Thursday, February 8, 2018

How Traditional Chinese Medicine treats Anxiety

Anxiety disorders are the most common mental illness in the U.S. 40 million adults in the United States age 18 and older, or 18.1% of the population are affected every year.
I have been hearing a lot from patients about their anxiety and their children’s anxiety

Traditional Chinese Medicine (TCM) sees Anxiety as one of two main imbalances
Deficiency of blood or yin.
When there is def of blood or yin, the mind or ethereal soul loses it's residence in the heart. 
The person becomes anxious and has insomnia.
This can be alleviated by yin nourishing points, Chinese herbs and even foods that nourish the yin

The second major imbalance is Heat. Heart heat is a commonly seen in the clinic and can be diagnosed by a red tongue tip, and a strong wiry pulse.

I love how T.C.M. treats anxiety because by seeing the problem as an imbalance, it gives the patient something tangible to work with. Helping a person toward balance will help them feel better all around.

There have been a number of studies that show anxiety reduction by acupuncture.

Last year a study in china used 2 acupuncture points yin tang and gv20 and electroacupuncture, for depression, study showed significant decreases in depression and anxiety. Or pain related depression and anxiety

One study using acupuncture and Beagles and the sounds of thunder found that acupuncture prior to
sound stimulus can reduce cardiac autonomic and behavioral responses,

One of the ways acupuncture can help is it can switch the autonomic nervous system from the sympathetic state or the fight or flight state, to the parasympathetic or “rest and digest state.
In other words when you can relax, your digestion works better and you can generally heal better.  
Acupuncture activates the body's own healing mechanisms, affecting the part of the brain that governs serotonin,and endorphins.
In Acupuncture The heart is thought of as an emotional and spiritual organ system.
Points on the heart meridian can be used for anxiety. There are also points called  “calm spirit” on other meridians.

Monday, January 4, 2016

Question form

Please copy and paste this, and write in the answers and send it to me at

What is your biggest complaint/s?

When did the problem begin?

Secondary or other complaints?

To what extent does your problem interfere with your daily life, sleep, exercize?

Have you been diagnosed for the problem? If so what?


How is your digestion? appetite, bowel regularity, constipation? Diahrea?

How is your energy?


Catch colds easily?  or allergies? either airborn or digestive?

Depression, irritability, anxiety or anger?

Food cravings?

Feelings of numbness or tingling?


Are you hot or cold all the time?

Sunday, May 31, 2015


I find that a simple step to take when you are having trouble getting pregnant is this questionaire
from the book "The infertility cure" by Randine Lewis

check mark the complaints you have

Kidney Yin deficiency

__Do you have lower back weakness, soreness or pain?
__Do you have knee problems?
__Ringing in the ears or dizziness?
__premature grey hair?
__Vaginal dryness
__Is your midcycle fertile cervical mucus scanty or missing
__Do you have dark circles around or under your eyes?
__Do you have night sweats?
__Hot flashes?
__Are you afraid a lot?
__Does your tongue lack coating? Does it appear shiny or peeled?

Kidney Yang Deficiency
__Do you have lower back pain premenstrually?
__Is your low back sore or weak
__Are your feet cold especially at night?
__Are you typically colder than those around you?
__Is your libido low?
__Are you often fearful?
__Do you wake up at night or early in the morning because you have to urinate?
__Do you urinate frequently or is the urine diluted and or profuse?
__Do you have early morning loose, urgent stools?
__Do you have profuse vaginal discharge?
__Does your menstrual blood tend to be dull in color?
__Do you feel cold cramps during your period that respond to a heating pad?
__Is your tongue pale, moist or swollen?

Spleen Qi deficiency
__Are you often fatigued?
__Do you have a poor appetite?
__Is your energy low after a meal?
__Do you feel bloated after eating?
__Do you crave sweets?
__Do you have loose stools, abdominal pain or digestive problems?
__Are your hands and feet cold?
__Is your nose cold?
__Are you prone to feeling heavy or sluggish?
__Prone to grogginess in the head?
__Do you bruise easily?
__Do you think you have poor circulation?
__Do you have varicose veins?
__Are you lacking strength in the arms and legs?
__Are you lacking in exercise?
__Are you prone to worry?
__Have you been diagnosed with low blood pressure?
__Do you sweat a lot with out exerting yourself?
__Is your menstruation thin, watery, profuse or pinkish color?
__Are you more tired around menstruation or ovulation?
__Do you ever spot a few days before your period comes?
__Have you ever been diagnosed with uterine prolapse?
__Are your menstruation cramps accompanied by a bearing down sensation in your uterus?
__Are you often sick or do you have allergies?
__Have you been diagnosed with hypothyroid or anemia?
__Do you have hemorrhoids or polyps?
__Does your tongue look swollen with teeth marks on the sides?
__Do you have a pale, yellowish complexion

Blood Deficiency
__Are your menses scanty or late?
__Do you have dry, flaky skin?
__Chapped lips a lot?
__Are your finger or toenails brittle?
__Are you losing hair on your head (not in patches but all over)
__Is your hair brittle or dry?
__Do you have diminished nighttime vision?
__Do you get dizzy or lightheaded around your period?
__Are your lips, the inner side of your lower eyelid, or your tongue, pale in color?

Blood Stasis
__Do you feel midcycle pain around your ovaries?
__Do you have painful, unmovable breast lumps?
__Do you experience periodic numbness of the hands and feet (especially at night)
__Do you have varicose or spider veins?
__Do you have red hemangiomas ( cherry red spots) on your skin?
__Do you have chronic hemorrhoids?
__Does your menstrual blood contain clots?
__Have you been diagnosed with endometriosis or fibroids?
__Is your lower abdomen tender to palpation (resisting touch)?
__Can you feel any abnormal lumps in your lower abdomen?
__Do you have piercing or stabbing menstual cramps?
__Does your tongue look dark?
__Do you have dark spots on your tongue?
__Are the veins under your tongue twisty and tortuous?
__Do you have dark spots in your eyes?
__Have you been diagnosed with any blood clotting disorder or vascular abnormality?

Liver qi stagnation
__Are you prone to emotional depression?
__Are you prone to anger and or rage?
__Do you become irritable premenstually?
__Do you feel bloated or irritable around ovulation?
__Does it feel as if your ovulation lasts longer than it should?
__Are your breasts sensitive/sore at ovulation?
__Do you experience nipple pain or discharge from your nipples?
__Do you have a lot of premenstual breast distention or pain?
__Do you become bloated premenstually?
__Are your pupils usually dilated and large?
__Do you have difficulty falling asleep at night?
__Do you experience heart burn or wake up with a bitter taste in your mouth?
__Are your menses painful?
__Do you feel your menstual cramps in the external genital area?
__Is the menstual blood thick or dark or purple in color?

Heart deficiency
__Do you wake up in the early morning and have trouble going back to sleep?
__Do you have heart palpitations especially when anxious?
__Do you have nightmares?
__Do you seem lacking in vitality or low in spirit?
__Are you prone agitation or extreme restlessness?
__Do you fidget??
__Is the tip of your tongue red
__Is there a crack in the center of your tongue that extends to the center?
__Do you sweat excessively especially on your chest?

Excess Heat
__Is your pulse rapid?
__Are your mouth and throat usually dry?
__Are you thirsty for cold drinks most of the time?
__Do you feel warmer than those around you?
__Do you wake up sweating or have hot flashes?
__Do you break out with red acne especially premenstually?
__Do you have a short menstrual cycle?
__Do you have vaginal irritation or rashes?

__Do you feel tired and sluggish after a meal?
__Do you have fibrocystic breasts?
__Do you have cystic or pustular acne?
__Do you have urgent, bright or foul smelling stools?
__Does your menstual blood contain mucous?
__Are you prone to yeast infections or vaginal itching?
__Do your joints ache, especially with movement?
__Are you overweight?
__Do you have a wet slimy tongue?

Damp Heat
__Do you have signs of heat and dampness from the above questions?
__Do you have yellow or foul smelling vaginal discharge?
__Are you prone to vaginal and or rectal itching during your luteal (or premenstrual) phase?

Cold Uterus
__ Do you fit the kidney yang deficiency category?
__Do you fall into the blood stasis pattern?
__Does your lower abdomen feel cooler to the touch than the rest of your abdomen?


Monday, October 13, 2014

W.H.O. List of conditions effectively treated by acupuncture

In 2003 the World Health Organization (WHO) and the National Institutes of Health (NIH) released a report called “Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials.” Below you will see a list of the conditions mentioned in that report.
Please note that there are plenty of additional conditions which centuries of empirical data have shown acupuncture treats effectively but for which there is little or no modern western research. If you have questions about a condition not listed below, be sure to contact me so I can address your specific situation.

Psychological Conditions
  • Depression
  • Anxiety
  • OCD
  • PTSD
  • Somatization disorder
  • Hypersomnia
  • Insomnia
Neurological Conditions
  • Headache and migraine
  • Trigeminal neuralgia
  • Facial palsy (early stage, within three to six months)
  • Paresis following stroke
  • Peripheral neuropathies
  • Meniere’s Disease
  • Nocturnal enuresis
  • Cervicobrachial syndrome
  • Neurogenic bladder dysfunction
  • Intercostal neuralgia
  • Disc problems
Musculo-skeletal Conditions
  • Muscle pain, swelling, stiffness and weakness
  • Localized traumatic injuries, sprains, strains, tendinitis, contractures
  • Arthritis
  • Fibromyalgia
  • Work and sports related injuries
  • Low back and/or neck strain
  • Osteoarthritis
  • “Frozen shoulder”, “tennis elbow”
  • Sciatica
Respiratory System Conditions
  • Acute sinusitis
  • Acute rhinitis
  • Common cold and allergies*
  • Acute tonsillitis
  • Acute bronchitis
  • Bronchial asthma
Conditions of the Eye, Ear, Nose & Mouth
  • Acute conjunctivitis
  • Central retinitis
  • Myopia (in children)
  • Cataract (without complications)
  • Toothaches, post extraction pain
  • Gingivitis
  • Acute and chronic pharyngitis
Gastrointestinal Conditions

  • Spasms of esophagus and cardiac
  • Irritable bowel and colitis
  • Gastroptosis
  • Acute and chronic gastritis
  • Gastric hyperacidity (i.e. acid reflux)
  • Chronic duodenal ulcer (pain relief)
  • Acute duodenal ulcer (without complication)
  • Acute and chronic colitis
  • Constipation
  • Diarrhea
  • Acute bacillary dysentery
  • Paralytic ileus
Gynecological Conditions

  • Infertility *
  • PMS
  • Dysmenorrhea
  • Menopause syndrome
  • Benign irregular menstruation
  • Benign amenorrhea
Cardiovascular Conditions

  • Essential hypertension
Other Conditions

  • Withdrawal from street and pharmacological drugs
  • Appetite suppression


 Sarah has been the most wonderful therapist since our first session more than 5 months ago.  She is a true professional, bringing skill, experience, knowledge and compassion to her craft.  Sarah listens intently, displays the utmost respect for my feelings and concerns, and is proactive in suggesting various approaches to treat my specific issues. 
 I've interacted with many other skilled therapists over the last 10 years, but Sarah stands out among these highly trained professionals.  I always feel SO much better, with long-lasting effects, after a session with her.  I give her my utmost recommendation, and strongly encourage everyone to seek her wise counsel and therapeutic services. 
-Mary Johnson

I cannot speak highly enough about Sarah. I am an artist, working mostly in clay, and my carpel tunnel was causing me pain and discomfort. I had a hard time working. After physical therapy, anti-inflamitories, and electric muscle stimulation, recommended by my doctor, I had little relief. After the first sessions of clinical massage and acupuncture from Sarah I felt amazing relief! No Pain and no tightness! After a few more treatments my hands were back to their former glory! Now I see her every few months and each time I leave feeling renewed. Beyond her technical skill she is a joy to see and she really listens to you and your concerns.
-Shannon Roman

When I had the good fortune of meeting Sarah in 2009, I had been suffering for nearly a year with severechronic pain in my low back, hips, and legs. A vehicle collision resulted in herniated, ruptured discs in my lumbar spine and severe sciatica on both sides from my gluteal muscles all the way to my toes. At that time, I had already been through a dozen pain management doctors, chiropractors, and massage therapists, all of which seemed to have a one-size-fits-all approach to treatment, and none of which gaveme any relief. On most days, the pain kept me in bed and I was unable to do even the most basic daily tasks, such as reaching down to tie my shoelaces, or pulling the blankets up to make the bed. At only age35, I had mentally and emotionally resigned myself to somehow learning to accept a life of severe chronic pain. Sarah was the first care provider who I truly felt was compassionate about my plight, who listened with such great attentiveness to what I was going through, and who put much time and thought into developing a treatment plan that would not only give me relief from the physical pain, but most importantly – hope for a better quality of life, mentally and emotionally. Her multifaceted approach for me focused primarily on deep tissue massage targeted to specific areas of pain and trigger points, rather than the same generic whole-body relaxation massage that all other therapists before her had used. This, coupled with myofascial release, acupuncture, guasha, cupping, Chinese herbs, nutritional recommendations, and a genuinely concerned listening ear finally brought me the relief I so desperately needed. She taught me appropriate exercises, stretches, and adjustments in movement for daily tasks to control inflammation and muscle spasms. On days when I was in too much pain to get out of bed, Sarah cheerfully brought her massage table to me, and was more than happy to provide treatments for me in my home. Most importantly, working with Sarah led me to decide against the spinal fusion surgery that four different neurosurgeons had recommended, which, had I gone through, I am convinced would have eventually bound me to a wheelchair.Choosing Sarah’s approach over pain medications and surgical intervention, she was my only care provider for three years, and I consider her a miracle worker. Today, I can walk, skip, jump, get on a plane, and hike in the hills. Today, I can put on my own socks and do my own laundry and make my own bed. Today, I can pick up my 2-year old nephew and swing him around in the air. There are no words to express the depth of my gratitude, but I thank her daily, from the core of my being, for her relentless dedication in helping me heal. Sarah gave me back my life, when I had no hope. Imagine what she can do for you.- Jennifer Huntley

Sarah is amazing she is a tiny girl who somehow can do really deep pressure if you need it.  She has an amazing personality and I am happy to call her a friend.  
-Holly Leach

Acupucture, Chinese herbs, deep tissue Massage

Hello I'm Sarah Marie Palazzolo. I have a masters degree in Chinese medicine, a certification in Chinese herbs and a license in Acupuncture and Massage therapy.
I have been working in busy clinics since 2000.
I'm dedicated to getting results for even the most recalcitrant of symptoms. I have mostly focused on pain, but I have also had results in treating endocrine disorders, reproductive, infertility, allergy sinus, skin problems, eye problems, etc. I fell in love with Chinese medicine after reading "The web that has no weaver" by Ted Kaptchuck.
In the book the author describes the eastern worldview is of the body as a microcosm of nature. As a cosmos of our own.