What are histamines?

In the skin, histamines are chemical messengers that are stored in the white blood cells (mast cells and basophils). They are released as part of the inflammation process in response to allergens and injury. Histamines cause local blood vessels to dilate, which allows more blood to reach the affected area. This is the primary reason we see the increased redness and warmth around the acupuncture needle site. The release of histamines also causes blood vessels to become more porous, allowing white blood cells and blood plasma proteins to leave the bloodstream and repair the impacted tissue.

What happens if histamines are overactive?

When histamine is released in excessive amounts or accumulates faster than our bodies can break it down, a range of symptoms can occur. This may include itchy skin, hives, digestive discomfort, nasal congestion, headaches, brain fog, etc. In the springtime, seasonal allergens can cause a surge in histamine levels, which is why many people choose to take an antihistamine medication to block the effects of histamine and reduce their congestion or sneezing. Mast Cell Activation Syndrome (MCAS), which is often influenced by genetic mutations, is a condition where mast cells become overactive and release histamine at an excessive rate. While redness around the site is normal, excessively red, and/or significantly itchy skin around an inserted acupuncture needle may be an indication of a more serious underlying condition.

Why is a histamine response encouraged in acupuncture?

Acupuncture needles cause a micro injury to the skin which activates the histamine response in our bodies. In addition to increasing blood flow and oxygen to the area, histamine also serves as a neuromodulator for pain. The release of histamine activates nearby sensory nerve endings, and these nerves then send signals to the spinal cord and brain. The brain responds through the release of endorphins and other descending, pain-inhibiting signals.

How long do the effects of histamine last?

Lingering, mild skin redness post-acupuncture treatment can last anywhere from a few minutes to a couple of days, depending on the individual. In time, the redness will decrease on its own, and no interventions such as heat, ice or topicals are necessary.听This is a sign that the body鈥檚 histamine response has been activated and there is no need for concern.

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Ashi Point Therapy

What we refer to as trigger points in the West have historically been referred to as 鈥淎shi points鈥� in Traditional Chinese Medicine (TCM). Similar to dry needling, an acupuncturist may decide to utilize Ashi point therapy, placing the needles directly into spots of tension to break up and calm down muscular and connective tissue. The needle creates a micro injury that causes the tissues to twitch and reset, which ultimately increases blood flow, restores mobility and releases pain-relieving chemicals. This method is especially effective if you want an immediate release of the local tissue.

The Balance Method

The Balance Method, developed by Dr. Richard Teh-Fu Tan, utilizes distal points (located on the arms, legs, hands, and feet) that are located far away from the site of pain. In clinics around the world today, an evolved version of Dr. Tan’s method, referred to as X-shaped balance acupuncture, is commonly used to treat musculoskeletal conditions. For right knee pain, the needles are placed in the left elbow region. When treating left shoulder pain, the needles are placed near the right gluteal base. For right foot issues, the needles are placed in the left hand (left ankle, right wrist; right bicep, left quadricep; left forearm, right shin; etc.). From an anatomical perspective, the planes of our connective and muscular tissue are organized in an X-shaped fashion. This method is especially effective in addressing a chronic, dysfunctional muscular pattern.

Clinical Evidence听

Recent studies (see linked articles) have shown support for the effectiveness of both balance acupuncture and acupuncture when treating musculoskeletal conditions.

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What Studies Show

When conducting acupuncture studies, participants are typically divided into three groups: a verum acupuncture group, a sham acupuncture group and a control group that does not receive any acupuncture at all. The verum (meaning 鈥渢ruth鈥� in Latin) group receives acupuncture via the meridian system, meaning that needles will only be placed in the proper manner and location in accordance with TCM treatment strategy. Sham acupuncture typically involves placing needles in places of the body that do not fall on the meridian pathways. The control group typically involves receiving no needles at all.

Brain imaging technology, such as resting-state functional magnetic resonance imaging (rs-fMRI), is a type of MRI that measures changes in blood oxygenation to infer functional connectivity between brain regions. The rs-fMRI can be used in studies to evaluate the increased brain connectivity pattern that is established as a result of verum acupuncture treatment. Fluorescent dyes are utilized in medicine as molecular tools, as they absorb light of a specific wavelength and emit it at a longer wavelength, which is what causes them to glow. The injection of fluorescent dye into verum acupuncture points on the human body results in the dye lighting up not just in that area, but also along its corresponding meridian pathway, while dyed sham acupuncture points remain local to their injection site.

Resources for Exploration

If you are interested in the specifics of acupuncture studies that use this technology, check out these two randomized controlled clinical trials:

and

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Core Philosophy

In TCM, all phenomena in the universe can be categorized as either yin or yang. Together, they serve as a dynamic, interconnected cycle of change that is simultaneously responsible for maintaining equilibrium. The practice of Tai Chi is a physical embodiment of this yin-yang balance. At any point in time within the practice, one should not be fully contracted nor fully expanded, fully in motion nor fully still. This results in the continuous flow of soft and balanced movement that is needed for Tai Chi.

Styles

The major traditional styles of tai chi are: Chen, Yang, Wu, Sun and Wu/Hao. The core principles remain the same across styles, but they vary in sequencing, pacing, stance, footwork, appearance, etc. Chen style, for example, is the oldest style and has the closest relationship with martial arts. Yang style is the most popular and regularly practiced due to the efficiency of its simplified 24-forms.

Health Benefits

While not as culturally popular in the West, Tai Chi is finding its way into fitness clubs and parks in the U.S. The activity is suitable for all ages and fitness levels given its slow pace and lack of resistance. Recent studies show that Tai Chi improves mobility, strength and *, while reducing stress levels and blood pressure. The Sun style is commonly recommended for reducing both arthritis and the risk of falls in elderly populations.

Chek out this basic one-minute .

*Proprioception is often called the body鈥檚 鈥渟ixth sense鈥� 鈥� the subconscious ability to sense one鈥檚 own body position, movement and force in space. It relies on specialized sensory receptors in the muscles and joints to let you perform everyday activities, such as walking or typing without looking. (Source: WebMD)

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Challenges Teach Patience.

There were moments throughout the program that challenged me in ways I did not expect. Long nights of studying and moments of self-doubt pushed me outside of my comfort zone. But looking back now, those were the moments that shaped me the most. They taught me patience, trust and the importance of being present not only with my patients, but with myself.

Clinic was where everything started to come together. Sitting across from patients, listening to their stories, and trying to connect the pieces of their health through a Traditional Chinese Medicine (TCM) lens was both humbling and empowering. It was not always easy, and I didn鈥檛 always feel confident, but with each interaction, I grew. Slowly, I began to trust my knowledge, my instincts and the medicine itself.

The Reality of Healing.

One of the most meaningful lessons I will carry with me is that healing is not always linear. TCM taught me to appreciate the body鈥檚 natural rhythms and to respect the process. Sometimes progress is subtle, sometimes it takes time, but there is always movement. That perspective has not only shaped the way I will treat future patients, but also how I approach my own life.

This experience gave me more than a degree. It gave me confidence, resilience and a deeper understanding of what it means to genuinely care for others. Most importantly, it showed me a version of myself of which I am proud. It is one that is capable, compassionate and still evolving.

What’s Next?

As graduation approaches, I find myself feeling a mix of emotions of gratitude, excitement and a little bit of uncertainty. Leaving behind the structure of school is intimidating, but I also feel ready. Ready to continue learning, ready to grow and ready to step into this next chapter as a practitioner.

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Managing Symptoms and Pain.

One of the most common uses of acupuncture in oncology is the management of chemotherapy-induced nausea and vomiting. By using points such as PC 6, practitioners can help calm the stomach and regulate Qi. Patients often report decreased nausea and improved appetite after treatment.

Acupuncture can also help manage cancer-related pain. Rather than masking pain, acupuncture encourages the body鈥檚 natural healing response by stimulating circulation, releasing endorphins, and reducing inflammation. This can be especially helpful for patients experiencing musculoskeletal pain, post-surgical discomfort, or joint pain caused by certain medications.

Traditional Chinese (herbal) Medicine (TCM) may also be used in oncology support when prescribed by a trained practitioner. Herbal formulas can help tonify Qi and Blood, strengthen digestion, support immunity and reduce fatigue caused by aggressive treatments. For example, formulas that support the Spleen and Stomach may help patients maintain energy and better tolerate chemotherapy. Beyond physical symptoms, acupuncture provides emotional support during a challenging time. Many cancer patients experience stress, anxiety and sleep disturbances. Acupuncture treatments can activate the parasympathetic nervous system, promote relaxation and improve sleep quality.

Not Instead of鈥ND!

It is important to note that TCM does not replace conventional cancer treatment but rather works as an integrative therapy that supports the body during the healing process. When practiced by licensed professionals and coordinated with oncology providers, acupuncture and Chinese medicine can help patients feel stronger, more comfortable and better supported throughout their cancer journey. For many patients, this integrative approach allows them to not only undergo treatment but maintain a better quality of life during and after cancer care.

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First: Digestive Issues.

From a TCM perspective, we look at how the Spleen and Stomach are transforming and transporting, whether there鈥檚 Liver overacting on Earth, or if there鈥檚 damp accumulation. Acupuncture helps regulate motility, calm inflammation, and bring the system back into balance. It is not just 鈥渢ummy trouble.鈥� It is a pattern.

Second: Menstrual and Fertility Concerns.

Painful periods, irregular cycles, PMS mood swings, PCOS, even support during in vitro fertilization (IVF). Acupuncture increases pelvic blood flow and in TCM terms, moves Qi and Blood while supporting Kidney essence. It is amazing how many women think severe cramps are 鈥渘ormal.鈥� They are common, yes, but not necessarily normal.

Third: Mental Health.

Anxiety, stress, insomnia, even seasonal affective disorder (SAD), especially here in the Midwest. Acupuncture works through the nervous system by shifting someone from sympathetic 鈥渇ight or flight鈥� into parasympathetic 鈥渞est and digest.鈥� In TCM language, we calm the Shen, anchor Yang, nourish Heart Blood or clear Liver Heat, depending on the pattern.

A Surprising One? Allergies.

Instead of just suppressing symptoms, acupuncture can regulate the immune response. We often strengthen Lung and Spleen Qi while addressing underlying deficiency or dampness.

And One People Rarely Expect: Jaw Pain and TMJ.

Needles in the hands or feet can reduce facial tension because of channel connections. It is not always about needling directly where it hurts.

The biggest thing I have learned in school is that acupuncture is not just about pain relief. It is about regulation. It helps the body remember how to function efficiently. We are not forcing change but facilitating balance. So, the next time someone says acupuncture is 鈥渏ust for back pain,鈥� you will know there is a whole lot more happening beneath the surface

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Biomedically Speaking.

From a biomedical perspective, acupuncture works by stimulating the nervous system. When needles are inserted into specific points, they activate sensory nerve fibers that send signals to the brain and spinal cord. This triggers the release of endorphins, enkephalins, and other neurotransmitters that help reduce pain and inflammation. At the same time, acupuncture increases local blood circulation, which means more oxygen and nutrients are delivered to injured tissues while metabolic waste is cleared out more efficiently. This is huge for post-workout soreness and acute or chronic injuries.

A TCM Perspective.

From a TCM lens, sports injuries often involve Qi and Blood stagnation. Trauma, overuse or strain disrupts the smooth flow through the channels, leading to pain, stiffness and limited range of motion. Acupuncture helps move Qi and Blood, break up stagnation and restore balance so the body can heal properly. This is why patients often notice improved mobility and reduced pain even after just one treatment.

Additional Benefits.

Another major benefit of acupuncture in sports medicine is its effect on muscle tension and the nervous system. Athletes tend to live in a sympathetic 鈥渇ight or flight鈥� state, especially during training and competition. Acupuncture helps shift the body into a parasympathetic state, allowing muscles to relax and recovery to actually happen. This is especially helpful for preventing injuries caused by chronic tightness or compensation patterns.

What I appreciate most as a student is that acupuncture doesn鈥檛 just treat the injury itself. Our treatments are customized to address sleep, digestion, stress and overall energy levels, all of which play a role in healing and performance. In sports medicine, acupuncture isn鈥檛 about quick fixes. It鈥檚 about helping the body respond smarter, heal faster and stay resilient for the long run.

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First things first.

Keep warm, especially your lower back, feet and neck. In Traditional Chinese Medicine (TCM), cold can easily invade the body and weaken kidney and Yang energy. Scarves, warm socks and layers aren鈥檛 just fashion choices. They鈥檙e preventive medicine. For ease of remembrance: cold feet = unhappy organs.

Food is another big one.

Winter is the season for warm, cooked meals. Soups, stews, congee, roasted root vegetables and bone broth are all perfect for supporting digestion and keeping your internal fire going. Try to limit cold or raw foods like smoothies and salads, especially in the morning. Your spleen will thank you!

Sleep is huge in winter.

TCM encourages going to bed earlier and waking up a bit later if possible. Nights are longer for a reason. This is the time your body restores and rebuilds. Even adding 30 extra minutes of rest can make a difference. If you鈥檙e exhausted all the time, winter might be asking you to slow down, not push through.

Activity.

When it comes to activity, think gentleness and grounding. This isn鈥檛 peak high intensity interval training (HIIT) season. Walking, stretching, yoga, tai chi or qigong are perfect winter practices. You still want movement to keep Qi flowing just without draining your reserves.

Emotional Health.

听Finally, don鈥檛 forget emotional health. Winter is linked to fear in TCM, and it鈥檚 normal to feel more inward or reflective this time of year. Journaling, meditation, or simply spending quiet time alone can be deeply nourishing.

Your challenge this week is to pick one of the topics above to focus on implementing the TCM way. Some examples:

• Go to bed 30 minutes earlier
• Eat at least one warm, cooked meal daily
• Keep your feet and lower back warm
• Do 10鈥�15 minutes of gentle movement
• Drink warm water or tea instead of cold drinks

Notice how your energy and mood shift. Winter isn鈥檛 about doing less. It鈥檚 about doing more of what actually supports you.

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As I prepare to complete my doctor of acupuncture and herbal medicine program, I am feeling equally sad and excited as I step into my final trimester at 911爆料 University. It honestly feels surreal to write that sentence. Graduation is right around the corner, and it鈥檚 hard to believe how quickly this journey has unfolded. I still vividly remember my very first trimester and walking into a space that felt completely unfamiliar and wondering if I was truly capable of becoming a Traditional Chinese Medicine (TCM ) practitioner. Fast forward three years, and I barely recognize that version of myself.

911爆料 has challenged me in ways I never expected, both academically and personally. The long study nights, the endless memorization, the clinic shifts, the self-doubt, and the moments of confidence have all shaped me into a more grounded, resilient and curious person. As I round out this journey, I feel incredibly grateful for the teachers, classmates and patients who have helped me grow along the way.

Emphasis: Herbal Studies

This trimester feels especially meaningful as I dive deeper into my herbal studies. Our herbal classes are bringing together everything we鈥檝e learned over the past few years emphasizing formulas, pattern differentiation and clinical application. It鈥檚 one thing to memorize properties and actions, but it鈥檚 another to truly understand how herbs work together to support the body鈥檚 healing process. I鈥檓 excited to refine my ability to think critically about herbal prescriptions, adjust formulas thoughtfully and develop confidence in using herbs as a primary treatment.

Challenge: VA Internship

Being in clinic and my VA internship alongside these advanced herbal classes feels like the perfect way to end this chapter. I鈥檓 loving seeing how all the pieces connect into a cohesive and meaningful practice. While it鈥檚 bittersweet to know this chapter is closing, I鈥檓 also deeply excited to carry everything 911爆料 University has taught me into the next phase of my life as a practitioner.

Here鈥檚 to the final trimester, continued growth and embracing both the ending and the beginning ahead.

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