Natural Relief for POTS with Acupuncture and Traditional Chinese Medicine

Living with Postural Orthostatic Tachycardia Syndrome (POTS) can feel like a never-ending roller coaster, with symptoms that can leave you dizzy, fatigued, and struggling to get through the day. But what if there were natural ways to help manage these symptoms and improve your quality of life? In this comprehensive guide, we'll explore the ins and outs of POTS—what causes it, the symptoms you might experience, and how it often overlaps with other health conditions.

Most importantly, we'll dive into the world of acupuncture and Traditional Chinese Medicine (TCM), offering insight into how these time-honored practices can provide relief. From balancing the nervous system to improving heart rate variability and blood flow, acupuncture for POTS is gaining recognition as a powerful tool in managing this challenging condition. Join us as we explore how combining the wisdom of TCM with modern knowledge can open up new pathways to wellness.

What is Postural Orthostatic Tachycardia Syndrome (POTS)?

Postural Orthostatic Tachycardia Syndrome, commonly known as POTS, is a condition that affects the autonomic nervous system, which controls involuntary functions like heart rate, blood pressure, and digestion. The hallmark of POTS is an excessive increase in heart rate when a person moves from lying down to standing up. Normally, when you stand up, your body adjusts to keep your blood pressure stable. However, in people with POTS, this process is disrupted, leading to a rapid heartbeat—often 30 beats per minute or more within 10 minutes of standing—and a range of other symptoms that can make daily life challenging.

POTS is not just a heart issue; it’s a systemic condition that can affect various aspects of the body. People with POTS often experience symptoms like dizziness, lightheadedness, fainting, and fatigue. These symptoms occur because the body struggles to maintain blood flow and blood pressure when standing, causing blood to pool in the lower extremities and reducing the amount that reaches the brain. This can lead to significant discomfort and even disability, making it difficult for those with POTS to maintain a normal, active lifestyle.

The causes of POTS are still not fully understood, but it’s believed to be related to a combination of genetic, environmental, and autoimmune factors. Some individuals develop POTS after a viral infection, trauma, or surgery, while others may have a predisposition due to underlying conditions like Ehlers-Danlos syndrome or other connective tissue disorders. In many cases, POTS is associated with other health issues such as chronic fatigue syndrome, fibromyalgia, or autoimmune diseases, which can complicate diagnosis and treatment.

What Causes POTS?

POTS is a complex condition with multiple contributing factors. While the exact cause is not always clear, research has identified several key factors that can lead to the development of POTS. Here’s a breakdown of the most common causes:

Viral Infections

Viral infections are one of the most frequently reported triggers for POTS. Following a viral illness, such as the flu, mononucleosis, or COVID-19, some individuals develop POTS as a result of their body’s immune response. The inflammation or damage to the autonomic nervous system caused by the virus can lead to the chronic symptoms characteristic of POTS. Even after the virus is gone, the nervous system may remain dysregulated, resulting in ongoing issues with heart rate and blood pressure.

Genetic Predisposition

A genetic predisposition can make some people more susceptible to POTS. For instance, those with inherited connective tissue disorders like Ehlers-Danlos syndrome are at higher risk because their bodies struggle to maintain strong connective tissues. This can affect blood vessel tone and circulation, contributing to POTS symptoms. Additionally, certain genetic variations may influence the autonomic nervous system, making it more prone to dysfunction and the development of POTS.

Autoimmune Conditions

Autoimmune diseases are increasingly linked to POTS. In these cases, the immune system mistakenly attacks the body’s own tissues, including those involved in autonomic function. Conditions such as lupus, Sjogren’s syndrome, and celiac disease have been associated with POTS. The inflammation or nerve damage caused by the immune system’s attack can disrupt the regulation of heart rate and blood pressure, leading to the characteristic symptoms of POTS.

Neurogenic POTS

Neurogenic POTS is a specific subtype of POTS where the primary issue lies in the nervous system's regulation of blood flow. In neurogenic POTS, there is impaired nerve function that normally controls the constriction and dilation of blood vessels, especially in the lower body. When a person with neurogenic POTS stands up, the blood vessels fail to constrict adequately, leading to blood pooling in the legs. This reduces blood return to the heart, causing the heart to race in an attempt to compensate. Neurogenic POTS often overlaps with other forms of POTS and can result from damage to the autonomic nerves due to conditions like diabetes, trauma, or autoimmune disorders.

Trauma or Surgery

Physical trauma or surgery can sometimes trigger POTS. This might occur due to stress responses or direct damage to the autonomic nervous system. For example, surgeries involving the spine or significant physical injuries may disrupt autonomic function, leading to POTS symptoms. In these cases, the onset of POTS may be sudden, or it may develop gradually as the body struggles to recover from the trauma.

Chronic Illness

Chronic illnesses, particularly those that involve prolonged periods of bed rest or inactivity, can contribute to the development of POTS. Inactivity can lead to cardiovascular deconditioning, making it harder for the body to manage the demands of standing and other activities. This deconditioning can exacerbate the abnormal heart rate and blood pressure responses seen in POTS. Conditions like chronic fatigue syndrome (CFS) or fibromyalgia, which are often co-morbid with POTS, can further compound these effects.

Understanding the diverse causes of POTS is essential for accurate diagnosis and effective management. Each patient’s experience with POTS can vary based on the underlying cause, necessitating a tailored approach to treatment.

Benefits of Acupuncture of POTS

Acupuncture, a key component of Traditional Chinese Medicine (TCM), has been explored as a complementary therapy for various conditions, including Postural Orthostatic Tachycardia Syndrome (POTS). Many potential benefits of acupuncture for POTS have been identified based on scientific principles and clinical observations, such as:

Regulation of Autonomic Nervous System

One of the primary ways acupuncture may benefit individuals with POTS is through the regulation of the autonomic nervous system (ANS). Acupuncture has been shown in studies to modulate the activity of the sympathetic and parasympathetic nervous systems, which are crucial in maintaining heart rate, blood pressure, and overall cardiovascular stability. By stimulating specific acupuncture points, acupuncture can help rebalance ANS activity, reducing the excessive sympathetic drive that contributes to tachycardia and other POTS symptoms.

Improvement of Blood Flow and Circulation

Acupuncture powerfully enhances blood flow and circulation, which are often compromised in POTS. The condition is characterized by blood pooling in the lower extremities when standing, leading to reduced venous return and decreased blood flow to the brain. Acupuncture has been demonstrated to improve microcirculation and promote vasodilation, potentially alleviating some of the circulatory issues associated with POTS. Improved circulation could help mitigate symptoms such as dizziness, lightheadedness, and fatigue by ensuring more consistent blood flow throughout the body.

Reduction of Inflammation

Chronic low-grade inflammation is a contributing factor in many cases of POTS, particularly those linked to autoimmune conditions or post-viral syndromes. Acupuncture has been shown to have incredible anti-inflammatory effects by downregulating pro-inflammatory cytokines and modulating the immune response. By reducing inflammation, acupuncture addresses the underlying pathophysiological processes that exacerbate POTS symptoms, leading to a decrease in overall symptom burden.

Enhancement of Heart Rate Variability

Heart rate variability (HRV) is a measure of the variation in time between heartbeats and is an important indicator of autonomic nervous system health. In POTS, HRV is often reduced, reflecting an imbalance between sympathetic and parasympathetic activity. Acupuncture has been clinically proven to enhance HRV, suggesting improved autonomic regulation. By increasing HRV, acupuncture can stabilize heart rate responses and reduce the incidence of tachycardia episodes, leading to improved cardiovascular health and symptom control.

Alleviation of Pain and Discomfort

Many individuals with POTS experience various types of pain, including headaches, chest pain, and muscle aches, which can be debilitating. Acupuncture is widely recognized for its powerful pain relieving effects, which are mediated by the release of endorphins and other neurotransmitters that modulate pain perception. By targeting specific points on the body, acupuncture can effectively turn down intensity of pain and discomfort associated with POTS, contributing to an overall improvement in quality of life.

Reduction of Stress and Anxiety

Stress and anxiety are common in individuals with POTS, often exacerbating symptoms such as tachycardia and dizziness. Acupuncture is has a remarkably calming effect on the nervous system, promoting relaxation and reducing the physiological stress response. This is achieved through the modulation of the hypothalamic-pituitary-adrenal (HPA) axis and the release of neurotransmitters like serotonin and gamma-aminobutyric acid (GABA). By reducing stress and anxiety, acupuncture can help prevent the worsening of POTS symptoms and support mental well-being.

Improvement of Gut Health

Gastrointestinal symptoms, such as nausea, bloating, and constipation, are common in POTS due to autonomic dysfunction affecting the digestive system. Acupuncture has been shown to improve gastrointestinal motility and reduce symptoms like nausea by stimulating specific points associated with the digestive system. By enhancing gastrointestinal function, acupuncture may help alleviate these uncomfortable symptoms and improve nutrient absorption, which is vital for overall health and energy levels in individuals with POTS.

Improvement of Sleep Quality

Sleep disturbances are prevalent among those with POTS, often due to the dysregulation of the autonomic nervous system and the presence of pain or discomfort. Acupuncture has been found to improve sleep quality by promoting relaxation, reducing pain, and balancing neurotransmitter levels involved in sleep regulation. Better sleep can lead to reduced fatigue and improved daytime functioning, making it easier for individuals with POTS to manage their symptoms and maintain a higher quality of life.

Acupuncture, when integrated with other treatment modalities like Chinese Herbal Medicine and qigong, offer a holistic approach to managing POTS. By addressing both the symptoms and underlying autonomic dysregulation, acupuncture could provide meaningful relief and improve overall well-being for those living with this challenging condition.

Benefits of Traditional Chinese Medicine (TCM) for POTS

Chinese Herbal Medicine, a foundational aspect of Traditional Chinese Medicine (TCM), offers a holistic approach to managing Postural Orthostatic Tachycardia Syndrome (POTS). Here are some of the many ways Traditional Chinese Medicine can effectively treat the symptoms of POTS:

Regulation of Autonomic Nervous System

Chinese herbal formulas are often designed to balance the autonomic nervous system (ANS), which is crucial in managing POTS. Certain herbs are believed to modulate ANS activity by either tonifying or calming the system. For example, herbs like Astragalus (Huang Qi) and Ginseng (Ren Shen) are known for their adaptogenic properties, helping the body resist stressors that can exacerbate autonomic dysfunction. By harmonizing ANS function, CHM may reduce the excessive sympathetic activity and improve parasympathetic tone, thereby helping to manage the dysregulation seen in POTS.

Improvement of Blood Flow and Circulation

Many Chinese herbal formulas are designed to improve blood flow and enhance circulation, which is particularly relevant for POTS patients who suffer from blood pooling and poor venous return. Herbs such as Dan Shen (Salvia miltiorrhiza) and Dang Gui (Angelica sinensis) are traditionally used to improve microcirculation, reduce blood pooling in the lower extremities, and ensure that more blood reaches the brain when standing, thus alleviating symptoms like dizziness and lightheadedness.

Reduction of Inflammation

Inflammation is a common underlying factor in POTS, particularly in cases linked to autoimmune diseases or post-viral syndromes. Chinese herbs such as Huang Lian (Rhizoma coptidis) and Huang Bai (Cortex phellodendri) are known for their anti-inflammatory properties. These herbs contain bioactive compounds that have been shown to downregulate pro-inflammatory cytokines and modulate the immune response. By reducing systemic inflammation, CHM may help to address one of the root causes of POTS and reduce the severity of symptoms.

Strengthening the Heart and Supporting Cardiovascular Health

In TCM, the heart is not only responsible for pumping blood but also for governing the mind and emotions. Chinese herbal medicine often includes formulas that "tonify the heart" to strengthen cardiovascular function and support mental well-being. Herbs such as Gui Zhi (Ramulus cinnamomi) and Fu Ling (Poria cocos) are used to strengthen the heart, support healthy blood flow, and improve cardiac output. By supporting cardiovascular health, these herbs may help mitigate tachycardia and other heart-related symptoms of POTS.

Alleviation of Digestive Symptoms

Gastrointestinal symptoms such as nausea, bloating, and constipation are common in POTS due to autonomic dysregulation. CHM often targets these symptoms through botanical combinations that can release digestive enzymes, support healthy gut bacteria, and improve gastric motility. Herbs like Ban Xia (Pinellia ternata) and Chen Pi (Citrus reticulata) are commonly used to regulate the microbiome, reduce nausea, and improve digestive function. By addressing gastrointestinal issues, CHM can help improve nutrient absorption and overall health, which is vital for managing POTS.

Reduction of Stress and Anxiety

Stress and anxiety are known to exacerbate POTS symptoms, including tachycardia and dizziness. Chinese herbs such as Suan Zao Ren (Ziziphus jujuba) and Bai Zi Ren (Platycladus orientalis) are traditionally used to calm the mind and soothe the nervous system, reducing stress and anxiety. These herbs are thought to work by modulating neurotransmitter levels and balancing the HPA axis, which regulates the body’s stress response. By calming the mind, CHM may help prevent the worsening of POTS symptoms linked to psychological stress.

Support for Immune Function

In cases where POTS is linked to autoimmune conditions or post-viral syndromes, supporting immune function is critical. Chinese herbs such as Huang Qin (Scutellaria baicalensis) and Bai Shao (Paeonia lactiflora) are known for their immunomodulatory effects. These herbs can help regulate immune activity, reduce autoimmunity, and enhance the body’s resistance to infections. By supporting immune function, CHM may help manage the underlying causes of POTS and reduce the frequency of symptom flares.

Traditional Chinese Medicine offers a comprehensive approach to managing POTS by addressing both the symptoms and underlying imbalances in the nervous system, immune system, and cardiovascular system. By integrating TCM with other treatment modalities, such as acupuncture and qigong, individuals with POTS may experience improved symptom control, enhanced quality of life, and better overall health.

Benefits of Qigong for POTS

Qigong, an ancient East Asian practice combining gentle movement, meditation, and controlled breathing, offers potential benefits for individuals with Postural Orthostatic Tachycardia Syndrome (POTS). This practice’s general effects on health can be particularly advantageous for managing POTS symptoms. Here’s a detailed look at how Qigong may benefit those with POTS:

Regulation of Autonomic Nervous System

Qigong is known for its ability to help regulate the autonomic nervous system (ANS), which is dysregulated in POTS. Through its combination of slow, mindful movements and deep breathing, Qigong promotes a state of relaxation that enhances parasympathetic nervous system activity (rest and digest) while reducing sympathetic nervous system dominance (fight or flight). This balance can help stabilize heart rate, blood pressure, and other autonomic functions, alleviating key symptoms of POTS such as tachycardia and dizziness.

Improvement of Circulation

The gentle movements of Qigong can improve blood circulation, which is particularly beneficial for individuals with POTS who experience blood pooling in the lower extremities. Qigong movements encourage blow flow throughout the body, potentially reducing venous pooling and improving venous return to the heart. Enhanced circulation can alleviate symptoms like lightheadedness and fatigue, making it easier to manage daily activities.

Enhancement of Heart Rate Variability

Heart rate variability (HRV) is an important indicator of autonomic nervous system health, and Qigong has been shown to positively impact HRV. The practice’s emphasis on controlled breathing and relaxation techniques can increase HRV, reflecting improved autonomic regulation. By enhancing HRV, Qigong may help reduce the frequency and severity of tachycardia episodes in POTS patients, leading to better cardiovascular stability and overall symptom control.

Reduction of Stress and Anxiety

Qigong incorporates meditative elements that are effective in reducing stress and anxiety, both of which can exacerbate POTS symptoms. The practice helps calm the mind and body, lowering levels of stress hormones like cortisol and promoting a state of inner peace. By reducing stress and anxiety, Qigong can help prevent the worsening of POTS symptoms that often occur in response to psychological stress, supporting mental and emotional well-being.

Support for Respiratory Function

Breathing exercises are a core component of Qigong, and these can directly benefit respiratory function. Proper respiratory control is crucial for POTS patients, as it helps regulate oxygen and carbon dioxide levels in the blood, which can affect heart rate and blood pressure. Qigong’s emphasis on deep, diaphragmatic breathing can enhance lung capacity, improve oxygen exchange, and support more stable cardiovascular and autonomic responses.

Increase in Energy and Vitality

POTS is often associated with chronic fatigue, and Qigong is an easy, gentle way to boost exercise tolerance and reduce fatigue. The gentle nature of Qigong makes it accessible even for those with limited energy, and regular practice can help build stamina over time. By increasing energy levels, Qigong can help reduce fatigue and improve the overall ability to engage in daily activities.

Improvement of Balance and Stability

Qigong emphasizes slow, controlled movements that can enhance balance and stability, which are often compromised in POTS due to dizziness and lightheadedness. The practice improves proprioception (awareness of body position) and strengthens the muscles involved in maintaining balance. This can help POTS patients feel more secure and steady when standing or walking, reducing the risk of falls and improving confidence in mobility.

Enhanced Mind-Body Connection

Qigong fosters a strong mind-body connection, which is beneficial for individuals with POTS who often experience a disconnect between physical sensations and mental awareness due to autonomic dysregulation. The practice encourages mindfulness and body awareness, helping individuals tune into their body’s signals and respond more effectively to symptoms. This enhanced mind-body connection can lead to better self-management of POTS and a more empowered approach to health and wellness.

Qigong offers a holistic approach to managing POTS by addressing both physical symptoms and mental well-being. Through regular practice, individuals with POTS may experience improvements in autonomic regulation, circulation, energy levels, and overall quality of life. These benefits for POTS are enhanced by combining qigong with acupuncture, herbal medicine, and lifestyle changes.

Other Natural Relief for POTS Symptoms

Managing Postural Orthostatic Tachycardia Syndrome (POTS) involves more than just medical treatment; lifestyle changes and at-home remedies can play a crucial role in alleviating symptoms and improving overall quality of life. Here are some effective strategies:

Increased Salt and Fluid Intake

One of the most widely recommended lifestyle changes for managing POTS is increasing salt and fluid intake. Salt helps retain water in the body, which can increase blood volume and improve circulation. For many POTS patients, this is essential for reducing symptoms like dizziness and lightheadedness upon standing. A typical recommendation is to consume 2-4 grams of sodium daily, along with at least 2-3 liters of fluids, but the exact amount should be tailored to individual needs under the guidance of a healthcare provider.

Compression Garments

Wearing compression garments, such as compression stockings or abdominal binders, can help reduce blood pooling in the lower extremities and abdomen, which is a common issue in POTS. These garments apply pressure to the legs and abdomen, encouraging blood to return to the heart and improving circulation. This can alleviate symptoms like dizziness, fatigue, and tachycardia, especially when transitioning from sitting to standing.

Physical Activity and Exercise

While exercise can be challenging for those with POTS, a tailored exercise program can be highly beneficial. Regular physical activity helps improve cardiovascular fitness, increase blood volume, and strengthen muscles, which can help the body manage orthostatic stress more effectively. A gradual approach is often recommended, starting with recumbent exercises like swimming or cycling, and slowly progressing to upright activities. It's important to pace oneself and avoid overexertion, as post-exertional malaise is common in POTS.

Dietary Adjustments

Making specific dietary changes can also help manage POTS symptoms. Small, frequent meals are often better tolerated than large meals, as they can prevent the sudden blood pressure drops that sometimes occur after eating. A diet rich in healthy fats, lean proteins, and vegetables provides essential nutrients and helps maintain stable blood sugar levels, which can prevent energy crashes and reduce fatigue. Some patients may benefit from avoiding caffeine and alcohol, as these can exacerbate dehydration and increase heart rate.

Postural Maneuvers

Certain postural maneuvers can be helpful in managing symptoms when transitioning from sitting to standing or during prolonged standing. Simple techniques like crossing the legs while standing, performing calf raises, or clenching fists can help increase venous return to the heart and prevent blood from pooling in the legs. Additionally, gradually transitioning from lying down to standing by first sitting up and then standing slowly can help the body adjust to the change in position more smoothly.

Temperature Regulation

People with POTS often have difficulty with temperature regulation, so managing exposure to heat and cold is important. Avoiding hot environments, such as hot showers, saunas, or being outside during hot weather, can prevent exacerbations of symptoms. Cooling techniques, such as using a fan, wearing lightweight clothing, and staying hydrated with cold fluids, can help manage symptoms on warmer days. Conversely, staying warm in cold environments with appropriate clothing can prevent vasoconstriction and worsening of symptoms.

Adequate Rest and Sleep

Rest and sleep are critical for managing POTS. Many patients experience fatigue and sleep disturbances, so establishing a consistent sleep routine is essential. This includes going to bed and waking up at the same time each day, creating a relaxing bedtime routine, and ensuring the sleep environment is comfortable and conducive to rest. Taking short breaks and resting during the day can also help manage fatigue and prevent symptom flare-ups.

Stress Management

Stress can exacerbate POTS symptoms, so stress management techniques are vital. Practices like deep breathing exercises, meditation, yoga, and mindfulness can help calm the nervous system and reduce the impact of stress on the body. Regularly engaging in these activities can help prevent anxiety-induced symptom flare-ups and improve overall well-being.

Elevating the Head of the Bed

Elevating the head of the bed by 4-6 inches can help reduce the severity of morning symptoms. This simple adjustment allows gravity to assist in maintaining blood flow to the upper body during sleep, reducing the volume of blood pooling in the legs overnight. As a result, individuals with POTS may experience less dizziness and tachycardia when getting out of bed in the morning.

Monitoring and Adjusting Daily Activities

Pacing is key for managing POTS symptoms throughout the day. This involves monitoring energy levels and adjusting activities to prevent overexertion. Breaking tasks into smaller steps, taking frequent breaks, and avoiding long periods of standing or sitting in one position can help manage symptoms more effectively. Using assistive devices, such as stools or mobility aids, can also help reduce strain on the body during daily activities.

By incorporating these lifestyle changes and at-home remedies, individuals with POTS can better manage their symptoms, reduce the frequency of symptom flare-ups, and improve their overall quality of life. These strategies should be tailored to individual needs and preferences, and ideally, implemented under the guidance of a healthcare provider.

You Do NOT Have to Live with POTS Symptoms!

As we’ve explored, Postural Orthostatic Tachycardia Syndrome (POTS) is a complex and challenging condition, but with the right knowledge and approach, it’s possible to manage its symptoms effectively and regain control of your health. Acupuncture, Traditional Chinese Medicine, and qigong provide a time-tested, natural path forward that can offer lasting relief and improve your quality of life.

Traditional Chinese Medicine and acupuncture for POTS offer a holistic approach that addresses the root causes of POTS, helping to balance your body’s systems and reduce the impact of this condition.

If you or a loved one is struggling with POTS, neurological conditions, or autoimmune diseases, it’s time to take the next step toward wellness! Empowered You Acupuncture, Orange County’s top integrative clinic, is here to help. We are dedicated to providing personalized, comprehensive care for POTS that’s tailored to your unique needs.

Schedule a consultation with us today and discover how acupuncture and traditional Chinese medicine for POTS can make a difference in your life. Your journey to better health starts now!

Call (909) 978-7266 to set up your consultation.