The National Institutes of Health consensus statement on acupuncture released in
1997 lists fibromyalgia as one of the syndromes where acupuncture could be
useful by itself, or in combination with other treatments. Chinese medicine
aims to deal with both symptomatic and constitutional problems. A recent
Mayo Clinic study also showed that acupuncture significantly improved the pain,
anxiety, and fatigue of patients suffering from fibromyalgia.
Acupuncture and herbal treatment are very effective for coexisting
problems of fibromyalgia syndrome like:
sleep disturbances
irritable bowel
syndromes
irritable bladder
syndrome
anxiety
cold intolerance
depression
recurrent migraines or
tension headaches
dizziness, impaired
memory, dexterity, and coordination problems
constipation, diarrhea,
abdominal pain, gas, and nausea
jaw and facial
tenderness and TMJ
sensitivity to odors,
noises, bright lights, medications, and foods
A Chinese Medicine Look at Fibromyalgia
Chinese physicians view fibromyalgia as the end result of a
lingering pathogen, whether caused by viral, bacterial, trauma, prolonged
stress, or environmental toxins. The resulting qi and blood stagnation in
the channels, combined with dampness, cold, or heat, lead to pain and fatigue.
Progression of the disease:
Heat lurking in the interior: at the beginning stages, especially
related to a viral syndrome, you may have slight ache in the muscles, thirst,
insomnia, cough with scanty sputum, tiredness, breathlessness, weight loss, and
dry throat. One herbal formula used to treat this stage is Xie Bai San.
Lesser yang
pattern:
is characterized by alternating fever and chills, poor appetite, irritability,
dry throat, nausea, bitter taste in the mouth, blurred vision, fullness and
bloating below the ribs. This pattern may continue for years! The initial
formula used is called Xiao Chai Hu Tang.
Damp
heat in the muscles: muscle aches, tiredness, sleepiness, heaviness of the body and
head, muscle fatigue after slight exertion, no appetite, feeling of chest
oppression, poor concentration and memory, dull headaches, possibly mucus in
the stools, vaginal discharge, night sweats, urinary difficulty, bitter taste
in the mouth, and hypochondriac pain. One appropriate formula is Huo Xiang
Sheng Qi Wan.
Eventually, these symptoms will sap your energy; fatigue, rather than pain,
becomes your main problem and these patterns develop:
Qi deficiency: tiredness which is worse
in the morning, muscle fatigue and aches, shortness of breath, weak voice,
spontaneous daytime sweating, loose stools, bloating, tiredness after meals,
abdominal distention and fullness, pale complexion, depression, palpitation. Bu
Zhong Yi Qi Tang is used.
Yin deficiency: symptoms include feeling
of heat in the afternoon, night sweating, flushed face, hot palms and chest,
hot head, dry mouth, dry scratchy throat, sore low back and knees, exhaustion,
low sex drive, weak legs, dizziness, ringing in the ears, deafness, disturbed
sleep. Zuo Gui Wan is a frequently used.
Yang
deficiency: you have most of the Qi deficient signs listed above, and some of
these signs like a cold or sore low back, weak and cold knees, chilliness not
relieved by adding more clothes, impotence, low sex drive, frequent urination,
swollen legs, infertility, breathlessness with or without exertion, catching
colds easily. You Gui Wan is often used for this stage.
Of course, you will not have all the symptoms listed for each pattern, and can combine
signs in one or more patterns, especially in menopausal women. Your
practitioner will specify a diagnosis and prescribe the proper formula and plan
of acupuncture treatment. Frequently after the first few weeks of therapy
symptoms will change drastically if the client also follows the dietary and
lifestyle recommendations.
A
few pointers for healing:
Don’t do anything to sap your energy and stress your adrenals. That includes
excessive exercise, losing sleep, or taking any type of stimulant, including
caffeine. too many people with fibromyalgia rely on coffee to get through the
day.
Take
frequent rest breaks; limit any exercise to 15 minute periods. If you are new
to exercise, start with as little as 2 minutes! Try gentle qi building
activities like tai chi or qi gong. You probably won’t have an instructor in
your home area, but there are plenty of quality books and tapes available.
Get
outside every day, at least 30 minutes of fresh air and sunshine! Try to avoid
extremes of temperature as well. Keep your thermostat set warmer in summer, and
cooler in winter, you’ll save on energy costs, too!
Quality
sleep is probably the most important ingredient in healing. Studies show that
fibromyalgia patients lack in stage 4 sleep and don’t produce enough serotonin.
Either you need to be taking a low dose serotonin enhancing antidepressant, or
the non prescription supplement 5-HTP, which is a serotonin precursor. It has
been proven to help with sleep disorders which can lead to fatigue and pain,
and it also reduce carbohydrate cravings, assisting with weight loss.
You
MUST avoid all chemicals in foods, particularly artificial sweeteners. They
have been shown to cause all kinds of digestive complaints and muscle weakness,
as well as causing your blood sugar to fluctuate just like real sugars.
Try
to eat lots of fresh fruits and vegetables, organic preferably, with a small
amount of protein at every meal. Eat regular meals to keep your energy and
blood sugar up. If you have problems with your digestion, your practitioner can
give your herbs to assist your digestion.
Drink
only if you are thirsty; drinking excess amounts of water can burden your
system and lead to swelling, bloating, and loose stools. Use only steam
distilled water. You can add trace minerals to improve the taste.
Take
an essential fatty acid supplement daily to reduce inflammatory processes and
improve brain functioning. Flax seed, primrose oil, salmon oil, or black
currant oil are good choices.
Magnesium
with malic acid has been shown to decrease pain levels. Magnesium deficiency
causes irritability, nervousness, and disrupted transmission of nervous system
impulses.
Calcium
is needed to prevent muscle cramps, transmit nerve impulses, provide energy,
protect body from lead contamination, prevents aching joints, and promote sound
sleep.
You
can restore your health! But you must be an active participant in your
recovery. Ask questions, research, and never give up!
Susan Mosley, LAc., Dipl. C.H. 423-596-9024 susan@fourseasonsacupuncture.com Margie Wesley, LAc., Dipl. C.H., Dipl. OM 423-883-5462 dr.mjwesley@gmail.com www.alternativehealthguidance.com
Dorothea C. Johnson, LA 423-290-5023 dorotheajohnson@bellsouth.net