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 Q: I get very emotional (start crying) when I see or hear of anything happy going on.  My eyes just start to cry, even when I see or hear about sad things. It is  affecting my work as a supervisor. Can acupuncture help?

This is the sort of problem which is not that well-researched other than in the context of something which admits of 'real' definition. Thus, you will find reports  and studies of over-emotional reactions during pregnancy and over-emotional causes of sleep disturbance, but very few case reports for what you describe, simple 'over emotion'. We can imagine, though, that while in some Mediterranean cultures open displays of emotion are much more acceptable, in this country we tend to be a little uneasy when someone is easily affected in this way and this can cause them a number of problems.

To a Chinese medicine practitioner this would not seem at all unusual, however. In Chinese medicine theory, the correct balance of energies in the body and the interconnection between body mind and spirit lend themselves to a central idea that the body in balance responds appropriately to the circumstances in which it finds itself. On an emotional level, this would translate into being able to express the full range of human emotions congruently, i.e. the right emotion at the right time, and appropriately, at the correct 'volume level'. Someone still grieving excessively 20 years after the death of a loved one, or laughing hysterically at very little, or getting angrier than would seem OK for whatever appeared to be the cause would make us think that the balance of the system had been disturbed. The way in which the display of emotions came out, when it happened, what makes it better or worse, in short all of the questions which you might ask about a physical pain, all point a practitioner to an understanding of the patterns and then in turn to potential treatment.

A:  That is not to say that you are guaranteed to get a good response. Even though someone may diagnose in Chinese medicine terms exactly what is going on, there can be an awful lot of what one might call 'habit energy' in the body - every time a particular event happens, we get the same reaction. This may not always be a comfortable reaction, but we are used to it and sometimes reluctant to let it go. This may sound silly, but many of us are resistant to change, even when it is beneficial. That is the reason why many practitioners are familiar with NLP, a technique for trying to 'unlock' these fixed patterns, and why they may consider referring you on to a hypnotherapist specialising in what is called Ericksonian hypnotherapy or just simply NLP to try to shift these problems.

We mention this only to alert you to the fact that there are a number of options, but we are pretty sure that traditional acupuncture itself may be able to offer you some benefit. The best advice we can offer, and usually do for cases where the personal circumstances of the individual may be integral to understanding what is happening, is to visit a BAcC member local to you for a brief face to face assessment of what may be possible and whether they believe that they are able to help you, and if not, what may be the best way of addressing this problem.

 

A:  As you can imagine, we have been asked similar questions on several occasions, and a typical answer is:

Can acupuncture help eczema?

A:  The use of acupuncture for skin conditions is not particularly well researched, as our fact sheet shows:

http://www.acupuncture.org.uk/a-to-z-of-conditions/a-to-z-of-conditions/eczema-and-psoriasis.html

There may be a number of reasons for this, one of which is that skin conditions form a 'fuzzy' set where the definition and location are not always precise enough to be testing like with like, a pre-condition of the randomised double blind control trial much loved by western science.

That said, there is a considerable amount of anecdotal evidence within the profession about good reactions to treatment, especially a reduction in the amount of itching and discomfort. One has to be cautious, however; a very common effect of initial treatment is a radical improvement followed by a settling back to nearly the same state as before. We have seen a number of people become even more disheartened when this has happened, even though we have said that short-term results are unlikely and if they appear usually unsustainable.

It has to be said, though, that the collective view inside the BAcC is that skin problems are usually best treated with a combination of Chinese herbal medicine and acupuncture. There is something about the precision with which the formulae are designed and the daily routine of treatment which clearly seems to evince powerful changes in the system. Most members of the Register of Chinese Herbal Medicine are also BAcC acupuncturists, and finding someone in your area who practises both may be a very good way forward. 

Our best advice to you is to see if there are BAcC members local to you who also use Chinese Herbal medicine, and to see if they can offer you a brief face to face assessment of whether they believe tahat acupuncture and herbal treatment can help you.

We think that this remains the best advice that we can give. The only caveat which we sometimes add is that acupuncture is often used as a last resort, and before someone comes to us they have taken a large number of medications which can had added layer upon layer of secondary effects on the initial problem. The overall clinical picture can sometimes be a little more complex than one would hope to see. However, acupuncture treatment treats the person, not the condition, and the treatment is tailored to the needs of the individual to help their system restore its own balance and healing ability. The oldest forms of Chinese medicine were often asymptomatic, driven by the simple belief that a system in balance corrected symptoms. In clinical practice, an experienced practitioner can both treat the underlying cause and the symptoms at the same time to facilitate recovery.

A: 

We answered this question a while ago, and the answer we gave was:

Can acupuncture help multiple sclerosis?

As our factsheet says:

http://www.acupuncture.org.uk/a-to-z-of-conditions/a-to-z-of-conditions/multiple-sclerosis.html

there has been very little research into the use of acupuncture for MS. There are many reasons for this, but very high up the list will be the fact that presentations of MS vary so differently and the outcomes are also difficult to measure.

One of the problems we often find in practice is that once someone has a disease condition with a label like MS or Parkinson's or Type 2 Diabetes, it is not uncommon to see this as the root of a great many physical and emotional problems, and in truth sometimes these conditions are, but there are times when a symptom is from an entirely different cause and eminently treatable.

From a Chinese medicine perspective, where each patient is unique and different, it is important to understand how each specific presentation arises from this same perspective. This does not mean that everything is curable if its start and progression can be plotted, but it might offer the possibility of slowing down the deterioration which can often result from these conditions. The ancient Chinese probably understood nerves, but not the microbiology of nerve structure and specifically the demyelination which characterises MS, so their attempts to understand the steady loss of function would have been understood in the changes in function of the Organs of the body as they, for example, no longer provided energy in the extremities, causing numbness and loss of sensation.

As we said, this does not mean that by switching perspectives one can find cures which conventional medicine cannot offer. It may, mean, however, that there may be treatments which can help to slow down the loss of function or even correct those symptoms which have arisen contingently and are not related to the MS.

Our best advice is always to contact a BAcC member local to you and seek their advice face to face; they will be far better equipped to offer options based on what they can see than we can at this remove.

We think that this still represents the best advice we can offer. However, since we published this answer there has been a systematic review of acupuncture treatment for MS

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086829/

which is mildly positive, and if you look for outliers you can find occasional studies like this one

http://www.ncbi.nlm.nih.gov/pubmed/24278838

although it is only fair to point out that scalp acupuncture, like ear acupuncture, is a relatively modern development which has some roots in the classical tradition but owes more to empirical research in the 20th century.

Q:  Is acupuncture good for overall health? I had acupuncture for IBS. However, I like using it once in a while now since I feel good overall.  Is there any evidence indicating that going once every two months for example is good for  overall health?

A: There is no evidence as such, at least in the terms in which we have to provide evidence to meet the requirements of the Advertising Standards Authority, but there are solid reasons for this. Most acupuncture research is condition based (does acupuncture help ?) and the gold standard of research, the randomised double blind control trial which is highly inappropriate for acupuncture treatment, is used as the criterion. This dismisses at a stroke hundreds of thousands of Chinese trials which are not as methodologically rigorous because they are less concerned with whether it works and more interested in what works better.

However, there are a number of researchers working in this field who use well-known outcome measures like the MYMOP scale which attempt to quantify patient satisfaction by converting qualitative statements of well-being into units which lend themselves to analysis. One of her recent publications, quoted here on a special interest group website

http://www.acmac.net/box/Gateway%20Outcomes.pdf

is particularly positive about the more general effects of acupuncture treatment, although mainly in the context of outcomes which were in addition to treatment of a main complaint. This is not quite the same as signing up for regular treatment in order to stay well, or better still, to improve overall. This was the aim of ancient Chinese acupuncture, where in fact the doctor was paid to keep the patient well, and the penalty for failing to do so was said to be to maintain the patient in the style to which he was accustomed. One of this expert's patients was strongly in favour of moving to this system until I pointed out that I had several millionaires on the books and in order to cover myself I'd have to raise my fees by a factor of ten.

The premise of traditional Chinese medicine was preventative. The ancient texts speak of the futility of 'digging a well when you are already thirsty or forging a spear after the battle had commenced', and in practice we often find that patients who have been attending for a long time on this basis get fewer illnesses and seem to recover more quickly than other people who are not maintained in this way. However, this is mainly an anecdotal finding; there is not a great deal of research to underpin it as a statement, and the outcomes may be entirely contingent. 

However, the fact that you have benefited from treatment for a specific complaint probably means that regular treatment, both to avoid any recurrence of the problem and to feel better in yourself, may be well worthwhile.

 

We are a little short of information on which to offer a view! We're assuming that you probably mean the hormones associated with female fertility, and if so there are a number of factsheets to be found on our website

http://www.acupuncture.org.uk/category/a-to-z-of-conditions/a-to-z-of-conditions.html

which deal with specific areas such as infertility, menstrual problems, and the like. Hopefully some of these may address some of the issues which your imbalances are causing.

A:  In general terms, Chinese medicine is based on theories of the body, mind and emotions as a flow of energy called 'qi' whose rhythms, flow and balance determine the person's state of health and well-being. When symptoms appear it points to poor function in a number of areas, often associated with Organs of the body (which we always capitalise because the Chinese understanding of, say, the Liver is much broader than the liver organ in conventional medicine. The skill of the practitioner is in making sense of the whole pattern of symptoms against the backdrop of the overall balance, which can be assessed by a number of means, and then using the most elegant and economical way to bring the system back into balance. In Chinese medicine, a system in balance does not show symptoms, and so the act of balancing the system, even if it does not target the symptom, may nonetheless deal with it.

It also follows that each person is unique and different from a Chinese medicine point of view, so symptoms x and y are not necessarily arising from the same cause even if they are identical in two patients. This means treatment will also be geared to and tailor-made for each individual. The best advice that we can give is that you seek out a BAcC member local to you and see if they can spare a few moments to talk to you about the specific problems that you have and to give you a more considered view of what may be possible than we are able to here. 

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