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IBD

14 augustus 2025

IBD, ofwel Inflammatory Bowel Disease, is een verzamelnaam voor chronische ontstekingsziekten van het maag-darmkanaal. De bekendste vormen zijn de ziekte van Crohn en colitis ulcerosa. Deze aandoeningen worden gekenmerkt door terugkerende ontstekingen van de darmwand, wat leidt tot diarree, buikpijn, bloedverlies, vermoeidheid en gewichtsverlies. IBD treft vaak mensen tussen de 15 en 35 jaar, maar kan op elke leeftijd ontstaan.

In de westerse geneeskunde richt de behandeling zich op het onderdrukken van ontstekingen en het voorkomen van opvlammingen. De Traditionele Chinese Geneeskunde (TCM) benadert IBD als een interne disharmonie tussen organen zoals de Milt, Nier en Lever, waarbij pathogene factoren zoals Damp-Hitte, interne Wind of koude de darmen binnendringen. TCM streeft naar herstel van de balans en versterking van het verzwakte verteringssysteem.

Oorzaken, symptomen en westerse behandeling

Symptomen

Chronische of terugkerende diarree
Buikpijn, krampen
Bloed of slijm in de ontlasting
Gewichtsverlies
Vermoeidheid
Koorts bij opvlammingen
Ontstekingen buiten de darmen (bijv. huid, ogen, gewrichten)

Oorzaken

Auto-immuunreactie tegen darmweefsel of darmflora
Genetische aanleg
Leefstijl- en omgevingsfactoren: stress, roken, voeding
Darmdysbiose (verstoorde darmflora)

Westerse behandeling

Ontstekingsremmers (5-ASA, corticosteroïden)
Immuunsuppressiva (azathioprine, methotrexaat)
Biologicals (TNF-α-remmers, interleukineremmers)
Antibiotica bij secundaire infecties
Chirurgie bij complicaties zoals vernauwingen of fistels
Leefstijladviezen: voeding aanpassen, stress beperken

TCM-visie op IBD

In de TCM wordt IBD meestal geclassificeerd als “chang pi” (darmzwakte), “xie xie” (diarree), of “xue bian” (bloederige ontlasting). De onderliggende patronen worden gezien als een combinatie van:

Milt-Qi leegte: zwakke spijsvertering, dunne ontlasting, vermoeidheid
Damp-Hitte in de Darmen: diarree met slijm of bloed, stinkende ontlasting, buikpijn
Lever-Qi stagnatie: klachten verergeren bij stress of emoties
Nier-Yang leegte: ochtenddiarree, koudegevoel, zwakke onderrug

De behandeling is gericht op:

Versterken van de Milt en Nier
Reguleren van Lever-Qi
Transformeren van Damp en klaren van Hitte
Herstellen van darmfunctie en Qi-bloedcirculatie

Oost en West: een gecombineerde aanpak

Een integratieve benadering combineert het beste van twee werelden:

Westerse therapie onderdrukt ontstekingen en voorkomt complicaties
TCM richt zich op het versterken van het interne systeem en vermindert terugval

Samen kunnen zij de frequentie van opvlammingen verlagen, de levenskwaliteit verbeteren en bijwerkingen beperken.

TCM-behandelingen bij IBD

Acupunctuur

Acupunctuur helpt bij het reguleren van de darmfunctie, het verminderen van ontsteking en het versterken van de spijsvertering.

Belangrijke punten:

ST-36 (Zusanli) – versterkt de Milt en algemene Qi
SP-9 (Yinlingquan) – drijft Damp af
LR-3 (Taichong) – ontspant Lever-Qi
CV-6/12 – versterkt de vertering en harmoniseert het abdomen
BL-20/23 – stimuleert Milt- en Nierfunctie

Chinese kruidenformules

Shen Ling Bai Zhu San – bij diarree door Milt-Qi leegte
Huang Lian Jie Du Tang – bij Damp-Hitte in de Darmen
Tong Xie Yao Fang – bij Lever-Milt disharmonie
Si Shen Wan – bij ochtenddiarree door Nier-Yang leegte

TuiNa-massage en moxa

Bij verzwakte spijsvertering kunnen moxa en buikmassage helpen om de Qi te stimuleren en de darmen te harmoniseren.

Voedings- en leefstijladviezen

Aanbevolen:

Warm, licht verteerbaar voedsel zoals rijst, soep, pap
Miltversterkende voeding: zoete aardappel, pompoen, gierst
Gember, kurkuma, kaneel bij kou
Voldoende rust en regelmaat

Te vermijden:

Rauwe, koude of vettige voeding
Zuivel, suiker en alcohol
Scherpe kruiden en peulvruchten bij opvlammingen

Leefstijl:

Rustige eetomgeving, niet eten tijdens stress
Regelmatig bewegen (bijv. wandelen, Qi Gong)
Stressvermindering: meditatie, ademhalingsoefeningen

Acupunctuur & Gezondheidscentrum Chen Rotterdam

Bij Acupunctuur & Gezondheidscentrum Chen begeleiden we mensen met IBD via een holistische aanpak. Acupunctuur, kruiden, voedingsadvies en leefstijlbegeleiding worden afgestemd op het individu. Doel is vermindering van klachten, verlenging van remissies en versterking van het lichaam. Ervaar je klachten van IBD, colitis of Crohn? Neem contact op voor een intake en persoonlijk behandelplan.

Afspraak maken

Literatuurlijst

Muzammil MA, Fariha F, Patel T, Sohail R, Kumar M, Khan E, Khanam B, Kumar S, Khatri M, Varrassi G, Vanga P. Advancements in Inflammatory Bowel Disease: A Narrative Review of Diagnostics, Management, Epidemiology, Prevalence, Patient Outcomes, Quality of Life, and Clinical Presentation. Cureus. 2023 Jun 28;15(6):e41120. doi: 10.7759/cureus.41120. PMID: 37519622; PMCID: PMC10382792.
Yuan S, Wang Q, Li J, Xue JC, Li Y, Meng H, Hou XT, Nan JX, Zhang QG. Inflammatory bowel disease: an overview of Chinese herbal medicine formula-based treatment. Chin Med. 2022 Jun 18;17(1):74. doi: 10.1186/s13020-022-00633-4. PMID: 35717380; PMCID: PMC9206260.
Chang ML, Mi KL, Cunningham RR, Catterall WA, Yared MA, Siegel CA, Yen RW. The Efficacy of Traditional Chinese Medicine for Crohn’s Disease Treatment: A Systematic Review and Meta-Analysis. J Gastrointestin Liver Dis. 2025 Mar 28;34(1):98-107. doi: 10.15403/jgld-5729. PMID: 40153809.
Alblasserdams Ziekenhuis. (z.d.). Wat is IBD? https://www.asz.nl/specialismen/mdl/ibd–centrum—mdl-/wat-is-ibd-/
Centers for Disease Control and Prevention. (2023, augustus 17). What causes inflammatory bowel disease (IBD)? https://www.cdc.gov/inflammatory-bowel-disease/causes/index.html
Cleveland Clinic. (2023). Inflammatory bowel disease: Overview. https://my.clevelandclinic.org/health/diseases/15587-inflammatory-bowel-disease-overview
Crohn & Colitis NL. (z.d.). Inflammatory Bowel Disease (IBD). https://www.crohn-colitis.nl/over-crohn-colitis/inflammatory-bowel-disease-ibd/
Crohn’s & Colitis Foundation. (z.d.). What is IBD? https://www.crohnscolitisfoundation.org/patientsandcaregivers/what-is-ibd
Hopkins Medicine. (2023). Inflammatory bowel disease. https://www.hopkinsmedicine.org/health/conditions-and-diseases/inflammatory-bowel-disease
Mayo Clinic. (2023). Inflammatory bowel disease (IBD). https://www.mayoclinic.org/diseases-conditions/inflammatory-bowel-disease/symptoms-causes/syc-20353315
National Center for Biotechnology Information. (2018). Inflammatory Bowel Disease. In StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK470312/
National Health Service. (2023). Inflammatory bowel disease (IBD). https://www.nhs.uk/conditions/inflammatory-bowel-disease/

Acupunctuur & Gezondheidscentrum Chen

4.9

Gebaseerd op 220 beoordelingen

beoordeel ons op

Adriaan Dijk

08:40 29 Mar 25

After 1.5 years of problems with Achilles tendon injuries in both legs, I turned to traditional Chinese medicine at my wits' end. I was treated by Ahc Chen who helped me with my complaints with acupuncture and herbs. I am very happy that I can now function and exercise normally again. My thanks for this!!!

Shannon Nur

11:33 28 Mar 25

After living with headaches for two years, and despite several visits to the doctor, there was no clarity. Ultimately, with difficulty, I was referred to the hospital, but no one there could say exactly where my complaints came from. It was quickly dismissed as stress. I was prescribed antidepressants, but I preferred not to start them.That is why I started looking for alternative treatments that could help with headaches. That's how I ended up with acupuncture. During my search I found Dr.'s clinic. Chen. Fortunately, I was able to quickly go for a first appointment, and we immediately started with a combination of acupuncture and laser acupuncture.I have now had a number of treatments and I can really say that my complaints have been reduced by at least 80%. I'm slowly starting to get my life back, and it feels so good!Thank you very much for the wonderful care - I will definitely recommend you to everyone!

Gurtej S D.

16:36 24 Mar 25

Dr Chen is a super sweet, funny and wise man. He makes the correct diagnosis and is extremely professional. I came here because of tension headaches caused by cramped trapezius. Because my cervical vertebra had recently been replaced and my lower back had also had surgery in the past, Dr. Chen was super honest and clear about the 'long' treatment process during the very first treatment because I have difficult energy flow due to scar connective tissue. Dr. Chen knows so much. Both from TCM and Western physicians and, in my opinion, this combines wonderfully. He also gave me some herbs. I was skeptical at first, after a few weeks I haven't gotten rid of my complaints yet, but I do notice a difference. If you continue to discuss your complaints and listen to the advice, Dr Chen can help you through any problem. I am extremely grateful. It is also a super organized company, from making the appointment, to the websites, to the nutritional advice, etc., it is super clear and well expressed. In short, better than expected.

Agnieszka Tofil

14:24 15 Jan 25

For two years I suffered from severe migraine attacks. I tried everything and nothing helped. I ended up with Dr. Shandy. She gave me herbs, specific nutritional advice and acupuncture. After three treatments I no longer suffer from headaches at all. I am extremely grateful to her and I will continue to visit her.

Frank Bouterse

11:58 21 Dec 24

Very helpful with my (flu-like) complaints! After just 2 treatments I felt a clear difference. The practitioner Kevin is also very friendly and skilled in his profession.

Rolf van den Bogaerde

15:16 16 Dec 24

Mr Chen has been helping him for a few years with advice and treatment regarding prostate cancer. Good listener even better therapist! I feel reborn!

Kamila Hanczyk

17:16 07 Dec 24

How nice that is my last salvationThe needles help me very well!and certainly with Dr. Chen

Sophia Knol

21:02 28 Nov 24

A few weeks ago, with a decent flare up from Tietze syndrome (cartilage between rib cage inflamed) went to this center. Lots of pain and difficulty straightening my back.Shandy was my practitioner and she listened very carefully to my complaints.After the first treatment I was able to stretch my back again and my back felt warm.In the meantime five treatments further and things are going well.I can move smoothly and without pain again.Moreover, Shandy is a friendly fun person who contributes to very positive experience.

Willem Seton

21:53 15 Nov 24

Insanely helped by Doctor Chen

Diana Pombo

11:12 15 Nov 24

I have had a number of treatments for back pain complaints. Dr. Shandy Man gave me a lot of attention, listened to me carefully and helped me to heal. I would definitely recommend this practice.

Menno Hoogenes

09:31 01 Nov 24

I’ve been seeing Chen for over a year now to help with my chronic back and neck pain, along with frequent, intense headaches that doctors haven’t been able to fully explain. Since starting treatment with Chen, I’ve regained trust in my body, and my quality of life has steadily improved. Unlike the conventional therapies I tried, which often left me feeling frustrated, Chen and his team made me feel welcome and truly heard from the start. For anyone on the fence, I highly recommend giving it a try to see if it helps you, too. Big thanks to the entire team for creating such a relaxed and welcoming atmosphere!

Laura O

10:55 20 Oct 24

My intestines were extremely disrupted from medication for a parasite I had. Since the acupuncture I have noticed enormous improvement and I no longer have any problems. I also feel less tired and have much more energy. Thanks to Chen!

Samira Abid

12:23 11 Oct 24

Shendy has helped me enormously with my cycle-related migraines. I am extremely grateful to her. Love, Samira

Ebony Norde

12:48 11 Sep 24

Doctor Chen helped me enormously with laser acupuncture and nutritional advice. After months of struggling due to a chronic illness, I am finally regaining control over my body and recovery. 10000 thanks to Doctor Chen and his team.

Eveline Schram

09:46 05 Aug 24

Els van Luik

09:24 12 Jun 24

Acupuncture treatment for chronic headaches for Shirley. After a few times the pain reduced. Now after 8 treatments the pain has reduced so much that we are already tapering off again. Very happy with this result!

Moska Nouri

15:08 10 Jun 24

If I could give Mr. Chen more than 5 stars, I absolutely would! He and his team truly deserve it. I highly recommend anyone dealing with facial paralysis or Bell's Palsy to book an acupuncture appointment with Dr. Chen or any of his colleagues.After the doctors at the hospital told me I would have to live with facial paralysis because my nerve was not functioning, I felt hopeless. However, after just a few sessions with Dr. Chen, my face became more symmetric. A month later, movement had returned. Dr. Chen provided me with a diet plan and Chinese herbs, but most importantly, he gave me hope from the moment I walked in.I cannot thank Dr. Chen enough for his professionalism, empathy, and ability to listen to my needs. His positivity always brightened my day. Acupuncture not only helped my facial nerve recover but also significantly improved my overall health. The center is clean, and the receptionists are friendly. I am forever grateful to Dr. Chen and his team.

Grazia Grienti

15:39 24 Apr 24

After one year of physical complaints that no doctor could treat, I came to Arash.After four appointments my complaints are gone. Great help!

Britt

16:55 22 Apr 24

In recent years I have regularly suffered from inexplicable abdominal complaints (swollen abdomen, painful intestines). I have now completed 6 treatments and I am already doing much better. My stomach feels light and pleasant. In addition, the treatment also had a positive effect on my menstruation. Previously, I retained a lot of fluid and suffered from a swollen stomach in the week before my period. During my last period I had no problems. So I had a very positive experience with Mark from AHC Chen.

Wilco Kind

17:02 08 Apr 24

Iva Breulj

10:36 05 Mar 24

They are really kind and helpful!!I bought package of 30 treatments and reselling 15 of them because i don’t need it anymore!Hope it helps someone! Contact me on 0031 687609044 cheers!

Jolanda Ruissen

06:54 24 Jan 24

Very satisfied with the treatment for menopausal complaints and dry eyes.

Marleen van Herwijnen

08:42 18 Jan 24

For more than 20 years I had pain in my neck and shoulders/upper back, especially in my left monk's cap muscle. Immediately after the first treatment by Dr. Chen, my complaints were already 80% gone. Unbelievable but true. After a few additional treatments, the complaints have now completely disappeared. In addition, nutritional advice and Chinese herbal mixes have ensured that I have much less flare-ups (inflammation) in my joints as a result of rheumatoid arthritis (which I have been suffering from for 30 years). Currently the treatments focus on other pain complaints that I have. I am hopeful and, above all, grateful for the results so far.

Sabien Leenen

17:04 07 Jan 24

Thanks to Arash I have become myself again. What a wonderful practitioner. Thank you very much.

Pascal de Bloois

10:38 23 Nov 23

I had been suffering from severe burnout complaints for a long time. Since I have been receiving treatment from Mr. Chen has improved my health a lot. My histamine restriction has become a lot less, which means I sleep better. I also sleep better. I recommend acupuncture Rotterdam to everyone!!! Good parking! Thank you again for the good treatment!

Wai Ho Chung

10:29 05 Nov 23

Visited my GP who told me to learn to live with tinnitus. Then sought treatment from Dr. Shandy. She relieved me of my complaints after one acupuncture treatment.

Moperson Koperson

09:03 01 Nov 23

I have had migraines every day for years, and since I started acupuncture treatment at Shandy Man, I have had no more problems. Didn't have a headache either. It works well for me. Super! Nothing to complain about. I will continue to maintain.

Moperson Koperson

04:55 03 Oct 23

Kimberley

06:19 30 Sep 23

After persistent eye pain and whiplash complaints from a car accident 6 months ago, we decided to try acupuncture with Chen. Where physiotherapy did not help, my complaints have greatly reduced after 1.5 months of (laser) acupuncture.In addition, very friendly and knowledgeable staff. Lots of expertise and thinks along with you. I would recommend everyone to visit this practice.

Gwendolyn Post

13:15 27 Sep 23

Bruce Pereira

11:36 23 Sep 23

Very nice people and I'm still starting treatment but I'm sure will have great effect on me.

Eugenie Ponjee

18:56 16 Sep 23

Eighteen months ago I came under the care of Dr. Chen.As soon as you arrive at the counter, the reception from the employees is extremely pleasant.The diagnosis was consistent with what I had heard from another doctor years ago. However, I had never undergone acupuncture treatments before. Doctor Chen's acupuncture treatments have helped me enormously. The complaints have not been completely resolved, but progress is going slowly......but surely. I now have plenty of energy again! Thank you Doctor Chen.Also a special word of thanks to Mr. Fat: thank you also very much for the TuiNa treatments. Partly because of your passion for your work, I have been helped very well in practice! You have made a lot of sense to me about my way of life - related to Chinese medicine. Thank you very much.Francis Ponjee

Artur Makar

21:06 06 Sep 23

I came to dr. Chen with a chronic headache that lasted for years and because of tiredness, pain spreaded to wider areas. No amount of physiotherapy, medicine or general treatment was able to reduce this pain. Dr. Chen assured me that it is possible to rebuild the area and reverse the pain. After 10 laser acupuncture treatments my pain is gone. I sleep better than ever and can function again. This place gave me faith again. Thank you.

Willem Beekhuizen

19:13 31 Aug 23

Manon van der Hoeven

09:03 13 Aug 23

Last November (2022) I first came to Dr. Chen. After a difficult recovery from a number of vertigo attacks from Meniere's disease, I sought help to function normally again. Restore quality of life and return to normal work. I searched the internet for options to help cure Meniere. After an intake with Dr. Chen, I started with a 'protocol', as he calls it. That is 15 days every day (consecutive) acupuncture treatment. So every day, even on his days off, Dr. Chen comes to the practice to treat (what do you mean customer is king 🙂)! Those appointments for the 15-day protocol are also scheduled immediately so that you can start quickly. I couldn't drive myself at the time, so that did have an impact, not only on me but also on my environment (I don't live in Rotterdam). In the beginning I thought I would feel better right away, but recovery of your body also takes energy, so sleep a lot and recover for the first time. After the 15-day protocol we had planned a week of rest, which I also needed for a while and then I started to notice a difference. After that I had acupuncture twice a week every week. Every week it got better. And so reduced to 1x every 2 weeks at the moment. I keep going because I notice that it does my body good and has a real effect. Dr. Chen is also a very skilled man, has a lot of expertise and also helps with other complaints. In addition, he is also a very nice and funny man! So if you have physical complaints, whatever they are, I would recommend acupuncture to everyone with Dr. Chen!

Lonneke van de Griendt

19:35 07 Jul 23

Expert and pleasant treatments at Doctor Chen! After 4 years of occasional cardiac arrhythmias (especially a transshipment) these suddenly got worse and was therefore prescribed beta blockers. Pills in my body didn't feel good and wanted to have it investigated further. Went to Dr Chen in June 2023 and after a few acupuncture/laser treatments I was able to halve my beta blockers and even stop them after a few weeks. In addition to the treatment, I received good nutritional advice and herbal pills, the tongue is looked at and both wrists are felt.

Andy Lo Tam Loi

10:39 05 Jul 23

Last month I started laser acupuncture with doctor Chen for my hay fever. What an effective and pleasant treatment! No nasty stings in my face and completely gone that hay fever. Enjoy the summer without complaints...

Marike Knoop

20:02 17 Jun 23

I have been in treatment with Dr Chen for two months now I had a lot of stress and panic, my ears had also started ringing I am now a lot calmer and the tinnitus is no longer every day Dr Chen is an empathetic man who takes the time for you take The staff also always takes time for you to answer questions. Marike

Gerson

22:33 09 Jun 23

I suffer from tinitus and after hearing from my doctor you just have to learn to live with it, I became quite depressed. Dr Chen has already reduced the symptoms considerably and is still working to bring it down to 0. I feel happy again both emotionally and physically. Am very happy with his dedication and expertise towards me. Dr Chen is a competent person and it feels good how he personally deals with me and the tinitus.

Alexander Brouwer

11:24 24 Jan 23

HEALED AFTER SEVEN YEARSMy experience with Dr. Chen has been nothing short of astounding. After struggling with extreme tiredness for seven years, symptoms were getting so bad they affected every area of my life (work, relationships, self-worth). I was growing desperate, as doctors couldn't find anything wrong with me and didn't take me seriously. I decided to try acupuncture. Dr. Chen welcomed me, listened to me and treated me with compassion and understanding. After just one month of treatment and dietary advice, the difference was already noticable and I felt I was getting control of my life again. Now, half a year later, I am almost completely healed of my symptoms. I can not thank Dr. Chen and his team enough for their kindness and skill and recommend Dr. Chen's practice to anyone who is willing to commit to the Chinese doctrine of healing. Thank you!

Petros Kyvelos

13:17 17 Jan 23

Born in Rotterdam, but living in the USA for the past 25+ years. I was visiting family when I experienced serious pains around by knee.When it did not go away or lessen after a few days of stretching and light exercises. I decided I needed professional help. After calling multiple different physical therapists and healers/acupuncturists, none of which could or would me with a few hours/1 day notice, Dr Chen was the only Doctor that took my emergency seriously.Dr Chen opened his clinic early on a Saturday to fit me in and came in on his day off to do second session on a Sunday.Dr Chen is personable, kind and engaging. He has a soft hand and a great sense of humor. But more importantly he cares about his patients. He helped lessen and manage the pain and he was upfront about it not going away miraculously, but it would make my flight back home more comfortable.He also gave me diet instructions and lifestyle adjustments that will help mitigate the issues. All and all an amazing experience that I will not soon forget. And next time I am in town I will visit him again...hopefully under less urgent circumstances.

payman jalalzaei

20:32 27 Sep 22

Hello, I had pain in my lower back and shoulders and I found Dr. Chen office via google search. Since the time I started taking acupuncture to get ride of pain, I had a very positive experience with Dr. Chen. He is a very good and knowledgable doctor that do listen to patients. He is doing fantastic job and do care to all patients. Eventhough, my issues were resolved I still keep going to acupuncture to ensure my body will stay in healthy mode. I do recommend Dr. Chen should you have any issue with your lower back and shoulders.

Vladislav Draganov

11:19 27 Apr 22

Fantastic CM clinic in Rotterdam. Highly recommend Dr. Chen - just within few weeks he brought me back to life after my body was fully broken - best experience with CM I have ever had - thank you!

Neil Marginson

18:50 30 Mar 22

I attended the clinic as i have suffered for twenty years with chronic trigerminal neuralgia. I was instantly put at ease by Mr Chen and his confidence that with the correct management and treatment we could ease this issue. I am now 5 weeks into the course and my pain is decreased significantly and i am attending now just once weekly. I can't give a high enough review and i would say if you have doubts you should at least go for an appointment and listen to Mr Chen. 10/10 service from the team there.

Carlx4

16:56 24 Feb 22

Friendly, helpful. Dr Shandy is very good.

Geo Wyeth

14:45 05 Dec 21

Dr Shandy helped me so much with my joint problems and pain management. I am also all around calmer and less anxious since going regularly. The energy of the space is great - no-frills, and there to get it done, with a very kind staff. I am trans and feel very comfortable and respected. Could not recommend more.

Marinus Polstra

17:36 20 Nov 21

After making several visits to the hospital for my complaints I had no success with any of the treatment. Doctor Chen has given a different approach that aims to to solve the core issue and not the symptoms. He is very intelligent, kind, professional, and funny. Within one month my issue was gone! I highly recommend their health center.

Dina Meshkova

23:05 26 Nov 20

Doctor Chen give very detailed instructions and information about my own health , I'm very thankful and appreciative! Visiting now and happy for what I'm receiving! HIGHLY recomend!

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