of treatment. The evidence suggests that acupuncture or electroacupuncture, alone or in combination with physiotherapy or electrotherapy may be effective for reducing pain, improving range of motion and function in patients with the frozen shoulder when compared to physiotherapy or electrotherapy alone. Based on one LQ- SR of level 1- evidence containing three RCTs and one LQ- RCT. Insufficient evidence is available on other acupuncture therapies including auricular acupuncture, laser acupuncture, dry needling, moxibustion, cupping, tuina massage and Gua Sha scraping for patients with frozen shoulder.

Sciatica
Sciatica Included evidence: three systematic reviews, which included 13 individual RCTs, were identified that reviewed the effectiveness of acupuncture interventions for sciatica. Studies were of low to moderate quality. Included studies mainly investigated treatments which used a TCM framework and delivered traditional acupuncture and electro-acupuncture. Acupuncture interventions were mainly compared with conventional medication (Ibuprofen, Prednisone, Meloxicam and Diclofenac). Patient age and duration of condition significantly varied between the included studies ranging from 18 – 79 years of age and reported durations of 4 days to 18 years. The number, duration and frequency of treatment sessions was well-reported, with sessions often of 20 – 45 minutes long, with 5 – 20 sessions delivered over a short period of 1 – 3 weeks. Length of follow-up was mostly short-term with few studies reporting long-term functional or pain outcomes. The evidence indicates that traditional acupuncture and electroacupuncture are probably effective in reducing pain in the short-term when compared with conventional medication. However, there is little evidence on its sustained effect over the medium and long-term and its effect on function and quality of life. Based on two SRs of HQ++ and one SR of AQ+, all of level 1 evidence. The SRs included thirteen relevant RCTs. Insufficient evidence is available on other acupuncture therapies including dry needling, auricular acupuncture, laser acupuncture, moxibustion, cupping, Gua Sha scraping and traditional Chinese tuina massage for patients with sciatic

Back Pain
Lumbar Disc Herniation Included evidence: two systematic reviews which included 14 individual RCTs. Studies were reported to be of low quality. One looked at the effectiveness of tuina manual therapy while the other looked at the interventions of acupuncture and electroacupuncture. Tuina manual therapy was also used in conjunction with other interventions, mostly oral Meds, traction and intravenous injections. The control groups were mainly oral Meds and traction using varied duration periods which were different from the intervention in most cases. The included studies that reported treatment schedules averaged 11.3 ± 8.1 sessions (range 1–36) and the length of each session was 25.3 ± 5.7 minutes (range 15–30). Follow up length was only reported within two of the included RCTs and ranged between 1 day to 60 weeks. There was low-quality evidence that tuina, alone or used alongside traction, may be effective for the relief of pain due to lumbar disc herniation, but the clinical impact of the treatment is uncertain. The evidence indicates that traditional acupuncture plus traction may be effective in reducing pain post-treatment for patients with lumbar disc herniation when compared to traction alone. Based on one LQ- SR of level 1- evidence. The SR included five relevant RCTs. The evidence suggests that tuina massage may be effective in improving pain and function for patients with lumbar disc herniation when compared to conventional medication and traction, however, the evidence for functional improvement was not as strong as pain relief. Based on one AQ+ SR of level 1+ evidence. The SR included eight relevant RCTs. Insufficient evidence is available on other acupuncture therapies including electroacupuncture, auricular acupuncture, laser acupuncture, dry needling, moxibustion, cupping and Gua Sha scraping for patients with lumbar disc herniation

Knee Pain
Knee Osteoarthritis Included evidence: 15 systematic reviews, which included 78 RCTs, plus nine additional RCTs were identified, that reviewed the effectiveness of acupuncture interventions for knee OA. Studies were of low to moderate quality. Included studies mainly investigated treatments which used a TCM framework and delivered traditional acupuncture, trigger point acupuncture or moxibustion. Acupuncture interventions were mainly compared with sham acupuncture, no treatment or conservative therapies. Moxibustion was mainly compared with Meds therapies such as diclofenac, or sham moxibustion. Patients were generally recruited from hospital clinics, were aged greater than 50 years old and suffered from knee OA of chronic duration and moderate severity, however, the included studies varied significantly. A history of traumatic injury was often an exclusion criterion, so this may limit the relevance of the findings for ACC. The number, duration and frequency of treatment sessions were not well-reported, but where it was, sessions were about 20 – 30 minutes long, with 5 – 20 sessions delivered over 5 – 9 weeks of treatment or daily treatments over a short period of 7 – 10 days. Length of follow-up was mostly short-term with few studies reporting long-term functional or pain outcomes. The evidence suggests that acupuncture and electroacupuncture probably reduce pain in the short-term when compared to the controls of medication, placebo and a waiting list, however, their effects on function and quality of life remain unclear and conflicting. Based on three AQ+ SRs and three LQ- SRs, three of level 1+ evidence and three of level 1 evidence and two RCTs, one of LQ- and one of AQ+. The SRs included 43 relevant RCTs. The evidence suggests that the effectiveness of acupuncture treatments depends on the age of the patient and the severity of their osteoarthritis. Specifically, the evidence suggests that laser acupuncture, needle acupuncture and moxibustion are probably not effective in improving pain and function in older patients with moderate or severe knee pain. Based on one HQ++ RCT of level 1+ evidence quality on laser and needle acupuncture and one HQ++ RCT of 1+ evidence quality on moxibustion. There is conflicting evidence about the benefits of moxibustion on the outcomes of pain and function over the short-term in patients with knee osteoarthritis. Based on one HQ++ SR, two AQ+ SRs of level 1 evidence and four RCTs of HQ++ (1), AQ+ (1) and LQ- (2) of level 1 and 1- quality. The SRs included 21 relevant RCTs. The evidence indicates that pulsatile cupping may be effective in improving knee pain and function in patients with knee osteoarthritis in the short and medium-term when compared to no intervention. Based on one AQ+ SR and one AQ+ RCT both of level 1 evidence quality and 1 LQ- RCT of level 1- evidence. The SR included seven relevant RCTs. Insufficient evidence is available for other acupuncture therapies including Gua Sha scraping and traditional Chinese tuina massage for patients with knee osteoarthritis. Ankle Sprain Included evidence: three systematic reviews which included 18 individual RCTs. Studies were generally of low quality and lacked validated outcome measures for the primary and secondary outcomes of interest within this review including pain, function and QOL. Included studies mainly investigated treatments which used a TCM framework and delivered traditional acupuncture, auricular acupuncture, electroacupuncture and warm acupuncture. Acupuncture interventions were mainly compared with usual care/standard physiotherapy (bandage and/or ice pack), massage, topical NSAIDs and oral medication. The included studies considered three main types of comparisons: acupuncture versus no treatment or placebo, acupuncture versus another standard non-surgical intervention and acupuncture used in conjunction with other treatments to assess its effectiveness as an add-on treatment. Patients were generally between 18 and 25 years of age and had suffered an acute ankle sprain of less than a week’s duration. Most studies within the SRs included ankle sprains of mixed severity or did not detail severity. The number, duration and frequency of treatment sessions were commonly between 5 and 15 sessions over 1 to 2 weeks. Length of follow-up was mostly of short-term. Insufficient evidence is available for the outcomes of pain, function and quality of life using needle-based and other acupuncture therapies for patients with ankle sprains. The available evidence lacks validated outcome measures for the primary and secondary outcomes of interest within this review including pain, function and quality of life. Based on three SRs of HQ++ and AQ+ with level 1+ and 1 evidence. The SRs included 18 relevant RCTs.

Heel Pain
Plantar Heel Pain Included evidence: seven systematic reviews, which included 12 individual RCTs, plus 1 additional RCT was identified that reviewed the effectiveness of acupuncture for plantar heel pain. Studies were of low to moderate quality and mostly reported on follow up times in the short and medium-term. Included studies investigated treatments which used TCM or western framework and delivered traditional acupuncture, trigger point dry needling, electroacupuncture and warm needling acupuncture. Acupuncture interventions were mainly compared with exercise, sham acupuncture, insoles or steroid injections. Patients were generally diagnosed with plantar fasciitis however, several studies used the words plantar fasciitis and plantar heel pain interchangeably. Plantar fasciitis is a common cause of plantar heel pain, but plantar heel pain can also include wider issues which may affect results. The patients were commonly aged between 35 and 60 years old. The number, duration and frequency of treatment sessions were often of two different treatment schedules, one of the daily treatments over 1 – 2 weeks and the other of weekly sessions over 4 – 8 weeks. The evidence suggests that acupuncture and electroacupuncture may be effective in the short-term reduction of pain in patients with plantar fasciitis; however, the improvement is not sustained over the medium to long term. Based on one AQ+ SR and one LQ- SR both of level 1 evidence. The SRs included five relevant RCTs. The evidence indicates that dry needling may be more effective than control or placebo for reducing pain but not improving quality of life in the short and long term when treating patients with plantar heel pain. Based on five AQ+ SRs (four of level 1 evidence and one of 1- evidence). The SRs included eight relevant RCTs. The evidence indicates that acupuncture interventions may be effective in reducing pain in the short-term (up to 6 weeks), however, there is little evidence supporting its sustained effect over the medium and long term and its effect on improving quality of life in the short and long term. The evidence suggests that as the duration of plantar fasciitis increases, the improvement from treatment including electroacupuncture decreases. Based on one LQ- SR of level 1 evidence, containing only one relevant RCT. Insufficient evidence is available on other acupuncture therapies including auricular acupuncture, laser acupuncture, moxibustion, cupping, Gua Sha scraping and traditional Chinese tuina massage for patients with plantar heel pain.

General comments on the evidence base of acupuncture for musculoskeletal conditions There is some evidence that acupuncture modalities are effective for the short-term (up to 6 weeks) relief of pain associated with some musculoskeletal conditions but there is little evidence of medium or long-term pain relief. While it is less consistent, there is evidence that for some conditions acupuncture modalities also improve functional outcomes in the short-term. There is overall a lack of available evidence regarding the effectiveness for other modalities, such as moxibustion, Gua Sha, tuina and cupping. Treatments were often reported as being 15 – 30 minutes long, although it was not always clear if this represented total treatment or needle retention time. These findings are consistent with other recent systematic reviews and clinical guidelines for the management of low back pain and knee osteoarthritis. The findings of the evidence-based review were limited by a lack of high-quality studies for many acupuncture modalities, particularly adjunct modalities, such as cupping, tuina massage, Gua Sha scraping and moxibustion. There was also a focus on outcome measures for pain, with a lack of functional, disability, quality of life, or patient-centred outcomes. This means that for many conditions the reviewers were unable to comment on the functional impact of treatment with acupuncture.

For more information about ACC in NZ, click here