Ask an expert - body - chest

43 questions

Q:  Can accupuncture help relieve regular and sometimes continuous heart palpitations called supra ventricular complexes?

 

A:  There is not a great deal of published research on supra ventricular complexes as a general grouping. Occasionally studies such as this one:
 
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312232/on atrial fibrillation show some encouraging signs of the effectiveness of acupuncture treatment. It has to be said, however, that the repeated use of a specific point to treat a problem would be highly unusual in Chinese medicine, and this can often be a problem when research shows positive results, and even more so when it shows inconclusive results. We are reluctant to make a fuss about research of this kind which seems to be successful but the kind of treatment which we do, which is dynamic and evolutionary, i.e. changes in relation to feedback, will never satisfy the requirements of the western gold standard of research, the randomised double blind control trial, and is rarely applied in testing efficacy.
 
That said, palpitations have been around for thousands of years, and Chinese medicine has built up over this period some well defined syndromes which make sense of their occurrence from a Chinese medical perspective. Even when as a symptom it cannot be immediately assigned to a clearly defined pattern the initial premise of Chinese medicine was that symptoms were merely the alarm bells of internal disharmony, and that balancing the system as a whole was a legitimate strategy for reducing or removing them. In practice treatment often operates on both levels at the same time, supporting the specific problem while ensuring that the system as a whole is balanced and can retain the gains which have been achieved. It would be worthwhile seeking the advice of a BAcC member local to you in a short face to face chat to see what their view of the appropriateness of treatment is.
 
One cautionary note is that many patients have prescribed medications for PSVT-type conditions, and are very keen not to have to take them. We advise our members to be very careful not to let people's enthusiasm get the better of them. The consequences of an attack, as you know well, can be severe and debilitating, and not the sort of thing you would want happening at 70mph in the outside lane of a motorway. If the incidence of episodes reduces with treatment the patient should be referred back to the GP for advice on how best to reduce their meds.  
 
 
 

Q I suffer from atrial fibrillation and have heard that acupuncture can help restore the heart to its normal sinus rythm. Is this the case? If so how would I find an acupuncturist who specialised in this field?

 

A: There are some early indications that acupuncture may have an anti-arrhythmic effect in patients with atrial fibrillation. A study published earlier this year
 
 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312232/
 
concluded that there appeared to be benefits and that further large scale trials would be valuable to test the hypothesis more carefully.
 
However, it is only fair to say that needling a single point such as Neiguan repeatedly is not a fair representation of what a traditional acupuncturist does in practice. Although there is considerable overlap between eastern and western systems the arrhythmia typical of AF could be classified in several different ways within Chinese medicine, and the practitioner would be guided by evidence other than simply a reading of the rate of the pulse. That in turn would mean that ten people with AF might receive ten different treatments. To that extent, it is not that straightforward to extrapolate from research studies like this and conclude that 'acupuncture works'. 
 
The skill of the practitioner lies in making sense of the symptom of AF within an entirely different theoretical framework, and understanding each presentation in each individual patient as unique. The best advice we can give any prosepctive patient is to contact a BAcC member local to them to seek a short face to face consultation at which they can be given a better assessment of whether acupuncture might benefit them.
 
The one caution with AF is that most patients are taking some form of medication to control the problem, and the cessation of medication can quickly provoke a return of the symptoms. For people involved in highly technical or responsible work this might represent a serious risk. We would always recommend that any member contemplating treating someone with a condition like AF should talk to the patient's GP to esnure that nothing they do will undermine the current treatment regime. 
 
 

The majority of cases of venous insufficiency involve the circulation in the lower limbs, and while there is very little specific western research on this, we have to remind people that Chinese medicine has dealt with problems liek this for centuries, and has a number of treatment strategies for problems in which this is one of the symptoms.

 

 

It is important to be aware that Chinese medicine operates from an entirely different conceptual basis in which the flow of energy, called 'qi' in Chinese, is central to the effective flow of all body fluids and to the overall balance of the system. The practitioner of Chinese medicine uses his or her skills to try to determine how the system is out of balance and then devises treatment strategies to correct imbalances. In some cases this is symptom led, and in other cases, the treatment is much more general, aimed at correcting the overall balance premised on the simple belief that when a system is in balance, symptoms repair themselves.

 

The best course of action is to visit a BAcC member local to you to seek their advice on whether your particular case makes sense from a Chinese medicine perspective and what they would advise. In many cases acupuncture would be an appropriate treatment, but there may be other options which a practitioner may recommend as better suited for what specifically troubles you.

Although there are one or two studies published in China (and in Chinese!) which have shown promising results, there is no hard evidence that acupuncture has been proven to have a strengthening effect on the heart. For conditions such as this acupuncture may well have a general supporting function, insofar as the basic premise of Chinese medicine is to treat the person, not the disease, but it would be alongside conventional treatment, complementary and not alternative.

 

 

What we can say with a good degree of certainty is that as long as someone continues with their conventional treatment there is very little likelihood of acupuncture causing any harm. The safety statistics for acupuncture in the UK are exemplary, and even across the globe and taking in all forms of sub-optimal practice the incidence of serious adverse events is very low.

 

Both acupuncture and Chinese herbal medicine work from an entirely different knowledge base which looks at the overall functioning of the system rather than simply repairing the bits that go wrong. The symptoms which form the basis of a diagnosis in the West are used in Chinese medicine to underpin a diagnosis in entirely different terms, and the practitioner will aim to correct the imbalances and blockages which manifest as these symptoms. In that general sense there is a possibility of making everything function better.

 

This is not quite the same as claiming to help specific organs, and practitioners are cautioned at the beginning of their training to remember that an organ understood in Chinese medicine terms is not the same as the physical organ described in the West. It often embraces it, but includes a wide variety of other functions, not always physical. This is why Chinese medicine textbooks use the capital letter (Heart) to differentiate from the physical organ (heart).

 

We are not aware of any reason why acupuncture is contra-indicated when someone has had a stent or stents inserted. The only advice we give to members in this area is to avoid using retained needles when someone has had a heart valve replaced and to avoid electroacupuncture if someone has a pacemaker. The second is self-explanatory and the first is because there is a slightly increased risk of endocarditis in people who have had rheumatic heart disease and artificial valves implanted if needles are left in place for a long time.

 

 

Acupuncture when performed by a fully qualified and properly trained professional remains an extremely safe procedure.

Post a question

If you have any questions about acupuncture, browse our archive or ask an expert.

Ask an expert

BAcC Factsheets

Research based factsheets have been prepared for over 60 conditions especially for this website

Browse the facts