As
chemotherapy is the standard of care for most cancers in today’s medical
system, nearly every cancer patient will suffer the side effects of these
medications. Side effects include nausea, vomiting, hair loss, fatigue,
neuropathy (numbness and tingling in the fingers and toes), reduced red and
white blood cell counts, and headaches. The result is that many of the common
side effects that result from the use of chemotherapy, particularly nausea and vomiting,
require the prescription of strong pharmaceuticals. And for some symptoms, such
as hair loss and fatigue, the patient must simply suffer, as there are no
standard prescriptions to manage them. And to boot, the medications given to
manage the side effects of the other medications, yup, they have side effects
too.
This often
times leaves the patient suffering both from the cancer and cancer treatment,
with only a few days out of a month when they are enjoying the progress the
chemotherapy has made, and the freedom from the hangover that the chemotherapy
and accompanying drugs leaves. This in itself is psychologically difficult to
manage, and so frankly, the resulting combination of physical and psychological
symptoms leaves the patient debilitated and with little hope or motivation
other than the idea that all their suffering will be worth something when they
beat their cancer.
Enter
Acupuncture, a system of medicine that has been proven to control nausea and vomiting
with no side effects, and will not interact with any medication. Patients who
receive regular acupuncture treatment while undergoing chemotherapy, can have
relief from nausea, vomiting, reduced hair loss, reduced fatigue, reduced
neuropathy, increased red and white blood cell counts, and relief from
headaches or any other pain. And so they can also undergo their treatment and
take less medication, and increase the number of days out of the month that
they feel like a decent human being and not a hung over receptacle for numerous
pills and injections.
My mother,
who passed away from pancreatic cancer, received chemotherapy regularly, and I
have personally witnessed, and helped her deal with all of the above mentioned
side effects, and seen how acupuncture worked when pharmaceuticals didn’t.
In this
article I will outline the symptoms and side effects that come with
chemotherapy treatment, and how they are relieved with acupuncture.
Nausea
and Vomiting
Nausea, and
the subsequent vomiting are nearly always present with the use of most chemotherapies.
They can last anywhere from a day to a week, and often have just subsided when
the next round of chemotherapy is due. The common pharmaceutical treatment is
anti anxiety medications, which can be addictive, and anti emetics (emesis
means to vomit), which turn off the part of the brain responsible for the
feeling of nausea and the subsequent reflex to vomit. Acupuncture has a similar
effect, reducing anxiousness and regulating the feeling of nausea. Rather than
simply shutting off a part of the brain, acupuncture regulates the brain’s
response to the triggering event, the toxicity of the chemotherapy. By
dampening this response in a more subtle way, acupuncture does not cause
constipation, fatigue, insomnia, headaches, and indigestion like most strong
anti emetics.
This was one
of the worst side effects for my mother, and regular treatment with acupuncture
was the only thing that allowed her to continue her chemotherapy treatment for
as long as she did.
Acupuncture
can be given prophylactically before the administration of chemotherapy, after,
or both before and after, depending on the severity of the patient’s nausea and
vomiting.
Hair loss
Hair loss is
one of the most visible and psychologically potent side effects of chemotherapy,
leaving a patient feeling both self conscious and many times depressed at the
conspicuous reminder of their cancer and its toll on their vitality. The best
solution presented to patients is a decent wig or a hat, which may fool others,
but the patient is still aware of the truth beneath. Acupuncture helps reduce
hair loss caused by chemotherapy by increasing circulation of blood to the
scalp.
My mother,
despite receiving regular and potent doses of chemotherapy, only experienced
thinning and some slight loss of her hair, but never needed to wear a wig or cover
her head.
Fatigue
If you have
ever been poisoned, or at least have had a few too many drinks, you can
understand how fatigue can be a common side effect to chemotherapy. The nausea,
vomiting, and fatigue make up a chemotherapy hangover in much the same way they
do an alcohol hangover. A person has been poisoned, and the body is trying to
get the poison out. The effort required to process and eliminate the poison
takes a toll on the body, and leaves a person exhausted. Most doctors will
prescribe sleep and possibly a few cups of tea or coffee, but the use of
caffeine is not the best solution, as it activates the sympathetic nervous
system and can contribute to a patient’s anxiety and stress in an already
anxious and stressful situation. And, as most people know, the only way to
sustain caffeine induced energy, is to drink more caffeine, or suffer the
inevitable crash, leaving an already fatigued person even more fatigued.
Acupuncture increases a patient’s energy by increasing circulation, thereby
making the nervous system more efficient, and allowing the muscles and cells to
function more efficiently.
Acupuncture,
along with regular exercise like Qi gong, slow movements and breathing
exercises, is what kept my mother from being a permanent inhabitant of the
couch around our house. Granted, when she slept, she really slept, but she was
still able to go about town and do things, visit with people, etc. even within
a few days of her chemo treatments.
Neuropathy
(numbness and tingling in the fingers and toes)
Neuropathy
is a common side effect of many chemotherapy drugs, as along with killing the
cancer cells, the chemo kills the cells that help your nerves work. These cells
are called myelin, and function just like the insulation around a wire or the
power cable that plugs into your computer. As one might imagine, this causes
the body a lot of confusion. The typical presentation is simple numbness, the
nerves aren’t working. But as not all the nerves are affected all the time, the
brain receives lots of mixed messages, and anywhere from a tingling sensation
to electric like pain can be experienced, especially when touching something
that is cold. Drugs that prevent over excitement of the nervous system, like
gabapentin, commonly called neurontin are prescribed to regulate this side effect,
but typically its effect is minimal unless given at large doses, which causes
increased side effects like dizziness, twitching, or visual problems.
This was a
major complaint for my mother during her treatment, and the loss of sensation
in her feet led to some balance problems at times. Acupuncture was able to
reduce the numbness, by increasing circulation to her hands and feet, allowing
her to retain the ability to button shirts and knit, but she still frequently
experience a shocking sensation every time she tried to open the refrigerator
too soon after receiving chemo.
Reduced
Red and White cell counts
This is
typically the primary reason patients cannot continue chemotherapy. Because
chemo damages the bone marrow along with killing the cancer cells, the body’s
ability to make red and white blood cells is compromised. Decreased red blood
cells, which transport oxygen results in fatigue, and at too low levels can be
life threatening. Decrease white blood cells, which are responsible for immune
function can also be life threatening, as the patient has no means of fighting
off even the simplest of infections. A common cold could be deadly. This is
treated by injections of the needed type of cells. White cells are cultured in
a lab and injected directly into the patient, raising their counts. While this
allows them to continue chemo, eventually the deficit becomes too great to make
up, and injections are just not enough. The down side of the injections is the
leave the patient with a flu-like malaise, similar to common reactions to
vaccines. So in order to get ready for the chemotherapy that leaves them
feeling like crap, the patient needs to get injections that make them feel like
crap.
Because of
her regular acupuncture treatment, my mother only needed these injections many
months into her chemotherapy, as acupuncture boosts the immune system and helps
the body recover and repair itself more quickly. And even when she did need the
injections, their side effects were regulated with the acupuncture as
well. Acupuncture is similarly used to
boost the immune systems of people with HIV, and has seen remarkable results in
this application as well.
While
acupuncture is not a magic bullet for all the side effects of chemotherapy and
the side effects of the medications given to regulate these side effects, it is
a great tool for supporting these therapies, and making patients more
comfortable, when at nearly every turn they are given medications and procedures
that cause nothing but discomfort. And in many cases, this is just enough to
get patients through this long hard experience, in a healthier place than when
they started.
To learn more about acupuncture and Chinese Medicine, visit www.fourpillarsacupuncture.com