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My son has sore anal pain he has tried several creams and is under a doctor the pain is so bad he is struggling with day to day life he has changed he's diet to help but nothing is working he is so depressed and is far to you to be feeling like this

We are really sorry to hear of your son's problem. These extremely uncomfortable but largely undiagnosable problems often create what the doctors call heartsink patients, the ones for whom they do not have an immediate answer and for whom they run out of options fairly quickly.

We were asked about a similar problem some years ago and our answer then encapsulates the general response to these sorts of problems:

We wish that we were able to say with confidence that acupuncture treatment would be of benefit. However, as far as the research goes, which is the only basis on which we are able to make claims to efficacy, there is very, very little. This probably has a great deal to do with the fact that conditions like tenesmus and anismus often spontaneously reverse, and are therefore quite difficult to research because gathering a trial and control group is hard. The other problem is that most people are trying just about everything at the same time, so a clear difference between acupuncture and acupuncture plus the normal treatment is not easy. Most people simply say 'throw everything at it.'

Clearly from a Chinese medicine perspective, based as it is on the underlying belief in an energy, called 'qi', and the understanding of its balance, flow and rhythm, there are ways of looking at conditions like this which are different from a conventional western medicine understanding. These could range from a simple consideration of what is flowing in the area, i.e. which channels might be affected, to a functional concern, i.e. which part of the system maintains good function in the end of the colon and rectum, and a broader look at what might have caused the problem to begin. The ancient Chinese, for example, had a very complex understanding of the effects of heat, cold and damp on the system, and very often attributed griping and spasmodic pain to the invasion of cold into a body orifice. For a race which was largely agricultural this kind of phenomenon was seen to be based on common sense. Although it is not as common in modern life to be exposed to extremes of climate in this way we have seen several cases where people have literally been exposed to cold breezes while inadequately dressed and suffered symptoms such as these.

From the Chinese medicine perspective, however, there would also be other signs and symptoms in the patient's presentation which would guide the practitioner's strategy, and these might just as easily point to a systemic problem of which your husband's symptom was a small manifestation.

Our only advice in cases like this is to visit a BAcC member local to you and seek their advice in person. This is the sort of case where there is no effective substitute for discussing with the patient what is happening, and offering a more rounded judgement on the potential benefit of acupuncture treatment.     

We have checked again for any research trials which might have surfaced since we gave this advice, but have found none. There are occasional sites like this one,

whose provenance we cannot check and which is riddled with advertisements and referrals on which we cannot comment, but what it does do is to offer some very real interpretations in Chinese medicines for what is happening and the relevant treatments. This kind of 'named condition - Chinese medicine treatment' is not how we believe we work, although it is becoming increasingly common in China, but it has to be said that for cases of acute pain it is often an approach that will bear fruit. 

The advice we gave in the earlier response holds good, though. If your son visits a BAcC member local to him for a brief chat about what may be possible we are confident that the practitioner will be able to make some sense in Chinese medicine terms of what is going on and give a balanced view of whether acupuncture treatment may be able to help him. 

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