Digestive Disorders

Improve Digestive function with Acupuncture

Acupuncture has been helping digestive function for thousands of years. As acupuncture addresses healing from a holistic perspective, we see that a healthy digestive system is at the root of all wellness. Our digestive systems is intimately connected to our immune system, and being able to absorb all vital nutrients and eliminate all excess products efficiently is necessary for the health of all the bodies tissues: muscles, nerves, organs, blood and vessels.

Acupuncture helps the direction of the digestive energy to go in the correct direction, which is from the mouth downward through the entire system to the anus. If there is a problem in this directional movement which arise with gastric reflux, nausea, gastroparesis, or constipation, acupuncture can redirect the energy through the system in its natural downward direction.

Acupuncture also helps with the functions of absorption of nutrients and elimination of waste. Absorption issues may manifest as anemia, watery or loose bowel movements, and elimination of waste problems may result in constipation, bloating and gas, poor appetite and excessive weight (however excessive weight results from many different factors). Other health complications related to absorption and elimination are arthritis, chronic inflammation, kidney stones, gallstones, and autoimmune disorders.

Throughout treatment, foods for your health are discussed – foods which work better for your body are encouraged, and foods which inhibit healing are discouraged. As you incorporate these changes into your diet, the acupuncture can work even more effectively. The acupuncture assists the digestive energy required for healthy absorption and elimination and helps the function of assimilating nutrients, and the function of sorting the nutrients from the waste.

Acupuncture works extremely well for improving digestive function. Results begin immediately – you will know that acupuncture has helped very soon after treatment begins because your symptoms will quickly dissipate.

Research:

ACUPUNCTURE FOR IBS
A sizeable trial investigating the ability of acupuncture to relieve symptoms of irritable bowel syndrome (IBS) has found that both real and sham acupuncture resulted in significant symptom reduction. This US study involved 230 IBS patients. All participants initially underwent a three-week ‘run-in’ period, during which they received placebo acupuncture involving either a warm empathic interaction (‘augmented’ group) or a neutral interaction (‘limited’ group). Patients were then assigned to three weeks of true or sham acupuncture (six treatments). The third arm of the study was a waitlist control group. Although there was no statistically significant difference between acupuncture and sham acupuncture on the IBS Global Improvement Scale (41% versus 32 %), both groups improved significantly compared with the waitlist control group (37% versus 4 %). Eliminating those who responded to sham acupuncture during the run-in period did not change the results. (A treatment trial of acupuncture in IBS patients. Am J Gastroenterol. 2009 Jun;104(6):1489-97).

ACUPUNCTURE FOR IBS
A small randomised, sham/placebo-controlled pilot study assessing the effect of individualised TCM acupuncture and moxibustion (AcuMoxa) treatment on symptom control of IBS patients found that it showed promise as a treatment. Twenty-nine patients with IBS were randomised to either individualised AcuMoxa (treatment group) or sham/placebo AcuMoxa (control group). After four weeks of twice-weekly AcuMoxa treatment, average daily abdominal pain improved significantly, whereas the control group showed minimal reduction. Intestinal gas, bloating and stool consistency composite scores showed a similar pattern of improvement. (Symptom management for irritable bowel syndrome: a pilot randomized controlled trial of acupuncture/moxibustion. Gastroenterol Nurs. 2009 Jul-Aug;32(4):243-55).

ACUPUNCTURE FOR FAECAL INCONTINENCE
Italian researchers have carried out a pilot study to investigate the effect of acupuncture on faecal incontinence. Fifteen female patients, median age 60 years, received one acupuncture treatment per week for a ten-week period. Before treatment and at regular intervals after acupuncture sessions, anal continence was assessed by means of recto-anal manovolumetry. Patients experienced a significant improvement in anal continence, with overall mean continence score changing from 10 before treatment to zero at 10 weeks. Patients with irregular bowel habits and/or loose stools also reported significant improvement. On manovolumetric testing, a mean increase of resting pressure (from 25 to 36 mmHg) and sustained squeeze anal pressure (from 41 to 60 mmHg) was reported. The authors suggest that acupuncture may achieve this effect via neuromodulation of recto-anal function, similar to that achieved by sacral nerve stimulation, which is a conventional medical treatment for faecal incontinence. (Fecal incontinence treated with acupuncture – a pilot study. Auton Neurosci. 2008 Dec 4. [Epub ahead of print]).

ACUPUNCTURE BETTER THAN MORE HEARTBURN DRUGS
If proton pump inhibitors fail to control the symptoms of gastro-oesophageal reflux disease, current standard management is to double the drug dose, despite limited therapeutic gain. An American clinical trial has compared this protocol against use of acupuncture. Thirty patients with classic heartburn symptoms who continued to be symptomatic on standard-dose proton pump inhibitors were enrolled into the study. Patients were randomised to either two acupuncture sessions per week in addition to their proton pump inhibitor regimen, or to doubling the proton pump inhibitor dose, over a period of four weeks. The acupuncture plus proton pump inhibitor group demonstrated a significant decrease in the mean daytime heartburn, night-time heartburn and acid regurgitation scores at the end of treatment when compared with baseline, while the double-dose proton pump inhibitor group did not demonstrate a significant change in their clinical endpoints. (Clinical trial: acupuncture vs. doubling the proton pump inhibitor dose in refractory heartburn. Aliment Pharmacol Ther. 2007 Oct 30;26(10):1333-1344).

ACUPUNCTURE FOR GASTROINTESTINAL DISEASES
A systematic review has assessed the evidence for the effectiveness of acupuncture treatment in gastrointestinal diseases. German authors searched Medline-cited literature for controlled clinical trials performed before May 2006, identifying 18 relevant trials that met their inclusion criteria. Of these, only four were robustly designed random controlled trials (RCTs) – two irritable bowel syndrome (IBS) trials and two inflammatory bowel disease (IBD) trials (one for Crohn’s disease and one for ulcerative colitis). In all four trials, quality of life (QoL) was found to improve significantly, independently of whether the acupuncture was real or sham. Real acupuncture was significantly superior to sham acupuncture with regard to disease activity scores in the IBD trials. The authors postulate that psychoneuroimmunologic mechanisms may explain the acupuncture-specific effects leading to clinically relevant improvement of disease activity in Crohn’s and Colitis patients. They also suggest that the efficacy of acupuncture in respect of QoL may be explained by nonspecific treatment effects operating on a psychological and/or physiological level. While recommending further trials, they point out that demystification of the mechanism of acupuncture could be detrimental to its placebo-mediated effects, potentially destroying some of its healing capacity. (Acupuncture treatment in gastrointestinal diseases: a systematic review. World J Gastroenterol. 2007 Jul 7;13(25):3417-24).

ACUPUNCTURE FOR ULCERATIVE COLITIS
In a prospective, randomised, controlled clinical trial, 29 patients with mild to moderately active ulcerative colitis were randomly assigned to receive either traditional acupuncture and moxibustion, or sham acupuncture consisting of superficial needling at non-acupuncture points. Patients were treated in 10 sessions over a period of five weeks and followed up for 16 weeks. Colitis Activity Index (CAI) decreased in both acupuncture and sham groups and in both cases these changes were associated with significant improvements in general well-being. Differences in efficacy between traditional acupuncture and sham acupuncture were small and significant only for CAI as the main outcome measure. The authors conclude that both traditional and sham acupuncture seem to offer therapeutic benefit in this condition. (Acupuncture and moxibustion in the treatment of ulcerative colitis: a randomized controlled study. Scand J Gastroenterol. 2006 Sep;41(9):1056-63).

ACUPUNCTURE & THE GASTRIC SPHINCTER
Inappropriate relaxation of the muscular lower oesophageal sphincter (LES) is associated with gastric reflux and heartburn. Now a study has shown that electrical non-needle stimulation of Neiguan P-6 can reduce the rate of LES relaxation by 40%. Fourteen healthy (no heartburn) volunteers were treated either at Neiguan P-6 or a sham point on the hip. A separate study ruled out endorphins or enkephalins as the mechanism of action of the point stimulation by giving the volunteers naloxone, which blocks the effect of these chemicals. (Am J Physiol Gastrointest Liver Physiol, 2005; 289: G197-G201).

ACUPUNCTURE & CROHN’S DISEASE
In a single blind controlled trial of 51 patients with mild to moderately active Crohn’s disease, 27 were randomly assigned to receive traditional acupuncture, and 24 to receive sham acupuncture at non-points. The true acupuncture group showed significantly greater improvements in the Crohn’s disease activity index than the sham group, and significantly greater wellbeing scores. Serum markers of inflammation decreased in the traditional acupuncture group but not in the sham group. (Digestion. 2004;69(3):131-9. Epub 2004 Apr 26).

ELECTROACUPUNCTURE FOR GASTROPARESIS IN DIABETIC PATIENTS
A randomised, single-blinded pilot study has demonstrated that electroacupuncture (EA) effectively reduces the dyspeptic symptoms of diabetic gastroparesis (delayed gastric emptying) and accelerates gastric emptying. Nineteen patients with type two diabetes who had had symptoms of gastroparesis for more than three months were randomised into two groups. Each group received four sessions of EA or sham EA at Zusanli ST-36 and Hegu L.I.-4 over two weeks. Gastric half-emptying was significantly shortened by EA treatment (143.8 minutes versus 98.8 minutes), but did not change (98.9 minutes versus 90.9 minutes) in the sham EA group. Symptom severity improved significantly both at the end of treatment and two weeks after the end of the trial when compared with baseline in the EA group, but did not change from baseline with sham EA. There were no significant changes in fasting and postprandial blood glucose, serum gastrin, motilin, and PP in either group. (Electroacupuncture in Diabetic Patients with Symptoms Suggestive of Gastroparesis. J Altern Complement Med. 2008 Aug 23.

BOWEL OBSTRUCTION & ACUPUNCTURE
Writing in the journal Medical Acupuncture, Martha Grout MD describes 2 cases of small bowel obstruction treated by acupuncture. Obstruction is the most common surgical condition of the small bowel (intestine). Patients are frequently hospitalised for several days and may require surgical intervention for definitive treatment. Mean length of hospitalisation in 1 study was 15.3 days and mortality is reported to range from 5%-75% depending on the cause of the obstruction. In the first case a 27-year-old man who presented to the emergency department of Phoenix (Arizona) Memorial Hospital was treated with standard medical management and acupuncture treatment at Zhongwan REN 12 and Zusanli ST-36 bilaterally. No further needles were used because the treating physician was concerned that stimulating the small intestine directly, e.g. by needling Guanyuan REN-4, might lead to increased bowel motility against a closed obstruction with subsequent perforation. Within 6 hours the patient began to improve and the admitting surgeons expressed surprise that his system began to function so soon. In the second case a 65-year-old woman presented to the emergency department of John C. Lincoln Hospital in Phoenix, Arizona with recurrence of symptoms of obstruction she suffered approximately every 6 weeks. She was treated with the standard nasogastric tube and intravenous therapy and additionally received acupuncture at Zhongwan REN-12, Tianshu ST-25, Guanyuan REN-4, Zusanli ST-36 and Neiguan P-6. Within 3 hours, the patient was released feeling well and returned to work the next day, rather than 3-4 days later as had happened after previous episodes. Ten weeks after treatment, no further hospitalisations had occurred. (Medical Acupuncture,Volume 12/Number 2).