Technorati Profile Navigating Natural Health for Women: February 2019

Tuesday, February 5, 2019

Acupuncture Beats Drugs for Endometriosis: One Leading Cause of Infertility

At Eagle Acupuncture one of the most common diagnosis is endometriosis. Many women suffer tremendous pain and the condition can cause infertility. Many patients are recommended to try birth control bills to reduce their symptoms related to endometriosis but this obviously poses a challenge for couples who want to conceive. Other patients are referred out to a fertility center or a reproductive endocrinologists office for IVF (in-vitro fertilization) consultation . However, most patients aren't told about a non-invasive, safe and more effective treatment: Acupuncture. This study proves yet again, acupuncture and TCM treat endometriosis effectively and reduces a woman's level of pain and lowers her bio-markers for cancer. Read on for intriguing and impressive results.

In an astounding discovery: researchers prove acupuncture more effective than hormone drug therapy for the treatment of endometriosis. Acupuncture relieves menstrual pain caused by endometriosis, reduced the size of pelvic masses, lowers CA125 levels, and reduces the recurrence rate of endometriosis. CA125 a one bio-marker for several types of cancer and benign conditions including:  endometriosis and menstrual disorders.

Researchers at Tongji University hospital compared acupuncture with standard drug therapy. Patients receiving acupuncture achieved a 92.0% total effective rate. Patients receiving the drug mifepristone achieved merely a 52.0% total effective rate.

Mifepristone, also known by its trademarked name RU-486, is a synthetic steroid that inhibits progesterone action and is used for the treatment endometriosis and also for inducing abortions.

Acupuncture reduced pain levels more than the medication mifepristone. Endometriosis relapse rates were less in the acupuncture group than compared to the drug group. At the one year follow-up exams found that the recurrence rate for the group receiving drug therapy was 36%. By comparison, the group that had received acupuncture had an endometriosis recurrence rate of only  20%.

In addition, pelvic mass sizes and growth lessened more significantly in the acupuncture group than in the drug group. The findings were detected and verified with B-scan ultrasound.

Inclusion criteria for this study included Traditional Chinese Medicinal (TCM) differential diagnostic pattern differentiation of blood stasis. In TCM, endometriosis is related to the dysfunction of the Kidneys, Spleen, and the Liver organs. In addition, cold may create coagulation of blood and obstruction in the uterus. This deleterious pattern impedes qi and blood circulation in the uterus, leading to menstrual pain due to a lack of delivery of vital energy,  nutrients  and proper blood flow to uterine tissues. Endometriosis treatment in TCM typically focuses on invigorating blood circulation, dissolving blood stasis, and regulation of the kidneys, spleen, and liver organs.

The patients in mifepristone group, patients received 12.5 mg tablets one time daily for six months. Patients in the acupuncture treatment group were treated with the following acupuncture points:
  • CV6 (Qihai)
  • CV4 (Guanyuan)
  • CV3 (Zhongji)
  • Zigong (Extra)
  • SP10 (Xuehai)
  • SP6 (Sanyinjiao)
  • LV2 (Xingjian)
  • LV3 (Taichong)
Treatment commenced with patients in a supine position. After disinfection of the acupoint sites, a 0.30 mm × 40 mm disposable filiform needle was inserted into each acupoint with a high needle entry speed. Xuehai, Sanyinjiao, Xingjian, and Taichong were perpendicularly needled to achieve a deqi sensation. Qihai, Guanyuan, Zhongji, and Zigong acupoints were obliquely (in a downward direction, 45°) needled to a standard depth. Needles were rotated, lifted, and thrust rapidly after insertion to achieve a deqi sensation in the pelvic region. Subsequently, the needles were retained and moxibustion was applied to acupoints (Qihai, Guanyuan, Zhongji, Zigong). Moxabustion, each 2 cm long, were attached to each needle handle and lit for warmth. Moxa was left in place to self-extinguish. Moxibustion was applied three times per 30 minute needle retention time. One acupuncture and moxibustion session was applied every other day, and omitted during menstruation. The treatment was applied for a grand total of 6 months.
The treatment effective rate for all patients in the study was evaluated based on the VAS rating scale and categorized into 1 of 3 tiers:
  • Significantly effective: Rating reduction of at least 50%. Significant improvement of menstrual pain.
  • Effective: Rating reduction of at least 25%. Improvement of menstrual pain.
  • Ineffective: Rating reduction of less than 25%. No improvement of menstrual pain.
All patients underwent Visual Analogue Scale (VAS) assessments before and after their treatments. VAS is an instrument that measures pain intensity levels experienced by patients. B-scan ultrasonography was conducted to calculate the size of pelvic masses. A CA125 test was also conducted to measure the amount of CA125 (cancer antigen 125) in the blood. CA125 is used clinically in the diagnosis and management of endometriosis.
Prior research (Chang et al.) documents that patients with endometriosis have higher levels of CA125 than women without endometriosis. Chang et al. note that the value of CA125 reflects the invasiveness of endometrial tissue beyond a normal locus. Additionally, the Tongji University researchers cite investigations demonstrating that the value of CA125 is related to the severity of dysmenorrhea (menstrual cramping and pain).
Compared with the drug group, the acupuncture treatment group displayed a significant improvement in VAS scores. Patients in the acupuncture treatment group had smaller pelvic masses caused by endometriosis and had lower levels of CA125. There is a statistically significant difference between the two groups. The researchers also conducted a follow-up survey after treatment completion. They found that the recurrence incident rate of endometriosis in the treatment group was 20%. The recurrence incident rate of endometriosis in the control treatment group was 36%.
The research demonstrates that acupuncture is a safe and effective treatment for the alleviation endometriosis. Subjective and objective data supports the conclusions of the researchers in the controlled clinical trial. Based on the data, acupuncture is found effective for the treatment of endometriosis and lowers relapse rates.
The study design was as follows. The study involved the selection of 50 patients at the acupuncture and gynecology departments at the affiliated Tongji hospital of Tongji University. All patients were diagnosed with endometriosis between January 2010 and December 2015. They were randomly divided into an acupuncture treatment group and a drug control group, with 25 patients in each group. The treatment group underwent Traditional Chinese Medicine (TCM) acupuncture therapy and the control group received mifepristone tablets.
The statistical breakdown for each randomized group was as follows. The average age in the acupuncture treatment group was 36 (±3) years. The average course of disease in the acupuncture treatment group was 2.49 (±2.11) years. The average age in the drug control group was 34 (±4) years. The average course of disease in the drug control group was 2.87 (±1.89) years. For both groups, there were no significant differences in terms of their gender, age, and course of disease prior to the beginning of the study.
The primary acupoints selected for the treatment of endometriosis were the following: Qihai, Guanyuan, Zhongji, Zigong, Xuehai, Sanyinjiao. The researchers provided the TCM basis for the acupuncture point selection. Qihai is located on the Ren meridian. Needling Qihai regulates source qi and blood circulation. Guanyuan is a meeting point of the Chong meridian and the Ren meridian. Needling Guanyuan regulates both the Chong and Ren meridians, promotes qi and blood circulation, and relieves menstrual pain. Zhongji is a meeting point of the three foot yin meridians and the Ren meridian. Needling this point is indicated for benefiting qi and blood circulation and relieving menstrual pain. In a clinical setting, Qihai, Guanyuan, and Zhongji are used as a combination for relieving menstrual pain. Zigong is an extra acupoint and is traditionally indicated for lower abdominal pain due to obstruction of qi and blood. Xuehai is an acupoint on the foot Taiyin spleen meridian. Needling this acupoint regulates qi and blood circulation. Sanyinjiao is a meeting point of the three foot yin meridians. Needling this point fortifies the liver, spleen, and kidneys, which is also helpful for regulating qi and blood circulation and relieving menstrual pain.
The focus of this study was to scientifically verify that traditionally indicated acupoints for the treatment of endometriosis are effective. Objective examinations and subjective data confirm that the TCM treatment protocol is both safe and effective for the treatment of endometriosis. Less pain, smaller masses, and improved CA125 levels were documented. Moreover, acupuncture outperformed  drug therapy.

 Quelle (July 2017): http://www.healthcmi.com
Source: https://ogka.at/acupuncture-better-than-drugs-for-endometriosis-pain-relief/

References:
Shen Q, Lu J. Clinical Observation of Acupuncture-moxibustion for Endometriosis [J]. Shanghai Journal of Acupuncture and Moxibustion, 2017, 36 (6).
Narvekar, Nitish, Sharon Cameron, Hilary OD Critchley, Suiqing Lin, Linan Cheng, and David T. Baird. “Low-dose mifepristone inhibits endometrial proliferation and up-regulates androgen receptor.” The Journal of Clinical Endocrinology & Metabolism 89, no. 5 (2004): 2491-2497.







Blog Authored By USA Industry Leader in the Infertility Field: Kristen Burris, L.Ac., M.S.T.O.M. known by her patients as "The Baby Maker". She has practiced nearly 20 years treating the most difficult infertility cases throughout the U.S. She offers local treatments and herbal medicine consultations throughout the U.S that have resulted in over 500 births in: Idaho, California, Washington, Oregon, Utah, Nevada, Oklahoma, Virginia, New York and New Jersey.