Acupuncture and moxibustion are effective treatment modalities for acne sufferers. Zhang et al. conducted a clinical trial to determine the efficaciousness of acupuncture and moxibustion for the treatment of acne due to yin deficiency with internal heat. While both modalities produced positive patient outcomes, moxibustion was slightly more effective than acupuncture for the treatment of this particular class of acne.
In Traditional Chinese Medicine (TCM), acne due to yin deficiency with internal heat has a complex pathology. It is a result of many different types of bodily imbalances. Symptomatic presentations of this disorder appear as excess conditions involving toxins, damp-heat, etc… However, the root of the condition is yin deficiency leading to internal heat. As a result, this type of acne is often pernicious and insidious.
Zhang et al. comment that according to TCM principles, the treatment of acne due to yin deficiency with internal heat focuses on nourishing the root of deficiency and clearing excess heat. To bring a yin deficient bodily state to a yin and yang balanced state, effective medical treatments often follow these principles: facilitate the balance of yin and yang, promote circulation, improve internal organ health, release heat and toxins from the body.
In this study, acne patients who received acupuncture treatment had an 83.33% total treatment effective rate. Participants receiving moxibustion treatment had a 90% total treatment effective rate. In both groups, patients demonstrating significant improvements in acne did not experience a relapse of the condition in the four week window after completion of treatment.
A total of 66 patients with acne due to yin deficiency and internal heat participated in this study. They were randomly divided into two groups: acupuncture group, moxibustion group. Each group received only acupuncture or moxibustion therapy respectively. Due to external factors, 6 patients were eventually disqualified from the study, therefore, the final results were tabulated from a total of 60 patients. The acupoints selected for both moxibustion and acupuncture were identical:
Both groups underwent the same preparation procedures before starting their respective treatments. Firstly, the affected areas were disinfected. For each pustule, a disposable needle was used to gently pierce the pustule and release the pus. Disinfection was performed again after removal. Thereafter, each group underwent their respective treatments.
For the moxibustion group, edible grade salt was spread on the selected acupoints. Next, a slice of raw ginger (with a hole pierced in the center) was placed over the salt. Subsequently, 20 g of conical moxa was placed on top of the raw ginger slice and lit. Each acupoint was treated with a grand total of 60 g of moxa, 5 minutes per each 20 g dose. Throughout the treatment, consistent checks were made with the patients to ensure that they felt warmth at the acupoints, but not excessive heat. Moxibustion treatment was conducted twice per week, on Monday and Friday. One treatment cycle consisted of four consecutive weeks. The entire treatment course was comprised of three treatment cycles.
For the acupuncture group, a 0.30 x 25 mm disposable filiform needle was perpendicularly inserted (after disinfection) into each acupoint until a deqi effect was achieved. Standard insertion depths of the acupoints were followed with one exception, the Shenque (CV8) acupoint was pierced up to a 3–5 mm depth. Normally, this acupoint is contraindicated for needling. A total needle retention time of 30 minutes was observed. The acupuncturist applied the reinforcement manipulation technique every 10 minutes. Acupuncture treatments were conducted twice per week, on Monday and Friday. Identical to the moxibustion protocol, one treatment cycle consisted of four consecutive weeks. The entire treatment course was comprised of three treatment cycles.
The total treatment effective rate was assessed according to skin improvements and changes in yin deficiency patterns. Yin deficiency improvements were evaluated by changes in the clinical presentation of symptoms. Skin improvements were categorized into 4 tiers:
Recovery: >90% reduction in acne, or only pigmentation change observed
Significantly effective: 60%–89% reduction in acne
Effective: 30%–59% reduction in acne
Not effective: <30% reduction in acne, or condition worsened
Zhang et al. conclude that both acupuncture and moxibustion are effective in treating acne due to yin deficiency with internal heat. Moxibustion outperformed acupuncture in this clinical protocol. Based on the findings, further research is warranted.
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Zhang XP, Tong YN, Xue D, Li M, Fu JY. (2013). Clinical Research on “Yin-deficiency with internal heat” Acne Treatment Using Acupuncture and Moxibustion. World Science and Technology-Modernization of Traditional Chinese Medicine. 15(6).
Zhang XP, Li M, Xue D, et al. (2012). Acupuncture and Moxibustion in treating Yin deficiency diseases. Journal of Shanghai University of Traditional Chinese Medicine. 26(6):30-32.
Zhang SJ. (2008). Moxibustion in treating terminal illnesses. China Journal of Acupuncture and Moxibustion. 28(10):739–741.
December 2, 2014
I’ll admit it: I’m a bit of a skeptic when it comes to things like acupuncture. I’d rather deal with headaches and stress by popping a couple of Aleve or working my way through a heart-pounding Crossfit workout than “focusing on my breathing” or trying “healing yoga.” But, could taking a more rounded and holistic approach be the way to go?
I talked to Dr. John J. Kim, L.Ac., O.M.D., founder of ReNuMi Wellness Center and Mila Alexandra Mintsis, licensed acupuncturist at Shift Integrative Medicine on all things acupuncture. It turns out, those little needles can solve a lot more of life’s little dilemmas than ibuprofen can, like acne and wrinkles. Consider this your non-new age-y guide to the beauty benefits of sticking needles in your skin.
“Acupuncture helps energy flow through our body through a network of meridians,” says Kim. Think of meridians like blood vessels that connect acupuncture points to each other. Only instead of carrying blood, these channels carry qi (energy). When we’re stressed, these pathways become blocked; acupuncture needles stimulate points along the meridian, and help open them up.
To zap stress, needles are most commonly placed in the hands and feet. For me, it was the needle placed between my thumb and forefinger that had an immediate, just-drank-a-glass-of-warm-milk effect.
To ease stress long-term, Kim recommends a course of acupuncture twice a week for six to eight weeks. This gives the treatment time to help regulate body temperature, improve blood circulation and help you sleep better (all things that lead to reduced stress). Though it may seem counterintuitive if you’re needle-phobic, even the treatment itself is relaxing (just close your eyes). Kim says that a lot of times, people will fall asleep while they’re on the table.
Needles For: Banishing Pesky Pimples
Clearly, acupuncture isn’t our go-to method for clearing up acne (hello, face full of benzoyl peroxide and salicylic acid). But Mintsis argues that topical remedies treat only the outward appearance instead of what’s going on internally. “Acne is usually an outward manifestation of an internal imbalance,” she says. When you fix that, you also quash future breakouts.
Because acupuncture addresses the root of one’s acne problem, such as digestive imbalances or a slow-moving lymphatic system, treatment varies from person to person. Mintis says that the tongue and pulse are used to determine a course of treatment and the placement of the needles. “Dietary changes, herbs and essential oils would be an additional important component of treatment,” she adds. She recommends 12 sessions for those looking to clear up their acne.
Needles For: Glowy Skin and Fewer Wrinkles
“Acupuncture has been used to improve physical appearance for thousands of years,” says Mintsis. It works by creating a positive microtrauma in the skin (similar to the tears that happen to your muscles during exercise), which Mintsis says is thought to “stimulate fibroblasts and increase collagen production,” meaning, you can see improved skin tone, diminished wrinkles and fine lines, a decrease in sagging skin and a youthful glow.
Mintsis says that acupuncture is unique in that it also addresses imbalances in the body that results in puffiness or chronically dry skin, which is essential for long-lasting results.
Acupuncture facial rejuvenation, as the process is called, involves placing small, hair-thin needles along certain points on the body, head and face.
Unlike Botox or invasive procedures, cosmetic acupuncture has no side effects. This treatment plan involves ten sessions over five weeks, followed by a monthly treatment to maintain the results.
Kim also developed a treatment system called ART that works by balancing hormones and regulating the digestive and lymphatic systems. “A healthy organ system is reflected as a healthy glow to the face,” he says. “ART treatment cleans body fluids by regulating water metabolism. It refreshes blood and detoxifies the whole body.” Basically, it acts like a detox and increases blood circulation to the skin — this releases muscle tightness and results in fewer wrinkles. Unlike other acupuncture treatments, the needles are removed immediately to improve collagen and muscle tone. One treatment program has four sessions.
Needles For: Helping With Weight Loss
“A series of acupuncture can regulate water metabolism for the whole body to help suppress the appetite,” Kim says. Mintsis says that two points on the ear (the “hunger point” and the “stomach point”), can be stimulated, AKA needled (my words), to help get cravings and feelings of hunger under control. Certain points on your body — just above the ankle bone on the inside of your leg, for one — can also be stimulated to help improve metabolism.
Don’t expect it to be magic, however — Mintsis notes that this isn’t any substitute for exercising and maintaining a healthy diet (so don’t toss that kale and gym membership just yet), but it is an effective tool to have in your arsenal to help you reach your goals. Twelve sessions seems to be the magic number; that’s how many are recommended to assist with a weight-loss plan.
Needles For: Calming a Tension Headache
If you’re chronically stressed (see above), you’re probably pretty familiar with tension headaches. While headache pains occur in the head, Mintsis says the culprit is usually somewhere else. “Poor posture, heavy bags and long hours at work in front of a computer create a lot of tension in our neck and upper back muscles,” she says. “In addition, a lot of people carry their stress in their neck and upper back, and feel increased pain and tension every time they are exposed to a stressful situation.” (Which is most of the time, for many of us).
To relieve this, Mintsis explains that, in Chinese medicine, you place the needle where the tension is to balance the qi and increase blood flow to the area. “That is the ‘calming point,’ and if you place needles at many of these, then you open the channels of chi, to ease pain in the body,” she explains.
Affinity Acupuncture provides acupuncture services to treat the conditions listed above, and much more. To learn more, visit here.