New Health Acupuncture clinic
1407 York Road, Suite 305A Lutherville MD 21093
Tel: 443-310-5382    Fax: 667-206-2956   EMali; zbli2001@gmail.com
Acupuncture for cancer support treatment
Since 1997 NIH consensus conference first reported acupuncture
benefits on cancer care, using acupuncture to treat a variety of symptoms
and conditions associated with cancer and the side effects of cancer
treatments has been increased in the United States. Many cancer
centers, such as Dana-Farber Cancer Institute (DFCI) in Boston,
Memorial Sloan-Kettering Cancer Center in New York, and M.D. Anderson
Cancer Center in Houston, are integrating acupuncture into cancer care
in the U.S., It is estimated the range about 15-30 % of cancer patients
have received acupuncture treatments in United State each year.
Research papers for cancer care by using acupuncture have increased
10 times during last 10 years. Overall 63% of the studies reported that
acupuncture provides clinical benefit for cancer patients with
treatment-related side effects including pain, chemotherapy-induced
leukopenia, fatigue, xerostomia, insomnia, anxiety, nausea and vomiting.

The National Cancer Institute’s Conference
Acupuncture for Symptom Management in Oncology:
State of the Science, Evidence, and Research Gaps

JNCI Monographs, Volume 2017, Issue 52, 1 November 2017,
Key Findings
Use of acupuncture in conjunction with pharmaceutical treatment can
be more effective for treating cancer-related pain than
pharmacotherapy alone.
Acupuncture relieves pain in cancer patients with aromatase
inhibitor-associated arthralgia, but its effects on
chemotherapy-induced peripheral neuropathy are mixed, suggesting
that more information is needed on the timing, dosing, and mode of
acupuncture for that type of pain.
A short course of acupuncture appears to reduce fatigue for most
patients, but prolonged acupuncture does not appear to have
additional benefit for fatigue.
Evidence of acupuncture's effect on hot flashes is too limited to
recommend for or against its use to treat this symptom.
Although the use of acupuncture to treat chemotherapy-induced
nausea and vomiting is widely accepted, its effectiveness should be
evaluated against new anti-emetic guidelines.
Clinical trials are studying the effects of acupuncture on the
prevention and treatment of radiation-induced xerostomia.
The evidence base on effectiveness of acupuncture in children with
cancer is limited, and more research needs to be done to understand
appropriate needle size, treatment duration and frequency, and
individualizing therapy.
The symposium identified ten key areas on which to focus to
accelerate understanding of and build the evidence base for the use
of acupuncture to treat cancer symptoms.
A  "Nature" research paper showed  
acupuncture helps cancer treatments
 An recent large clinic trial studied 226 breast
cancer woman at 11 cancer center across
United State. The study found after a six-week
course of acupuncture treatment, ‘worst pain’
in the acupuncture group was about one point
lower on a scale of zero to ten than in either the
sham or no effect.  53% patients improved
pain scale at least two
points in acupuncture groups, which is almost doubled increases
compared to control of both  sham an
d no-acupuncture groups. The
pain reduced in acupuncture groups is larger than is seen with
duloxetine, an antidepressant used to help reduce pain in people
with cancer. Unlike with duloxetine, the benefits persisted after the
acupuncture course had finished.
A " Cancer therapies' research paper showed  
Acupuncture produces a measurable benefit
for cancer care.  
   A pilot, single-armed prospective clinical trial
studied  32  patients with advanced cancer who
receive 12 acupuncture sessions over 8 weeks
with follow-up at weeks 9 and 12. Symptom
severity was measured before and after each
acupuncture session. Among all 32 assessed  
patients reported improvement immediately post-treatment in anxiety,
fatigue, pain, and depression. Symptoms and quality of life (QOL),
which measures pain severity and interference, physical and
psychological distress, life satisfaction, and mood states,  showed
improved scores during treatment, with sustained benefit at 12 weeks.  
This pilot study demonstrates that an 8-week outpatient acupuncture
course is feasible for advanced cancer patients and produces a
measurable benefit.  
Acupuncture for cancer-related fatigue
Several prospective trials have shown acupuncture may benefit
patients with chemotherapy related fatigue. A randomized modified,
double-blinded, placebo-controlled trial studied 54 cancer patients
who had surgery alone or in combination with chemotherapy. The
control arm consisted of sham acupuncture mimicking true
acupuncture. Results showed that patients’ fatigue in the acupuncture
group had a better improvement than in the control arm. Physical and
mental distress improved during treatment.  Other clinic trials studied
13,80 patients with persistent fatigue who had previously completed
cytotoxic therapy showed that acupuncture resulted in a 31.3%
improvement in the baseline fatigue score.
Acupuncture for Cancer pain
Several randomized controlled clinical trials have suggested that
acupuncture can be used for the following conditions to manage pain
among cancer patients: 1) chronic constant neuropathic pain in
post-cancer therapies; 2) Post-thoracotomy pain in patients with operable
non-small cell lung carcinoma; 3) Other post-operative pain in patients
with breast cancer, bladder cancer, prostate cancer, and ovarian cancer.
Interest in acupuncture has grown because of concerns over the use of
opioid-based drugs, which have nasty side effects and are extremely
addictive. Almost 90% of US National Cancer Institute-designated cancer
centers suggest that patients try acupuncture.
Acupuncture for cancer related
Depression and anxiety
Compared with no treatment group, acupuncture produced significant
improvements in fatigue (P=.0095), anxiety (P=.044), and depression
(P=.015) and a nonsignificant improvement in sleep disturbance (P=.
058) during the 12‐week intervention and follow‐up period. In contrast,
Control group did not produce significant reductions in fatigue or
anxiety symptoms but did produce a significant improvement in
depression compared with the no treatment condition (P=.0088).
Acupuncture for
cancer-related hot flashes
Hot flashes are common side
effects for cancer patients,
especially women, NIH
estimates that hot flashes
impact about two out of three
postmenopausal women who
have had breast cancer.
Acupuncture for cancer-related
Leukopenia
Several studies  have suggested that acupuncture could be effective
in reducing marrow suppression related leukopenia in patients
undergoing chemotherapy. An exploratory meta-analysis of clinical
trials reported that acupuncture increases in leukocytes for patients
during chemotherapy or chemo-radiotherapy, with a weighted mean
difference of 1,221 WBC/μL on average (p < .0001).
Acupuncture and cancer peripheral
neuropathy
even more common in cancer patients receiving chemotherapy. It has
estimated that 30 to 40 % of patients treated with chemotherapy develop  
peripheral neuropathy.A recent study investigated effect of acupuncture
on 28 breast cancer patients who had been concomitantly treated with
chemotherapy and had chemotherapy-induced peripheral neuropathy
(CIPN).  The patient received 1-2 weekly sessions of both acupuncture
and reflexology. . Overall, 93 % patients had complete resolution of CIPN
symptoms. 28 %  patients who presented with grades 3 to 4 neuropathy
were symptom-free at the 12-month evaluation.  Only 2  patients with
grades 1 to 2 neuropathy still reported symptoms at 12 months.
Acupuncture and  
Radiation-induced xerostomia
xerostomia caused by radiation therapy in patients with head and
neck cancers. Blom first reported acupuncture treatment induced
a persistent salivary flow rate among a group of patients with
severe xerostomia. A long-term follow up (up to 32 months) further
confirmed his findings. Johnstone and his colleagues used
acupuncture for patients with pilocarpine-resistant xerostomia
after radiotherapy for head and neck cancer. He found a 70%
response rate, i.e., an increase of 10% or more from the baseline
Xerostomia Inventory. Wong and his colleagues reported a phase
I–II study using transcutaneous electrical stimulation. Forty-six
patients were randomized among three groups with different
acupuncture points. After six weeks of treatment, for 37 patients
who completed the treatment course, the salivation increase was
statistically significant at both 3-and 6- month follow-ups. Studies
using fMRI found a relationship between stimulating acupuncture
point, LI-2, located at the base of index finger, and the activation of
the brain function area responsible for salivary production.
Acupuncture for dyspnea among
patients with lung cancer
feasibility and preliminary effectiveness of acupuncture for dyspnea
among patients with lung cancer.  The treatment consisted of 10
weekly acupuncture sessions, with a follow-up visit 4 weeks after
therapy. The primary outcome was dyspnea severity as measured
using a validated Numerical Rating Scale (NRS) of 0 to 10 (10 being
“most severe shortness of breath imaginable”). The study showed that
acupuncture was well tolerated; adverse events were mild and self-
limited. Mean (SD) dyspnea scores on the NRS improved from 6.3  at
baseline to 3.6 (1.9; P = .003) at the end of treatment and 3.2 (2.3; P = .
008) at follow-up. Fatigue and quality of life also improved significantly
with acupuncture (P < .05). Conclusion.Among patients with lung
cencer, acupuncture was well tolerated and exhibited promising
preliminary beneficial effects in the treatment of dyspnea, fatigue, and
quality of life. Performing a trial in this population appears feasible.
Cancer-related fatigue is the most common
side effect of cancer treatment. Over 90%
cancer patients suffer from fatigue, 30 -60 %
of them reported moderate to severe fatigue
during cancer treatment.  Approximately
one-third of patients can experience
persistent fatigue for up to 10 years.
Pain is a long-standing and
unresolved clinical issue among
cancer patients and significantly
impacts their quality of life.  
Research showed that 55% of
cancer patients still suffer from
various pain after receiving cancer
treatments.
Clinic data has shown that up to 1
in 4 people with cancer have
clinical depression.     Of the 67
randomly assigned patients,
baseline pain interference was
associated with fatigue, sleep
disturbance, and depression.  
Using acupuncture for hot flashes in breast cancer patients is another
active area of clinical study. Sweden reported a more than 50% reduction
of hot flashes and other associated symptoms in breast cancer patients
after receiving a 12 week electroacupuncture intervention. There was a
suggestion in this study that the symptom reduction effect was durable,
lasting up to 6 months.
The majority of cancer patients
develop neutropenia, due to
chemotherapy. Cancer patients with
neutropenia increases a risk of
infection and disrupts cancer
treatment.
Peripheral neuropathy can develop at
any phase of the cancer journey, and
Xerostomia, or dry mouth, is
considered a significant factor
underlying dysphagia. Several
pilot clinical studies suggest
that acupuncture may improve
Dyspnea is not only presents in
up to 87% of patients with lung
cancer, but also highly prevalent
among cancer patients without
direct lung involvement. A pilot
study aimed to evaluate the
Reference