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. 


Tuesday, 31 January 2017

Light period and pregnancy

Periods are menstrual bleeding from the uterus. Every month hormones produced in the ovaries have cyclic changes. These changes cause uterine inner lining shed from the uterine wall and bleeding from the uterus. The normal bleeding days are 5 days from 4-7 days and the normal blood loss during the period is between 20-60 ml. The period with less 20 ml of blood loss is light period. Imbalanced hormones causing thin uterine lining is the common cause for this. Inflammation in and around the pelvis is another common cause and this can cause tension and block the blood flow to the uterus. If your period is too light, this could affect you from getting pregnant, because the uterine lining is not good enough for embryo to implant into the uterus and pregnancy would not occur. Acupuncture can help improve hormone balance and reproductive blood flow and improve the chance to get pregnant.

Feeling tired, acupuncture can help

Feeling tired, tension and aching? If you are getting tired easily and not being yourself, something is not right. The tiredness can be accompanied by aching and tension somewhere in the body such as headache, neck pain, back aching, arms and legs aching. This could be caused by inflammation in the body. Inflammation is not infection, though infection causes inflammation. Inflammation is a part of the immune response of the body. Inflammation is associated with the body healing process. Too much inflammation can cause harm to the body causing fatigue and pain. Acupuncture can help get rid of the fatigue and release the pain and tension of the body.

Sunday, 29 January 2017

Hormone imbalance and acupuncture

Hormonal balance is very important to the health. If the hormones are not balanced, there are many signs to indicate. Irregular periods and spotting, Women in reproductive ages have regular periods. If the periods are not regular, or there are spotting between periods or missing periods. This indicates that your hormones are not balanced. Chronic acne, chronic acne is caused by excess of adrogens. If your acne does not clear up for long period of time, this indicates imbalanced hormones. Chronic fatigue and headaches, if you always feel tired, this can be caused by imbalanced hormones. Periodic headaches can be caused by imbalanced hormones. Mood swing and depression, hormones imbalanced can affect the brain and cause mood changes and depression, sleep problems and poor memory. Digestion problems such as bloating, diarrhea, stomach pain, nausea, appetite changes etc. Other signs include vaginal dryness, loss of libido and breast changes.

Acupuncture can help restore hormone balance.

Why the neck hurts? Acupuncture can help.

Neck pain

Neck pain is very common. About 2 in 3 people had neck pain at some point in their life. A survey in the UK has shown that 1 in 4 women and 1 in 5 men between ages 45 and 75 had current neck pain.

The cervical spine and the muscles and ligaments are at the back of the neck. The cervical spine is made up of seven vertebraes between which is a disc. Spinal cord is within the spine and protected by the spine. Nerves come out from the cervical spine and innervated the neck and arms.

Non specific neck is the most common type of neck pain. The exact cause is unknown. It may caused by minor strains to the muscles and ligaments in the neck. Poor posture is often related to the neck pain.

Acupuncture treatment for chronic neck pain

Chronic neck pain is a long-lasting pain on the neck or back. This pain commonly started from improperly healed acute injury. Scar tissues formed during the healing process. These scar tissues are called fibrosis. They can develop inside of the body, under the skin, muscles, tendons or inside of a joint capsule. Fibrosis always occurs at the end stage of inflammation and it causes adhesion which grabs the connective tissue and surrounding muscles together causing pain and tension, limiting the function. There are more pain receptors in the fibrosis tissue making the area more sensitive to protect the area by the body automatically.

Acupuncture can help to release the pain and tension to help the area functioning. Also acupuncture can help the body repair to get rid of the scar tissue and remodel the tissue.

Acupuncture for sudden severe pain in the neck

Acute neck pain is a sudden-onset pain in the neck. It is often due to neck muscles strain and muscle spasm. This can be caused by poor posture, sleep in an awkward position, carrying heavy loads, stay in one position for a prolonged period of time etc. One might not find exactly causes. The pain is sudden and can be very severe. This makes the person with the pain panicking. Movement of the neck is restricted because of the pain. The recovery can take a few days or a week. Acupuncture can help release the pain and speed up the recovery.

Acupuncture helps a stiff neck

Neck pain or a stiff neck is a common problem. The neck becomes sore and tender and movement is limited. it is difficult to move the neck and turn the head to the side. It could be associated with a headache, neck pain, shoulder pain or arm pain. The most common cause of a stiff neck is a muscle strain or soft tissue sprain. The levator scapula muscle located at the back and side of the neck connecting the neck with the shoulder is most affected. These muscles can be strained by everyday activities: for example, sleep in an awkward position, use a computer for a prolonged period of time, have a bad posture or have some sports injury such as swimming sudden fall, hold a phone between the neck and shoulder etc. Anxiety and stress can cause tension in the neck muscles leading to neck pain. Tight muscles are often chronic and need to be treated. Tight muscles block blood circulation of the body and muscles don’t get enough nutrition and become weak and easily get further damage. Because of blocked energy supply, you will feel tired all the time. Poor posture is a common cause of tight neck and shoulders. This causes overuse some groups of muscles and causes micro injury to the muscles which become tight to protect themselves from further injury. Furthermore the tight neck and shoulders will make poor posture worse. It becomes a viscous circle. This needs to be treated, otherwise tight neck and shoulders would not resolve itself. Stretching the muscles, applying heat or warm bath may help. Acupuncture is very effective to release the muscle tension, reduce the tightness, correct poor posture and improve blood circulation. Acupuncture can help stiff neck by relaxing muscles spasm.

Poor posture, acupuncture can help

Poor posture is a major cause of neck pain; while neck pain prevents the neck from getting back to normal posture. Poor posture results from certain muscles shortening and lengthening in an abnormal way. Poor posture can place strain on the related muscles and other soft tissues causing pain, such as neck and back pain. Inflammation is one of the causes of poor posture. If there is an inflammation in somewhere in the body, it causes pain. The body automatically protects itself to avoid the pain resulting in an abnormal posture. For example, people with neck pain would tilt the head involuntarily to one side to avoid the neck pain. Acupuncture can help to reduce the inflammation and pain to help to correct the poor posture.

Acupuncture treatment is recommended for acute and chronic neck pain

Current interventions for neck pain include themal, electrotherapy, ultrasound, mechanical traction, laser, and acupuncture. But definitive knowledge about optimal modalities and dosage for neck pain is limited. Granham N et al from McMaster University, Hamilton Canada analysed existing data to provide the evidence for recommendations on physical modalities for acute to chronic neck pain. The data included was from January 2000 to July 2012. Their result showed that short term pain relief- moderate evidence of benefit: acupuncture, intermittent traction and laser were shown to be better than placebo for chronic neck pain. Moderate evidence of no benefit: pulsed ultrasound, infrared light or continuous traction was no better than placebo for acute whiplash associated disorder, chronic myofacial neck pain or subacute to chronic neck pain. There was no added benefit when hot packs were combined with mobilization, manipulation or electrical uscle stimulation for chronic neck pain, function or patient satisfaction at six month follow-up. They concluded that the current state of the evidence favours acupuncture, laser and intermittent traction for chronic neck pain.

Liang Z et al in China studied the effect of acupuncture on chronic neck pain. 178 patients with chronic neck pain were recruited. These patients were allocated into two groups 88 in acupuncture group and 90 in control group which received acupuncture and placebo treatment respectively. The Northwick park neck pain questionnaire (NPQ), visual analogue scale (VAS), short from 36 health survey (SF-36) and doctor’s judgement were applied for measuring effectiveness. The effect was assessed before treatment, immediately after the treatment, at the end of first month of follow-up and at the end of third month follow up. They found that the NPQ, VAS and SF 36 scores in acupuncture group were significantly improved after the treatment and the two follow-ups compared with before the treatment. Acupuncture group had better effect than that for control group. They concluded that acupuncture has immediate effect and lasting effect for chronic neck pain.

Another research of effectiveness of acupuncture on neck pain by Dong and Lin was published recently. They compared different effects of acupoints. 60 patients with neck pain were divided into two groups with 30 patients of each group. In first group, the acupoints selected at the start and end of trapezius muscle including Tianzhu (BL10), Fengchi (GB20), Quyuan (SI 13), Jugu (LI16) and Ashi points. In the second group, Jiaji (Ex-B2) on the neck were selected. The patients received acupuncture 5 times a week for 2 weeks. The Pain Rating Index (PRI, VAS and Present Pain Intensity (PPI) were measured before and after the treatments. They found that the scores were significantly reduced in both group. The better effect in first group was observed. They concluded that the points at the start and end of trapezius muscle had better effects than Ex-B2 points.

How many needles are suitable for neck pain treatment with acupuncture?

How many needle numbers are used to obtain best effect? Ceccherelli F et al from University of Padova Italy studied this subject. They compared the clinical efficacy of different number of needles used in patients with mayofascial pain. There were 36 patients between 29-60 years of age with cervical myofacial syndrome participated the study. These patients were divided into two groups: 18 patients were in the first group and treated with 5 needles; another 18 patients were in the second group and treated with 11 needles. The same of needle stimulating time and the same cycle of treatment were applied to both groups. Pain intensity was evaluated before, immediately after and 1 and 3 months after the treatment. The needles in the two most painful trigger points were inserted deeply and other needles were applied superficially. They found that a good treatment effect was obtained in both groups and this is not associated with the number of needles used. Their conclusion was that the number of needles either 5 or 11 used is not essential to obtain good therapeutic effect when the simulation time remains the same.

Physiotherapy and chiropractic treatments are popular options for treating neck pain. Do you know that physiotherapist and chiropractors also use acupuncture to treat neck pain? What treatment options are available for neck pain? There was an international survey with Canada having the largest response to investigate physical medicine, complementary and alternative medicine utilization amongst 360 clinicians treating patients with neck pain. Both physiotherapist and chiropractors used exercise and manual therapies which is 98-99%. Physiotherapists used exercise, orthoses and 'other' interventions more, while chiropractors used phototherapeutics more. 46% acupuncture is used by these professions to treat neck pain. If you go to see a physiotherapist or a chiropractor, you may get an acupuncture treatment from them.

A review by Trinh K et al from Canada summarised the most current scientific evidence on the effectiveness of acupuncture for neck pain. They found 27 studies investigated this subject. Of the 27 included studies, three represented individuals with whiplash-associated disorders (WADs) ranging from acute to chronic (205 participants), five explored chronic myofascial neck pain (186 participants), five chronic pain due to arthritic changes (542 participants), six chronic non-specific neck pain (4011 participants), two neck pain with radicular signs (43 participants) and six subacute or chronic mechanical neck pain (5111 participants). They found that acupuncture is beneficial at immediate-term follow-up compared with sham acupuncture for pain intensity; at short-term follow-up compared with sham or inactive treatment for pain intensity; at short-term follow-up compared with sham treatment for disability; and at short-term follow-up compared with wait-list control for pain intensity and neck disability improvement. Acupuncture appears to be a safe treatment with minor adverse effects. Reported adverse effects include increased pain, bruising, fainting, worsening of symptoms, local swelling and dizziness. These studies reported no life-threatening adverse effects and found that acupuncture treatments were cost-effective.

References
Ceccherelli F et al Clin J Pain 2010 26:807-12
Liang Z et al Complement Ther Med (2011) 19 supple 1:S26-32
Dong WK and Lin XH Zhongguo Zhen Jiu (2012) 32:211-4
Graham N et al Open Orthop J (2013) 7:440-60
Carlesso LC et al Chieopr Man Thera (2014) 22:11
Trinh K et al Cochrane Database Syst Rev (2016) May 4;5:CD004870. [Epub ahead of print]

Wednesday, 18 January 2017

How the body heals itself

Tissue repair is involved in the healing process which allows restoration of injured tissue. There are three phases during the healing process: a inflammatory phase, a proliferative phase and a regeneration phase. The inflammatory phase begins with damage to the capillaries, which triggers the formation of a blood clot and the various recruited cells to migrate into wound, such as inflammatory cells (neutrophils and macrophages), fibroblasts and endothelial cells. The second phase is proliferative phase. In this phase, new capillaries deliver nutrients and oxygen for the development of granulation tissue and proliferation of fibroblasts. Fibroblasts differentiate to myofibroblasts which have contractile properties containing stress fibres. The third phase of healing is regeneration and scar formation which is involved in a progressive remodelling of the granulation tissue. In this phase many enzymes and their inhibitors play a major role. Vascular cells and myofibroblasts are reduced in numbers.

The healing process can become abnormal. These abnormal repair processes are the result of an impaired remodelling of the granulation tissue. If there is the noxious stimulus, excessive extracellular matrix deposition and the continued presence of myofibroblasts is observed. This excess of extracellular matrix deposition leads to the development of organ fibrosis. The installation and persistence of fibrosis is the consequence of an imbalance between extracellular matrix synthesis and degradation by myofibroblasts.

Acupuncture can stimulate normal healing process and restore the balance to speed up healing process.

References
Ludovic Micallef etc Fibrogenesis & Tissue Repair20125(Suppl 1):S5

Thursday, 12 January 2017

The thoracolumbar fascia, low back pain and acupuncture

The thoracolumbar fascia or lumbodorsal fascia or thoracodorsal fascia is a deep fascia at the back of the posterior thoracic and abdominal region. It goes up and is continuous as nuchal fascia on the back of the neck. It wraps around deep muscles at the back. It is made up of three layers: anterior, middle and posterior. The anterior layer is the thinnest and the posterior layer is the thickest. Psoas major muscle lies in the front of the anterior layer; Quadraus lumborum muscle is between the anterior and middle layers; the erector spinae muscles and transversospinales muscles are between the middle and posterior layers; Latissimus dorsi and serratus posterior inferior muscles lie at the back of the posterior layer.

Thoracolumbar fascia injury or overuse can cause inflammation of the fascia leading to pain and tightness at low back, shoulder and hip pain and tightness, difficulty of breathing, difficulty of walking, muscle weakness etc. Acupuncture cane help reducing inflammation, releasing pain and improving tightness.

Erector spinae muscles and back pain

The erector spinae muscles are a group of muscle and tendons lying along the side of the spine. They arise from the anterior surface of the tendon attached to the medial crest of the sacrum, spinous processes of the lumbar and last two thoracic vertebrae, the supraspinous ligament, the innerpart of the iliac crest and the lateral crest of the sacrum. They extend up through lumbar, thoracic and cervical regions. This group of muscle include iliocostalis, longissimus and spinalis. The erector spinae makes the back straight and rotate the back from side to side. Injury, strain chronic inflammation to these muscles may cause back spasm, pain and stiffness. Acupuncture can help with relaxing the muscles, reducing inflammation and releasing the pain and stiffness.

Wednesday, 11 January 2017

Tubal infertility and acupuncture treatment

The role of fallopian tube is in reproduction

The fallopian tube is a part of the women’s reproductive system. It plays an essential role in gamete transport, fertilization and the early development of the embryo. The tube contains inner lining and smooth muscle wall. In the inner lining there are two major cell types are the ciliated and secretory cells. The fallopian tube goes through cyclical changes responding to estrogen and progesterone levels. The ciliated cells are low in height during the menstrual periods of the cycle, increasing during the follicular phase to reach their maximal height in the periovulatory period. Around the time of ovulation, the secretory cells reach peak activity. In the luteal phase, both cell types reduce in height.

When an egg is release, it takes about 8 hours to reach the site within fallopian tube where fertilization occurs and embryo is accommodated there for 72 hours. Once progesterone dominance begins lumen opens and the embryo is transported to the uterus.

Tubal infertility and acupuncture

The fallopian tube is essential on sperm, egg and embryo transport and dearly embryo development and it is very important for women who desire to get pregnant naturally. In IVF procedure, the fallopian tube is circumvented. The fallopian tube is not a concrete tunnel. The tube wall is flexible and consisted of smooth muscles which are responding to monthly cyclic hormone changes. Sometimes the tube can be obstructed by debris in the tube and tube muscle spasm. Women with spasm tube will find it difficult to get pregnant.

Fallopian tube smooth muscle contraction is induced by sympathetic nerves. Acupuncture reduces sympathetic activity and relaxes tube muscles and the debris in the tube is flushed away by the tubal fluids. This makes the obstructed tube reopen. In this case, pregnancy occurs quickly after acupuncture treatment.

Risk factors of tubal infertility include increased age, cigarette smoking history of endometriosis and history of pelvic inflammatory disease which were significantly associated with tubal infertility.

References
R.A.Lyons et al (2006)Human Reproduction Update, 12: 363–372
Papaioannou S Hum Rreprod (2004) 19:481-5

The human body need energy to function, acupuncture helps energy flow

Where is energy coming from? It comes from the food we eat. The food goes into the digestive system where it is turned into glucose. Glucose goes into bloodstream and it is either used immediately to provide energy for the body needs or store in the body for later use. Blood circulates throughout the body and brings the energy to the cells to function.

How much energy does one need? This depends individually. Weight watch is simple and effective way to know how much energy you need and get balanced energy. If you eat food with more energy than you need, the excessive energy will turn into fat and store in the body and you gain weight. If you eat food with less energy than you need, the body will burn existing body fat to make up for the difference and you lose weight. If you eat the food with energy that equals to what you used, your weight will remain unchanged. In this case the energy is balanced. What food and how much you eat is a key step to get balanced energy. Healthy diet gives you balanced energy.

Blood circulation is also a key step to get balanced energy. If blood circulation is poor, the nutrients will not reach the cells which need energy to do the work. You will see symptoms of blocked energy. Fatigue is a typical symptom of lack of energy. Acupuncture helps improving blood circulation of the body and helps energy flow in the body.

Tuesday, 10 January 2017

Numbness on toes and feet, acupuncture can help

Numbness is a loss of sensation or feeling in a part of the body. It's often accompanied by other abnormal sensations, such as a pins-and-needles feeling, burning or tingling. Numb toes and feet are a common problem which generally affects the nerves that supply the toes and feet. The sensory nerves to the toes and feet receive stimulus such as pressure and temperature and send signal to the brain. If the nerve is damaged, the signals are no longer sent to the brain. In this case numbness occurs and the toes and feet are no longer feeling sensation such as touch, heat or cold. Usually this is caused by peripheral nerve damage to the toes and feet. It is rarely caused by the spinal cord or the brain. The numbness of the toes and feet can be often caused by the injury to the toes feet, hips and low back. Generally numbness is not life threatening and some people with numbness don’t bother to get it treated, but numb toes and feet do need to be checked out to find out what the cause is and be treated to prevent further damage due to lack of sensation which increases the chance of injury. Acupuncture can help nerve recovery and improve the numbness.

Chronic pain recovery, fascia remodelling and acupuncture

Nerve endings are surrounded by fascia tissue and play an important role in pain regulation. Disruption of fascia can stimulate pain receptors and provoke inflammation. Recently chronic low back pain has been suggested starting from the fascia inflammation. Pain-related fear leads to a decreased movement, connective tissue remodeling, inflammation, nervous system sensitization and further decreased mobility. The Lumbar Fascia cross the entire lower back region, and is a key component. The lumbar fascia is thickened in patients with chronic low back pain leading to stiffness of the back. Fascia remodelling is a healing process of recovery. Application of acupuncture helps fascia remodelling and reversing the abnormality of fascia.

References
Yu Bai et al Evidence-Based Complementary and Alternative Medicine
Volume 2011 (2011), Article ID 260510,

Fascia, meridians and acupuncture

Under the skin there is a sheet of connective tissue called fascia. Fascia is mainly made up of collagens and it surrounds the muscles and other internal organs. There are three types of fascia, superficial, deep and visceral fascia. Fascia are flexible and are resistant to tension force, this is because the collagen fibers produced by fibroblasts in the fascia are arranged in a wavy manner. Because of the fascia flexibility, it can transmit mechanical force throughout the body and prevent the body from injury. Fascia also provides support to the nerves and blood vessels in the fascia. Fascia is innervated by sensory nerve endings. If fascia is damaged and/or inflamed, it will lose its wavy pattern and flexibility, fasical adhesion and scaring will cause stiffness and pain.

In Chinese medicine, there is a concept of meridians through which the energy will flow throughout the whole body, but the anatomical basis of meridians is not resolved. The recent research data from scanning connective tissue has suggested that fascia network is clearly matched with meridian network. Disruption of fascia can trigger local inflammation and block energy flow causing pain. Acupuncture can reduce inflammation and unblock the meridians improving energy flow.

Thursday, 5 January 2017

Acupuncture improves body energy supply and detoxification by increasing blood circulation

System circulation (blood circulation) is the part of the cardiovascular system. It carries oxygenated blood away from the heart through the arteries, capillaries to the tissues of the body. It provides the functional blood supply with oxygen and nutrients to the cells to all body tissue. It picks up carbon dioxide and waste products and returns deoxygenated blood through veins back to the heart. Circulation is the key for body function. It provides energy that body needs and detoxifies the body. If some part of the body or whole body circulation is compromised, the body will not function well and illness will occur.

Acupuncture improves blood circulation and this was proved by scientific research. For example, Sandberg et al investigated the effects of acupuncture on skin and muscle blood flow. Blood flow recordings were performed intermittently from 10 min prior to the intervention to the end of the trial. They found that skin and muscle blood flow increased after acupuncture stimulation. Another example Kuo et al also studied the effect of acupuncture on skin blood flow. After acupuncture treatment skin blood flow and skin temperature increased. By increasing blood circulation, acupuncture improves body energy supply and helps with detoxification of the body.

References
Sandberg et al Eur Appl Physiol (2003) 90:114-9
Kuo et al Am J Chin Med (2004) 32 :117-29