Doctor who is passionate about acupuncture

Doctor who is passionate about acupuncture

Welcome to my blog

Leading acupuncture specialist for facial rejuvenation, pain relief, stress, anxiety, emotion, depression relief, fertility and miscarriage
Based at Kensington and Chelsea at Central London. Qualified as a medical doctor in Western medicine in China with a Medical degree from Beijing, China and a PhD degree from the UK. Many year research and clinical experiences. This blog is for information only.

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My Guest blog articles and Reviews

Guest blog articles

Reviews and articles

Maggie Ju (2014) Current opinion in acupuncture on stroke rehabilitation

The Journal of Chinese Medicine And Acupuncture Volume 21 Issue 2 September 2014 P9

Maggie Ju. (2015) What Part Does Acupuncture Play in IVF?

The Journal of Chinese Medicine And Acupuncture Volume 22 Issue 1 March 2015 P21

Maggie Ju (2020) The Potentiality of COVID-19 Treatment with Chinese Herbal Medicine in the UK

The Journal of Chinese Medicine And Acupuncture Volume 27 Issue 2 November 2020 P9

Saturday, 29 September 2018

Acupuncture is effective treatment for shoulder impingement syndrome

Shoulder impingement is a very common cause of shoulder pain. It occurs when a tendon or bursa in the shoulder rubs bones of the shoulder. Overhead activity of the shoulder, such as lifting is a risk factor for shoulder impingement syndrome. The main complaint is pain and it is persistent and affects everyday activities. The pain is on the top and outer side of the shoulder, and it is worse at night which can affects the sleep; It causes pain when reaching up behind the back or reaching up overhead. It can affect daily activity such as putting on the top. There is weakness in the arm and shoulder and restricted shoulder movement. Over time, impingement syndrome can lead to inflammation of the rotator cuff tendons (tendinitis) and bursa (bursitis). Rotator cuff tendon extends to the top of the shoulder joint. Shoulder impingement can start suddenly or come on gradually. If not treated appropriately, the rotator cuff tendons can start to thin and tear.

A study investigated acupuncture treatment of shoulder impingement syndrome. Patients with shoulder impingement syndrome were allocated into two groups: acupuncture group and control group. The treatment was carried out over 4 weeks, with the participants receiving a session every week. The results were measured immediately after the treatment (T1) and 3 months later (T2). A total of 68 participants were a mean age at 33.4 years. They found significant differences in the analyzed results between the two groups, a decrease on the intensity of pain for the acupuncture group was significantly greater than that for control group. Shoulder function was better in the acupuncture group. No side effects were found. They concluded that the use of acupuncture to treat impingement syndrome seems to be a safe and reliable technique to achieve clinically significant results and could be implemented in the therapy options offered by the health services.

Rueda Garrido JC et al Complement Ther Med. 2016 Apr;25:92-7. doi: 10.1016/j.ctim.2016.01.003. Epub 2016 Jan 21.

Understand your shoulder

Acupuncture can help reduce shoulder pain.

Shoulder impingement syndrome, acupuncture can help reduce pain and improve shoulder movements

Dr Richard Hawkins explained what the shoulder impingement syndrome is and how it happens. Shoulder surgery is the last resort for the treatments. Acupuncture can help reduce shoulder pain and improve shoulder movements.

Friday, 28 September 2018

What treatments Parkinson’s patients often used?

Parkinson’s disease is deteriorating condition. Complementary therapies are commonly used by people with Parkinson's disease to relieve symptoms not fully addressed by pharmacologic and rehabilitation therapies currently available through medical clinics and programs. Three surveys in the US have shown that 40-85% of patients have used complementary therapies. A recent survey investigated what complementary therapies (CTs) their patients had used, to treat what symptoms, and whether they felt that the treatments were effective. 272 of 435 people with Parkinson's disease who completed the survey (62.5%). Massage was the most frequently used therapy followed by yoga, Tai Chi, meditation and acupuncture. A high proportion of patients found the CT to be effective, for instance meditation was viewed as helpful by 85% of patients. Almost 2/3 of patients said they would be willing to participate in a research study of a CT. CT are viewed to be helpful for both motor and non-motor symptoms.

Donley S et al Parkinsonism Relat Disord. 2018 Aug 7. pii: S1353-8020(18)30333-X. doi: 10.1016/j.parkreldis.2018.08.003. [Epub ahead of print]

Having low back pain, what treatments are you expecting?

Everyone would have low back pain at some points of their life. When your low back is painful, what treatments would you expect from the doctor’s prescriptions? A recent research from Switzerland studied the perceived usefulness of several conventional and complementary medicine treatments for chronic or recurrent low back pain by primary care physicians and their reported prescribing behavior. 533 primary care physicians answered the questionnaire (response rate: 25.6%). Here is the result: The top 3 conventional treatments most often considered useful by primary care physicians for chronic or recurrent low back pain were physiotherapy (94.8%), nonsteroidal anti-inflammatory drugs (87.9%), and manual therapy (82.5%), whereas the most prescribed conventional treatments were physiotherapy (99.2%), nonsteroidal anti-inflammatory drugs (97.4%), and acetaminophen (94.4%). Osteopathic treatment (78.4%), yoga (69.3%), and therapeutic massage (63.9%) were the complementary medicine treatments most often considered useful by primary care physicians in managing chronic or recurrent low back pain. Being a female physician, younger than 56 years, trained in complementary medicine, or using complementary medicine were all associated with higher perceived usefulness of complementary medicine treatments in general. The most recommended complementary medicine treatments by primary care physicians were osteopathic treatment (87.3%), acupuncture (69.3%), and therapeutic massage (58.7%). Being a female physician, younger than 56, and using complementary medicine were all associated with more complementary medicine recommendation in general.


Rodondi PY et al PLoS One (2018)13(9):e0204613. doi: 10.1371/journal.pone.0204613. eCollection 2018

Thursday, 27 September 2018

Regular acupuncture treatment is a new healthy life style

Acupuncture originates from China over 2500 years and is a part of Traditional Chinese Medicine in which fine needles are inserted into the skin at certain acupuncture points. These needles do amazing job. Many people use acupuncture as their lifestyle choice to help their quality of life. For example, everyone is getting older. With increased age, wrinkles are unavoidable which make some people unhappy and losing confidence. Facial acupuncture has anti-aging effects. It can help reduce wrinkles and rejuvenate the face. Regular acupuncture treatments can also prevent wrinkle formation. Facial acupuncture become one of the lifestyle for facial rejuvenation. Another example, with modern fast paced life, there is lot of stress going on in daily life, acupuncture effectively reduces stress to help people relax and get better sleep. Having acupuncture from time to time helps to keep stress level low. Furthermore, acupuncture can help reduce chronic pain and regular treatment can prevent the pain from coming back. This helps people’s quality of life. Adding acupuncture to your new lifestyle keeps you healthy and looking younger.

Wednesday, 26 September 2018

Is acupuncture a treatment for you?

Acupuncture is originated from China, but it is popular all over the world. However the effectiveness of acupuncture is still in debate. There was an article that described different persons acupuncture experiences with different conditions from different practitioners, lady 53 with a prolapsed disc had 6 months acupuncture and avoided a surgery and got back to her normal life again.

This is a typical case who benefits from acupuncture treatment. A person said “I have no knowledge of any parallel universe, so I can’t compare what my life without acupuncture would be like to see exactly how much it has helped, but my feeling is that it does help me, so I won’t stop. Equally, I recognise that it is good to meet a qualified doctor on a regular basis for a one-to-one session lasting 45 minutes.”

A 46 year old described that acupuncture worked every time when he had back pain. Acupuncture is magic for some but torture for others. A 48 year old did think acupuncture helped his back pain.

Acupuncture can be beneficial for emotional wellbeing. Many agreed with this. For example, A 59 year old with terrible chest pains on some family stressful event. After he was told there was nothing wrong by the doctors and pain killers didn’t work, he tried seven session acupuncture and he felt better. He believed that the acupuncture sessions unblocked the emotional energy.

Not all types of acupuncture treatment are the same. That is very true.


Take care of the skin with facial acupuncture

The skin types are relative, and it can change over time. Most people have normal skin type. Some people may have dry skin, oily skin, combination skin or sensitive skin. Which type of the skin is determined by how much water is in the skin affecting its comfort and elasticity, how oily the skin is which affects the softness, how sensitive it is to the stimulants such as chemicals, sun exposure or temperatures.

Normal skin is the most common type of the skin. It is not too dry and not too oily. The water and oil content is just right; it is not reacting easily to stimulants; the pores are not visible and has normal glow. Dry skin is that the skin can flake, becoming itchy and it is easily irritated. The skin looks dull rough, flaky, less elastic, pores are not visible, but lines are more easily formed. Oily skin has enlarged and visible pores, the skin is dull, shiny and thick, easily have blackheads, pimples, or blemishes. Combination skin is that the skin can be dry or normal in some areas and oily in others. The T-zone (nose, forehead, and chin) tends to be oily, while other areas are normal or dry. Pores tend to be larger. There are often to have black heads.

No matter what type of skin you have, there are essential things to do for all skin types. Avoid direct sun exposure: using sun cream to block UV lights, wearing a hat and sunglasses, stoping smoking, drinking enough water to prevent dehydration, using moisturise, daily cleaning the skin gently, never wearing makeup to bed, regular facial acupuncture. Facial acupuncture helps rejuvenate the skin and get rid of the spots.

Tuesday, 25 September 2018

Muscle pain, acupuncture can help

Almost everyone has sore, aching muscles sometimes. Muscle pain can involve a small area or your whole body, ranging from mild to excruciating. Most muscle aches and pains go away on their own within a short time, but sometimes muscle pain can last for months. Muscle pain can develop almost anywhere in your body, including your neck, back, legs and even your hands. The most common causes of muscle pain are tension, stress, overuse and minor injuries. This type of pain is usually localized, affecting just a few muscles or a small part of your body. Acupuncture is effective to treat this type of muscle pain.

Systemic muscle pain — pain throughout your whole body — is more often the result of an infection, an illness or a side effect of a medication. The cause of the systemic muscle pain needs to be addressed.

The skin on the face, Facial acupuncture can help rejuvenate the skin

The facial skin is slightly different from the body skin though it is a part of it. The skin cells on the face are generally smaller than those on the rest of the body. The skin on the face is thinner than that on the body. There is less fat on the facial skin and more hair follicles, sweat and oil glands. If hair follicles become plugged with oily secretions, acne starts. Water is lost from the face more quickly than from the body. when facial skin becomes dry, it can feel rough and tight, even reddened, scaly and itchy.

There are four types of facial skin. Normal skin type is the skin is neither dry nor oily. Dry skin type is the skin tends to be dry and often feels tight and rough. Oily skin is the skin feels oily and more prone to have acne. Combination skin is the skin dryness varies at different area: dry cheeks and oily T-zone around the nose.

Dry skin? acupuncture can help

The skin becomes dry when it loses moisture. It shows noticeable tightness, roughness and even scaly, chapped and itchy. It makes the skin aging quickly and wrinkled.

There is a natural lipid surface barrier to protect skin from water escaping. If this barrier is broken, the water loss makes the skin dry. Sun exposure is number one factor for skin damage causing skin dryness. Other factors include hot, cold and dry air, alcohol and smoking. The internal factors that affect the skin dryness include genetic influences, hormonal changes for example, during menopause the amount of oestrogen in the body is reduced, and this can result in the skin becoming dryer, aging, the skin’s ability to produce sweat and lipids decreases as people get older due to a reduction in function of sebaceous and sweat glands in the skin, diet, there is no doubt that the diet affects the skin dryness, lack of unsaturated fatty acids and vitamins contribute to the dry skin, and dehydration.

Acupuncture improves skin circulation and moisture to rejuvenate the skin.

Monday, 24 September 2018

The gluteal muscles pain, acupuncture can help

The gluteus maximus muscle is the strongest muscle in the body and covers a large part of the buttock. It connects the lower spine to the thigh. It extends the thigh and causes the leg to straighten at the hip when a person walks, runs, or climbs. It is also used to raise the body from a sitting position. It partly is on the top of the gluteus medius. Gluteus medius connects pelvic bone to the thigh. It rotates the hip medially. It is on the top of gluteal minimus. Gluteal minimus also connects pelvic bone to the thigh and rotates the hip medially.

Gluteal muscles injury is one of the causes of low back pain. The characteristic of the pain is dull pain, or soreness with tightness located mostly at one side of the buttocks or hips and it can radiates to the leg even to the foot. The pain can restrict the hip movement. The pain can cause muscle weakness whch will affect the hip joint, walking gait, pelvic tilt and stability, balance and posture. Acupuncture can help reduce gluteal muscle pain.

Acupuncture is effective for low back pain

Low back pain (LBP) is one of the most common musculoskeletal disorders in today’s society. LBP is described as pain and discomfort at lower back region, with or without referred leg pain.

According to a report published by the World Health Organization (WHO) in 2013, back pain, together with neck pain, was the second highest cause amongst the 20 leading non-fatal health outcomes from the year 2000 to 2011, the number one cause for the most years lived with disability (YLDs) in the world. The age group 40–69 is affected the most and women have higher LPB prevalence than men. The prevalence of LBP for the year 2016 was estimated more than 511 million of the world’s population, an increase of 18.0%, as compared to 2006.

The goal of LBP treatment is to control or reduce pain, to improve structure impairment of the spine and to return to the normal life activities as soon as possible. However, most of the pharmacological treatments produce limited pain relief and are accompanied by serious side effects, such as drowsiness, dizziness, negative impact to liver and gastrointestinal function. Acupuncture for LBP is one of the most commonly used non-pharmacological pain-relieving techniques. Acupuncture as pain relief is widely used in many of the countries throughout the world. It is legally recognised by many countries in Asia, Australia, America, Canada, and some parts of Europe and Latin America and well accepted by many patients globally. In the USA alone, the number of acupuncture users increased by 50% in ten years between 2002 and 2012. As of December 2010, across Europe, 96,380 acupuncturists were registered. Eighty-thousand were medical and 16,380 were non-medical practitioners. Acupuncture is so popular due to its low adverse effects and cost-effectiveness

Tiaw-Kee Lim et al (2018) Medicines (Basel). 2018 Jun 25;5(3). pii: E63. doi: 10.3390/medicines5030063.

Thursday, 20 September 2018

Low AMH to get pregnant, acupuncture can help

Anti-Mullerian Hormone (AMH) is a substance produced in small ovarian follicles less than 4 mm which are so small that they can not be seen by ultrasound. Production decreases and then stops as follicles grow. There is almost no AMH made in follicles over 8mm.Therefore, the levels are fairly constant. Since AMH is produced only in small ovarian follicles, blood levels of this substance have been used to attempt to measure the size of the pool of growing follicles in women. The size of the pool of growing follicles is deeply influenced by the size of the pool of remaining ungrowing follicles. Therefore, AMH blood levels are thought to reflect the size of the remaining egg supply - or "ovarian reserve". Because of the constancy, the AMH test can be done on any day of a woman's cycle. Women with few remaining follicles have low AMH. With increased age, AMH decreases. AMH can only indicates the remaining quantity of eggs that a woman has, but it does not indicate the quality of those eggs. Female age is a very important consideration when estimating the probability for conception because it is a strong determinant of egg quality. Low AMH levels (alone) do not predict low IVF success rates in women under 35. In age-related low AMH, the quality of the eggs may also be affected, as eggs accumulate mutations over time. When there are fewer developing eggs in the ovaries, the chance of a mature and healthy egg being released and fertilised decreases. This may mean that the chances of abnormal fertilisation and miscarriage are increased. Acupuncture can help improve blood circulation to help follicles development and increase the chance to get good quality of eggs.

Deltoid muscle pain, acupuncture can help

The deltoid muscle is a triangular muscle located on the uppermost part of the arm and the top of the shoulder. Tendons attach the deltoid to the collarbone, shoulder blade, and upper arm. The deltoid is widest at the top of the shoulder and has three origins: the lateral end of the clavicle, the acromion of the scapula at the top of the shoulder, and the spine of the scapula. Each origin gives rise to its own band of muscle fibers. The fibers merge together as they approach the insertion point on the deltoid tuberosity of the humerus and narrows to its apex as it travels down the arm. The deltoid is responsible for lifting the arm and giving the shoulder its range of motion. Contraction of the anterior fibers flexes and medially rotates the arm by pulling the humerus forwards towards the collar bone. The lateral fibers abduct the arm by pulling the humerus toward the acromion, moving the arm away from the body laterally. Contraction of the posterior fibers extends and laterally rotates the arm by pulling the humerus backwards.

Like many other muscles, the deltoid can be sore for a variety of reasons, including overuse and tendon injuries. When the deltoid muscle is injured, one may feel pain or tenderness at the front, side, or back of the shoulder, especially when lifting the arm. The injury can be from mild with tightness and slight pain without restriction of movement to severe pain, swelling and severe restriction of shoulder and arm movements. Acupuncture can release deltoid muscle pain.

People can prevent deltoid pain by a few ways: warming up sufficiently before beginning a workout, taking "rest days" to allow the muscle to recover after exercising, stretching before and after exercise, having regular sports massages and/or acupuncture to relieve tension in the muscles

Wednesday, 19 September 2018

Sagging skin and drooping face, cosmetic acupuncture can help.

Some people don’t have deep lines on the face, but they feel their face is shifting downwards and the skin is sagging. This is caused by a number of reasons. First, it is reduction of the levels of collagen and elastin. Because of this, the skin loses its elasticity and volume. Sun exposure slows down collagen production as well as accelerates collagen breaking down. Second, loss of fat makes face droop. Third, facial muscle tension makes face droop too. Finally, there is reabsorption or loss of bone of the face over time and the skin can no longer tighten around it resulting in sag. The effects of this are most commonly noticed around the cheek and jaw area. The corner of eyes and mouth moves downwards.

Do you have to have surgery to tight your skin and lift the face? Facial acupuncture known as cosmetic acupuncture can help tight the skin and lift the face up. Facial acupuncture can stimulate the skin collagen synthesis to produce more collagen to improve skin elasticity and make skin tight. It can also relax facial muscles and stop face drooping and lift the face up. Facial acupuncture can improve facial blood circulation and nourish the face to preserve the volume. It can make instant lifting and long term lifting tightening effects with repeat treatments.

Tuesday, 18 September 2018

Acupuncture can help reduce vulvodynia pain

NIH has launched a campaign for awareness of vulvodynia about 11 years ago.

Here is the article about it. By putting the article here to support to raise the awareness of vulvodynia

Wednesday, October 24, 2007

NIH Launches Campaign to Raise Awareness of Vulvodynia, a Painful Disorder Affecting Many Women

The Office of Research on Women's Health (ORWH) at the National
Institute's of Health (NIH), in partnership with other federal
and non-federal partners, announced the launch of the "Vulvodynia
Awareness Campaign" on October 24, 2007.

Vulvodynia, also referred to as "the pain down there" or "feminine
pain," is chronic discomfort or pain of the vulva, which is the
area around the outside of the vagina. It is a persistent condition
for which there is no apparent cause and no single effective treatment.
Vulvodynia can have stressful effects on every day life and relationships.
A lack of sufficient consumer and health care provider information
may contribute to a delayed diagnosis and the ultimate long-term
suffering of vulvodynia patients.

Researchers estimate that as many as 18 percent of women will
experience symptoms consistent with vulvodynia. Many women suffer
with unexplained vulvar pain for months — even years — before a correct
diagnosis is made and an appropriate treatment plan is determined.
Studies have shown that almost half of the women with symptoms
chose not to seek treatment, even when these symptoms limited sexual
intimacy. (Bachmann et. al, 2006).

"The time has come to talk openly and directly about vulvodynia — its
symptoms, diagnosis, and treatment — so that the quality of life
of sufferers of this condition can be improved," said Vivian W.
Pinn, M.D., Director, Office of Research on Women's Health, NIH.

There is currently no cure for vulvodynia. But there are treatments
for some of the symptoms. Some current treatments include local
pain relievers (medications), physical therapy, changes in diet,
and drug treatment. Because each woman's symptoms may be different,
no one treatment works all the time or is right for everyone.

The NIH Office of Research on Women’' Health (ORWH) hopes by combining
forces with partners such as advocacy groups, health care practitioners,
research organizations, and federal and non-federal entities, there
will be increased awareness and understanding of this important
medical condition for women. Over the years, ORWH has helped expand
the scope of women's health research. This research and consequent
dialogue have led to better decision-making regarding treatment
options for a wide range of medical conditions. Many issues that
were or may still be considered "sensitive" for women to discuss
with their health care providers resulted too often in women suffering
in silence. For example, breast cancer, menopause, urinary incontinence,
cervical cancer, sexually transmitted infections, and uterine fibroids
are a few examples of conditions that affect women and that only
over recent years have women begun to feel more comfortable discussing
openly. ORWH continues its efforts to bring these women's health
issues into the public arena.

Through the efforts of a collaborative and diverse group of partners,
the campaign will disseminate educational materials to the public
and to healthcare providers, which will include frequently asked
questions, online and print resources, fact sheets, and scientific

Campaign materials are available on the Office of Research on
Women's Health Web site at:

For print copies of the Vulvodynia Awareness Campaign information
packet, contact the National Institute of Child Health and Human
Development Information Resource Center at 1-800-370-2943 or visit:

The National Women's Health Resource Center also has a number
of consumer-oriented materials on vulvodynia available online at (link is external).

Over the years, I have helped many women with vulvodynia living with pain free live.


Feeling tired, dull and drowse all the time? You are not alone. Acupuncture can help to boost energy

Of course, it is understandable, if you have any conditions, you may feel tired all the time because of the illness, such as thyroid does not function properly. Or if you have any deficiency of vitamins or minerals, you may feel tired all the time. The thing is that when you see doctor and get it checked out and you are told there is nothing wrong and all the tests are normal. Why is that? There is something else that can make you tired. Dehydration, without adequate fluid intake, blood pressure drops, slowing delivery of oxygen to the brain, which can leave you feeling flat out. Drinking more water is an easy solution. Too much alcohol, alcohol relaxes you initially, but it can comprise sleep and make the body dehydrated and make you tired after a while. Drinking less or stopping drinking can help. Lack of quality of sleep. Over stimulating the brain before going to sleep can make you wake up at the night or does not go to natural sleep cycles, people use too much technologies before sleep such as smart phone, tablets, computers, etc. which disturb the quality of sleep. Drinking too much coffee can over stimulates the brain as well. The solution for this is relax before going to bed and take away from smart phone and tablets and of course coffee. Too much sugar such as biscuits, chocolate and crisps cause sharp spikes then dips in blood sugar that can leave you flagging and irritable. Stress, stress can make the body exhausted. Inflammation, inflammation can make you feel exhausted too. People often don’t realise how much inflammation you have in the body. If you have chronic pain, you have inflammation in the body. Tension, body tension can compromise blood circulation and energy supply to the body which makes you feel tired all the time. Acupuncture can help reduce stress, inflammation and tension in the body and help to boost energy.

Monday, 17 September 2018

To get pregnant with high FSH? Acupuncture can help

Follicle stimulating hormone (FSH) is one of the most important hormones involved in female reproductive function. It is involved in producing mature eggs in the ovaries. It is used to stimulate ovaries during IVF treatment. FSH is produced in the pituitary gland a part of the brain. When the ovaries are running out of eggs say, in menopause, ovaries produce less oestrogen. The brain senses the low estrogen environment - and sends signals to the pituitary to make more FSH hormone. More FSH is released from the pituitary in an attempt to stimulate the ovaries to produce a good follicle and estrogen hormone. FSH can be a parameter to measure ovarian function. It is normally tested on day 3 of women’s menstrual cycles which is the lowest FSH in the cycle which can be as a baseline. If day 3 FSH is elevated, it means that the ovaries don’t work normally, the brain has to work hard to produce more FSH to get ovaries functioning normally. High FSH level tends to indicate low egg quantity and quality.

Acupuncture can help lower FSH. This is proved by some research papers. A review analysed six studies on acupuncture for elevated FSH level. All studies evaluated FSH levels at the end of treatment. The results showed a significant decrease in the FSH level in the acupuncture group compared with the control groups.


Jo J et al (2015) Evid Based Complement Alternat Med 2015:842180. doi: 10.1155/2015/842180. Epub 2015 May 18.

Postpartum pelvic pain, acupuncture can help

Hip bone, pubic bone and sacrum form pelvic bone which surrounded by ligaments and tendons. Pregnancy and childbirth can damage the soft tissues including muscles and connective tissue of the pelvis, causing pelvic pain for women after they give birth. The clinically persistent pelvic pain from the postpartum stage to 2 years after childbirth has a reported incidence of 5% to 8.5%. A research involved in 114 participants, half of them reported a current (18%) or resolved (26%) episode of genital or pelvic pain lasting 3 or more months. 9% mothers continued to experience pain that had begun after they last gave birth. Clinical examination showed tenderness in the muscles and ligaments in the low back and the pelvis. Tenderness to deep palpation of the suprapubic and sacroiliac area along the course of the long posterior sacroiliac and sacrotuberous ligaments, as well as a palpable step of the pubic symphysis joint were found indicating signs of local inflammation (erythema, oedema, warmth). Laboratory blood tests are usually normal, with a nonspecific mild elevation of the acute phase reactants (C-reactive protein, erythrocyte sedimentation rate) in a number of cases.

Acupuncture can help reduce postpartum pelvic pain by reducing inflammation.


Paterson LQ et al (2009) J Sex Med 6:215-21

Hansen A et al (2005) Acta Obstet Gynecol Scand 84:170-6

Friday, 14 September 2018

Unexplained infertility and acupuncture

Infertility is usually defined as the inability to conceive after 1 year of regular unprotected intercourse. But for women older than 35 years the time will be shorter to for 6 months. The couple need to be assessed clinically

A standard infertility evaluation is performed both for men and women and includes a semen analysis, assessment of ovulation, a hysterosalpingogram, and tests for ovarian reserve and laparoscopy. When the results of a standard infertility evaluation are normal, a diagnosis of unexplained infertility will be made. Approximately 15% to 30% of the couple has unexplained infertility.

Semen analysis is test for evaluating the sperm. Here is the normal range of semen analysis as WHO guidelines. Volume 2.0-5.0 ml, pH 7.2-7.8, sperm concentration 20×106/ml, total sperm counts more than 40×106 spermatozoa, motility ≥ 50% with forward progression or ≥ 25% with rapid linear progression within 60 min after collection, morphology greater than 50% with normal morphology, viability, greater than 75% live, white blood cells less than 1×106/ml, fructose greater than 13 mol/ejaculate. Ovulation issues are present in 40% of infertile women and 15% of couples with infertility. It shows menstrual disturbances in many women. Other tests are available for assessing ovulation problems including basal body temperature (BBT) recordings, urinary luteinizing hormone (LH) ovulation predictor kits, mid luteal serum progesterone testing. Endometrial biopsy to assess for secretory endometrial development, though it is not recommended now. BBT recordings are the least costly tool in a reliable patient. Ovulation predictor kits are useful for women who do not have very long menstrual cycles and can be used by couples to appropriately time intercourse. Mid luteal progesterone levels are measured around day 21 in women with regular (∼ 28 day) cycles. However, they are often poorly timed if they are drawn on cycle day 21 in women with irregular menses. In such women it is better to use an ovulation kit and measure the progesterone levels 7 to 8 days after the LH surge is detected. Assessment of the uterine contour and the tubal patency is an integral part of the basic infertility evaluation and may be achieved by hysterosalpingography (HSG).

How to improve fertility

Life style change is a must including stop smoking, losing weight, reducing caffeine and alcohol consumption etc. Good balanced diet to get enough proteins, vitamins and minerals etc.

IUI: Intrauterine insemination involves the placement of washed sperm into the uterine cavity around the time of ovulation.

COH plus IUI: COH, with or without IUI is used in the treatment of unexplained infertility.

IVF/ICSI: The most expensive, but also most successful treatment of unexplained infertility consists of the spectrum of assisted reproductive technology including IVF, with or without ICSI.

Acupuncture: Acupuncture is used by many women with unexplained infertility. It can help these women conceive naturally or assist other treatments to succeed such as IVF.


A Quaas & A Dokras (2008) Rev Obstet Gynecol, 1: 69–76.

Thursday, 13 September 2018

Acupuncture is effective for interstitial cystitis (IC)

Interstitial cystitis (IC), often called painful bladder syndrome, is a chronic condition. It’s difficult to diagnose, because there are no test saying you have IC and there no are tests saying you don’t have IC. The diagnosis is based excluding other conditions such as urinary tract infections, bladder cancer, sexually transmitted diseases and kidney stones and endometriosis in women and prostatitis in men. The bladder pain people feel with IC can range from a dull ache to piercing pain. Bladder pressure and pain that gets worse as your bladder fills up. The area of pain vary. It can be in the lower tummy, lower back, pelvis, or urethra. For women, pain in the vulva, vagina, or the area behind the vagina. For men, pain in the scrotum, testicles, penis, or the area behind the scrotum. Other symptoms include more frequent urination and urgency of urination and pain during sex and after sex.

Things make IC worse: some foods or drinks; mental or physical stress, women’s periods.

What causes IC? This is a good question.

The cause is not clear unfortunately. Inflammation plays a role in IC: this inflammation around the bladder irritates the bladder; inflammation products go into the bladder with the urine; immune system malfunctioning, a nerve problem.

There is no specific treatment for IC. Acupuncture is effective for IC/BPS. Acupuncture can release stress, reduce inflammation and reduce bladder irritation.

Wednesday, 12 September 2018

Acupuncture is effective for bladder pain syndrome

Interstitial cystitis (IC), painful bladder syndrome (PBS), and bladder pain syndrome (BPS) are all terms for the same chronic condition. It is a challenge to diagnose and treat the condition. Acupuncture had impact on increasing the maximum cystometric bladder capacity as well as suppressing the bladder contraction in patients with detrusor overactivity and on relieving the chronic pelvic pain. It also has impact on inhibit transmission of pain as well as to normalize sensory processing within the peripheral and/or central nervous systems.

A recent research has investigated the effect of acupuncture for the treatment of bladder pain, urinary freaquency and urgency caused by interstitial cystitis.

In this study 10 patients (1 male, 9 females) suffering from the symptoms due to interstitial cystitis were treated by acupuncture. The treatment was repeated once a week for 4 weeks for the initial treatment (1st to 4th acupuncture). All patients recorded a frequency volume chart as well as IPSS-QOL questionnaire for 1 week before treatment as a baseline, and again after the 4th acupuncture. All patients with complaining of pain recorded visual analogue scale of pain for 1 week before treatment as a baseline, and again after the 4th acupuncture. Acupuncture has improved the clinical symptoms of urinary frequency and urgency and QOL scores, accompanied with increase of bladder capacity as well as with possible inhibition of the sensitivity of C-fiber dysfunction. This study suggested that acupuncture is a safe promising therapeutic alternative for the difficult-to-treat patients with overactive bladder and/or suspicious pelvic pain syndrome.


Tuesday, 11 September 2018

Acupuncture helps women with PCOS to get pregnant

Women with PCOS may have infertile, potentially due to the effects of obesity and/or metabolic, inflammatory and endocrine abnormalities on ovulatory function, oocyte quality and endometrial receptivity. Several clinical studies have indicated that acupuncture improves ovulatory dysfunction and insulin sensitivity, and decreases testosterone, in patients with PCOS. A systematic review was to evaluate the current evidence from randomised controlled trials (RCTs) on the efficacy/effectiveness of acupuncture provided during IVF or ICSI at achieving pregnancy in women with PCOS, and to consider its safety. The participants were women with PCOS undergoing IVF or ICSI. Outcomes included the clinical pregnancy rate (CPR), live birth rate (LBR), ongoing pregnancy rate (OPR) and incidence of ovarian hyperstimulation syndrome (OHSS) and adverse events (AEs). Four RCTs including 430 participants were selected. All trials compared acupuncture (MA/EA) against no treatment. The result has shown that acupuncture significantly increased the CPR and OPR and decreased the risk of OHSS ; however, there was no significant difference in the LBR. None of the RCTs reported on AEs. Their conclusion is that acupuncture may increase the CPR and OPR and decrease the risk of OHSS in women with PCOS undergoing IVF or ICSI.


Jo J & Lee YJ (2017) Acupunct Med 35:162

Get rid of crow feet with facial acupuncture

Crow’s feet are the fine lines and wrinkles that spread out from the outer corners of the eyes toward the temples. As aging, the skin undergoes gradual changes. Some parts of the face are more susceptible than others to the signs of aging. The eye area is the delicate one. Crow’s feet develop over time because of muscles around thee eyes contractions. There are two different types of wrinkles: dynamic and static. Dynamic wrinkles are those that appear during muscle contraction. If the crow’s feet are primarily visible when smiling, they are probably dynamic. Static wrinkles are the wrinkles that happen over time due to gravity and the loss of fat and collagen. They may worsen with muscle contraction, but they are visible all the time, even when the face is at rest. You don’t have to remember all those tips how to get rid of crow feet, but only remember one tip that facial acupuncture can effectively get rid of the crow feet.

Suffering from vulvodynia? Acupuncture can help

This is a good article about vulvodynia

Jennifer is a General Practitioner, medical writer, parent, and founder of the Grace Kelly Ladybird Trust, registered charity for childhood cancer awareness and research. She wrote an informative article about vulvodynia.

Here are a few points that she made

It is not well known condition, but it has great impact on women’s life. Vulvodynia is something that many people have not heard of. For women with vulvodynia, even the gentlest touch in their genital (vulval) area can result in intense, burning pain.

The cause of vulvodynia are not fully understood because when women with vulvodynia are examined there are no obvious abnormalities seen.

It can be difficult to diagnose. As a result, some women may face several years of symptoms and pain before receiving the right diagnosis. The approach is to rule out other possible diagnoses first.

Living with vulvodynia

Vulvodynia is classed as a chronic pain condition, but like other long term pain conditions you can have good and bad days. Vulvodynia can vary from a mild discomfort to severe pain.

Experiencing chronic pain can understandably affect your behaviour, activities and relationships. In particular, it may affect your sex drive or cause you to feel depressed.

Pain in the genital area especially is often difficult to talk about with family or friends, so you may be feeling isolated, which makes the problem feel even worse. If you don’t feel you can talk to your partner or friends, please talk to your doctor. Organisations such as the Vulval Pain Society give good information and also signpost to a number of support groups that are available.

Having sex with vulvodynia. When even the slightest touch can result in a deep burning or stabbing pain, it is understandable why women with vulvodynia can sometimes struggle to enjoy sex, or prefer to avoid it entirely.

Vulvodynia can be a difficult condition to treat, but there are a number of therapies that can be tried.

Acupuncture can help reduce vulvodynia pain.


This is a typical case of vulvodynia, acupuncture can help women with vulvodynia.

Burning pain felt in vagina and painful intercourse. “It felt like someone was cutting me in half at the 6 o’clock mark and burning me with a cigarette inside my vagina at the same time. Sex was agony.”

“Some women who have this condition can’t even wear underwear or trousers because the pain is so intense.”

Less understood condition. “I literally had one doctor tell me to drink some wine and take an Advil and just relax.” “Is there something wrong with me or am I just crazy?”

“Not only is vulvodynia physically painful, it can take an emotional and mental toll on women and their most intimate relationships, as well.”

There is often no identifiable cause and no specific medications for vulvodynia treatments.

Acupuncture can help reduce vulvodynia.


What is IC awareness month? Acupuncture can help reduce bladder pain.

IC awareness is to raise awareness about interstitial cystitis and chronic pelvic pain for patients, providers and the community around the world. 

IC Awareness Month History

According to Barbara Flanigan, the founder of the ICA of America (the original ICA based in San Diego, CA), IC Awareness first began in the early 1980’s as a day in November. After a few years and challenges with the holiday season, it was moved to a day in October and eventually became IC Awareness Week. Ten years ago, Ortho Urology (i.e. Elmiron) managed the entire campaign by using very good marketing companies.

There were two key challenges with that arrangement. IC Awareness Week almost always centered around the promotion of Elmiron. The month of October and the limited media space for health awareness was dominated by the pink breast cancer awareness campaign. About six years ago, Ortho dropped all IC Awareness activities and no other company or non-profit (i.e. ICA) stepped in to develop a campaign. The IC Network stepped in to run the campaign the following year.

The first thing we did was to discuss the timing of the campaign. We all agreed that October was a terrible month for awareness given the market saturation of breast cancer articles and activities. We asked patients to pick a better month and the majority agreed that September was an ideal time to do it! There were fewer health campaigns that month than other months and, with students returning to school, we thought that volunteers would have more time to get involved

The second thing that we did was expand the campaign from a week to a month to create plenty of opportunities for patients to be involved.

You might also be interested in knowing why the color of IC Awareness Month is turquoise/teal. About 15 years ago, we had another patient vote on the internet where about a thousand patients participated. They voted for the turquoise color because it had been used in the majority of IC educational materials up to that point and they wanted it to be consistent. Strangely and without any authorization from an IC group, someone designated a color for IC as dark blue in “official” lists. This has largely been abandoned in favor of the patient vote.

Is IC Awareness Month “official?” Yes, it is. Thousands of patients have been involved over the years. IC Awareness Month is not listed on the national calendar of awareness months because it does not, as yet, have a Presidential Proclamation. We’ve been working on that. However, we have had senate, congressional and state proclamations in past years.

Our Approach To Awareness

IC Awareness Month is modeled after National Women’s Health Week.. Its goal is to empower patients to be active in their local towns and states, as well as through the internet. It’s a “ground up” rather than “top down” approach because it’s impossible for a national organization to understand the challenges facing small communities and states.

We do this by providing useful materials and ideas that that patients can use in their own communities, including:

Press releases that they can send, with their own personal story, to local community papers

Proclamations that they can give to their city council or state & federal representatives to ask that IC Awareness Month be recognized officially. When this happens, it almost always also leads to articles about IC in local and regional papers. They are surprisingly easy to do too!
posters that they can place on local community bulletin boards and their doctors

Fact sheets & Educational Materials about IC that they can distribute

Fundraising for IC research – whether it be a walk or a garage sale, every dollar helps. We do NOT collect any money at the national level. We ask that individuals and groups make direct donations to researchers in their state and/or one of the larger national IC research centers. (Beaumont Hospital).

Patient Contests


Monday, 10 September 2018

How can you get rid of forehead wrinkles? Facial acupuncture can help

Repetitive frowning may cause some of worry lines, but aging and loss of skin elasticity, sun exposure, stress and genetics may accelerate forehead wrinkles. Forehead wrinkles make look aged dramatically.

How to reduce forehead wrinkles?

Life style changes help of course. Such as, using sun cream to block UV light to prevent skin damage; managing stress and keeping minimum stress, betting enough sleep, meditating, exercising, staying hydrated to prevent skin damage and eating a balanced diet to provide nutrients to the skin, and of course stopping smoking for smokers.


There is no doubt botox injections can get rid of forehead wrinkles. Botox is a medication made from the botulinum toxin. When injected into specific muscles, it temporarily paralyzes them so they can’t contract. When frowning, the forehead won’t naturally wrinkle. They carry a price tag, and Botox may cause uncommon side effects such as: pain, swelling, or bruising at the injection site, headache, flu-like symptoms, dry eye.

Cosmetic acupuncture

Botox injections aren’t for everyone. An alternative to botox injection is facial acupuncture. Facial acupuncture can effectively get rid of the forehead wrinkles. The most common asked question is that does it work? If you still have doubts, why not try once? Seeing is believing.

Interstitial cystitis (IC)/bladder pain syndrome (BPS) and acupuncture

Bladder is a urinary tract organ located in the pelvis 9lower abdomen). It is s storage of urine in the body. When the bladder is full, it sends signal to the brain to let one know there is a need to pass urine. When ready, the brain sends a signal to the bladder and the bladder muscles will contract and push the urine out through urethra. At the same time sphincters in urethra relax to help urine out. If something goes wrong with bladder, it can cause bladder pain. Interstitial cystitis (IC)/bladder pain syndrome (BPS) is a chronic bladder health issue. It is a feeling of pain and pressure in the bladder area for more than 6 weeks without without having an infection or other clear causes. Symptoms range from mild to severe. For some patients the symptoms may come and go, and for others they don't go away. IC/BPS is not an infection, but it may feel like a bladder infection.

The symptoms of IC/BPS vary for each patient, but the most common sign is pain in the bladder. Patients with IC/BPS may have bladder pain that gets worse as the bladder fills. Some patients feel pain in other areas, such as the urethra, lower abdomen, lower back, or the pelvic or perineal area (in women, behind the vagina and in men, behind the scrotum). Women may feel pain in the vulva or the vagina, and men may feel the pain in the scrotum, testicle, or penis.

Another common symptom is urinary frequency. Frequency is the need to pass urine more often than normal. A patient with IC/BPS often has to urinate frequently both day and night, though the average person urinates no more than 7 times a day and does not have to get up at night more than once to use the bathroom.

Urgency to urinate is also a common IC/BPS symptom. Some patients feel an urge that never goes away, even right after voiding. A patient may not notice or see this as a problem. Physical or mental stress can make the symptoms worse.

Some people with IC/BPS have other health issues such as irritable bowel syndrome, fibromyalgia, and other pain syndromes. IC/BPS can affect daily life, social life, exercise and sleep, and relationships and can cause a great deal of distress. Without treatment, IC/BPS symptoms make it hard to get through the day or even be able to work. Both women and men can have IC/BPS, though there are 2-3 times more common in women than in men.

Acupuncture can help reduce bladder pain and reduce frequency and urgency of IC/BPS. Recent research provided preliminary evidence for this.

Sunday, 9 September 2018

Acupuncture is effective for interstitial cystitis/bladder pain syndrome

Nobody likes to talk about their bladder, but bladder is one of the organs in human body and it can get problems. September is the most important month for patients suffering from interstitial cystitis (IC). Every September, IC patients around the world unite to raise awareness about interstitial cystitis, bladder pain syndrome (BPS), hypersensitive bladder syndrome and chronic pelvic pain. This is the time to gather together, share stories, educate our communities, seek out patients who are suffering in silence. Some IC patients struggle to find care. They are told that IC is all in their heads. Their life has been ruined with this condition.

The European Society for the Study of Interstitial Cystitis/Bladder Pain Syndrome in 2008 defined bladder pain syndrome (BPS) as pelvic pain, pressure or discomfort perceived to be related to the bladder, lasting for at least 6 months, and accompanied by at least one other urinary symptom. Urinary symptoms include the persistent urge to void or frequency, in the absence of other identifiable causes. The International Urogynaecological Association (IUGA) and the International Continence Society (ICS) produced a joint report on terminologies by Haylen et al. in 2010, defining bladder pain as acomplaint of supra pubic or retro-pubic pressure, discomfort or pain, associated with the bladder, generally aggravated by bladder filling. The symptom may persist or alleviate after voiding. An estimated 400,000 people in the UK suffer from BPS, the majority being women. There is no definitive evidence to support an autoimmune, inflammatory, structural or infectious aetiology. Consequently, treating these patients is often challenging.

Acupuncture can effectively treat IC/BPS syndrome. This is studied by many researchers.

For example, recently research studied the effect of acupuncture for IC/BPS syndrome. In this study, 12 female patients with IC/BPS syndrome received 10 sessions of acupuncture. The visual analog score (VAS), interstitial cystitis symptom index (ICSI), interstitial cystitis problem index (ICPI), O'Leary-Saint symptom score (OSS), Patient Health Questionnaire (PHQ9), Pelvic pain and urgency & frequency patient symptom scale tests (PUF) and maximum voided volume (MVV) was completed in 1st, 3rd, 6th and 12th months following the treatment. The result has shown that there was a statistically significant decrease in all of the scores evaluated at first month compared with the baseline. While the change in VAS score in 1, 3, 6 and 12th months were found statistically significant. Response to treatment for the first three months after acupuncture application was (100%). They concluded that acupuncture appears to be an effective, useful, non-invasive method in IC/BPS patients. A study reviewed a recent research papers and found that acupuncture significantly reduces the 24-h urinary frequency and pain score.

Sonmez MG & Kozanhan B Ginekol Pol (2017) 88:61-67
Verghese TS et al Int Urogynecol J (2016) 27:1127-36

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