Zantac, the brand-name medication widely used for indigestion and heartburn, has been in the news lately, and as we've increasingly come to expect with many medications, not for a good reason. Late last year, the Food and Drug Administration found unacceptable levels of a cancer-causing compound, nitrosodimethlyamine in both Zantac and its generic equivalents (apparently drugs can have acceptable levels of cancer-causing compounds), prompting worldwide recalls and litigation.
Fortunately, a safer, natural alternative to medication has also been in the news lately: acupuncture. In fact, a new study published in the Annals of Internal Medicine found that 12 treatments (three per week for four weeks) helped relieve postprandial distress syndrome – a common type of chronic indigestion that includes symptoms such as postprandial fullness, upper abdominal bloating, and early satiation when eating.
Researchers compared acupuncture with sham treatments among 278 patients ages 18-65, all of whom had been diagnosed with postprandial distress syndrome. In the acupuncture group, more than 80 percent responded to treatments by the four-week mark, compared to just over 50 percent in the sham group. Nearly 30 percent reported complete elimination of their primary symptoms (27.8 percent) versus only 17.3 percent of sham group participants.
According to findings, these benefits were maintained during 12 weeks of follow-up. Researchers also stated, "[t]here were no serious adverse events" – a claim that apparently can't be made with Zantac and similar medications these days.
Source: Wang J-W, et al. Effect of acupuncture for postprandial distress syndrome: a randomized clinical trial. Ann Intern Med, 2020 May 12 (online first).
Whether you accept it, avoid it or live somewhere in between, insurance coverage has become a defining issue for our profession. Patients increasingly expect to use their benefits, practitioners want to be compensated fairly for their time and expertise, and the system itself remains – at best – fragmented. The encouraging news is that coverage has expanded in meaningful ways. The challenging news is that reimbursement, across the board, remains inadequate.
While the formation of erythema and ecchymosis is an anticipated skin response to cupping therapy, the appearance of post-treatment vesicles remains less discussed in clinical literature. This article presents a case study of vesicle formation following cupping therapy, explores underlying pathophysiology, and offers management guidelines to support practitioners in addressing this phenomenon safely and effectively.
Facial movements are essential for communication, expression and function. But when these movements become involuntary, they can lead to conditions that are not only physically uncomfortable, but also socially and emotionally distressing. Today, we’re taking a closer look at three common facial motor disorders – blepharospasm, hemifacial spasm and facial tics – and how both Western medicine and TCM view and treat them.
