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Category Archives: Digestion
Good digestion is crucial to our day-to-day energy levels, and to our longer term nutritional status. When the system works well, we take it for granted, but when it misbehaves, life can be very uncomfortable. I see conditions ranging from bloating and irritable bowel syndrome (IBS), through to Crohn’s disease and colitis. Some patients have singled out foods which aggravate their symptoms, whilst others are clear that stress or anxiety are unhelpful.
If you come for treatment for a digestive problem, I will ask all about your diet and eating patterns, in addition to the detailed symptoms you have. I shall also be interested to hear whether you have identified any aggravating factors. As usual, we will go on to look at your health more widely, so that I can build an overall picture of you.
Below you will find a small selection of research articles on acupuncture for digestive issues. Please do call me to discuss your situation or to arrange an appointment.
An American randomised trial studying acupuncture for postoperative nausea, has shown that children receiving the treatment alongside anti-sickness medication, are less likely to experience symptoms. A total of 161 children aged 3 to 9 and undergoing tonsillectomy, were randomised to receive either acupuncture plus antiemetic drugs, or antiemetics alone. Acupuncture consisted of needling the well-known point Neiguan on each wrist.
During phases 1 and 2 of recovery, the incidence of postoperative nausea and vomiting was 7% in the acupuncture group and 35% in the group on medication alone. This was mainly due to the reduction in nausea. Vomiting was no different between the two groups. The day after surgery, nausea and vomiting was 36% in the acupuncture group and 49% in the medication only group.
(Randomized trial of acupuncture with antiemetics for reducing postoperative nausea in children. Acta Anaesthesiologica Scandinavica , 6 November 2018.)
A pilot study undertaken in Korea suggests acupuncture can offer clinically meaningful improvements in functional constipation (constipation not due to IBS or other diseases). Thirty patients with the condition, mean age 50, were randomised to receive either real acupuncture or sham acupuncture in a university hospital setting. The sham sessions consisted of 12 shallow needle insertions at non-acupuncture points. Patients received twelve treatment sessions over four weeks.
Real acupuncture, but not sham, resulted in clinically meaningful improvements in frequency of bowel movements, and these were maintained at follow-up four weeks after completion of treatment. The researchers conclude that a full-sized randomised controlled trial with long-term follow-up should be conducted to confirm their promising efficacy and safety findings.
(Efficacy & safety of acupuncture for functional constipation: a randomised, sham-controlled pilot trial. BMC Complementary & Alternative Medicine, 15 June 2018.)
Chinese authors of a network meta-analysis have concluded acupuncture ranks as one of the best non-pharmacological treatments for chronic functional constipation. They looked at 33 randomised trials covering over 4300 participants, which compared eight non-pharmacological treatments with placebo, sham and conventional interventions. Compared with laxatives, acupuncture had a significantly greater effect on stool frequency, with a lower incidence of adverse events.
(Non-pharmacological conservative treatments for chronic functional constipation: A systemic review & network meta-analysis. Neurogastroenterology & Motility, 20 August 2018.)
A randomised controlled trial in China looking at acupuncture for indigestion (dyspepsia) has demonstrated that it can improve the symptoms. A total of 200 patients with persistent functional dyspepsia were assigned to receive 20 sessions of either true or sham control electroacupuncture over a four week period. Symptom scores showed true electroacupuncture to be superior to sham at all time points, and its effect persisted for 20 weeks following the end of the treatment period.
(Electroacupuncture for patients with refractory functional dyspepsia: A randomized controlled trial. Neurogastroenterology & Motility, 28 February 2018.)
The results of a large study undertaken in China suggest that using acupuncture for constipation is as effective as drug therapy. A total of 684 patients with chronic functional constipation, were randomly allocated to receive one of three acupuncture protocols or the drug mosapride, for four weeks. Sixteen acupuncture treatments were given over the four weeks, with electrical stimulation on the needles.
After four weeks, the number of spontaneous bowel movements had increased significantly and fairly equally across all four groups. At eight week follow up however, the change had become significantly smaller in the drug group compared with all three acupuncture groups.
(Acupuncture for patients with chronic functional constipation: A randomized controlled trial. Neurogastroenterology & Motility, 2 February 2018.)