Posts Tagged ‘Traditional Chinese medicine’

Ancient Chinese folk remedy packs anti-cancer punch

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A group of promising cancer-fighting compounds derived from a substance used in ancient Chinese medicine will be developed for potential use in humans, the University of Washington announced today.

The UW TechTransfer Office has signed a licensing agreement with Chongqing Holley Holdings, a Chinese company, and Holley Pharmaceuticals, its U.S. subsidiary.

The compounds, all developed through the research of UW scientists Henry Lai and Narendra Singh of the Department of Bioengineering and Tomikazu Sasaki of the Department of Chemistry, make use of a substance known as artemisinin, found in the wormwood plant and used throughout Asia since ancient times to treat malaria.

Although the compounds are promising, potential medical applications are still years away, officials say.

“We are very excited about the UW’s discovery and an opportunity to develop an artemisinin-based cancer drug,” Kevin Mak, chief scientist at Holley, said. “The technology is very promising, but it’s in its early stages. Further research and clinical trials are needed.”

The company, located in Chongqing, China, has been in the artemisinin business for more than 30 years, and is a world leader in farming, extracting and manufacturing artemisinin, its derivatives and artemisinin-based anti-malaria drugs, officials say.

Lai said he became interested in artemisinin about 10 years ago. The chemical helps control malaria because it reacts with the high iron concentrations found in the single-cell malaria parasite. When artemisinin comes into contact with iron, a chemical reaction ensues, spawning charged atoms that chemists call “free radicals.” The free radicals attack the cell membrane and other molecules, breaking it apart and killing the parasite.

Lai said he began to wonder if the process might work with cancer, too.

“Cancer cells need a lot of iron to replicate DNA when they divide,” Lai explained. “As a result, cancer cells have much higher iron concentrations than normal cells. When we began to understand how artemisinin worked, I started wondering if we could use that knowledge to target cancer cells.”

Perhaps the most promising of the methods licensed involves the use of transferrin, to which the researchers bind artemisinin at the molecular level. Transferrin is an iron-carrying protein found in blood, and is transported into cells via transferrin receptors on a cell’s surface.

Iron-hungry cancer cells typically have significantly more transferrin receptors on their surface than normal cells, which allows them to take in more of the iron-carrying protein. That, according to Lai, is what seems to make the compound so effective.

“We call it a Trojan horse because a cancer cell recognizes transferrin as a natural, harmless protein and picks up the tagged compound without knowing that a bomb – artemisinin – is hidden inside.”

Once inside the cancer cell, the iron is released and reacts with the artemisinin. That makes the compound both highly toxic and, because of cancer’s rapacious need for iron, highly selective. Surrounding, healthy cells are essentially undamaged.

“Our research in the lab indicated that the artemisinin-tagged transferrin was 34,000 times more effective in selecting and killing the cancer cells than normal cells,” Lai said. “Artemisinin alone is 100 times more effective, so we’ve greatly enhanced the selectivity.”

Source: Eurekalert

Vanderbilt-Ingram Cancer Center researchers find
ginseng may improve breast cancer outcomes

Schwartz Posted in Acupuncture, Herbs, Oncology,Tags: , , , , , , ,
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Ginseng, one of the most widely used herbs in traditional Chinese medicine, may improve survival and quality of life after a diagnosis of breast cancer, according to a recent study by Vanderbilt-Ingram Cancer Center researchers.

The large epidemiological study, led by Xiao-Ou Shu, M.D., Ph.D., was published online recently in the American Journal of Epidemiology.

Ginseng is a slow-growing perennial herb whose roots have been used in traditional Chinese medicine for more than 2,000 years. The two main classes of ginseng – red and white – have different biological effects, according to traditional Chinese medicine theory. White, or unprocessed, ginseng is used over long periods to promote general health, vitality and longevity. Red, or processed, ginseng provides a much stronger effect and is used for short periods to aid in disease recovery.

Both varieties of ginseng contain more than 30 chemicals, called ginsenosides, which have anti-tumor effects in cell culture and animal studies, suggesting that the herbs may provide specific benefits to cancer patients. In fact, ginseng use has been increasing among cancer patients in recent years, particularly in women diagnosed with breast cancer.

However, despite the encouraging laboratory findings, scientific analysis of ginseng’s health benefits in patient populations has been lacking. “There is a lot of skepticism about herbal medicine,” said Shu. “That is why we are taking the observational approach at this time to see whether there is any efficacy. If so, we can go to the next phase. … and eventually go to clinical trials.”

Shu and colleagues assessed the effects of ginseng use in breast cancer survivors as part of a large epidemiological study, the Shanghai Breast Cancer Study, which has followed 1,455 breast cancer patients in Shanghai since 1996. For the current study, Shu and colleagues evaluated breast cancer patients for ginseng use both before and after their diagnosis of breast cancer. All patients who used ginseng had received at least one type of conventional cancer therapy (e.g., surgery, chemotherapy and/or radiotherapy).

Information on ginseng use prior to cancer diagnosis, which was available for every subject, was used to determine whether prior ginseng use predicted survival. At follow up – about three to four years after diagnosis – the researchers asked about ginseng use since diagnosis. That information, which was available only for survivors, was used to look at quality of life measurements – i.e., physical, psychological, social and material well-being.

Before diagnosis, about a quarter of patients (27.4 percent) reported using ginseng regularly. After diagnosis, that percentage jumped to 62.8 percent, the researchers found. They also found significant improvements in both survival and quality of life measures in patients who used ginseng. “When patients used ginseng prior to diagnosis, they tended to have higher survival,” Shu explained. “Ginseng use after cancer diagnosis was related to improved quality of life.”

The findings suggest that ginseng may provide tangible benefits to breast cancer survivors, but there are limitations to the study. The varieties and the methods of ginseng use and the use of other complementary and alternative therapies could not be fully accounted for in the analysis. Also, the quality of life measures exclusively relied on patient self-reporting.

Although side effects of ginseng use were not recorded in this study, Shu warned that the seemingly innocuous root can create problems when improperly used and should be taken with caution. “It’s not a ‘drug’ in terms of being managed by the FDA, but it was used as a drug in traditional Chinese medicine,” she said. “Any drug may have some side effects and may interact with other drugs. So, discuss with your primary care doctor before you decide to take ginseng roots or products.”

Shu hopes to confirm and expand the current findings through continued collection of data in this patient population, from another ongoing study of 4,000 breast cancer patients, and eventually, in randomized clinical trials. Scientific study of complementary and alternative medicines is tricky though, said Shu. “Chinese traditional medicine is very individualized. It gives you different drugs based on your symptoms and your overall health. There is much to be learnt.”

Source: Eurekalert

A Chinese medicine compound has satisfactory anti-cancer effects on hepatocellular carcinoma

Schwartz Posted in Chinese Medicine, Gastrointestinal,Tags: , , , , , , , ,
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Traditional Chinese medicine is world renowned. It has supernatural effects on some diseases, but the reason is still unknown. One such article was recently reported in the November 7 issue of the World Journal of Gastroenterology dealing with the great significance of a Chinese medicinal compound, delisheng, for the therapy of HCC and its neoteric research method. The research team was led by Dr. Ke-Jun Nan from The First Affiliated Hospital of The School of Medicine of Xi’an Jiaotong University, China. This research will undoubtedly bring comfort to many researchers and patients.

HCC is a highly malignant tumor with a very high morbidity and mortality. Despite extensive efforts by many investigators, systemic chemotherapy for HCC has been quite ineffective. Delisheng is a Chinese medicinal compound and is often used in conjunction with chemotherapy for HCC, with satisfactory results. The researchers tried to establish the mechanisms for these effects of delisheng on HCC.

Three-dimensional cell culture has been widely used for studying the various molecular processes, because spheroids mimic solid tumors more closely than monolayers. Therefore, the use of three-dimensional culture provides a model for the development of anti-cancer drugs. In this study, cells were cultured with a liquid overlay technique. After the formation of multicellular spheroids, they used the model to perform their experiments.

One conclusion reported by the investigators is that three-dimensional cell culture is suitable for the study of a traditional Chinese medicinal compound, and this may help other researchers to find a better model for drug development. Another interesting conclusion is that delisheng had satisfactory anti-cancer effects on HCC, and these were associated with the up-regulation of endostatin. This was made possible by one of delisheng¡¯s components, ginseng, and this may provide a new method of therapy for HCC.

Thus three-dimensional cell culture has been widely used for studying the various molecular processes and the development of therapy in recent years; this is the first reported finding in which the model can be used for studying traditional Chinese medicine. Furthermore, the view that the satisfactory effects of delisheng were associated with the up-regulation of endostatin made possible by ginseng might inspire other researchers.

The results of this study suggest a promising future for many researchers and HCC patients. First, it provides a new model to study traditional Chinese medicine. Second, it introduces the Chinese medicinal compound delisheng and indicates its further applications.

Source: Eurekalert

Ancient Chinese medicine may help chemotherapy patients

Schwartz Posted in Chinese Medicine, Gastrointestinal,Tags: , , , , , , , ,
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A centuries?old traditional Chinese medicine may reduce the intestinal side effects of chemotherapy in cancer patients by stimulating gut cell division and reducing inflammation, a new study in mice suggests.

The research will appear in the Wednesday, 18 August issue of Science Translational Medicine, which is published by AAAS, the nonprofit science society.

Peonies and a pretty purple flower called skullcap, together with licorice and fruit from a buckthorn tree form Huang Qin Tang (pronounced Hu-ang Chin Tong), an ancient herbal medicine used in China to treat intestinal disorders such as diarrhea, nausea and vomiting. Recently, a Western-style phase 1/2 trial confirmed that this drug reduces gut damage caused by chemotherapy in colon and rectal cancer patients.

In the new study, Yung- Chi Cheng, along with Wing Lam and colleagues from Yale University School of Medicine and a company called PhytoCeutica, Inc. use a carefully prepared, lab formulation of this medicine (called PHY906) and show that the healing effects of this blend of plants arise from its ability to target numerous biological processes in mice.

“The reductionist approach to treating multiple side effects triggered by cancer chemotherapy or complicated disease may not be sufficient. Rigorous studies of the biology of traditional herbal medicines, which target multiple sites with multiple chemicals, could lead to the development of future medicines,” said Cheng.

Dr. Cheng is a scientific founder of and has equity interest in PhytoCeutica, Inc., which develops traditional Chinese medicine into drugs for the treatment of cancer and that licenses PHY906 from Yale University. Additionally, two authors of this paper own stock in PhytoCeutica, Inc. Yale University holds a patent on the herbal composition PHY906 and its use in chemotherapy.

In the study, the researchers treated cancerous mice with chemotherapy, which shrank tumors but also caused massive destruction in the intestinal lining of the animals. After a few days of treatment with PHY906, the medicine restored the damaged intestinal linings in the mice. The team found that stem cell signaling molecules (known as Wnts) were present in higher than normal levels in the guts of the treated mice. Taking a closer look, the researchers discovered that PHY906 itself did not stimulate Wnt signaling, but that mixing PHY906 with a bacterial enzyme common in the gut triggered Wnt signaling, which drives the replacement of damaged intestinal stem cells with healthy ones.

In addition to replenishing healthy gut cells, the herbal medicine blocked the migration of inflammatory cells to the gut and reduced inflammation–effects that seem to be caused by multiple actions of PHY906. These results suggest that traditional Chinese medicine may be a model approach for drug developers, who are eagerly testing combinations of agents in the hope that they hope will work better than any one alone.

“We will continue to refine these processes to better study and understand the sophisticated nature of herbal medicines. Revisiting history may lead us to discovering future medicines,” said Cheng.

PHY906 is currently only available for patients enrolled in a clinical trial. The authors caution that many herbal products claiming to be Huang Qin Tang may contain harmful or ineffective substitutes and should be avoided.

Source: Eurekalert

Acupuncture reduces pain and dysfunction in head and neck cancer patients

Schwartz Posted in Acupuncture, Oncology,Tags: , , , , , , ,
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New data from a randomized, controlled trial found that acupuncture provided significant reductions in pain, dysfunction, and dry mouth in head and neck cancer patients after neck dissection. The study was led by David Pfister, MD, Chief of the Head and Neck Medical Oncology Service, and Barrie Cassileth, PhD, Chief of the Integrative Medicine Service, at Memorial Sloan-Kettering Cancer Center (MSKCC). Dr. Pfister presented the findings today at the annual meeting of the American Society for Clinical Oncology.

Neck dissection is a common procedure for treatment of head and neck cancer. There are different types of neck dissection, which vary based on which structures are removed and the anticipated side effects. One type – the radical neck dissection – involves complete removal of lymph nodes from one side of the neck, the muscle that helps turn the head, a major vein, and a nerve that is critical to full range of motion for the arm and shoulder.

“Chronic pain and shoulder mobility problems are common after such surgery, adversely affecting quality of life as well as employability for certain occupations,” said Dr. Pfister. Nerve-sparing and other modified radical techniques that preserve certain structures without compromising disease control reduce the incidence of these problems but do not eliminate them entirely. Dr. Pfister adds, “Unfortunately, available conventional methods of treatment for pain and dysfunction following neck surgery often have limited benefits, leaving much room for improvement.”

Seventy patients participated in the study and were randomized to receive either acupuncture or usual care, which includes recommendations of physical therapy exercises and the use of anti-inflammatory drugs. For all of the patients, at least three months had elapsed since their surgery and radiation treatments. The treatment group received four sessions of acupuncture over the course of approximately four weeks. Both groups were evaluated using the Constant-Murley scale, a composite measure of pain, function, and activities of daily living.

Pain and mobility improved in 39 percent of the patients receiving acupuncture, compared to a 7 percent improvement in the group that received usual care. An added benefit of acupuncture was significant reduction of reported xerostomia, or extreme dry mouth. This distressing problem, common among cancer patients following radiotherapy in the head and neck, is addressed with only limited success by mainstream means.

“Like any other treatment, acupuncture does not work for everyone, but it can be extraordinarily helpful for many,” said Dr. Cassileth. “It does not treat illness, but acupuncture can control a number of distressing symptoms, such as shortness of breath, anxiety and depression, chronic fatigue, pain, neuropathy, and osteoarthritis.”

“Cancer patients should use acupuncturists who are certified by the national agency, NCCAOM [National Certification Commission for Acupuncture and Oriental Medicine], and who are trained, or at least experienced, in working with the special symptoms and problems caused by cancer and cancer treatment,” she added.

Acupuncture, a component of Traditional Chinese Medicine, originated more than 2,000 years ago. Treatment involves stimulation of one or more predetermined points on the body with needles, heat, pressure, or electricity for therapeutic effect. A report published by the Centers for Disease Control (CDC) indicated that more than 8 million Americans use acupuncture to treat different ailments. Acupuncture is being used in the palliative care of cancer to alleviate pain and chronic fatigue and to reduce postoperative chemotherapy-induced nausea and vomiting.

Source: http://www.eurekalert.org/pub_releases/2008-05/mscc-arp053008.php

Acupuncture eases radiation-induced dry mouth in cancer patients

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HOUSTON — Twice weekly acupuncture treatments relieve debilitating symptoms of xerostomia – severe dry mouth – among patients treated with radiation for head and neck cancer, researchers from The University of Texas M. D. Anderson Cancer Center report in the current online issue of Head & Neck.

Xerostomia develops after the salivary glands have been exposed to repeated doses of therapeutic radiation. People who have cancers of the head and neck typically receive large cumulative doses, rendering the salivary glands incapable of producing adequate saliva, said Mark S. Chambers, M.S., D.M.D., a professor in the Department of Dental Oncology. Saliva substitutes, lozenges and chewing gum bring only temporary relief, and the commonly prescribed medication, pilocarpine, has short-lived benefits and bothersome side effects of its own.

“The quality of life in patients with radiation-induced xerostomia is profoundly impaired,” said Chambers, the study’s senior author. “Symptoms can include altered taste acuity, dental decay, infections of the tissues of the mouth, and difficulty with speaking, eating and swallowing. Conventional treatments have been less than optimal, providing short-term response at best.”

M. Kay Garcia, LAc, Dr.P.H., a clinical nurse specialist and acupuncturist in M. D. Anderson’s Integrative Medicine Program and the study’s first author, noted that patients with xerostomia may also develop nutritional deficits that can become irreversible.

Garcia, Chambers and their team of researchers conducted a pilot study to determine whether acupuncture could reverse xerostomia. Acupuncture therapy is based on the ancient Chinese practice of inserting and manipulating very thin needles at precise points on the body to relieve pain or otherwise restore health. In traditional Chinese medicine, stimulating these points is believed to improve the flow of vital energy through the body. Contemporary theories about acupuncture’s benefits include the suggestion that needle manipulation stimulates natural substances that dilate blood vessels and increase blood flow to different areas of the body.

The M. D. Anderson study included 19 patients with xerostomia who had completed radiation therapy at least four weeks earlier. The patients were given two acupuncture treatments each week for four weeks. The acupuncture points used in the treatment were located on the ears, chin, index finger, forearm and lateral surface of the leg. All patients were tested for saliva flow and asked to complete self-assessments and questionnaires related to their symptoms and quality of life before the first treatment, after completion of four weeks of acupuncture, and again four weeks later.

The twice weekly acupuncture treatments produced highly statistically significant improvements in symptoms. Measurement tools included: the Xerostomia Inventory, asking patients to rate the dryness of their mouth and other related symptoms; and the Patient Benefit Questionnaire, inquiring about issues such as mouth and tongue discomfort; difficulties in speaking, eating and sleeping; and use of oral comfort aids. A quality-of-life assessment conducted at weeks five and eight showed significant improvements over quality-of-life scores recorded at the outset of the study.

“In this pilot study, patients with severe xerostomia who underwent acupuncture showed improvements in physical well-being and in subjective symptoms,” Dr. Chambers said. “Although the patient population was small, the positive results are encouraging and warrant a larger trial to assess patients over a longer period of time.”

Garcia said that a phase III, placebo-controlled trial is planned and is currently under review. She also noted that in other studies, the M. D. Anderson researchers are examining whether acupuncture can prevent xerostomia in patients treated for head and neck cancer, not just treat it.

“Recently, we completed a study at Fudan University Cancer Hospital in Shanghai, China that compared acupuncture to usual care to prevent xerostomia. We have now started a two-arm placebo-controlled pilot trial in Shanghai. In the prevention trials, acupuncture is performed on the same day as the radiation treatments,” Garcia said.

Source: http://www.eurekalert.org/pub_releases/2009-04/uotm-aer042009.php

TCM and Insomnia: Types, Causes, and Treatment

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Insomnia is characterized as a sleep disorder. It can mean difficulty falling asleep, difficulty remaining asleep, early awakening, and light sleep characterized by dreams and/or nightmares.

Sleep
Image by bitzcelt via Flickr

Traditional Chinese Medicine (TCM) considers most cases to be caused by a deficiency of some sort, usually liver qi deficiency or liver deficiency.

Below is a brief summary of the TCM approach to insomnia as well as a common example of a root cause.

“In modern TCM literature, there is agreement of five common differentiations, two being excess patterns, and three being deficiency patterns.2 Excess patterns tend to be more recent in onset, while deficiency (usually of qi and blood, but also yin) accounts for most of the chronic and prolonged cases. There also exists mixed deficiency and excess types, which are primarily deficiency with excess arising later. Excess can be due to emotional factors or overwork. Deficiency may be due to weak constitution, prolonged illness, worry and anxiety, which can aggravate or cause deficiencies of qi, blood or yin.

Stagnation of Liver Qi Transforming into Liver Fire. In this excess pattern, prolonged emotions such as anger, suppressed depression, shock or worry lead to stagnation of liver qi. As this transforms in to liver fire, it flares up to disturb the mind. This is the cause of the “difficult to fall asleep” pattern, and is different from deficiency fire (described below), which tends to cause “light sleep.” There is an inability to fall asleep until later, and may be followed by vivid or manic dreams.”

At Atlanta Acupuncture, we consult with you to determine the underlying reasons for your insomnia. We will ask you many questions including when you go to bed, how long you sleep for on average, when you wake up, and many more questions that help us determine what is causing the insomnia. We will also measure your pulse to determine any deficiencies and teach you effective relaxation techniques that can help make sleep easier to achieve. Please contact us to schedule an appointment with a licensed acupuncturist.

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Chinese Herbal Formulas for Heart Disease

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Blood stasis can lead to heart illnesses such as angina and coronary heart disease. Traditional Chinese Medicine (TCM) addresses these chronic issues primarily by using herbal formulas. Below is a summary of the main formulas used and how they work in Eastern medicine.

Some elements for Médecine chinoise in Xi'an
Image via Wikipedia

“The two main TCM formulas are Xue Fu Zhu Tang (Anti-Stasis Chest Decoction) and Guan Xin Er Hao Fang (Coronary Decoction No. 2).

Both formulas can be used to address a diverse array of cardiovascular disease presentations. Research has been pursued in China on using these formulas for issues such as angina, coronary heart disease, thrombotic stroke, palpitations and arteriosclerotic heart disease. All of these Western disease conditions have blood stasis as an etiological factor, particularly in diseases of a chronic nature. Two statements by the famous TCM physician Ye Tian-shi reflect this idea and are as follows: “New diseases are in the channels; enduring diseases enter the network vessels,” and “If enduring disease is not cured, damage reaches the blood network vessels, the blood vessels do not flow smoothly, and this results in blood stasis.” Wang Qing-Ren, another legendary TCM practitioner later stated succinctly “In enduring disease, there must be stasis.”

These TCM statements reflect the idea that cardiovascular disease develops slowly over time and that disease mechanisms have been in motion long before the presentation of acute symptoms. Another TCM statement: “If warm qi is not moved, congealed blood brews and is not scattered, the movement of fluids and humors is rough and they seep downward; if these adhere and are not removed, various accumulations will be produced.” This statement reflects the etiology of arteriosclerotic heart disease resulting from dampness and phlegm accumulating and damaging the cardiovascular system. This in turn causes more blood stasis due to blood viscosity and arterial occlusion with concomitant qi stagnation.”

Source: http://www.acupuncturetoday.com/mpacms/at/article.php?id=32257

Please contact us to schedule a consultation. We will help you with heart disease by consulting with you to understand your condition, create a custom herbal formula for you, administer acupuncture, and work closely with your physician to address the root of your unique health condition.

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Heart Failure Exercise Tolerance

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Acupuncture has shown considerable success in treating joint mobility, and like the recent cancer patient post, another recent study has suggested the same benefit for people suffering from heart failure.

Acupuncture mannikin 080520-7464
Image by Tony Rodd via Flickr

“The new research, just published in the medical journal Heart, involved two groups of heart failure patients who were being treated with conventional medications and were in stable condition. Both groups of research subjects believed they were receiving ten authentic acupuncture treatments. However, only one group was given real acupuncture based on traditional Chinese medicine. These treatments focused on acupuncture points believed to boost general strength, influence the sympathetic and parasympathetic nervous systems and reduce inflammation markers. The other control group was treated with special placebo needles that only simulated acupuncture needle pricks but did not break the skin.

The results? After the real acupuncture treatments, the patients could walk far longer than those in the placebo group. What’s more, even though the measurable work capacity of the heart was found to be unchanged, the acupuncture treated heart patients recovered more quickly after exercise and reported they felt far less exhausted.”

Source: http://www.naturalnews.com/029377_acupuncture_heart_failure.html

As exercise is very important to health, a non-drug solution is optimal for people wanting to exercise longer without fatigue and shortness of breath. Acupuncture and Chinese Medicine can help prolong your exercise. Please contact us to find out how we can assist you.

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Acupuncture and the National Cancer Institute

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Most people do not realize how mainstream acupuncture has become for treating cancer patients. The National Cancer Institute has lots of information on their website regarding acupuncture. Here’s a snippet:

“This summary contains the following key information:

  • As part of traditional Chinese medicine, acupuncture has been practiced in China and other Asian countries for thousands of years.
  • Acupuncture is defined as the application of stimulation such as needling, moxibustion, cupping, and acupressure on specific sites of the body known as acupuncture points.
  • Acupuncture has been practiced in the United States for about 200 years. The U.S. Food and Drug Administration approved the acupuncture needle as a medical device in 1996.
  • Acupuncture is used to treat a wide range of illnesses and ailments; however, cancer patients predominantly use it for pain management and nausea and vomiting control.
  • To date, most reported acupuncture research on cancer has been carried out in China.
  • Laboratory and animal studies to explore the mechanisms of acupuncture for cancer treatment have focused mainly on the role of acupuncture in the activation of immune functions, such as increasing blood cell count and enhancing lymphocyte and natural killer cell activity.
  • The aim of most acupuncture clinical observation and clinical trials in cancer patients has been to evaluate the effects of acupuncture on symptom management.
  • The most convincing research data on the effects of acupuncture in cancer patients have emerged from studies of the management of chemotherapy -induced nausea and vomiting.

Source: http://www.cancer.gov/cancertopics/pdq/cam/acupuncture/HealthProfessional/allpages

There is lots of information on the site linked above concerning acupuncture treatments for cancer patients. You can also contact us to discuss the various options that are available.