Ask an expert - body - chest

43 questions

Q:  I am a 27-year-old male, with chronicle hay fever and dust allergies. My doctor advices me to have allergy shots but we had to postpone it, because I am studying in the UK minimum until September. As far as i know, here they do not ractice such a treatment, only temporary reliefs with antihistamines. But I need a permanent treatment. Do you think acupuncture would help me with my dust mite allergies?

A:  We have to admit that we were rather surprised when we researched this topic to provide you with an answer. There are a couple of reasonably well-designed trials

http://www.hindawi.com/journals/ja/2014/654632/

http://www.ncbi.nlm.nih.gov/pubmed/21443446

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303983/

which appear to show that acupuncture treatment is at least as effective as drug treatment for the problems of dust mite allergy. Because the funding of trials is something of an issue, we had not suspected that many would have been done, especially in the West. Many Chinese studies exist, but few are translated.

Of course, one of the issues we have to contend with is that from a Chinese medicine perspective the allergic response would be different in each individual because the manifestation of the problem arises from the unique balance of the patient's energies. The symptom may be the same, but the cause (not the mite which is the trigger) can be very different in each case. The
strength of Chinese medicine is that it does not simply treat the symptom, but it tries to establish why this symptom in this individual and why now.

Because everyone is unique and different, we would not be able to say without qualification that acupuncture treatment would definitely help you. In order to have a better idea of this your best bet would be to visit a BAcC member local to you for a brief face to face assessment of what might be possible. However, we always advise people, if they do choose to have treatment, so set very clear markers for measuring progress, and to review treatment on a regular basis. It can be very easy to run up a large bill
getting nowhere, so it is important to be able to find objective markers which can measure progress, and to see whether the progress made justifies the time and expense involved.

 

Q: Can acupunture be used for cardiac rhythm disorders such as frequent ventriluar ectopics and non-sustained ventricular tachycardia? Is there any acupunture expert who specialises in treatments of these disorders?

A:One has to be very careful answering questions such as these. Taking the pulse a the wrist is one of the key diagnostic techniques in Chinese medicine, along with looking at the tongue and a number of other evaluations. The rapid pulse and the irregular pulse both have clinical significance in the tradition, and point to specific disorders of organic function as understood within this paradigm of medicine. However, these may not all involve the heart - in fact, most of them don't - and any suggestion that this is treating the heart as it is understood in the west needs to be set aside.

From a conventional medicine point of view, there is not a great deal of evidence that acupuncture can treat these problems, although what little there is does tend to be very positive, although not always methodologically sound enough to use as the basis for a recommendation. A good example of a systematic review is:

http://www.ncbi.nlm.nih.gov/pubmed/18992625

Some of the published research also involves animal experiments, sometimes called 'ratpuncture in the trade, and although the results here may be promising it is quite a large assumption to believe that human physiology will respond in the same way.

We think that it would certainly be worthwhile talking to a BAcC member local to you about what these two conditions may be telling them about the way your system as a whole is functioning. From our perspective all of our members are equally well-qualified to deal with the vast majority of patients who present at their clinics, and it is obvious from what we have said earlier that there are no specialists in heart problems per se - Chinese medicine primarily treats the person, not the condition which someone has.

Q: I was wondering what the BAcC said on blood pressure limits;  specifically when should practitioners refuse treatment. Or more accurately could you provide figures on the lower and upper limits with regard to acupuncture treatment?

A:  There is nO point at which a BAcC member will refuse treatment because of any inherent risk in the use of acupuncture treatment when someone has extremely high or low blood pressure. In fact, the use of acupuncture for hypertension is reasonably well-researched, and although the evidence is far from conclusive (at least in those studies which meet the perhaps over-strict inclusion criteria used in the West) it is certainly encouraging. At the other end of the scale, there are a number of points which are known to lower blood pressure, and a practitioner may be a little cautious if treating someone who has hypotension, but the needle techniques used in the West are probably too gentle to creat much in the way of a major reaction. However, we have pointed out to medical colleagues that one of the points they use rather vigorously for treating tennis elbow can lower BP by ten points, and to be wary of over-doing it.

The real issue is one of patient management. We all routinely take the BP of a new patient, and if it sits at the end of what doctors take to be the normal range (above 145/95, below 90/60) we all refer to GPs to get the pressure tested in a surgery and officially noted. This would not preclude treatment, but would be simply offering the best care to the patient. If someone with very high blood pressure refused to see their GP and wanted to try to use acupuncture as a main intervention, we would almost certainly advise members to tread very carefully. Refusing to treat would not be an option - it is not our job to 'sack' patients who want to pursue their own choices and the treatment may well work - but we would want to see a member obtaining some very specific consents to treatment, and writing very thorough accounts in their notes of what is happening.

Sadly without statutory regulation we are not formally recognised within the NHS, and therefore we are subject to very strict rules about disclosure without consent. As such we could not go to a patient's GP without their consent. However, where we have met situations like this the persistence of the practitioner has invariably won in the end.

Bronchial asthma is one of a small number of conditions where we have prepared review papers which are more comprehensive than our customary factsheets, and the one for asthma can be found at:
 
http://www.acupuncture.org.uk/arrc/public-review-papers/bronchial-asthma-and-acupuncture-the-evidence-for-effectiveness.html
 
As you can see from this, the jury is still out in terms of claims for clinical efficacy. The evidence is not conclusive, and although we could make a great deal of the inappropriateness of the accepted research criteria for acupuncture (the randomised double blind control trial which only truly works for drug trials), the fact is that even a badly designed trial should show a trend towards treatment having an impact, and some trials have failed to do this.
 
That said, asthma has existed since the birth of Chinese medicine well over 2000 yeras ago, and there are a number of very well-established protocols for understanding the various ways in which asthma can be classified and for making sense of these within the system of Chinese medicine. In practice few of us do not believe that we can make a difference, but we all run up against a major limiting factor, and this is the accepted western treatment with steroids and bronchodilators.
 
We are always very clear that there are a significant number of medications which are vital to life and good functioning, and our members are trained neither to suggest stopping them nor to encourage patients to stop them, even passively by not speaking up against someone's stated intention. There are a number of western medications, however, where there is a rather problematic position in which patients sometimes find themselves. In the case of asthma, and sometimes epilepsy, a patient may be taking medications for years without suffering an attack, and not unreasonably ask whether they could stop taking the medications because the underlying problem has resolved and the drugs are no longer necessary. There is evidence, however, that the body achieves over time an effective balance with the medications, and their withdrawal can cause an attack. In the case of asthma there is documented evidence that rebound attacks after steroids have been withrawn can be very serious, and for this reason our members are advised to refer patients who want to question their medication back to their doctors for further discussion. Few doctors, in our experience, will let someone come off anti-asthma medication because of the theoretical risk of a fatal or serious attack.
 
However, you did talk about 'having an impact', and there is no doubt that anecdotally we hear of many cases where a patient's use of and reliance on bronchodilators reduces over time. Most asthmatics manage, rather than banish, their condition with the aid of medications, and we are sure that over time the use of bronchodilators in particular will be shown by research to fall after acupuncture treatment. We are also treating people, not simply their conditions, and we find that treatment often helps people to cope better with long-term health problems over and above any relief it brings to the problem itself.
 
Each prospective patient is unique and different, though, and the best advice we can give is that you contact a BAcC local to you and seek a brief face to face assessment with them of whether acupuncture treatment might be suitable for your own case.  

Q:  My 23 year old daughter has always suffered with colds/bad throats throughout her childhood. Unfortunately it has carried on into adulthood and this last year she has had one after the other. Would acupuncture help her, she also has at  times suffers with hair loss, leading to bald patches.
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A:  The evidence for the treatments of cold and flu, as you can see from our factsheet


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

does exist but is a little less than convincing. This does not come as a great surprise to us, though. The kinds of trials favoured in the west for proof of efficacy, the so-called randomised double blind control trial borrowed from drug testing, does not particularly suit acupuncture treatment in general, and colds and flu in particular. The aim of RCTs is to reduce the number of variables to measure a specific outcome, but from our perspective the biggest variables are patients whose unique energy balances we work with, the from any perspective deciding what counts as 'identical' in two colds to make testing possible is well nigh impossible.

Chinese medicine has a very rich understanding of the conditions which from its perspective create the symptoms which we describe as colds, and most are related to the climate and changes within it. The Chinese were essentially an agrarian race, and factors such as exposure to wind and cold, or damp and heat, were seen as inherently threatening to a system unprepared for them. The fact that we are not exposed to similar conditions does not change the fact that the symptoms as they appear in modern times are amenable to the same treatments.

However, while there are agreed protocols for treating what we call colds, the situation with a cold which continues without really clearing, or which renders the person susceptible to cold after cold is slightly different, being seen by the Chinese as a weakness in the immune system, although this was not a word they used; in Chinese medicine the defensive energy of the body would be said to be weakened to the point where it cannot throw off the 'invasion' of the factor which generates symptoms. While the treatment of a relatively fresh cold is often aimed at clearing a pathogen, the treatment of a long-term weakness often involves building the whole system up. In modern times the advent of conditions grouped under names such as ME, or Post-Viral syndrome or Chronic Fatigue syndrome often display clinical features which are similar to defensive energy weakness.

This does not mean that they are automatically treatable. As you know, many people are crippled with ME and it can take years for someone to recover, so we would not even begin to estimate whether your daughter can be helped by acupuncture treatment. Our best advice is for her to visit a local BAcC member and to ask in person what, based on her signs and symptoms he or she may be able to achieve. This is likely to be far more helpful than bland positivity from us.

As far as hair loss is concerned, we have been asked questions about this before and we repeat our most recent advice below. There is a cautionary overtone to our response as you can see, because we have found that the fact that sufferers are highly self-conscious about their appearance can, if you are not careful, be mis-used in running up a large treatment bill. We are not suggesting that this is what the practitioner here is/was doing, but it is something which has to be borne in mind.

It may well be, though, that the weakness in the immune system is a contributory factor, so it may be worth seeing, if you decide to pursue acupuncture treatment, whether straightforward constitutional treatment helps to reduce the problem. 

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