Monthly Archives: March 2012

Acupuncture for Cancer


The following is an article I had published several years back in Vitality Magazine on March 01, 2007 and which can also be accessed on my clinic blog at www.acupao.com 

http://www.acupao.com/2012/03/26/acupuncture-for-cancer/

Acupuncture for Cancer – Integrating Eastern with Western Medicine

In the fall of 2003, the Canadian Cancer Society held its first symposium on the impact of Traditional Chinese Medicine in the treatment and prevention of cancer. The CCS spokesperson, Cheryl Rill, acknowledged that despite the advances of western medicine in treating cancer, there was still much more to be learned and that the evidence-based society welcomed discussions about cancer from various perspectives.(1)

The multiple benefits of acupuncture
As acupuncture and oriental medicine continue to gain acceptance in the west, they are increasingly being used in conjunction with western conventional medicine to treat a range of conditions, including cancer. Acupuncture in particular has received much attention for its use in cancer pain and post-operative and chemotherapy-induced nausea and vomiting. According to an article by Dr. N. Samuels (2002) published in the research journal, Harefuah:

Acupuncture’s use in cancer patients has been recommended by the American Cancer Society (ACS) for the treatment of cancer and treatment-related symptoms. Pain, nausea, breathlessness, vasomotor symptoms and limb edema have all been found to respond to this treatment modality.(2)

Dr. Samuels stated further that acupuncture can act against carcinogens (factors attributable to cancer development) through its ability to reduce stress and enhance immune function.(2) Indeed, several cancer centres have begun incorporating acupuncture for treating cancer-related symptoms such as pain(3) and many patients have had significant results in the reduction of their symptoms.(4)

Before describing how acupuncture can be effectively integrated into the care of the patient, it may be helpful to first gain an appreciation of what cancer is and the various western conventional therapies that are often used in its treatment.

What is cancer?
As one of the leading causes of death in North America, cancer is a disease that few can ignore. It arises from abnormal changes in the genetic make-up of cells that cause them to multiply uncontrollably. The abnormal cells then spread locally or to other regions of the body via the lymphatic or blood circulation. Several factors are believed to trigger the cell mutations that give rise to cancer. These include hereditary susceptibility, immune dysfunction, increasing age, improper dietary intake, extreme stress, hormonal therapy and environmental, infectious, and therapeutic carcinogens (agents that are associated with cancer development).(5,6,7)

Conventional treatment
Common cancer therapies include surgery, chemotherapy, radiation therapy, immunotherapy, and hormonal therapy. While surgery involves the physical removal of tumours, other treatments such as chemotherapy work on inhibiting cell growth and multiplication. All these therapies can be very effective and are often critical components to helping a patient survive. Removing tumours through surgery and radiation can prevent further metastases (cancer spread to other areas of the body) and complications. Unfortunately, these and other treatments can be very difficult for the body to process and recover from. Several of the drugs used in chemotherapy are not only toxic to cancer cells but to healthy cells as well and can cause mild to severe bouts of nausea. By depleting the bone marrow and thus inhibiting the production of white blood cells, red blood cells, and platelet cells, chemotherapies can increase a person’s risk of infection, cause fatigue and dizziness, and impair wound healing respectively. Furthermore, chemotherapeutic agents can cause hair loss and skin rashes from damage to the cells of the hair follicles and skin.(5,6,7) Hormonal drugs such as tamoxifen (used in the treatment of breast cancer), have also been shown to increase the risk of thrombosis (blood clotting) and endometrial cancer.(7)

Therapies such as gamma knife radiotherapy and cyberknife involve focused radiation to a particular part of the body and are sometimes offered as an alternative to surgery. In addition, newer chemotherapeutic drugs promise less toxicity and fewer side effects than ever before (5,6,7). These advances are indeed encouraging. So where, you might ask, does acupuncture and oriental medicine fit in?

Traditional Chinese Medicine
Traditional Chinese medicine (TCM), which consists of acupuncture, Chinese herbal medicine, tuina (Chinese massage therapy), nutrition, counselling, and physical exercise (such as Tai Qi and Qi Gong), is a comprehensive medical system based on over three thousand years of experience. The earliest drawings of tumours have been found on turtle shells and “oracle bones” from the eleventh century B.C. Texts dating from 200 B.C. have detailed descriptions of the quality of tumours and their cause.(8)

Similar to conventional western medicine, TCM attributes cancer to one or a combination of factors such as genetics, lifestyle, and environment. Cancer is the accumulation of external or internal factors or both, that create disharmony in the normal functioning of the body, and combine to produce a diseased state (8,9). In ancient texts, it was believed that factors such as extreme cold and intense sadness could also lead to unhealthy conditions such as cancer.(8) When treating patients, the TCM physician takes a complete inventory of the person and considers such things as musculoskeletal abnormalities, energy level, body temperature, complexion, sleep, appetite, diet, digestive functioning, emotions, and overall lifestyle.

As described by Gordon and Curtis (2000) in Comprehensive Cancer Care, Traditional Chinese Medicine takes a holistic approach to the treatment of cancer:

The traditional Chinese medicinal treatment of cancer is based on the principle of fu zheng gu ben. Roughly speaking, fu zheng means strengthening what is correct, the qi, the forces in the body regulating normal healthy development. Gu ben refers to strengthening and enhancing the processes of regeneration and repair, which Chinese medicine locates in the kidney. Traditional treatment includes removing toxins that may contribute to cancer, increasing the flow of blood and qi, removing undesirable accumulations of tissue that are the tumor, and restoring self-regulation and balance among the jing, shen, and qi. The means that are used-acupuncture, herbal and nutritional therapies, tai chi, qi gong, tui na, and counselling-are each designed to further one or more aspects of this process.(8)

Acupuncture for various stages of cancer
For conditions where the cancer is detected early, acupuncture can maintain and promote the normal functioning of the body.(10) Several studies done primarily on animals have shown its ability to boost the immune system and encourage the growth of healthy functioning cells.(3) This could be important for counteracting the result of radiation and chemotherapy that tend to attack both normal and abnormal cells. An additional benefit of acupuncture is that it can induce a state of deep calm and relaxation and alleviate physical and emotional tensions.

In cases where a tumour has formed, acupuncture can be used pre- and post-operatively where appropriate as an adjuvant therapy to surgery, radiation, or chemotherapy.(10) According to a study done by Poulain (1997) on 250 patients who underwent gynaecological surgery for cancer, acupuncture was shown to speed recovery time.(11) A recent study done by Aldridge (2001) on a series of 40 breast cancer patients, found that acupuncture could reduce nausea and vomiting following surgery and significantly reduce post-operative pain.(12)

For advanced stages of cancer, acupuncture can be used in conjunction with other forms of palliative care to significantly reduce the sensation of pain.(10) In some cases, patients may be able to reduce the dosage of pain medication substantially and thereby avoid the harsh side effects that are often associated with them.(11)

How does acupuncture work? The eastern and western explanations
In Traditional Chinese Medicine (TCM), the body is composed of an intricate web of energy pathways known as “meridians”. The twelve regular and eight extra meridians help to maintain a balance of yin (substances which nourish the body) and yang (related to activity and function) within the body. Each meridian is named after the specific internal organ that it encompasses and through which it passes. Through these meridians, the internal and external aspects of the body are connected.

When “qi” (vital energy) and “xue” (blood) flow freely through the meridians, the body is in good health and can perform at its optimum. However, if a particular energy pathway does not function properly, the flow of “qi” and “xue” can become obstructed, hyperactive (excessive), hypoactive (deficient) or even flow in reverse. This can affect the function of the meridian’s corresponding organs, which causes an imbalance of the body’s yin and yang, and ultimately affects the functioning of the body as a whole.

From a TCM perspective, acupuncture stimulates specific points on the body where energy collects and flows through the meridians and regulates the overall flow of energy so that the body can return to a state of balance and health.

From a western medical perspective, the insertion of hair-fine sterile and disposable needles into the subcutaneous layers of the skin can have profound influences on several regulatory systems. When used correctly, acupuncture has neurophysiological affects (3) that can release pain-reducing endorphins; affect the metabolism of serotonin, a neurotransmitter (brain chemical) that affects both pain perception and mood; and improve circulation and immune function.(8) Acupuncture specifically works to relieve nausea by releasing chemicals that control the vomiting centre in the brain as well as decreasing acid secretion and inhibiting abnormal gastric contractions.(13)

So why are the needles inserted in specific places? According to Bruera and Portenoy’s Cancer Pain: Assessment and Management (2004), studies on acupoints have shown that:

Many acupuncture points are also palpably detectable hollows or anatomical tissue planes, which in Western theory, may signify easily influenced zones of lymphaticoneurovascular bundles in the subcutaneous tissue. Peripheral endings of cranial and spinal nerves, and penetrations of neurovascular bundles through superficial fascia, have been cited as morphological findings of acupuncture points.(14)

What to expect from an acupuncture treatment
Though the insertion of needles under the skin might not sound appealing, the reality is that the fine needles cause little discomfort or pain since they are inserted below the skin layer. Once the needles are inserted, patients may feel a dull, heavy sensation accompanied by a slight tingling or numbness in the local area of insertion, that usually dissipates within a few moments. The needles are then retained for approximately twenty minutes. Most people find this experience to be quite relaxing and some may even fall asleep. After the acupuncture session, the practitioner may also use other modalities such as tuina (Chinese massage therapy) to complete the treatment. For chronic conditions such as cancer, treatments will be regular (at least once or twice a week) and adjusted according to the particular condition a person is in.

Some final thoughts
Cancer is not a death sentence. It is a life-changing experience not only for those who have it, but for others as well. Educating ourselves as to what options are available for treatment and overall healing can only improve our opportunities to live a healthier and happier life.

From providing adjuvant therapy for pain and associated emotional aspects relating to cancer, to treating side-effects such as nausea and decreased immunity arising from the more toxic and invasive conventional treatments, acupuncture and oriental medicine are invaluable resources that can guide the body towards a healthier state.

Our current medical system in the west comes from a background of reductionism, where we reduce a person to the sum of their body parts. This means that when treating a patient, there is a tendency to deal with the parts rather than the whole. Furthermore, our focus in health care has in large part been on treatment rather than prevention. While these views have their place, a more pronounced shift towards prevention, treating the whole person, and allowing an individual’s natural healing abilities to take part in the healing process, is necessary if we truly want to promote health. Here is where the integration of eastern with western medicine can truly make a difference.


“Alas! The way of healing is so profound. It is deep as the oceans and boundless as the skies. How many truly know it?”-Huang Di Nei Jing (The Yellow Emperor’s Classic of Internal Medicine).(15)

References

  1. Vancouver Hosts Symposium on Traditional Chinese Medicine and Cancer http://www.Acupuncturetoday.com. Accessed February 18, 2004.
  2. Samuels N (2002) Acupuncture for cancer patients: why not? (article in Hebrew) Harefuah. 141(7):608-610, 666. Click here. Accessed March 17, 2004.
  3. Filshie J, Thompson JW. Acupuncture. In: Doyle D, Hanks G, Cherry N, Calman K editors. (2004)Oxfordtextbook of palliative medicine-3rd ed. NY: Oxford University Press. P. 410-424, 1093.
  4. Johnstone PA, Polston GR, Niemtzow RC, Martin PJ (2002) Integration of acupuncture into the oncology clinic. Palliat Med. 16(3):235-9 Click here. Accessed March 6, 2004
  5. What is Cancer? Click here. Accessed Feb. 18, 2004.
  6. Holmes, HN (2001) Professional guide to diseases. 7th ed. Springhouse, PA: Springhouse Corporation.
  7. Tierney LM, McPhee SJ, Papdakis MA (2004) Current medical diagnosis and treatment 2004. 43rd ed. NY: The McGraw-Hill Companies Incorporated.
  8. Gordon JS, Curtin S (2000) Comprehensive cancer care: integrating alternative, complementary, and conventional therapies. NY: Persus Publishing.
  9. Li P (2003) Management of cancer with chinese medicine.St. Albans,UK: Donica Publishing Limited.
  10. Mak E. Acupuncture in Cancer Treatment. Click here. Accessed Feb. 18, 2004
  11. Poulain P, Pichard Leandri E, Laplanche A, Montagne F, Bouzy J, and Truffa-Bachi J (1997) Electroacupuncture analgesia in major abdominal and pelvic surgery: a randomized study. Acupuncture in Medicine. XV (1), 10-13.
  12. Aldridge S. Acupuncture helps breast cancer patients (abstract). American Society of Anaesthesiologists Annual Scientific Session, 2001.
  13. Samuels N (2003) Acupuncture for nausea: how does it work? (article in Hebrew) Harefuah. 142 (4):297-300, 316. Click here. Accessed March 17, 2004.
  14. Bruera ED, Portenoy RK (2004) Cancer pain: assessment and management. NY:CambridgeUniversityPress.
  15. Ni M (1995) The yellow emperor’s classic of internal medicine: a new translation of the neijing suwen with commentary.Boston,MA: Shambhala Publications, Inc.

Acupuncture for Pregnancy & Labour | Vitality Magazine | Toronto Canada alternative health, natural medicine and green living


Here is a great article by Chris Di Tecco, D.Ac, D.TCM,  on how acupuncture and Chinese medicine can help you during the different stages of pregnancy and labour:

Acupuncture for Pregnancy & Labour | Vitality Magazine | Toronto Canada alternative health, natural medicine and green living.

Spring Cleaning with Fennel, Zucchini, and Black Olive Penne


Now that spring has officially arrived, a little home spring cleaning is just what our family needs. And what better way to support that than a healthy vegetarian dish that highlights the delightfully flavorful, fennel (see image below to appreciate it in its full glory).

Photo credit: http://www.lesliebeck.com/images/featured_foods/fennel_300.jpg

The wonderful recipe that featured my large fennel plant that our friendly Front Door Organics Delivery Service (http://www.frontdoororganics.com/) provided along with our local fresh fruits and vegetables last week, was for Fennel, Zucchini, and Black Olive Penne. Below is this relatively simple yet delicious recipe for your perusal from Front Door Organics (http://www.frontdoororganics.com/):

Ingredients:

-1 bulb fennel

-2 cloves garlic

-10 black Kalamata olives

-lemon juice

-shaved parmesan or garnish

-1 zucchini

-2 cups dried penne

-4 tbsp olive oil

-salt and pepper

-1/4 cup chopped parsley

Directions:

Trim the fennel base and tops, cut in half lengthways and then in quarters lengthways. Cut the zucchini in quarters, lengthways also. Use a tablespoon of oil to coat, set on a baking sheet and roast at 400F for about 20 minutes, until softened and starting to turn brown.

Meanwhile remove pits romt he olives and roughly chop. Mince the garlic well and bring a pot of salted water to boil for the pasta. In a large pan, heat the 2 tbsp of olive oil over low heat and gently cook the garlic, remove from heat when it starts to colour.

Cook the pasta to al dente and when the fennel and zucchini have roasted, remove from the oven, all to cool slightly and then roughly chop.

Add the chopped zucchini and fennel to the pan with the garlic, heat over medium and add the olives and drained pasta. Combine with a tablespoon of oil, chopped parsley, a little pasa water, a squeeze of lemon juice and salt and black pepper. Serve topped with shaved Parmesan.

Note: This meal was a light and delightful dinner for two. For those with gluten sensitivities, replace whole wheat penne with a  gluten free product such as brown rice penne. The leftovers for next day’s lunch supercharged our day as we attempted to purge, purge, purge and clean our lives into simplified beauty and order.  More on this in my next post!

Day Three, Part One: Twenty Days Toward Being A More Mindful Mother


If you are new to this series of posts by Carrie of the Parenting Passageway (http://theparentingpassageway.com), please refer to my note on my previous post under Education, which links to Day One, Part Two: Twenty Days Toward Being A More Mindful Mother http://faymeling.wordpress.com/2012/03/11/day-one-part-two-twenty-days-toward-being-a-more-mindful-mother/ . Thanks! -Fay Meling

Below is a lovely post from Carrie on the Parenting Passageway about how to find balance in our own lives to create the happiness we want for our children’s lives.

http://theparentingpassageway.com/2012/03/22/day-three-part-one-twenty-days-toward-being-a-more-mindful-mother/

Part Two, Day Two: Twenty Days Toward Being a More Mindful Mother


If you are new to this series of posts by Carrie of the Parenting Passageway (http://theparentingpassageway.com), please refer to my note on my previous post under Education, which links to Day One, Part Two: Twenty Days Toward Being A More Mindful Mother http://faymeling.wordpress.com/2012/03/11/day-one-part-two-twenty-days-toward-being-a-more-mindful-mother/ . Thanks! -Fay Meling

http://theparentingpassageway.com/2012/03/19/part-two-of-day-two-twenty-days-toward-being-a-more-mindful-mother/

Day One, Part One: Twenty Days Toward Being A More Mindful Mother


I just came across this lovely blog on parenting by Carrie of the Parenting Passageway. Carrie is “a certified neonatal and pediatric physical therapist, lay breastfeeding counselor, board-certified lactation consultant and positive parenting and homeschool consultant, Carrie has observed, worked with and counseled thousands of families.”

( http://theparentingpassageway.com/about/)

Carrie has written a series of entries that are meant to inspire us to become more mindful in our parenting. She is a wonderful and thoughtful writer, and I will post her insights for these next 20 days so that you too may follow along or link to her. I hope you enjoy reading these and some of her other posts as much as I have. (Please note: I love the Waldorf philosophy, and am intrigued by homeschooling. Our current situation has our older daughter attending a great public school with french immersion, but I do love the ideas that many homeschoolers present.  As a parent, I am not bound to any one system of education or any other beliefs that one author/person may espouse. I simply take the information as is and digest what makes sense for me and my family. Please feel free to do the same). -Fay Meling

http://theparentingpassageway.com/2012/02/23/day-one-part-one-twenty-days-toward-being-a-more-mindful-mother/

A beautiful symphony of flowers at Allan Gardens


During March break, the kids and I took a trip to our local conservatory, Allan Gardens. Children love learning about the different types of plants and flowers, and where, how and why they grow where they do. The conservatory is a walking symphony of spring blooms that are separated into different rooms with incredible plant species from all over the world. Here are some of the highlights of the visit.

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Inspirational Quote from Lao Tzu


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Just as activity beats the cold,
and inactivity (stillness) beats the heat,
Purity and stillness can heal the world.

-Lao Tzu

 

St. Paddy’s Feast: Vegan Sliders and Fries


St. Paddy’s Feast: Vegan Sliders and Fries.

A somewhat healthy option to celebrate St. Paddy’s day courtesy of Yoga Journal. Have a great weekend everyone!

Rice Congee for Healthy Labour And Delivery


Here is a common recipe used to prepare rice congee with other healthy ingredients to promote a normal and efficient delivery. It can also help to encourage labor that is prolonged or delayed.

Sweet Potato Congee (Yu Tou Zhou)

Ingredients:
Sweet Potato (You Tou) – 250g
Polished Rice* (Da Mi) – 50g (Please note: polished rice is gluten-free!)
Salt (Yan) – small amount, according to preference

Directions:
Remove skin of sweet potato, wash rice, and combine these two ingredients using a ratio of 6 parts of water with 1 part rice (e.g. 600g water: 100g rice, change amounts but keep ratio if you desire more or less). Once rice has been cooked into porridge, add a touch of salt or tamari/soy sauce for flavor.

Note: Congee can also be prepared in a crock pot or slow cooker. Simply add all prepared ingredients into the pot, put on low setting, and allow it to simmer overnight for approximately 6-8 hours. In the morning, presto! Your breakfast is ready and waiting to be served with any additional seasoning (e.g. a pinch of soy sauce/salt).

(Flaws, Bob. The Book of Jook. Blue Poppy Press, Boulder, CO, 1995)

For more information on acupuncture for delivery and postpartum please visit my practice site at: http://www.acupao.com