Chemotherapy and Radiation Support
Reduce nausea, fatigue, and pain from chemotherapy and radiation therapy.

Acupuncture During Cancer Treatment Has More Evidence Than Almost Any Other Use of Acupuncture
If you're going through chemotherapy, radiation, immunotherapy, hormonal therapy, or recovery from cancer surgery — acupuncture and integrative supportive care have a meaningful role alongside your oncology treatment. The evidence base here is unusually strong: major cancer centers including Memorial Sloan Kettering, MD Anderson, Dana-Farber, and many others integrate acupuncture into their supportive care because the research consistently shows benefit for chemotherapy-induced nausea, neuropathy, fatigue, hot flashes, joint pain, anxiety, and sleep disruption.
This page is about supportive care alongside oncology. We work in close coordination with your oncology team — we don't replace cancer treatment, recommend stopping or modifying chemotherapy or radiation, or claim to treat cancer itself. Our role is to support you through treatment, manage side effects, and help your body do the work of recovery and healing.
What we offer is targeted, evidence-based, and oncology-coordinated. Patients in active treatment, in survivorship, and in palliative care all benefit from different aspects of integrative supportive care.
What Cancer Treatment Does to the Body
Effective cancer treatment is necessarily aggressive. Chemotherapy targets rapidly dividing cells — cancer cells but also gut lining, hair follicles, immune cells, and other rapidly-renewing tissues. Radiation damages DNA in targeted areas, killing cancer cells but also affecting nearby normal tissues. Immunotherapy mobilizes the immune system, sometimes producing autoimmune-like side effects. Hormonal therapy alters the hormonal landscape. Surgery produces tissue trauma and recovery demands.
The common side effect patterns:
Chemotherapy-induced nausea and vomiting (CINV). Both acute (first 24 hours) and delayed (days 2-7). One of the most extensively researched applications of acupuncture, with strong evidence for both prevention and treatment of CINV.
Chemotherapy-induced peripheral neuropathy (CIPN). Numbness, tingling, pain, and motor symptoms in hands and feet from neurotoxic chemotherapy (taxanes, platinums, vincristine, others). Often persistent. Acupuncture has documented benefit and is increasingly used in cancer centers.
Cancer-related fatigue. Different from ordinary fatigue — deeper, less responsive to rest, multifactorial in cause. Affects most patients in treatment and many in survivorship.
Hot flashes and vasomotor symptoms. From chemotherapy-induced ovarian failure, hormonal therapy (tamoxifen, aromatase inhibitors), or surgical menopause. Often severe and persistent. Acupuncture has direct evidence.
Aromatase inhibitor-induced joint pain. Common cause of medication discontinuation in breast cancer survivors on aromatase inhibitors. Acupuncture has substantial evidence and is recommended in oncology guidelines.
Radiation-induced xerostomia. Dry mouth from radiation to head and neck. Acupuncture has direct evidence for symptom improvement.
Anxiety, depression, sleep disruption. Common in cancer treatment and survivorship. Multifactorial — medications, diagnosis impact, treatment burden, hormonal shifts, life disruption.
Surgical recovery. Pain, scarring, lymphedema (especially after lymph node dissection), restricted range of motion.
Cognitive symptoms ("chemo brain"). Real, measurable, often persistent. Multifactorial cause.
Lymphedema. Persistent swelling after lymph node removal or radiation, especially after breast cancer treatment.
Where TCM Comes In
Chinese medicine has frameworks that map onto cancer treatment side effects in clinically useful ways.
Spleen and Stomach Qi Deficiency. Nausea, fatigue, poor appetite, weight loss, weak digestion. Common during chemotherapy. Treatment tonifies spleen and stomach.
Damp-Heat with Spleen Deficiency. Diarrhea, mucus, oral mucositis. Treatment clears damp-heat and supports spleen function.
Qi and Yin Deficiency. The classic post-chemotherapy or post-radiation pattern — fatigue, dryness, depleted qi and fluids. Treatment tonifies qi and yin.
Blood Deficiency. Fatigue, pallor, dizziness, low counts. Treatment nourishes blood.
Kidney Yin or Yang Deficiency. Hot flashes (yin deficiency) or cold patterns (yang deficiency) from treatment-induced menopause. Treatment addresses the specific pattern.
Wind-Damp Bi. The neuropathy pattern — numbness, tingling, sometimes pain. Treatment clears wind-damp and supports the channels.
Liver Qi Stagnation. Stress, anxiety, sleep disruption, the emotional impact of diagnosis and treatment. Treatment soothes liver qi.
How We Approach Cancer Supportive Care
This work is collaborative with oncology. We coordinate with your oncologist, ensure they know about treatment, and stay within boundaries appropriate for active oncology care.
Acupuncture for the specific symptoms most affecting you. Different protocols for nausea, neuropathy, hot flashes, joint pain, fatigue, and anxiety. The evidence base is strong and the side effect profile is excellent. Treatment is often timed around chemotherapy cycles for maximum support.
Chinese herbal medicine. Here we are particularly cautious. Some herbs interact with chemotherapy or hormonal therapies, some can affect liver enzymes that metabolize chemotherapy. We typically defer most internal herbal medicine during active chemotherapy and resume after treatment completes — with your oncologist informed and any specific concerns addressed. Topical herbal applications (for radiation skin care, scar healing) are usually fine.
Functional medicine workup. Inflammatory markers, vitamin D status, methylation, omega-3 index, thyroid function (often disrupted by treatment), gut function evaluation. Targeted lab work to identify nutritional gaps.
Targeted nutritional support. Coordinated with oncology. Some supplements are recommended; some are contraindicated during specific treatments (especially antioxidants during certain chemotherapy and radiation — evidence is mixed and we err on the side of caution). Core supportive nutrients with consensus support: vitamin D, magnesium, methylated B-complex if deficient, omega-3s (often supportive). Always discussed with the oncology team.
Lymphedema support. Manual lymphatic drainage, compression, exercises, and acupuncture. We coordinate with certified lymphedema therapists when needed.
Sleep, anxiety, and emotional support. Specific protocols for cancer-related anxiety, sleep disruption, and the emotional weight of treatment.
Survivorship care. The transition out of active treatment is its own phase, often with its own challenges — ongoing fatigue, cognitive effects, hormonal disruption, fear of recurrence, identity changes. Long-term integrative support during survivorship has a meaningful role.
Pre-treatment optimization. When patients have time before starting treatment, building up nutritional status, addressing comorbidities, and preparing the body can improve treatment tolerance.
Coordination of care. We communicate with oncology when appropriate, share treatment notes if you wish, and stay within scope. We never recommend stopping or modifying chemotherapy, radiation, hormonal therapy, or other oncology treatment without that physician's involvement. We are part of your team — not an alternative to it.
When to Consider Us
- You're starting chemotherapy or radiation and want supportive care alongside it
- You have chemotherapy-induced nausea that isn't well-controlled
- You have peripheral neuropathy from chemotherapy
- You're on aromatase inhibitors and have joint pain affecting quality of life
- You have hot flashes from cancer treatment-induced menopause or hormonal therapy
- You have radiation-induced dry mouth (xerostomia)
- You have cancer-related fatigue affecting function
- You're recovering from cancer surgery and want support for healing
- You're in survivorship and dealing with persistent treatment effects
- You have lymphedema after lymph node dissection or radiation
- You're newly diagnosed and want to optimize your body before treatment begins
- You're in palliative care and want comfort and quality-of-life support
Selected References
- Lu, W., et al. (2008). The value of acupuncture in cancer care. Hematol Oncol Clin North Am, 22(4), 631–648.
- Hershman, D. L., et al. (2018). Effect of acupuncture vs sham acupuncture or waitlist control on joint pain related to aromatase inhibitors among women with early-stage breast cancer: A randomized clinical trial. JAMA, 320(2), 167–176.
- Garcia, M. K., et al. (2013). Systematic review of acupuncture in cancer care: A synthesis of the evidence. J Clin Oncol, 31(7), 952–960.
- Lyman, G. H., et al. (2018). Integrative therapies during and after breast cancer treatment: ASCO endorsement of the SIO clinical practice guideline. J Clin Oncol, 36(25), 2647–2655.
- Hershman, D. L., et al. (2013). Randomized controlled trial of a clinical intervention to enhance compliance with adjuvant endocrine therapy in women with early-stage breast cancer. J Clin Oncol, 31(31), 4044–4052.
- Greenlee, H., et al. (2017). Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA Cancer J Clin, 67(3), 194–232.

