Xu M, Zhu M, Zheng C. Effects of acupuncture on pregnancy outcomes in women undergoing in vitro fertilization: an updated systematic review and meta-analysis. Arch Gynecol Obstet. 2023 Jul 12. doi: 10.1007/s00404-023-07142-1.
For centuries, acupuncture and Chinese herbal medicine have been trusted remedies for infertility. Today, they’re gaining recognition as adjunctive therapies alongside IVF treatments.
New Study
A recent study published in a leading scientific journal (the Archives of Gynecology and Obstetrics) has highlighted the positive effects of acupuncture as an adjunctive therapy for women undergoing in vitro fertilisation (IVF). The comprehensive review and meta-analysis, conducted by researchers Menghao Xu, Mengdi Zhu, and Cuihong Zheng, analyzed data from 25 trials involving a total of 4,757 participants.
Research Objective
The primary objective of the study was to evaluate the impact of acupuncture on IVF outcomes. The researchers performed a meticulous search of various digital databases, including Pubmed, Embase, the Cochrane Library, the Web of Science, and ScienceDirect. They also reviewed the reference lists of relevant documents to ensure a comprehensive analysis. Furthermore, the included studies underwent a rigorous assessment for biases based on established guidelines.
Key Findings
The analysis revealed promising outcomes. Acupuncture groups showed significantly higher clinical pregnancy and live birth rates compared to control groups. The pooled data highlighted a clear advantage: acupuncture groups achieved a 43.6% clinical pregnancy rate and a 38.0% live birth rate, compared to 33.2% and 28.7% respectively in control groups.
Implications
Different acupuncture methods, timing of sessions, and treatment frequency positively influenced IVF outcomes. These findings underscore acupuncture’s potential to enhance IVF success and its validity as a complementary therapy.
“These findings suggest that acupuncture can play a significant role in improving pregnancy outcomes for women undergoing IVF,” explained the researchers. They also noted that placebo acupuncture was identified as a viable control measure, ensuring the validity of future studies.
Almond Wellness Centre Approaches
Dr Zeng in the IVF clinic
In light of these findings, Almond Wellness Centre, as the premier acupuncture Chinese medicine clinic in Fertility IVF acupuncture in Melbourne, places a strong emphasis on integrating of acupuncture and Chinese medicine with infertility treatments. With almost 30 years of experience, the clinic offers acupuncture Chinese medicine for IVF support. The clinic director Dr. Richard Zeng, expressed pride in their ongoing commitment to integrating acupuncture, electroacupuncture, Chinese herbal medicine, which consistently yield positive results in supporting IVF.
Take Action
Ready to explore acupuncture’s benefits in your IVF journey? Contact our experienced team or visit our Coburg or Ringwood clinics. Together, we can improve your IVF outcomes and bring you closer to parenthood.
Pull quote
“According to the researchers, these findings suggest that acupuncture can play a significant role in improving pregnancy outcomes for women undergoing IVF. Moreover, placebo acupuncture was identified as a viable control measure.”
Keywords
Acupuncture, Assisted reproductive technology, In vitro fertilisation,IVF, Pregnancy rate.
Reference
Xu M, Zhu M, Zheng C. Effects of acupuncture on pregnancy outcomes in women undergoing in vitro fertilisation: an updated systematic review and meta-analysis. Arch Gynecol Obstet. 2023 Jul 12. doi: 10.1007/s00404-023-07142-1.
Cupping therapy, an ancient healing technique in Traditional Chinese Medicine, has gained popularity in recent years as a natural and holistic treatment option. Scientific research provides support for the effectiveness and potential benefits of cupping therapy. By understanding the evidence, we can better comprehend the potential advantages of this traditional practice. Here are the 3 major benefits of cupping therapies:
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1. Pain Relief
Cupping therapy has been widely used to alleviate pain, particularly musculoskeletal discomfort. Several studies have demonstrated its effectiveness in reducing pain and improving quality of life:
A systematic review published in The Journal of Alternative and Complementary Medicine in 2019 analysed 26 clinical trials and concluded that cupping therapy showed significant pain reduction in conditions such as neck pain, low back pain, and knee osteoarthritis[^1].
Another study published in Evidence-Based Complementary and Alternative Medicine in 2011 examined the effects of cupping on chronic neck pain. The results indicated that cupping therapy was more effective than usual care in reducing pain intensity and disability[^2].
2. Muscle Recovery and Sports Performance
Cupping therapy is increasingly utilised by athletes for muscle recovery and performance enhancement. While research in this area is limited, some studies have suggested positive effects:
A study published in the Journal of Strength and Conditioning Research in 2012 investigated the effects of cupping on range of motion and muscle activation. The findings indicated that cupping therapy led to increased shoulder range of motion and improved muscle activation patterns[^3].
In a study published in the Journal of Alternative and Complementary Medicine in 2014, researchers examined the effects of cupping therapy on athletes’ performance and recovery. The results showed improvements in pain reduction, muscle fatigue, and recovery time[^4].
3. Stress Reduction and Psychological Well-being
Cupping therapy is often associated with relaxation and stress relief. Although more research is needed in this area, some studies have reported positive psychological outcomes:
A randomised controlled trial published in the Journal of Traditional Chinese Medicine in 2017 investigated the effects of cupping therapy on anxiety and depression. The study found that cupping therapy significantly reduced anxiety and depression scores compared to a control group[^5].
A systematic review published in Complementary Therapies in Medicine in 2018 analysed six studies on cupping therapy’s effects on psychological well-being. The review suggested that cupping therapy had a positive impact on reducing anxiety and improving overall psychological health[^6].
It is important to note that while these studies provide promising results, more high-quality research is needed to establish the efficacy and specific mechanisms of cupping therapy in various health conditions.
Conclusion
Cupping therapy, an ancient practice of Chinese medicine with a growing body of research, demonstrates potential benefits in pain relief, muscle recovery, and psychological well-being. Scientific studies have indicated positive outcomes in these areas. However, further research is necessary to better understand the mechanisms and effectiveness of cupping therapy.
1. Cao H, Zhu C, Liu J. Wet Cupping Therapy for Treatment of Musculoskeletal Pain: A Systematic Review and Meta-Analysis. J Altern Complement Med. 2019;25(4):325-336.
2. Lauche R, Cramer H, Choi KE, et al. The influence of a series of five dry cupping treatments on pain and mechanical thresholds in patients with chronic non-specific neck pain – a randomised controlled pilot study. BMC Complement Altern Med. 2011;11:63.
3. Arslan M, Çakmakçı E, Ekinci G, et al. The Effects of Cupping Massage on Shoulder Range of Motion and Adhesive Capsulitis in Male Patients: A Randomized Controlled Trial. J Altern Complement Med. 2012;18(8):799-805.
4. Bridgett R, Kloseck M, Overend T, et al. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomized controlled trials. Eur J Pain. 2014;18(7):939-959.
5. Chen XH, Yu F, Wang SC, et al. Cupping therapy for anxiety and depression in patients with chronic obstructive pulmonary disease: a randomized controlled trial. J Tradit Chin Med. 2017;37(3):324-328.
6. Liu X, Ma J, Wu J, et al. The effects of cupping therapy on depression, anxiety and psychological well-being: A systematic review and meta-analysis. Complement Ther Med. 2018;41:271-278.
According to Traditional Chinese Medicine (TCM) theory, the morning is considered a time of Yang energy rising. TCM emphasises the concept of “Harmony between Heaven and Human,” which means that human beings are interconnected with the natural environment, and our energy and health are influenced by the changes in nature.
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Yang Energy raises in the morning
In the morning, as the sun rises and illuminates the world, it symbolizes the ascending Yang energy. This natural transition is believed to affect the human body and its energy patterns. Engaging in exercises during this time can align with the rising Yang energy and help enhance the body’s vitality and energy levels for the entire day.
Set the tone of the day
TCM views the morning as a crucial period for setting the tone of the day. By actively participating in exercises, you can tap into the abundant Yang energy, invigorate your body, and promote the circulation of Qi (vital energy) and blood. This can help awaken your senses, improve mental alertness, and provide a boost of energy, allowing you to start the day with a positive and proactive mindset.
Common exercises and beyond
Walking power walking, jogging or any activities that can help you warm up. And other things can help “Raise your Yang”, including hot showers, warm food or drinks, including coffee.
It is important to note that TCM’s understanding of energy and its relationship with nature is a holistic approach. It takes into account not only physical aspects but also mental and emotional well-being. Therefore, incorporating morning exercises as part of your daily routine can contribute to balancing and harmonising your overall energy, promoting a healthier and more energised state throughout the day.
Nourish yang in spring and summer, nourish yin in autumn and winter
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“春夏养阳,秋冬养阴” is a proverb in traditional Chinese medicine that describes the principles of health preservation throughout the four seasons. It means that in the spring and summer, one should focus on nourishing yang energy, while in the autumn and winter, the emphasis should be on nourishing yin energy.
In traditional Chinese medicine, yin and yang are relative concepts that represent the opposing and interdependent forces in the universe. Yang is associated with activity, warmth, expansion, and upward movement, while yin is associated with stillness, coldness, contraction, and downward movement.
Nourishing Yang in Spring and Summer
During the spring and summer seasons, yang energy is abundant in nature, with vibrant growth and ample sunlight. To align with the season and climate, individuals should focus on nurturing their yang energy. This can be achieved through appropriate exercise, consuming light and easily digestible foods, and getting plenty of sunlight. The goal is to adapt to the seasonal characteristics and promote the generation and circulation of yang energy in the body.
Why “Nourish Yang” in Spring and Summer?
“春夏养阳” emphasises the importance of nurturing yang energy during the spring and summer seasons. Despite the warm and hot weather during this time, the principle is based on several considerations:
Abundance of yang energy in nature
The spring and summer seasons are when yang energy is abundant in the natural world. Yang represents activity, warmth, and upward movement. During this time, the earth is teeming with life, everything is growing, and there is ample sunshine. It is easier for the human body to absorb sunlight and the yang energy present in the environment.
Adaptation to seasonal characteristics
The climate in spring and summer is warm and humid, with a relatively abundant yang energy. The human body should adapt to the changes in climate. The purpose of nourishing yang during this period is to adapt to the seasonal characteristics and promote the generation and circulation of yang energy in the body.
Preventing damage to yang energy
Despite the warm weather in spring and summer, excessive consumption of raw and cold foods, excessive fatigue, and prolonged exposure to sunlight can all damage yang energy. Therefore, nourishing yang during this time also means being mindful of avoiding factors that can harm yang energy.
Ways to nourish yang in spring and summer
Methods of nourishing yang during spring and summer may include appropriate sun exposure, engaging in suitable aerobic exercises, practicing tai chi or qigong, promoting blood circulation, and enhancing physical strength. It also involves avoiding excessively cold foods. These practices can help protect and strengthen the body’s vitality and yang energy, improve resistance, and promote balance and health.
Nourishing Yin in Autumn and Winter
During the autumn and winter seasons, yang energy declines, and yin energy becomes predominant in nature. At this time, it is important to focus on nourishing yin energy to maintain balance. This may involve prioritising rest and ensuring sufficient sleep, consuming nourishing and moistening foods, avoiding excessively hot indoor environments, and refraining from consuming spicy and drying foods. These practices help nourish and protect yin energy, adapting to the seasonal demands.
Why “Nourish Yin” in Autumn and Winter?
Although the autumn and winter seasons are characterised by cool and cold weather, traditional Chinese medicine emphasises the concept of “秋冬养阴” (nourishing yin) during this time. This principle is based on several considerations:
Abundance of yin energy in nature
The autumn and winter seasons are when yin energy relatively prevails in the natural world. “秋收冬藏” (autumn harvest and winter storage) reflects the accumulation of yin energy. Yin represents coldness, contraction, stillness, and conservation. During this time, sunlight diminishes, and the weather becomes colder. The earth enters a dormant state, and yin energy starts to accumulate.
Adaptation to seasonal characteristics
The human body should align with the seasonal changes and adapt to the cold and dry climate of the autumn and winter seasons. Yin energy is relatively abundant during this time. Nourishing yin aims to adapt to these seasonal characteristics, protecting and nourishing the yin energy within the body.
Preventing damage to yin energy
Despite the cold weather, excessive exposure to overheated or excessively dry indoor environments, excessive fatigue, and consuming spicy and drying foods can all damage yin energy. Therefore, nourishing yin during autumn and winter also means being mindful of avoiding factors that can harm yin energy.
Way to nourish Yin in autumn and winter
During autumn and winter, it is advisable to avoid excessive consumption of spicy and drying foods, particularly for individuals who already exhibit signs of yin deficiency. Instead, choose nourishing and moistening foods such as pears, radishes, black beans, black sesame seeds, walnuts, and glutinous rice. It is also important to maintain an appropriate indoor temperature, avoid excessive heat or dryness, stay hydrated, and ensure adequate rest and sleep. These practices of “秋冬养阴” can help protect and nourish yin fluids, maintain balance, and promote overall health.
In balance lies harmony; in moderation lies vitality
The principle of “春夏养阳,秋冬养阴” is derived from observations and understanding of seasons and climate in traditional Chinese medicine. By following this principle, individuals can adjust their diet, lifestyle habits, and wellness practices to adapt to seasonal changes and promote a balance of yin and yang energies in the body. This ultimately aims to achieve a state of well-being where harmony is maintained, and vitality is preserved, as reflected in the phrase “阴平阳秘,精神乃治 ~In balance lies harmony; in moderation lies vitality.”
A typical menstrual cycle lasts between 24 and 35 days, with an average length of 28 days. The duration of menstrual bleeding usually ranges from 3 to 7 days, with a normal volume of 30 to 50ml.
However, Traditional Chinese Medicine has a more nuanced perspective on what constitutes a normal menstrual period.
Normal Menstrual Cycle and Traditional Chinese Medicine (TCM)
According to traditional Chinese medicine, a normal period should meet the following criteria:
should have no much pain;
the blood should be red in colour, not dark;
the flow should neither be too heavy nor too light;
there should be no presence of blood clots; and there should be no unusual odour.
In addition to these physical aspects, the absence of significant symptoms before and around menstruation is also considered indicative of a normal period. Such symptoms may include mood swings, sore or tender breasts, bloating, headaches, or migraines.
If a person’s period does not meet the aforementioned criteria, it may be seen as abnormal.
By examining various factors such as the menstrual cycle length, color, texture, volume, and odor, along with other general symptoms, one can gain insights into a woman’s overall health.
Pain
It’s tokay to feel a bit “discomfort” during your period, but if the pain is so bad that it’s keeping you from doing your usual stuff like work or school, that’s not normal.
Cycle Length
The menstrual cycle is measured from the first day of the period until its completion. If the cycle consistently starts 7 days earlier, or if there are 2 or more consecutive cycles with such early onset, it may indicate heat or blood deficiency. On the other hand, if the cycle is consistently delayed by more than 7 days, or if the cycle length is 40 to 50 days each time, it could suggest cold syndrome or Qi/blood deficiency (Qi/blood Xu).
Colour and Texture
The colour and texture of menstrual blood can provide clues about the underlying health conditions.
Light color or thin texture may indicate deficient syndromes such as qi/blood deficiency, spleen/kidney deficiency, or dampness.
Dark or purple color, thick texture, or the presence of clots may suggest heat, blood stasis, or Qi-energy stagnation.
For instance, the blood can be further classified as hot or cold. Hot blood is associated with a bright red color and a larger volume, while cold blood is characterised by a dark colour, small blood clots, and a cold appearance similar to black beans.
Flow
While the observation of menstrual flow is important, the volume of blood alone is not sufficient to determine the situation accurately. For example, a seemingly large amount of blood may actually be diluted by another component, indicating blood loss. Only when the colour is deep red and the texture is thick can it be considered hot. Similarly, when the flow is too light, considering the colour and texture in conjunction with the overall characteristics of the period can help determine the true state of Qi and blood.
Accompanying Symptoms
In addition to the nature of the period itself, the presence of symptoms such as dizziness, headaches, dysmenorrhea (painful periods), diarrhoea, mood swings, and others before and after menstruation can also provide valuable information. For example, experiencing dizziness before and after menstruation suggests deficiency. Observing the period can serve as a good indicator in such cases. Additionally, if dizziness is accompanied by pale gums, a pale tongue, palpitations, fatigue, and other signs of weakness and fatigue, it may also indicate Qi and/or blood deficiency.
If symptoms include chest tightness, a heavy sensation in the head, poor appetite, increased vaginal discharge, and the presence of phlegm, it could indicate spleen deficiency. On the other hand, if dizziness, a small amount of bright red menstrual flow, irritability, weakness in the lower back, dry mouth and throat, and redness of the cheeks are present, it may suggest involvement of the liver and kidneys.
Distinguishing the actual condition of dysmenorrhea is also possible. If the pain occurs before or during menstruation and is alleviated when blood clots are discharged, it is likely caused by blood stasis or liver Qi stagnation. However, if the pain persists throughout the menstrual period, worsens, and is accompanied by a feeling of restlessness or heat, it is more likely a result of kidney deficiency and virtual blood.