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Dampness and fatigue are hallmarks of spleen qi deficiency in TCM. The lung and kidney are also involved with the management and transformation of fluids in TCM, so there is often problems in these areas as well. There are frequently complicating factors in the patterns of disharmony involved with fibromyalgia. There is usually Qi stagnation and often blood stasis. These are typically present in pain pattern. In TCM it is said if there is pain, the Qi is not flowing (in that area), and if the qi is flowing, there is not pain. The flow of Qi and blood in TCM is a function of the liver. These are known as liver Qi stagnation and liver blood stasis respectively and require treatment of the liver system. In TCM, if dampness stagnates for a while it will congeal and transform into phlegm. Phlegm can be viewed as dampness that has become even more stubborn and entrenched. Numbness and tingling are symptoms associated with phlegm in the channels. When phlegm complicates a condition, it needs to be transformed.

When the Qi and/or blood does not flow, there is a build up in pressure behind it, which generates heat. This is known as transformative heat. Another type of heat known as “‘yin fire” can also be a complication. In either case, if there is heat present it needs to be cleared. When heat is present for any period of time, it damages the yin of the body. This results in yin deficiency, yet another possible complication of fibromyalgia.

Another possible complicating factor is cold. Much of the fibromyalgia I have seen has been complicated by cold. Cold can also get trapped in the channels. In this case it would be cold and damp. Cold pain is more intense pain and needs to be warmed.

According to TCM, an illness or injury that does not heal properly can trigger fibromyalgia. Possibilities include infection that causes damage to the spleen, lung, and/or kidney; injury (trauma) occurring at a time when the body is in a weakened condition (weak immune system); or latent pathogens that enter the body undetected by the immune system.

Patterns of imbalance take into consideration both the disease and the person hosting the disease. While we have made general statements about patterns common in fibromyalgia, each patient needs to be evaluated. Once the pattern is clearly defined, the treatment plan can be designed.

My preference is to use a combination of acupuncture and herbs to address the pattern. The goals of acupuncture are to “tonify” the underlying deficiency (usually spleen, lung, kidney), balance the liver (move qi and blood), use needles in the areas of pain (called „ashi points‰), and use a warming device (usually a TDP lamp or an herb that is burned in a process called moxibustion). The goals using herbs would be to devise a neutral (gentle) formula balancing tonification and elimination (of dampness and heat), calm the shen (address the sleep disturbance), nourish and move the blood, and smooth the liver.

Exercise is also an important part of the treatment of this disorder. Weight bearing aerobic exercise with light stretching is most desirable. Exercise should be should be at least three days per week, however, it is important to give your body “time off” to recover from the exercise. That means you want to spread your activity so that you get a few days off every week. Push yourself to a comfortable level. If you cannot maintain a conversation without gasping for air, you are working too hard. The duration should be at least 30 minutes per exercise session. Progress both intensity and duration of exercise as your body allows.

While this approach may not “cure” fibromyalgia, it will go a long way in assisting you in managing this ailment so you can lead a fairly normal life.

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