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Complementary Therapies and HIV

April 9, 2015

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Homeopathy aims to activate the body's own healing abilities by giving small doses of very diluted (thinned out) substances. It is based on the idea that "like cures like," or the Law of Similars. This law suggests that diseases can be cured by small amounts of substances that cause similar symptoms in healthy people. Homeopathic remedies are made from small amounts of a variety of plants, minerals, and animal products that are crushed and dissolved in liquid. By adding more and more liquid to the original mixture, the remedy -- a homeopathic 'tincture' -- is diluted.

The results of scientific studies of homeopathy are mixed. Some studies show homeopathy's benefits, while others do not show any difference between homeopathic treatment and placebo (no treatment). People most often use homeopathy to treat allergies, asthma, ear infections, digestive disorders, headaches, and menopausal symptoms. Because homeopathic remedies can include substances that affect your immune system, remember to talk to your health care provider before using them.


During hypnosis, or hypnotherapy, a trained therapist uses techniques to help you become deeply relaxed and enter a different state of consciousness called a trance. In a trance, your body relaxes while your mind becomes more focused. The hypnotherapist does not control your mind or your actions. Rather, you become very open to suggestion, such as the suggestion to quit smoking. The therapist makes suggestions for changing behaviors or relieving symptoms that are specific to your situation.

Hypnosis can help you relax, reduce stress, relieve anxiety, and ease pain. It is often used before surgical or dental procedures when someone is especially nervous. Hypnotherapy is also used to treat eating disorders, addictions, phobias, insomnia, and digestive problems.

Massage Therapy

Massage involves a trained therapist using their hands to physically handle the body's soft tissues and muscles. There are a variety of massage styles ranging from soft stroking to deep muscle kneading. Massage has been practiced as a healing therapy for centuries around the world. Massage therapy affects the whole body, and can relieve muscle tightness, improve circulation, clear waste products, boost the immune system, reduce stress, and help you relax.

Massage therapists in the US become certified after completing educational training and passing an exam. Many states recognize the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB; You can also find massage therapists in your area by going to the website for the American Massage Therapy Association (

Since massage involves direct contact between the therapist's hands and your skin, you will be asked to undress when the therapist leaves the room. Professional therapists should provide plenty of sheets and blankets with which to cover yourself on the massage table. If you feel uncomfortable for any reason, do not hesitate to talk to the therapist or find a different therapist.

It is important for women who are pregnant to be cautious about receiving massages. If you are pregnant and want a massage, make sure you find a massage therapist who is specially trained to massage pregnant women.

Mind-Body Techniques

These activities enhance the mind's ability to affect bodily functions and symptoms. Mind-body techniques often include patient support groups, prayer, and therapies that use creative methods such as art, music, or dance. Practices such as biofeedback, hypnosis, journaling, and meditation are considered mind-body techniques.

Achieving a deep state of relaxation is one way to help ease stress and renew the body. Techniques for deep relaxation include meditation, mindfulness, guided visualization, progressive muscle relaxation, certain types of yoga, or Chinese exercises such as Qigong (Chi Kung), and Tai Chi. You can also use audiotapes or attend classes/workshops to guide you in accessing deep states of relaxation. Recent studies suggest that mindfulness meditation may prevent CD4 cells from decreasing when a person living with HIV is under stress. Similarly, a small study showed that transcendental meditation improved the quality of life of those living with HIV. Based on these encouraging results, a much larger study over a longer period of time is planned to examine the specific psychological and physical effects of transcendental meditation.

Herbs and Dietary Supplements

These therapies may involve the use of herbs such as echinacea, garlic, goldenseal, chamomile, and Chinese herbs (e.g., astragalus). Health professionals may also prescribe foods and vitamins as part of a biological-based therapy. Multivitamins often contain antioxidants, such as vitamins A, C, and E, which combine with particles called free-radicals to make them inactive and not harmful. Free-radicals are natural by-products of the body's functions that can cause damage to cells and lead to disease.

Because echinacea, astragalus, and other supplements affect the immune system, they may interact with your HIV drugs. St. John's Wort, which is an herbal treatment for depression, has been shown to affect how protease inhibitors and non-nucleoside reverse transcriptase inhibitors act. As a result, the US Food and Drug Administration (FDA) recommends that St. John's Wort not be taken by people who are also taking any kind of HIV drugs. It is important for you to discuss any herbs or supplements with your health care provider before taking them. For more details about supplements, please visit our Vitamins and Supplements article.

What Kind of Complementary Treatment Will My Health Care Provider Suggest?

When recommending complementary therapies, health care providers make decisions based on patients' conditions and other factors such as patients' strengths, lifestyle, medical history, support systems, and all other factors relating to patients' health and wellness. This enables the provider to knit together a program tailored for each patient and may involve the following:

  • Diet change: Replacing refined/simple carbohydrates with whole grains, fresh vegetables, and fruits for overall health. Your health care provider may also suggest choosing low-to-moderate fat sources of protein such as turkey, chicken, and fish and limiting dairy and red meats.
  • Vitamin and mineral supplements: Your health care provider may prescribe multivitamin/mineral supplements that include Vitamins A, D, E, and C (these are antioxidants), B-vitamins, calcium, magnesium, copper, zinc, manganese, potassium, chromium, and selenium (for more information, see our Vitamins and Supplements article)
  • Herbs: A variety of herbs support body functions. These include garlic, goldenseal, and myrrh. Your health care provider may prescribe Chinese herbs, such as ganoderma, atractylodes, and schisandra, which support immune function and have anti-microbial properties.
  • Digestive health treatments: Herbs such as barberry, ginger, goldenseal, peppermint, and parsley support digestive functions. Acidophilus and other 'healthy bacteria' help you to maintain a strong digestive system that absorbs nutrients as efficiently as possible.
  • Physical activity and exercise: Each day, one half-hour of enjoyable exercise that causes sweating and removes waste from the body may help keep your viral load low. Cardiovascular fitness can strengthen the heart and circulatory system. This is done by increasing one's heart rate about 20 percent more than resting heart rate, and keeping it up for at least 30 minutes, at least five times per week.
  • Stress reduction: Deep relaxation practice two times per day for 15-20 minutes can reduce many health risks and maintain one's focus on practicing good health and wellness.

Remember, since HIV and HIV drugs affect the immune system, it is important to talk to your health care provider about any complementary treatments before you use them. This gives your provider a full picture of what you do to manage your health and makes sure the treatments you choose are safe and helpful for you.

More and more, the medical community recommends complementary therapies for many types of conditions. Since complementary treatments have become more common. The National Institutes of Health (NIH) has developed a department called The National Center for Complementary and Integrative Medicine (NCCIM) that is dedicated to the study of these treatments. You can learn more about complementary therapy at the NCCIM website.

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This article was provided by The Well Project. Visit The Well Project's Web site to learn more about their resources and initiatives for women living with HIV. The Well Project shares its content with to ensure all people have access to the highest quality treatment information available. The Well Project receives no advertising revenue from or the advertisers on this site. No advertiser on this site has any editorial input into The Well Project's content.

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