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).
A student stands over a patient, needle poised. They have a “perfect” prescription: a textbook combination of points harvested from a lecture slide on chronic lower back pain. But as the needle meets the skin, the student hesitates - the symptom of a quiet habit that has taken hold of our profession. We routinely say we “prescribe” points. It sounds efficient. It echoes the authority of biomedical culture and fits neatly into the insurance field. But vocabulary is never neutral; repeated long enough, it dictates behavior.
Acupuncture can be highly effective in cases of nasal congestion so common in allergy presentations; so much so that I often treat such issues using acupuncture protocols alone. In cases of seasonal allergies with highly predictable causes such as obvious elevations of environmental allergens, I use a skeleton acupuncture prescription that can easily be fleshed out to target potential underlying patterns and effectively customized to the patient.
The field of acupuncture in the U.S. continues to grow in visibility, patient demand and clinical effectiveness. Yet behind the curtain, many acupuncturists are quietly struggling to keep their doors open. While the profession is rooted in centuries of healing tradition, modern economic pressures – particularly those driven by insurance limitations, low reimbursement rates and job-market saturation – are making it increasingly difficult for licensed acupuncturists to thrive.
