Patient Help Sheet – Acupuncture for IBS
Irritable bowel syndrome, or IBS, is the most common functional gastrointestinal disorder in the world. Although gastroenterologists diagnose IBS frequently, many people don’t even recognize the symptoms. Symptoms may include pain in the abdomen, change in bowel habits, constipation, diarrhea, indigestion, nausea, excessive gas, abdominal cramping and loss of appetite. This is where Traditional Chinese Medicine (TCM) can help. TCM treats every individual holistically, taking into account their well-being, both physically and psychologically. TCM incorporates many different modalities to treat a patient, but the most common are acupuncture, Chinese herbs and nutrition. Acupuncture for IBS: In TCM, the spleen, liver and gallbladder all play vital roles in gastrointestinal health. The spleen is in charge of digestion and stress, which weakens the energy of the spleen and can then lead to disharmony of the gastrointestinal tract. The liver keeps all the energy in the body flowing smoothly. Stress also affects the liver and can lead to liver Qi (pronounced “chee”) stagnation. Qi is the equivalent of energy. The gallbladder is the sister organ of the liver, and it often gets involved too. When treating IBS, a licensed acupuncturist will address any imbalances in these three energetic systems, while also treating any other underlying issues. Things like excess heat and dampness will be removed from the body through the use of acupuncture. These two manifestations are the primary causes of IBS according to TCM. Acupuncture Points for IBS: · Large Intestine 4 – This point is located on the back of the hand bilaterally, between the thumb and forefinger, where the mound of flesh is the thickest. Large intestine 4 is the source point for the large intestine channel and it is great for aiding in digestive disorders. · Stomach 25 – Found bilaterally on either side of the belly button, about 2 thumb widths away from the center of the navel. This point helps move abdominal blood, which can alleviate gastrointestinal disorders. · Ren 6 – Located 2 finger widths below the belly button on the midline of the body, this point strengthens the large intestine and helps relieve constipation and abdominal cramping. Chinese Formulas for IBS:
Another integral part of TCM is the use of herbs and herbal formulas. Many times the herbs can be used alone, but there is more of a synergistic effect when the single herbs are combined to make a formula. One formula used frequently is Tong Xie Yao Fang, which includes herbs that smooth the disharmony between the liver and spleen, such as Chen Pi and Bai Zhu. Another popular formula used to treat the damp heat form of IBS is Ma Zi Ren Wan. This formula contains Ma Zi Ren and Xing Ren, which help drain damp heat from the intestines. Dietary Recommendations for IBS:
Nutrition, the third leg of TCM treatments, is very important in the treatment of IBS. Most people who suffer from IBS need to increase their intake of fiber. So foods like bananas, almonds, blueberries and avocados are all great choices. It is also recommended to avoid excessive gluten intake. Gluten is found in most breads and pastas. For some, gluten needs to be eliminated altogether. Processed, greasy and fried foods are also not good choices for IBS sufferers, as they disrupt the gut microbiome and are hard to digest. Seeking help from a locally licensed acupuncturist is a great way to handle IBS. Traditional Chinese Medicine can guide you along the path to wellness and can work cooperatively with your gastroenterologist’s regimen to give you the best chance of success.
Acupuncture and IBS
In a 2014 study published in the World Journal of Gastroenterology, researchers conducted a meta-analysis of six randomized, placebo-controlled, clinical trials and found acupuncture had a statistically significant, positive effect on IBS symptoms. The study found acupuncture was helpful in alleviating a variety of symptoms, including abdominal pain, stool state, and abdominal distention, among others.
Between 25 and 45 million people suffer from irritable bowel syndrome, IBS, in the United States. Symptoms of IBS vary from person to person, but IBS is commonly characterized by intestinal pain and either diarrhea or constipation. Symptoms also vary from moderate to severe, but either way, the discomfort needs to be managed long term.
The cause of IBS is not completely known, but one hypothesis suggests it has to do with a disruption of neurotransmission between the intestines and the central nervous system.
Along with diet and lifestyle changes to manage the symptoms, some people turn to medication for support. Systematic reviews of IBS medication have shown inconsistent success, and no one drug has been found to treat all the symptoms of IBS. In light of ineffective and expensive medications, many people have started turning to acupuncture in order to address the symptoms of IBS.
Digestive disturbances are often related to inflammation of some kind, which is one of the conditions acupuncture has been proven to address very well. There are also acupuncture points specifically related to metabolism, increasing gastrointestinal muscle contraction and relaxation, reducing gastric acid secretion, regulating large intestine function and balancing stomach acidity, all of which can support balanced digestive function and support patients with IBS.
Digestive disturbances are also often related to chronic stress in a person’s life. Many acupuncture points are related to reducing stress in the body.
Lastly, digestive disturbance is also linked to people’s diet and nutrient deficiencies in the body. Traditional Chinese Medicine, or TCM, is the medical umbrella under which acupuncture falls. TCM treatments are often a combination of acupuncture, herbal tonics and exercise or movement. Chinese herbs can balance out many nutrient-deficiencies a person might be experiencing that can exacerbate IBS. TCM is a holistic philosophy that incorporates symptom relief as well as lifestyle and diet considerations to develop a well-rounded, personalized treatment plan.
IBS can be a debilitating condition, but it doesn’t have to be. Acupuncture and Chinese herbs can be a great alternative for managing the symptoms. If you or a loved one struggles with IBS, contact a licenced acupuncturist in your area to learn how they may be able to help you find relief.