Chinese Medicine considers preventative care as important as treating the disease itself. If we cultivate our health we can prevent illness and injury from occurring and minimize their consequences when 'disease evils' do attack us. Join Kath Bartlett, MS, LAc as she shares thoughts, news articles, recipes & tips derived from a wide variety of source material, as it relates to Chinese medicine and cultivating optimal health for the body, mind and spirit.


Showing posts with label Study. Show all posts
Showing posts with label Study. Show all posts

Tuesday, November 6, 2012

Cancer Study Says Avoid Red Meat



This post comes from my colleague, Dr. Marty Eisen. A new study by the American Association for Cancer Research supports recommendations by the World Cancer Research Fund to limit red meat intake and avoid processes meats to reduce risk of digestive organ cancer.


Dietary protein is made up of amino acids, which can be turned into "biogenicamines." Previous research has shown that the processing and storage of red meat, like liver and salami, increases amine concentrations. When these amines are in the presence of nitrites, they create "nitrosamines,"which have been linked to cancer. Moreover, the heme iron (found in red meat) may increase the formation of nitrosamines.
 

A new study investigated whether people's DNA-repairing enzymes could limit the damage. A wide array of genetic variables were tested by using collected data from 355 bladder cancer cases and 409 controls. They found that the link between red meat and bladder cancer was significantly higher in people with a certain genetic makeup.

These results support recommendations by the World Cancer Research Fund to limit red meat intake, and to avoid processed meats to reduce risk for stomach and bowel cancer. It also suggests that exposure to red meat can affect secondary organs, like the bladder as well as the stomach and intestines. 


See -
Red Meat Linked to Another Type of Cancer
"Two components of red meat combined with alteration in DNA repair increase risk for bladder cancer," American Association for Cancer Research, October 17,2012.


In Chinese medicine, we see tumors as physical stagnations in the body. Qi (energy) must flow smoothly to preserve health. Emotions, such as depression or stress causes the body processes to slow down and tighten up. When this happens, qi does not move. Qi moves the body fluids and body. Qi stagnation causes blood and fluid stagnation. When blood and fluids coagulate, tumors form. 

Toxins, such as nitrosamines create heat and inflammation in the body. This interferes with the smooth flow of qi, blood and fluids, and hence tumors will form. 

In addition to avoiding know carcigens, TCM (Traditional Chinese Medicine) recommends regular maintenance acupuncture treatments to keep the qi, body and fluids moving, as part of a preventative care routine. A monthly interval for these maintenance treatments is optimal, especially during periods of stress.

Friday, June 8, 2012

Studies Show Acupuncture Improves Athletic Performance





Studies are beginning to confirm acupuncture's ability to improve athletic performance. One example is a study of basketball players published in 2009 in the American Journal of Chinese Medicine. The study of 30 male elite university basketball players were randomly assigned to 3 groups: acupuncture group, sham group, and a control group. The acupuncture group got real acupuncture on 2 commonly used acupuncture points (P6 and ST36). The sham group had needles placed 1 cm away from the actual point location. The control group had no acupuncture. The subjects rode an exercise bike until exhaustion, and were tested at various intervals before, during and after exercise for heart rate (HT), oxygen consumption (VO2max) and blood lactic acid.

The acupuncture group had significantly lower heart rate, VO2max and blood lactic acid 30 minutes post exercise than the sham and control group. 60min post exercise the acupuncture group still had lower lactic acid.

The study's authors note:

In the athletic world, many nations have long strived for developing competitive advantages in sports by employing various scientific methods to improve the athletes’ peak performance in hope of winning competitions. Developing effective methods to help the athletes quickly recover from muscle fatigue after exercise training or fierce competitions and to help them achieve the best physiological situations is deemed essential, especially prior to international competitions. Acupuncture, one of the traditional Chinese medicine (TCM) techniques, has long been used in clinic to treat illnesses or release pains for thousands of years; it was also known to help in recovering from muscle fatigue after exercise. . .

From the scientific perspective, athletic ability can be a combination of various elements, including muscular strength, speed, power, muscular and cardiopulmonary endurance, flexibility, agility, and balance and coordination, among others. Cardiopulmonary endurance is perhaps the most essential element for all types of sports. VO2max is a fundamental indicator for measuring the cardiovascular endurance. The level of VO2max is one of the critical elements for succeeding in endurance sports because an upper limit of oxygen consumption does exist for each person. . .

During the normal exercise training, it is important to properly adjust the quantity of exercise, according to the regularity of dynamic changes in athletes, to prevent them from excessive exercise training or unbearable load. Prior to competitions, however, designing effective methods to help the athletes achieve the best situation so as to outperform others is immediately necessary. Since muscle fatigue was reported to closely relate to human performance (Bigland-Ritchie and Woods, 1984; So et al., 2007) and acupuncture has been regarded as an effective method to improve the rate of muscle recovery after exercise (Ehrlich and Haber, 1992; Qu et al.,1993; Lin et al., 1995;Wang et al., 1999), this study aimed to conduct scientific experiments on selected athletes to investigate in-depth the effects of acupuncture stimulation on recovery abilities.

These results indicated that acupuncture at Neiguan (PC6) and Zusanli (ST36) could significantly stimulate the post-exercise recovery of heart rate, oxygen consumption, and blood lactic acid for the elite basketball athletes. Our findings indicate that it is beneficial to carry out acupuncture at PC6 and ST36 acupoints, particularly on the eves of competitions, as to enhance the recovery ability for elite basketball athletes. This study has made an inspiring attempt to understand in-depth of the recovery system and physiological profile of basketball athletes by acupuncture. It would facilitate the coaches to provide more appropriate training schemes and recovery plans for the elite basketball athletes.



Photo: hitthatswitch, Flickr Creative Commons 2.0



Wednesday, December 14, 2011

Case Study: Acupuncture for Peripheral Neuropathy



Case Study:

Successful Acupuncture Treatment for Peripheral Neuropathy

As a Sequela of Chemo-Therapy

I have been treating this patient weekly with acupuncture following a total hysterectomy due to endometrial cancer. After the first month of treatment the patient (let’s refer to her as Gwen) began a 6 cycle course of chemo-therapy, administered at 3 week intervals. Gwen responded well to acupuncture, and the side effects of chemo were minimal: fatigue, headache, diarrhea, sensation of heat in the chest and throat.

After the forth chemo treatment Gwen began reporting that the tips of her fingers and toes felt slightly numb. Peripheral neuropathy is a known side effect of chemo-therapy. As the symptoms were mild, and other side effects of the chemo therapy were more prevalent, especially fatigue, I continued addressing the other symptoms and did not begin treating the neuropathy at this point.

After chemo treatment #6 Gwen began to notice the neuropathy in the balls of her feet and then traveling up into the ankles. Gwen’s healthcare practitioners told her the chemo-induced neuropathy is due to disintegration of the myelin nerve sheaths, and is often irreversible. Obviously Gwen did not like this prognosis and asked me if the neuropathy could be addressed with acupuncture.

I was concentrating on the fatigue, low hemoglobin and platelet counts, but added in a few points to the treatment to address the neuropathy. This was acupuncture treatment #20.

The following week Gwen began preparations for radiation treatment one month later. However, the neuropathy was her chief concern.

I do a style of acupuncture called Balance Method ™. With this style we do not needle the affected area directly. To treat the feet, we place the acupuncture needles in the hands. I used what we call a ‘shotgun’ approach, needling the upper limbs from the elbows to the fingers. I used the three yang meridians on the right and the three yin meridians on the left. One week later Gwen noted that the neuropathy “is more concentrated in the feet and ankle area, both dorsal and ventral, not as much in lower leg now”.

I repeated the acupuncture treatment, but this time only needling from the wrists to the fingers. The following day Gwen noted, “Numbness still in two feet, but seems a little better, mainly in toes and just in foot, not ankle or lower leg. Notice a buzzing in left foot, almost like electricity.”

I repeated the last treatment and added Zheng Gu Shui, a Chinese patent, alcohol based liniment that has herbs which improves blood circulation. I applied the liniment to the affected area, wrapped her feet in a towel and placed a TDP heat lamp over the bundle. I have continued the Zheng Gu Shui wrap on all subsequent treatments. I also began needling the sensory line on the scalp, which targets neurological issues. During the treatment Gwen reported increased sensation in the feet. The following day Gwen noted, “Feet feel better after acupuncture. . . Feel more neuropathy in foot but now not so much in leg.”

I repeated the treatment the following week. The next day Gwen reported, “Neuropathy seems slightly better. More in foot with very little in ankle.” Again I repeated the treatment one week later. Several days after the treatment Gwen notes, “Neuropathy is mainly in the feet, top and bottom”.

At this point Gwen began a series of five semi-weekly radiation treatments. I continued the weekly acupuncture treatments addressing the neuropathy. Several days after the acupuncture treatment Gwen notes “ Maybe feel more on bottom of the feet”. At this point I added e-stim (electrical stimulation - a battery pack is connected to wires with alligator clips that attach to the needles to add additional stimulation) to the scalp needles. Gwen reported an electric vibration sensation two days after treatment. She requested that I discontinue the e-stim with the acupuncture treatment.

After this last treatment (#10 for the neuropathy), Gwen finished the course of five radiation treatments with little to no side effects. Several days after neuropathy treatment #10 Gwen noted “neuropathy in feet from toes to middle of the foot”. Later that week Gwen notes “Feet feel a bit stiffer in toes and in the bottom of the foot”. After neuropathy treatment #11 the affected area had further reduced to the ball of the foot to the toes, top and bottom (plantar and dorsum). After treatment #12 Gwen noted, “Neuropathy is mainly manifested in feet, felt underneath ball of foot (metatarsal area) and toes.”

After two additional treatments Gwen reported the affected area was in the toes, and that they felt tight and stiff. At this point I added an internal, granulated herbal formula to strengthen the body from the aftermath of seven months of surgery, chemo and radiation treatment, address chronic rhinitis and the neuropathy. Gwen tolerated the herbal formula without any side effects.

Neuropathy treatment #15: Gwen reports decreased paresthesia: she feels a prickly sensation with pressure on the ball of the foot, bilaterally. She describes her symptoms mainly as tightness in the toes, second and third toes and plantar surface of the feet are primarily affected. Accordingly I changed the acupuncture in the hands. I needled the palmar aspect only, distal to the transverse palmar creases and in the fingers to the second metacarpal, to ‘mirror’ the balls of the feet and toes. As the treatment is uncomfortable I have not needled the tips of the fingers, distal to the second metacarpal joint.

This patient’s treatment is in progress. This is her status after one course of acupuncture treatment for neuropathy. KB



Thursday, June 2, 2011

Acupuncture Reduces MS Symptoms and Improves Quality of Life


I'm going to be speaking to members of the Asheville MS Support Group on Thursday June 9th, 1:30-2:30 at West End Bakery on Haywood Road. In preparation I spent afternoon yesterday googling to see what is on the Internet showing acupuncture's effectiveness in treating MS. I posted many links on my facebook page and thought I would also include them on my blog so that they could be easily referenced in the future.

The MS Trust, a charity in the UK includes this thoughtful discussion about acupuncture for treating MS. Acupuncturist and author Jill Brooks includes a list of MS symptoms that respond well and those that have a mixed efficacy for acupuncture treatment.

Alien Sheng sums up acupuncture benefits for MS patients for the American Chronicle:
Acupuncture treatments for Multiple Sclerosis have had much success in reducing pain and decreasing spasticity. Another area of success is improved bladder and bowel control. The reduction of stress and the improved feeling of well being contribute to an improvement in quality of life. The acupuncture treatments must be given frequently in order to maintain the improvements of symptoms, but Multiple Sclerosis is known for its cycles of remission. During periods of remission, the frequency of the acupuncture treatments can be reduced.
This Acupuncture Today article discusses the use of scalp acupuncture for MS patients. They are many styles of acupuncture, including a number of different systems for using the scalp to map out the body. In one scalp system commonly taught in acupuncture colleges, to which the authors refer, there are motor and tremor lines on the scalp. Certain areas on the lines relate to different parts of the body: arms, legs, hands and so forth. I have used successfully used scalp acupuncture for various motor problems, including MS, Bell's Palsy, and Parkinson's disease. In this article the authors cite several remarkable case studies documenting immediate improvement in MS patients using scalp acupuncture.

Drs. Kopsky and Hesselink of the Institute of Neuroacupuncture in the Neatherlands discuss two cases of MS patients with bladder dysfunction (a common problem) which responded well to electoacupuncture. In electroacupuncture, a battery device with wires and clips are hooked up to strategic acupuncture points to increase stimulation of the needles during the treatment. Electroacupuncture is often used in pain treatments. I use it for labor induction and with scalp acupuncture for neurological disorders. Results are satisfying.


Fellow PCOM alumni, Kimberly Thompson, LAc (from my acupuncture college Pacific College of Oriental Medicine) discusses various Chinese pattern differentiations and applicable acupuncture points. In Chinese medicine, we use an individualized diagnosis method. I discuss briefly go into this concept on the Chinese Medicine page of my website. I also explain pattern diagnosis when describing treatment for specific conditions in blog post and articles.


I found a couple of instances where MS patients described there own experiences with acupuncture. The MS Resource Center in the UK discusses Kathy Kelvnik, a hospital coordinator who MS was so advanced she was rendered unable to work until acupuncture got her back on her feet again
Kathy Kevnick sought Dr. David Bilstrom's help after her MS left her unable to work. She couldn't walk. Steroids no longer worked. Neither did chemotherapy.
Weekly acupuncture sessions have helped Kevnick eliminate 80% of her medications and return to work full time as a hospital coordinator."It's changed my life. I had medical bills of $42,000 the year before I started acupuncture. Now my bills are acupuncture & massage therapy.

On Acupuncture.com Duane Perron tells his compelling story with MS and acupuncture treatment. He sums it up,"
Finding a good acupuncturist is like finding a good doctor....and it seems you have finally found your angel." KB


Wednesday, December 8, 2010

Study Finds Meditation as Effective as Drugs in Preventing Depression



Looking to avoid depression or the holiday blues? A recent study published in The Archives of General Psychiatry shows that once the depression had been treated, meditation could be used in place of drug therapy. The medications can be discontinued rather than staying on Prozac or Paxil ad nauseaum. I know this is terrific news as I often have patients telling me they do not like taking drugs, esp. staying on them long term. I have many blog posts about meditation and depression you can look at for alternatives to drugs in order to stay happy.

I recently read an interview with a well known Buddhist monk, Thich Nhat Hanh about integrating one's mindfulness practice into daily life to be happy. His ideas illustrate how the study participants were able to be free of depression and medications.

Chinese Medicine is also quite effective in treating emotional disorders: anxiety, depression and more advanced psychiatric conditions. We use a combination of acupuncture and Chinese herbal medicine to address these problems. Acupuncture has well known benefits of reducing stress and releasing endorphins, those 'feel good' biochemicals responsible for the runners high. Often my patients comment after a treatment about how stressed they felt coming in and how much better they feel after.

We use herbs rather than drugs to treat all manner of clinical complaints, including mental-emotional problems. Chinese medicine does an individualized pattern diagnosis. This means that rather than giving everyone with the same complaint the same treatment or herbal formula, we look deeply at the individual nature of each person, and customize the treatment. We call this approach pattern diagnosis.

There are many patterns responsible for psychiatric conditions, too many to name them all here. I would like to describe a couple of common patterns responsible for depression.

Liver Qi Stagnation is a big one, common in our western culture for those under stress. In Chinese Medicine, the Liver is responsible for circulating qi (energy) through out the body, through the channel or meridian system. When we get stressed or tense, we tighten up, and the qi stops flowing. This stuck qi often leads to a physical depression, causing stomach/bowel problems (acid regurgitation, IBS), gyn problems (cramping, moodiness) and hypertension because the qi is not circulating or moving through the organs. Liver patients are irritable, stressed and often have a physical problem in addition to anxiety, depression, insomnia and other emotional problems.

Another common pattern of depression is Yang deficiency. Yang is our body's heat and activity: qi (energy) is yang in nature. When yang is deficient, one feels cold easily or has cold feet. Cold causes qi to slow down, heat causes qi to quicken up. Think ice and boiling water - ice moves at a glacial pace, boiling water has volcanic action. Cold in the body causes qi to slow down in the body, causing a physical depression, which can lead to a mental depression. In this case, the person feels cold, complains of a lack of motivation, just wants to curl up in a ball and retreat from the world.

Once we diagnose the pattern (or combination of patterns involved) we customized the acupuncture point prescription and Chinese herbal formula. A common herb for treating liver qi stagnation is mint. Drinking mint tea is beneficial as it moves and circulates the liver qi, responsible for the qi stagnation. For yang deficiency, warming spices are important to use: cardamom, nutmeg, cinnamon, fenugreek and cloves.

The combination of acupuncture and Chinese herbs is effective in treating mental emotional disorders,and I have successfully gotten many patients off medication. This 2007 study reported on in Psychology Today shows a 50% effectiveness for acupuncture in treating depression. Adding herbal therapy and customizing treatments in private practitioners' offices dramatically increases effectiveness. As a control, studies pick one to 3 protocols, and give them to all participants. Practitioners do much more customization of treatments exponentially increasing efficacy.
Dr Allen, the study's author notes in Psychological Science, the precision of needle placement allows for treatment of individuals' personal symptoms—a flexibility drugs just don't offer. KB


Thursday, November 18, 2010

Studies Demonstrate Acupuncture Significantly Reduces Insomnia


In 2007, Kalavapalli and  Singareddy published a review of studies of acupuncture for the treatment of insomnia in Complementary Therapies in Clinical Practice. The selected studies included many clinical case series and few open or randomized clinical trials. The authors noted that "all of them consistently indicate significant improvement in insomnia with acupuncture"

 There are so many Americans who are on sleeping medications needlessly. I see wonderful results treating insomnia in my practice, as this article describes. I use a winning combination of acupuncture and Chinese herbal therapy.                   KB

 

 Photo: RelaxingMusic, Flickr Creative Commons 2.0

Monday, August 16, 2010

Excercise Moderates Anger



There was an interesting article in the NY Times Magazine Sunday about a study demonstrating that exercise diminishes anger. The columnist, Gretchen Reynolds, points out that exercise is long known to improve clinical depression. In this study, University of Georgia men were better able to control their anger
after exercising than when they didn't exercise. The researchers didn't test stress hormone or brain chemical levels, though they suspect serotonin is a player here, as low serotonin levels are thought to contribute to mood disorders.

Chinese medicine has known about the relationship of exercise on anger and depression for several millenniums. In Traditional Chinese Medicine (TCM) theory, the Liver is responsible. The Liver system in Chinese Medicine has the function of moving our Qi (pronounced 'chee', or energy) throughout the body, through the meridians (channels) and organs. When we get angry, we tighten up. This constriction prevents the liver qi from moving, exacerbating the anger in a vicious cycle. As qi stops moving in the body, physical depression ensues, leading to mental depression.

The remedy is to keep the liver qi moving, and exercise is important to doing so. Acupuncture and Chinese herbal formulas also move liver qi to prevent anger and depression. I've successfully treated hundreds of patients with liver qi issues, and find they respond well to TCM. These liver qi issues can lead to physical problems, such as hypertension and migraine headaches when the stuck liver qi looks for an escape valve, and shoots up to the head. Digestive problems, such as acid reflux, ulcers, GERD and IBS are often due to liver qi not moving in the digestive organs. The stuck qi accumulates heat as it sits in the G/I area, the heat causes acid reflux, GERD and ulcers. IBS is due to the erratic movement of qi, stuck during stress, then moving, causing alternating constipation and diarrhea, related to the emotions. KB

Thursday, July 8, 2010

Duke Univ Study Says Acupuncture Beats Pills for Headache



At last! When acupuncture first publicly arrived on the scene in the US in the 70's, the medical establishment's first concern was to be certain that the 'new' therapy was safe and wouldn't harm the public. After the millennium the safety concerns began to be put aside
following a landmark NIH study in 1997 that confirmed acupuncture is safe & effective and encouraged researchers to turn to efficacy.

Most of the researchers seem reluctant to verify that acupuncture is highly efficacious, consequently the studies' highest accolades seem to be acknowledging that acupuncture can match western medicine in terms of effectiveness.

Duke University has a integrative medical department that is in the forefront of the field. It has recently released a study showing acupuncture is more effective than drugs for headaches. This is the first of its kind that i have seen. the study documented 62% relief in acupuncture patients compared to 45% effectiveness for those using drug therapy. Here's a 3min video from Duke University talking about the findings and interviewing an acupuncture migraine headache patient.

This is an article I have written discussing how acupuncture treats headaches. A few older studies are included. KB


Photo: RambergMediaImages , Flickr Creative Commons 2.0

Wednesday, July 7, 2010

Study Shows 2.5+ oz of Sugar/Day Doubles Risk of Hypertension over 160



In the Science Times Tuesday, the NYTimes reported about a study correlating those consuming over 2 1/2 oz of sugar or corn syrup per day with a 2x risk of developing systolic blood pressure (the higher number) over 160. 120/80 is normal blood pressure. A systolic number of 140 triggers a prescription for anti-hypertension drugs in the doctors' office.

I would extrapolate that those on a high sugar diet are also overweight or clinically obese, a condition positively associated with hypertension.

Acupuncture & Chinese herbal therapy are effective in treating hypertension. This is a condition that takes some time to treat. Usually lifestyle factors, such as stress or over eating play a role in the development of the condition, and these things take time to reverse. But I have seen favorable results in weaning patients off anti-hypertensive drugs and normalizing blood pressure with acu/herbal therapy.

Acupuncture is also effective in treating sugar cravings. We have an auricular (ear) protocol (NADA: National Auricular Detoxification Association) that is effectively used for all types of additions: sugar, caffeine, drugs, alcohol and tobacco. I have found sugar cravings reduce quickly and tremendously using the ear points.

So for someone with a sugar addiction and hypertension, acupuncture is an appropriate treatment option. KB

Friday, July 2, 2010

Study Shows Acupuncture More Effective for TMJ Than Physical Therapy or Drugs



The spring, 2010, issue of the Journal of Orofacial Pain included a review of studies on the effectiveness of acupuncture for treating TMJ. The study concluded that acupuncture is more effective than physical therapy and medication in treating this disorder, and recommends more larger trials. The review also noted the absence of serious side effects in the acupuncture patients.

Here's a video showing a normal
temporomandibular joint (hence TMJ)

Here's a video of a displaced TMJ that is clicking when it's opening.

This video shows a TMJ disc with a thin attatchment.

I seen pleasing results with acupuncture in treating TMJ and other facial pain. I've used both standard TCM (Traditional Chinese Medicine) style of acupuncture, which is most commonly taught in the colleges and being used today, and Dr. Tan's Balance Method of acupuncture. I've had satisfying results with both methods, but I see more immediate results using the Balance Method, with a more dramatic reduction in symptoms. Using the Balance Method, I expect to reduce pain on the first treatment.

For example, I recently treated a 25y woman (let's call her Michelle) with TMJ pain for 3-4 yrs. Pain was in her jaw, radiating to the temples, neck & spine, causing lockjaw and ear-ringing. Pain could be excruciating in the evenings, and was worse with stress. At the time of treatment her pain level was a 4-5 (1-10 scale) i inserted 3 needles in Michelle's wrist. Pain immediately disappeared in all areas. She no longer had ear congestion or ringing.

Acupuncture is a therapy, and a series of treatments is required. The number of treatments needed to eliminate the pain and symptoms varies, depending on the individual, and whether the condition is acute or chronic. For chronic pain a course of treatment (10-12) visits is usually required, acute pain responds faster and usually fewer treatments are needed to resolve the condition. I generally recommend weekly treatments. If pain is severe, or to see quicker results, twice a week is optimal in the beginning, for 2-3 weeks, until the pain level decreases and symptoms appear less frequently. When symptoms become intermittent, no longer on a daily basis I begin reducing the frequency to 10 days and later 2 weeks, then 3 week intervals to consolidate the treatment before discontinuing acupuncture when the condition is resolved. KB


Thursday, July 1, 2010

Duke University Says Acupuncture Better than Asprin for Headaches



Duke University reviewed 31 studies to access the effects of acupuncture compared to drugs for the treatment of headache. The researchers found acupuncture is more effective (62%) than medications (45%). Findings were published in Anesthesia & Analgesia.

I practice Dr. Tan's Balance Method of acupuncture. Using this method, I expect to dramatically reduce pain on the first visit. Acupuncture is a therapy and a series of treatments is required. The number of treatments needed varies, depending on the individual, and whether the condition is acute or chronic. A course of treatment is 10-12 visits, and generally that is needed to treat a sub-acute condition. Chronic conditions take longer to treat.

All types of pain, including headache respond remarkably well to acupuncture. It is a shame more people are not using Chinese medicine for relief of their symptoms.

As an herbalist, i generally include an herbal formula to enhance treatment. Especially for chronic headaches, herbs give an extra edge to increase results of treatment. I compound individualized formulas for my patients which they drink as a tea.

Here's an article i wrote explaining how Chinese medicine treats headaches. KB


Tuesday, May 25, 2010

NY Times: Throat Exercises Improve Sleep Apnea



No one likes having to use a CPAP machine, the loud breathing apparatus & mask sleep apnea suffers use to ensure they breath through the night. Sleep apnea is a difficult condition to treat.

Anahad O'Conner reports in his NY Times Really? column that studies have shown 39% improvement in snoring and sleep quality as well as decreased neck circumference (+ risk factor) for sleep apnea sufferers who do throat exercises and play the didgeridoo (Australian musical instrument) that strengthen the airways. KB


Friday, May 21, 2010

Studies Confirm Acupuncture is Effective in Treating Chronic Bowel Problems



Patients come to me with a wide variety of conditions: pain, gyn issues, allergies/sinusitis, cancer, MS, Lyme disease, Parkinson's disease, Bell's Palsy, TMJ, hypertension, and so on. None of these are fun to have. Bowel problems, particularly IBS & Chrohn's can make daily living tricky. The wonderful news is all of these conditions, and more, respond well to Chinese medicine.

A 2004 German study recently came to my attention, demonstrating positive effects of acupuncture on treating Chrohn's disease. In this study acupuncture patients were compared to a control group. Both groups were needled, but in the acupuncture group known acupuncture points were used where as the control group were needled in places not thought to be acupuncture points. Patients received 10 acupuncture (or sham) treatments (considered one course of treatments in Chinese medicine) over a 3 week period, and then for followed for a subsequent 12 weeks. Three months after having received one course of acupuncture treatments, patients receiving true acupuncture retained a 35% decrease in symptoms, compared to 18% in the control (sham acupuncture) group.

A 2006 Scandinavian study of ulcerative colitis
demonstrated a 50% reduction in symptoms in the true acupuncture group compared to a 25% reduction in the control group. In this study, a course of treatment (true and sham acupuncture) was administered over a 5 week period, and then followed up 4 months subsequent to the cessation of treatments.

In actual clinical practice, patients with a chronic disease, such as IBS, Chrohn's, or ulcerative colitis receive multiple courses of treatments. As symptoms improve, the frequency of treatments are reduced until the patient is able to maintain improvement with monthly, then 6 week intervals between treatments, so that the gains are consolidated before treatment is discontinued. I've seen all types of bowel problems respond well to Chinese medicine. I also prescribe customized herbal formulas which increase clinical results and allow for the consolidation of gains while acu therapy is being reduced. KB


Wednesday, May 12, 2010

NY Times: Many are Misdiagnosed with Food Allergies



Many people who think they have food allergies do not, according to a front page article in this morning's Times. The true number is only 5% of adults and 8% of children, according to a new report on allergy diagnosis, commissioned by the federal government.

"
Yet about 30 percent of the population believe they have food allergies. And, Dr. Riedl said, about half the patients coming to his clinic because they had been told they had a food allergy did not really have one . . . People who receive a diagnosis after one of the two tests most often used . . . [skin prick test and IgE antibodies] . . . have less than a 50 percent chance of actually having a food allergy, the investigators found", reports Gina Kolata in her NY Times piece.

Dr. Marc Riedl, an author of the new paper and an allergist and immunologist at the UCLA (my almamater) and his colleagues reviewed 12,000 pages of documents of all of the studies done on allergies between 1988 and 2009, and came up with only 72 studies that met their scientific rigor. The paper will be reported today in JAMA (Journal of the American Medical Association).

The National Institute of Allergies and Infectious Diseases are reviewing the diagnosis and treatment of allergies and expect to have a draft of new guidelines out in June.

"But for now, Dr. Matthew J. Fenton, who oversees the guidelines project for the allergy institute said, doctors should not use either the skin-prick test or the antibody test as the sole reason for thinking their patients have a food allergy. 'By themselves they are not sufficient,' Dr. Fenton said, " reports Kolata in the Times.


Acupuncture is effective treatment for all kinds of allergies, especially those affecting the TCM (Traditional Chinese Medicine) Lung system, which includes the nose, sinuses and skin. We use a 'root and branch' approach to treatment. When symptoms are present we treat the 'branch' or the symptoms: running nose, sinusitis, hives/rash. When symptoms have abated we treat the root cause of the problem: weak/hyper-immune response. In my clinic I use a combination of acupuncture and individualized Chinese herbal formulas proven effective in treating allergies.

Allergies are a chronic problem, and require some continued care with acu-herbal therapy. When the patient and practitioner stick with treatment, results are rewarding. I find that branch symptoms are generally contained fairly quickly, but continued maintenance is required to strengthen immune function for a more sustained resolution.

Here's a couple of articles I've written & a study on allergy treatment with Chinese medicine, from the Treatable Conditions list on my website BartlettAcupuncture.com
KB

Saturday, May 8, 2010

For Safety and Maximum Effectiveness See a Licensed Acupuncturist



In order to be preformed safely an effectively, acupuncture must be preformed by a qualified practitioner with adequate training in Chinese medicine. Unfortunately MD's and chiropractors have been allowed to add acupuncture as a modality in their practices after taking only a few weekend seminars in it, totally 100-300 hours. Considering that Licensed Acupuncturist now must complete 3000-4000 hours of training in order to become licensed, it is inconceivable that states would consider 100-300 adequate training for practicing on patients. Those that are poorly trained make mistakes ranging from ineffective treatment to injuries to patients.

A study by the Institute of Community Medicine, University of Tromso, Norway about acupuncture safety concludes:

"Most adverse effects of acupuncture seem to rely on insufficient basic medical knowledge, low hygienic standard, and inadequate acupuncture education. The study confirms the adverse effects of acupuncture under certain circumstances. Serious adverse effects, however, are few, and acupuncture can generally be considered as a safe treatment."

PMID: 9395661 [PubMed - indexed for MEDLINE]


Here's an document from the FAQs page of my website discussing the difference in training of acupuncturists and MD's & Chiropractor's with the 100-300 hour medical acupuncture certificate:

Licensed vs Certified Acupuncturists


The Medical Acupuncture Facts website discusses the issue of MD's and chiropractors with 100-300 hours training preforming acupuncture, and the
associated problems. Here's an article from the site discussing this issue. KB


Studies Confirm Acupuncture is Unsafe When Practiced By Non-Licensed Acupuncturists



Sunday, May 2, 2010

Fox News Interviews Kath Bartlett, MS, LAc About Allergy Treatment



"Do you ever google yourself?" I was asked last week. "It's been a long time", I replied. "Mostly professional stuff comes up: my website, blog, articles I've written and so on".

With this conversation in mind, i put my name in the search box, and hit enter. The expected hits came up. As I scrolled through them I came across an interview I did with Fox News several years ago for an article on allergy treatment using Chinese Medicine. I believe the article was (at least in part) ghostwritten. Manny Alvarez was given the byline, but it was a woman who interviewed me that spring morning.

This is a thoughtfully written article first explaining some basics about TCM (Traditional Chinese Medicine) theory and terminology, then going into the the interview with me about allergy treatment using Chinese Medicine, followed by a 2004 study on TCM treatment of allergies published in Allergy Magazine. KB

Fox News Allergy Interview with Kath Bartlett, LAc


Thursday, April 29, 2010

Want to Lose Weight? Get More Sleep



Want to lose weight? Include getting enough sleep into your diet and exercise plan say the studies. Too many of us don't get enough sleep, instead relying on (cups?, pots of?) coffee to get through the day. Lack of sleep causes lots of health problems: lower immunity (get sick easier), reduced ability to handle stress, decreased cognitive function, increased irritability - basically the body is too tired to function optimally. As Elizabeth Gilbert analogizes in Eat, Pray, Love (#22, p66) overworked soil needs a fallow season. Likewise the overworked body (which all of us stressed out Westerners have) needs rest. If we don't get it, we eat more (esp. carbs and sugar) to get the energy our bodies need, and hence gain weight. Studies cited in this week's NY Times, Science Times article show men eat up to 500 additional calories on 4-5hrs sleep than they do with 7-8 hours sleep.


Here's a PubMed abstract of an analysis of a number of studies on the issue which suggests that 7 hours of sleep seems to be the golden mean. Less than 7 hours and weight gain appears, more than 7 hours sleep shows no significant weight change (positive or negative) compared to the 7 hour sleep duration:

PubMed Study

Another study showed increased snacking of carbs with 5 1/2 hours sleep verses getting 8 hours:

http://www.ncbi.nlm.nih.gov/pubmed/19056602


Is it no wonder in our stressed out, sleep deprived, fast food society that we have an obesity epidemic? The solution is obvious and basic: reduce stress, stay well rested, eat well. Why does that seem like a radical concept for the average American to implement? KB

New York Times Article

Tuesday, January 19, 2010

Acupuncture Reduces Treatment Side-Effects in Breast Cancer Patients



Here's another study showing the benefits of acupuncture in supporting breast cancer patients in comparison to those on drug therapy. The chemo drugs typically cause hot flashes for women being treated for breast cancer. To address the hot flashes, the women are given another drug,

Venlafaxine (Effexor) which also has side effects. So Dr. Eleanor Walker and her team decided to study acupuncture's effect in treating hot flashes for breast cancer patients.

The study, published in the Journal of Clinical Oncology, found that the acupuncture and drug group had similar results in reduction of symptoms (mainly hot flashes and depression are noted here) during treatment. But the post treatment follow-up is where it gets interesting. The drug patients symptoms returned within two weeks from when they stopped taking the drug. But the acupuncture patients stayed symptom free longer. The abstract mentions that it was 3 months later until re-emergence of symptoms were seen in the acupuncture group. Based on my clinical experience, I'm hypothesizing that had these women continued treatments at a maintenance frequency, symptoms may not have reappeared. When symptoms did re-emerge, only a short 'booster' course of treatments would have been needed to address them.

The acupuncture group also experienced other beneficial results of treatment not seen in the drug group, such a increased energy and libido, mental clarity (chemo patients often experience 'brain fog') and a greater sense of well-being during treatment for this life threatening disease. KB




Acupuncture Improves Quality of Life Among Breast Cancer Patients


Posted on 2010-01-06 06:00:00 in Alternative Medicine | Cancer |



Eleanor M. Walker, from Henry Ford Hospital (Michigan, USA), and colleagues studied 50 breast cancer patients, randomly assigned to receive either acupuncture or drug (venlafaxine) treatment for 12 weeks. The acupuncture group received treatments twice per week for the first four weeks, and then once a week for the remaining eight weeks, while the drug therapy group took venlafaxine orally each night, 37.5mg the first week and then 75mg for the remaining 11 weeks. At the end of 12 weeks, all patients stopped their therapy and were followed for one year. Patients kept a diary to record the number and severity of hot flashes, and took surveys to measure their overall health and mental health. While both groups initially experienced a 50% decline in hot flashes and depressive symptoms, differences began to emerge two weeks post-treatment: The acupuncture group continued to experience minimal hot flashes, while the drug therapy group had a significant increase in hot flashes. The acupuncture group did not experience an increase in the frequency of their hot flashes until three months post-treatment. Noting in addition that ”the acupuncture group experienced no negative adverse effects. Acupuncture had the additional benefit of increased sex drive in some women, and most reported an improvement in their energy, clarity of thought, and sense of well-being,” the researchers conclude that: “Acupuncture appears to be equivalent to drug therapy in these patients. It is a safe, effective and durable treatment for vasomotor symptoms secondary to long-term antiestrogen hormone use in patients with breast cancer.”


Eleanor M. Walker, Alba I. Rodriguez, Beth Kohn, Ronald M. Ball, Jan Pegg, Jeffrey R. Pocock, Ramon Nunez, Ed Peterson, Susan Jakary, and Robert A. Levine. “Acupuncture Versus Venlafaxine for the Management of Vasomotor Symptoms in Patients With Hormone Receptor–Positive Breast Cancer: A Randomized Controlled Trial.” J Clinical Oncology published online December 28, 2009, DOI:10.1200/JCO.2009.23.5150.

Study Shows Yoga Practice Reduces Inflamation Associated with Age Related Diseases



Those who have been following by blog know that I am a yogini: a female yogi, or yoga practitioner. As such, this study demonstrating the benefits of yoga in reducing inflammation, stress and aging caught my eye. I thought others would find it interesting, too. This study looked at yoga, but i believe similar results and benefits would be found with tai qi and qi gong (literally 'qi work' or energy work/cultivation: yoga is a qi gong exercise).


I recently ran across some old "Yoga Journal" articles showing the benefits of restorative yoga for chronic illness, AIDS and auto immune disorders. Restorative yoga are relaxation poses requiring little to no muscle work, so that one lies in the pose for an extended period of time (5-10min. The idea is to put the body in a deep state of relaxation in order to rest and strengthen the immune system which is debilitated in chronic illness. In "Quantum Healing" Deepak Chopra discusses Ayurveda medicine (ancient Indian medicine developed by the vedics (sage doctors of the Hindu and yoga traditions: includes herbal, dietary and hot oil massage treatments). One the cardinal aims of Ayurveda treatment is to induce a deep state of relaxation so that the weak immune system can gather strength and activate itself. In the book he cites examples of cancer patients from his clinical practice who have achieved what traditional doctors call 'spontaneous' remissions (meaning medically unexplained) by using these practices to induce the healing response.

I highly recommend the book Relax and Renew about restorative yoga poses and sequences that anyone can do, regardless of physical condition or yoga experience (also included on the recommended reading list on this blog). For experienced yogis i would add Shoulder Stand (10-20min), Headstand 5-10min) and Halasana (5min). KB


Tuesday, November 24, 2009

Vinegar & Acids Help Lower Blood Sugar



The "Really?" column in today's Science Times (NY Times)
reports on studies showing that including vinegar in a meal will help lower blood sugar.
One Italian studies showed including vinegar as salad dressing with a meal that includes bread and other carbs will reduce blood sugar by 30%. The results were verified in another study by the American Diabetes Association. You can check the results yourself by eating 2 identical carb meals. With one, add 2 teaspoons vinegar with the other do not use vinegar. Check your blood sugar after each meal, and see if there's a drop in the meal eaten with vinegar.


The author's of the ADA study concluded that:

The data indicates that vinegar can significantly improve postprandial insulin sensitivity in insulin-resistant subjects. Acetic acid has been shown to suppress disaccharidase activity (3) and to raise glucose-6-phosphate concentrations in skeletal muscle (4); thus, vinegar may possess physiological effects similar to acarbose or metformin. Further investigations to examine the efficacy of vinegar as an antidiabetic therapy are warranted.



These findings help explain why Dr. Richard Tan's recommendation of drinking lime water throughout the day lowers blood sugar for diabetics.

To do this, juice a lime and pour the juice in a bottle of water and sip throughout the day. Apparently the 'white part' is important, so keep the pulp. Dr. Tan says that within 3 months blood sugar levels will drop. I have a current patient who is using key limes and after 3
weeks has been noticing lower blood sugar levels.

Reporter Anahad O'Connor astutely points out in the aforementioned Really? column that amongst other perils of the Holiday Madness season, are the difficulties diabetics face navigating social gatherings and work place break rooms during the last 6 weeks of the year.



Here are a few abstracts of other studies relating to vinegar and blood sugar levels by the authors of the cited study. KB


J Am Diet Assoc. 2005 Dec;105(12):1939-42.

Vinegar and peanut products as complementary foods to reduce postprandial glycemia.

Johnston CS, Buller AJ.

Department of Nutrition, Arizona State University, Mesa 85212, USA. carol.Johnston@asu.edu


Diabetes Res Clin Pract. 2009 May;84(2):e15-7. Epub 2009 Mar 9.

Preliminary evidence that regular vinegar ingestion favorably influences hemoglobin A1c values in individuals with type 2 diabetes mellitus.

Johnston CS, White AM, Kent SM.