#Acupuncture for chemotherapy

[yourcancerguru]

Oncology Acupuncture: Understanding Its Role in Cancer Care

As an integrative oncology specialist, I often emphasize the importance of supportive therapies that work alongside conventional treatments like chemotherapy, radiation, and surgery. One powerful and evidence-informed modality in this space is oncology acupuncture.

If you've never heard of it, or are wondering how it's different from traditional acupuncture, this blog will walk you through what oncology acupuncture is, who is qualified to provide it, the benefits it offers for those facing cancer, and why it deserves a place in your care plan.

What Is Oncology Acupuncture?

Oncology acupuncture is a specialized form of acupuncture tailored specifically for individuals undergoing or recovering from cancer treatment. It can also be used to support those on palliative and hospice care. While it's rooted in Traditional Chinese Medicine (TCM), this approach integrates modern medical knowledge of cancer, cancer treatments, and common signs, symptoms, and side effects patients often experience.

The goal isn't to treat cancer itself, but rather to support the person who has cancer—by addressing a number of conditions that can improve his/her overall quality of life.

Who Is Qualified to Perform Oncology Acupuncture?

Not all acupuncturists are trained to work with oncology patients. Oncology acupuncture requires additional clinical training beyond a standard acupuncture degree. Qualified practitioners typically meet these criteria:

Licensed Acupuncturists (L.Ac.) or Doctors of Acupuncture and Oriental Medicine (DAOM)

Specialized training in oncology acupuncture through accredited programs or postgraduate certification

Familiarity with Western cancer treatments (chemotherapy, immunotherapy, radiation, surgery) and how they interact with acupuncture

Experience in hospital-based or integrative cancer centers, often working collaboratively with oncologists and palliative care teams

What Are the Benefits of Oncology Acupuncture?

Many people living with cancer experience complex signs and symptoms, as well as many side-effects related to treatment. Oncology acupuncture can help relieve a wide range of conditions. Here are the most commonly treated:

1. Nausea and Vomiting

Acupuncture is one of the best-researched non-pharmacologic interventions for chemotherapy-induced nausea, often reducing reliance on antiemetic medications.

2. Cancer-Related Fatigue

Fatigue is one of the most common and difficult symptoms to manage. Acupuncture has been shown to improve energy and reduce the sensation of heaviness many patients feel during treatment.

3. Peripheral Neuropathy

Some chemotherapy drugs can cause nerve damage, leading to pain, tingling, and numbness. Acupuncture can help reduce neuropathy and promote nerve healing.

4. Hot Flashes and Night Sweats

Both chemotherapy and hormone therapy can induce hot flashes and night sweats.  Both can be alleviated by weekly acupuncture treatments. 

5. Pain Management

Acupuncture can treat neoplastic pain (cancer related pain), post-surgical pain, bone pain, and treatment-related soreness.  It’s a great drug-free option to complement pain management plans.

6. Anxiety, Depression, and Insomnia

Emotional and mental health symptoms often accompany a cancer diagnosis. Acupuncture helps regulate the nervous system and promotes relaxation.

How Does Oncology Acupuncture Differ from Regular Acupuncture?

While both use the same general method of inserting fine, sterile needles into specific points on the body, oncology acupuncture is adapted to the needs, vulnerabilities, and medical context of those who have cancer. Here are some key differences:

Conclusion:

Oncology acupuncture is not a cure for cancer, but for many, it's a lifeline. It offers relief for many signs, symptoms, and side-effects and can dramatically improve one's quality of life.  Oncology acupuncture can be useful for all patients, regardless of where they are in their journey, whether, newly diagnoses, in-treatment, in survivorship, or on palliative / hospice care.

[itmightrain]

"Hodgkin's Lymphoma was one of the first cancers that was shown to be really responsive to both chemotherapy and radiation, so even though chemotherapy sucks, I knew we were going to do that. [...] I was 100% on board with chemo, and it's definitely extended my life, it's probably saved my life and I'll die of some other thing.

And three of the four chemo drugs that I was on are natural. They're from nature. Vinblastine comes from the Madagascar Periwinkle. It's just in a cute little flower, it was known to the indigenous people of Madagascar, scientists checked it out and found that it had a bunch of anti-cancer properties. Another one, Adriamycin, also called Doxorubicin, was found in microbes in the soil at the base of an Italian castle. The third, Bleomycin, was also found in a soil microbe called Streptomyces Verticillus. [...] Streptomyces Verticillus was never used in traditional medicine as far as we know, but all three of these molecules are both natural compounds and very effective chemotherapies for Hodgkin's Lymphoma (and some of them for other things).

And they've been tested, not just to see if they're effective, but to see:

What doses are most effective

Which cancers they're most effective against

How dangerous they are

What side effects are most common

How they effect women vs men

How they effect people based on their age

Their efficacy at different stages of cancer

How long you can safely take them

Which side effects are most serious and how to minimize those complications, both in the short-term and the long-term [...]

Cancers are not chill! Treatments have to be high impact because these are high impact and sneaky diseases. And so it's kind of amazing that we're in this point in history where a lot of these medicines have been tested in a lot of different ways to see what their best dosing schedule is, to see how little you can take without increasing the chances that the cancer will come back, to know how to be prepared for potential side effects. This is the slow, careful, tedious work of medical research, and it made the cancer treatment that I have just been through way less awful than it would've been just ten years ago.

During the time when I was publicly living with cancer and talking about cancer treatment, I received almost universally good vibes. Like I just want to be clear about that, people were amazing. But I did get some folks who would come to me and say that I would have a better outcome and be healthier if I took a more natural route, by which they meant that I should not be doing chemotherapy. [...]

The question becomes: if most of my cancer treatments came from nature, what do they mean when they say that I should be doing more natural treatments?

I gotta be clear here too, when it comes to like Epsom salt baths and acupuncture during chemotherapy, yes I'm in favor of all of that. If you want to do it and your doctor is telling you it's not going to do any harm and you feel like it's going to do good? Do it. [...] And there are also supplements that we know don't hurt and we think might help. [...] As long as you're talking to your doctor about it and it doesn't look like there's negative consequences I say do it.

There are some things that look like they might have some positive effect, but nothing has a positive effect like actual cancer treatment. So skipping those actual cancer treatments in favor of natural treatment makes me wonder: what do you mean by "natural"?

And here it is. I'm not sugarcoating this. I don't know a nicer way to say it. When we say natural cancer treatment, what we mean is something that either we don't know it works, or we know that it doesn't work, or we know that it does more harm than good. That's the only things that we mean when we say "natural cancer treatment", because otherwise a "natural cancer treatment" would include the three compounds from nature that I put in my body to cure my cancer.

The majority of cancer cases on earth, and an even greater majority of cancer deaths on Earth, happen outside of high-income countries. Those people don't die of cancers because they don't have access to coffee enemas or cannabis oil or apricot pits. They die because they don't have access to chemotherapy, radiation, surgery, and screening.

- Hank Green, Did "Natural" Cancer Treatments Save My Life?

[jcsmicasereports]

Use of acupressure to reduce nausea and vomiting in cancer patients receiving chemotherapy (literature study) by Maher Battat in Journal of Clinical Case Reports Medical Images and Health Sciences

Abstract

Nausea and vomiting are distressing and serious problems for cancer patients receiving chemotherapy despite the fact that they are receiving antiemetics according to the standard guidelines which this problem is a huge challenge to nurses involved in cancer care.

Purpose: To explore and assess the effectiveness of using acupressure as a non-pharmacological intervention in addition to pharmacological interventions in reducing nausea and vomiting in cancer patients receiving chemotherapy.

Method: A literature review was conducted of 8 articles published between 2006 and 2014. These included one study of a randomized, double-blind, placebo controlled trial; one quasi-experimental model with a control group; four articles reporting on randomized control trials (RCTs); one systematic review study; and one review study. Key Findings: Seven of the articles we read supported the effect of an acupressure P6 Wristband in reducing chemotherapy induced nausea and vomiting in cancer patients and other databases also supported that finding. The one article with neutral results showed that there was no difference between a combination of acupuncture and acupressure treatment at P6 and at the sham point for the nausea score, but the level of nausea was very low in both groups.

Conclusion: We conclude that the acupressure P6 wrist band when applied to acupuncture point P6 is effective, safe, convenient, cost effective, and provides an easy, self-administrated, non-pharmacological intervention that can be used to reduce chemotherapy induced nausea and vomiting.

Keywords: Acupressure, Chemotherapy, Nausea and Vomiting, Cancer patients, Chemotherapy-induced nausea and vomiting.

Introduction

Nausea and vomiting are serious and troublesome side effects of cancer therapy. We chose this research topic in order to become familiar with the topic of the nausea and vomiting facing cancer patients during their chemotherapy treatment, which we have observed during our experience in the Oncology departments.

As nurses, we normally use updated and standard guidelines for managing clinical challenges. We reviewed the literature to explore whether there are alternative approaches to pharmacological management that might reduce or eliminate this problem. We found there are many interventions, such as music, acupuncture, acupressure, and yoga. We decided to assess the effectiveness of using acupressure to reduce the nausea and vomiting in cancer patients receiving chemotherapy. Acupressure is a type of complementary and alternative medicine which the National Cancer Institute (NCI Dictionary of Cancer Terms) defines as follows: “Acupressure is the application of pressure or localized massage to specific sites on the body to control symptoms such as pain or nausea".

The Research Question

Can acupressure reduce nausea and vomiting in cancer patients receiving chemotherapy?

We have chosen to use the definitions of the NCI Dictionary of Cancer Terms:

“Nausea is an unpleasant wavelike feeling in the back of the throat and/or stomach that may lead to vomiting", and “Vomiting is throwing up the contents of the stomach through the mouth”.

Nausea and vomiting affect the patient’s whole life. These side effects lead to metabolic imbalance, fatigue, distress, and lowered quality of life. We would like to fine a simple, effective and cost effective way to manage these problems so we can put it to use in our hospital.

Method

A literature study is, “A critical presentation of knowledge from various academic written sources, and a discussion of the sources in view of a particular research question" (Synnes 2014). There are many challenges when doing a literature study. There are many databases and much literature and our search process had to find the correct, scientific and relevant databases. It required a lot of time and effort to find the full text of all relevant articles. Fortunately, we received excellent help from the librarian at the Betanien University High school.

We started the search process by making a PICO outline to narrow down the search and to find the correct key words and mesh terms.

P: (Population or participants) Cancer patients experiencing chemotherapy-induced nausea and vomiting.

I:  (Intervention or indicator) Acupressure.

C: (Comparator or control) No comparison or placebo.

O: (Outcome) Reduce nausea and vomiting.

We used PUBMED, Google scholar, scholar.najah.edu and other search engines. When we used Acupressure as a search word we found more than 800 studies. When we added chemotherapy, cancer patients, and nausea and vomiting, we brought this down to 14 articles. We read these and decided to use 8 articles only, one of which was a systematic review. We also used an unpublished Master’s thesis from An Najah National University. This thesis was cited in one of the articles that we decided to review. The key words used were: Acupressure, Chemotherapy, Nausea and Vomiting, Cancer patients, Chemotherapy-induced nausea and vomiting, with Acupressure as a mesh term.

We then critically appraised all the articles according to our checklist. We included only those articles that followed the IMRAD style (i.e. those including an introduction, method, results and discussion section). We excluded all articles that were more than ten years old (i.e. published before 2004), except for two articles: one was about the mechanism of acupressure, which seemed to be directly relevant to our research topic, while the second article was used in the discussion section to discuss certain factors related to the topic. We also excluded one of the review articles because its method appeared to be weak. One of the Cochran reviews was also dropped because it had not been updated.

Despite applying these strict criteria, we were still concerned lest we had left out some important articles or included an inappropriate one. However, we were reassured by the fact that the librarian at Betanien had guided us in our search.

Theoretical part

Nursing Need Theory and basic human needs

The Nursing Need Theory was developed by Virginia A. Henderson to define the unique focus of nursing practice. The theory focuses on the importance of increasing the patients’ independence to hasten their progress in the hospital. Henderson’s theory emphasizes the basic human needs and how nurses can assist in meeting those needs.

The 14 components of Need Theory present a holistic approach to nursing that covers the patient’s physiological, psychological, spiritual and social needs.

Physiological components

Breathe normally.

Eat and drink adequately.

Eliminate body wastes.

Move and maintain desirable postures.

Sleep and rest.

Select suitable clothes – dress and undress.

Maintain body temperature within normal range by adjusting clothing and modifying the environment.

Keep the body clean and well groomed and protect the integument.

Avoid dangers in the environment and avoid injuring others.

Psychological aspects of communicating and learning

Communicate with others in expressing emotions, needs, fears, or opinions. Spiritual and moral

Worship according to one’s faith. Sociologically oriented to occupation and recreation

Work in such a way that there is sense of accomplishment.

Play or participate in various forms of recreation.

Learn, discover, or satisfy the curiosity that leads to normal development and health, and use the available health facilities.

There is much similarity between Henderson’s 14 components and Abraham Maslow’s Hierarchy of Needs. Henderson’s Components 1 to 9 are comparable to Maslow’s physiological needs, with the 9th component also being a safety need. Henderson’s 10th and 11th components are similar to Maslow’s love and belonging needs, while her 12th, 13th and 14th components match Maslow’s self-esteem needs (Vera 2014).

The second of Henderson’s physiological needs is the need to “Eat and drink adequately”. Only the need to breathe is given a higher priority than the need for adequate nutrition. For cancer patients receiving chemotherapy and suffering from chemotherapy-induced nausea and vomiting, this need is the most critical.

Cancer prevalence and treatment

Cancer is a group of diseases characterized by uncontrolled growth and the spread of abnormal cells. It may be caused by internal factors, such as an inherited mutation, or a hormonal or immune condition, or it may result from a mutation from metabolism, or from external sources, such as tobacco use, radiation, chemicals and infectious organisms. Cancer is prevalent all over the world, in both developed and developing nations; it affects both sexes at all ages (Said 2009). The American Cancer Society (2010) estimated that 1,529,560 new cases of cancer were diagnosed in 2010 and that 80 % would be treated with chemotherapy; this means more than 1 million patients will be undergoing chemotherapy in any given year (Lee et al. 2010).

Cancer treatment may be based on chemotherapy, radiotherapy and surgical interventions. Chemotherapy is an important treatment in cancer care but it is associated with several side effects, such as bone marrow suppression, increased susceptibility to infection, diarrhea, hair loss, appetite changes, nausea and vomiting, among others (NCI Chemotherapy Side Effects Series, 2014).

Chemotherapy-induced nausea and vomiting (CINV) is the most prevalent and one of the hardest side effects to manage (Suh 2012).

Nausea and vomiting

Nausea and vomiting (N&V) can be acute or delayed. The incidence of acute and delayed N&V was investigated in highly and moderately emetogenic chemotherapy treatment regimens. Patients were recruited from 14 oncology practices in six countries. Overall, more than 35% of patients experienced acute nausea, and 13% experienced acute emesis. In patients receiving highly emetogenic chemotherapy, 60% experienced delayed nausea and 50% experienced delayed emesis. In patients receiving moderately emetogenic chemotherapy, 52% experienced delayed nausea and 28% experienced delayed emesis. CINV was a substantial problem for patients receiving moderately emetogenic chemotherapy in ten community oncology clinics. Thirty-six percent of patients developed acute CINV, and 59% developed delayed CINV (NCI, Nausea and Vomiting, 2015).

Chemotherapy is the most common treatment-related cause of N&V. The incidence and severity of acute emesis in persons receiving chemotherapy varies according to many factors, including the particular drug, dose, schedule of administration, route, and individual patient variables.

Risk factors for acute emesis include:

Poor control with prior chemotherapy

Female gender

Younger age

Emetic classification:

The American Society of Clinical Oncology has developed a rating system for chemotherapeutic agents with their respective risk for acute and delayed emesis.

High risk: Emesis has been documented to occur in more than 90% of patients on the following chemotherapeutic agents:

Cisplatin (Platinol).

Mechlorethamine (Mustargen).

Streptozotocin (Zanosar).

Cyclophosphamide (Cytoxan), 1,500 mg/m2 or more.

Carmustine (BiCNU).

Dacarbazine (DTIC-Dome).

Moderate risk: Emesis has been documented to occur in 30% to 90% of patients on the following chemotherapeutic agents:

Carboplatin (Paraplatin).

Cyclophosphamide (Cytoxan), less than 1,500 mg/m2.

Daunorubicin (DaunoXome).

Doxorubicin (Adriamycin).

Epirubicin (Pharmorubicin).

Idarubicin (Idamycin).

Oxaliplatin (Eloxatin).

Cytarabine (Cytosar), more than 1 g/m2.

Ifosfamide (Ifex).

Irinotecan (Camptosar).

Low risk: Emesis that has been documented to occur in 10% to 30% of patients on the following chemotherapeutic agents:

Mitoxantrone (Novantrone).

Paclitaxel (Taxol).

Docetaxel (Taxotere).

Mitomycin (Mutamycin).

Topotecan (Hycamtin).

Gemcitabine (Gemzar).

Etoposide (Vepesid).

Pemetrexed (Alimta).

Methotrexate (Rheumatrex).

Cytarabine (Cytosar), less than 1,000 mg/m2.

Fluorouracil (Efudex).

Bortezomib (Velcade).

Cetuximab (Erbitux).

Trastuzumab (Herceptin).

Minimal risk: Emesis that has been documented to occur in fewer than 10% of patients on the following chemotherapeutic agents:

Vinorelbine (Navelbine).

Bevacizumab (Avastin).

Rituximab (Rituxan).

Bleomycin (Blenoxane).

Vinblastine (Velban).

Vincristine (Oncovin).

Busulphan (Myleran).

Fludarabine (Fludara).

2-Chlorodeoxyadenosine (Leustatin).

In addition to the emetogenic potential of the agent, the dose and schedule used are also extremely important factors. For example, prescribing a drug with a low emetogenic potential to be given in high doses may cause a dramatic increase in its potential to induce N&V. For example, standard doses of cytarabine rarely produce N&V, but these often occur with high doses of this drug. Another factor to consider is the use of drug combinations. Because most patients receive combination chemotherapy, the emetogenic potential of all of the drugs combined needs to be considered, and not only that of individual drug doses.

Delayed (or late) N&V is that which occurs more than 24 hours after chemotherapy administration. Delayed N&V is associated with cisplatin and cyclophosphamide, and with other drugs (e.g., doxorubicin and ifosfamide) when given at high doses, or if given on 2 or more consecutive days.

Delayed emesis: Patients who experience acute emesis with chemotherapy are significantly more likely to have delayed emesis as well.

Risk factors: All the predicative characteristics for acute emesis are also considered risk factors for delayed emesis (NCI, Nausea and Vomiting, 2015).

The nausea and vomiting that are often associated with chemotherapy are a serious problem for cancer patients. Despite recent improvements in pharmaceutical technology, about 60% of cancer patients who receive antiemetic medications with their chemotherapy still suffer from nausea and vomiting, and as many as 20% of patients refuse to continue chemotherapy due to the severity of the nausea and vomiting (Shin et al. 2004). Early studies reported that patients cited nausea and vomiting as the most distressing symptoms when receiving chemotherapy. The distressing effect of severe nausea and vomiting can lead to nutritional deficiencies, dehydration, electrolyte imbalance, fatigue, depression and anxiety; they can also disrupt the activities of daily living and cause a lot of work time to be lost (Said 2009).

Uncontrolled nausea and vomiting can interfere with adherence to treatment regimens, and may cause the oncologists to reduce chemotherapy doses. Chemotherapy-induced nausea and vomiting is classified as being either “acute” if it happens within 24 hours post chemotherapy, or “delayed” if it occurs on days 2–5 of the chemotherapy cycle. The latter is particularly troublesome because there is no reliable pharmacological treatment for this problem. The American Society of Clinical Oncology’s (ASCO) recommendations include giving 5-HT3 (5-hydroxytryptamine, or serotonin) receptor antagonists plus corticosteroids before chemotherapy to patients who are at high risk for emesis. Nevertheless, many patients still experience nausea and vomiting related to chemotherapy, and approximately one-third of patients have nausea of at least moderate intensity, resulting in a significant reduced quality of life (QOL). Therefore, the experts emphasize the need for an evaluation of additional ways to reduce these symptoms (Said 2009).

Pharmacological interventions for the management of nausea and vomiting

Historically, antiemetic treatment has steadily improved since the introduction, in 1981, of high-dose metoclopramide which reduced the amount of emesis. This was followed by the development of serotonin (5-HT3) antagonist in the early 1990s, and the 5-HT3 antagonists proved to be more effective than the prior medications in preventing CINV. The concomitant use of corticosteroids was found to further improve the control of emesis. Despite these improvements, nausea and vomiting still remain a problem for many patients. Recently, a new drug, the neurokinin NK (1) receptor antagonist has been shown to be more effective at preventing both acute and delayed CINV for patients treated with highly emetogenic chemotherapy (Said 2009).

Non-pharmacological intervention for management of nausea and vomiting

Traditional Chinese medicine offers a possible intervention for the non-pharmacological treatment of nausea and vomiting in cancer patients. Traditional Chinese medicine (TCM) is a system of medical care that was developed in China over thousands of years. It looks at the interaction between mind, body and environment, and aims to both prevent and cure illness and disease.

TCM is based on Chinese views and beliefs about the universe and the natural world. It is a very complex system. In this essay we can only give a brief overview of what TCM involves. It is very different from Western medicine; Chinese medicine practitioners believe there is no separation between the mind and body and that illness of every kind can be treated through the body. They use a combination of various practices that may include:

Herbal remedies (traditional Chinese medicines).

Acupuncture or acupressure.

Moxibustion (burning moxa – a cone or stick of dried herb).

Massage therapy.

Feng shui.

Breathing and movement exercises called qi gong (pronounced chee goong).

Movement exercises called tai chi (pronounced tie chee).

TCM practitioners say that TCM can help to:

Prevent and heal illness.

Enhance the immune system.

Improve creativity.

Improve the ability to enjoy life and work in general.

Beliefs behind TCM

According to traditional Chinese belief, humans are interconnected with nature and affected by its forces. The human body is seen as an organic whole in which the organs, tissues, and other parts have distinct functions but are all interdependent. In this view, health and disease relate to the balance or imbalance between the various functions. TCM treatments aim to cure problems by restoring the balance of energies.

There are important components that underlie the basis of TCM:

Yin-yang theory is the concept of two opposing but complementary forces that shape the world and all life. A balance of yin and yang maintains harmony in the body, the mind and the universe.

Qi (pronounced chee) energy or vital life force flows through the body along pathways known as meridians, and it is affected by the balance of yin and yang. It regulates spiritual, emotional, mental, and physical health. If there is a blockage or an imbalance in the energy flow, the individual becomes ill. TCM aims to restore the balance of qi energy.

The five elements – fire, earth, metal, water, and wood – is a concept that explains how the body works, with the elements corresponding to particular organs and tissues in the body.

The TCM approach uses 8 principles to analyse symptoms and puts particular conditions into groups: cold and heat, inside and outside, too much and not enough, and yin and yang (Cancer Research, UK, 2015).

In summary, chemotherapy related nausea is not well controlled by pharmacological agents and identifying methods to prevent and alleviate treatment-related nausea remains a major clinical challenge. Non-pharmacological interventions such as music, progressive muscle relaxation (Said 2009), and ginger herbal therapy (Montazeri A et al. 2013) have all been shown to reduce CINV. Among the non-pharmacological interventions that reduce CINV are acupuncture and acupressure, based on the assumption that the individual’s welfare depends on a balance of energy in the body and their overall energy level (Said 2009). Yarbro et al. (2011, p. 645) also indicate in Cancer nursing: principles and practice book that acupuncture and acupuncture-related interventions (electroacupoint stimulation, acupressure, acustimulation wrist bands, and electroacupuncture) can be used to control nausea and vomiting in cancer patients.

Molassiotis et al. (2007) claim that the need for additional relief has led to the interest in non-pharmacological adjuncts to drugs, such as acupuncture or acupressure, since combining anti-emetics with other non-pharmacological treatments may prove to be more effective, safe and convenient in decreasing nausea than antiemetics alone.

From the National Cancer Institute website we found that acupressure is recognised as one of the non-pharmacologic strategies used to manage nausea and vomiting (Nausea and Vomiting, 3 September 2014). We used this website to get up to date, relevant information.

Acupressure

Acupressure involves putting pressure with the fingers, or with bands, on the body’s acupoints and is easy to perform, painless, inexpensive, and is effective. The P6 (Pericardium 6) point (Nei-Guan) refers to a point located on the anterior surface of the forearm, 3-finger widths up from the first wrist crease and between the tendons of flexor carpiradialis and Palmaris longus (figure1). P6 can be stimulated by various methods. The most well-known technique is manual stimulation by the insertion and manual rotation of a very fine needle (manual acupuncture). An electrical current can be passed through the inserted needle (electroacupuncture). Electrical stimulation can also be applied via electrodes on the skin surface or by a ReliefBand, a wristwatch-like device providing non-invasive electrostimulation. Pressure can be applied either by pressing the acupoint with the fingers or by wearing an elastic wristband with an embedded stud (acupressure).

Acupressure is based on the ancient Eastern concept that Chi energy travels through pathways known as meridians. Along the meridians are acu-points, which are controlling points for the Chi energy flow. If the energy flow in meridians is slowed, blocked, or hyper-stimulated, it can be rebalanced or re-stimulated either by applying pressure (acupressure) or by inserting a needle (acupuncture) into one or more of these acupoints. Two points are known for relieving nausea and vomiting: the Nei-Guan point (P6) and the Joksamly point (ST36, located at 4-finger breadths below the knee depression lateral to the tibia).

Patients tend to prefer the P6 point over the ST36 point, Because of its ease of access and the freedom from restriction. When these points are correctly located and pressure applied, either through acupressure or acupuncture, the Chi energy flow is rebalanced, resulting in relief from nausea and vomiting.

The practice of acupressure requires some training and experience, but the technique is widely accessible to any healthcare professionals, particularly to clinical nurses. This acupressure technique is an approach that should be tried not only by healthcare professionals but also by family members or the patients themselves (Shin et al. 2004).

According to the teaching of traditional Chinese medicine, illness results from an imbalance in the flow of energy through the body. This energy or Qi (chee) is restored through the use of acupuncture and acupressure at certain points on the body that have been identified through critical observation and testing over 4000 years. In scientific terms, the neurochemicals that are released after needling or pressure at a specific point may be responsible for this effect. The most commonly used point for nausea and vomiting is Pericardium 6 (Neiguan or P6), located above the wrist (Molassiotis et al. 2007).

The literature review on acupressure

Acupressure for chemotherapy-induced nausea and vomiting in breast cancer patients: a multicentre, randomised, double-blind, placebo-controlled clinical trial. (Said 2009)

For a master degree in public health from An-najah National University, Said (2009) described a randomized, double-blind, placebo controlled trial that was done in Palestine with 126 women on chemotherapy for breast cancer. In this study the researcher divided the patients into 3 groups: the first group (n=42) received acupressure with bilateral stimulation of P6, the second group (n=42) received bilateral placebo stimulation, and the third group (n=42), which served as a control group, received no acupressure wrist band, but all groups received pharmacological management of their nausea and vomiting. Acupressure was applied using a Sea-Band (Sea-Band UK Ltd, Leicestershire, England) that patients had to wear for five days following the administration of chemotherapy. Assessment of acute and delayed nausea and emesis, quality of life, patients’ satisfaction, recommendation of treatment and requests for a rescue antiemetic were obtained. Said (2009) concluded that the acupressure showed benefits for delayed nausea and the mean number of delayed emetic episodes. Acupressure may therefore offer an inexpensive, convenient, and self-administered intervention for patients on chemotherapy to reduce nausea and vomiting at home during days 2-5 after chemotherapy. In addition, the percentage of patients who were satisfied with the treatment (≥ 3 on a 0-6 scale) was 81% (35/42) in the P6-acupressure group, and 64% (27/42) in the placebo group (p= 0.0471). The percentage of patients who would recommend acupressure treatment was 79% (34/42) in the P6-acupressure group, and 62% (26/42) in the placebo group (p= 0.0533). We used this study because it had a lot of essential information, it used the IMRAD system and was also mentioned in the literature (Genç and Tan 2014). This study demonstrated that the mean scores for the acupressure group were lower for both acute and delayed nausea.

Review of Acupressure Studies for Chemotherapy-Induced Nausea and Vomiting Control. (Lee et al. 2008)

In the Journal of Pain and Symptom Management Jiyeon Lee et al. (2008) reviewed ten controlled studies on acupressure in order to evaluate the effects of a non-invasive intervention, acupressure, when combined with antiemetics for the control of CINV. The review evaluated one quasi-experimental and nine randomized clinical trials, which included two specific acupressure modalities, namely, an acupressure band and finger acupressure. The effects of the acupressure modalities were compared study by study. Four of the seven acupressure band trials supported the positive effects of acupressure, whereas three acupressure band trials did not support the effects of acupressure. However, all the studies with negative results had methodological issues. In contrast, the one quasi-experimental and two of the randomized finger acupressure trials all supported the positive effects of acupressure on CINV control. The reported effects of the two acupressure modalities produced variable results at each stage of CINV. Acupressure bands were most effective in controlling acute nausea, whereas finger acupressure controlled delayed nausea and vomiting. The overall effect of acupressure was strongly indicative but not conclusive. We used this article because it is relevant, a review study, and is from a known journal.

The effects of P6 acupressure in the prophylaxis of chemotherapy-related nausea and vomiting in breast cancer patients. (Molassiotis et al. 2007)

As reported in the journal Complementary Therapies in Medicine, acupressure was applied using wristbands (Sea-Band™) in a randomized controlled trial conducted in two centres in the UK. Patients in the experimental group had to wear these bands for the five days following their chemotherapy administration. Assessments of nausea, retching and vomiting were obtained from all patients, daily, for five days. Molassiotis et al. (2007) evaluated the effectiveness of using acupressure on the Pericardium 6 (Neiguan) acupoint in managing CINV. Thirty-six patients took part in the study, with 19 patients allocated to the control group and 17 to the experimental group. The results showed that nausea with retching, nausea, and vomiting with retching, and the accompanying distress were all significantly lower in the experimental group as compared to the control group (p < 0.05). The only exception was the vomiting, where the difference was close to significance (p = 0.06). We used this article because it had a strong study design and also used an IMRAD system.

Acupuncture and acupressure for the prevention of chemotherapy-induced nausea- a randomized cross-over pilot study. (Melchart et al. 2006)

In a randomized, cross-over trial, Melchart et al. (2006) studied 28 patients receiving moderately or highly emetogenic chemotherapy and a conventional standard antiemetic for one chemotherapy cycle, followed by a combination of acupuncture and acupressure at point P6 for one cycle, and for another cycle a combination of acupuncture and acupressure at a close sham point. The results showed that there was no difference in the nausea score between the combined acupuncture treatment at P6 and at the sham point, but the level of nausea was very low in both cases. We used this study because the article had neutral results and because we trusted the source of article, coming as it did from a cancer support care journal.

The efficacy of acupoint stimulation for the management of therapy adverse events in patients with breast cancer: a systematic review. (Chao et al. 2009)

This is a systematic review of 26 articles published between 1999 to 2008 examining the efficacy of acupressure, acupuncture or acupoint stimulation (APS) for the management of adverse events due to the treatment of breast cancer. Published online on 17 September 2009 in the Breast Cancer Research and Treatment journal, 23 trials reported revealed that APS on P6 was beneficial in treating CINV. Chao et al. (2009) also presented the findings from three high quality studies comparing APS groups with control groups, which indicated that APS is beneficial in the management of CINV and especially in the acute phase, even with the non-invasive intervention. Health care professionals should consider using APS, and in particular acupressure on the P6 acupoint, as an option for the management of CINV. Furthermore, as a cost effective intervention, it warrants further investigation. We used this article because it used the IMRAD structure.

'Until the trial is complete you can’t really say whether it helped you or not, can you?’: exploring cancer patients’ perceptions of taking part in a trial of acupressure wristbands. (Hughes et al. 2013)

In Complementary and Alternative Medicine, Hughes et al. report on qualitative research undertaken with patients receiving chemotherapy in the UK. A convenience sample of 26 patients volunteered to participate in the clinical trial and to explore their experiences of using acupressure wristbands. Participants were recruited from three geographical sites: nine were recruited from Manchester, nine from Liverpool, and eight from Plymouth and the surrounding regions. Ten of the participating patients received true acupressure during the trial, 9 received sham acupressure, and 7 received no acupressure. Hughes et al. (2013) concluded that the research provided insights into cancer patients’ motivations and experience of taking part in a clinical trial for a complementary alternative medicine intervention, in which the participants perceived acupressure wristbands to reduce the level of nausea and vomiting experienced during their chemotherapy treatment. This article is important because it includes the benefits experienced by the patients taking part in the trial. This is also the first qualitative study to explore patients’ experiences of using acupressure wristbands and their perceptions of the effects. In the study, the patients perceived the wristbands as reducing their level of nausea and vomiting experienced due to their chemotherapy treatment. The study was an RCT.

The effect of acupressure application on chemotherapy-induced nausea, vomiting, and anxiety in patients with breast cancer. (Genç and Tan 2014)

Genç and Tan (2014) reported on a quasi-experimental study in Turkey with 64 patients with stages 1–3 breast cancer who received two or more cycles of advanced chemotherapy. Thirty two patients were in the experimental group, and thirty two in the control group. To determine the effect of acupressure P6 on CINV and anxiety in these patients, the P6 acupressure wristband was applied to the experimental group. Genç and Tan (2014) concluded that the total mean scores for patients in the experimental group, for nausea, vomiting and retching, were lower than those of the patients in the control group over the five days of application. We used this article because it is a recent and quasi-experimental study and used the IMRAD system.

The effects of P6 acupressure and nurse-provided counselling on chemotherapy-induced nausea and vomiting in patients with breast cancer. (Suh 2012)

Suh (2012) reported in the Oncology Nursing Forum on a RCT in South Korea with 120 women who were receiving chemotherapy for breast cancer. These patients had all had more than mild levels of nausea and vomiting during their first cycle of chemotherapy. The participants were assigned randomly to one of four groups: a control group (a placebo on a specific location on the hand); a counselling only group; a P6 acupressure only group; and a P6 acupressure plus nurse-provided counselling group. The purpose of the study was to evaluate the effects of pericardium 6 (P6) acupressure and nurse-provided counselling on CINV in patients with breast cancer. Suh (2012) concluded that nurse-provided counselling and P6 acupressure were together the most effective in reducing CINV in patients with breast cancer. We used this article because it is the first RCT evaluating the isolated and combined effects of P6 acupressure and counselling in reducing CINV among non-Western patients. The findings of the study support the use of P6 acupressure together with counselling that is focused on cognitive awareness, affective readiness, symptom acceptance, and the use of available resources as an adjunct to antiemetic medicine for the control of CINV. The article used the IMRAD system.

Discussion

Can acupressure reduce nausea and vomiting in cancer patients receiving chemotherapy?

In our experience, we have usually used metoclopramide (pramin) plus serotonin (5-HT3) antagonist (as Ondansetron and Granisetron), plus Dexamethasone plus neurokinin NK (1) (as Emend - aprepitant) for moderate to high ematogenic chemotherapy, yet some of the patients have still suffered from nausea and vomiting. After reviewing the literature we would like to use the acupressure P6 wrist band to solve this problem as the findings of our literature review confirm that the acupressure P6 wrist band reduces CINV in cancer patients receiving chemotherapy. This result is corroborated by 7 of the articles reviewed.

The National Cancer Institute website supports the finding that acupressure is one of the non-pharmacologic strategies that may be used to manage nausea and vomiting (NCI Dictionary of Cancer Terms). Said (2009) adds that acupressure may offer an inexpensive, convenient, and self-administered intervention for patients on chemotherapy, helping to reduce nausea and vomiting at home on days 2-5 of chemotherapy. Genç and Tan (2014) conclude that the total mean scores for CINV in patients in the experimental group to whom they applied the P6 acupressure wristband were lower compared to patients in the control group over the five days of application. Lee et al. (2008) found that the two acupressure modalities produced variable results in each phase of CINV: acupressure bands were effective in controlling acute nausea, whereas acupressure controlled delayed nausea and vomiting. Molassiotis et al. (2007) showed that the experience of nausea and vomiting was significantly lower in the experimental group than in the control group. Chao et al. (2009) found that P6 acupoint stimulation was an option for the management of CINV. In the study reported by Hughes et al. (2013) the participants perceived that acupressure wristbands reduced the levels of nausea and vomiting experienced during chemotherapy treatment. Suh (2012) concluded that the synergistic effects of P6 acupressure together with nurse-provided counselling appeared to be effective in reducing CINV in patients with breast cancer.

Five of the seven articles investigating breast cancer patients, namely Said (2009), Chao et al.( 2009), Molassiotis et al. (2007), Suh (2012) and Genç and Tan (2014), involved breast cancer patients receiving highly ematogenic chemotherapy (e.g. Cisplatin and cyclophosphamide), and moderate risk ematogenic chemotherapy (like doxorubicin).

It is necessary to mention other therapeutic regimens that can also be used in cancer treatment that contain other types of chemotherapy that cause nausea and vomiting, for example, doxorubicin-containing regimens like ABVD (Adriamycin, Bleomycin, Vinblastine, Dacarbazine), CHOP (Cyclophosphamide, Adriamycin, Vincristine, Prednisone) and FAC (5-Fluorouracil, Adriamycin, Cyclophosphamide), and ACT (Adriamycin, Cyclophosphamide, Taxol) (Said 2009) and from our experience cisplatin-containing regimens which that classified as highly ematogenic chemotherapy we noticed the patients still experienced nausea and vomiting after they received the antiemitecs. We think it is necessary to use additional intervention like acupressure to be included in the nausea and vomiting management.

Based on the reviewed findings we plan to use acupressure for cancer patients receiving chemotherapy, because the acupressure in the studies conducted in breast cancer patients reported was used with highly ematogenic chemotherapy in addition to the standard antiemetic treatment, so it is reasonable to conclude that it will work equally well with other less ematogenic types of chemotherapy.

We prefer the use of the acupressure wrist band at P6 acupoint because it is an inexpensive, convenient, and self-administered intervention involving pressure instead of needles at the same point as that used in acupuncture. Furthermore it is safer than acupuncture and patients can easily learn to put pressure on their own wrists, whereas the acupuncture involves using needles that are about the diameter of a hair and can cause temporary discomfort during insertion (Said 2009; Molassiotis et al. 2007). Acupressure seems to be a good way to complement antiemetic pharmacotherapy as it is safe and convenient, with minimal (with bands) or no (finger acupressure) costs involved. It is thus an easy to use, cost-effective, non-invasive intervention (Lee et al. 2008; Melchart et al. 2006).

There was no study result that showed any negative effect from the acupressure wrist band at P6 point, except the review by Lee et al. (2008), which mentioned that three of the ten reported acupressure band trials did not support the possible positive effects of acupressure, but these studies all had methodological issues, such as a small sample size, no true control group, and a concern about the sham acupressure band having a possible antiemetic effect. Melchart et al. (2006) said that no difference was detected in the nausea score between the acupuncture treatment at P6 acupoint, and that at the sham point. Said (2009) mentioned that the acupressure showed no benefit in relation to the incidence of delayed vomiting, early vomiting, or acute nausea, but Melchart and Said’s studies were done with breast cancer patients and it could be that the acupressure benefits were not evident due to the breast cancer patients having had axillary lymph node resection that may have affected the meridian pathway or caused damage to the median nerve as mentioned by Roscoe et al. (2003). Consequently, we think that the evidence suggesting that there is no benefit from the acupressure method for reducing CINV is weak.

Regarding the placebo effect in the articles reviewed here, Melchart et al. (2006) indicated that there was no difference in the nausea score for the combined acupuncture treatment at p6 or that at the sham point, although the level of nausea was very low in both cases. Molassiotis et al. (2007), Said (2009) and Roscoe et al. (2003) all suggested that the placebo effect may be the result of psychological factors.

Application of acupressure in clinical practice

It is important to put this theory into practice, and health care professionals could consider using APS, in particular acupressure on the P6 acupoint, as an option in the management of CINV (Chao et al. 2009). Melchart et al. (2006) said acupressure bands can easily be used in busy oncological wards, while Suh (2012) supported the use of P6 acupressure with counselling focused on cognitive awareness, affective readiness, symptom acceptance, and the use of available resources as an adjunct to antiemetic medications for the control of CINV. Hughes et al. (2013) concluded that the research provides an insight into cancer patients’ motivations for and experiences of taking part in a clinical trial for a complementary alternative medical intervention in which the participants perceived the acupressure wristbands as reducing their level of CINV. Said (2009) suggests that oncology nurses should include acupressure in their list of options for the management of CINV, and especially delayed nausea and vomiting. Special recommendations by oncology nurses are not only useful but are also much appreciated by patients as shown in a study in which the patients were satisfied with the antiemetic treatment given by both P6-acupressure, and placebo-acupressure. The percentage of patients who were satisfied (≥ 3 on 0-6 scale) with their treatment was 81% (35/42) in the P6-acupressure group, which was in agreement with Roscoe et al. (2003), and 64% (27/42) in the placebo group (p= 0.0471). The percentage of the patients who would recommend acupressure treatment was 79% (34/42) in the P6-acupressure group, which again was in agreement with the results of Roscoe et al. (2003) and Hughes et al. (2013), compared to 62% (26/42) in the placebo group (p= 0.0533). This study presented the patients’ compliance with the use of acupressure. Acupressure is easily learnt and taught and patients should be informed about its potential role and taught how to apply it. Leaflets about acupressure for the management of nausea and vomiting could be available in chemotherapy units so that patients who are interested to use such a technique would be encouraged to come forward and learn more from nurses or other health professionals. This could add to the patients’ options for antiemetic approaches and empower them to be involved in the management of these distressing side effects. Acupressure offers a no-cost, convenient, self-administered intervention for chemotherapy patients to reduce acute nausea. Acupressure devices (i.e. Wrist Bands, travel bands, and acupressure bands) have been developed to provide passive acupressure on P6. Acupressure can be administered by healthcare providers, family members, or patients themselves, and does not involve puncture of the skin.

We therefore found that the acupressure wristband is a good way to reduce nausea and vomiting for cancer patients receiving chemotherapy by applying it in the correct position with the stud over the pericardium 6 acupoint located on the anterior surface of the forearm, 3-finger widths up from the first wrist crease, and between the tendons of flexor carpiradialis and Palmaris longus.

Lee et al. (2008) encourage the application of acupressure bilaterally, rather than unilaterally, in CINV control. They recommend three minutes of finger acupressure once daily, with additional acupressure as needed, as the optimal intervention, because both three and five minute trials have succeeded in achieving positive effects. On the other hand, Molassiotis et al. (2007) claimed that there is no correlation between the frequency of pressing the studs and the level of nausea and vomiting. Lee et al. (2008) and Molassiotis et al. (2007) therefore claim opposite results in the relationship between CINV and the frequency of pressing the stud of an acupressure P6 wrist band. But when applying the acupressure P6 wrist band bilaterally, Lee et al. (2008), Said (2009), Molassiotis et al. (2007), Suh (2012), and Genç and Tan (2014) all reported a positive effect with P6 stimulation in reducing CINV.

We would like to discuss some factors related to CINV in relation to nausea and vomiting: expectancy and gender: Roscoe et al. (2003) argued that patients who received the acustimulation bands and expected them to be effective did report having a higher quality of life and less nausea, and in relation to gender, that women are more likely to experience nausea when receiving chemotherapy. Lee et al. (2008) say this may be caused by classical conditioning and also that breast cancer patients may have had a damaged median nerve due to axillary lymph node removal, but Lee et al. (2008) also mention that P6 acupressure in younger women had a significantly greater positive effect on delayed nausea than those on a placebo or those in the no-intervention control group. On the other hand, Molassiotis et al. (2007) mentioned that younger age is associated with greater nausea. We think that men may have tolerated greater stimulation of the acupressure points, and therefore experienced greater symptom relief, so it may be that the acupressure is more effective for men than for women, but these questions of gender, age and the frequency of pressing the studs would need further investigation.

Based on the reported studies, we support the belief that acupressure on P6 is applicable in clinical practice for CINV for cancer patients provided the required education, training and counselling is given to maintain the acupressure benefits.

Acupressure side effects

The study by Molassiotis et al. (2007) found that there were no side effects from the use of the wristbands, but one patient reported that she had to take the bands off because they were too tight and left her with marks for a few days. Chao et al. (2009) also mentioned that very few minor adverse events were observed.

Melchart et al. (2006) did report adverse effects from the treatment in five cases. One suffered a hematoma when wearing the acupressure band at P6. In the sham group, one hematoma was reported after acupuncture, and another three adverse effects from the acupressure band were reported (one hematoma, one skin irritation, one eczema). Hughes et al. (2013) also reported that participants had not experienced any restrictions from wearing the wristbands in terms of everyday activities, other than when washing and bathing. As one female participant commented, for most participants the wristbands were found to be comfortable to wear. However, a few participants reported that they had experienced minor irritation, such as the wristbands feeling tight or painful, or their wrists becoming itchy. Reported adverse side effects were generally deemed minor and acceptable. In the study by Said (2009), no side effect or discomfort was noticed from wearing the acupressure wristband. Said told the patients that if the bands caused discomfort, they could be removed for 30 minutes every two hours. In this way, by taking it off for regular periods, we can prevent the side effects of acupressure, even its minor and rare effects.

Acupressure reduces CINV in cancer patients, in addition it reduces anxiety (Genç and Tan 2014) and that affects overall quality of life (Said 2009). Quality of life is defined by the NCI Dictionary of Cancer Terms as “The overall enjoyment of life and the individual’s sense of well-being and ability to carry out various activities”. Based on the physiological components of the Virginia Henderson’s theory of basic human needs and Abraham Maslow’s Hierarchy of Needs, the patient needs to eat and drink adequately, and sleep and rest (Vera, 2014). This means that when we are providing the required management for distressing symptoms, such as nausea and vomiting, by including the acupressure wrist band in addition to standard antiemetics, the patient’s appetite will improve, leading the patient to eat and drink adequately and improve their sleeping pattern. These may then also improve other aspects of the cancer patient’s life. According to the Henderson Nursing Need Theory, when we meet a patient’s needs, it results in an improved quality of life for the cancer patient receiving chemotherapy. Another way of expressing this is that it restores the balance of Yin and Yang energy that leads to reduced nausea and vomiting and improves the patient’s ability to enjoy life and work in general through a maintaining of the harmony of body and mind, as described in traditional Chinese medicine (Cancer Research UK, 2015).

We believe that it is essential for cancer patients undergoing chemotherapy treatment to have adequate nutrition to maintain their strength to fight the cancer. Different nursing actions are necessary to maintain adequate nutrition including the relieving of CINV. From this we extrapolate that using the acupressure P6 wrist band to reduce CINV improves the patient’s quality of life.

Conclusion

Chemotherapy-induced nausea and vomiting may be life threatening and is therefore a huge challenge to nurses involved in cancer care. Even with the best pharmacological management of CINV, patients continue to experience nausea and vomiting.

From a review of eight articles with strong methodology, seven supported the positive effect of an acupressure P6 wristband in reducing CINV for cancer patients. This was also supported by other databases. The one article with neutral results showed that there was no difference between a combined acupuncture and acupressure treatment at P6 and at a sham point in relation to the nausea score, but the level of nausea was very low in both groups. We conclude that the acupressure wrist band applied to acupuncture point P6 is effective, safe, convenient, cost effective, an easy and self-administrated non-pharmacological intervention from traditional Chinese medicine that reduces CINV. Solving the problem of CINV is a fundamental nursing task that can lead to improved quality of life and nutritional status, reduced anxiety and increases patient compliance. In the light of these results, and due to the effectiveness and inexpensiveness of acupressure, together with its ease of use, we suggest that it should be used in conjunction with pharmacological agents for CINV prophylaxis. To maintain the effectiveness of the acupressure, special education and training is needed to reassure the patient that the acupressure is at the correct point (P6) and counselling by the nurse is required.

We recommend the use of acupressure P6 in oncology departments and that future research should be conducted to include cancer patients receiving radiotherapy, and to investigate more about the relationship between the frequency of pressing the stud on the wrist band for acupressure P6 and CINV, and the relationship between gender and CINV, and whether it is better to apply it unilaterally or bilaterally.

[unhonestlymirror]

I remembered that Red Cross or UN twitter scandal about "folk medicine". And it's funny. They wrote something about the benefits of herbs and acupuncture - and the people in comments went absolutely mad, yelling that folk medicine is not real medicine. It's funny because all those higher-ups that spread ideas that you can trust only pharmaceutical companies, got into their own trap. I'm still not sure, why they published that folk medicine thread, though.

Do you know what the main rule of a doctor is? Don't cause harm. If we know that, e.g., a person has a heart failure, and we know that digoxin treats heart failure, are we gonna prescribe a patient acupuncture and the camomile tea? Of course not. It would be torture of a patient. We must prescribe digoxin, AND we can add camomile tea to the list to improve the mood. Because we know that camomile tea does not cause harm. (In general...). However, absence of digoxin can cause more harm. It's in simple words because I don't count the drug-food, drug-drug interactions, pharmacokinetics, pharmacodynamics, medical history, etc.

HOWEVER! We have another case. Let's say, a patient with COVID-19 fell into coma due to... for example, virus caused thromboembolism because no one gave them Xarelto, or hospital aquired pneumonia, etc. The patient's inconsolable mother cries and says she doesn't know what to do because no medicine is helping anymore. The patient is already full of medications, and the situation overall is very pessimistic. You've heard somewhere on YT about Chinese hot baths with herbs. You have a choice:

give up and let the patient die slowly

try everything you can if nothing helps anymore, fight till the last.

I've heard this is what happened to a boy in China, who was bathed in hot water with some herbs after lying unconsciously in the hospital for several months... and it worked. He came out of the coma. Maybe it was a fake story, but I tend to believe it. Remember how you went home after the long, hard day of job you hate, you ruined your trousers because of rain and mud - and you come home and get yourself a bath with roses and candles. It feels pretty good, isn't it? For the body, which was in a comatose state for months, not moving, not bathing, not living the life, it must have felt like heaven.

A good doctor should not give up any possible medicine for moral reasons, if nothing helps and there is the slightest chance something will help. We should not completely avoid folk medicine, as well as we should not completely avoid medications, chemotherapy, etc. The modern medicine was born from the folk medicine, and the modern medicine has approximately the same chance of fail as the folk medicine (Thalidomide scandal, trans therapy scandals, etc). There should be balance.

[chemotherapyindelhi]

Chemotherapy Therapy In Delhi - Lyfe Medicare Cancer Centre

Chemotherapy therapy, while often a vital part of cancer treatment, can be an emotionally and physically daunting process for patients. The side effects of chemotherapy, such as fatigue, hair loss, and nausea, can take a toll on the body and mind. However, emerging research is shedding light on new approaches to minimize these side effects. From personalized dosing based on genetic factors to targeted drug delivery systems, the future of chemotherapy holds promise for reducing the impact on patients' quality of life.

Furthermore, the integration of complementary therapies alongside traditional chemotherapy is gaining traction within the medical community. Techniques like acupuncture, yoga, and meditation are being explored as potential allies in mitigating the adverse effects of chemotherapy. By adopting a more holistic approach that considers both physical and psychological well-being during treatment, healthcare providers are striving to enhance patient resilience and overall outcomes. As our understanding evolves and innovative strategies continue to emerge, the landscape of chemotherapy therapy is undergoing a transformation that offers hope and improved care for those battling cancer.

Tag = Chemotherapy Therapy In Delhi, Chemotherapy In Delhi, Chemotherapy Cost in Delhi

[anoasisofh]

Redefining Cancer Care with Holistic Approaches

The Shift Toward Holistic Healing

Cancer remains one of the most formidable health challenges, touching countless lives with its complexity and unpredictability. While conventional treatments like chemotherapy and radiation have long been the standard, a growing number of patients are seeking alternatives that address more than just the disease. Holistic cancer treatment emerges as a compelling option, focusing on the whole person—mind, body, and spirit—rather than solely targeting tumors. This integrative approach combines nutritional therapies, detoxification, and emotional support to create an environment where the body can heal naturally. Across the United States, practitioners are pioneering these methods, offering hope to those who seek a gentler, more comprehensive path to recovery.

The Role of Alternative Practitioners

In the realm of cancer care, Alternative Cancer Doctors in USA are redefining what it means to treat this illness. These practitioners, often trained in both conventional and integrative medicine, bring a unique perspective to patient care. Their approach is rooted in the belief that cancer thrives in an imbalanced body, and by addressing underlying issues—such as poor nutrition, chronic stress, or environmental toxins—patients can strengthen their resilience. These doctors employ a range of therapies, from intravenous vitamin C to herbal remedies and mindfulness practices, tailoring plans to each individual’s needs. Their work emphasizes collaboration, empowering patients to take an active role in their healing journey while complementing or, in some cases, replacing traditional treatments.

Core Principles of Holistic Treatment

At the heart of holistic cancer treatment lies a commitment to restoring balance and supporting the body’s innate healing mechanisms. Practitioners focus on three key areas: detoxification, immune system enhancement, and nutritional optimization. Detoxification involves eliminating harmful substances, such as heavy metals or pesticides, that may contribute to cancer’s development. Immune therapies, including supplements and specialized diets, aim to bolster the body’s defenses, enabling it to better combat abnormal cells. Nutrition is central, with plant-based, organic diets designed to nourish healthy cells while creating an inhospitable environment for cancer. These strategies, grounded in scientific research and traditional wisdom, offer a proactive approach to health that resonates with patients seeking alternatives.

Empowering Patients Through Education

A distinguishing feature of Alternative Cancer Doctors in USA is their emphasis on patient education. Rather than prescribing a one-size-fits-all solution, these practitioners teach individuals how to understand their body’s signals and make informed choices. Workshops and consultations cover topics like the impact of stress on immunity, the benefits of juicing, and the role of meditation in reducing inflammation. This knowledge empowers patients to adopt sustainable lifestyle changes, from incorporating anti-inflammatory foods to practicing daily mindfulness. By fostering a sense of control, these doctors help patients move beyond fear, transforming their relationship with their diagnosis and their health.

The Appeal of Integrative Care

The growing popularity of holistic cancer treatment reflects a broader shift in how people view health care. Patients are drawn to its low side-effect profile and focus on quality of life, especially when conventional treatments leave them feeling depleted. Integrative care often includes complementary therapies like acupuncture, massage, and yoga, which alleviate symptoms such as pain, fatigue, and nausea. These practices not only support physical healing but also nurture emotional and spiritual well-being, helping patients cope with the psychological toll of a cancer diagnosis. In cities across the USA, from California to New York, clinics are emerging as sanctuaries where patients find both cutting-edge therapies and compassionate care.

Challenges and Considerations

While Alternative Cancer Doctors in USA offer promising options, navigating this field requires discernment. Not all alternative therapies are backed by rigorous evidence, and some may interact with conventional treatments, potentially reducing their efficacy. Patients must consult with their oncologists to ensure a cohesive treatment plan, as open communication is critical to safety. Additionally, the cost of holistic care, often not covered by insurance, can be a barrier for some. Despite these challenges, the personalized nature of integrative care and its focus on long-term wellness make it a compelling choice for those willing to explore beyond traditional protocols.

A Vision for the Future

The rise of holistic cancer treatment signals a transformative moment in oncology, where patient-centered care takes precedence. By blending the best of science and nature,Alternative Cancer Doctors in USA are paving the way for a more inclusive approach to healing. Their work challenges the notion that cancer treatment must be a battle, instead framing it as a journey toward balance and vitality. As research continues to validate integrative methods, and as more patients share stories of renewed hope, this movement is poised to reshape cancer care. For those seeking a path that honors the whole self, holistic treatment offers not just a therapy but a philosophy of empowerment and possibility.

[levitashormone]

Navigating Menopause: Facts, Symptoms, and Support 

Menopause is a natural biological transition that marks the end of a woman’s reproductive years. While often surrounded by stigma or silence, understanding what really happens during menopause can empower women to manage the changes with confidence and support. 

What Is Menopause? 

Menopause is officially diagnosed after 12 consecutive months without a menstrual period. It usually occurs between the ages of 45 and 55, with the average age around 51. However, the process doesn’t begin or end overnight. It unfolds over several years, typically in three phases: 

Perimenopause: This transitional stage can begin in a woman’s 40s (sometimes earlier) and lasts several years. Hormone levels fluctuate, periods become irregular, and symptoms like hot flashes or mood swings may begin. 

Menopause: The point when menstrual periods have completely stopped for one full year. 

Postmenopause: The stage after menopause, when symptoms may ease but long-term health considerations like bone density and heart health become more important. 

What Really Happens in the Body? 

The primary hormonal shifts during menopause involve a decline in oestrogen and progesterone, the two key female reproductive hormones. As oestrogen levels drop, the body reacts in various ways, affecting everything from menstruation to mood, skin, sleep, and metabolism. 

Common physical and emotional changes include: 

Hot flashes and night sweats 

Irregular periods and eventual cessation 

Sleep disturbances 

Mood swings, anxiety, or depression 

Weight gain and slowed metabolism 

Thinning hair and dry skin 

Vaginal dryness and decreased libido 

Brain fog or difficulty concentrating 

Not every woman experiences all these symptoms, and the severity varies widely. Some sail through menopause with minimal discomfort, while others face significant challenges. 

Interesting Facts About Menopause 

It’s not just about reproduction: Oestrogen affects the brain, bones, heart, and even skin. Menopause is a whole-body event, not just a reproductive one. 

Bone loss speeds up: Women can lose up to 20% of their bone density in the first five to seven years after menopause. 

Menopause impacts heart health: The protective effects of oestrogen on the cardiovascular system decline, increasing the risk of heart disease. 

Menopause can start earlier: Smoking, chemotherapy, certain surgeries (like ovary removal), or genetics can trigger early or premature menopause. 

It's not a disease: Menopause is a normal part of ageing—not a medical condition. However, its symptoms can and should be managed if they impact quality of life. 

Managing Menopause: Options and Support 

Women today have more choices than ever when it comes to managing menopause. From lifestyle changes to medical treatments, support is available. 

Lifestyle adjustments: Eating a balanced diet rich in calcium and vitamin D, regular exercise, and stress management can make a big difference. 

Hormone Replacement Therapy (HRT): For many women, HRT can significantly relieve symptoms and reduce long-term risks like osteoporosis. However, it’s not suitable for everyone and should be discussed with a healthcare provider. 

Natural supplements and holistic therapies: Herbal remedies, acupuncture, yoga, and mindfulness practices may help manage symptoms for some women. 

Open conversations: Menopause can feel isolating, but it doesn’t have to be. Talking with friends, joining support groups, or consulting a menopause specialist can help. 

Conclusion 

Menopause is a significant life stage that deserves understanding, preparation, and compassionate care. Knowing what really happens helps remove fear and replaces it with knowledge and empowerment. With the right support, women can not only manage menopause but embrace it as a time of transformation, wisdom, and renewed strength. 

[eileenevans]

THCA Flower and Its Role in Holistic Health Practices

THCA flower, the raw, unheated form of cannabis rich in tetrahydrocannabinol acid (THCA), has emerged as a cornerstone in holistic health practices. Unlike THC, THCA is non-psychoactive, offering therapeutic benefits without the "high." Its integration into wellness routines reflects a growing demand for natural, plant-based remedies that align with holistic principles of balance and prevention. This article explores the science, applications, and benefits of THCA flower in promoting overall well-being.

What Is THCA Flower?

THCA flower refers to the buds of the cannabis plant harvested before undergoing decarboxylation, the process that converts THCA into THC through heat. In its raw form, THCA retains a unique chemical profile, delivering anti-inflammatory, neuroprotective, and anti-emetic properties. Cultivated from specific cannabis strains, THCA flower is often consumed fresh, juiced, or infused into products to preserve its non-psychoactive nature. This makes it ideal for individuals seeking therapeutic effects without altering their mental state, aligning with holistic health’s focus on gentle, non-invasive remedies.

The compound’s stability in raw cannabis ensures that THCA flower can be stored and used in various forms, from smoothies to tinctures. Its versatility allows practitioners and users to tailor consumption methods to individual needs, enhancing its appeal in wellness circles. By bypassing the psychoactive effects of THC, THCA flower offers a safe entry point for those new to cannabis-based therapies.

Therapeutic Benefits of THCA Flower

Research highlights THCA’s potential in addressing a range of health concerns, making it a valuable tool in holistic practices. Its anti-inflammatory properties may help manage conditions like arthritis or autoimmune disorders, reducing pain and swelling without synthetic drugs. Studies suggest THCA interacts with the endocannabinoid system, supporting immune function and cellular balance.

Neuroprotective qualities position THCA flower as a promising option for neurodegenerative conditions, such as Parkinson’s or Alzheimer’s. By combating oxidative stress, THCA may protect brain cells, promoting long-term cognitive health. Additionally, its anti-emetic effects benefit those undergoing treatments like chemotherapy, alleviating nausea and improving appetite naturally.

Incorporating THCA Flower into Holistic Routines

Integrating THCA flower into daily wellness practices is straightforward, thanks to its flexibility. Juicing raw cannabis leaves and buds preserves THCA’s potency, delivering a nutrient-rich drink packed with cannabinoids, terpenes, and vitamins. This method suits those prioritizing raw, plant-based diets, as it aligns with detox and cleansing protocols.

Tinctures and capsules offer precise dosing for consistent therapeutic effects, ideal for managing chronic conditions. Topical applications, such as THCA-infused balms, target localized pain or inflammation, complementing holistic therapies like massage or acupuncture. For those practicing mindfulness, incorporating THCA flower into meditation routines may enhance relaxation, leveraging its calming properties without psychoactivity.

Why THCA Flower Stands Out in Holistic Health

THCA flower’s non-psychoactive nature sets it apart from other cannabis-derived products, making it accessible to a broader audience. Its alignment with holistic principles—emphasizing natural, whole-plant medicine—resonates with those seeking alternatives to pharmaceuticals. The compound’s diverse applications, from dietary supplements to topical treatments, ensure it meets varied wellness needs.

Future of THCA Flower in Wellness

As research into THCA expands, its role in holistic health is poised to grow. Emerging studies may uncover additional benefits, further solidifying its place in integrative medicine. With increasing legalization and consumer awareness, access to high-quality THCA flower is improving, enabling more individuals to incorporate it into their wellness regimens.

[healingness3]

Benefits of electro- acupuncture

Many people in Mumbai opt for acupuncture treatment for several complications. The therapy has become very famous these days as it provides relief in reality.

One of the modern forms of acupuncture is taking the limelight for its high effectiveness. Mumbai people are eager to learn about this form.

Well, electro-acupuncture is the name of the technique. Let’s start the discussion about the same without any delay.

What exactly is electro-acupuncture?

Acupuncture, a widely used method of traditional Chinese medicine, is comparable to electro-acupuncture (TCM). Acupuncture is a technique that includes inserting tiny needles into particular pressure points to relieve symptoms.

A single needle is used at each treatment site in traditional acupuncture. Electro-acupuncture is a type of acupuncture that engages two needles.

During the therapy, a small electric current is passed between these needles. This current stimulates acupoints more effectively than needle twirling or other hand manipulation techniques used by acupuncturists.

Continue reading to find out more about electro-acupuncture, including how it works and the evidence that supports it.

Acupuncture is a type of traditional Chinese medicine that has many more variants than most people know. Electro-acupuncture is another fantastic form of acupuncture. Electro-acupuncture is a very successful therapy technique that may be a suitable fit for you, despite its frightening name.

So, what are the advantages?

This article discusses electro-acupuncture and the benefits of using it. So, now let’s see the advantages of Electro-acupuncture in detail –

It can be used to treat a wide range of illnesses, just like traditional acupuncture. It is most often used to treat the following conditions:

Pain that lasts a long time

Arthritis

Addiction

Nausea due to chemotherapy.

Anxiety and stress

Neurological disorders, paralysis, chronic pain, and spasms have all been treated using electro-acupuncture. People choose this technique because it has been shown to boost the therapeutic benefits of acupuncture by stimulating the points for natural healing. It works particularly well with acupressure to improve blood flow, muscular warming, pain alleviation, and blood stasis clearance.

So what can you expect from Electro-Acupuncture?

Electro-acupuncture may appear to be a complex technique, but it is relatively easy. For an outstanding electro-acupuncture experience, you can always rely on Dr. Siddique, the acupuncturist in Mumbai Central.

Dr. Siddique is a highly skilled acupuncturist. He is very famous among his patients due to his calm and easy-going nature. As an acupuncturist, he will first analyze your symptoms and select the optimal treatment sites. They will then place one needle at the therapy site and another nearby. Following that, he will activate the electrodes and alter the frequencies. Each treatment session will take anywhere around 10 to 20 minutes.

With the professional acupuncturists at the Acupuncture clinic in Mumbai Central, get the various advantages of electro-acupuncture. The clinic provides the most outstanding acupuncture treatments in Mumbai, and they will make sure you have a pleasant experience.

Contact the clinic to book an appointment with Dr. Siddique as early as possible. They thoroughly analyze your symptoms to develop the best treatment plan for you and to assist you in deciding whether electro-acupuncture is appropriate for you.

Tell your acupuncturist in Mumbai immediately away if the tingling or vibration of the electric current bothers you. The sensation may become uncomfortable if the voltage is too high. Although electric shock is conceivable, it is uncommon if your acupuncturist is fully educated like DR. Siddique and the machine is in good operating order.

To Know More: https://www.healingness.com/benefits-of-electro-acupuncture/

[yourcancerguru]

Understanding the Link Between HPV & Head, Neck, and Throat Cancer

When most people hear about the human papillomavirus (HPV), they immediately think of cervical cancer. However, research has increasingly shown a strong connection between HPV and cancers of the head, neck, and throat—particularly oropharyngeal cancer, which affects the base of the tongue, tonsils, and throat.

What Is HPV?

HPV is a common virus with more than 100 different strains. It’s spread primarily through skin-to-skin contact and sexual activity. While many strains are low-risk and do not cause long-term harm, certain high-risk types, especially HPV-16, have been linked to several types of cancer, including head, neck, and throat cancers.

How Does HPV Cause Cancer?

HPV can enter the body through tiny cuts or abrasions and infect epithelial cells in the throat or oral cavity. For those who have a strong immune system, their bodies are usually able to fight against to lessen the viral load rather quickly.

For those with a weaker immune system, this virus may cause more damage to their bodies, leading to an uncontrolled growth of cells, causing cancer. The key difference with HPV-positive head and neck cancers is that they often occur in people without traditional risk factors like smoking or heavy alcohol use. These cancers are rising, particularly among younger adults, and tend to have a better prognosis compared to HPV-negative cancers.

Signs and Symptoms of HPV-Related Head, Neck, and Throat Cancers

Because these cancers can develop in areas that are not easy to see, they often go unnoticed until they reach a more advanced stage. Common symptoms include:

Persistent sore throat

Difficulty swallowing

Ear pain

Lumps in the neck or throat

Changes in voice

If any of these symptoms persist for more than two weeks, it's important to seek medical evaluation.

Diagnosis and Testing

HPV-related cancers are usually diagnosed through:

Physical examination and imaging (CT, MRI, PET scans)

Biopsy of the tumor

HPV testing on the biopsy sample, which helps determine whether the cancer is HPV-positive

Conventional Treatment 

Conventional medicine treats HPV-positive head, neck, and throat cancer, like other cancers using one or more of the following.

Radiation therapy

Surgery

Chemotherapy

Immunotherapy

Currently, there’s no cure for the HPV virus once it's in the body, but most infections clear naturally. In cases where HPV persists and leads to cancer, treatment focuses on eradicating the cancer cells, not the virus.

The HPV vaccination is available for people under age 45.  While this won’t treat an active infection, it can prevent it.  The topic of vaccination is a controversial topic and there are many things to consider before getting vaccinated.  It’s always best to discuss this with the healthcare providers you trust, and who know your personal health history.

Support with Integrative Medicine

As an integrative oncology specialist, I believe that addressing the whole person, not just the cancer, is essential for healing and long-term wellness. Here are the integrative therapies I recommend for those with HPV related head, neck and throat cancer.

Acupuncture - to manage pain, dry mouth, and nausea

Speech and swallowing therapy - especially after treatment in the throat area

Nutrition and Natural Supplements - to reduce inflammation and support immune function. Supplements should always be tailored to individual needs and consideration of interactions between other therapies. Here are some supplements that have proven to be helpful.

o   Epigallocatechin Gallate (EGCg) from Green Tea - interferes with the HPV life cycle and suppresses the oncogenes and oncoproteins E6/E7.  Also induces apoptosis in cancer cells.

o   Vitamin B12 and Vitamin B9 (Folic Acid) – increases immunity, helps to repair DNA, reduces the risk of an HPV infection, and helps the body heal cancerous lesions.

o   Active Hexose Correlated Compound (AHCC) from Mushrooms – increases the clearance rate of the virus from the body

Final Thoughts

In conclusion, understanding the link between HPV and head, neck, and throat cancers is essential for early detection, informed decision-making, and comprehensive care. While conventional treatments remain the cornerstone of managing HPV-related cancers, integrative approaches can significantly enhance quality of life, support the immune system, and improve treatment outcomes. Whether it's through targeted supplements, supportive therapies like acupuncture, or speech and swallowing rehabilitation, a holistic approach empowers patients on their journey to recovery. If you or a loved one are navigating this diagnosis, I encourage you to seek guidance from trusted healthcare providers and explore integrative options that align with your personal needs and beliefs. 

References:

“Association between dietary folate intake and HPV infection: NHANES 2005–2016”

“Preventing Persistence of HPV Infection with Natural Molecules”

“AHCC® Supplementation to Support Immune Function to Clear Persistent Human Papillomavirus Infections”

[nursingwriter]

¶ … Growing Wiser; Herbal Medicine," and it was published in The Economist (U.S.) in 2007. The article begins by referring to the age-old debate between traditional (pharmaceutical) medicine and herbal medicine. The irony here is that many of the sanitized, manufactured pharmaceutical cures we swallow today are herbal in origin. The process that purifies them and makes them more reliable and more effective is an improvement on herbal remedies that have been used for many years. According to the article, Indian herbal remedies are being repackaged by an Indian-based company called The Golden Triangle Partnership. The purpose of the partnership is to legitimize herbal medicine by making it more scientific. This seems like a good idea to me, melding the old with the new in order to keep people healthy. Reference: Growing wiser; Herbal medicine. (Modernising herbal medicine) (2007) The Economist (U.S.) v384 i8542 p71US UNIT 8 DISCUSSION Chinese herbalism has been used for over 4,000 years (Skinner, n.d.). That fact in itself attests to the success of this approach to treating the body. Chinese herbalism takes a holistic approach, considering the entire body as a whole instead of focusing on specific parts that are not well. When an individual is in pain, Chinese herbalism considers the organism as a whole: "Illness is seen as a disharmony or imbalance among these aspects of the individual" (Skinner, n.d.). We are more familiar with certain components of it that are widely practiced in this country, such as massage and acupuncture. Another interesting concept about Chinese herbalism is that the roles of the patient and physician are reversed. Instead of the white-coated M.D. who orchestrates a treatment plan for a relatively passive and obedient patient, Chinese herbalism puts control in the hands of the patient. After all, it is his or her health that is at stake. Practitioners of Chinese herbalism guide the patient to learn more about himself, a process that is in itself a sort of therapy. This is not to say that Chinese herbalists disregard Western medicine. Rather, they supplement it in ways that have been scientifically proven. For example, patients undergoing chemotherapy often have immune systems that become compromised. Patients who undergo chemotherapy and supplement it with an herb called astragulus (huang qi) were found to have an improved degree of immune protection (Skinner, n.d.). What was most fascinating to me was to learn that Chinese physicians did not learn the parts of the human body as Western physicians do, through the dissection of cadavers. Chinese physicians feel it dishonors the body and the ancestors of the deceased to cut open the body. Instead, over a period of years, they gained a deep understanding of the working of the body in a respectful manner. Chinese herbalists diagnose and prescribe differently as well. Instead of treating the symptom itself, the Chinese physician takes into account the whole person, observing features (dry lips? pale complexion? sour breath? lethargic movements). These indications, combined with what the patient says, give the Chinese physician an insight into what is really going on with the patient, but in a non-intrusive way (Skinner, n.d.). Reference: Skinner, P. Herbalism, traditional Chinese. (n.d.) Gale Encyclopedia, pp. 1786-1789 UNIT 9 DISCUSSION The authors of this article review a book about ayurvedic therapies, curiously posing the question,: why another book on ayurveda? India is filled with such books, with 4-5 new titles emerging each month globally" (Bhattacharya & Cott, 2005). Why, indeed? Apparently, the editor of this book, L.C. Mishra, brings a significant amount of cross-training to the table, having studied both biomedical and ayurvedic medicine. What Mishra tries to do in this volume is to approach the language of ayurvedic medicine, seeking a way to describe it so that it is more readily understood by traditional Western practitioners. This may seem like a pretty basic point, but it is actually a very good place to begin: without appropriate language to discuss these medicines in their similarities and in their differences, true understanding of how well they can function and complement each other is not fully realized. Reference: Bhattacharya, B., & Cott, J. (2005). Scientific basis for ayurvedic therapies. Phytomedicine: International Journal of Phytotherapy & Phytopharmacology. v12 i10 p771(2).  https://www.paperdue.com/customer/paper/chinese-herbalism-188230#:~:text=Logout-,ChineseHerbalism,-Length2pages Read the full article

[twinschiropractic1]

Acupuncture Treatment for Pain & Wellness Twinschiropractic

What Conditions Can Acupuncture Treat?

Acupuncture is a time-tested, holistic therapy that addresses a wide range of physical and emotional health issues. It’s particularly effective for chronic pain (back, neck, or joint pain), migraines, stress, anxiety, and insomnia. Other conditions include digestive disorders, allergies, sciatica, and even side effects from chemotherapy. By stimulating specific points on the body, acupuncture restores balance to your energy flow (Qi), promoting natural healing and long-term wellness.

How Does Acupuncture Work?

Acupuncture involves the gentle insertion of ultra-thin, sterile needles into strategic points along energy pathways (meridians). This process:

Relieves Pain: Triggers the release of endorphins, your body’s natural painkillers.

Reduces Inflammation: Improves blood flow and reduces swelling in affected areas.

Balances Energy: Corrects Qi blockages linked to fatigue, stress, or chronic illness.

Supports Overall Health: Enhances immune function, digestion, and mental clarity.

Benefits of Acupuncture at Twins Chiropractic

At Twins Chiropractoric, our licensed acupuncturists blend ancient techniques with modern science to create personalized treatment plans. Whether you’re seeking relief from chronic pain, stress, or fatigue, acupuncture offers a safe, drug-free path to recovery.

Why Try Acupuncture?

 Non-invasive and relaxing: Minimal discomfort with sessions that promote deep relaxation.

Holistic approach: Treats the root cause, not just symptoms.

 Combined care: Perfectly paired with chiropractic adjustments for enhanced results.

Ready to Restore Your Balance?

Twins Chiropractoric offers expert acupuncture services across Costa Mesa, Placentia, Garden Grove, Irvine, Riverside, Corona, and Buena Park. Whether you’re battling chronic pain, stress, or fatigue, our team tailors treatments to your unique needs.

👉 Reclaim Your Wellness Today!

Visit www.twinschiropractic.com to book your acupuncture consultation and experience the healing power of this ancient practice.

Why Choose Twins Chiropractic for Acupuncture?

 Licensed Experts: Certified acupuncturists with years of experience.

 7 Convenient Locations: Accessible care across Southern California.

 Integrated Therapies: Pair acupuncture with chiropractic care, massage, or rehab exercises for comprehensive healing.

Don’t wait—start your journey to pain-free living now.

[buyersguides]

What to Look for in Pet Insurance

A Complete Guide for Dog and Cat Owners

Learn what to look for in pet insurance with our comprehensive guide for dog and cat owners. Discover coverage essentials, exclusions, and tips to protect your furry friends. Check UK Providers

Introduction

Your pets are family, and like any family member, their health and happiness are a top priority. But let’s face it—vet bills can be eye-wateringly expensive. That’s where pet insurance swoops in to save the day. However, not all pet insurance policies are created equal, and navigating the fine print can feel like deciphering a foreign language. So, what should you really look for in pet insurance? Let’s break it down so you can make an informed decision for your beloved cats and dogs.

Why Do You Need Pet Insurance?

Before diving into the nitty-gritty, let’s address the elephant in the room—do you really need pet insurance? Absolutely! From unexpected accidents to chronic illnesses, pet insurance offers financial peace of mind, ensuring your furry friends get the care they need without draining your wallet. Top reasons to consider pet insurance: - Veterinary care costs are rising. - Accidents and illnesses can happen unexpectedly. - Specialized treatments (like surgeries or chemotherapy) can cost thousands. - Chronic conditions, like diabetes or arthritis, require ongoing care. - It ensures you never have to choose between your pet’s health and your finances.

What to Look for in Pet Insurance

When shopping for pet insurance, there are a few must-have features and red flags to watch out for. Here’s what you need to consider: 1. Types of Coverage Pet insurance policies typically fall into three main categories. Understanding these can help you pinpoint what works best for your pet’s needs. - Accident-Only Policies: Ideal if you want basic coverage for injuries like fractures or poisoning. However, they won’t cover illnesses. - Time-Limited Policies: These cover both accidents and illnesses but only for a set period, usually 12 months. Great for short-term peace of mind but limited for chronic conditions. - Lifetime Policies: The gold standard in pet insurance. They cover accidents, illnesses, and chronic conditions for the life of your pet, as long as you renew the policy annually. 2. What’s Covered? Not all policies are created equal, so it’s essential to know what’s included. Look for these key areas of coverage: - Accidents and Injuries: From broken bones to swallowed toys, make sure your policy covers emergency care. - Illnesses: Check if the policy includes common conditions like allergies, infections, or chronic illnesses. - Hereditary and Congenital Conditions: Some breeds are prone to specific health issues, like hip dysplasia in dogs or heart conditions in cats. Make sure these are included. - Diagnostic Tests: Coverage for blood tests, X-rays, MRIs, and ultrasounds is a must. - Surgery: Whether it’s a routine procedure or a life-saving operation, surgical coverage is vital. - Hospitalization: Check if overnight stays and intensive care are included. - Alternative Therapies: Acupuncture, physiotherapy, and hydrotherapy are increasingly common in pet care. Does your policy cover these? - Prescription Medications: Long-term medication can add up quickly, so ensure it’s covered. 3. Pre-Existing Conditions Here’s the kicker—most pet insurance policies won’t cover pre-existing conditions. This means any illness or injury your pet had before you signed up won’t be included. If your pet has a known condition, consider a policy that offers partial coverage or look for insurers specializing in pre-existing conditions. 4. Exclusions to Watch For Every policy has exclusions, so read the fine print carefully. Common exclusions include: - Routine care (vaccinations, dental cleanings, flea treatments). - Breeding, pregnancy, or whelping costs. - Behavioral treatments. - Cosmetic procedures (like ear cropping). - Conditions related to neglect or lack of preventative care. 5. Policy Limits Most policies come with limits, and understanding these can save you from nasty surprises. - Annual Limits: The maximum amount the insurer will pay per year. - Per-Condition Limits: The cap on claims for a specific illness or injury. - Lifetime Limits: The total amount you can claim over your pet’s lifetime. Opt for higher limits if possible, especially for breeds prone to costly illnesses or injuries. 6. Excess and Co-Payments The excess is the amount you’ll need to pay out of pocket before your insurance kicks in. Co-payments, on the other hand, require you to share a percentage of the vet bill. - Look for a balance between a reasonable premium and manageable excess. - Avoid policies with excessive co-payment requirements, especially for older pets. 7. Age Restrictions Some insurers won’t cover pets under a certain age (e.g., under 8 weeks) or over a certain age (e.g., 8 years for dogs, 10 years for cats). If you have a senior pet, look for policies with no upper age limit. 8. Claim Process No one wants to deal with a complicated claims process when their pet is unwell. Check if the insurer offers: - Quick claim turnaround times. - Online claims submission. - Direct payment to vets (so you don’t have to pay upfront). 9. Customer Reviews and Ratings Don’t just take the insurer’s word for it—check customer reviews and ratings. Look for feedback on: - Claims processing time. - Customer service quality. - Transparency in policy terms. 10. Premiums and Value for Money While it’s tempting to go for the cheapest option, remember—you get what you pay for. Consider the value rather than just the cost. A slightly higher premium with comprehensive coverage could save you money in the long run.

FAQs about Pet Insurance

1. When should I get pet insurance? The earlier, the better. Insuring your pet when they’re young and healthy ensures maximum coverage and avoids exclusions for pre-existing conditions. 2. Is pet insurance worth it for indoor cats? Yes! Even indoor cats can suffer from illnesses, accidents, or chronic conditions that require veterinary care. 3. Can I insure multiple pets under one policy? Many insurers offer multi-pet discounts if you insure more than one pet. 4. Are routine check-ups covered? Typically, no. Most policies exclude routine care like vaccinations or flea treatments. 5. What if my pet has a hereditary condition? Look for a policy that explicitly covers hereditary and congenital conditions, especially if your pet is a breed prone to such issues.

Conclusion

Choosing the right pet insurance is no small feat, but it’s one of the best investments you can make for your furry friends. By understanding what to look for in pet insurance—coverage options, exclusions, policy limits, and more—you’ll be better equipped to find a policy that meets your pet’s needs and your budget. Remember, the goal is to ensure your pets receive the best possible care without financial stress. After all, they deserve nothing but the best! Editor's Choice

- For a list of our main buyers guides use the drop-down menu at the top of the page. Topics related to this article are: Pet Insurance Buyers Guide Buyers Guides Homepage - Read the full article

[lurline86n]

While there's no specific "cerfix cancer" or pressure point technique directly related to cervical cancer, acupressure can be a helpful complementary therapy for managing side effects of cancer treatment, including pain and fatigue, and some studies suggest it can help with nausea and vomiting.

Here's a breakdown of how acupressure might be used in the context of cancer:

Acupressure and Cancer:

What it is:

Acupressure is a technique derived from acupuncture, where pressure is applied to specific points on the body to stimulate energy flow and promote healing.

Potential Benefits:

Pain Management: Acupressure can help reduce pain associated with cancer and its treatments.

Nausea and Vomiting: Some studies suggest acupressure can be effective in reducing nausea and vomiting, common side effects of chemotherapy.

Fatigue: Acupressure has been shown to help alleviate cancer-related fatigue.

Stress and Anxiety: Acupressure can help reduce stress and anxiety, which are common in cancer patients.

Specific Acupressure Points:

P-6 (Neiguan): Located on the inner arm near the wrist, this point is often used to help with nausea and vomiting.

LI-4 (Hegu): Located in the space between the thumb and index finger, this point is known to help with pain and headaches.

ST36 (Zusanli): Located on the outer side of the lower leg, this point is often used to address fatigue.

SP6 (Sanyinjiao): Located on the inner ankle, this point is used to address fatigue and other symptoms.

How to Apply Acupressure:

Find the Point: Locate the specific acupressure point you want to target.

Apply Pressure: Use your fingers or a tool to apply gentle but firm pressure to the point.

Duration: Hold the pressure for a few minutes, or as recommended by a practitioner.

Frequency: You can repeat the acupressure as needed, or as recommended by a healthcare professional.

Important Considerations:

Consult with a Healthcare Professional:

Before using acupressure, especially if you have any underlying health conditions, consult with your doctor or a qualified healthcare professional.

Not a Replacement for Medical Treatment:

Acupressure should be used as a complementary therapy, not a replacement for conventional cancer treatments.

Safety:

Acupressure is generally safe, but some people may experience temporary soreness or discomfort.

In summary, while there's no specific "cerfix cancer" pressure point technique, acupressure can be a valuable tool for managing side effects of cancer treatment, such as pain, nausea, fatigue, and anxiety. It's important to consult with a healthcare professional to determine if acupressure is right for you and to learn about safe and effective techniques.

[nimbanaturecure]

Is Pulmonary Fibrosis Reversible? Experts Reveal the Truth

Pulmonary fibrosis is a chronic lung disease that causes scarring of lung tissues, making breathing difficult. As the condition progresses, it limits oxygen flow to the bloodstream, leading to breathlessness and fatigue. While pulmonary fibrosis treatment cannot reverse lung scarring, various therapies can help manage symptoms and slow disease progression. This article explores the truth about pulmonary fibrosis and the best treatment options available.

Understanding Pulmonary Fibrosis

Lung tissue gets thick and scarred with pulmonary fibrosis, which over time reduces lung function. Though the precise etiology of pulmonary fibrosis is unknown, several prevalent causes and risk factors are:

Idiopathic Pulmonary Fibrosis (IPF): A form of pulmonary fibrosis with no known cause.

Environmental Factors: Exposure to pollutants, asbestos, and silica dust.

Autoimmune Diseases: Conditions like rheumatoid arthritis and scleroderma.

Certain Medications: Long-term use of some chemotherapy drugs and antibiotics.

Genetic Factors: A family history of lung diseases.

Is Pulmonary Fibrosis Reversible?

The sad fact is that lung scarring is permanent; hence, pulmonary fibrosis cannot be reversed right now. Unlike other lung diseases, such as asthma or bronchitis, where inflammation can be lowered and lung function restored, fibrosis marks structural damage the body cannot heal from. Though it cannot be cured, pulmonary fibrosis can be managed to slow down advancement and enhance quality of life.

Pulmonary Fibrosis Treatment Options

Though there is no cure, numerous treatments can help slow down the development of pulmonary fibrosis, ease symptoms, and increase lung capacity. These are the best strategies:

1. Medications to Stop Disease Progression

Many drugs can assist to slow down lung scarring in pulmonary fibrosis:

An antifibrotic medication, pirfenidone, lowers scarring and lung inflammation.

Targeting several routes linked to lung damage, nintedanib helps slow down the course of fibrosis.

Corticosteroids: Should pulmonary fibrosis be associated with inflammation, steroids could be beneficial.

2. Oxygen Therapy

Oxygen therapy helps individuals with pulmonary fibrosis breathe more easily and maintain oxygen levels in their blood. This treatment:

Reduces breathlessness and fatigue.

Supports overall organ function.

Improves quality of life by enabling better mobility.

3. Pulmonary Rehabilitation

Pulmonary rehabilitation programs involve a combination of exercises, breathing techniques, and lifestyle adjustments to help individuals manage their symptoms. These programs typically include:

Physical Exercise – Helps improve lung capacity and endurance.

Breathing Techniques – Techniques like pursed-lip breathing can help manage shortness of breath.

Nutritional Guidance – Maintaining a healthy weight reduces stress on the lungs.

Psychological Support – Helps patients cope with the emotional challenges of living with a chronic lung disease.

4. Natural and Holistic Approaches

Some individuals explore natural remedies for pulmonary fibrosis to complement medical treatments. While these approaches do not reverse the disease, they can improve overall well-being:

Herbal Supplements – Certain herbs, like turmeric and ginseng, have anti-inflammatory properties.

Breathing Exercises – Practicing yoga and deep breathing techniques can enhance lung efficiency.

Anti-Inflammatory Diet – Eating foods rich in antioxidants, such as fruits, vegetables, and omega-3 fatty acids, may help reduce lung inflammation.

Acupuncture and Ayurveda – Some holistic therapies may provide symptom relief and improve lung function.

5. Lung Transplantation (For Severe Cases)

In advanced cases where lung function is critically impaired, lung transplantation may be considered. A lung transplant can offer a new lease on life, but it comes with significant risks and requires lifelong medical management.

Living with Pulmonary Fibrosis: Tips for Managing the Condition

Even though pulmonary fibrosis is irreversible, lifestyle changes can make a significant difference in managing symptoms and improving quality of life:

Quit Smoking – Avoiding smoke and environmental pollutants reduces lung irritation.

Stay Active – Engage in light physical activities to keep lungs functioning efficiently.

Manage Stress – Anxiety and stress can worsen breathlessness; practicing mindfulness or meditation helps.

Follow a Healthy Diet – Eating nutrient-rich foods supports overall lung health.

Stay Up-to-Date with Vaccinations – Getting flu and pneumonia vaccines helps prevent complications.

Although early diagnosis and aggressive treatment greatly slow down the development of pulmonary fibrosis and enhance quality of life, the condition is not reversed. Combining medical therapies with holistic techniques can enable people lead happy lives and preserve lung capacity.

Seeking professional advice is absolutely vital whether you or a loved one is suffering from pulmonary fibrosis. At Nimba Nature Cure, we think about well-being holistically and use natural medicines and lifestyle changes to enhance lung health. Our specialists can help you control pulmonary fibrosis using a combined strategy that improves your general quality of living.

Looking for a Natural Approach to Pulmonary Fibrosis Treatment?

Discover how Nimba Nature Cure’s holistic therapies can help support your lung health. Contact us today to explore natural solutions for pulmonary fibrosis treatment! 

[paintreatment24]

Effective Natural Treatments for Peripheral Neuropathy – Find Lasting Relief Today

Peripheral neuropathy can cause tingling, numbness, and pain that disrupt daily life. If you're seeking alternatives to conventional medications, Natural Treatments for Peripheral Neuropathy may provide relief. At Alternative Pain Treatment Directory, we connect you with holistic solutions and alternative therapies designed to reduce nerve pain, improve circulation, and promote healing.

Explore evidence-based natural remedies such as acupuncture, herbal supplements, chiropractic care, infrared therapy, and nutritional strategies that support nerve regeneration. Many individuals have found relief through lifestyle changes, including exercise, stress management, and anti-inflammatory diets.

Our directory features experienced practitioners who specialize in non-invasive approaches to neuropathy treatment. Whether you're dealing with diabetic neuropathy, chemotherapy-induced neuropathy, or other nerve-related conditions, we provide trusted resources to help you regain comfort and mobility.

Don’t let neuropathy control your life—discover safe, natural, and effective options today. Visit Alternative Pain Treatment Directory to explore cutting-edge holistic treatments and find the right solution for your needs.