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Combining acupuncture with BP medication

High BP can lead to serious health problems such as heart disease, heart failure, stroke, kidney damage, vision loss, memory loss, and cognitive decline…writes Dr. G.Prakash

Hypertension or high blood pressure poses a significant risk to both mortality and disability rates in India. If you are living with high blood pressure, your healthcare team may recommend incorporating lifestyle changes and, in some cases, medication to manage your symptoms. However, alongside these conventional approaches, acupuncture, a therapeutic method derived from traditional Chinese medicine (TCM), may offer potential benefits as part of your treatment regimen.

For approximately 3,000 years, acupuncture has been utilized to address various health issues. This practice involves the insertion of ultra-thin, flexible needles into specific acupoints on the body, stimulating the body’s natural healing processes. Additionally, modern acupuncture techniques may incorporate electroacupuncture, which involves the application of an electric current through acupuncture needles.

Blood Pressure and Hypertension

Blood pressure (BP) refers to the force that blood exerts on the walls of arteries during circulation. It is determined by the contraction of the heart muscle and is measured in systolic (during heart contraction) and diastolic (during heart relaxation) pressures. Typically, BP is denoted by the systolic pressure preceding the diastolic pressure, such as 120/80 which is considered normal.

Systolic blood pressure represents the maximum pressure exerted during a heartbeat when blood is being pumped out of the heart into the body’s arteries. On the other hand, diastolic blood pressure is the lowest pressure recorded between heartbeats when the heart is filling with blood.

BP can rise temporarily during exercise or stress but when it remains persistently high, even at rest, it can damage the arteries. Stage 1 hypertension is characterised by a systolic reading of 130-139 or a diastolic reading of 80-89. A reading of 140/90 or higher is classified as stage 2 hypertension. A hypertensive crisis is indicated by a systolic rate of over 180 or a diastolic rate over of 120.

High BP can lead to serious health problems such as heart disease, heart failure, stroke, kidney damage, vision loss, memory loss, and cognitive decline.

How does Acupuncture Help to Regulate Blood Pressure?

While the exact mechanisms of how acupuncture works are not yet fully understood from a scientific perspective, it is believed that the stimulation of certain points in the body can have an impact on the central nervous system, influencing blood flow and the production of key hormones.

Regarding hypertension, acupuncture may assist in regulating blood pressure by affecting the hormones involved in the renin-angiotensin-aldosterone system (RAAS). This system is responsible for maintaining blood pressure levels and fluid-electrolyte balance.

In particular, acupuncture may influence the presence of hormones and enzymes related to the RAAS in the bloodstream and stimulate receptors in the body that regulate blood pressure.

Moreover, acupuncture could potentially act on the limbic system, leading to increased levels of dopamine, a neurotransmitter that plays a significant role in the brain’s reward system. According to a study conducted recently, dopamine has the potential to decrease oxidative stress, which is characterized by an overabundance of free radicals, thereby assisting in maintaining healthy blood pressure levels.

What do Studies Suggest?

A recent study conducted at the University of California-Irvine (UCI) has provided the first scientific confirmation of the benefits of an ancient Chinese medical technique for patients suffering from mild to moderate hypertension. The research, published in the Medical Acupuncture journal, revealed that electroacupuncture, a type of acupuncture that uses low-intensity electrical pulses through needles inserted at specific points on the body, can lower blood pressure in patients with hypertension for up to six weeks. According to the researchers, these findings indicate that regular use of electroacupuncture could help individuals manage their blood pressure, potentially reducing their risk of heart disease and stroke in the long term.

In a 2007 clinical study published in Circulation, it was suggested that acupuncture, performed according to the precise specifications of ancient Chinese tradition, could be an effective treatment for mild hypertension, with some individuals experiencing results comparable to those achieved through single-drug therapy or aggressive lifestyle changes such as exercise and salt restriction. Additionally, a 2019 review concluded that combining acupuncture with Western medicine approaches could be more effective in improving hypertension than Western medicine alone.

Research indicates that acupuncture may provide temporary relief for individuals with high blood pressure. Combining acupuncture with standard blood pressure medication may have a greater effect on reducing blood pressure compared to medication alone. It is generally safe to use acupuncture alongside most blood pressure medications. However, it is crucial to seek treatment from a licensed and board-certified acupuncturist to ensure safe and effective therapy.

(Dr. G.Prakash, Deputy Chief Medical Officer, Jindal Naturecure Institute, Bangalore)

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Is acupuncture effective for Thyroid balance?

By targeting these meridians or pathways, an acupuncture practitioner aims to bring back into balance a disruption of Qi believed to cause thyroid disorders or other symptoms of a disease…writes Dr.Srividya Nandakumar

Thyroid disorders are quickly becoming one of the most common health concerns in India, with more than 42 million people suffering from some form of thyroid disorder. Also, 1 in every 10 people in India has thyroid problems such as hyperthyroidism, hypothyroidism, and thyroid cancer, and over 60 per cent of them go undiagnosed.

It can affect people of all ages, but women are more likely to be affected because it is often inherited from family members and also results from iodine deficiency. While traditional treatments usually focus on drugs and surgery, eastern treatments like acupuncture can effectively manage thyroid issues. While acupuncture has many applications, it has proven to be especially effective in the safe and natural treatment of all types of hormonal imbalances.

What is Thyroid?

The thyroid happens to be a butterfly-shaped gland that is situated at the front of the neck. The gland is responsible for metabolism, energy, hormone regulation, body weight, and blood calcium levels. It is one of the endocrine glands that make hormones.

Hyperthyroidism and Hypothyroidism

Hyperthyroidism, or overactive thyroid, occurs when the thyroid gland produces too much thyroxine hormone. Similarly, hypothyroidism, or underactive thyroid, is a condition in which the thyroid gland doesn’t produce enough of certain crucial thyroid hormones. Here are the symptoms of hyperthyroidism and hypothyroidism:

Hyperthyroidism

 Weight loss despite good appetite

Increased heart rate, higher blood pressure, heart palpitations, nervousness and excessive perspiration

Frequent bowel movements, sometimes accompanied by diarrhoea

 Muscle weakness

Shorter or lighter menstrual periods

Development of a goitre (an enlargement in the neck)

Hypothyroidism

Lethargy, depression or slower mental processes

Increased sensitivity to cold

Reduced heart rate

Numbness or tingling in the hands

Constipation

Heavy menstrual periods or dry hair and skin

Hormones are like messengers in the body that is responsible for numerous functions, such as overseeing the regulation of sleep cycles, emotional health, reproduction, physical growth, metabolism, mental acuity, body temperature, the immune system, and energy levels. When they go out of balance, all of the body’s systems can be adversely affected. Fluctuations can be a natural occurrence, but long-term imbalances are not. That is why it is important to get diagnosed by testing the levels of thyroid hormones in the blood.

How Acupuncture Helps

According to traditional Chinese medicine philosophy, most diseases stem from imbalances in the key energies of the body and spirit. “Qi” which can be defined as life force energy, flows along pathways through the body known as “meridians”. It must be kept strong and flowing freely. If Qi is weak or the meridians are blocked, certain organs will not get the nourishment they require, and illness will result.

Acupuncture is a process that involves inserting very thin needles into the skin at specific points on the body that coordinates with particular pathways of Qi. By targeting these meridians or pathways, an acupuncture practitioner aims to bring back into balance a disruption of Qi believed to cause thyroid disorders or other symptoms of a disease.

According to the British Acupuncture Council, acupuncture can treat thyroid disease in many ways, such as:

  • Lowering thyroid hormone levels in patients with hyperthyroidism
  • Increasing thyroid hormone levels in people with hypothyroidism
  • Reducing sensitivity to stress and pain, as well as promoting relaxation
  • Improving joint mobility and muscle stiffness by increasing blood circulation in small blood vessels
  • Enhancing the release of the chemical adenosine, which reduces sensitivity to pain
  • Reducing inflammation by helping in the release of vascular and immunomodulatory factors

Along with acupuncture, certain lifestyle changes like a diet rich in calcium, protein, magnesium, and iodine helps support thyroid function. Also, certain foods known as goitrogens may interfere with thyroid hormone production and should be limited. These include cruciferous vegetables (e.g., cabbage, cauliflower, and Brussels sprouts), soy, and peanuts. Stress-reducing exercises like yoga or tai chi can also be helpful.

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