TCM – Elder Cottage Clinic, Warton, PR4

Cortisol and Melatonin: The Yin and Yang of Your Circadian Rhythm

April 29, 2025April 29, 2025 by JMReflex, posted in Acupuncture

In the quiet rhythm of day and night, two powerful hormones guide our daily flow: cortisol and melatonin. These hormones play a crucial role in maintaining our body’s natural rhythm; you could think of them as the Yin and Yang of our circadian cycle: distinct in nature but working in harmony to help us feel balanced, focused, and rested.

Understanding their roles can help you align with your body’s natural flow, fostering better health and more restful sleep.

Cortisol: The Active Yang of the Day

Often labelled as the stress hormone, cortisol is essential for us to function properly, especially in the morning. It naturally rises when we wake up, helping to energize the body, sharpen focus, and prepare us for the day ahead. This is the Yang energy: active, outward, and purposeful.

Cortisol levels peak shortly after we wake up and begin to decline as the day progresses, supporting our ability to stay alert, handle stress, and perform tasks efficiently. Without sufficient cortisol, we may feel sluggish and less motivated in the morning; it’s as if we can’t quite get going.

Melatonin: The Restful Yin

As the sun begins to set, melatonin enters the scene: the Yin to cortisol’s Yang. Melatonin is often called the sleep hormone, but its job goes beyond just helping us fall asleep. It’s about inviting the body to slow down, repair, and rejuvenate during the night. When melatonin is released as daylight fades, it encourages us to rest, reduce our mental chatter, and prepare for the restorative sleep our bodies need to stay healthy.

Just as cortisol rises with daylight, melatonin rises when it gets dark. It acts as a signal that it’s time to let go and settle into rest, nurturing our recovery and internal restoration.

The Delicate Balance: Why It Matters

The relationship between cortisol and melatonin is delicate. These two hormones need to remain in a balanced dance throughout the day for you to feel your best. If cortisol remains high into the evening – perhaps due to stress, artificial light, or late-night stimulation – melatonin struggles to rise, and sleep may be disrupted. Over time, this throws the entire rhythm off course.

When this happens, it can interfere with your body’s natural recovery during sleep; affecting your energy, mood, and overall health.

Supporting Your Natural Cycle: Simple Practices for Balance

To maintain the delicate balance between cortisol and melatonin, it’s important to align your daily habits with the natural rhythms of your body. Here are a few practices to help keep your hormones in harmony:

Seek natural morning light: Exposure to sunlight in the morning helps signal your body that it’s time to rise and activate cortisol naturally. This simple habit can help improve your focus and alertness during the day.

Support rising cortisol with a healthy breakfast: Eat a balanced meal around 7am to give your body the nourishment it needs to maintain energy and focus throughout the day.

Avoid bright screens, intense exercise, and stimulants in the evening: These can keep cortisol levels elevated and interfere with melatonin production. Instead, opt for calming activities such as reading, meditation, or light stretching in the evening to help your body transition into rest mode.

Aim for regular sleep and wake times: Going to bed and waking up at the same time every day helps support your circadian rhythm and ensures your body knows when it’s time to rest.

Allow your digestive system to fast between 6pm and 7am: This simple practice allows your body to reset overnight, promoting better sleep and hormonal balance.

Get regular reflexology or acupuncture: These holistic therapies can support your body’s natural rhythm by reducing stress, improving circulation, and helping your body relax, making it easier for cortisol and melatonin to maintain balance.

Embracing the Quiet Wisdom of Yin

In a culture that often celebrates the energy of Yang – doing, pushing, and striving – we can sometimes forget the quiet wisdom of Yin. But it’s in the balance of these two forces that true health, clarity, and calm reside. When you nurture both your active and restorative energies, you create a foundation for lasting well-being and peace.

If you’re struggling to find balance in your circadian rhythm or need support with sleep, hormonal health, or stress management, reflexology and acupuncture can be powerful tools in restoring your body’s natural flow. Reach out for personalised guidance and care – together, I can help you nurture your Yin and Yang for a more vibrant and balanced life.

How does Acupuncture work?

January 21, 2025February 4, 2025 by JMReflex, posted in Acupuncture, Stress, TCM

Traditional Acupuncture uses the understanding of health and wellness that’s been developed over thousands of years (Traditional Chinese Medicine). This theory uses the concept of Qi (energy) our life force energy. Qi flows up and down the meridian system which is a network of channels connecting the main organs with the rest of the body.

When we are well, the Qi is said to be flowing freely. When we are unwell, the Qi is said to be blocked, or stagnant, and not flowing as freely.

Acupuncture uses particular points on the channels to rebalance the flow of Qi and improve our physical, mental and emotional wellbeing.

A good analogy is of the body as a circuit board. An acupuncturist uses these circuits to rewire and reconnect the flow of electricity.

Evidence based research on how acupuncture works is highlights its impact on the central nervous system (CNS). The CNS governs fight or flight vs rest and digest. When we are chronically stressed we get stuck in fight or flight. Acupuncture appears to release endorphins, natural pain killers and those happy chemicals, to rebalance the CNS. The process acupuncture ignites within the body increases blood circulation, reduces inflammation, helps regulate blood sugars and reduces stress, which can all have a positive impact on our wellbeing.

If you’d like to try acupuncture for your own wellbeing book in today.

Ear points for fertility support

July 11, 2024February 5, 2025 by JMReflex, posted in Acupuncture, Fertility, fertility acupuncture, ICSI, IVF, Menstrual Cycle, Stress, Stress, TCM

Ear seeding and ear acupuncture (or auricular therapy) is growing in popularity, but this is an ancient concept with its roots as far back as ancient Egypt, Greece and Persia. Ear acupuncture is an adjunctive technique which is useful in clinic to support fertility clients.

This post will go over some key ear acupuncture points I regularly use to support my fertility clients in addition to their body acupuncture prescriptions. I use ear acupuncture to reinforce the main treatment I give on the body. Other practitioners may use it as a stand alone treatment, and this is also appropriate.

Zigong (1)

In Chinese Medicine Zigong also means Uterus, or “Palace of the Child”. This point is found just on the edge of the small crater-like structure in the top of the ear called the triangula fossa.

ShenMen (2)

ShenMen means “Spirit Gate” and is useful to promote a sense of calm. Particularly useful when stress is prominent. This point is similar to the body point Heart 7: in Chinese Medicine the Heart houses the Mind, and also governs Blood. So you can see why this point is particularly useful in fertility support.

Kidney (3), Liver (4), Spleen (5)

These points help reinforce the main treatment protocol. In Chinese Medicine, the Kidneys are known as the “Root of Life”, storing Essence and governing birth, growth, reproduction and development; the Liver stores Blood and promotes the smooth flow of Qi; the Spleen governs transformation and transportation (e.g. digestion) and controls Blood.

Endocrine (6)

The Endocrine point is used with the intention of regulating the endocrine system. So useful for balancing hormones. It is found at the meeting point of the ear folds.

Sympathetic Nerve (7)

The Sympathetic Nerve point is used to help regulate the sympathetic nervous system which is part of the autonomous nervous system and prepares the body for “fight or flight”. It is the body’s stress response; the body’s way of keeping us safe and away from danger. This point, therefore, is useful to help combat stress and to promote sense of calm. It is also useful where immune system modulation might be needed, and in the presence of inflammation. The sympathetic and parasympathetic branches of the autonomous nervous system work in a “see-saw” way, and its about getting that balance right to promote overall health and to boost chances of conception and ongoing pregnancy.

Diagram of ear acupuncture points for fertility support. — Ear acupuncture targets specific points linked to fertility, helping to balance hormones and improve well-being.

If you are trying to conceive, or preparing for IVF, feel lost or unsupported, please get in touch. If you are wanting private blood tests please contact The Diabetes Lady, Maureen Chadwick on 07706 353127.

Why does IVF fail the first time?

July 3, 2024November 26, 2025 by JMReflex, posted in Acupuncture, AMH, Fertility, fertility acupuncture, ICSI, IVF, Male Factor, Menstrual Cycle, Pregnancy, Reflexology, TCM

Often the first round of IVF is used as a diagnostic. This means that the clinic will use a first round to assess where particular issues might be.

Human sperm being injected into an egg via ICSI.

For example, if the embryos are failing at day 3 then this can tell us that there is a problem with the health of the sperm.

Another example would be if the embryos are graded well but there is still no pregnancy then this could potentially mean there is an issue with the uterus, lining or progesterone receptivity.

Depending on where the procedure failed can give clues as to what is creating the unexplained infertility picture.

Unfortunately this first round is not something that should be taken lightly. Often it is a huge financial investment, not to mention the physical demands on the body, as well as the mental and emotional strain the process has on a couple.

When I work with clients I try to allow us at least 12 weeks to prepare for the next round of IVF. I take a very well-rounded consultation and full health intake to make sure we can drill down to where potential problems are sitting, and then increase the chances of a successful outcome.

Unfortunately I have seen scenarios where, had the couple not come for acupuncture, could have been a very different outcome. For example a couple who had all embryos fail at day 3 were told they needed donor eggs. No mention of improving the health of the sperm, which can be so easy to do with lifestyle and nutritional changes. Luckily this couple worked with me for 3 months and had a successful second cycle with their own eggs, and are now proud parents of a baby boy.

I’ve also seen clinics attempt a second cycle without really looking at the first one in detail. For example one client approached me after a failed fresh cycle. It was clear that there were microbiome issues and also a potential progesterone receptivity issue that we pushed to be checked during the second cycle, and the transfer was consequently halted due to low progesterone. Once we had this confirmed, a third cycle was successful after careful adjustment and monitoring of progesterone medication.

My training and continued learning and development gives me the tools to ask the right questions and see the infertility picture through a different lens. With access to the understanding of Chinese Medicine we can often see where problems lie early on.

If you are trying to conceive and need help, support or advice please get in touch.

Understanding Morning Sickness and Chinese Medicine in Pregnancy

June 27, 2024February 4, 2025 by JMReflex, posted in Acupuncture, Extraordinary Vessels, Pregnancy, Reflexology

Pregnant woman experiencing morning sickness and nausea.

Morning sickness is a general term we use to describe the feeling of nausea associated with pregnancy.

Although many women who experience morning sickness only feel ill in the mornings, many women actually feel ill all through the day and night. So it isn’t always about feeling sick just in the mornings.

When we sleep, we lay down for a long period during the night, and this can cause fluids to “sit around” and start to stagnate. Gentle movement such as walking out in the fresh air can help to get that fluid moving and circulating again. Ginger tea can also help with this.

Pregnancy uses up a lot of Qi, and many women feel worse when they don’t allow themselves enough rest. Perhaps still working 9-5, perhaps still pushing forward with other commitments and goals. If we use up a lot of Qi doing these things on top of pregnancy then there is little Qi left to move fluids around the body efficiently, creating the feeling of nausea. Adequate rest is really important.

Let’s talk a little bit about Chinese Medicine. The Chong Mai is the Sea of Blood and this will be sending Blood to the Uterus to nourish the foetus. This can overflow and start backing up, particularly in early pregnancy, creating the sense of nausea. This is why morning sickness often improves as the pregnancy progresses, as the foetus grows and the body adapts to the new life growing inside. The Chong Mai is closely linked with the Stomach channel. As the natural movement of Qi within the Stomach is downwards, “Rebellious Qi” describes it rebelling upwards, creating the feeling of nausea. Acupuncture can help to strengthen the descending action of the Qi to alleviate symptoms.

Sea bands are based on Pericardium 6 acupuncture point on the wrist which harmonises the Stomach and alleviates nausea and vomiting. My clients are often sent home with stick-on magnets to use on this point and perhaps others depending on the individual pattern. Using these in between acupuncture sessions can be really beneficial.

How does Acupuncture work?

April 8, 2024February 4, 2025 by JMReflex, posted in Acupuncture, fertility acupuncture, Health & Wellbeing, Pain management, Stress, Stress, TCM

I am often asked how my therapies actually work. Like, really, how to they work? What are the fundamental principles by which Acupuncture effects the client?

Acupuncture is the insertion of very fine needles into the skin. At this very basic level, we are creating an immune response in the body, by piercing the skin. The skin is there to protect us, to act as the boundary between the interior and the exterior. The body reacts to the needles by stimulating the immune system to create more white blood cells ready to defend against a pathogen.

We can also say that the needles have a neurological effect on the body because beneath the surface of the skin we have the superficial fascia, which is our neuro-connective tissue. Think of it like cling film wrapping all the body parts together. This connective tissue runs throughout the entire body in varying different layers, separating, supporting and enclosing different body parts, but connecting them all together. By piercing this with a very fine needle at particular points stimulates the nervous system and can affect the whole body.

Fascinating!

If you would like to book in please get in touch.

More on Endometriosis

March 1, 2024February 4, 2025 by JMReflex, posted in Reflexology

Endometriosis comes from the retrograde menstrual blood flow. This means that when we menstruate, some of the uterine shedding doesn’t flow downwards and out through the vagina; some of it will move up through the Fallopian tubes and into the ovary, and sometimes beyond and into the pelvic cavity.

These pieces of the endometrium are then implanted outside of the uterus, and will bleed during subsequent menses. This means that there is menstrual blood outside of the uterus which the body sees as a foreign invader; the body doesn’t recognise it outside of the uterine cavity. This creates inflammation and pain, and triggers an auto-immune response.

This also can create an oestrogen-dominant state within the body, because of the excess oestrogenic tissue outside the uterine cavity.

Endometriosis doesn’t just create “period pains” and heavy bleeding. It also can have a huge impact on reproductive health, digestive health and bowel movements, urinary and bladder health, mental/emotional health. It can also cause fatigue, shortness of breath, nausea, vomiting, and pain.

In Traditional Chinese Medicine principles, we need to move Liver Qi Stagnation and clear Blood Stasis. This means that the Qi (energy) of the body is not free-flowing, which causes pain. It also means that if these continue to stagnate then the Blood cannot flow as it should and it gets locked down.

Depending on your particular symptoms and observations an acupuncture prescription will be created to help encourage the restoration of balance within the body.

If you prefer a Reflexology approach, then Reflexology Lymph Drainage could be the sequence of choice. This sequence specifically targets the lymphatic reflexes on the feet, with the intention of modulating the immune system (the white blood cells of the immune system live in the lymphatic fluid) and reducing the inflammatory effect on the body.

Some lifestyle interventions you can do to help yourself:

Do not wear tampons. These block the natural downward movement of menstrual blood.
Do not have intercourse during your period and the post-partum period.
Do less exercise during menses.
Avoid pelvic examinations and abdominal massage/pressure during menses.
Avoid exposure to cold water during menses.
Eat an anti-inflammatory diet, increasing your intake of phyto-nutrients, fruit and vegetables, nuts and seeds, and reducing refined sugars, alcohol, caffeine.
Remove all oestrogen-mimicking plastics and personal care products from your home. Anything from synthetic fragrances, plug-ins, candles, food stored/cooked in plastics, washing plastic tupperware/bowls/cups in really hot water and with a harsh detergent, switch to more environmentally friendly cleaning products and glass tupperware. See my other post on detoxing holistically.

For more information please see my other blog post.

How can I increase my chances of IVF success?

December 14, 2023February 4, 2025 by JMReflex, posted in Acupuncture, AMH, Fertility, fertility acupuncture, ICSI, IVF, Male Factor, Pregnancy, Stress, Stress, TCM

IVF is a process which shouldn’t be taken lightly. It is hard on couples from all angles; emotionally, mentally and physically.

The drugs used are heavy duty; creating all sorts of side effects and mood swings. The process involves physical incisions through the vaginal wall and on the ovaries – multiple cuts in fact – depending on how many follicles you have. A lot of energy is required for your body to heal. You will also be sedated and this can take time to recover from.

Then there is the agonizing wait to see if any eggs fertilized, and how well they develop to day 5 where you will then have another procedure to transfer the embryo into your womb. And the 2 week wait begins, alongside more drugs.

It is an emotional roller coaster and exhausting; taxing mentally and physically with trips in and out of the clinic for tests and scans.

For such a consuming process, wouldn’t you want to prepare the best that you can to maximise your chances of success? Its not something you should walk into without first fully investigating what the problems are with your inability to conceive naturally, and to really prepare your body and the environment within which your eggs are recruited and collected, and then transferred back for implantation and ongoing pregnancy.

Preparation is key when it comes to IVF success. Don’t allow a fertility clinic to use your first round as a diagnostic; that’s way too expensive both financially and for your health and overall wellbeing.

Find someone to help you through the process and work with a specialist who can take a deep dive into your lifestyle and nutrition, and offer you acupuncture as part of your preparation program.

Contact me for an initial chat and start your preconception journey with me today.

Does ICSI have all the answers?

September 22, 2023September 25, 2023 by JMReflex, posted in Acupuncture, Fertility, fertility acupuncture, Health & Wellbeing, Healthy eating, hydration, ICSI, IVF, jing, Male Factor, Nutrition, Reflexology, Sleep, Stress, Supplements, supplements, TCM, water

Since the advent of ICSI (Intracytoplasmic Sperm Injection) problems with male factor in infertility can be addressed and bypassed with this procedure. The ICSI procedure allows particular sperm to be selected for use and manually injected into the egg by the embryologist using a microscopic needle.

But does ICSI always give us the best outcomes?

If the quality of sperm is sub-optimal, the question one has to ask is what impact will this have on the ongoing pregnancy and health of the child going forward?

In Traditional Chinese Medicine (TCM) our Jing is the substance we inherit from our parents at the moment of conception. Our Jing fuels our growth and development not just through conception and prenatal growth, but all through our lives from infancy to puberty, adulthood and beyond. Jing dictates our constitution and vitality as we move and age through life.

So if we completely disregard the quality of the sperm in favour of the ICSI procedure, what impact will have on the health of the life created? If a sperm is unable to penetrate an egg on its own, what does that say about the underlying Qi of that sperm?

So although ISCI is a wonderful and exceptional advancement in fertility medicine and assisted reproductive techniques, I do believe it should be firmly balanced with other perspectives of male health and vitality.

Sperm are continually created within the body, so taking a break for around 3 months before the next round of IVF is an optimal amount of time to put lifestyle changes in place. Dietary, lifestyle and nutritional changes can have a huge impact on sperm quality.[1] Taking this time and making this effort to improve the underlying Qi and Jing that is passed onto the next generation is fundamentally important. Things to consider:

Stop smoking/vaping;
Reduced consumption of refined sugars, processed foods,
Reduced consumption of alcohol;
Increased consumption of a wide variety of vegetables and fruit;
Take regular exercise;
Increased water intake;
Reduce the use of plastics for cooking and water/food storage (switch to glass)
Supplement with a good quality preconception multivitamin to include zinc, selenium, omega 3 fatty acids, antioxidants;
Reduce stress (look at meditation, reflexology, acupuncture, spending time in nature);
Keep mobile phone away from body [2];
Ejaculate frequently [3].

Other options to explore before diving straight into IVF/ICSI:

Having a full examination to rule out varicocele, hydrocele and other physical abnormalities;
Bloods taken for a full hormone profile;
Checking the microbiome to rule out any infection which might be causing levels of damage to the sperm.

“Mounting evidence suggests that the gut microbiome plays a key role in normal spermatogenesis and can be negatively impacted by diet and environmental perturbations.” [3]

Of course, every couple is individual, and factors such as age, for example, will also determine your route to IVF and ICSI.

If you are looking for fertility support in Lancashire please get in touch.

If you would like support through your fertility/IVF/ICSI journey with acupuncture please get in touch.

References

[1] https://pubmed.ncbi.nlm.nih.gov/32397485/

[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7848840/

[3] https://rbej.biomedcentral.com/articles/10.1186/1477-7827-10-115

[4] https://www.fertstertreviews.org/article/S2666-5719(23)00001-4/fulltext

PMS and it’s extremes

September 19, 2023February 4, 2025 by JMReflex, posted in Acupuncture, Healthy Snacks, Menstrual Cycle, mental health, Nutrition, Pain management, Reflexology, Stress, Supplements, supplements, TCM, Yin and Yang

Woman experiencing severe menstrual cramping.

Approximately 90% of women suffer from Premenstrual Syndrome (PMS) at some point in their lives. During the few days leading up to menstruation can present with all sorts of symptoms such as bloating, irritability, frustration, anger, back ache, acne, abdominal cramping and pain, feeling tearful and emotional, as well as anxious and depressed.

Every cell in our body has a hormone receptor, so PMS can be attributed to over 200 symptoms as fluctuating hormone levels can have an impact everywhere in the body. These may be symptoms you only experience during the build up to your period, or perhaps these are symptoms you already experience, but are exacerbated at this time of your cycle.

In TCM terms, the luteal phase of your cycle e.g. the second half of your cycle between ovulation and your period, is when your body is at its most Yang. It is the part of the cycle where there is the most energy. Your body is gearing up for the possibility of a pregnancy with the surge of progesterone helping to really plump up the uterine lining for an embryo to implant. This surge of hormone and surge of energy can make us feel energised and productive, however as this starts to wane and drop just before our period starts, can suddenly leave us feeling depleted. The smooth flow of Qi is now not so smooth, as the progesterone starts to dip and body temperature starts to drop, our overall hormone levels can quickly leave us feeling grumpy and moody, and present us with physical symptoms too.

Switching between the Yang half of our cycle to the Yin half i.e. our menses, can create Qi stagnation. Getting to know your cycles by charting on a calendar, or Basal Body Temperature (BBT) charting can really help you to understand what is going on inside your body, help you identify symptoms and mood changes, and shed light onto areas that perhaps might need further attention.

For example, some people do not just suffer with “regular” PMS, but can experience more extreme versions such as Premenstrual Dysphoric Disorder (PMDD) and Premenstrual Exacerbation (PME). These extreme versions of PMS can be very difficult to deal with and manage on a monthly basis. “Experiencing PMDD can make it difficult to work, socialise and have healthy relationships. In some cases, it can also lead to suicidal thoughts.”1

Understanding your own personal cycle, the length of your follicular and luteal phases, and looking at your BBT throughout your cycle can open up possibilities to improve symptoms you’re experiencing. You might discover that phases of your cycle are too long/short or your temperature is not high enough or too high for example.

Supporting progesterone can help with PMS. To support progesterone production and your luteal phase, add more nutrient dense calories into your diet at this phase of your cycle. After all, your body is gearing up for a potential pregnancy, and some women find that they are hungrier at this time. Adding more protein, and looking at using adaptogens such as Ashwaganda to help manage stress and change. “Adaptogens are the umbrella term for fungi and plant-derived compounds that help the body adapt to stress.”[2] Magnesium is also said to help, as many of us are depleted in magnesium and it is involved in a myriad of daily bodily functions. Using a topical spray or adding in Epsom Salts to your evening bath are easy ways to get magnesium into your body. Magnesium often becomes low as a result of stress. [3]

Managing stress is also key to supporting your luteal phase. Booking in for regular reflexology or acupuncture can offer you the opportunity to feel relaxed and receive some downtime already scheduled into your diary. With acupuncture in particular, treating throughout the cycle can help you regulate and improve your quality of life. Vitamin B complex supports the body’s ability to handle stress. [3]

Understanding your cycle can help you to prepare and plan for what might be up ahead. Scheduling your diary around your cycle can help you to be more productive when you are feeling at your most energised, and avoid difficult social situations when you’re likely to be feeling fragile. You can also use your cycle to help with meal planning and snacking, and scheduling in more gentle exercise within the luteal phase.

If you would like fertility support in Lancashire and to book in with me please get in touch.