Fall Allergies? How Acupuncture + Functional Medicine Calm the Storm
Autumn in Marin County is gorgeous—but ragweed, molds, and wildfire particulates can make September–November feel like a sneeze-fest. Here’s a practical, East‑meets‑West plan that reduces symptoms fast and addresses the root causes so you can actually enjoy the season.
By Dr. Amy Shouse Filippelli, DACM, MS, LAc
Why Fall Triggers Allergies
- Ragweed and other weeds peak in late summer and early fall.
- Dry, windy days stir up dust, wildfire particulates, and leaf‑mold spores.
- Indoor exposures rise as we close windows: dust mites, pet dander, and VOCs.
- Stress, poor sleep, and nutrient gaps can make histamine responses more intense.
How Acupuncture Helps (The Quick Relief You Can Feel)
- Down‑regulates the sympathetic “fight‑or‑flight” response that amplifies allergic reactions.
- Modulates histamine and inflammatory mediators, easing sneezing, itchy eyes, and sinus pressure.
- Improves nasal airflow and drainage by relaxing sinus and jaw tension.
- Often pairs well with cupping or gentle gua sha to relieve chest tightness and cough.
Functional Medicine: Get to Root Causes
- Gut–Immune Connection: Dysbiosis or increased intestinal permeability can prime an overactive immune response.
- Histamine Load: Beyond pollen—aged cheeses, wine, leftovers, and certain supplements add to the bucket.
- Nutrient Status: Vitamin D, omega‑3s, magnesium, and quercetin affect inflammation and mast‑cell stability.
- Air Quality & Tox Load: Smoke and indoor pollutants keep airways irritated and reactive.
Your Fall Allergy Plan (Step‑by‑Step)
- Baseline Support (daily): nasal saline rinse; optimize sleep; hydrate with mineral‑rich water.
- Targeted Nutrients: vitamin D (test‑don’t‑guess), magnesium glycinate, and quercetin + nettles blend.
- Histamine‑Smart Eating: emphasize fresh meats/fish, cooked veggies, low‑histamine fruits; minimize leftovers, alcohol, aged/fermented foods during flares.
- Acupuncture Series: 1–2 sessions/week for 2–4 weeks, then taper to maintenance.
- Air Strategy: HEPA filter in bedroom, change HVAC filters, ventilate after vacuuming, wipe visible mold promptly.
When to Consider Testing
- Persistent or year‑round symptoms despite basics → consider GI‑MAP or similar stool testing for dysbiosis, beta‑glucuronidase, and elastase.
- Suspected histamine intolerance → evaluate DAO activity and overall histamine load patterns (food/symptom journal).
- Frequent bronchospasm or cough → discuss spirometry and airway reflux (LPR) screening with your clinician.
What a Visit Looks Like with Dr. Amy
- We start with a thorough intake—symptoms, food patterns, sleep, stress, and environment.
- Acupuncture for rapid symptom relief, plus a home plan the same day.
- If needed, staged functional testing (no “wallet biopsy”): start with essentials, add only what will change the plan.
- Follow‑ups to fine‑tune nutrition, supplements, and maintenance acupuncture so you stay clear through the season.
Simple Home Protocol for Flare Days (Save this!)
- Morning & Evening: saline rinse; if very congested, consider xylitol‑saline blend per product directions.
- Tea break: hot water with lemon and local honey (if tolerated) or ginger‑peppermint tea for throat/airway comfort.
- Supplement stack (typical, check with your clinician): quercetin‑nettle 500–1000 mg/day, magnesium 200–400 mg/day, fish oil per label, vitamin D per labs.
- Breathing: 3 minutes of nasal‑only diaphragmatic breathing to reduce sympathetic drive and open airways.
FAQ
- How quickly will I feel relief from acupuncture?
Many patients feel nasal opening and less pressure after the first session; a short series builds sustained benefits.
- Is this safe with antihistamines or nasal steroids?
Yes—acupuncture complements conventional meds. Functional medicine can often reduce reliance over time.
- Do I need labs before starting?
Not necessarily. We can begin with symptom‑relief and foundational care. Testing is staged if symptoms persist.
- What about kids or teens?
Acupuncture and gentle acupressure are often well‑tolerated. Dosing for nutrients is adjusted by age and weight.
- How many sessions will I need?
Typical plan is 4–6 visits across peak season, then taper. Chronic cases may benefit from maintenance monthly.
Contact
- Dr. Amy Shouse Filippelli, DACM, MS, LAc
- NorCal Integrative Medicine
- 712 D Street, Suite B1, San Rafael, CA 94901
- Phone: 415-630-5322




