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 addresses 

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

Harley Street: (Wednesdays)
Address
Suite 3 Harmont House
20 Harley Street, London W1G 9PH
5 min walk from Oxford Circus 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. 


Thursday, 28 January 2016

Acupuncture for chronic pain relief

Acupuncture for chronic pain relief

Pain that lasts longer than six months is chronic pain. Chronic pain can be mild or severe, episodic or continuous. Pain signals constantly stimulate nervous system for months or years. This can make great impact on a person’s physically and emotionally. The most common chronic pain is from headaches, joint pain, back pain, shoulder pain, pelvic pain, neck pain and pain from any injuries. The symptoms of chronic pain mainly are pain from mild to severe that does not go away. It can be shooting, burning, aching or electrical; or feeling discomfort, soreness, tightness or stiffness.
Chronic pain is closely related to emotions. Anxiety, stress, depression, anger and fatigue make the pain worse. These negative feelings may increase the level of substances that amplify sensations of pain, causing a vicious cycle of pain. The pain can suppress the immune system causing other symptoms.
Apart from the pain, there could be other symptoms including fatigue, sleeplessness, frequently having cold, changes in mood such as depression irritated anxiety and stress. Chronic pain may limit a person’s movements, which can reduce flexibility, strength, and energy.
Pain is a very personal and subjective experience. There is no test that can measure and locate pain with precision. Finding tender points can help locate the source of the pain.
Acupuncture is an effective treatment method for chronic pain. Acupuncture is a treatment derived from ancient Chinese medicine, it becomes popular worldwide. In the UK it is used in many NHS general practices, as well as the majority of pain clinics and hospices. The application of acupuncture in Western medicine is based on proper medical diagnosis and scientific evidence. The theory is that acupuncture can stimulate nerves under the skin and in muscle tissue. This results in the body producing pain-relieving substances, such as endorphins. It is likely these substances are responsible for any beneficial effects seen with acupuncture.
Acupuncture is recommended by the National Institute for Health and Care Excellence (NICE) as a treatment option for chronic lower back pain, chronic tension-type headaches and migraines. This recommendation by NICE is on the basis of scientific evidence. Acupuncture treatment for neck pain is also recognised as effective one.

References
http://www.nhs.uk/conditions/Acupuncture/Pages/Introduction.aspx

Wednesday, 27 January 2016

Muscle tightness and muscle cramp, acupuncture can help

Muscle changes with aging and muscle tightness, acupuncture can help

Muscle tone. When one relaxed, one must think the muscles must completely rest without any activity. Actually this is not the case. Muscles in the body are constantly contracted. This is a passive contraction and it creates muscle tone in the body and helps maintain posture and protects body from sudden pull. Some disorders can change the muscle tone: increase or decrease of muscle tone.

Muscle tension is when muscles remain semi-contracted involuntarily for a period time. Muscle tension can be caused by stress and inflammation. One can feel headache, muscle pain, muscle tightness and stiffness.

With aging changes in the skin and hair are common and more noticeable. People might not realise that muscles are also changing with aging. This change could start at age 30 and accelerate at age 50. Muscle fibres reduce in number and shrink in size. Muscle tissue is replaced more slowly and lost muscle tissue is replaced with a tough, fibrous tissue. Also changes in the nervous system cause muscle to lose tone and ability to contract and become rigid. Muscle loses strength because of a decrease in the production of anabolic hormones such as testosterone, growth hormone and insulin-like growth factor-1 and impairment of protein production. This can contribute to fatigue, weakness and reduced tolerance to exercise. The types of muscle fibers are affected by aging as well. The numbers of muscle fibers that contract faster decrease much more than the numbers of muscle fibers that contract slower. Thus, muscles are not able to contract as quickly in old age.

With aging bone has changed as well. Bones lose calcium and other minerals and become less dense. This change becomes dramatic after menopause due to hormones change in both female and male. With aging joint movement becomes stiffer and less flexible because the amount of lubricating fluid inside the joints decreases and the cartilage becomes thinner. Ligaments also tend to shorten and lose some flexibility, making joints feel stiff. Also the connective tissue within ligaments and tendons becomes more rigid and brittle. This change also limits the range of motion of joints.

What to do?

Exercise can prevent many age-related changes to muscles, bones and joints – and reverse these changes as well. Exercise can make bones stronger and help slow the rate of bone loss; muscle-strengthening can increase muscle mass and strength; Stretching helps maintain joint flexibility; walking is a good exercise for maintenance of bone mass.

Acupuncture is a good way to release muscle tension. Acupuncture helps improving blood circulation and improves nutrition and oxygen supply to the muscles and bones and improves metabolism of muscles and bones. Acupuncture helps reduce inflammation, release and repair any damage of the tendons and ligaments.

Muscles tightness, acupuncture can help.

Muscle tightness is that muscles feel tight and stiff which is caused by muscle contractions. Some people feel pain of muscles. Muscle tightness often develops from overuse, trauma, stress or illness. Muscles shorten over time and they become weaker over time. Muscle contraction leads to ischemia and degeneration of the muscle fibers which further weaken the muscles. Loss of balance can occur. Muscle tightness also increases the risk of muscle strain or tearing of muscle fibers during activity. It is important to maintain flexibility to relieve muscle tightness and reduce risk of injury. There are many methods to relieve muscle tightness. For example, applying ice or heat; massage and stretching. If your muscles are very tight and you are stretching the muscles, it can cause muscle injury. You need to relax those muscles first before you stretch them.

As mentioned above that acupuncture can relieve muscle tightness and relax your muscles.

Muscle cramps, acupuncture can help.

A leg cramp is an episode of sudden pain in the muscles of the leg caused by an involuntary contracting of the leg muscle. Leg cramps are common and it usually occurs in the calf muscles. It can also happen in any part of your leg, including your feet and thighs. When it happens, the muscles in your leg suddenly become tight and painful which will last seconds to minutes. After the cramping has passed, you may have pain and tenderness in your leg for some time. This often occurs at night during sleep. If you only get leg cramps occasionally, it is not a cause for concern. If you get leg cramps frequently, or if they are so painful they disrupt your sleep and you are unable to function normally the next day, you should get help from health care professionals. Sometimes the cause of leg cramps is not clear, we call it idiopathic leg cramps. Theoretically idiopathic leg cramps can be caused by abnormal nerve activity during sleep or excessive strain placed on leg muscles such as exercises, or a sudden restriction in the blood supply to the affected muscles. Shortened tendon can also be one of the causes in old people. Leg muscles cramps can be caused by some other conditions for example, pregnancy, neurological conditions, liver disease, infection, toxins or dehydration. Some medicines can also cause leg muscle cramps suc as diuretics, statins, raloxifene, nifedipine and nicotinic acid.

Do you know that acupuncture can help with improving muscle cramps?

References
Allen RE and Kirby KA Am Fam Physician (2012) 86:350-5

Tuesday, 26 January 2016

Knee pain, acupuncture can help

Thanks to the knee joint, one can move around freely and go wherever we want without any difficulties. Knee is the largest joint in the body which can bend and straighten bringing one about. It bears most of the body weight and pressure loads. It supports 1.5 times the body weight when one walks and 3-4 times the body weight when one climbs stairs. Knee is vulnerable which can be injured and can suffer from some diseases causing pain, swelling, stiffness, locking etc. The symptoms may vary depending on the type of injury. Pain may occur when you bend or straighten the knee. There could be swelling; difficulty bearing weight on the knee and trouble with knee motion. Some of the most common reasons for knee pain are sprained ligaments, meniscus (cartilage) tears, tendonitis. Other conditions that cause knee pain include as follows:

Bursitis: A bursa is connective tissue below the skin over the knee. Overuse, a fall, or repeated bending and kneeling can irritate the bursa overlying the knee cap (patella), causing pain and swelling.

Illiotibial band syndrome: The iliotibial band is a piece of tough tissue that runs from your hip down to the outer part of your knee. If it's irritated by overuse or other problems, it can become inflamed and cause pain on the outer side of the knee.

Overuse during repetitive motions as are found during certain exercises (jogging, skiing) or work conditions (long periods of kneeling) can cause breakdown of cartilage and lead to pain.

Others Include osteoarthritis, dislocated kneecap, patellofemoral pain syndrome and patellar tendonitis, a condition caused by inflammation of the tendons around the knee etc.

Acupuncture can help release the pain by reducing the inflammation and improving circulation. Get right exercises level, that you feel no pain in your knee when you bend or straighten it; you feel no pain in your knee when you bend or straighten it; you feel no pain in your knee when you walk, jog, sprint, or jump; your knee feels as strong as your uninjured knee. If you start using your knee before it's healed, you could cause further injury.

Tuesday, 19 January 2016

Iliotibial band syndrome, acupuncture can help

The iliotibial band (IT band) is a thick band of fibers on the outside part of the thigh. It starts from the border of the most prominent bone of the pelvis and ends into the tibia bone, to which the gluteal muscles and tensor fscia latae muscle attached. IT band coordinates muscle function and stabilize the knee during running. This band is one of the most common overused among the runners causing Iliotibial Band Syndrome (ITBS). ITBS is caused by inflamed of IT band. When it happens, knee pain is the most common symptom and can be mild to severe. Pain is most severe with the heel strike of walking or running and may radiate from the knee up the leg to the hip. Pain may also be felt with knee flexing, especially going up or down steps. Swelling on the outside of the knee can be seen in some cases. Tightness of IT band is very common. MRI can show a partial thickening of the IT band, which results from inflammation. When the IT comes near the knee, it becomes narrow, and rubbing can occur between the band and the bone. This causes inflammation. ITBS is more common in women, possibly because some women's hips tilt in a way that causes their knees to turn in. Tenderness over the site of the iliotibial band insertion at the knee joint, and specific tender points may be found over the lateral femoral condyle.

Initial treatment for most overuse injuries remains the same: rest, ice, elevation and antiinflammatory medications. If the pain prolonged, it can become chronic. Physical therapy is often used to treat ITBS. Acupuncture is effective to treat acute and chronic ITBS. It releases the pain and inflammation; reduces tightness of IT band; improves circulation and improves scarring.

Sunday, 10 January 2016

Fruits and vegetables with high pesticides cause lower sperm counts

We all know that fresh fruits and vegetables are good for your fertility. However one needs to be aware what types of fruits and vegetables that you eat. A new research found out that men who ate fruits and vegetables with higher levels of pesticide residues — such as strawberries, spinach, and peppers — had lower sperm counts and lower percentages of normal sperm than those who ate produce with lower residue levels, according to a new study by researchers at Harward TH Chan School of public health. Pesticides are known to have negative impacts on fertility. Numerous studies had shown that consuming conventionally grown fruits and vegetables resulted in measurable pesticide levels in urine. Other studies had uncovered associations between occupational and environmental exposure to pesticides and lower semen quality. The main exposure route to pesticides for most people is from consuming products with pesticides which are into the products and cannot be washed off. This is the first study to report the link between consumption of pesticide residues in fruits and vegetables and semen quality.

In this study 155 men were involved with 338 semen samples provided between 2007 and 2012.

The results showed that men who ate greater amounts of fruits and vegetables with higher levels of pesticide residue — more than 1.5 servings per day — had 49 percent lower sperm count and 32 percent lower percentage of normal sperm than men who ate the least (less than 0.5 serving per day). They also had a lower sperm counts, lower ejaculate volumes, and lower percentages of normal sperm.

The men who ate the most fruits and vegetables with low-to-moderate levels of pesticide residue had higher percentages of normal sperm than those who ate less fruits and vegetables with low-to-moderate levels.

The finding was that consuming more fruits and vegetables with low pesticide residues was beneficial.

References
http://news.harvard.edu/gazette/story/2015/03/pesticides-result-in-lower-sperm-counts/

Tuesday, 5 January 2016

Acupuncture is effective for headaches

Acupuncture is beneficial in treating tension headache

A tension headache is the most common type of primary headache accounting for about 90% of all headaches. The pain is bilateral and the head is like being squeezed. A tension headache can be episodic or chronic. Some antidepressants may be effective to reduce the pain.

More recently Granato et al analysed the current data about the effectiveness of acupuncture on tension-type headache. There were 11 trials involved in 2317 patients. Two trials compared acupuncture wit routine care only or treatment of acute headache only with a 3 month follow-up. Both studies measured responder rate, headache frequency, pain intensity and pain killer intake. They suggested that effect of acupuncture was better controls. There were five trials compared effect of acupuncture with that of sham acupuncture. Four trials had 6 month follow-up and one trial had 12 months follow-up. Numbers of headache days were significantly decreased in acupuncture group. Headache intensity and frequency of taking pain killers was significantly reduced in acupuncture group compared with sham acupuncture group. Three of the four trials compared the effect of acupuncture with physiotherapy, relaxation. Their conclusion is that there was short term benefit by adding acupuncture to routine care and acupuncture could be a nonpharmacological tool for treating patients with tension-type headache.

Schieapparelli P et al also support the effectiveness of acupuncture in treating primary headache particular tension-type headache and migraine. They suggested that acupuncture is an effective and valuable option for patients suffering from frequent tension-type headache and migraine; also acupuncture is cost-effective treatment.

Hao XA et al analysed five high quality trials. They found that the electro-acupuncture might bemore efficacious; needle retention with 30 minutes was better than no needle retention; twice a week treatment was better than once a week treatment. They suggested that acupuncture stimulation mode, needle retention and treatment frequency could be important factors contributing to the outcome of acupuncture for tension-type headache.

Four meridians involved in headache are Shaoyang (the channel on the temporal sides of the head); Taiyang (at the back of the head), Yangming (at the forehead) and Jueyin. Acupuncture points selected could also contribute to the outcome of acupuncture.

Acupuncture is effective in patients with migraine

Migraine is a very painful headache. It is recurrent and it affects sufferer’s quality of life. It occurs in more than 10% of the world's population, afflicting more women than men by a ratio 3:1, and inflicts significant personal and socioeconomic costs. It was ranked eighth worldwide by the World Health Organization among the leading causes of disability in 2010. The exact causes are unknown, but it has genetic factor and change in the brain.

Migraine is featured as moderate or severe pulsating pain only on one side of the head which is deliberated by physical activity. It is recurring headache with duration 4-72 hours. It could accompany other symptoms including nausea, vomiting and increased sensitivity to light or noise. The diagnosis is based on clinical history and exclusion of other kind of headache, because there is no specific test for migraine. The cause of migraine is not fully understood. The current accepted theory of migraine is that the brain chemical called serotonin level is changing; this leads to blood vessels in brain contracting and then dilating, as a result, it causes symptoms of migraine. Migraine attach could be triggered by many factors, such as stress, tension, depression, not sleep well, tiredness, poor posture, neck or shoulder tension, hunger, caffeine products (coffee, tea), bright light , loud noise etc. Apart from headache, there could be other symptoms present, such as nausea, vomiting, fatigue, dizziness, blurred vision etc. Pain killers and anti-inflammatory drugs are mainly used to treat migraine attacks. Beta-blockers (e.g., propranolol, originally developed to treat high blood pressure), anti-seizure drugs (e.g., topiramate), or tricyclic antidepressants (e.g., amitriptyline), in combination with behavioral therapy or lifestyle adjustments are used to prevent migraine attack. Mauskop A from New York Headache Center USA summarised therapies proven (to various degrees) to be effective for migraine. These include aerobic exercise; other forms of relaxation training; dognitive therapies; acupuncture; and supplementation with magnesium, CoQ10, riboflavin, butterbur, feverfew and cyanocobalamin with folate and pyridoxine.

Recent research showed that acupuncture has effect to treat migraine. For example, Wang et al studied the effect of acupuncture in patients with migraine. This was a randomized controlled trial involving in 150 patients with migraine. They found that acupuncture has significantly better effect in relieving pain and reducing acute migraine attack than sham acupuncture. They also conducted another trial in 140 patients in 5 hospitals in China. They compared the effect of acupuncture with that of flunarizine, a drug used for migraine treatment. They found that acupuncture is more efficient in decreasing days of migraine attacks than flunarizine; acupuncture has similar effect as flunarizine in reducing pain and improving patient’s quality of life.

There are a few types of acupuncture and many acupuncture points applied for the treatments. Which points are more commonly used and which type of acupuncture is more effective? Wang JJ et al studied the optimized schemes for acupuncture treatment of migraine attack. They studied five types of acupuncture: manual acupuncture, electroacupuncture, auricular acupuncture and bloodletting therapies for migraine patients. There were 76 patients with migraine participated the study. Three groups of acupuncture points include group 1: local points including Sizhukong (TE23), Shuaigu (GB8), Taiyang (EX-HN 5), group2: local points plus distal points including Hegu L4 and Taichong LR3, and group3: local points plus distal points plus symptom points including Ganshu (BL18), Yanglingquan (GB34), Qiuxu (GB40) and Taixi (KI3). Different acupuncture types were type 1 no acupuncture stimulation, type 2 manual acupuncture stimulation, type 3 manual plus electroacupuncture, type 4auricular acupuncture, type 5 otopoint manual acupuncture, type 6 otopoint electroacupuncdture, type 7bloodletting. Within 24 hours after the treatment, the headache relief effects from greater to smaller were body-acupoints combination> manual acupuncture or electroacupuncture> bloodletting >auricular acupuncture. The pain relief effects were most stable in the manual acupuncture group with local acupoints plus distal acupoints. Manual acupuncture stimulation of the local plus distal body acupoints combined otopoint-EA and bloodletting at Taiyang (EX-HN 5) plus Ashi points is potentially the best option for relieving migraine during attack.

Why acupuncture is effective to migraine?

Acupuncture is recognised as effective treatment for migraine. It is as effective as drug treatments. Why can acupuncture treat migraine? It became commonly knowledge that acupuncture stimulates body releasing endogenous pain relief substances such as beta-endorphin. Recent research has shown that acupuncture can change response of the blood vessels in the brain. In migraine patients, their artery blood flow in the brain is increased excessively during migraine attack. After acupuncture treatments, the artery blood flow in the brain became normal. The reduction of blood flow reflexes the intensity of the headache.

Here are examples of acupuncture for headache and migraine

There was a case report that acupuncture together with spinal manipulation was used to treat a patient with a chronic tension-type headache and episodic migraines. That was a 32 year old woman with headaches for 5 months. She also had a history of episodic migraine that started in her teens. She was diagnosed with mixed headaches: migraine and tension type. Her migraine had been controlled with medication. But she had severe gastrointestinal symptoms including vomiting, nausea and stomach cramping after a period of medication and she had to stop taking the medication. After stopping taking the medicines her headaches got worse and happened on a daily basis. To reduce the headache she started acupuncture treatment first. The points that were used for acupuncture were GB1, Tai Yang (M-HN-9), ST36, K3, K7, BL18 and BL19. After first acupuncture treatment, she had headache free for 2 hours and headache intensity was reduced; after the second treatment, her headache intensity was reduced about 90%. She received 5 treatments over 2 weeks: the first two treatments were acupuncture only and the following 3 treatments were acupuncture combined with chiropractic spinal manipulation treatments. After the 5 treatments, her headache had disappeared. Further four treatments were continued for 11 weeks. After 1 year follow-up, there was no recurrence of the headaches. This case report suggested that patient with headache could choose combined treatment methods in order to achieve best results.

Recent research has suggested that acupuncture is effective for tension-type headache

Acupuncture is used to treat tension-type headache and many people who used this treatment have benefit from it. However its effectiveness is questioned by other people. Recently research from Germany has shown the updated data.

In this review, at least eight weeks of observation period is required and twelve trials are included. There were 2349 participants. In two large high quality trials with 1265 and 207 participants, acupuncture was compared with routine care or treatment of acute headaches. Results have shown that the proportion of participants experiencing at least 50% reduction of headache frequency was much higher in groups receiving acupuncture than in control groups. In seven good quality trials acupuncture group had high reduction of headache frequency compared with sham acupuncture. Withdrawals were low: 1 of 420 participants receiving acupuncture dropped out due to adverse effects.

The conclusion from the data suggested that acupuncture is effective for treating frequent episodic or chronic tension-type headaches, but further trials - particularly comparing acupuncture with other treatment options - are needed.

Acupuncture is for migraine

Acupuncture is used for migraine prevention. The effectiveness has been reviewed recently. Twenty-two trials including 4985 participants were analysed. Migraine frequency (migraine days, attacks or headache days if migraine days not measured/reported) was measured before and after treatment and at follow-up. The response (at least 50% frequency reduction) was also measured. Comparison with no acupuncture, acupuncture was associated with a moderate reduction of headache frequency over no acupuncture after treatment. After treatment headache frequency at least halved was found in 41% of participants receiving acupuncture comparing to 17% with no acupuncture. There is one trial with post-treatment follow-up found a small but significant benefit 12 months after treatment. Comparison with prophylactic drug treatment, acupuncture reduced migraine frequency significantly more than drug prophylaxis after treatment. Trial participants receiving acupuncture were less likely to drop out due to adverse effects than participants receiving prophylactic drugs. The conclusion from this study is that the available evidence suggests that adding acupuncture to symptomatic treatment of attacks reduces the frequency of headaches. The available trials also suggest that acupuncture may be at least similarly effective as treatment with prophylactic drugs. Acupuncture can be considered a treatment option for patients willing to undergo this treatment.

Acupuncture is effective for the treatment or prevention of migraine, tension-type headache

Recently a study summarizes the current evidence that evaluates the effectiveness of acupuncture for the treatment or prevention of migraine, tension-type headache, and chronic headache disorders. It demonstrate that acupuncture is associated with improved clinical outcomes compared to routine care only, medical management, and sham acupuncture 2 months after randomization. Cost effectiveness analyses conducted in the United Kingdom and Germany suggested that acupuncture is a cost-effective treatment option in those countries.

References
Granato A et al Neuroepidemiology (2010) 35:160-2
Schiapparelli P et al Neurol Sci (2011) 32 Suppl 1:S15-8
Hao XA et al J Alterm Complement Med (2012)
Wang LP et al (2012) Pain Med 13:623-630
Wang LP et al (2011) Pain 152:1864-71
Mauskop A Continuum (Minneap Minn) (2012) 18: 796-806
Wang JJ, et al Zhen Ci Yan Jiu (2013) 38:234-40.
Lo MY et al J Tradit Complement Med (2013) 3:213-220
Ohlsen BA J Chiropr Med (2012) 11:192-201
Linde K et al Cochrane Database Syst Rev 2016 Apr 19;4:CD007587. [Epub ahead of print]
Linde K et al Cochrane Database Syst Rev (2016) Jun 28;6:CD001218. doi: 10.1002/14651858.CD001218.pub3
Coeytaux RR & Befus D (2016) 56:1238-40