It’s bad enough having Covid, but dealing with lingering symptoms after fighting the infection is downright unfair. Why can’t some people (actually as many as almost half of those infected ) make a clean recovery from Covid? “Long-Haul Covid” (LHC) describes a condition of covid-related symptoms that can last for months after infection, and for some, even longer. This phenomenon is currently being studied so we can better understand the how and why.

The list of possible lingering symptoms is long and conveys the reach of this virus

and its effects on nearly every system of the body: Fatigue, fever, headaches, dizziness, cough, chest pain, heart palpitations, numbness, brain fog, changes in taste and smell, sleep problems, digestive issues, joint pain, rashes, menstrual cycle disturbances, anxiety, and depression. And the list goes on. For some it may only be one stubborn disturbance, for others, it may be a debilitating combination of symptoms.

Lingering symptoms can be from direct harm done to the body by the virus. Covid can take a toll on the body from the level of organs to organelles (microscopic cellular structures) and everything in between. Damage to the body’s organs and tissues may cause various systemic long COVID symptoms. Mitochondrial damage is another focal point of research as this organelle is responsible for energy production in the body and is a target for viral damage. This is an important area of study as ‘covid fatigue’ is one of the most common long-haul symptoms.

The immune system itself can also cause harm when unregulated. Cytokine storms are an over-aggressive immune response that can lead to persisting inflammation in the body. Many people with long-haul COVID have elevated cytokine levels, suggesting hyper-inflammation plays a role in LHC.

Another possible immune response scenario is that the stress of COVID confuses the body, triggering an autoimmune response, where the immune system mistakenly attacks its own healthy cells, tissues, and organs. There are also theories that the immune system is not actually confused, but going after viral remnants that have gone deeper into hiding and our own tissues become collateral damage in this war. Another related theory proposes that COVID-19 infection could reactivate, or wake up, other viruses in the body that have gone dormant, resulting in various immune reactions.

LHC from a Chinese Medicine perspective takes into account that COVID is generally considered to be a ‘damp’ pathogen, affecting fluid balance in the body. This imbalance causes inflammation and the main symptoms of cough and fatigue. As the body works to restore balance by redistributing fluid and energy, as well as expelling the pathogen, some may need extra help depending on their constitution, environment, lifestyle and the strength/amount of the pathogen. If help is not received and the imbalance persists, it can manifest in 4 main ways.

Deficiency. The infection drained the body of qi (energy), blood, or body fluids. The key symptom of deficiency is fatigue.

Excess. Covid’s signature effect of ‘dampness’, in excess, can lead to feelings of heaviness and stiffness, as well as symptoms like diarrhea and bloating. Excess heat from the virus in the body can also manifest in things like chronic fever or red itchy rashes.

Stagnation. This is any scenario where the virus has blocked the free flow of the blood and energy in the body. In this form the prominent symptom is pain. The more severe the blockage, the more severe the pain.

Retained Pathogen/Latent Heat: Similar to the idea that viral remnants remain in the body to either confuse or overstimulate the immune system, ths Chinese Medicine concept of ‘retained pathogens’ refers to when a pathogen gets ‘stuck’ in the body, because the body is too weak to fully drive it out. It can stay at an intermediate level in the body causing flu-like symptoms (ie: body aches and fatigue), or go deeper to ‘hide out’ as “Latent Heat” to come

Acupuncture has had many years to hone its skills in treating post-viral syndromes. And while research on long covid has only just begun (and many clinical trials are currently underway) there is already a growing body of present-day evidence supporting its worth. Data collected from the British Acupuncture Council (BAcC) showed an overall positive response to acupuncture.

Many patients reported improvement with long Covid symptoms like chronic fatigue, heart arrhythmias and nausea. In another analysis of acupuncture for LHC, it was shown to help with headaches, myalgia, and abdominal pain. Preliminary findings from some of the new clinical studies show strong support for the role of acupuncture in the treatment of post-COVID syndrome.

One study involving 85 patients found that over 70% were cured of irregular menstruation, while over 80% of all participants were cured of fatigue, shortness of breath, body pain and/or brain fog.

So how is it actually helping, from a biomedical perspective?

Here we’ll look at 2 main mechanisms of action relevant to the current understanding of LHC.

IMMUNE REGULATION

The latest research suggests that acupuncture’s overall regulatory effects come from its interaction with our nervous and immune system and this gives it the upper hand in dealing with LHC. Through its ability to stimulate or sedate immune function, evidenced by measurable changes in various immune cells, it can both help to fight infections and calm any immune over-reactions. When acupuncture successfully regulates immunity, it in turn protects the cells, tissues and organs from further harm from infection and inflammation, and allows the body to shift into healing and repair mode.

MITOCHONDRIAL SUPPORT

The mitochondria is an intracellular structure that is known as the ‘powerhouse’ of the cell because it is the site of ATP (energy) production. Viral diseases, like SARS-CoV-2,

are known for their ability to disrupt the intracellular environment, with a special focus on our little energy factories. Not only does this activate inflammatory pathways via the immune system, it of course deprives the body of energy leading to what many know as “covid fatigue” and “brain fog”.

Increasing evidence supports the efficacy of acupuncture for improving the mitochondrial structure and protecting mitochondrial functions. Acupuncture intervention has even been shown in numerous studies to reverse mitochondrial damage. Acupuncture, with very few side effects, is known in TCM to boost qi (energy) and its role in mitochondrial support looks like it could be one of the main ways it accomplishes this.

If you are dealing with Long-Haul Covid, it’s been long enough! We can address the specific patterns and factors that have prevented full recovery and help bring you back into a state of balance and health.

Please stay well and healthy. Have a merry Christmas and Happy New Year for You!