Other article links on this blog about acupuncture and back pain.
The latest issue (July 2015) of Dr. Julian Whitaker’s Health and Healing Newsletter (article not available online) has an article about back pain. It discusses the pros and cons of painkillers, and points out that getting an MRI or CT scan often times becomes a “Gateway to Surgery”. He suggests “waiting until you’ve given conservative treatment a chance to work”. He then has a nice summary of modalities to try for “Safe, Lasting Pain Relief”. This list includes Acupuncture, “one of the best-studied alternative therapies for pain relief”, amongst Stem Cell Therapy, Prolotherapy, High-Intensity Laser, Chiropractic, and Supplements (“such as curcumin, boswellia, omega-3 fatty acids, UC-II (type II collagen), bromelain, astaxanthin and ginger”).
I must note that three of these supplements or herbal remedies are from Traditional Chinese Medicine herbal medicine: curcumin, boswellia and ginger! I also just happen to carry a great arthritis herbal formula (patients love the results they have!) and amongst other ingredients, it has curcumin, boswellia and collagen. (I cannot advertise the product or its price, since the product is sold only by qualified health care professionals).
Dr. Whitaker also has on his website a nice article highlighting the many conditions Acupuncture Benefits, last updated in August 2014.
While most of us in the US may know of tumeric as a spice coming from India, it has been in the Traditional Chinese Medicine (TCM) Materia Medica for as far back as 657 A.D. Tumeric is in the same plant family as ginger, commonly used in both Chinese herbal medicine and Chinese cooking1 . Tumeric is from the plant known as Curcuma longa, hence Curcumin became the name for the main active ingredient in tumeric.
In TCM, we commonly use at least three species that belong to the Curcuma genus. Each one contains Curcumin but each plant has different unique medicinal qualities. In the last few years, Curcumin has become popular as an anti-inflammatory herbal ingredient and is used in many western herbal and supplement products for musculo-skeletal injuries and arthritis, and for anti-cancer support. However, the various Curcuma species have been used in Chinese Medicine for a long time for pain syndromes, benign or malignant masses, and much more.
Turmeric (Curcuma longa) or Jiang Huang (literal English translation is “ginger yellow”) is used in TCM to treat chest and hypochondriac (anterior rib area) pain, epigastric pain, dymenorrhea, and hepatitis liver pain. It is also used to treat pain syndromes such as tendonitis, bursitis, and arthritis, especially in the upper limbs. Additionally, it is used to treat pain from certain types of infected sores and lesions. Modern research has shown it does have an anti-inflammatory effect and antiplatelet effect. Additionally, it has also shown the ability to lower both cholesterol and triglycerides levels, and has demonstrated an ability to increase production and excretion of bile.
Curcuma aromatica or Curcuma domestica (Yu Jin) is used in TCM to treat pain, cramping and bloating associated with menstruation, especially irregular menstruation. It also treats abdominal masses, especially those in the hypochondriac region and disorders such as liver cirrhosis, or hepatomegaly or splenomegaly (liver or spleen enlargement). It also has the ability to stop certain types of bleeding (based on diagnosis) such as vomiting blood, hematuria (blood in the urine) or nosebleeds. It is also used to treat certain types of disorientation, epilepsy, mania and other psychologically-related disorders. It will also treat jaundice and gallstones.
The root or rhizome of another species, Curcuma Zedoria or E Zhu, is traditionally considered one of the strongest herbs to break up masses, especially in the abdomen. Masses can be tumors, either benign or malignant. This herb is used in formulas for many types of cancer in TCM, however, modern research has shown this herb is most effective against cervical cancer. E Zhu is also a strong pain-relieving herb, especially used for abdominal pain, including certain types of epigastric or hypochondriac fullness, abdominal distention or hardness, and pelvic inflammation. It is also used for dysmenorrhea (painful menstruation), amenorrhea (lack of menstruation) and indigestion . Additionally, this herb has shown antiplatelet and anti-thrombotic properties, along with having antibiotic-like effects against Staph, Strep and E. coli.
In TCM, all health conditions, including pain syndromes or diseases, are treated after determining a diagnosis based on analyzing a patient’s signs and symptoms, along with by observing the tongue and pulse, all of which help determine the affected organs and the pattern of disharmony in the body. Once a diagnosis is made, an herbal formula will be prescribed, never an individual herb as often assumed by western patients. This is because an individual’s diagnosis is complex and specific, and in order to treat it, a combination of properties of herbs are needed to be most effective.
So, here are a few examples of modified traditional Chinese herbal formulas that I prescribe in my clinic, when appropriate, that contain Curcumin in them, along a description of their specific clinical applications (all products are from Evergreen Herbs):
1) Jiang Huang
Arm Support –
Shoulder: periarthritis of the shoulder, frozen shoulder, capsulitis, rotator cuff tear, rotator cuff tendonitis, bursitis, inflammation and pain of the shoulder, subluxation or dislocation, AC (acromioclavicular) separation.
Elbow: lateral epicondylitis (tennis elbow), medial epicondylitis (golfer’s elbow), olecranon bursitis, tendonitis.
Wrist: carpal tunnel syndrome, tendonitis, sprain and strain.
General musculoskeletal injuries: tendonitis, bursitis, arthritis of the arm.
Numbness, decreased range of motion and atrophy of the arm.
2) Yu Jin
Shine – Depression with low energy, prolonged sadness or irritability, and lack of interest in daily activities.
Calm Jr – ADD (Attention Deficit Disorder), ADHD (Attention Deficit Hyperactivity Disorder), autism, hyperactivity, impulsiveness, difficulty in focusing, inattentiveness, restlessness; childhood convulsions, epilepsy, seizures and twitching of muscles.
Liver DTX – Liver damage with high levels of SGPT and SGOT; liver detoxification: enhances the normal metabolic and detoxification functions of the liver; hepatitis: treats hepatitis with or without jaundice, repairs liver cell damage; liver cirrhosis from excessive alcohol intake; addiction: detoxifies liver during alcohol, drug or smoking cessation; cholecystitis with increased liver enzymes, possibly with liver impairment.
Migratrol – Migraine headache: acute and chronic; tension headache: acute and chronic; cluster headache: acute and chronic.
Cholisma ES – High cholesterol and triglycerides levels; fatty liver; obesity; prevention and treatment for the conditions above.
Back Support (Upper) – Acute injury or trauma to the chest, ribs, or thoracic area with pain, inflammation, swelling, or bruises; upper back stiffness and pain, scapular pain and/or pain between the scapulae; subluxation of the thoracic vertebrae; rib fracture.
3) E Zhu
CA Support – Cancer patients who suffer extreme weakness and deficiency and cannot receive surgery or chemotherapy and radiation treatments; late stage, terminally-ill cancer patients with pain and suffering.
Resolve (Lower) – Fibrocystic disorders in the lower half of the body, such as fibroids and cysts in the uterus and ovaries; endometriosis; palpable masses and benign tumors of the female reproductive organs; female infertility due to obstruction in the lower abdominal region (i.e. tubal obstruction); pelvic pain due to obstruction in the lower abdominal region; scarring or blood stagnation in the pelvic cavity from surgery.
Arm Support – described above
1 The only dish I have seen in Chinese restaurants that has turmeric in it is ‘Singapore Noodles’. I especially like it because it combines turmeric with rice noodles (vs. noodles with wheat), which is great for those who are gluten sensitive.
1. Chen, John K. and Tina T. Chen. Chinese Medical Herbology and Pharmacology. AOM Press: 2004.
2. Bensky, Dan and Andrew Gamble. Chinese Herbal Medicine Materia Medica. Eastland Press, Revised Edition: 1993.
3. Clinical Manual of Oriental Medicine, 2nd edition, Lotus Institute of Integrative Medicine. (Descriptions of Evergreen Herbs products.)
This natural, analgesic, anti-inflammatory homeopathic remedy can help ease most musculoskeletal pain due to trauma/injury (including surgery). This includes most arthritis pain and nerve pain such as sciatica and neuropathy (also includes nervines – herbs to calm nerves). Although I have many strong Chinese herbal formulas for pain in my clinic, I often initially recommend this product since it very often (I estimate 90% effectiveness) gives immediate relief with regular use. I have seen this ‘cure’ severe cholicky gallbladder pain, ulcerative colitis pain, etc.
This product comes in a topical creme (with no odor – no menthol or camphor), or internal use drops. (alcohol-based) or tabs (sublingual).
It is a very safe replacement for over-the-counter NSAIDS (non-steriodal anti-inflammatories, such as ibuprofen, tylenol, naproxen, etc.) and can even replace presription pain medications such as Vicodin, Norco) without the side effects plus it actually helps heal tissues whereas NSAIDS do not!