Betterness Acupuncture & Herbs

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    • IBS acupuncture and herbs
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    • hayfever acupuncture
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January 11, 2021 by Giles

IBS acupuncture and herbs

fix IBS eat all the foods
I’ve mentioned IBS in previous posts have about how emotions can affect our digestion, and how low FODMAP diets should be temporary. This is the post that focuses on IBS.

IBS is abdominal pain and bloating, and altered bowel habits, that do not have an identifiable physiological cause. Conventional medicine recognises some connection between IBS and emotional state (1,2) and it has begun to consider it to be a dysfunction of the brain-gut axis, but as I’ve written elsewhere the Chinese model doesn’t separate the psychological and somatic so our approach always considers emotional involvement. All physical complaints are thought to have a non-physical aspect, and all mental and emotional disturbances have the potential to affect us physically. This is what makes the tools of Chinese medicine particularly appropriate when these affects are strong, as they often are with IBS.

Many people with IBS are unsatisfied with conventional treatments and seek alternatives, including acupuncture and Chinese herbal medicine (3). A recent review(*) of published studies found that there were clinical trials that showed that acupuncture was more effective at relieving IBS symptoms than pharmacological medicine, and that acupuncture combined with herbal medicine “had the highest probability of being the best option for improving global IBS symptoms”(3). While the authors thought that the evidence wasn’t strong enough to make them certain that acupuncture treats the symptoms of IBS effectively, they did recommend that IBS patients who were intolerant of the side effects of standard pharmacological treatment consider using acupuncture and related therapies.

The illustration is of people eating a wide range of foods. Many people find that restricting their diets helps with their IBS symptoms. Our goal is to strengthen the digestion so that they can go back to eating all the foods.

* Actually a review of reviews. But that’s a bit meta to write in a blogpost.

  1. Savas LS, White DL, Wieman M, Daci K, Fitzgerald S, Laday Smith S, Tan G, Graham DP, Cully JA, El-Serag HB. Irritable bowel syndrome and dyspepsia among women veterans: prevalence and association with psychological distress. Aliment Pharmacol Ther. 2009 Jan;29(1):115-25. doi: 10.1111/j.1365-2036.2008.03847.x. Epub 2008 Sep 9. PMID: 18785989; PMCID: PMC2939246.
  2. Lee SP, Sung IK, Kim JH, Lee SY, Park HS, Shim CS. The effect of emotional stress and depression on the prevalence of digestive diseases. J Neurogastroenterol Motil. 2015;21(2):273-282. doi:10.5056/jnm14116
  3. 1. Wu IXY, Wong CHL, Ho RST, et al. Acupuncture and related therapies for treating irritable bowel syndrome: overview of systematic reviews and network meta-analysis. Therapeutic Advances in Gastroenterology. January 2019. doi:10.1177/1756284818820438

Filed Under: Common conditions Tagged With: abdominal pain, altered bowel habits, bloating, eat all the foods, IBS, IBS-C, IBS-D, irritable bowel syndrome

December 23, 2020 by Giles

betterness certificate

 

A Betterness Certificate gives you or a friend some betterness in the future. Certificates are redeemable against consultation fees and products from Betterness Acupuncture & Herbs. Individually named and numbered certificates will be emailed to purchasers. Just enter what value you would like the certificate to have.

Filed Under: Uncategorized Tagged With: betternesscertificate, betternessinsurance, betternessnotsickness, investinyourhealth, wellnesscertificate, wellnessinsurance

October 20, 2020 by Giles

hayfever acupuncture

Acupuncture and Chinese herbal medicine have been shown to alleviate the symptoms of seasonal allergic rhinitis – better known to sufferers as hayfever. (1,2) A recent systemic review and meta-analysis found that acupuncture reduces nasal symptoms and improves quality of life. (5)

Another study showed that acupuncture reduces the antihistamine use of hayfever sufferers.(3)

We realise that most people will just pop an OTC antihistamine for their hayfever, but don’t take them all spring and summer. Long-term antihistamine use is associated with obesity and insulin resistance.(4)

One of the herbs we often use is 辛荑 xin yi, or magnolia flowers

  1. Xue CC, Zhang AL, Zhang CS, DaCosta C, Story DF, Thien FC. Acupuncture for seasonal allergic rhinitis: a randomized controlled trial. Ann Allergy Asthma Immunol. 2015 Oct;115(4):317-324.e1. doi: 10.1016/j.anai.2015.05.017. Epub 2015 Jun 11. PMID: 26073163.
  2. Xue CC, Thien FC, Zhang JJ, Da Costa C, Li CG. Treatment for seasonal allergic rhinitis by Chinese herbal medicine: a randomized placebo controlled trial. Altern Ther Health Med. 2003 Sep-Oct;9(5):80-7. PMID: 14526714.PMID: 14526714.
  3. Adam D, Grabenhenrich L, Ortiz M, Binting S, Reinhold T, Brinkhaus B. Impact of acupuncture on antihistamine use in patients suffering seasonal allergic rhinitis: secondary analysis of results from a randomised controlled trial. Acupunct Med. 2018 Jun;36(3):139-145. doi: 10.1136/acupmed-2017-011382. Epub 2018 Feb 10. PMID: 29440045; PMCID: PMC6029641.Link.
  4. Ratliff, J.C., Barber, J.A., Palmese, L.B., Reutenauer, E.L. and Tek, C. (2010), Association of Prescription H1 Antihistamine Use With Obesity: Results From the National Health and Nutrition Examination Survey. Obesity, 18: 2398-2400. doi:10.1038/oby.2010.176
  5. He, M., Qin, W., Qin, Z. et al. Acupuncture for allergic rhinitis: a systematic review and meta-analysis. Eur J Med Res 27, 58 (2022).doi.org/10.1186/s40001-022-00682-3

Filed Under: Common conditions Tagged With: antihistamine, hayfever, obesity, seasonal rhinitis

October 6, 2020 by Giles

CBD parking

CBD parking sucks. We know that. But we’ll lessen the grievance by reimbursing your parking cost at the next appointment. The map below should help, and there is a City of Perth Parking app that tells you where there are empty bays. There is no street parking on the Terrace between Barrack and William, but there are sometimes 1 hour bays on The Esplanade that would be fine for a standard consultation.

Filed Under: blog Tagged With: CBDparking, CPPMobileApp, freeparking, parkingsucks

October 1, 2020 by Giles

spring health

Look after your health in spring. In short:

  • you can go to bed a bit later than in winter
  • get up early and do some light exercise
  • hang loose!
  • start new projects, try to lose some bad routines or fixations
  • shout or sing!
  • avoid the wind
  • eat more mint, sweet rice, mushrooms, peas, sunflower seeds, and pine-nuts

[Read more…]

Filed Under: blog

August 20, 2020 by Giles

we’ll cook your herbs

chinese herb cooker

That’s right. While we prefer people to cook their herbs so they become involved in their own healing, we don’t want to create a barrier that is too high for busy people. So the clinic has welcomed a new bit of kit. It looks like something from the Tardis, but it will cook your herbs for you if you just can’t do it yourself.

There will be a small fee to discourage wanton use of the service.

Herb cooking: $25

Filed Under: blog

August 2, 2020 by Giles

winter health

winter health

The three months of winter,
they denote securing and storing.
The water is frozen and the earth breaks open.

Do not disturb the yang [qi].
Go to rest early and rise late.
you must wait for the sun to shine.

Let the mind enter a state as if hidden,
as if shut in

as if you had secret intentions;

as if you already had made gains.

winter health

Avoid cold and seek warmth and
do not [allow sweat] to flow away through the skin.
This would cause the qi to be carried away quickly.
This is correspondence with the qi of winter and
it is the Way of nourishing storage.

Opposing it harms the kidneys.
In spring this causes limpness with receding [qi],
there is little to support generation.

– Huang di Nei Jing Su Wen trans. Paul Unschuald

Chinese winters are cold, particularly in the North. So Chinese Medicine texts talk of cold, dry winters. Perth’s winter months are the coldest of the year, but are relatively mild and quite wet, typically with cold fronts bringing south-westerly winds and days of heavy rain. By the local Nyoongar calendar, we are moving from Makuru, the coldest and wettest season to Djilba or first spring, with some wet days, and more clear, cold nights and pleasantly warm days.

Despite this difference with the cosmic flow of yin and yang in the Middle Kingdom, Chinese Medicine still has good tips for winter health.

As the Su Wen outlines above, we should stay indoors and avoid the cold. Most of us will welcome the advice that we shouldn’t get out of bed until the sun comes up. Winter is a time to reserve and store and some have interpreted the rather cryptic third stanza above as applying this to sexual activity, but the ninth century commentator and editor Wang Bing commented ‘All this to say one does not wish to go out needlessly lest one is struck by cold’ (Unschuld p. 49). Those that like to snuggle up in winter would prefer this interpretation. Notably Makuru is the season of fertility, and many indigenous plants flower in winter.

We should be particularly careful about not getting chilled after exercise. Young people have abundant warm energy or yang so it is ok for them to perspire at footy training in the evening, but even they should be sure to have a hot shower afterwards and change out of sweat-damped clothes. The rest of us should be even more cautious about exercising late, or outdoors.

Winter is the time to eat warming, full-flavoured foods and to nourish the Shen organ-meridian system linked to the kidneys. Wong’s ‘Four Seasons’ suggests: anchovies, bay leafs, capers, chestnuts, chicken, coriander, dill, fennel, leek, mussels, mutton, nutmeg, pine nuts, rosemary, spring onions, prawns, sweet potatoes, and walnuts. Trout and salmon are warm-natured fish. Eat stews, soups and curries, particularly of flavoursome foods with plentiful qi such as mutton or brisket. As well as eating warming foods we should moderate our consumption of cooling foods. Winter is not the best time to eat a lot of raw foods, salads, sushi or icecream, tofu should be cooked or even fried.

Winter is also time when it’s thought to be healthy to enjoy a little alcohol. Chinese will drink rice wine that has had warming herbs steeped in it, but regular wine is warm enough to help us through winter. Wong says that it ‘enlivens the spleen, warms the digestive system, expels wind and cold, promotes circulation of the qi and blood, improves appetite and dispels fatigue.’ But alcohol would kindle any fire in the body, and red wine seems particularly unhelpful to people who overheat at night. The alcohol in beer is warming, but beer can bring dampness. Dark beers warm the yang more than light ones, and some beers are brewed with orange peel, cardamon, and other spices that can warm the digestive system and reduce dampness.

Be careful though, while the seasonal qi is cool, we have the adverse qi of even winters being warmer than usual. And western diet and stress tend to generate pathogenic warmth, particularly when alcohol is added.

At the first signs of having caught a cold simmer two slices of ginger with three spring onion stalks for twenty minutes and drink the broth.

A warming nourishing dish from Professor Wong’s Food for the Seasons that doesn’t use meat:

stir-fried daikon radish with carrot

Stir-fry finely diced daikon radish with carrot until al dente and slightly browned. Add a handful of chopped shallots and cook for another minute. Add soy sauce and black pepper to taste.

Wong says that the carrot supports digestion and the radish clears damp that hinders digestion.

Filed Under: blog Tagged With: don'tgetsweatyoutdoors, healthybooze, stay warm, winter health

June 2, 2020 by Giles

acupuncture for runners

people runningMany elite runners get acupuncture. Here’s an article in ‘Runner’s World’ in which the author describes first getting acupuncture after competing in a marathon in Japan, where it was made available to every participant in the race. He says that he used acupuncture to recover from an injury and as regular part of his training regimen. The article says that acupuncture is as widely used as massage by Asian athletes, and while some elite American runners use it to for existing ailments, it “may prove most beneficial as preventative medicine”.

I posted before about acupuncture for sports performance and recovery, and there are links to some research that show that it’s a good idea there.

Filed Under: Uncategorized Tagged With: acupuncture for runners, preventative medicine

May 21, 2020 by Giles

autumn health

The oldest Chinese medicine text covers autumn health.

The three months of autumn,
they denote taking in and balance,
The qi of heaven becomes tense.
The qi of the earth becomes bright.

Go to rest early and rise early,
get up together with the chicken.
Let the mind be peaceful and tranquil, so as
to temper the punishment carried out in autumn.

Collect the spirit qi and
cause the autumn qi to be balanced.
Do not direct your mind to the outside and cause the lung qi to be clear.

This is correspondence with the qi of autumn and
it is the Way to nourish gathering.
opposing it harms the lung.
In winter this causes outflow of [undigested] food and
there is little to support storage.

– Huang di Neijing Suwen trans. Paul Unschauld

Winter is cold in much of China, bitterly so in parts. While summer is the season of growth, winter is one of repose, and autumn is the time to prepare for winter as nature’s energy contracts. Chinese autumns are dry after hot, wet summers, and it is the organ-meridian system linked to the lungs that is most susceptible to dryness. There may also be strong winds and violent storms – this is one meaning of the ‘punishment’ mentioned above.i To counter the dryness moistening foods such as pear and sesame are eaten. Lung qi is also a part of our defence against wind, cold, and storms, so one translator of the Neijing advises avoiding smoking and grief, both of which damage the lung qi. Autumn is a good time to strengthen the body against ailments such as asthma and arthritis that some people find get worse in winter

And while the qi of autumn is dry, it is important to avoid damp as this can lodge in the body and cause coughing, shoulder and back pain, and even weakness in winter.ii So change out of damp sweaty clothes from exercise as soon as you can. Avoid wind chill as well, as getting struck by this can also affect health in winter. So even though the days are still mild, stay wrapped up and keep extra layers handy.

perth mean rainfallWinter is comparatively mild in most of Australia, and autumn is not always dry. Perth autumns are historically wetter than summer with the rains starting in May and getting heaviest in June and July. Rain tends to be intermittent but heavy as cold fronts cross the coast. But Perth autumns are getting dryer:iii March and April are hot and dry with temperature records being broken this year, and there were bushfires around Perth this week and most gardeners are still watering. So it could be that dryness should be associated with our autumns, as there is now an extended dry period from spring to autumn, and things keep getting dryer.

This long, hot, dry period withers us. Autumn is a good time to clear any residual heat and to moisten dryness. Clearing the heat would be best done in early Autumn, so now it is the time to eat nourishing and moistening foods:

  • pear, apple, persimmon, pomegranete
  • sesame, peanuts
  • tofu, barley, pork, and fatty fish.

Wong’s ‘Food For the Seasons’iv has great advice and recipes, it even recommends lamb’s fry and bacon as a seasonally appropriate dish as a little fat nourishes yin and moistens dryness. Here’s the recipe:

1/2 tablespoon olive oil
4 rashers streaky bacon
8 thin slices lamb’s liver
flour to dust liver
4 tablespoons lamb stock*

Fry bacon until crisp, remove and keep warm. Skin and trim liver pieces, coat with flour, season, and briefly fry both sides until browned. It shouldn’t be overcooked but be pink in the middle. Warm stock in the pan, pour over bacon and liver. This could be served with a leafy green vegetable such as bok choy. Spinach, and silverbeet are in season too.

Any stock or broth could be used. In fact just quietly, lamb expresses the qi of spring, so wouldn’t really be appropriate.

i The other is that executions were carried out in autumn

ii Dampness describes pathological fluid that tends to congeal, rather than to moisten dryness. Just as there are inappropriate ways to warm up a hypothermic person, there are plenty of ways that wetness does not moisten pathological dryness – bathing, getting caught in the rain, wearing damp clothes, living or sleeping in a damp environment.

iii See the Water Corporations table comparing mean rainfall 1994-2017, with 1876 – 2016, 2019, and 2020 to date

iv Available from Wild Dog Books

The ukiyo-e is Daitokuji Takagiri-in by Kantatsu Yoshizawa and is from the “Thoughts from a Takayama Rooftop” blog.

 

Filed Under: blog Tagged With: autumn health

March 31, 2020 by Giles

honeysuckle flower – fever, sore throat

honeysuckle flower fever sore throat
This is Japanese honeysuckle flower. It is traditionally used for fever, sore throat, colds, flus, and infectious skin diseases. So it is part of a famous combination of herbs called Yin Qiao San that was composed centuries ago when trade with the West brought new epidemic diseases to China.
In China it was given to people with the initial symptoms of COVID-19 infection (1).

There is scientific evidence to back this up. For instance a 2018 systematic review of the biological properties of honeysuckle flower found that it has antibacterial, antiviral, anti-inflammatory, and anti-pyretic effects.(2) It was part of a combination of herbs given to “first-line medical staff” treating SARS in Beijing and none off these contracted SARS.(3) in addition, 23 Chinese Provinces issued preventative programmes using herbal medicine against COVID-19, and a review of the history, research evidence, and current prevention programmes concluded that people at high risk of contagion “would probably benefit from taking CHM formulae for prevention”.(3) In China these formulae are readily available in hospitals and pharmacies.

Yes. China once had to deal with epidemic diseases from the West.

Please note that under Australian Healthcare Advertising regulations, there is not enough high standard evidence to state that jin yin hua or Chinese Herbal Medicine in general effectively prevents infection by COVID-19, and no claim is made here that it does.

(1) Chen JK ‘How COVID-19 (2019-nCoV) is Currently Treated in China with TCM’
Retrieved 31/3/20 here:
(2) Yan-Ran Tang et al. Digital Chinese Medicine 1, 2, June 2018, 173-188. ‘Lonicerae Flos: A Review of Chemical Constituents and Biological Activities.’
Retrieved 31/3/2020 here:
(3) Lou et al. Chin J Integr Med 2020 Apr;26(4):243-250. ‘Can Chinese Medicine Be Used for Prevention of Corona Virus Disease 2019 (COVID-19)? A Review of Historical Classics, Research Evidence and Current Prevention Programs’
Retrieved 1/4/20 here:

[Read more…]

Filed Under: blog Tagged With: covid-19, fever, prevention, sore throat

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