Monday, 24 December 2012

Happy Christmas


I would like to wish all my patients and friends a very Happy Festive Season. I wish you all a happy time, with plenty of good food, enjoyable exercise and an opportunity to have good quality rest. As the days have grown shorter and shorter, I have found myself contemplating a Chinese Medicine view of the ebb and flow of light. In this perspective, the year has a flow between Yin and Yang, in the same way that the diurnal cycle moves from Yin to Yang and round again.

Chinese doctors suggest that our sleep pattern should change with the flow of Yin and Yang such that, in summer - the period of maximum Yang, because of the long days, when we feel naturally more energetic and active - we should get up early and go to bed late. By contrast, in the middle of winter, when it is cold outside and long dark nights enclose us indoors in what is, hopefully, a warm and cosy home, we should try to go to bed early and get up late, perhaps having nine hours sleep a night, and enjoying some time outside during daylight hours to refresh ourselves. Obviously, this is totally impractical for anyone who works a normal working day but, if you have more than a few days off, why not take advantage over the Christmas holiday, and stockpile plenty of rest to see you through the rest of the winter?!
 
So, Happy Christmas, Happy New Year, and Happy Resting!!



Friday, 21 December 2012

Microlives

A interesting concept, and possibly fun to try out is this new idea! It's a way of working out how good for you (or bad for you!) are various daily things that you do each day.

There is a kind of quiz to help you work it out. Click here

You can access the full article from the website.

Facial pain - acupuncture shown to be effective

Facial pain is a frequently encountered condition causing great distress to the sufferer. A recently published U.S. study analysed 168 participants with temperomandibular disorders. Participants were all given self-care education. After two weeks and ten weeks, patients were allocated to a traditional Chinese Medicine ( TCM) group or continued self-care alone.

Those in the TCM group were given 20 weeks of acupuncture within a one year period. The treatment was individualised, although it included a core set of points. Other points, specific to each patient, were added, depending on the specific symptoms and other complaints experienced by the patient.

The TCM group was compared with a group only given self-care education. TCM was found to provide significantly greater pain relief, and greater reduction in the degree to which pain interfered with social activities, than self-education alone. You can look at the research here

You can see what conditions acupuncture can treat on my Acupuncture in Bristol and Shaftesbury website

Wednesday, 19 December 2012

Moxibustion effective for turning breech babies


A new study has looked at the traditional Chinese method of turning breech babies by using moxibustion  - a method of stimulating an acupuncture point by warming it with a smouldering herb, moxa, derived from mugwort, part of the artemisia family. This centuries old practice has been used by traditional acupuncturists for years and, in this study, was compared with sham moxibustion. More breech babies were successfully turned to the correct position in the group of patients on whom true moxibustion was used, than in the sham moxibustion group.

The study also concluded that the procedure was a safe method of intervention, when used between 33 and 35 weeks of gestation, the time recommended by most acupuncturists, and what I advise myself. This is the study.

And this video shows how smokeless moxa, which I use, is applied. 


There's another study which you can access from my website.

Sunday, 16 December 2012

Acupuncture for chronic pain



A huge review of acupuncture trials, numbering nearly 18,000 patients, has concluded that acupuncture is effective for chronic pain. The researchers found true acupuncture to be better than sham acupuncture, and also concluded that acupuncture is definitely more than a placebo.  


Those reviewing the available randomised controlled trials, included patients with back and neck pain, chronic headache, osteoarthritis, and shoulder pain.  Evidence indicated acupuncture's effectiveness for these chronic conditions and also implied that other factors in addition to needling contributed to the improvement. One can only speculate as to what these might be:

As an acupuncturist, I wonder if the length of time spent with each patient played a part in their improvement, allowing the practitioner time to listen to the patient, examine them carefully at each treatment, and give appropriate lifestyle recommendations and reassurance, as well as adjusting each treatment to suit the patient.

You can look at the review here.

To return to my Acupuncture in Bristol and Shaftesbury website, and look at evidence for acupuncture and chronic pain, and other conditions, click here. 


Thursday, 6 December 2012

Morning sickness - help from Acupuncture

Congratulations to the Duke and Duchess of Cambridge on the news that they are expecting a baby. All my sympathy went out to the Duchess on hearing that she had been hospitalised with severe morning sickness.

This condition, known technically as hyperemesis, is thoroughly miserable, involving prolonged and persistent vomiting as well as nausea, and usually lasts all day, not just the morning nausea that traditionally afflicts pregnant women.  Any sickness is unpleasant, but a little passing nausea often comforts women with the reassuring knowledge that their body is behaving in a way that confirms their pregnancy.

The degree to which Kate has clearly been suffering ruins any quality of life and can be dangerous because of the dehydration that sets in. It takes the joy out of being pregnant.

I have helped a number of women, in the course of the last twenty years, to cope with nausea and vomiting in pregnancy, and to reduce the severity of their symptoms, and was interested to watch this video published by the British Acupuncture Council, as the comments voiced by the patient echo those made by patients of mine. 



To visit my website click here.

Wednesday, 5 December 2012

Heel pain


Plantar heel pain is an extremely painful and wearisome condition - also known as plantar fasciitis, or policeman's heel. It can be treated by various means, acupuncture being one choice. 

A recent systematic review of different pieces of research has shown that there is evidence supporting the effectiveness of acupuncture for treating plantar heel pain. This is comparable to the evidence available for conventionally used interventions, such as stretching, night splints or dexamethasone (a powerful steroid). 

So this review recommends that acupuncture should be considered for patients with plantar heel pain. To look at the review in more detail, click here. To return to my website, Acupuncture in Bristol and Shaftesbury, click here.

Tuesday, 27 November 2012

Cost of acupuncture - is it worth it?



Acupuncture is increasingly under consideration as a treatment modality that might be administered in an NHS setting. So attempts are being made to assess its cost-effectiveness.

Whether a patient is seeking treatment on the NHS or at a private acupuncture clinic, cost-effectiveness is of paramount concern to everyone, especially in these days of austerity. No-one wants to pay out, whether through their taxes or directly,  for a treatment that does not offer value for money.

Equally, no practitioner wants to carry out treatment that they do not consider beneficial and worthwhile.

So I was interested to see that a recent systematic review of acupuncture for various conditions has demonstrated that, overall, acupuncture is a cost-effective treatment.  To read the original research click here

To return to my website, Acupuncture in Bristol and Shaftesbury, click here.

Sunday, 18 November 2012

IBS and Acupuncture - new positive evidence

Acupuncturists have been treating people who have IBS - Irritable Bowel Syndrome - for many years and most consider acupuncture to be a helpful form of treatment. However the evidence has always been anecdotal.

Now, a randomised controlled trial of 233 patients in the UK, in a primary care setting, indicates that up to ten sessions of acupuncture alongside usual medical care provides an additional benefit to patients over usual care on its own.  Interestingly, in addition, the benefit was sustained over the longer term.  if you want to look at an abstract of the research, click on this link.

When I see patients with IBS, I use a combination of acupuncture and Chinese medical dietary advice, as I have found, over the years, that Chinese medcine is particularly good at discerning which everyday foods and methods of food preparation are best suited to any one individual, as you can see from my website Acupuncture in Bristol and Shaftesbury FAQs.

Friday, 19 October 2012

Chinese medicine in Autumn


Despite some mild weather, we're all very aware of autumn days growing shorter and the clocks going back next weekend, taking away any daylight in early evening, along with falling temperatures.  

Chinese medicine associates particular aspects of emotions and health with each season. Autumn is about sadness and, hopefully, then letting go. I often see patients who are feeling quite "down" at this time of year and, traditionally, acupuncturists treat now to help adjust patients' balance so that autumn feels more comfortable as one becomes reconciled to the loss of daylight and perhaps also to more personal losses.

Health-wise, Chinese medicine associates autumn with the lungs, and I am certainly seeing an increase in the number of patients with coughs and colds. My advice is to assume the weather is going to be colder than you think - colds are contracted much more easily if you get chilled!

For more information, contact me via my website www.acupuncture-bristol.co.uk

Wednesday, 19 September 2012

News on headaches



On the BBC news today is the observation from doctors that overuse of painkillers can cause worsening of headaches and migraine. Alongside this is the recommendation from NICE that acupuncture be considered as an alternative treatment, given its effectiveness in treating tension headaches and migraines. To read the BBC news article, click here. To look at fact sheets on my website about acupuncture treatment for headaches and migraines click here.

Wednesday, 12 September 2012

Acupuncture helping menopausal women sleep better


A study has just been published on the effect of acupuncture on the quality of sleep in menopause. Many women report an increase in insomnia in the menopausal and postmenopausal years. Although previous studies have apparently not fully demonstrated the efficacy of acupuncture, this one definitely demonstrates a positive effect. Acupuncture was compared with sham acupuncture and no acupuncture, and women were given five weeks of Acupuncture or sham acupuncture treatment.  

Menopausal women receiving true acupuncture reported an improved quality of sleep after treatment. Full details here.  

To return to my website, click here.

Friday, 7 September 2012

More on Acupuncture and IVF

Brazilian researchers have demonstrated that acupuncture, given to women undergoing IVF treatment, relieves symptoms of anxiety.  I find this interesting, as it is one of the features of acupuncture mostly commonly commented on, by patients. It is often a surprise to patients to find that lying on a couch with needles in them, can actually make them feel calm, relaxed and better in themselves! Patients having IVF often observe to me how much acupuncture helps them feel calmer.

It is good to know that research has quantifiably demonstrated this effect although it is a pity that the researchers did not also correlate this with the outcome of IVF treatment. There have been other studies which show that relaxation and laughter after embryo transfer help success rates see Clown Study.

I am looking forward to seeing more studies like this one. To access the research click here or to go to my website, click here.


Tuesday, 21 August 2012

Acupuncture and IVF

There has been a lot of research over the years into the effect of acupuncture on improving pregancy rates for women having IVF. Most studies have found that acupuncture has a favourable effect, and recent analysis of 24 trials came to the same conclusion see details. 

Interestingly, this analysis also looked at the way in which "sham acupuncture" was given to some control groups in order to compare acupuncture treatment against non-acupuncture.  The researchers concluded that the apparently "sham" acupuncture may not be "sham" and actually has a positive effect, something which acupuncturists have been saying for a long time! I have commented on this in my website - see the section headed "How is research into acupuncture conducted?"

Saturday, 14 July 2012

Wet weather gets inside you


The constant rain for the last the last couple of months is getting to me and, I notice, is getting to my patients.  We are now in the sixth or seventh week of unremitting grey skies and frequent downpours, and this is much harder for everyone to tolerate in summer than in winter. It is not just a factor of expectation - we are, of course, used to rain and grey skies in winter - but there is actually more dampness around in warmer weather.  The humidity is greater in summer than winter, as hot air holds more moisture than cold air. This isn't a problem if the weather is hot, or even warm. The humidity then stays locked up in the atmosphere and doesn't affect us so much. But this year the temperatures are lower and all the weather fronts are stuck, so the humidity keeps coming down as rain or mist. 

In Chinese medicine, there is a condition known as "dampness", which is differentiated into "external and internal dampness".  The symptoms which characterise this condition include things such as lethargy, feelings of heaviness in the body, e.g. dragging your legs upstairs, heavy headedness, muzzy head, fuzzy headaches, blocked nose, phlegmy coughs, generally achy limbs, difficulty in thinking clearly, sluggish digestion, lack of motivation, reluctance to take exercise, a sort of "couch potato, can't be bothered" feeling! 

Dampness in the body can arise from lifestyle factors such as diet, but can also arise as a result of dampness entering the body from outside - for example when living conditions are damp, or the weather is unusually wet, like it is now!

Interestingly, patients are now coming into the clinic with more of these kind of symptoms than they normally do at this time of year.  "Internal dampness" can be counteracted, according to Chinese medicine, by the right sort of food, by wearing the right sort of clothes, and by taking exercise (it blows away the dampness).  A diet that counteracts dampness includes having hot food, eating "drying" foods, and drinking "drying" beverages - think of things that have an astringent taste, like jasmine tea, or walnuts.  Avoiding "damp" foods also helps - think of things that have a claggy, gloopy texture, fatty foods, for example. 

Some acupuncture points are described as having the function of draining dampness, as this condition is well recognised in China, a country that also has regions that are very damp. As a result, possibly, the traditional Chinese diet contains very little in the way of "damp" foods.

For more information, feel free to contact me via my website http://acupuncture-bristol.co.uk/index.html 

Saturday, 23 June 2012

The contrast between Western and Chinese diet


I have been intrigued by the recent BBC2 programmes “The Men Who Made Us Fat”.  Not only by the profit motive that contributed to the increase in portion sizes in fast food outlets, but by the huge shift that this kind of eating created in our average UK diet, from the 1960s and 1970s onwards.  The addition of sugar and simple starches (more or less the same as sugar), in order to make “low-fat” foods more palatable, is another factor in creating addiction to sweet-tasting food and excessive consumption, leading to obesity.  These foods play havoc with blood sugar levels, making us unnecessarily hungry and therefore eating to excess. Too much sugar is also metabolised by the body into fat, creating the very effect a dieter avoiding “high fat” foods is trying to avoid. How unfair is that?  And I have been struck by how different this is from eating habits in China – more of this later.

Our western trend to obesity and poor eating has been made worse by the availability of ready meals in supermarkets, another phenomenon of the sixties, which none of us would now choose to be without.  How amazingly convenient it is, in our very busy lives, to be able to collect so many things we need from just one shop! 

So I do not have an objection in principle to supermarkets, but I do regret the ubiquity of huge portion fast food outlets, ready meals and ready mixed condiments, sauces, desserts etc.  Even more, I am troubled by the relatively low price tags attached to these items, compared to the price of fresh foods.  Along with this, I suppose, goes the reduction in parents having time to teach their children how to cook meals, and the lower amount of time at school, devoted to domestic science.  I understand that now, instead of being taught the basics of putting a balanced meal on the table, children are taught food technology.  All these factors, in my opinion, create a lack of confidence about cooking and providing nutritious and appealing food for oneself and one’s family.

As a “foodie”, I find all this quite heart-breaking!  I love food, and I love sitting down to a good meal.  Good food is a source of such pleasure!  And as an acupuncturist, aware of the traditional diet in China, balanced so carefully and naturally for nutrients, weather, time of year, time of day, and the constitution of the eater, it amazes me.  The Chinese never had problems with obesity until western food habits reached China, and still have much less of a problem than we do.  Part of the reason for this is that the Chinese cook food from scratch.  In fact, their desire for fresh food is what makes them buy fish live from the market, rather than frozen from the supermarket deep freeze, or chilled from the fresh fish counter.  Being a bit squeamish, I find it easier to buy my food the western way, but I do like it as fresh as possible, and certainly eat as little processed food as I can. 

In traditional Chinese diet, as well as being fresh, food is categorised by taste and also “energetically” – this describes foods in terms such as hot, cold, damp and drying.  We can relate these terms to some extent to western descriptions.  A drying food would probably be described by us as astringent.  Cold foods, apart from raw foods, are those that you would choose to eat on a hot summer’s day, such as melon or strawberries because they cool you down.  Yoghurt and mint are other examples of cooling foods.  A hot food is something like curry, or red wine or, interestingly, coffee. 

Taste in Chinese diet is not quite the same as in western food.  I am not thinking of stereotypical ideas of unusual Chinese foods such as birds nest soup or chicken’s feet, but of everyday foods, that we are just as likely to include in a good meal.  The Chinese have five tastes: sour, bitter, sweet, pungent and salty.  A day’s food should balance these five tastes, all of which have different digestive properties.  A good meal will also balance those five tastes (and the energetic properties described above) for the individual benefit of the eater.   So somebody who feels the cold and feels generally sluggish, might benefit from energetically hot foods, and a bias towards pungent tastes.  A hot food such as curry would be balanced with a cooling food such as yoghurt.

How to ascribe a particular taste to a particular food is also not quite the same as in the west.  Many vegetables and meats in Chinese diet would be described as sweet, not the first word that would spring to mind in the west!  Sweetness is not seen as bad in Chinese medicine; it can be a useful way of “moving the Qi”, a way to relieve stress, but the Chinese medical idea of something sweet would be half a teaspoon of honey or a small square of chocolate – not a whole bar!   In acupuncture consultation, I often find it useful to suggest foods which a patient might add to their diet, or ones they might reduce, in order to help their state of health, and these can be individually worked out, once I have made a Chinese medicine assessment. 

More details of my acupuncture practice can be found in http://www.acupuncture-bristol.co.uk/