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Traditional Chinese Medicine
       Cancer Support
     Dr. Jaclyn Engelsher, DNP
    Integrative Nurse Practitioner
       Certified Acupuncturist
Traditional Chinese Medicine
   Huang Di Nei Jing (Yellow Emperor’s
    Inner Classic) 300-100 BC/2698-2589
    BC
   Acupuncture
   Acupressure/Tui Na
   Cupping
   Moxabustion (heat therapy)
   Nutrition
   Herbal therapy
   Exercise
Qi
   Qi is the root of a human being. It is the
    basis of all phenomena in the body
   One of the 3 treasures with Jing and
    Shen
   Qi flows through meridians providing
    the ability to move, protect, transform,
    and warm
   Qi may be deficient, collapse, rebel, or
    stagnate
   Genetics and daily lifestyle determine
    your Qi

                                          (Maciocia, 1989)
Meridians
 Lung/Large Intestine
 Stomach/Spleen

 Heart/Small Intestine

 Urinary Bladder/Kidney

 Pericardium/San Jiao

 Gallbladder/Liver
Three Free Therapies
   Healthy Diet

   Adequate physical exercise

   Physical and Mental Rest
Cancer and TCM
   Fu zheng gu ben - strengthen the good,
    enhance regeneration

   Eliminate toxins by draining damp
    accumulations

   Increase Qi and blood flow

   Harmonize Jing, Qi, and Shen
Stomach 36
   Most important point to
    tonify Qi; disorders of
    spleen, stomach and
    intestines

   3 cun below the “knee
    hole” one finger breadth
    from the tibia bone

   2004 study: prevent
    bone marrow
    suppression, maintain
    healthy CD4/CD8 ratios,
    decrease incidence and
    severity of
    gastrointestinal toxic
    reactions

                               (Acupuncture.com, 2010) (Chen, et. Al, 2004)
Pericardium 6
          Nausea, vomiting,
           stomachache, insomnia,
           chest pain, anxiety,
           palpatations
          Used with e-stim and sea
           bands for chemotherapy
           induced nausea with
           75% positive benefit in
           study group
          2 cun above the
           transverse crease of the
           wrist in between the
           central tendons



               (Acupuncture.com, 2010) (Dundee & Yang, 1991)
Heart 7
   Insomnia, heart
    palpitations, poor
    memory, irritability

   On the pinky finger
    side of the
    transverse wrist
    crease an in the
    depression to the
    thumb side of the
    tendon


                               (Acupuncture.com, 2010)
Kidney 7
       Sweating at night or
        spontaneously in the
        day, edema,
        abdominal distenion

       2 cun above KI3
        (point halfway
        between achillies
        tendon and tip of the
        inner ankle)

                      (Acupuncture.com, 2010)
Ren 17
   Influential point of Qi,
    stimulates thymus,
    vomiting, chest
    fullness, difficulty
    swallowing

   On the midline level
    with the 4th intercostal
    space

                                (Acupuncture.com, 2010)
Du 20
      Clears the mind,
       lifts the spirit,
       headache,
       dizziness,
       concentration

      Center of the
       scalp on the line
       connecting the
       apex of the ears

                   (Acupuncture.com, 2010)
References
Acupuncture.com    (2010). Acupuncture point locations. Retrieved from
http://www.acupuncture.com/education/points/index.htm
Chen, K. Y., Zhang, G. Z., Liasng, S. Y., et. Al. (2004). A clinical
survey of the treatment of toxic reactions to chemotherapy with
electroacupuncture at zu san li. Xin Zhong Yi (New Chinese Medicine).
3:46-47.
Dundee, J. W., and Yang, J. (1990). Prolongation of the antiemetic
action of P6 acupuncture by acupressure in patients having cancer
chemotherapy. J R Soc Med. 83(6): 360–362.
Maciocia, G. (1998). The foundations of Chinese medicine: A
comprehensive text for acupuncturists and herbalists. Edinburgh:
Churchill Livingstone.

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Traditional Chinese Medicine Cancer Support

  • 1. Traditional Chinese Medicine Cancer Support Dr. Jaclyn Engelsher, DNP Integrative Nurse Practitioner Certified Acupuncturist
  • 2. Traditional Chinese Medicine  Huang Di Nei Jing (Yellow Emperor’s Inner Classic) 300-100 BC/2698-2589 BC  Acupuncture  Acupressure/Tui Na  Cupping  Moxabustion (heat therapy)  Nutrition  Herbal therapy  Exercise
  • 3. Qi  Qi is the root of a human being. It is the basis of all phenomena in the body  One of the 3 treasures with Jing and Shen  Qi flows through meridians providing the ability to move, protect, transform, and warm  Qi may be deficient, collapse, rebel, or stagnate  Genetics and daily lifestyle determine your Qi (Maciocia, 1989)
  • 4. Meridians  Lung/Large Intestine  Stomach/Spleen  Heart/Small Intestine  Urinary Bladder/Kidney  Pericardium/San Jiao  Gallbladder/Liver
  • 5. Three Free Therapies  Healthy Diet  Adequate physical exercise  Physical and Mental Rest
  • 6. Cancer and TCM  Fu zheng gu ben - strengthen the good, enhance regeneration  Eliminate toxins by draining damp accumulations  Increase Qi and blood flow  Harmonize Jing, Qi, and Shen
  • 7. Stomach 36  Most important point to tonify Qi; disorders of spleen, stomach and intestines  3 cun below the “knee hole” one finger breadth from the tibia bone  2004 study: prevent bone marrow suppression, maintain healthy CD4/CD8 ratios, decrease incidence and severity of gastrointestinal toxic reactions (Acupuncture.com, 2010) (Chen, et. Al, 2004)
  • 8. Pericardium 6  Nausea, vomiting, stomachache, insomnia, chest pain, anxiety, palpatations  Used with e-stim and sea bands for chemotherapy induced nausea with 75% positive benefit in study group  2 cun above the transverse crease of the wrist in between the central tendons (Acupuncture.com, 2010) (Dundee & Yang, 1991)
  • 9. Heart 7  Insomnia, heart palpitations, poor memory, irritability  On the pinky finger side of the transverse wrist crease an in the depression to the thumb side of the tendon (Acupuncture.com, 2010)
  • 10. Kidney 7  Sweating at night or spontaneously in the day, edema, abdominal distenion  2 cun above KI3 (point halfway between achillies tendon and tip of the inner ankle) (Acupuncture.com, 2010)
  • 11. Ren 17  Influential point of Qi, stimulates thymus, vomiting, chest fullness, difficulty swallowing  On the midline level with the 4th intercostal space (Acupuncture.com, 2010)
  • 12. Du 20  Clears the mind, lifts the spirit, headache, dizziness, concentration  Center of the scalp on the line connecting the apex of the ears (Acupuncture.com, 2010)
  • 13. References Acupuncture.com (2010). Acupuncture point locations. Retrieved from http://www.acupuncture.com/education/points/index.htm Chen, K. Y., Zhang, G. Z., Liasng, S. Y., et. Al. (2004). A clinical survey of the treatment of toxic reactions to chemotherapy with electroacupuncture at zu san li. Xin Zhong Yi (New Chinese Medicine). 3:46-47. Dundee, J. W., and Yang, J. (1990). Prolongation of the antiemetic action of P6 acupuncture by acupressure in patients having cancer chemotherapy. J R Soc Med. 83(6): 360–362. Maciocia, G. (1998). The foundations of Chinese medicine: A comprehensive text for acupuncturists and herbalists. Edinburgh: Churchill Livingstone.

Editor's Notes

  1. 2005 study demonstrated decreased fatigue and EKG changes, less reduction in wbc, platlets, hemoglobin compared to control group and 2003 on appetite showed regulate metabolism by increasing cellular activity, promoting protein synthesis, and regulating blood sugar, and it is able to regulate the immune system, in part by increasing the T lymphocytes.
  2. The beneficial effects of transcutaneous electrical stimulation of the P6 antiemetic point (Neiguan) as an adjuvant to standard antiemetics was studied in over 100 patients in whom chemotherapy-induced sickness was not adequately controlled by antiemetics alone. Although the results were not quite as good as with invasive acupuncture, more than 75% patients achieved considerable benefit from what was a non-toxic procedure. The use of large diffuse low impedence electrodes simplifies the technique. The 2 hourly application of Sea Bands prolongs the antiemetic action. Best results were obtained from the 2 hourly self-administration of 5 min of transcutaneous electrical stimulation of P6 using a simple battery-operated TENS machine (15 Hz) to activate a large, easy-to-place surface electrode and increasing current until Qi is elicited.