Post Herpetic Neuralgia, Shingles and Chinese Medicine

Any individual who has suffered through shingles (herpes zoster) can attest that the experience can be counted as among the worst that a human being can suffer. Usually shingles manifests as an agonizing, burning pain following one or more nerve paths from the spine outwards, and is accompanied by a fluid-filled rash which gradually evolves into painful scabs.

Cruelly, the visual signs of shingles may vanish after several weeks, but leaving searing nerve pain where it had been yet with little or no outward signs. This pain is termed, post-herpetic neuralgia.

While we often treat acute shingles at the Northside Holistic Center with good effect, it is even more common that people are directed to us by their physician or a peer who has been treated at the clinic for post-herpetic neuralgia. This is because living with the neuralgia is often almost intolerable and acupuncture and Chinese medicine are so effective at alleviating the problem.

 Articles and Research

An Italian study, which can read about here, found that,

...acupuncture is as effective as standard drug treatment for acute pain in patients with herpes zoster (HZ).

 A Yale School of Medicine case report, abstract viewable here, found that with a patient whose post herpetic neuralgia was unresponsive to a variety of Western medical treatments responded well to acupuncture, 

A comprehensive pain treatment regimen, consisting of a stellate ganglia block, medications, transcutaneous electrical nerve stimulation and hypnosis, was administered, but the patient did not gain any incremental pain relief.
The acupuncture service was consulted . . . after acupuncture treatment over a 2-month period, the patient's nausea disappeared. Her left facial pain continued to decline from a maximum of 10 to 0 . . .

[their] conclusions, "Acupuncture and its related techniques may be an effective adjunctive treatment for symptoms associated with post herpetic neuralgia and deserve further study."

Eye Diseases, Acupuncture, and Chinese Medicine

Chinese medicine has been used to treat a wide variety of eye diseases for more than three thousand years and can often have startlingly dramatic effect upon serious and progressive illness.

Below I am including a few of the recent studies which use modern scientific methods to validate the techniques which we have been using for millenium.

Acupuncture reduces eye pressure in glaucoma

• [As reported in the Journal of Chinese Medicine] Acupuncture appears to benefit glaucoma patients by decreasing intraocular pressure (IOP) and improving blood circulation behind the eye. In the first study of its type, Japanese researchers enrolled eleven patients with open-angle glaucoma (OAG) and measured eye haemodynamics before, during and after either acupuncture or rest. Acupuncture was performed once, for 15 minutes, without needle manipulation, at bilateral Zanzhu BL-2, Taiyang M-HN-9, Sibai ST-2, Zusanli ST-36, Sanyinjiao SP-6, Taixi KID-3, Taichong LIV-3, Fengchi GB-20, Ganshu BL-18 and Shenshu BL-23. All patients continued to take their medication. The researchers found that IOP decreased significantly after acupuncture. Acupuncture also resulted in decreased resistance in blood vessels behind the eye, specifically ophthalmic and short posterior ciliary arteries. (Short-term effects of acupuncture on open-angle glaucoma in retrobulbar circulation: additional therapy to standard. Evid Based Complement Alternat Med. 2011;2011:157090. Epub 2011 Mar 7).

• From a Japanese medical school's research department comes this study, titled Acupuncture for Patients with Glaucoma. The researchers looked at the effects of an acupuncture method for patients with glaucoma, focusing on intraocular pressure (IOP) and visual acuity. The study used acupuncture twice weekly over 5 weeks. The results showed that intraocular pressure was significantly improved at 15 minutes after acupuncture, at one week, two weeks, and five weeks and tended to be lower weekly. Uncorrected visual acuity was significantly improved at three weeks, four weeks, and five weeks, and best corrected visual acuity was significantly improved at five weeks. 

• A German study, from Forsch Komplementarmed Klass Naturheilkd, entitled, Standardized Acupuncture Therapy in Patients with Ocular Hypertension or Glaucoma--Results of a Prospective Observation StudyAugenärztliche Praxis, showed that, compared with the mean intraocular pressure in both eyes before treatment (21.94 +/- 2.4 mm Hg), patients showed a significant decrease 15 min after treatment (-2.67 +/- 1.34 mm Hg) as well as 24 h after treatment (-2.5 +/- 2.13 mm Hg). There was no significant difference between the mean intraocular pressure at 15 min after treatment and at 24 h after treatment. No adverse events were observed.The results of this study indicate that acupuncture therapy may be a valid treatment option for glaucoma and ocular hypertension patients. Additional and, if possible, randomized studies investigating the effectiveness of acupuncture in the treatment of the above-mentioned conditions still need to be conducted.

• From the journal, Medical Acupuncture, comes a followup to an initial study of acupuncture for macular degeneration with a modified protocol and an analysis of the improvement that many patients found with acupuncture therapy. 

Menopausal Hot Flashes Respond to Acupuncture

It seems like every month or two a new study is published which demonstrates the utility of acupuncture and Chinese herbal medicine for hot flashes. One would think this would be common knowledge in the Western medical community, by now. The most recent study, reported on in Business Week, showed that, "After 10 weeks, the women in the traditional acupuncture group had significantly less severe hot flashes and mood swings than those who'd gotten the fake treatment."

There have been literally scores of studies which demonstrate the benefit of acupuncture and Chinese herbology for hot flashes (see here for a few more). Of course, this is nothing new to those of us who work with menopausal symptoms each day in our clinics or for the women treated by those acupuncturists over the last few thousand years. Still it is reassuring to see so many studies being performed which back up our empirical experience with results that will help to convince a gradually thawing western medical audience that we can offer substantial benefit to their patients.

Retinitis Pigmentosa May Respond to Acupuncture

Reprinted from Journal of Clinical Acupuncture and Moxibustion and as reported here. 

Mounting evidence suggests that acupuncture is an effective treatment for retinitis pigmentosa (RP), a degenerative eye disorder that may to lead to blindness. A recent study published in the Journal of Clinical Acupuncture and Moxibustionconcludes that acupuncture treatment protects the optic nerve from damage caused by intraocular pressure by alleviating stresses on retinal and optic nerve axonal ultrastructures.¹ The Chinese Journal of Integrated Traditional and Western Medicine published that the use of Chinese medicine improved retinal cone activity for patients with retinitis pigmentosa, even in cases of advanced retinal degeneration. Using electroretinograms for the investigation, the study also concludes that, “TCM (Traditional Chinese Medicine) treatment could also enhance the bioactivity of (the) nerve network and therefore have a definite significance in retarding the progression of disease and keeping the central vision.”² In another study, injections of She Xiang into acupuncture points UB18 and UB23 helped patients with retinitis pigmentosa. The study concludes that injection of She Xiang into Ganshu (UB18) and Shenshu (UB23) “can improve effectively the function and metabolism of optic cells, promote blood circulation of the retina, enhance the visual acuity, and protect the central vision for the patient of retinitis pigmentosa.”³ Yet another study of retinitis pigmentosa patients receiving acupuncture (ranging from ages 7 – 75 years) showed significant improvement and a halting of deterioration of the visual field.⁴

 We also treat many vision problems related to stroke, infection, trauma, glaucoma, and other forms of retinitis.

References:
1 Sun He , Zhang Hu. The Protective Effect of Acupuncture Treatment on Retinal and Optic Nerve Axonal Ultrastructure in Rabbit Eyes with Chronic Elevated IOP. Journal of Clinical Acupuncture and Moxibustion. 2010-05.
2 Wu Xing-Wei; Tang You-zhi. Study on Treatment of Retinitis Pigmentosa with Traditional Chinese Medicine by Flicker Electroretinogram. CHINESE JOURNAL OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE. 1996-06.
3 Hao Xiaobo, Wang Guihong, Peng Changxin, et al. (Department of Ophthalmology, the First Affiliated Hospital of Guangxi University of TCM, Nanning 530023, China). Study on treatment of retinitis pigmentosa with acupoint injection of Shexiang Injection. Chinese Acupuncture and Moxibustion. 2003-4.
4 Reddy NS, Fouzdar NM. Role of acupuncture in the treatment of `Incurable' retinal diseases. Indian J Ophthalmol 1983;31:1043-6.
5 Wu Xing-Wei; Tang You-zhi. Study on Treatment of Retinitis Pigmentosa with Traditional Chinese Medicine by Flicker Electroretinogram. CHINESE JOURNAL OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE. 1996-06.

Psoriasis and Chinese Medicine

<the beginning of a rough draft on the treatment of various forms of psoriasis with Chinese medicine. Please check back often as this article will be enlarged regularly>

 Image courtesy of flickr from: http://farm2.static.flickr.com/1016/1133597255_bd427077b5.jpg 

Psoriasis is a chronic dermatological issue which presents as a thick white, silver or red patches of skin, often with dramatic flaking. It is the result of inappropriately rapidly growing skin cells which form plaques. These plaques may occur anywhere on the body, but tend to congregate on the knees, elbows, scalp, hands, feet or lower back. The disorder usually spares the face itself, though we do occasionally see facial psoriasis in the clinic.

The intensity of psoriasis is highly variable, ranging from small, isolated patches, to dramatic full body involvement. There are forms of psoriasis, called psoriatic arthritis, which cause the joints to become involved. This may also cause finger and toenails to alter their color and texture, frequently separating from the nailbed.

While the exact cause of psoriasis is unknown, from a Western medical perspective it is thought to result from an immune system overreaction which triggers localized inflammation. Few dermatologists would hesitate to acknowledge that the state of their knowledge on psoriasis is far from complete. What is known is that the disorder can run in families, may be triggered by stress, climate, pharmaceutical use, or foods and that smoking is often an aggravating factor. 

Happily Chinese medicine can be exceptionally useful in treating this set of disorders.

Types of psoriasis commonly seen in our clinic:

• Patch/Plaque Psoriasis
• Scalp Psoriasis 
• Psoriasis of the Scalp
• Pompholyx Psoriasis
• Pustular Psoriasis
• Psoriatic Psoriasis

Results depend a great deal upon the intensity of the psoriasis, the amount of the body affected and the duration of the problem. People usually begin to see some results within 4-6 weeks of beginning therapy. This improvement will usually continue until we have achieved the return of normal skin. 

Research/Articles:

Successful Treatment of Psoriasis by Chinese Medicine, Arch Dermatol. 2008 Nov;144(11):1457-64.

Clinical assessment of patients with recalcitrant, plaque type psoriasis in a randomized trial, using a Chinese herbal formula. 

Results: Significant reductions in the sum of scaling, erythema, and induration scores (P < .001) (mean score, 6.3 after Qing Dai  treatment vs 12.8 in control subjects) and plaque area percentage (P 
< .001) (mean percentage, 38.5% after Qing Dai  treatment vs 90% in controls) were achieved with topical application of Qing Dai  ointment. Approximately 31 of 42 patients (74%) experienced clearance or near clearance of their psoriasis in the Qing Dai ointment-treated lesion.

Conclusion: The Chinese herbal formula was a safe, and effective therapy for plaque-type psoriasis.

Acupuncture Treatment for Psoriasis: a Retrospective Case Report. Acupunct Electrother Res. 1992 Jul-Sep;17(3):195-208.

We treated 61 cases of psoriasis with acupuncture, including 25 patients with complications of joint involvement and two cases with scleroderma additionally. All of the patients had failed to respond to their prior conventional western medical management. 25 patients were males and 36 were females. Their ages ranged from 22 to 84 years, with an average of about 52 years. There was no significant difference of the average ages between the sexes. Most of them (about 61%) had quite extensive involvement of the body. The average of duration of their illness was over 16 years, ranging from two to 65 years. They received an average of about nine sessions of acupuncture treatment, ranging from one to 15. Almost one third (19) of them had eleven to thirteen sessions. With the acupuncture treatment, about one-half (30) of the 61 patients had complete or almost complete clearance of the skin lesions. About a quarter (14 patients) of them had a clearance of about two thirds of the skin lesions. Eight of them had a clearance of one third of the skin lesions. Nine patients had minimal or no improvement. Our experience indicates that acupuncture is induced an effective therapeutic modality for psoriasis, particularly when the western medical management is unsuccessful. We speculated about the possible involvement of the cutaneous reticuloendothelial system in the clearance of the skin lesions.