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Zhongguo Zhen Jiu = Chinese Acupuncture... Mar 2020There is no criteria of placebo acupuncture method and no suitable method for all kinds of acupuncture research currently. In this paper, the methods and theories of...
There is no criteria of placebo acupuncture method and no suitable method for all kinds of acupuncture research currently. In this paper, the methods and theories of placebo acupuncture were collected in recent 10 years at home and abroad. The analysis was conducted in the aspects of the premise of placebo acupuncture design, the common methods and their advantages and disadvantages, the application of various placebo acupuncture methods and the controversy on placebo acupuncture. It is required to further improve the design of placebo acupuncture control, explore the key questions of it and specify the criteria of its method so as to lay the foundation for the establishment of scientific and rational placebo acupuncture control in acupuncture research.
Topics: Acupuncture Points; Acupuncture Therapy; Humans; Placebo Effect; Research Design
PubMed: 32270653
DOI: 10.13703/j.0255-2930.20190311-0002 -
Acupuncture in Medicine : Journal of... Jun 2021This study examined the stratified anatomy of the traditional acupuncture point and the neuroanatomical relationship between and the brachial plexus, and investigated...
BACKGROUND
This study examined the stratified anatomy of the traditional acupuncture point and the neuroanatomical relationship between and the brachial plexus, and investigated neural pathways that could be affected by acupuncture stimulation at .
METHODS
Twelve dissected specimens were used to study the pathway of an acupuncture needle inserted at . The stratified anatomy and the neuroanatomical relationship between and the brachial plexus were studied. Our samples were grouped by gender and cause of death for comparative analysis.
RESULTS
All needles ( = 24, on both sides of a total of 12 cadavers) punctured the anterior scalene muscle medial to the brachial plexus and external jugular vein, lateral to the phrenic nerve and internal jugular vein, and superior to the clavicle and subclavian artery/vein. The depth of needle insertion at on the right side of male samples was 28.0 (interquartile range (IQR), 22.5-30.8) mm, which was approximately 8 mm deeper than for female subjects ( < 0.05). The needle was 3.0 (IQR, 2.0-5.0) mm and 7.0 (IQR, 5.5-8.0) mm medial to the brachial plexus on the left and right sides, respectively.
CONCLUSION
Deep needle insertion at can puncture the anterior scalene muscle. The mechanism of action of acupuncture stimulation at might be related to its close relationship with the brachial plexus. Significant differences in needling depth were observed when our samples were grouped by gender. More studies are needed.
Topics: Acupuncture Points; Acupuncture Therapy; Aged; Aged, 80 and over; Brachial Plexus; Female; Humans; Male; Middle Aged; Needles; Neural Pathways
PubMed: 32735123
DOI: 10.1177/0964528420938373 -
Acupuncture in Medicine : Journal of... Feb 2021The aim of this study was to investigate the effects of acupuncture at LR3 and KI3 on hypertension at different time points and on related cerebral regions using... (Randomized Controlled Trial)
Randomized Controlled Trial
Acupuncture at LR3 and KI3 shows a control effect on essential hypertension and targeted action on cerebral regions related to blood pressure regulation: a resting state functional magnetic resonance imaging study.
OBJECTIVE
The aim of this study was to investigate the effects of acupuncture at LR3 and KI3 on hypertension at different time points and on related cerebral regions using resting-state functional magnetic resonance imaging (rs-fMRI).
METHODS
We randomly divided 29 subjects into two groups: Group A (receiving acupuncture at LR3 + KI3; 15 subjects) and group B (receiving acupuncture at LR3 and a sham location not corresponding to any traditional acupuncture point; 14 subjects). Acupuncture was performed. Blood pressure (BP) changes were recorded and analyzed using SPSS 20.0 statistical software. We used a 3.0T MRI scanner and standard GE 8 channel head coil to collect whole brain fMRI data in both groups. Data analysis and processing was based on the R2009a MATLAB platform. REST 1.8 software was used to analyze the whole brain amplitude of low-frequency fluctuation (ALFF).
RESULTS
After acupuncture, a statistically significant reduction in BP at different time points was observed in group A. In group B, a statistically significant reduction was found only in diastolic blood pressure (DBP) and was not sustained. Acupuncture at LR3 + KI3 specifically affected brain areas involved in BP regulation, as well as those involved in auditory sense, speech, vision, movement and sensation.
CONCLUSION
Acupuncture at LR3 + KI3 showed positive immediate and long-term effects on BP, particularly systolic blood pressure (SBP). After ALFF analysis, we concluded that LR3 + KI3 activates brain areas related to BP regulation. In addition, after acupuncture at LR3 + KI3, a highly targeted effect was observed in brain areas associated with BP. In addition, extracerebral areas involving vision, motion control, cognition and hearing were activated, which could potentially contribute to the mitigation of hypertensive complications in patients in an advanced stage of the disease.
Topics: Acupuncture Points; Acupuncture Therapy; Adult; Blood Pressure; Brain; Cognition; Essential Hypertension; Female; Humans; Magnetic Resonance Imaging; Male; Middle Aged
PubMed: 32529884
DOI: 10.1177/0964528420920282 -
Technology and Health Care : Official... 2024Hypertension has become one of the most pathogenic diseases in the world.
BACKGROUND
Hypertension has become one of the most pathogenic diseases in the world.
OBJECTIVE
This paper summarizes and analyzes the acupuncture point combinations and treatment principles of acupuncture for hypertension in a systematic way by means of big data mining.
METHODS
The literature for this paper was obtained from CNKI, Wanfang, VIP, SinoMed and PubMed, Embase, Cochrane Library, Web of Science, and Ovid databases. Thedata were collected to obtain combinations of acupoints with strong associations through association rule analysis, complex networks for screening to obtain core acupoint nuclei, and cluster analysis to derive treatment principles.
RESULTS
A total of 127 acupuncture prescriptions involving 66 acupoints were included in this study. Tai-chong (LR3), Qu-chi (LI11), Zu-san-li (ST36), Feng-chi (GB20), and He-gu (LI4) were the most commonly used acupoints. The large intestine meridian was the preferred meridian, and most of the extremity acupoints, especially the lower extremities, were selected clinically. The association rule reveals that Qu-chi (LI11) and Zu-san-li (ST36) are the dominant combination acupoints. 3 core association points obtained after complex network analysis, the 1st association, Bai-hui (DU20), Tai-xi (KI3), Gan-shu (BL18), Shen-shu (BL23); The 2nd association, Qu-chi (LI11), He-gu (LI4), San-yin-jiao (SP6), Zu-san-li (ST36), Feng-chi (GB20), Tai-chong (LR3); The 3rd association, Qi-hai (RN6), Guan-yuan (RN4), Zhong-wan (RN12), Zhao-hai (KI6), Tai-yang (EX-HN5), Lie-que (LU7), Yang-ling-quan (GB34), Xing-jian (LR2), Yin-ling-quan (SP9). Cluster analysis yielded the treatment principles of nourishing Yin and submerging Yang, pacifying the liver and submerging Yang, tonifying Qi and Blood, and calming the mind and restoring the pulse, improving clinical outcomes.
CONCLUSION
By means of big data mining, we can provide reference for acupuncture point grouping and selection for clinical acupuncture treatment of hypertension.
Topics: Humans; Acupuncture Points; Acupuncture Therapy; Meridians; Data Mining; Hypertension
PubMed: 37694322
DOI: 10.3233/THC-230581 -
Journal of Integrative Medicine May 2023This study aims to clarify how the stimulation of acupuncture points is achieved by needles with different surface texture during acupuncture; it also seeks to lessen...
OBJECTIVE
This study aims to clarify how the stimulation of acupuncture points is achieved by needles with different surface texture during acupuncture; it also seeks to lessen injury at the insertion site and increase the therapeutic efficacy of acupuncture, by simulating the mechanical effects of various needle surface patterns on Zusanli (ST36) without changing the radius of acupuncture needles.
METHODS
Five acupuncture needle models with different surface patterns, including the smooth needle, the lined needle, the ringed needle, the left-hand threaded needle and the right-hand threaded needle, and a layered model of the Zusanli acupoint were used to investigate how to reduce tissue damage and increase stimulation during acupuncture treatment. Puncturing of the skin as well as lifting-inserting and twisting needle manipulations were simulated using these models, and the degree of damage and force of stimulation caused by the acupuncture needles with different surface patterns during acupuncture were compared.
RESULTS
The smooth needle and the lined needle caused the least tissue damage during insertion, while the left-hand threaded and the right-hand threaded needles caused the most damage. The ringed needle, the left-hand threaded needle and the right-hand threaded needle stimulated the acupoint tissue more during lifting-inserting manipulations, while the lined needle and the smooth needle produced less stimulation. The stimulation of the lined needle on the acupoint tissue was the largest during twisting manipulation, whereas the left-hand threaded needle and the right-hand threaded needle had smaller effects. In lifting-inserting and twisting manipulations, both the left-hand threaded needle and right-hand threaded needle provided more stimulation, but the torsion direction in which they produced better stimulation was the opposite.
CONCLUSION
According to the simulation results, the ringed pattern enhances stimulation best in the lifting-inserting manipulation, whereas the lined pattern enhances stimulation best in the twisting manipulation. Both the right-hand and left-hand thread patterns have certain enhancing effects in these two operations. Taking the geometric properties of the pattern into account, the left-hand thread pattern and the right-hand thread pattern have the geometric characteristics of both the lined pattern and the ringed pattern. To conclude, a pattern perpendicular to the movement direction during the acupuncture manipulation creates more stimulation. These results have significance for future needle design. Please cite this article as: Sun MZ, Wang X, Li YC, Yao W, Gu W. Mechanical effects of needle texture on acupoint tissue. J Integr Med. 2023; 21(3): 254-267.
Topics: Acupuncture Points; Needles; Acupuncture Therapy; Hand
PubMed: 37003857
DOI: 10.1016/j.joim.2023.03.005 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Oct 2022Through reviewing the construction status of the basic theory of acupuncture and moxibustion discipline from the ancient to modern eras, it is believed that the...
Through reviewing the construction status of the basic theory of acupuncture and moxibustion discipline from the ancient to modern eras, it is believed that the structure of acupuncture and moxibustion discipline has been formed, but nowadays, the theoretical system of acupuncture and moxibustion is still on the framework of classical meridian theory, and the treatment with acupuncture and moxibustion is in reference with the mode of syndrome/pattern difference of Chinese herbal medicines. Parts of these remain ambiguity. It is proposed that the innovation of acupuncture and moxibustion discipline should focus on anatomical physiology, psychology and other multi-disciplines; and the basic framework should compose of the theoretic systems of three major disciplines, i.e. , , and . Under the premise of multidisciplinary intersection, many updated scientific research achievements should be integrated in future to boost the constant development of acupuncture and moxibustion discipline.
Topics: Moxibustion; Acupuncture Therapy; Acupuncture; Meridians; Acupuncture Points
PubMed: 37199210
DOI: 10.13703/j.0255-2930.20211230-k0002 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Jan 2021Regarding the existing questions of the understanding and application of lateral needling technique in the Chapter 7 of (), after analyzing the original meaning of the...
Regarding the existing questions of the understanding and application of lateral needling technique in the Chapter 7 of (), after analyzing the original meaning of the lateral needling technique and its indication for "tendon syndrome" in literature, it is believed that lateral needling technique is the classic manipulation for tendon syndrome, mainly for tendon spasticity caused by obstruction of activity or retarded activity. The filiform needle is used in the operation. The puncture hand and the pressing hand should be cooperated during the manipulation, in which, after detecting the location of tendon disorder by the pressing hand, the needle is inserted from the lateral side of the affected site and is manipulated with the reinforcing technique achieved by lifting and thrusting needle. Afterwards, the needle is withdrawn. The lateral needling technique of acupuncture is one of the mass-loosening techniques in (). It is a reliable technique of acupuncture in clinical treatment of acute and chronic diseases, such as cervical spondylosis and tendon injury of lumber region and has a stable therapeutic effect.
Topics: Acupuncture; Acupuncture Points; Acupuncture Therapy; Needles; Punctures; Vascular Surgical Procedures
PubMed: 33559441
DOI: 10.13703/j.0255-2930.20191205-k0007 -
Medicine Mar 2023Acupuncture therapy, as a characteristic of Chinese medical therapy, has a long history and remarkable effect in the treatment of gynecological diseases, and so far, it... (Review)
Review
Acupuncture therapy, as a characteristic of Chinese medical therapy, has a long history and remarkable effect in the treatment of gynecological diseases, and so far, it has formed a complete treatment system, but its efficacy and mechanism of action remain unclear. Functional magnetic resonance imaging, a visual technique, provides an objective basis for the study of acupuncture in the treatment of gynecological diseases. This paper summarizes the current status of acupuncture in the treatment of gynecological diseases and summarizes the progress of functional magnetic resonance imaging research related to acupuncture in the treatment of gynecological diseases in the past 10 years, mainly including the common types of gynecological diseases in acupuncture clinics, and the commonly used acupuncture points. This study is expected to provide literature support for subsequent research on the central mechanisms of acupuncture in the treatment of gynecological diseases.
Topics: Female; Humans; Magnetic Resonance Imaging; Acupuncture Therapy; Acupuncture; Genital Diseases, Female; Acupuncture Points; Brain
PubMed: 36897670
DOI: 10.1097/MD.0000000000033268 -
Lasers in Medical Science Jan 2023The biomodulatory potential of low-level laser therapy (LLLT) has prompted investigations of different outcomes in health. One line of research is the stimulation of... (Review)
Review
The biomodulatory potential of low-level laser therapy (LLLT) has prompted investigations of different outcomes in health. One line of research is the stimulation of acupuncture points for the relief of different signs and symptoms related to the stomatognathic system. In dentistry, some studies in pediatric dentistry have demonstrated the benefit of LLLT therapies in the management of dental anxiety in children. This systematic review aimed to analyze previous clinical studies on the application of LLLT at acupoints among pediatric dental patients. This systematic review was conducted according to the Cochrane Collaboration guidelines and the population, intervention, comparison, and outcome strategy. A broad literature search up to June 17, 2022, was performed using four electronic databases (PubMed, Scopus, Embase, and Google Scholar). The risk of bias in randomized clinical trials was assessed using the RoB 2 tool. A total of four studies using LLLT for photobiomodulation were included (n = 4). The most common wavelengths used were in the infrared range (variation between 716 nm and 980 nm). There were little variations in the application time (14 s to 1 min) and exposure dose (1 to 5 joules). LLLT acted positively on different acupuncture points. LLLT provided various benefits and optimized dental practice by reducing the gag reflex during radiography and impression taking, preanesthetic pain, and symptoms of sleep bruxism in the pediatric dental population. Only one of the evaluated studies had a high risk of bias. The LLLT at acupuncture points is associated with positive results on sleep bruxism, preanesthetic pain, and gag reflex in pediatric dentistry. Future research studies should prioritize standardization of the study design and the methods of analysis.
Topics: Humans; Child; Acupuncture Points; Pediatric Dentistry; Sleep Bruxism; Pain; Low-Level Light Therapy; Lasers
PubMed: 36690781
DOI: 10.1007/s10103-023-03720-6 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Oct 2019This paper discusses the existing classification of acupoints and puts forward a new classification method of acupoints. Through the definition of 3 kinds of acupoints...
This paper discusses the existing classification of acupoints and puts forward a new classification method of acupoints. Through the definition of 3 kinds of acupoints and the analysis of the original meaning of points, it is pointed out that the existing classification of acupoints has overlapping among different categories. The acupoints are reclassified based on the characteristics of acupoints in reflecting and treating disease as well as the application of acupoints in clinic. Acupoints can be divided into traditional acupoints and modern holographic acupoints, among which traditional acupoints can be divided into meridian system points and extra points. According to their structure and function features, meridian system points can be divided into meridian points, collateral points, meridian-muscles points and cutaneous region points. The new classification method of acupoints highlights the importance of channel-collateral theory in acupuncture clinic and the feature of acupuncture in the diagnosis and treatment of disease.
Topics: Acupuncture Points; Acupuncture Therapy; Humans; Meridians
PubMed: 31621259
DOI: 10.13703/j.0255-2930.2019.10.010