Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by chronic or recurrent abdominal pain or discomfort. The symptoms include chronic abdominal pain, which is often associated with diarrhoea, constipation or bloating. Bowel habit is changed often with increased passing stool frequency and passage of mucus. IBS affects about 20% adult population globally and their quality of life is affected.
IBS is caused by multiple factors, including intestinal motility and intestinal smooth muscle functional disturbance, visceral paresthesia, alterations in the brain-gut axis, psychological factors, gastrointestinal hormones, and intestinal infection. Some evidences suggested that neurohormonal and immune responses to physiological stimulation or psychological stress etc are possible risk factors.
There is no universally accepted satisfactory treatment for this condition. No drug is effective in treating all the symptoms of IBS. Very recently, a study has analysed existing data and suggested that acupuncture improves the symptoms of IBS, including abdominal pain and distension, sensation of incomplete defecation, times of defecation per day, and state of stool. No serious adverse events associated with acupuncture. Acupuncture might modulate pain in IBS by two actions: (1) modulation of serotonin pathway at insula; and (2) modulation of mood and affection in the higher cortical center via the ascending pathway at the pulvinar and medial nucleus of the thalamus (3) Improvement in pain in IBS was positively associated with increased parasympathetic tone in the acupuncture group. They suggested that acupuncture exhibits clinically and statistically significant control of IBS symptoms.
In TCM differentiation, Liver Qi Stagnation and Damp Heat were the most commonly reported patterns for IBS. There was lack of standardization of acupuncture treatments for patients with IBS. A study on 113 patients with IBS has shown that 126 acupuncture points used, a distinct core and supporting group of points was associated with each primary pattern and each practitioner also utilized a distinct core and supporting group of points that reflected his/her preferences.
Recently a clinical trial was performed to study the effect of acupuncture on patients with IBS. In this study, 12 weeks of acupuncture was offered on weekly basis. The result has shown that there was a statistically significant difference between groups at three months favouring acupuncture with a reduction in IBS Symptom Severity Score. The number needed to treat for successful treatment was six, based on 49% success in the acupuncture group vs. 31% in the control group, a difference between groups of 18%. This benefit largely persisted at 6, 9 and 12 months.
There was a case study about acupuncture treatment on IBS published in Chinese acupuncture journal. The researchers compared trimebutine maleate, a commonly used drug for IBS. Two acupuncture points ST25 and BL25 were used for daily acupuncture treatment. The symptoms including duration and frequency of abdominal pain, morbidity of abnormal stool, defecation abnormality, stool mucus and score of bloating were assessed. The result showed that there was significant change for both groups which suggested that both acupuncture and the drug are effective on IBS. The effective rate for acupuncture group is higher than for the drug group which indicates that acupuncture was more effective compared to the drug.
Li H et al compared the effect of acupuncture with medicine for diarrhea-predominant IBS. 70 patients with IBS were allocated into two groups acupuncture group and medicine group. In acupuncture group, patients received acupuncture 3-4 treatment per week for 4 weeks. The points selected were Tianshu (ST 25), Zusanli (ST36), Shangjuxu (ST37), Sanyinjiao (SP6), Taichong (LR3) etc. The electric stimulation was added at bilateral ST25. Pinaverium (Dicetel) was given in medicine group. The clinical symptom score and IBS syndrome quality of life (IBS-QOL) score were assessed before and after treatment. The efficacy and the recurrence rate were assessed. Result showed that the symptom score and IBS-QOL score were all improved significantly after treatment in both groups. The efficacy in acupuncture group was greater. 3 month follow up showed that recurrence rate in acupuncture group was lower than medicine group.
Lu YH and Tang XD also showed that acupuncture is effective in 21 patients with IBS diarrhea. The patients received acupuncture 2-3 times a week. 8 treatments made up for one course. Symptoms after acupuncture treatment significantly reduced compared with that before the treatment. The total effective rate was 52.4% after first course and 90.5% after second course.
Sun JH et al also showed effectiveness of acupuncture in 63 patients with diarrhea predominant IBS. They showed acupuncture treatment reduced the severity and frequency of symptoms including abdominal pain, diarrhea, abdominal distension etc. They also showed that the quicker initiation of effect, the more evident clinical improvement in symptoms along the increase in treatment duration as well as the more significant elevation of QOL.
Chao and Zhang analised data from 1966 to 2013 to study the effect of acupuncture on IBS. There were 5 out of 6 high quality studies found. They found acupuncture was beneficial for patients with IBS though further studies are needed to confirm the conclusion because there were only a few studies met the criteria.
Chao and Zhang World J Gastroenterol (2014) 20:1871-1877
Shi ZM et al Zhongguo Zhen Jiu (2011) 31:607-9
Li H Zhongguo Zhen Jiu (2012) 32:679-82
Lu YH and Tang XD Zhongguo Zhen Jiu (2011) 31:975-7
Sun JH et al Chin J Integr Med (2011) 17:780-5
Stuardi T and MacPherson H J Altern Complment Med (2012) 18:1021-7
MacPherson H et al BMC Gastroenterol (2012) 12:150
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.
- 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 addresses
Kensington: for appointments (Mondays, Fridays, Saturdays, and Thursdays) at Anamaya center Kensington please call at 02030110355 or email at firstname.lastname@example.org
Address: 1 Adam and Eve Mews, Kensington, London W8 6UG
2 min walk from High Street Kensington underground stationHarley Street: for appointments (Wednesdays) at Harley Street please call at 02076368845 or email at email@example.comAddressSuite 3 Harmont House20 Harley Street, London W1G 9PH5 min walk from Oxford Circus underground stationMy 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.
- My books--Know your ovary to get pregnant
- ----------------Get pregnant fast naturally
- ----------------Facial Aging, Facial Rejuvenation Acupuncture
- ---------------Acne treatment with acupuncture
- ---------------Vulvodynia, is vulval pain in your mind?
- ---------------Know your fallopian tubes and uterus to get pregnant
- ---------------Know sperm to boost male fertility
- ---------------Headaches, Neck pain and Shoulder pain