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Acupuncture and Chinese Herbs for Uterine Fibroids

Uterine Fibroids

Uterine fibroids (also known as uterine leiomyoma, myoma, fibromyoma, leiofibromyoma, fibroleiomyoma, and fibroma) are benign tumors that originate from the smooth muscle layer (myometrium) and the connective tissue of the uterus.

Fibroids are the most common benign tumors in female. Fibroids are dependent on estrogen and progesterone to grow and therefore relevant only during the reproductive years, they are expected to shrink after menopause. They are more common in African Americans than Caucasians. Uterine fibroids are more common in overweight women, perhaps because of increased estrogen from adipose aromatase activity.


Uterine Fibroids in TCM

In Traditional Chinese Medicine (TCM), uterine fibroids fall under abdominal masses (Zheng Jia). The disease category of abdominal masses (Zheng Jia) is divided into two sections, the Qi masses and the Blood masses.

Zheng describes solid masses with defined physical form and fixed location, accompanied by pain in a specific location. Zheng masses are often referred to as Blood masses because the pathological changes have taken place in the visceral organs and usually involve the blood.

Jia, on the other hand, describes masses without a distinct physical form, manifesting and dispersing without apparent pattern. Accompanying pain is not fixed in location. Jia masses are often referred to as Qi masses because the pathological changes have taken place in the bowel organs and involve Qi (vital energy of the body).

The factors that may cause abdominal masses include:

  • Emotional strainEmotional strain is the most common cause for the formation of the abdominal masses. Anger, especially when repressed, frustration, resentment, and/or hatred can all lead to stagnation of Qi and, in the long run, to stasis of Blood. The Liver channel plays an important role in the flow of Qi in the lower abdomen and, in women, Liver-Blood plays a paramount role in the circulation of the blood in this area.
  • Improfer dietDiet is another important etiological factor in the formation of abdominal masses. Irregular eating or excessive consumption of cold and raw foods may lead to the formation of cold in the lower abdomen. Coldness contracts and naturally interferes with the circulation of Qi and Blood. Excessive consumption of greasy foods, on the other hand, impairs the Spleen and may lead to the formation of dampness and phlegm, which can settle in the lower abdomen and bring about abdominal masses.
  • External pathogenic factorsWhen pathogenic cold, dampness, heat or toxins attack the body, they may remain in the body for a long time and impair the functions of internal organs, causing Qi, Blood, and/or Phlegm stagnation. Over a long time, abdominal masses are produced. The most important pathogenic factor is external cold which can invade the lower abdomen and impair the blood circulation, eventually leading to Blood Stasis. External dampness may invade the channels of the legs and then creep up them to settle in the lower abdomen whew it transforms into phlegm and may give rise to abdominal masses.


TCM Treatment for Uterine Fibroids

Chinese Herb for Uterine Fibroids

TCM treatment of uterine fibroids depends on the signs and symptoms of individual patient. Acupuncture, Chinese herbs, abdominal massage, topical herbal applications, dietary regulation, and exercise including Qi Gong are all useful in the treatment of fibroids.

A pilot study published in 2002, researchers assigned a group of 37 women with uterine fibroids to 6 months of treatment with TCM, including weekly acupuncture treatment, herbal medicine, nutritional therapy, body therapy, and guided imagery training. The study results showed that sizes of 22 leiomyoma cases zoomed out or ceased growing, and all of the cases' syndrome were relieved and received a fairly high degree of satisfaction.1



Acupuncture is a healing tradition that has been used for centuries to successfully treat fibroid tumors as it addresses the cause rather than the symptom. Acupuncture treatments primarily used to facilitate the circulation of Qi and blood and reduce the pain associated with fibroids. The stimulation provided by the acupuncture has been found to induce the regression of pathologic proliferating cells locally. Humoral factors at a distally stimulated acupuncture points which control and prevent local overgrowth of regenerating and proliferating cells (those that invigorate the blood) also systemically affect the growth of distant tumors.


Chinese Herbal Medicine

For most gynecological disorders, Chinese herbal medicines are recommended to increase the effect of acupuncture treatments and to correct imbalance of the internal organs. The basic principle of formulating Chinese herbal medicine for uterine fibroids are; invigorating Qi and blood, resolving phlegm, and softening the masses.

The Chinese herbs for this purpose are generally called 'attacking herbs'. The most commonly used attacking herbs are: E Zhu, San Leng, Shi Jian Chuan, Ban Zhi Lian, Qian Niu Zi, Shan Ci Gu, Hai Zao, and Xia Ku Cao. Different herbs will be added to accomplish reduction of fibroids according to the constitution and presenting signs and symptoms of each patient.


Nutritional Advice

Nutritional therapy can be used to avoid developing uterine fibroids as well as to prevent fibroid tumors from getting bigger. The patient should begin a hormone-balancing diet, involving foods with low inflammation effects, low acidity, and a low glycemic load.


What to Eat
  • Seaweeds
    In TCM, seaweeds such as Kun Bu and Hai Zao are used to promote blood circulation and eliminate phlegm stasis. In Korea, seaweeds are known as 'female's food' and often consumed before and after menstruation or childbirth. In recent researches have shown that some forms of seaweed have excellent nutritional qualities and brown seaweed in particular, has been shown to prevent the formation of blood clots, lower cholesterol and halt the growth of tumors. In addition, when consumed daily, seaweed has advantages beyond ridding the body of heavy metal stores. It is believed to be a powerful ally in regard to healing and lessening the severity of fibroids.2
  • Cold-water fish
    Cold-water oily fish such as salmon, herring, mackerel, anchovies and sardines are good source of omega 3 and omega 6 fatty acids. Unlike many 'Omega 3 products' on the market which contain only α-linolenic acid (ALA), these fishes have eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) as well as α-linolenic acid (ALA). Omega 3 fatty acids play an important role in nutritional treatment for uterine fibroids. Along with omega 6 fatty acids, EPA and DHA stimulate blood circulation, increase the breakdown of fibrin (a compound involved in clot and scar formation), reduce blood triglyceride levels, and have anti-inflammatory effect on the human body.
  • Legumes
    Beans, peas, lentils, and edamame have hormone-modulating flavonoids and can safely be eaten. Legumes are naturally low in fat and high in dietary fiber. They also are high in folate, phosphorus, potassium, iron, zinc, calcium, and selenium. Legumes have many of the B vitamins and are rich in antioxidants which can prevent cell damage. Many kinds of beans, including soybeans, are rich in saponins, an anti-inflammatory compound which helps strengthening the immune system.
  • Fruits, vegetables, seeds, and nuts containing omega 3 fatty acids
    Fruits, vegetables, seeds and nuts are another source of omega 3 fatty acids. Flaxseed oil, chia, kiwi, black raspberry, lingonberry perilla (shiso), camelina (Gold of pleasure), hemp seeds, pumpkin seeds, buttternuts, walnuts, pecans, and hazel nuts are examples of those that contain omega 3 fatty acids.
  • Cruciferous vegetables
    Cruciferous vegetables such as broccoli, Brussels sprouts, cabbage, cauliflower, Chinese cabbage, collards, kale, mustard, radish, rutabaga, and turnip are high in vitamin C and soluble fiber and contain multiple nutrients with potent anti-tumor properties. One characteristic that sets cruciferous vegetables apart from other vegetables is their high glucosinolate content. Some glucosinolate hydrolysis products may alter the metabolism or activity of hormones like estrogen in ways that inhibit the development of hormone-sensitive cancers.
  • Green tea
    In an animal study published in 2010, scientists discovered that eight weeks of treatment with green tea extract led to a significant decrease in the volume and weight of uterine fibroids among a group of mice.3
What to Avoid
  • Sweets and other foods with high glycemic index
    These foods will raise insulin levels, increase estrogen dominance, and also support fibroid growth. It is also imperative to eat a breakfast containing good quality protein, fats, and carbohydrates in combination to avoid hypoglycemic stress–induced cortisol and epinephrine elevations, which via gluconeogenesis will deplete lean muscle and increase the tendency for insulin resistance.
  • Gluten grains
    Especially wheat, rye, and barley contain genetically engineered gluten that is much stronger than that in the more ancient gluten grains such as spelt. These grains can increase estrogens via the cytochrome P450 3A4 enzyme system and can also affect thyroid hormone.
  • Alcohol
    Alcohol is okay if consumed in moderation. Studies show that women consuming more than five alcoholic drinks per week have a higher risk of breast cancer. This increase is probably due to the effect of alcohol on detoxification of estrogens.
  • Caffeine
    Studies have shown that caffeine increases production of the estrogen. Caffeine also interferes with the liver's ability to metabolize excessive estrogen in the body, causing increase in serum level estrogen. Organic coffee in moderation (1 to 2 cups per day) is safe.
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