Exploring Integrative Medicine: Clinical Reflections from the King’s CICM Research Meeting (April 2026)

Kit Li

Yesterday, I had the privilege of attending the 3rd King’s CICM Research Meeting, themed “Integrative Medicine: Quality of Clinical Evidence is the Key,” organised by Professor Xu Qihe, alongside my mentors Dr Tang and Dr Wang, and several LACA professors at King’s College.

In the morning, we visited Dimbleby Cancer Care at Guy’s Hospital, where patients are supported through a holistic model incorporating complementary therapies, psychological services, and welfare advice. During our visit, we had an in-depth discussion with Mandy Brass, Lead Acupuncturist, exchanging perspectives on our clinical work. She provided valuable insights into the centre’s operational framework, including the distinctions between individual and group acupuncture, patient pathways and waiting times, and the clinical use of traditional Chinese medicine equipment such as acupuncture needles, moxibustion, and TDP heat lamps.

The meeting continued with a series of research presentations divided into two sessions.

The first session, “High-quality clinical studies underpin integrative medicine,” addressed topics including the acupuncture service at Guy’s Cancer Centre, the role of Chinese herbal medicine (CHM) in cancer care, international standards and best practice guidelines, and target trial emulation. Presentations were delivered by Mandy Brass, Dr TieJun Tang, Dr Qihe Xu, and Professor Yanzhong Wang.

The second session, “Shining a light on acupuncture in integrative medicine,” explored acupuncture practice at King’s College Health Centre, a scoping review of traditional, complementary, and integrative medicine content on the NICE website, pulse-based acupuncture, and applications in stroke rehabilitation. This session featured Ms Titta M. Laattala, Mr Safin Hossain, Dr Jun Xu, and Dr TianJun Wang.

The event concluded with a panel discussion, where several professors offered insightful reflections on the future of integrative medicine. Following the meeting, we gathered for tea at the King’s College café, providing a valuable opportunity for further informal discussion. I was particularly grateful to continue exchanging ideas on Chinese herbal medicine with Professor Xu and Dr Tang, an inspiring and intellectually enriching conversation that deepened my perspective on integrative clinical practice.

My thoughts:

The discussion with Mandy was fascinating. Her role closely mirrors aspects of my own, although our professional backgrounds differ. Alongside my private practice, I volunteer as a neuro-acupuncturist at Florence Nightingale Charity Hospice (FNCH), supporting patients undergoing or recovering from chemotherapy. My work focuses on scalp acupuncture and Chinese herbal medicine to support recovery and enhance quality of life. Notably, FNCH receives only around 3% of its funding from the NHS, relying predominantly on charitable contributions and legacy donations to sustain its services.

In this context, her suggestion of group acupuncture is particularly compelling. It not only benefits patients by creating a supportive environment where they can connect with others facing similar experiences, but also offers clinical efficiency by optimising practitioner time and increasing accessibility to care.

Another topic that particularly intrigued me was the role of traditional Chinese medicine (TCM) in cancer management. (1) This is especially relevant for patients undergoing or recovering from chemotherapy. In such cases, red blood cells, white blood cells, and platelet levels are often significantly reduced. From a TCM perspective, herbal strategies can be applied both to support the body’s recovery and to complement anti-cancer care. 

For example, herbs such as:

• Baihuasheshecao (Oldenlandia Herb) (1): anti-inflammatory, pro-apoptotic, immune-enhancing
• Banzhilian (Barbed Skullcap Herb) (2): Often paired with Baihuasheshecao
• Fuling (Poria): gut, immunity, damp resolution
• Yiyiren (Coix seed): expels dampness

These are commonly used for their anti-cancer and damp-resolving properties, while others such as: 

• Huangqi (Astragalus Root) (3): commonly used for promoting Qi
• Danggui (Chinese Angelica Root): nourishing Blood
• Shudihuang  (Prepared Rehmannia Root): nourishing Yin and Blood

These are frequently prescribed to tonify Qi and nourish Blood.

As a TCM practitioner, I have observed in my private practice that the combination of Chinese herbal medicine and scalp acupuncture is highly valuable. The therapeutic synergy between these approaches often leads to improved clinical outcomes and may shorten recovery time, particularly when patients adhere to prescribed treatment plans and dietary recommendations.

Overall, the day was both inspiring and thought-provoking. It not only deepened my understanding of integrative medicine in a clinical setting but also strengthened my commitment to supporting patients through a holistic and compassionate approach. I left with a renewed sense of purpose and motivation to continue growing as a practitioner in this field.

References:

1) Summarises multiple herbs including your list and their mechanisms: Review of commonly used Chinese herbs in cancer treatment

2) Baihuasheshecao shows anti-proliferative and apoptosis-inducing effects in cancer cells: Anticancer activities of Oldenlandia diffusa

3) Banzhilian, evidence for anti-tumour, anti-inflammatory, and immune-regulating effect: Clinical and pharmacological review of Scutellaria barbata

4) Huangqi shows improved survival and treatment outcomes when combined with chemo: Meta-analysis of Astragalus with chemotherapy

Evaluating Traditional Chinese Medicine Interventions in Polycystic Ovary Syndrome (PCOS)

Kit Li

Polycystic ovary syndrome (PCOS) (1) is a complex condition that affects both reproductive and metabolic health in women. Its exact cause is not fully understood, but it is widely recognised as a multifactorial disorder.

Diagnosis is usually based on a combination of:

• Irregular or absent ovulation
• Elevated androgen (male hormone) levels
• Polycystic ovarian appearance on ultrasound

Cases with higher androgen levels tend to be more severe. The condition can vary across different ethnic groups, is often more difficult to diagnose during adolescence and around menopause, and is commonly worsened by obesity. (2)

How do PCOS affect the ovulation?

In PCOS, ovulation does not occur regularly, which leads to low progesterone levels.  Under normal circumstances, after an egg is released, the follicle transforms into the corpus luteum. This structure produces progesterone during the second half of the menstrual cycle (the luteal phase).

However, in PCOS, hormonal imbalances, including elevated androgens, disruption of the LH/FSH ratio, and often insulin resistance, prevent follicles from fully maturing and ovulating.

As a result:

• Ovulation may be delayed or may not occur
• The corpus luteum does not form
• The body does not enter the progesterone-producing phase

This is why progesterone levels remain consistently low in many women with PCOS.

How do TCM approach in PCOS (3)?

From TCM perspective, PCOS is not described in terms of hormones. Instead, it is understood as a pattern of internal imbalance affecting the body’s systems.  What biomedicine describes as 'low progesterone' is seen in TCM as a failure to properly support the second half of the menstrual cycle, due to underlying organ disharmony.

The common patterns include:

Kidney deficiency: weak reproductive foundation (root imbalance)

In TCM, the Kidneys govern reproduction, growth, and transformation. When Kidney function is weak, the body lacks the necessary energy to support ovulation and the transition into the luteal phase.

Spleen deficiency with Dampness/Phlegm: obstruction (impaired ovulation)

A weakened Spleen can lead to the accumulation of Dampness and Phlegm. This creates internal obstruction, which can interfere with the proper development and release of follicles, reflecting anovulation.

Liver-Qi stagnation: irregular cycle regulation (cycle disruption)

Liver-Qi stagnation disrupts the smooth flow of Qi and blood, affecting cycle timing, ovulation, and overall regularity.

Is it difficult to conceive with PCOS?

It can be more challenging for women with PCOS to conceive, but it depends on the individual.

The main difficulty lies in irregular or delayed ovulation.  In a typical menstrual cycle, ovulation occurs around the middle of the cycle (often around day 14 in a 28-day cycle, though this varies). In women with PCOS, ovulation may be delayed or may not occur regularly at all.

Because ovulation is unpredictable:

• The fertile window is harder to identify
• Conception may take longer

However, many women with PCOS do successfully conceive. With appropriate support, including lifestyle changes, cycle tracking, and medical or holistic approaches, fertility outcomes can improve significantly.

Case Sharing

Miss A, a 30 year-old female, has been experiencing PCOS for several years. She has been using a mobile application to track her ovulation in order to improve her chances of conception. However, due to delayed ovulation (occurring around day 31 of her menstrual cycle), she has found it difficult to become pregnant. This ongoing challenge has also led to feelings of frustration.

Her initial treatment

She reported severe cramping over the past four days during her menstrual period, accompanied by heavy bleeding with  blood clots. She also described persistent fatigue and had recently developed symptoms of a cold with clear phlegm. Emotionally, she has been feeling low and increasingly distressed due to her ongoing health concerns and difficulty conceiving.

Tongue: Swollen body with central dry cracks, red 'strawberry-like' spots near the tip

Pulse: Guan position wiry on the left, Chi  and Guan position are thready on the right

Treatment Principle: 

• Soothe Liver-Qi, regulate the menstruation and calm her Shen
• Invigorate Blood and remove stasis
• Tonify Spleen-Qi and also nourish Kidney-Yin

Acupoints:

Scalp acupuncture: Central Area, Foot Motor Sensory Area, Spirit-Emotions Area, Reproduction Area

Body acupoints:

REN-12 (Renzhong) with Dao-Qi technique: Harmonises the Stomach and strengthens the Spleen, supports transformation and transportation (helps fatigue, dampness).

LU-7 (Liequ): Releases the exterior and strengthens Wei Qi, regulates Lung Qi and fluid pathways.

ST36 (Zusanli): a key point to strengthen the immune system, tonify the Spleen and Stomach, and support overall vitality.

SP-10(Xuehai): Invigorates Blood and dispels Blood stasis, important for menstrual disorders (clots, pain).

SP-6 (Sanyinjiao): Tonifies Spleen, Liver, and Kidney, regulates menstruation and benefits the uterus.

KI-3 (Taixi): Nourishes Kidney Yin and strengthens Kidney function, benefits reproductive system and fertility.

LV-3 (Taichong): Spreads and soothes Liver Qi, helps relieve pain due to Qi stagnation.

Prescription: 

• Yu Ping Feng San modification （玉屏风散) (4) is considered the best immune tonic herb in stabilizing and strengthening the protective 'Qi', it is also for invigorating Qi and boost up her immunity.  There are 8 ingredients in the modification formula and the core ingredients are HuangQi (Astragalus Root) (5), Baizhu (Atractylodes Rhizome) and Fangfeng (Siler Root /            Saposhnikovia Root).

• Liu Wei Di Huang Wan (六味地黄丸) (6)  is commonly used for Kidney-yin deficiency, irregular menstruation, and infertility (including PCOS patterns).  The ingredients are Shu Di Huang (Rehmannia Root, prepared), Shan Zhu Yu (Cornelian Cherry Fruit), Shan Yao (Chinese Yam), Ze Xie (Water Plantain Rhizome),  Mu Dan Pi (Moutan Cortex / Tree Peony Bark), Fu Ling (Poria / Hoelen).

Feedbacks: Cold symptoms resolved, with the patient reporting increased calmness and improved sleep quality.

Conclusion: Following this intervention, six sessions of scalp acupuncture were provided alongside modified herbal  prescriptions. Progesterone levels increased significantly, from 8.7 to 23.1. Ovulation also occurred earlier, shifting from day 31 to day 25, suggesting improved cycle regulation. Treatment will continue on a weekly basis to maintain these outcomes.

As a final note, it is always advisable to consult with a qualified TCM practitioner who can tailor herbal remedies and acupuncture treatments to your specific needs, as individual constitutions vary.

References:

1) Polycystic Ovary Syndrome: https://www.nhs.uk/conditions/polycystic-ovary-syndrome-pcos/

2) Scientific Statement on the Diagnostic Criteria, Epidemiology, Pathophysiology, and Molecular Genetics of Polycystic Ovary Syndrome: https://pubmed.ncbi.nlm.nih.gov/26426951/

3) Combined TCM therapies improve ovulation: https://pubmed.ncbi.nlm.nih.gov/38996123/

4) Yu Ping Feng San: https://pmc.ncbi.nlm.nih.gov/articles/PMC3823765/

5) Research state of the herbal medicine Huangqi (Radix Astragali): A global and bibliometric study: https://pubmed.ncbi.nlm.nih.gov/38394541/

6) Liuwei Dihuang Pills alleviate the polycystic ovary syndrome with improved insulin sensitivity through PI3K/Akt signaling pathway: https://chatgpt.com/c/69d4fa06-47d4-832d-b966-e74ddda42fa9

Bridging Tradition & Innovation: Transformative TCM & Scalp Acupuncture with Kit Li

Kit Li

I am a Traditional Chinese Medicine Practitioner and Scalp Acupuncturist based in London and Buckinghamshire, passionate about helping patients restore vitality, balance, and confidence through integrative care. Since graduating in 2025 from the London Academy of Chinese Acupuncture and the Academy of Scalp Acupuncture, I have dedicated myself to blending time-honoured TCM practices with modern insights to support patients facing a wide range of physical and emotional challenges.

Since July 2025, I have volunteered as a Neuro-Acupuncturist at Florence Nightingale Charity Hospice, working with patients recovering from neurological disorders, cancer, and chemotherapy - particularly breast cancer. Guiding patients as they rebuild strength, regain mobility, and reconnect with daily life has been profoundly rewarding. Through personalised acupuncture and herbal therapy, I have witnessed not only physical healing but also emotional transformation, reaffirming my commitment to patient-centred care.

Mentorship has played a pivotal role in my journey. Since 2023, I have trained under Dr TieJun Tang, an esteemed expert in Chinese Herbal Medicine and part of the inaugural cohort recognised as an “Overseas Grand Master of Traditional Chinese Medicine.” Under his guidance, I have deepened my knowledge of safe, effective herbal therapy and discovered the remarkable outcomes possible when Eastern and Western medicine are combined. Seeing patients with complex conditions, such as T-cell lymphoma, regain vitality through this integrative approach has strengthened my conviction that I am on the right path.

I am also mentored by Dr TianJun Wang, founder of the Academy of Scalp Acupuncture and an “Overseas Grand Master of Traditional Chinese Medicine.” In January 2026, I was honoured to be selected for Dr Wang's Teaching Assistant programme, where I support practitioner training, mentor members within the TJ Scalp Acupuncture community, and assist in clinical education and events. This role continues to refine both my teaching and clinical expertise while allowing me to contribute to the development of fellow practitioners.

I believe true healing happens when science meets tradition, and when patients feel truly seen and empowered. By integrating advanced therapies with TCM, I strive to deliver care that transforms lives, supports resilience, and restores vitality.

Treatments & Specialities

Acupuncture

• Scalp Acupuncture
• Auricular (Ear) Acupuncture
• Cosmetic Facial Acupuncture

Traditional Therapies

• Herbal Medicine
• Cupping
• Moxibustion

Clinical Specialties

• Women’s Health & Hormones: Fertility, Menopause, Menstrual & Gynaecological Care
• Aesthetic & Hair Health: Facial Rejuvenation, Hair Loss, Anti-Ageing
• Digestive & Internal Health: Digestive, Cardiovascular, Respiratory (including Asthma)
• Emotional & Neurological Wellbeing: Emotional Health, Addiction Support, Fatigue & Insomnia
• Musculoskeletal Health: Back Pain and Other Musculoskeletal Conditions

Specialist Care

• Supportive Care During & After Chemotherapy
• Neurological Rehabilitation
• Personalised Wellness Programmes

For more insights into TCM and integrative therapies, visit my blog: 

http://kitli-vitaqiholistic.blogspot.com or scan my QR Code:

Innovative Health Solutions from the ARA Annual Conference

 

Kit Li

Last Saturday, I attended the annual conference of the Acupuncture Regulatory Authority (ARA) at University College London (UCL).

The event had the honor of inviting several distinguished professors to deliver keynote speeches.  Among them, there were two senior mentors from our school, the London Academy of Chinese Acupuncture (LACA) - Prof Wang Tianjun and Prof Ye Liuzhong. They each presented on their areas of expertise:  the Scalp Acupuncture and the XueZhen Meridian Palpation respectively. With over a hundred attendees present, both lectures were highly engaging and received an enthusiastic response.

In addition, the venue featured a variety of health and wellness products that integrate Eastern and Western approaches. It was also a great opportunity to meet new people, making the event highly recommended.

Two products that truly caught my attention were MyAcu – Far-Infrared Heat Therapy from HerbPrime and the Sapyen Advanced Home Semen Analysis Kit. I had the chance to speak briefly with the teams to understand what makes their products unique. Let’s take a closer look:

1) MyAcu – Far-Infrared Heat Therapy

Experience advanced far-infrared therapy with deep, soothing heat that is safe, comfortable, and energy-efficient. Designed for convenience, it features adjustable positioning, instant use with no wait time, and intuitive touch controls. Quiet operation, built-in air purification, and zero ongoing costs make it a reliable choice for daily clinical use.

Why practitioners are switching from TDP lamps to MyAcu c-FIR:

• Cellular-Level Healing: Boosts circulation, speeds recovery, reduces pain, and supports detoxification.
• Deep Penetration: 7–10 μm FIR energy, optimised for the body’s natural absorption range.
• Durable Build: Strong lamp head and joints stay secure, avoiding issues common with traditional TDP lamps.
• Safe and Reliable: Consistent, calibrated output with multiple safety features.
• Fast Heat-Up: Quickly reaches therapeutic temperature, saving valuable treatment time.

For more information, contact Amy Feng at Amy.feng@herbprime.com or visit https://herbprime.com/products/myacu-trinity-heat-lamp

2) Sapyen Advanced Home Semen Analysing Kit

The Sapyen kit, made in Australia and launched in the UK in Spring 2025, brings convenience and accuracy to male fertility testing at home. Trusted by reputable clinics and organizations, it offers an easy, reliable way for patients to monitor semen healthwithout visiting a clinic.

I had the opportunity to speak with Sati, the Senior Director, Sales - Europe, who patiently explained the kit’s features and usability. For men undergoing IVF treatments, or anyone monitoring fertility, the Sapyen kit provides clear, actionable results with the comfort and privacy of home testing.

This product is especially helpful for our IVF patients, supporting both men and women. It enables men to perform fertility tests at home, saving time and money while maintaining privacy and comfort.

For more enquiries, contact hello@sapyen.co or visit https://www.sapyen.co/kitli-vitaqi-core

Watch this video to explore more details, now available in 10 extra languages!

How and when to use your Sapyen test kit - Instructions Video

From my perspective...

Overall, the ARA conference at UCL was a valuable and enjoyable experience. It brought together expert knowledge, practical learning, and innovative developments in healthcare. From inspiring lectures to products like MyAcu and Sapyen, the event highlighted how traditional and modern approaches can work hand in hand.

When Eastern and Western medicine come together, the true benefit is seen in our patients. By integrating advanced technology with Traditional Chinese Medicine, we can achieve better outcomes and continue to move healthcare forward.

From Panic to Recovery: The Life-Saving Renzhong Point in Action

Kit Li

Yesterday on my way home, something happened that left a deep impression on me.

It was rush hour, and the carriage was almost completely full. With the weather getting warmer, the air felt a bit stuffy. In this environment, a man standing in front of me looked like he had just rushed onto the train, he was drenched in sweat.

Suddenly, his face turned pale, almost grey, and he looked as if he might faint at any moment.

There was no time to think (I was grateful that my years of emergency medical training as a flight attendant allowed me to quickly recognize what was happening).  I immediately stood up and offered him my seat. Even after sitting down, he still looked unwell.

I gently said to him, “I’m a practitioner of traditional Chinese medicine. Would you mind if I press an acupoint to help relieve your symptoms?” He nodded.

I then applied pressure to the “Renzhong” (1, 2) point for about thirty seconds.

Gradually, his eyes became clearer, his breathing steadied, and he visibly regained his awareness. Soon, he was able to speak with me clearly again.

In that moment, I was deeply reminded that certain skills truly matter, especially when they can make a real difference at a critical time.

Why did I choose “Renzhong” instead of other acupoints?

The Renzhong (DU-26) acupoint is located at the upper one-third of the philtrum (the groove below the nose). It is one of the most important emergency points in traditional Chinese medicine, known for its ability to restore consciousness, regulate yin and yang, and support breathing.

In that situation, the man showed clear signs of an impending faint: pale complexion, weakness, and altered awareness. What was needed most was a fast, direct, and effective intervention.

I chose Renzhong because:

• It is specifically indicated for emergencies: such as fainting, shock, heatstroke, and low blood pressure.

• It acts quickly on the central nervous system: helping to stimulate consciousness and stabilize the body.

• It is easily accessible: no need to remove clothing or reposition the person, which is crucial in a crowded, time-sensitive environment.

• It is safe and practical: to apply immediately, even outside of a clinical setting.

Compared to other acupoints, Renzhong is one of the most direct and efficient choices for reviving consciousness in urgent situations.

Main Functions and Applications:

1. Restoring consciousness (emergency use)

When someone experiences fainting, shock, heatstroke, or coma, pressing the Renzhong point (with upward pressure toward the nose) can stimulate the nervous system, help raise blood pressure, and promote regaining consciousness.

2. Treating acute lower back sprain

Whether acute or chronic, strong stimulation of this point can sometimes produce immediate relief.

3. Regulating breathing

Stimulating this point may help improve breathing difficulties or temporary pauses in breathing.

4. Relieving facial conditions

It can also support conditions such as rhinitis, nasal congestion, runny nose, facial paralysis, and facial muscle spasms.

Technique:

Use the pad of your index finger or thumb to press the upper one-third of the philtrum. Apply firm pressure in a slightly upward direction (toward the base of the nose). A sensation of soreness or fullness is expected. In emergency situations, the intensity and frequency of stimulation can be increased.

Conclusion:

If you notice someone about to faint, act quickly and don’t wait. Help them sit or lie down right away, lying flat with legs raised is best, but sitting is fine if space is limited. Make sure they won’t fall, loosen tight clothing, and help them get some fresh air. Keep talking to them so they stay alert and encourage slow, steady breathing. 

You can also gently stimulate them, such as pressing the Renzhong (DU-26) point. Once they feel better, don’t let them stand up too quickly, and stay with them for a few minutes. Call for help if they lose consciousness, get injured, or don’t recover properly.

References:

1) Effect of DU-26 (Shuigou) Acupuncture Point Stimulation on Regaining Consciousness in ICU Patients: A Systematic Review and Meta-Analysis: https://sciety.org/articles/activity/10.21203/rs.3.rs-7387912

2) Acupuncture (including DU‑26) accelerates recovery after anesthesia: https://www.sciencedirect.com/science/article/abs/pii/S2095496415601595

Digestive Health: Understanding Yang, Qi and Yin-deficiency in TCM

Kit Li

Do you pay attention to your bowel movements? The regularity, shape, consistency, and even the smell of your stool can reveal a great deal about your overall health.

Have you ever experienced a cold sensation in your abdomen, irregular bowel movements, or difficulty passing stools? Many people immediately assume they are dealing with Constipation. As a result, they often believe the issue is simply due to a lack of fibre and turn to strong laxatives for relief.

However, this assumption can be misleading. While laxatives may provide short-term relief, long-term use can sometimes worsen the condition rather than resolve the underlying imbalance.

From the perspective of TCM, this may not be true constipation; instead, it can be a condition known as Yang-deficiency, as well as weak bowel movement due to Qi-deficiency. This is very different from the dry, hard constipation associated with Yin-deficiency. In addition, you might notice other symptoms such as poor appetite, fatigue, and cold hands and feet.

1) Yang-deficiency

For the condition of Yang-deficiency, it is important to avoid cold and raw foods, iced drinks, and cold natured fruits such as watermelon and pears. These should be eaten sparingly or avoided altogether. Instead, consuming warm and nourishing foods like fresh ginger, lamb, and longan..etc, can help support the body’s Yang energy. Practices such as soaking the feet in warm water for 15 minutes before bedtime can also assist in warming the body and dispersing cold, helping to prevent the worsening of Yang-deficiency.

2) Qi-deficiency

Qi is the body’s vital energy that powers many physiological functions, including the movement of the intestines. When Qi is insufficient, especially Spleen-Qi or Lung-Qi: the body may lack the strength to move the bowels effectively. As a result, bowel movements become difficult not because the stool is too dry, but because the body does not have enough energy to expel it.

In TCM, the Spleen and Stomach are considered the source of Qi and Blood. When Qi is deficient, the body may not generate enough energy or Blood to support normal physiological functions. Consequently, the intestines lose their strength to move stool efficiently. The stool may remain in the intestines for too long, causing excessive water absorption. At the same time, because Qi-deficiency weakens the body’s ability to properly form the stool, it may become thin, long, and soft.

For Qi deficiency, eat warm, cooked foods like congee, soups, stews, root vegetables, whole grains, and gentle proteins such as eggs, chicken, or lamb. Use warming spices like ginger and cinnamon, avoid cold, raw, or iced foods, greasy or processed foods, and overeating. Eat smaller, regular meals and drink warm water or herbal teas to support digestion and regular bowel movements.

3) Yin-deficiency

Stools can become dry and hard like small pellets, making it very difficult to pass them. Drinking lots of water often doesn’t help, and in severe cases, it can cause pain or bleeding.

Many people try to drink more water or take laxatives, but this often doesn’t work and can even cause diarrhoea or stomach pain. This type of constipation is usually caused by Yin-deficiency and a lack of body fluids, not just dehydration.

When there is internal heat due to deficiency in the body, it can cause irritability and insomnia, also bitter taste in the mouth.  At this point, simply drinking water is not enough; it is necessary to nourish the body’s fluids  at the root and clear the deficient heat to restore balance.

TCM focuses on nourishing Yin, replenishing fluids, and calming internal heat. Foods that are naturally moistening and slightly cooling, such as soups, congee, tofu..etc, that help restore fluid balance.  Also, avoiding very spicy, greasy, fried, or overly heating foods, as well as alcohol and excessive red meat, which can aggravate Yin deficiency and internal heat.

Apple, Dangshen (1) and Maimendong (1)Tea

This combination can help balance bowel movements, but it works more by regulating and restoring than forcing, it also makes stools softer (not loose), support more regular timing, reduce strain without irritating the gut.

Ingredientes:

• 1 apple (sliced)
• 6 - 10g Dangshen
• 6 - 10g Maimendong
• 500 - 700ml water

Simmer for about 30 minutes. Drink warm.

How it helps:

• Apple - gently promotes movement and adds moisture
• Dangshen (Codonopsis) - support Qi and digestion
• Maimendong (Ophiopogon) - nourishes Yin and body fluids, moistens dryness in the intestines

This tea is ideal for:

• Irregular but not severe constipation
• Dry or slightly hard stools
• Low energy digestion (you feel sluggish after eating)

But not suitable for:

• Very loose stools or diarrhoea
• Strong bloating with heaviness (dampness)
• Sharp abdominal pain or severe constipation

Conclusion:

What may appear to be simple constipation can, in fact, reflect deeper imbalances such as Qi, Yang, or Yin deficiency. Rather than relying on quick fixes, taking a more holistic approach, through appropriate diet, gentle lifestyle adjustments, and, when needed, tailored herbal support, can help address the root cause. By restoring balance within the body, you not only improve digestion but also enhance overall energy, resilience, and well-being, allowing you to move into the season feeling lighter, stronger, and more in harmony with your body.

Reference:

1) Tonic Herbs and Herbal Mixtures in Chinese Herbal Medicine: https://journals.lww.com/wtcm/fulltext/2016/02010/tonic_herbs_and_herbal_mixtures_in_chinese.3.aspx

TCM Treatment of Hay Fever: A Case Study

Kit Li

Spring seems to have arrived earlier than expected this year. How did I notice? My husband started sneezing frequently and occasionally had a runny nose, especially after walking the dog in the morning. That was my clue that spring had arrived and pollen levels were rising.

In the UK during spring, it is helpful to check daily pollen forecasts, shower and change clothes after spending time outdoors, and keep windows closed in the early morning when pollen levels are usually highest.

How do we differentiate between the symptoms of Cold, Flu or Hay Fever, or the mixtures of the symptoms?  

1) Hay fever is an allergic reaction to pollen, where the immune system reacts strongly to harmless pollen in the air. 

Common symptoms: frequent sneezing, a runny or blocked nose, itchy nose, eyes, ears, or throat, and watery or red eyes. 

The symptoms are usually worse outdoors or in the morning, and there is no fever. Hay fever often happens every year in spring or summer, with symptoms appearing quickly after exposure to pollen. Antihistamines usually help relieve the symptoms. For example, repeated sneezing in the morning with a runny nose and itchy eyes often suggests hay fever rather than an infection.

2) A cold is a viral infection of the upper respiratory tract. 

Common symptoms: a runny or blocked nose, mild cough, mild sore throat, occasional sneezing, and mild fatigue. A high fever is uncommon. 

The symptoms usually develop gradually and typically last about 5 - 10 days. Colds are not strongly seasonal, although they tend to occur more often in winter.

3) Flu (influenza) is a viral infection that is much stronger than a common cold. 

Typical symptoms include a high fever, body aches, severe fatigue, headache, dry cough, chills, and sometimes a sore throat. 

The symptoms usually appear suddenly, and people often feel very unwell and weak. In many cases, the illness is strong enough to keep someone in bed for several days.

4) Mixed symptoms are quite common. 

Sometimes allergies and a cold happen at the same time, causing sneezing, itchy eyes, and a sore throat. Allergies can also irritate the sinuses, leading to congestion and headaches. 

In early spring, a cold can easily be mistaken for hay fever because the symptoms are similar. A simple rule is that itching usually means an allergy, while fever or body aches suggest an infection. 

Case sharing:

A female patient who has been staying in London for over two weeks while visiting her son, sought complementary therapy for hay fever accompanied by cold-like symptoms.

She reported experiencing a combination of symptoms, including frequent sneezing, a runny nose, itchy eyes, headaches (the occipital areas), and mild fatigue. She explained that she did not expect the night time temperatures in the UK to drop to single digits. As a result, she believes she caught a cold on the third day of her stay, which appears to have aggravated her hay fever symptoms.

Her tongue is Pale with Thin White Coating, the Pulse is Floating, slight tight and weak.

TCM diagnosis:

• Wind-cold invading the Lung
• Lung-Qi deficiency with weak Defensive-Qi

Treatment Plans:

• Release the exterior and expel Wind-Cold
• Disperse and regulate Lung-Qi 
• Strengthen Wei-Qi and the Lung 

Acupuncture Points:

Scalp Acupuncture: Head Area, Sensory Area...etc

Some key body points: 

1. LI-20 (Yingxiang, 迎香): Local point to open the nasal passages and relieve rhinitis
2. Bitong  (鼻通): Extra ordinary point for nasal congestion and sinus symptoms
3. LI-4  (Hegu, 合谷): Expels Wind, relieves headache, regulates defensive Qi
4. LU-7 (Lieque, 列缺): Releases exterior Wind and promotes Lung function

Prescription of Chinese herbal medicines:

Modified YuPingFeng (加味玉屏风散) (1) was prescribed for the first week to tonify Qi, strengthen Wei Qi, and expel Wind.  There are eight ingredients  and the key ingredients are:

• Huang Qi (Astagalus Root) (2): Tonifies Qi, strengthens the Lung and Spleen, raises Yang, and consolidates Wei Qi to help protect the body from external pathogens.

• Baizhu (Atractylodes Rhizome): Tonifies Spleen Qi, strengthens digestion, dries Dampness, and supports defensive Qi.

• Fangfeng (Siler Root): Expels Wind, releases the exterior, alleviates allergic symptoms such as sneezing and itching.

BiMinGan (鼻敏感) (3), a unique formula was prescribed for the second week for opening the nasal passages, dispel Wind, and relieve symptoms of allergic rhinitis soothing. There are also eight ingredients and the key ingredients are:

•  CangErZi (Xanthium Fruit) (4): Disperses Wind, opens nasal passages, relieves sinus congestion and rhinitis.

•  XiYiHua (Magnolia Flower) (5): Opens the nasal passages, disperses Wind-Cold, commonly used for sinusitis and nasal congestion.

The patient’s cold symptoms improved during the first week of treatment. By the second week, she was able to enjoy the remainder of her holiday with her son without experiencing any hay fever symptoms. She returned to her home country yesterday.

This case demonstrates that appropriate TCM treatment, including acupuncture and herbal medicine, can effectively relieve symptoms of hay fever and support the body’s defensive Qi, allowing the patient to recover and continue normal activities.

References:

1) Modified YuPingFeng (加味玉屏风散):

https://kitli-vitaqiholistic.blogspot.com/2025/05/kit-li-although-temperature-in.html

2) Huang Qi: https://kitli-vitaqiholistic.blogspot.com/2025/09/huang-qi-and-tonifying-herbs-for.html

3) BiMinGan (鼻敏感):

https://kitli-vitaqiholistic.blogspot.com/2025/08/kit-li-eighty-year-old-male-patient.html

4) Modern studies show that Cang Er Zi has multiple biological effects relevant to nasal disorders:

https://www.binasss.sa.cr/oct22/59.pdf

5) XiYiHua helps relieve nasal congestion, sinus inflammation, and rhinorrhea (nasal discharge):

https://www.binasss.sa.cr/oct22/59.pdf

Can Traditional Chinese Medicine (TCM) Treat Cancer? (A Virtual TCM Talk)

Kit Li​

Last night, I was honoured to be invited to participate in a virtual TCM discussion with Dr. TieJun Tang and Kayvan Beklik, a member of the Chinese Medicine Alliance. We hosted a session on the topic: 'Can Traditional Chinese Medicine (TCM) treat cancer?'

I am currently volunteering as a neuro-acupuncture therapist at the Florence Nightingale Charity Hospice in the UK. Most of the patients I see have already undergone cancer treatment and continue to suffer either from the disease itself or from the long-term side effects of chemotherapy, such as fatigue, weakness, hair loss, emotional disturbances, and peripheral neuropathy. I primarily use scalp acupuncture combined with Chinese herbal medicine to help restore physical strength, relieve discomfort, and improve quality of life.

Highlights from the Talk

Can Traditional Chinese Medicine (TCM) treat cancer?

This is one of the most common questions asked by patients diagnosed with cancer. But what is the deeper meaning behind this question?

Traditional Chinese Medicine (TCM), including acupuncture and Chinese herbal medicine, may be used as a complementary therapy to support individuals living with cancer. It can help manage symptoms and improve quality of life, including fatigue, nausea, digestive disturbances, sleep difficulties, and emotional wellbeing.

However, conventional medical treatment remains the primary and essential approach for cancer care. TCM should be used alongside, not as a replacement for, oncology treatment.

In accordance with UK regulations, including guidance from the Advertising Standards Authority and the Cancer Act 1939, it is not appropriate to claim that TCM “treats” or “cures” cancer. More accurate and compliant language would be that TCM may “support,” “help manage symptoms,” or “assist with side effects” during conventional cancer treatment.

Which Is More Effective: Acupuncture or Chinese Herbal Medicine?

Both acupuncture and Chinese herbal medicine can be valuable complementary therapies to help manage symptoms and improve quality of life during cancer treatment, when used alongside conventional medical care. The choice depends on the patient’s condition, stage, and overall constitution.

Building Trust in TCM:

Some patients are unsure whether TCM can help them. Building trust requires clear communication and evidence-based discussion. There is a growing body of research exploring how TCM may support cancer patients, particularly in symptom management, quality of life improvement, and recovery support during conventional treatment. Sharing appropriate and balanced research helps patients make informed decisions.

Commonly Used Chinese Herbs in Cancer Support:

Several herbs are traditionally used to support patients undergoing or recovering from cancer treatment.

1. Clearing heat and resolving toxicity:
   Bai Hua She She Cao (Oldenlandia diffusa / Hedyotis diffusa), Ban Zhi Lian (Scutellaria barbata), and Qing Hao (Artemisia annua).

2. Transforming phlegm and moving blood:
   Ban Xia (Pinellia ternata) is used to transform phlegm, while E Zhu (Curcuma zedoaria) helps promote circulation and address blood stasis.

3. Strengthening the body and supporting white blood cell production (further details in the recorded video)

Additional Discussion Topics

We also explored several broader clinical questions:

• What are the differences in common cancers between the UK and China?

• How is prognosis assessed in different types of cancer?

• Dr. Tang also shared selected clinical cases from his experience.

Further details are available in the recorded video of the session. (1, 2, 3)

This discussion reinforced an important perspective: TCM is not positioned as an alternative to oncology, but as a complementary system that supports the whole person. Its strength lies in symptom management, constitutional support, and quality of life improvement.

In cancer care, collaboration, clarity, and integrity are essential. When used responsibly and alongside conventional treatment, TCM can offer meaningful support to patients navigating one of the most challenging journeys of their lives.

Videos on YouTube and BiliBili:

1) https://youtu.be/uiVCLMksqPI?si=FjJolN8h3OdzLzHj

2) https://youtu.be/P6EXIoSjlns?si=hvUo72YRpefk84mG

3) https://b23.tv/9RTXxE3

Understanding the San Jiao (Triple Burner) in Traditional Chinese Medicine

 Kit Li

What is the SanJiao (1, 2) in Traditional Chinese Medicine (TCM)? What are its functions, and where is it located in the body? These are some of the most intriguing questions in TCM.

In TCM, the San Jiao (三焦) is described as having “a name but no physical form” (有名无形). In anatomical terms, it is considered invisible, you cannot dissect the body and identify a specific structure called the San Jiao. However, it is regarded as a key regulator of internal balance, and maintaining its smooth function is important for supporting overall health.

The San Jiao is divided into three parts within the body: the Upper Jiao, Middle Jiao, and Lower Jiao. Together, they are responsible for regulating the movement of Qi, body fluids, and nutrients derived from food and drink.

1) Upper Jiao (Shang Jiao)

The Upper Jiao is located in the chest area and includes the Heart and Lungs. Its main function is distribution, spreading Qi, circulating fluids to the skin, and regulating the opening and closing of the pores, as well as supporting immunity (Wei Qi).

From a modern physiological perspective, the Upper Jiao can be loosely related to functions such as breathing, oxygen exchange, circulation to the body’s surface, immune surveillance, and the vapour-like exchange of fluids through the lungs and skin. When it is dysfunctional, symptoms may include chest tightness, shallow breathing, frequent colds, and dryness of the skin.

2) Middle Jiao (Zhong Jiao)

The Middle Jiao is located between the diaphragm and the navel and includes the Spleen and Stomach. It is responsible for digestion and absorption, transforming food into Qi and Blood, and managing the transportation of nutrients throughout the body.

It may be loosely associated with processes such as enzymatic digestion, gut microbiome activity, nutrient absorption, and the metabolic conversion of food into usable energy. When the Middle Jiao becomes sluggish, symptoms may include bloating, brain fog, low energy after meals, and a general sensation of dampness or heaviness in the body.

3) Lower Jiao (Xia Jiao)

The Lower Jiao is located below the navel and includes the Kidneys, Bladder, and Large and Small Intestines, essentially the organs in the lower abdomen. It manages waste elimination and fluid metabolism, functioning much like the body’s internal drainage system.

From a modern physiological perspective, the Lower Jiao may be loosely associated with kidney filtration, water reabsorption in the colon, hormonal regulation of fluid balance, and pelvic circulation. When this system becomes obstructed or inefficient, it may lead to issues such as edema (water retention), constipation, difficulty with urination, PMS, or a feeling of pelvic heaviness.

In TCM theory, if any of the San Jiao is not functioning smoothly, the body may become more prone to illness because Qi and fluids are not being transported efficiently due to blockages along the meridians.

To support the SanJiao in daily life, it is important to eat in moderation by avoiding overeating and limiting cold or greasy foods, while choosing easily digestible meals to protect the Middle Jiao. Maintaining emotional balance is also essential, as stress, anxiety, and low mood can disrupt the movement of Qi. Gentle exercise such as walking, light jogging, or practices like Ba Duan Jin can help improve the circulation of Qi and Blood.

In addition, acupressure points such as Shanzhong (RN-17), located at the midpoint between the nipples, may help open the chest and support the Upper Jiao; Zhongwan (RN-12), located 4 cun above the navel, may support digestion; and Guanyuan (RN-4), located 3 cun below the navel, may help tonify the Lower Jiao.

Herbal teas can also be used as supportive measures, such as Peppermint and lemon tea (3) for Upper Jiao support, Hawthorn and dried tangerine peel tea (4) to aid digestion in the Middle Jiao, and Corn Silk Tea to promote urination and reduce water retention in the Lower Jiao.

Ultimately, while the San Jiao may not correspond to a single physical structure in modern anatomy, it offers a valuable functional framework in TCM for understanding how the body regulates the movement, transformation, and elimination of Qi and fluids. By supporting the harmonious interaction between the Upper, Middle, and Lower Jiao through mindful lifestyle habits, gentle exercise, acupressure, and dietary choices, we can help maintain internal balance and promote overall well-being.

References:

1) Sanjiao:  https://www.sciencedirect.com/topics/nursing-and-health-professions/san-jiao

2) Conceptualizing a Traditional Chinese Medicine Organ: The Triple Energizer (San Jiao):https://pmc.ncbi.nlm.nih.gov/articles/PMC9248333

3) Pepperming Tea: https://pubmed.ncbi.nlm.nih.gov/9283698/

4) Hawthron and Chenpi Tea: https://kitli-vitaqiholistic.blogspot.com/2025/12/gentle-digestive-support-with-hawthorn.html

5) Corn Silk Tea: https://pubmed.ncbi.nlm.nih.gov/15957371/