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What is Acupuncture?

Acupuncture is an effective form of health care that has evolved into a complete and holistic medical system. Practitioners of acupuncture and Chinese medicine have used this noninvasive medical system to diagnose and help millions of people get well and stay healthy.

An acupuncturist will place fine, sterile needles at specific acupoints on the body. This activates the body’s Qi and promotes natural healing by enhancing recuperative power, immunity and physical and emotional health. It also can improve overall function and well-being. It is a safe, painless and effective way to treat a wide variety of medical problems.

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Bulimia and TCM

Dear Dr.Nisters,
As I study dieting (from TCM standpoint) I encountered a forum of bulimia suffering girls, and I felt very sorry for them.  Is it stomach heat or heart qi dysfunction (as I feel it is physiological problem too) or what?

Thank you,
Tatiana

Dear Tatiana,
In terms of bulimia.  It actually gets quite complex.  There are the factors and patterns that lead to the bulimia and then the patterns caused by the bulimia.

At the core of the initial problem that triggers the bulimia there will be liver depression qi stagnation.  Liver depression is engendered emotionally by “unfulfilled desires” which would certainly be the case in someone that goes to such drastic measures to change their appearance or weight.  They are unhappy with what is and have a desire, unfulfilled, to change it.  Often they are seeking some cultural or familial idea of a normative appearance that they cannot attain.

The sources of the liver depression, other than the unfulfilled desires, can be manifold.  According to Liu Wan-Su’s “theory of similar transformations” any of the historical six depressions (now given different terms) WILL transform to other of the depressions unless it is corrected.  The depressions are qi, blood, phlegm, damp, food, food

Then these depressions will eventually engender heat, as human beings are warm by nature.  This will cause a stirring of ministerial fire which will flare up to  vex the heart, among other problems.  This would often be a condition of yin fire, coming from the lower burners and blocking or interfering with the arisal of clear qi and yang upward.  This would make clear thinking difficult and obsessive behaviors could predominate.  The original problem of liver depression qi stagnation will eventually create depressive heat. So, a lot of things go wrong.

The bulimia itself then causes further significant stomach/spleen qi disturbance often with heat or damp heat that will be permanent, unless properly treated, even after the bulimia is stopped.

Essentially, every system is injured and imbalanced, according to TCM theory and my clinical observations.

Be well,

– Dr. John Nieters, L.Ac. DAOM, FABORM

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Is my testosterone normal?

Hi John,
Can you please take a look at my recent blood results from Kaiser. I don’t trust them when they tell me I’m in a normal range. I would really like your opinion.
Testosterone 308 ng/dl
FSH 4.7 mIU/mL
LH 3.0 mIU/mL

Thank you 🙂
Mark

Dear Mark,

Very complex question actually.  There is a certain amount of disagreement over what “normal” or “optimal ranges” for hormones are, particularly in men.  I will give you my opinion about the tests.

Normal FSH range in adult men is usually reported at 5-15 mIU/ml.  Yours at 4.7 is low, even by this broad range.  In men, FSH or Follicle Stimulating Hormone, is critical for sperm production.

Normal LH range in men is usually reported as 2-14 mIU/ml.   This again, is a pretty broad range.  Your level is 3.0, so it is barely in the lowest end of “normal” range.  LH, or luteinizing Hormone, stimulates the Leydig cells where there is testosterone production.  This is controlled by GnRH, Gonadotropin Releasing Hormone, from the hypothalamus.  There is a test using GnRH to stimulate LH release see where the problem is.

Normal testosterone range is usually reported as 300-1,000 ng/dl. Your level is 308.  This is obviously at the very lowest level of “normal”.

While many general practitioners would be fine with these levels, any reproductive specialist and many good mens doctors would be quite concerned.

This group of tests would be consistent with hypostimulation, or low hormonal pulsing, from the pituitary gland leading to marginal sperm production and low testosterone levels which can affect every aspect of male health.  These problems would include, but not be limited to, low libido or sex drive, low sperm count, weight gain, irritability, erectile dysfunction, infertility, difficulty in gaining or holding muscle mass, fatigue, cardiovascular problems, diabetes, etc.

In reproductive medicine, and many other conditions that I treat, this hypothalamic-pituitary communication is faulty.  In reproductive medicine this is looked at a lot along with adrenal and thyroid function which are controlled by the hypothalamic/pituitary system.

Greatly simplified example. The hypothalmus is the control center (think any movie with lots of dials and screens being monitored like a nuclear facility). The control room (hypothalamus) is constantly measuring temperature, nervous system activity, hormone levels etc.

The hypothalamus has a closed loop with the pituitary where it sends very small messages like GnRH.  The pituitary then sends out chemical messages to the various  glands to increase or decrease the hormonal output from the specific glands.  TSH or thyroid stimulating hormone stimulates the production of  thyroid hormones.  FSH, to stimulate the ovarian follicles in women and spermatogenesis in men.  LH to stimulate follicle release and corpus luteum production (for increased pregesterone.) Many others.

So, the key is find out where in this complex system the problem is.  In Chinese Medicine it is actually dramatically easier than with biomedical testing, although the testing is very cool.  We have many ways to balance the HPA (hypothalamus/pituitary/adrenal) axis.

In biomedicine the focus is on hyperstimulating various systems with pharmaceuticals which will have side effects. In TCM we assist the body to regain homeostasis or balance so that it can do it’s job properly.

In my opinion, based on my historical knowledge of your lifestyle, your particular test results arise primarily from:
-irregular and unnatural circadian rhythms as a result of your shift work schedule, which will dramatically affect HPA axis.
-relationship issues leading to neurohormone imbalance
-under exposure to “male” activities which would stimulate testosterone production
-over exposure to other types of life activities/events which will inhibit testosterone production.

Be well,

– Dr. John Nieters, L.Ac. DAOM, FABORM

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KPFA 94.1 About Health 2pm

Dr. John Nieters will be a guest on KPFA’s “About Health” hosted by Joy Moore. Special show focusing on alternative health care resources.
http://www.kpfa.org/about-health
Subscribe to the about health podcast:
http://kpfa.org/podcast/pod.php?show_id=23
iTunes Radio: “Public”
Comcast Digital Cable 967
iPhone: Public Radio Tuner App

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July 2011 Treating Autoimmune Diseases

In This Issue (Get QiMail delivered to your inbox )
– Treating Autoimmune Diseases with Acupuncture and Oriental Medicine
– Acupuncture for Rheumatoid Arthritis
– 6 Nutrients to Support Your Immune System
– News, Events and Gratitude

Treating Autoimmune Diseases with Acupuncture and Oriental Medicine
Autoimmune diseases are a group of disorders in which the immune system attacks the body and destroys or alters tissues. There are more than eighty serious chronic illnesses in this category including rheumatoid arthritis, type 1 diabetes, lupus, thyroid disease, inflammatory bowel disease, Addison’s disease, pernicious anemia, celiac disease, multiple sclerosis, myasthenia gravis and Guillain–Barré syndrome. According to the American Autoimmune Related Diseases Association (AARDA) twenty percent of the population suffers from autoimmune disorders. Each disease appears uncommon on an individual basis but, as a group, the disorders make up the fourth-largest cause of disability among women. 

Due to the complexity of treating autoimmune disorders, integrative medicine solutions including acupuncture and Oriental medicine have received much attention as successful therapies in their treatment particularly for use in providing pain relief, regulating the immune system, managing symptoms and improving overall quality of life.

What Causes Autoimmune Disease?
Under normal conditions, an immune response cannot be triggered against the cells of one’s own body. In certain cases, however, immune cells make a mistake and attack the very cells that they are meant to protect. This can lead to a variety of autoimmune diseases which encompass a broad category of over 100 diseases in which the person’s immune system attacks his or her own tissue.

The exact mechanisms causing these changes are not completely understood, but bacteria, viruses, toxins, and some drugs may play a role in triggering an autoimmune process in someone who already has a genetic (inherited) predisposition to develop such a disorder. It is theorized that the inflammation initiated by these agents, toxic or infectious, somehow provokes in the body a “sensitization” (autoimmune reaction) in the involved tissues.

As the disease develops vague symptoms start to appear, such as joint and muscle pain, general muscle weakness, possible rashes or low-grade fever, trouble concentrating, or weight loss. The following symptoms may point toward something being wrong: numbness and tingling in hands and feet, dry eyes, hair loss, shortness of breath, heart palpitations, or repeated miscarriages can also be caused by an autoimmune response.

How Acupuncture Treats Autoimmune Disorders
According to Oriental medicine, autoimmune disorders occur when there is imbalance within the body. Imbalance can come from an excess or deficiency of yin and yang that disrupts the flow of Qi, or vital energy, through the body. Acupuncture is used to help the body restore balance, treating the root of the disorder, while specifically addressing the symptoms that are unique to each individual. 

Clinical research has shown that acupuncture causes physical responses in nerve cells, the pituitary gland, and parts of the brain. These responses can cause the body to release proteins, hormones, and brain chemicals that control a number of body functions. It is proposed that, by these actions, acupuncture affects blood pressure, body temperature and the immune system.

In addition to acupuncture, your treatment program to manage your autoimmune disorder may involve a combination of therapies including stress reducing exercises, moderate physical activity, herbal medicine and nutritional support.

Learn more about how acupuncture and Oriental medicine can be safely and effectively incorporated into treating autoimmune disorders, call for a consultation today!

Acupuncture for Rheumatoid Arthritis
Rheumatoid arthritis is an autoimmune disorder that can affect many different joints and, in some people, other parts of the body as well, including the blood, the lungs, and the heart. Inflammation of the joint lining, called the synovium, can cause pain, stiffness, swelling, warmth, and redness. The affected joint may also lose its shape, resulting in loss of normal movement. Rheumatoid arthritis can last a long time and can be a disease of flares (active symptoms) and remissions (few to no symptoms). 

According to Oriental medical theory, arthritis arises when the cyclical flow of Qi in the meridians becomes blocked. This blockage is called, “bi” type pain and is widely studied and successfully treated using a combination of acupuncture and/or Chinese herbs.

Acupuncture and Oriental Medicine have been found to be extremely effective at treating the pain and inflammation associated with all types of arthritis. The acupuncture points and herbs that are used depend on if the blockage of Qi (arthritis) is caused by the pathogen wind, cold, damp or damp-heat. 

Call today to learn how acupuncture and Oriental medicine can be incorporated into your treatment plan for rheumatoid arthritis!

6 Nutrients to Support Your Immune System
A class of plant chemicals known as bioflavonoids has been found to dramatically reduce inflammation and improve symptoms associated with autoimmune disorders. Here are six that can be found in everyday foods.

Carotenoids – A family of plant pigments that include beta-carotene. A lack of carotenoids in the diet is thought to promote inflammation. Good sources of carotenoids include apricots, carrots, pumpkin, sweet potato, spinach, kale, butternut squash, and collard greens.

Fiber – A healthy and active colon can decrease food sensitivity, which, in turn, can lighten the burden on your immune system. For maximum autoimmune health, increase the fiber in your diet. 

Flavonoids – Found in green and black teas both catechins and theaflavins are beneficial in autoimmune disease.

Ginger – Recent studies show that ginger reduces inflammation by inhibiting prostaglandin and suppresses the immune system’s production of pro-inflammatory cytokines and chemokines, reducing disease severity in patients with rheumatoid arthritis.

Omega-3 – These essential fatty acids found in cold water fish such as salmon or mackerel and flaxseed oil can counter the formation of chemicals that cause inflammation. 

Quercetin – Found naturally in certain foods quercetin can reduce allergic reactions and decrease inflammation. Foods rich in quercetin include apples (skin on), berries, red grapes, red onions, capers, and black tea.

News and Events
Thanks readers of Alameda Magazine for voting John “Best Acupuncturist” in Alameda. We are delighted by this honor.

– We will always accommodate established patients for urgent care drop-in visits during business hours.

– Tune-in to The Medicine Men and The Balancing Point radio shows podcast in iTunes, or live in the Bay Area, www.medicinemenradio.com or www.thebalancingpoint.net

– Special 1 hour episodes of The Balancing Point radio in July on Mondays KEST 1450 AM 9-10am, tune-in!

– Thanks to MN for her recent review of John’s work on yelp (if you don’t know yelp.com, it is a great resource for finding about about your community): “I started going to John for my back pain about 2 months ago, and with first appointment, it significantly improved and after like 2 or 3rd appt, the pain was completely gone. His approach is very comprehensive and I feel very comfortable with John, who is warm and very kind. I am about 5 months pregnant now, but he knows how to treat pregnant woman, so there is no need to worry about. Every time I go to the appointment, I feel so much better, and I highly recommend him for anyone who has health issues. ”

– On September 25th, John will teach at the Colorado School of Traditional Chinese Medicine in Denver. He will teach a 1/2 day on his Integrative Diabetes Protocol and a 1/2 day on the modern clinical applications of the Pi Wei Lun classic. If you are in the Denver area, we hope to see you there. http://www.cstcm.edu/pda/all

– Please join us on Facebook “Alameda Acupuncture – Dr. John Nieters, L.Ac.” (http://www.facebook.com/pages/Alameda-Acupuncture-Dr-John-Nieters-LAc/126245057390177) Upcoming events are listed and links to information about Chinese Medicine and podcast updates.

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