Welcome to my blog

Acupuncture specialist for Fertility, Facial rejuvenation, Pain relief.
Based at Kensington Central London.Qualified as a medical doctor in Western medicine over 20 years ago in China with a Medical degree from Beijing, China and a PhD degree from the UK. Many year research and clinical experiences

Doctor who is passionate about acupuncture

I love what I do, I am good at it and I am always there for my patients. If you come and see me, you will know why I am standing out.
This blog is to introduce latest development and research of acupuncture and offer a chance of awareness of more treatment options for your condition. The blog is for information purpose only.

About Me

My photo

My specialised areas include fertility for women and men, facial rejuvenation, acne, various pain conditions, chronic fatigue and hormone regulation with acupuncture treatment.

Practice contact for appointments and address

Kensington: for appointments (Mondays, Fridays, Saturdays, and Thursdays) at Anamaya center Kensington please call at 02030110355 or email at info@anamaya.co.uk

Address: 1 Adam and Eve Mews, Kensington, London W8 6UG

2 min walk from High Street Kensington underground station

My background: I became a qualified medical doctor in Western medicine 20 years ago in China and was well trained in Western medicine together with Chinese medicine in the best Medical University in Beijing, China. Also I was trained with Dr Zheren Xuan--famous orthopedics expert and founder of soft tissue surgery in China. I am dedicated to treat patients with acupuncture and am recognized as one of the world leading acupuncture specialists.

I obtained a PhD degree in the University of Leeds in the UK.

I had post doctoral training and worked as a senior researcher in St George's hospital, London, UK.

I had frequently presented my research findings in the top international conferences in the field.

I have many publications including ebooks and articles.

I have many year clinical experiences. Over the years of practicing, I have developed unique treatment approaches for infertility, skin aging, acne, vulvodynia, neck pain, headache, migraine, shoulder pain, back pain, fatigue and hot flushes etc to achieve best treatment results. My devotion and skills are highly praised by my patients. 


Saturday, 29 December 2012

Which types of ovarian cysts can acupuncture treat?

Ovarian cysts are small fluid-filled sacs that develop in ovaries. Most of the cysts are harmless. Some of the cysts may cause bleeding and pain. There are two types of cysts: functional cysts (simple cysts) and pathological cysts. Functional cysts include folicular cysts, corpus luteum cysts. Pathological cysts include dermoid cysts and cystadenoma cysts. See http://www.amazon.com/Know-Your-Ovary-Get-Pregnant-ebook/dp/B00P4K5AUQ

Polycystic-apppearing ovary is enlarged ovary with small cysts present around the outside of the ovary. These cysts can be found in healthy women or women with polycystic ovarian syndrome.

The cysts develop if there is hormone imbalance. Acupuncture can reduce the functional ovarian cysts by correcting imbalance and restoring hormone harmony.

Success story of ovarian cysts treated with acupuncture
Sarah was 25 year old. She was suffering from lower tummy pain and lower back pain for a year, the pain was getting worse for recent 6 months. She also had period pain. She had painful intercourse. Sometimes she felt bloated. She went to see doctor. Ultrasound scan found that there were a few small cysts from 2 cm to 4 cm in her ovaries. Also she was diagnosed with endometriosis. She was told that the ultrasound scan will be repeated in a few months time; if the cysts grow larger, they have to be removed by surgery. She was so upset, but she decided to do something rather than waiting. She started acupuncture treatment. At the same time she changed her diet. After a few acupuncture treatments she felt much less pain on the tummy and back. There was no intercourse pain. After 5 month acupuncture treatment, there was no sign of ovarian cysts on the ultrasound scan. All ovarian cysts were disappeared.

Thursday, 27 December 2012

Effect of acupuncture on carpal tunnel syndrome

Carpal tunnel syndrome (CTS) is a common condition that causes pain, numbness and a tingling sensation in the hand and fingers. This is caused by compression of median nerve that passes carpal tunnel and controls sensation and movement of the hand. If the nerve is entrapped in the tunnel, an unpleasant tingling, pain or numbness will occur in the distal distribution area which is in the hand and fingers. About 10% of people in the UK develop this condition. The symptoms include slowed median nerve conduction velocity, local pain and abnormal sensations such as tingling, burning, numbness etc. The symptoms develop gradually and are worse during the night. The affected fingers include thumb, index finger, middle finger and half of the ring finger. The risk of developing carpal tunnel syndrome include a family history of CTS, pregnancy, injuries to the wrist, other health conditions such as diabetes and rheumatoid arthritis and strenuous, repetitive work with the hand.

Treatments for carpal tunnel syndrome include surgical and non surgical options. The current beneficial non surgical treatments include steroid use, acupuncture and splinting. Nonsurgical treatments such as wrist splints and corticosteroid injections are recommended for mild to moderate cases of CTS. The effect of acupuncture is as effective as steroids and splinting. Acupuncture reduces pain dramatically. Acupuncture could reduce the pain completely or could reduce pain over 50% in some cases.

Research has shown that acupuncture could be an effective treatment for CTS and has greatly improved the symptoms in patients with CTS. Khosrawi S et al studied the acupuncture treatment for CTS using a randomised controlled trial. In this trial they recruited 64 patients who received 8 sessions of acupuncture treatment over 4 week period. They found that acupuncture improved the overall symptoms of CTS in these patients and nerve conduction velocity was improved as well. Another study by Kumnerddee W and Kaewtong A showed that 10 sessions of acupuncture over 5 weeks have better effect than that for night splinting in pain reduction. Yang CP observed the long term (1 year) effect of acupuncture on CTS. The patients with mild to moderate CTS received 8 sessions of acupuncture treatment over 4 week period. 1-year follow-up result showed that acupuncture treatment group had a significantly better improvement in overall symptoms, distal motor lantencies and distal sensory latencies compared to steroid group. These studies suggested that acupuncture has short term and long term effect in patients with CTS and acupuncture is a treatment option for patients with CTS.

Recently Maeda Y et al in Massachusetts General Hospital USA studied how brain contributes to the response to acupuncture in pain relief in patients with CTS. Brain response to electroacupuncture was assessed with functional MRI. The patients were allocated into three groups: local acupoints group, distal acupoint group and sham acupuncture group. In local acupoint group, two acupoints PC7 and TW5 on the affected wrist were used. In distal acupoint group, SP6 to LV4 acupoints were used. Sham acupoints were performed at nonacupoints locations on the affected wrist. They found that patients in the local and distal group reported reduced pain. Acupuncture group has greater reduction of abnormal sensation changes compared to sham group. Compared to sham group, local acupuncture produced greater activation in insula and S2 and greater deactivation in ipsilateral S1, while distal acupuncture produced greater activation in S2 and deactivation in posterior cingulated cortex. Brain activation in prefrontal cortex, SMA and S1 region was associated with analgesia.

Acupuncture is believed to stimulate the nervous system releasing neurochemical molecules to reduce pain. Acupuncture stimulates limb network in the brain and alter sensory process. Acupuncture reduces inflammation which may contribute to the mechanism.

References
Khosrawi S et al J Res Med Sci (2012) 17:1-7
Kumnerddee W and Kaewtong A J Med Assoc Thai (2010) 93:1463-9
Yang CP et al J Pain (2011) 12: 272-9
Maeda Y et al. Evid Based Complement Alternat Med (2013) Jun 17

Wednesday, 26 December 2012

Effect of acupuncture on chronic Achilles tendinopathy

Why can acupuncture help tendon injury?

Tendon is tough fibrous connective tissue which connects muscles to bones. Tendon is made of collagen. Tendon injury includes acute and chronic injury is very common. The symptoms include pain, redness, warmness, swelling, tenderness near the injured tendon. Pain increases with activity. Also pain can radiate to other part of the body. Rest, ice, steroids injection, massage can be used to treat tendon injury. Acupuncture is proven to be effective for tendon injury. Clinical study showed that acupuncture improves pain and functional activity in patients with tendon injury. Recent studies showed that acupuncture can modulate anti-inflammatory and mechanotransduction molecular pathways which subsequently increase collagen synthesis and reorganisation. This underlies acupuncture tendon healing mechanisms.

Effect of acupuncture on chronic Achilles tendinopathy

Achilles tendon is the tendon at the back of the lower legs and it passes posterior to the ankle. It is the thickest and strongest tendon in the body. Achilles tendinopathy (also called Achilles tendonitis) is pain and swelling you can get in your Achilles tendon if you injure or overuse it. It usually happens gradually over a period of time. Achilles tendinopathy mostly affects people who play sport, particularly runners. Achilles tendonitis is a common cause of the tendon pain. Tendon pain, swelling and impaired performance are common symptoms. Achilles tendon does not have good blood circulation; this makes the injury slow to recover. Physiotherapy by eccentric calf stretching is commonly recommended. Other nonsurgical treatments of this condition include rest, taking pain killers, correcting malalignments, and stretching and strengthening exercises etc.

Acupuncture is widely used in the treatment of musculoskeletal disorders. There are some studies that suggested that acupuncture is effective to treat Achilles tendinopathy

There was a clinical study of acupuncture for chronic Achilles tendinopathy. This study investigated whether acupuncture treatment would improve outcome in chronic achilles tendinopathy. In this study, 64 patients aged from 18-70 year old with chronic Achilles tendinopathy were recruited and randomly allocated into two groups: acupuncture treatment group and control group (received eccentric exercises). The effects were assessed at the start of the treatments, 8, 16 and 24 weeks after the treatments. They found that 8, 16 and 24 weeks acupuncture significantly improved the pain sensation and activity in patients with chronic Achilles tendinopathy compared with the eccentric exercises. This finding provided an alternative treatment option for patients with chronic Achilles tendinopathy.

A case report of Achilles tendinopathy

There was a case report of conservative treatment of Achilles tendinopathy. This was a 77 year old female patient with chronic Achilles endinopathy. The pain was present in the midportion of the Achilles tendon for 8 months. The pain was progressing. Activity makes the pain worse. Her tight lower leg was swelling around the right Achilles tendon. Right ankle movement was limited. There was tenderness and soft tissue thickening. Acupuncture and electric stimulation were applied for the treatment. Also physiotherapy exercise programme was performed. The treatment was twice a week for 4 weeks and then once a week for 4 weeks. The total treatments were 12. Gradual improvement was seen during each treatment. At the end of week 9, the improvement was significant. The only symptom was the mild tenderness of the Achilles tendon. Other tests were all within normal range. After finish whole course of treatments, the patient was encouraged to continue exercise programme. At 12 month follow-up, there was no recurrence occurred.

How can acupuncture help with Achilles tendinopathy? Studies have shown that acupuncture releases pain, increases in local blood flow and oxygen and nutrients supply to promote tissue healing.

References

Almeida MD et al Acupunct Med 2013 Dec 11Doi:10.1136

Zhang BM et al Chin J Integr Med (2012) Dec 21

Papa JA J Can Chiropr Assoc (2012) 56:216-24

Kubo K et al Int J Sports Med (2011) 32:807-13

Thursday, 20 December 2012

Chronic cough, acupuncture can help

Persistent coughs caused by mild chest infections were not benefit from antibiotic treatment. There was a study led by Prof Paul Little from the University of Southampton about antibiotic treatment for patients with persistent cough lasting more than 28 days. This study including about 2000 patients across European countries showed that the severity and duration of symptoms in these patients treated with antibiotics were no different to those given a sugar placebo. Unless pneumonia is suspected, using antibiotic to treat some respiratory infections is not helpful and could cause harm such as developing resistance and other side effects including diarrhoea, rash and vomiting. Most of mild chest infections are mainly caused by viruses which are not responding to antibiotic treatment. These infections will settle by themselves. This is because body defence system will fight against virus infection and eventually get rid of those viruses.

Do you know acupuncture can help chronic cough condition? Patients with such condition have difficulty to fight off virus infections, because their body defence system is relatively weaker. Acupuncture can strength body defence system by stimulating particular acupuncture points. As a result, this will reduce the severity of the symptoms, shorten the duration of the illness and help recovery from the chronic infection condition.

Acupuncture is effective for COPD

Chronic obstructive pulmonary disease (COPD) is one of the most common disorders and one of the most common causes of death worldwide. Chronic obstructive pulmonary disease (COPD) is a general term of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease. People with COPD have difficulties breathing, primarily due to the narrowing of their airways. Irreversible airflow limitation in COPD is caused by damage to the airways and lung tissue. COPD is usually caused by smoking. Symptoms include cough with phlegm and breathlessness which is increasing when active. There are also frequent chest infections. These symptoms are progressing over time. Respiratory failure or right heart failure may occur in the end. The main aims of the treatments are to reduce symptoms, to prevent symptoms worsening, preserve lung function and improve daily quality life. The most important treatment is to stop smoking. Inhalers are commonly used to ease symptoms. Other treatments such as steroids, antibiotics, oxygen, and mucus-thinning (mucolytic) medicines are sometimes prescribed in more severe cases, or during a flare-up (exacerbation) of symptoms. Acupuncture is used in treating COPD in China. Clinical data to date suggest that acupuncture may be an effective treatment which contributes to medical care for COPD. Acupuncture reduces inflammation in respiratory system and improves mucus clearance.

For example, there was a case series study from Japan for COPD. There were 26 patients with COPD presenting with breathlessness on exertion due to COPD. All of these patients received acupuncture treatments once a week for 10 weeks plus standard medication treatments. At the end of 10 week acupuncture treatments all 26 patients showed significant improvement with reduced breathlessness on exertion. They suggested that acupuncture treatment is a useful treatment for patients with COPD.

A recent study is investigated the regulatory effects of acupuncture on exercise tolerance in patients with COPD at stable phase. Based on specified aerobic exercise, acupuncture was applied in the treatment group and placebo acupuncture was used in the placebo group. The acupoints used were Danzhong (CV 17), Rugen (ST 18), Guanyuan (CV 4), Zhongwan (CV 12), Tianshu (ST 25) and so on. The total treatment period is 5 weeks. The exercise tolerance is measured by various methods including 6-min walking distance (6-MWD), exercise time, maximum oxygen uptake (VO2max) forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC), maximum ventilatory volume (MVV), St. George respiratory questionnaire (SGRQ). The results have shown that (1) exercise tolerance: the differences of 6-MWD and exercise time were statistically significant between groups, which were more superior in the treatment group; the VO2max was significantly increased after treatment in the treatment group. (2) Pulmonary ventilation function: the differences of FEV1%, FEV1/FVC and MVV% were statistically significant between groups, which were more superior in the treatment group. (3) SGRQ: the SGRQ was significantly improved after treatment in the treatment group (P<0.05), but there was no difference between two groups. This study suggested that the acupuncture could improve the exercise tolerance in patients with chronic obstructive pulmonary disease at stable phase, and shorten the onset time of aerobic exercise. Besides, acupuncture combined with aerobic exercise could effectively improve the pulmonary function.

Coyle ME et al analysed the effectiveness of acupuncture on COPD using existing studies. By analysing 16 clinical trials they found that the acupuncture therapies used in these studies improved health-related QoL. The team's conclusions, comparing results from the interventions with placebo, were based on data from 3 questionnaires that the studies used: (1) the St George's Respiratory Questionnaire (SGRQ), with a mean difference (MD) of -8.33 units (95% CI, -13.13 to -3.53); (2) dyspnea on the Medical Research Council's (MRC's) dyspnea scale, with an MD of -0.34 units (95% CI, -0.38 to -0.30); and (3) the Dyspnea Visual Analogue Scale (DVAS), with an MD of -8.85 mm (95% CI, -11.81 to -5.89). Compared with placebo, acupuncture therapies also increased the distance walked in 6 min (6MWT), with an MD of -28.14 (95% CI, 23.92 to 32.36) compared with placebo. No benefit was seen on measures of lung function when acupuncture therapies were compared with either placebo or drug therapy. They concluded that acupuncture therapies may result in clinically important improvements in QoL and dyspnea.

References

http://www.bbc.co.uk/news/health-20767470

Suzuki M Acupunct Med (2012) 30:96-102

Acupuncture improves exercises tolerance in patients with COPD

Tong J et al Zhongguo Zhen Jiu (2014) 34:846-50

Coyle ME et al (2014) Altern Ther Health Med 20:10-23

Tuesday, 4 December 2012

Morning sickness, a condition in pregnancy

When a woman is pregnant, she needs to be taken extra care: for example about what medicines to take which might be different from when she is not pregnant. How about using complementary and alternative therapies? There was a report by Stewart et al about healthcdare professional views and experiences of complementary and alternative medicine (CAM) therapies in obstetric practice in North East Scotland. They conducted a survey about the use of CAM therapies by UK healthcare professionals for pregnant women. The participants include midwives, obstetricians, and anaesthetists. 32.5% of the respondents had recommended (prescribed, referred or advised) the use of CAMs to pregnant women. The most frequently recommended CAM therapies were vitamins and minerals (excluding folic acid) 55%; massage 53%; homeopathy 50%; acupuncture 32%; yoga 32%; reflexology 26%; aromatherapy 24% and herbal medicine 21%. Midwives who had been in post for over 5 years, had received training in CAMs, were interested in CAMs and were themselves users of CAMs were more likely to recommend CAMs. Those who recommended CAMs were 8 times more likely using CAMs themselves.

Some NHS hospital hospitals provide maternity acupuncture service for paitents. Their survey of patient attitude to the maternity acupuncture service showed that 90% of patients were satisfied greatly about the maternity acupuncture service; 69% of women said that they were benefited from acupuncture and 65% said their wellbeing had significantly improved with acupuncture service; 88% said that presence of this service at the Whttington would ensure that they would preferentially re book at the Whitttington Hospital in future pregnancies rather than any other local hospital. From the back pain treatment 53% improvement in their symptoms was reported which provided pilot data for a research application and complies with the NICE recommendations for back pain.

Effect of acupuncture on nausea and vomiting in pregnancy

Up to 90% of pregnant women experience nausea and vomiting. Hyperemesis gravidarum is an extreme end of hyperemesis or morning sickness which is prolonged and severe nausea and vomiting in pregnancy. One of the main dangers of this condition is dehydration. Women with hyperemesis gradidarum could be constantly nausea and vomiting many times a day and it is difficult to keep fluids within the body. It could cause lot of weight loss, electrolyte imbalance and blood volume depletion. This condition is caused by hormone in pregnancy and is improved when the hormone levels go down as pregnancy turns to 13 weeks. Sometimes it could continue throughout of pregnancy. This condition is not likely to cause any harm to the baby. But there is a risk of the baby being born with a low birth weight if there is a significant weight loss during the pregnancy. Intravenous fluids and medication are used to control the vomiting and nausea.

Foods in rich carbohydrates and low fat and acid are recommended. Recommended foods include Light snacks, nuts, dairy products, beans and dry and salty biscuits. Electrolyte-replacement drinks and taking nutritional supplements are beneficial for maintenance of electrolyte balance and sufficient calories. Intake of food rich in protein is recommended. Use of ginger and vitamin B6 are effective though there is limited evidence.

Acupuncture was used in China to treat morning sickness. Carisson CP et al from University Hospital, Lund Sweden conducted a randomized placebo controlled trial to study the effect of acupuncture in treating morning sickness. Acupuncture treatments were given three times daily on treatment days. Each treatment lasted for 30 minutes. Acupuncture point PC6 was selected. Women in the acupuncture group had significantly quicker decrease in the amount of nausea they experienced compared with the placebo control group. There was also a significant difference in the amount of vomiting between the acupuncture and placebo groups. In acupuncture group there were fewer patients vomiting. There was no significant difference of food intake between the two groups. There were no side effects observed. The possible mechanisms for the acupuncture inhibiting nausea and vomiting include that acupuncture inhibits nociceptive transmission and autonomic reflexes; acupuncture decreases pain in the system; acupuncture has effect on gastric intestine tract; the effect of acupuncture is through somatovisceral reflexes.

Acupuncture releases pain in late pregnancy without serious side effects

Pain in the pelvic and low back areas during pregnancy is very common and sometimes serious. Up to about 70% of pregnant woman have pelvic and/or low back pain which often increases progressively during pregnancy. Pain is often left insufficiently treated because of fear of using pain killers during pregnancy. Acupuncture was found to reduce pelvic pain and low back pain with little side effects. Recently Nina Knoening et al from Malmo University Hospital, Malno Sweden studied the effect of acupuncture on pelvic pain and low back pain in patients in later pregnancy. 72 Pregnant women with pelvic low back pain during pregnancy weeks 24-37 were randomly allocated in acupuncture group (37 patients) and in control group (35) patients. The acupuncture points used included LR3, GV20 and local tender points initially. If the response was not enough, BL60, SI3 and BL22-26 points were selected. Acupuncture was received by the patients once or twice a week until delivery or completely recovery for acupuncture group. No acupuncture was received for control group. During the study period, the pain intensity was decreased 60% in acupuncture group which was significantly greater than that for the control group 14%. At the end of study, 43% patients in acupuncture group were less bothered by pain which was significantly greater than for the control group 9%. No serious side effects were found in the patients and no adverse effects were found in the infants. The authors suggested that acupuncture could release [elvic pain and low back pain without serious side effects in late pregnancy.

Acupuncture for labour pain

After months of anticipation, your baby will due. When will the labour begin, no one knows. The due date calculated is only a reference point and normal labour begins anytime between 2 weeks before the due date and 2 weeks after the due date. If you are in labour, you will be experiencing pain. The amounts of pain women are experiencing vary. Women can manage their pain wit breathing and relaxing techniques; some of them need take pain killers. Acupuncture is used to relieve pain in labour. There are many reports that show the effectiveness of acupuncture on labour and labour pain. For example, Liu YL and Jin ZG studied the effects and safety of electroacupuncture at SP6 point on labour pain. They recruited 111 cases. They found that in electroacupuncture group with acupuncture on SP6 point, the active phase of the first labour stage was shorter than that in the non treatment control group and sham acupuncture group. Ma W et al studied the effect of electroacupuncture on labour pain in women during labour. 350 women in labour in three different hospitals were randomly divided into three groups: acupuncture group, sham acupuncture group and control group. The acupuncture point was at SP6. The pain scores from women in acupuncture group were less than in the control group at needle retaining at 30 min, as well as 2 hour and 4 hour after needle withdrawal. No side effects were observed during labour process. Their concluded that acupuncture at SP6 could reduce pain in labour.

Acupuncture and acupressure at acupoint LI4 relives labour pain. Peng T et al conducted a clinical study on the effect of on transcutaneous electrical nerve stimulation (TENS) reliving labour pain. They used TENS on four acupoints Hegu (LI4), Neiguan (PC6), Danshu (BL19) and WEishu (BL21) for reducing pain in labour. They found that pain in TENS group was significantly decreased compared with control group. The incidence of postpartum hemorrhage in the TENS treatment group was less than the control group. There was no side effect recorded in TENS on acupoints. Hamidzadeh A et al studied acupressure on LI4 acupoint on reducing labour pain by conducting a randomized controlled trial. There were 50 women in the acupressure group received LI4 point acupressure and 50 in controlled group received touch at LI4 acupoint without pressure. There were significant differences between the groups in labour pain score immediately and 20, 60, and 120 minutes after intervention. Active phase duration (3-4 cm dilatation to full dilatation) and second stage duration (full dilatation to birth) in labour were shorter in the acupressure group. The women in the acupressure group reported greater satisfaction. No side effect was reported. LI4 acupoint is an important acupoint for relieving labour pain.

Acupuncture treatment for depression during pregnancy

Manber et al in Stanford University in USA conducted a randomized controlled trial to investigate the efficacy of acupuncture in treating depression during pregnancy. 15 pregnant women who were diagnosed depression. The diagnosis met the criteria “Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) critieria for major depressive disorder. They were divided into three groups: specific acupuncture for depression group (52 patients), control non specific acupuncture group (49 patients) and massage group (49 patients). The treatments lasted 8 weeks with 12 sessions. Result showed that women who received acupuncture specific for depression had a greater rate of decrease in symptom severity and a greater response rate compared with the control groups (nonspecific acupuncture and massage groups). There was no significant difference between non specific acupuncture and massage groups. Their conclusion is that the short acupuncture in symptom reduction and a response rate for depression is comparable to those observed in standard depression treatments of similar length and could be a viable treatment option for depression during pregnancy.

Moxibustion at BL67 acupuncture point helps turn foetus around

Babies born in a breech position, the unfavoured position have an increased risk of birth complications. To minimise these risks, caesarean section deliveries have increased which results in health risks to the mother and baby and increased costs to health services. Strategies to promote normal birth are encouraged. Moxubustion at acupuncture points were used as one of the methods to correct foetal breech position. Recently Vas J et al reported a clinical trial of correcting foetal breech position to evaluate the conventional acupuncture point BL67 compared with SP1. There were 406 low-risk pregnant women with a fetus in breech presentation confirmed by ultrasound. The gestational age was range 33-35 weeks. These women were allocated into three groups: moxibustion at point BL67 plus usual care, moxibustion at SP1-a non specific acupuncture point plus usual care and usual care group alone. The results showed that 58.1% of the full-term presentations were cephalic (the correct position of birth) in moxibustion at point BL67 group, the highest in the three groups. There were no severe adverse effects found during the treatments. From this study, the authors concluded that moxibustion at acupuncture point BL67 is effective and safe approach to correct foetal breech position used between 33-35 weeks of pregnancy.

Reducing obesity is beneficial for pregnancy

Obesity is a major health problem. A recent survey showed that about a fourth of population is obese. About 50% of women in reproductive age are either overweight or obese. Obesity increases risk of maternal and fetal complications. About 20-40% women gain excessive weight during pregnancy. The maternal complications linked to obesity include miscarriage, hypertension, gestational diabetes, infection, caesarean section, instrumental and traumatic deliveries, wound infection and endometriosis. The fetal risks related to maternal obesity include stillbirths, neonatal deaths, preterm birth, congenital abnormalities and childhood obesity etc. Weight management during pregnancy need to have extra care, because reduction in weight gain or weight loss may be beneficial, but the weight loss itself or the interventions may potentially harm to the mother or bay. To evaluate the effectiveness of dietary and lifestyle interventions in reducing or preventing obesity in pregnancy and assess the beneficial and adverse effects of the interventions on obstetric, fetal and neonatal outcomes, Thagaratinam S et al did a systematic review. They searched database from 1950 to March 2011. There were 88 studies involving 182139 women. They found that weight management interventions in pregnancy significantly reduced hypertension during pregnancy and gestational diabetes. It also reduced preterm birth and should dystocia. Adverse effects were low. They concluded that weight management reduced weight gain during pregnancy. Dietary interventions were the most effective way to reduce weight gain in pregnancy and the risk of gestational hypertension and diabetes and shoulder dystocia. There were no adverse effects from dietary management.

References
Thangaratinam S et al Health Technol Assess (2012) 16:1-192
Nina Knoening et al Ata Obstet Gynecol Scand (2004) 83:246-250
Carisson et al J Pain Symptom Manage (2000) 20:273-9
Peng T et al Chin J Integr Med (2010) 16:234-8
Hamidzadeh A et al J Midwifery Womens Health (2012) 57:133-8
Liu YL and Jin ZG Zhongguo Zhen Jiu (2012) 32:409-12
Ma W et al Complement Ther Med (2011) 19 Suppl 1:S13-8
Manber R et al Obstet Gynecol (2010) 115:511-20
Vas J et al Acupunct Med (2013) 31:31-8
BJOG (2014) Feb11 doi:10.1111/1471-0528.12618
http://www.whittington.nhs.uk/default.asp?c=4243