Acupuncture in medicine : journal of the British Medical Acupuncture Society最新文献

{"title":"Comparison of the effects of pretreatment with repeated electroacupuncture at GV20 and ST36 on fatigue in rats.","authors":"Kai Guo,&nbsp;Jinyu Zhu,&nbsp;Xin Quan,&nbsp;Dawei Zhang,&nbsp;Xiaoyong Chen,&nbsp;Chongfei Yang,&nbsp;Xiaojie Li,&nbsp;Jun Shi,&nbsp;Wendong Hu,&nbsp;Qingsheng Zhu","doi":"10.1136/acupmed-2014-010686","DOIUrl":"https://doi.org/10.1136/acupmed-2014-010686","url":null,"abstract":"<p><strong>Objective: </strong>To investigate and compare the effects of electroacupuncture (EA) pretreatment at GV20 and ST36 on fatigue in rats.</p><p><strong>Methods: </strong>Rats were randomly allocated into 4 groups: control, fatigue, fatigue+GV20 and fatigue+ST36. The last two groups received EA pretreatment at GV20 or ST36 for 5 days before being maintained in cages filled with water to a height of 1.5 cm to establish an animal model of fatigue. We used the weight-loaded forced swimming test and open-field test and measured 5-hydroxyindoleacetic acid (5-HIAA)/5-hydroxytryptamine (5-HT) ratios and serum levels of blood urea nitrogen (BUN), lactic dehydrogenase (LDH) and testosterone as behavioural and biochemical markers of fatigue in the rats.</p><p><strong>Results: </strong>Compared with controls, rats in the (untreated) fatigue group exhibited reduced weight-loaded swimming times and total movement/distance in the open-field test, plus higher BUN/LDH and lower testosterone levels. Both EA pretreatment at GV20 and ST36 increased swimming times, and reduced serum BUN/LDH. EA pretreatment at GV20 (but not ST36) increased serum testosterone. The 5-HIAA/5-HT ratios in four brain regions were decreased in the fatigue+GV20 group compared with the fatigue group (p<0.05). By contrast, 5-HIAA/5-HT ratios in striatum and hypothalamus (but not hippocampus or midbrain) were decreased in the fatigue+ST36 group compared with the fatigue group (p<0.05). Furthermore, only pretreatment at GV20 affected the results of the open-field test.</p><p><strong>Conclusions: </strong>These results suggest that EA pretreatment had a positive effect on the prevention of fatigue. Pretreatment at GV20 had a greater anti-fatigue effect than pretreatment at ST36.</p>","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"406-12"},"PeriodicalIF":2.5,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/acupmed-2014-010686","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33431745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative analgesia after low-frequency electroacupuncture as adjunctive treatment in inguinal hernia surgery with abdominal wall mesh reconstruction.","authors":"Maria Dalamagka,&nbsp;Christos Mavrommatis,&nbsp;Vassilios Grosomanidis,&nbsp;Konstantinos Karakoulas,&nbsp;Dimitrios Vasilakos","doi":"10.1136/acupmed-2014-010689","DOIUrl":"https://doi.org/10.1136/acupmed-2014-010689","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether an electroacupuncture (EA) technique that was developed for a surgical population under general anaesthesia reduces pain after mesh inguinal hernia open repair.</p><p><strong>Methods: </strong>A total of 54 patients with right or left inguinal hernia were randomised to group I (preoperative, intraoperative, postoperative EA), group II (preoperative, postoperative EA), or a sham control group (group III; preoperative and postoperative placement of needles, but without skin penetration). The Visual Analogue Scale (VAS) (primary outcome) and the State-Trait Anxiety Spielberger Inventory were evaluated preoperatively and at 30 min, 90 min, 10 h and 24 h after surgery. Pain threshold and tolerance were evaluated using an algometer at these same time points and preoperatively before and after EA. Levels of the stress hormones cortisol, corticotrophin and prolactin were determined at 30 min, 90 min and 10 h after surgery and preoperatively before and after EA.</p><p><strong>Results: </strong>The results showed significant differences between the true EA and control groups. The true EA groups (I and II) showed statistically significantly greater improvements in the primary (VAS pain, p<0.05) and secondary outcome measures (Anxiety scale; algometer measurements, p<0.05 and stress hormones, p<0.01) compared to the control group. There were no statistically significant differences between groups I and II.</p><p><strong>Conclusions: </strong>Electroacupuncture reduces postoperative pain after mesh inguinal hernia repair and decreases stress hormone levels and anxiety during the postoperative period.</p><p><strong>Trial registration number: </strong>ClinicalTrials.gov identifier NCT01722253.</p>","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"360-7"},"PeriodicalIF":2.5,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/acupmed-2014-010689","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33359871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture in pregnancy.","authors":"João Bosco Guerreiro da Silva","doi":"10.1136/acupmed-2015-010938","DOIUrl":"https://doi.org/10.1136/acupmed-2015-010938","url":null,"abstract":"The use of acupuncture in the obstetrics pathologies of pregnancy like miscarriage threat and Specific Hypertensive Disease of Pregnancy is understudied although Betts et al. [4] call attention for the use in the first case. The relative success in treating Essential Hypertension in other kind of patients [5] may be a stimulus for its use in the second case, but there is not enough clinical experience yet.","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"350-2"},"PeriodicalIF":2.5,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/acupmed-2015-010938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33998351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.1136/acupmed-2014-010666corr1","DOIUrl":"https://doi.org/10.1136/acupmed-2014-010666corr1","url":null,"abstract":"","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"434"},"PeriodicalIF":2.5,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/acupmed-2014-010666corr1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34070605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcutaneous electrical acupuncture stimulation as a countermeasure against cardiovascular deconditioning during 4 days of head-down bed rest in humans.","authors":"Jing Sun,&nbsp;Xiaotao Li,&nbsp;Changbin Yang,&nbsp;Yongchun Wang,&nbsp;Fei Shi,&nbsp;Yuan Gao,&nbsp;Qi Luan,&nbsp;Yongsheng Zhu,&nbsp;Xiqing Sun","doi":"10.1136/acupmed-2014-010730","DOIUrl":"https://doi.org/10.1136/acupmed-2014-010730","url":null,"abstract":"<p><strong>Objective: </strong>Spaceflight is associated with cardiovascular deregulation. However, the influence of microgravity on the cardiovascular system and its mechanisms and countermeasures remain unknown. Our previous studies have demonstrated that transcutaneous electrical acupuncture stimulation (TEAS) is effective in improving orthostatic tolerance (OT). The purpose of this study was to determine if TEAS treatment can attenuate cardiovascular deconditioning induced by a 4-day -6° head-down bed rest (HDBR).</p><p><strong>Methods: </strong>Fourteen healthy male subjects were randomly allocated to a control group (control, n=6, 4 days HDBR without countermeasures) and a TEAS treatment group (TEAS, n=8, 4 days HDBR with TEAS at Neiguan (PC6) for 30 min each day for 4 consecutive days during HDBR). OT, plasma hormones, plasma volume and heart rate variability were assessed before and after HDBR. Cardiac function and cerebral blood flow were measured before, during and after HDBR.</p><p><strong>Results: </strong>The data showed that TEAS treatment mitigated the decrease in OT that was observed in the control group and cardiac function, alleviated autonomic dysfunction, and partially prevented plasma volume reduction after HDBR. Angiotensin II and aldosterone were significantly increased by 129.3% and 133.3% after HDBR in the TEAS group (p<0.05).</p><p><strong>Conclusions: </strong>These results indicate that 30 min of daily TEAS treatment at PC6 is partially effective in maintaining OT, probably due to increased plasma volume-regulating hormones and activation of the peripheral sympathetic nervous system. TEAS treatment appears effective at reducing cardiovascular deconditioning induced by HDBR for 4 days.</p><p><strong>Trial registration number: </strong>NCT02300207.</p>","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"381-7"},"PeriodicalIF":2.5,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/acupmed-2014-010730","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33347361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electroacupuncture for pain treatment after total knee arthroplasty.","authors":"Gao-Pu Liu,&nbsp;Fu-Shan Xue,&nbsp;Chao Sun,&nbsp;Rui-Ping Li","doi":"10.1136/acupmed-2015-010859","DOIUrl":"https://doi.org/10.1136/acupmed-2015-010859","url":null,"abstract":"In a single-blind randomised preliminary study evaluating the analgesic effect of electroacupuncture for postoperative pain in patients undergoing total knee arthroplasty, Tzeng et al 1 showed that electroacupuncture delayed the first demand for epidural patient-controlled analgesia (PCA), but did not decrease the total dosage of PCA solution or the incidence of postoperative vomiting. Given that total knee arthroplasty is a common surgical procedure and is frequently associated with severe postoperative pain,2 their findings have potential implications. In a randomised controlled trial, however, to differentiate the effect of one factor on study endpoints, all of the other factors have to be standardised. In this study, several important issues were not well addressed.\u0000\u0000First, preoperative psychological comorbidities such as anxiety, depression, negative mood and pain …","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"433"},"PeriodicalIF":2.5,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/acupmed-2015-010859","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33400929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The safety of obstetric acupuncture: forbidden points revisited.","authors":"David John Carr","doi":"10.1136/acupmed-2015-010936","DOIUrl":"https://doi.org/10.1136/acupmed-2015-010936","url":null,"abstract":"<p><strong>Background/aim: </strong>Although the safety of acupuncture per se in pregnancy is reasonably well accepted, there remains debate regarding needling at points historically considered to be 'forbidden' during pregnancy. This article reviews the scientific literature on this topic.</p><p><strong>Main findings: </strong>There is no objective evidence of harm following needling at forbidden points, summarised by the following four lines of evidence. (1) In 15 clinical trials (n=823 women receiving n=4549-7234 acupuncture treatments at one or more forbidden points) rates of preterm birth (PTB) and stillbirth following are equivalent to those in untreated control groups and consistent with background rates of these complications in the general population. (2) Observational studies, including a large cohort of 5885 pregnant women needled at forbidden points at all stage of pregnancy, demonstrate that rates of miscarriage, PTB, preterm prelabour rupture of membranes (PPROM), and preterm contractions (preterm labour (PTL) or threatened PTL) are comparable with untreated controls and/or consistent with their anticipated incidence. (3) There is no reliable evidence that acupuncture/electroacupuncture (EA) can induce miscarriage/labour, even under otherwise favourable circumstances such as post-dates pregnancy or intrauterine fetal death. (4) Laboratory experiments using pregnant rats have demonstrated that repeated EA at forbidden points throughout gestation does not influence rates of post-implantation embryonic demise or cause miscarriage, fetal loss or resorption.</p><p><strong>Conclusions: </strong>These findings are reassuring and will help individualised risk:benefit assessment before treating pregnant women. Given the numerous evidence-based indications for obstetric acupuncture and lack of evidence of harm, risk:benefit assessments will often fall in favour of treatment.</p>","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"413-9"},"PeriodicalIF":2.5,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/acupmed-2015-010936","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33998352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trial of intensive acupuncture for smoking cessation: a pilot study.","authors":"David D McFadden,&nbsp;Tony Y Chon,&nbsp;Ivana T Croghan,&nbsp;Darrell R Schroeder,&nbsp;Molly J Mallory,&nbsp;Jon O Ebbert,&nbsp;J Taylor Hays","doi":"10.1136/acupmed-2015-010794","DOIUrl":"https://doi.org/10.1136/acupmed-2015-010794","url":null,"abstract":"<p><strong>Background: </strong>Despite the significant decline in smoking rates in the USA over the last 50 years, 42 million Americans continue to smoke. Although the combination of behavioural counselling with FDA-approved medications offers the best evidence-based treatment approach, 12-month relapse rates remain at >60%. Both healthcare providers and patients are searching for alternative treatment options. Most acupuncture trials have yielded poor results for smoking cessation; however, most trials have not used an intense treatment protocol and maintained treatment for at least 12 weeks.</p><p><strong>Methods: </strong>We designed a pilot study to address these methodological problems. Twenty-eight smokers were recruited to attend two 1 h acupuncture sessions weekly for 12 weeks. Primary endpoints included completion rate, acceptability of the protocol and side effects. Secondary endpoints included carbon monoxide (CO)-confirmed, 7-day point prevalence quit rates at 12 weeks and 26 weeks.</p><p><strong>Results: </strong>Sixteen of the 28 patients enrolled (57%) completed 12 weeks of treatment. Of the 17 patients who completed the end-of-study questionnaire, 94% (16/17) rated the programme as helpful, and 82% noted they would recommend it to friends for smoking cessation. Three of the 28 who initially enrolled in the study were confirmed abstinent at 12 weeks (10.7%); one of the 28 (3.6%) was abstinent at 26 weeks.</p><p><strong>Conclusions: </strong>A larger study with a slightly less rigorous and more acceptable treatment protocol is feasible and should be considered.</p>","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"375-80"},"PeriodicalIF":2.5,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/acupmed-2015-010794","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33431746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture and standard emergency department care for pain and/or nausea and its impact on emergency care delivery: a feasibility study.","authors":"Anthony L Zhang,&nbsp;Shefton J Parker,&nbsp;De Villiers Smit,&nbsp;David McD Taylor,&nbsp;Charlie C L Xue","doi":"10.1136/acupmed-2013-010501","DOIUrl":"https://doi.org/10.1136/acupmed-2013-010501","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility of delivering acupuncture in an emergency department (ED) to patients presenting with pain and/or nausea.</p><p><strong>Methods: </strong>A feasibility study (with historical controls) undertaken at the Northern Hospital ED in Melbourne, Australia, involving people presenting to ED triage with pain (VAS 0-10) and/or nausea (Morrow Index 1-6) between January and August 2010 (n=400). The acupuncture group comprised 200 patients who received usual medical care and acupuncture; the usual care group comprised 200 patients with retrospective data closely matched from ED electronic health records.</p><p><strong>Results: </strong>Refusal rate was 31%, with 'symptoms under control owing to medical treatment before acupuncture' the most prevalent reason for refusal (n=36); 52.5% of participants responded 'definitely yes' for their willingness to repeat acupuncture, and a further 31.8% responded 'probably yes'. Over half (57%) reported a satisfaction score of 10 for acupuncture treatment. Musculoskeletal conditions were the most common conditions treated n=117 (58.5%), followed by abdominal or flank pain n=49 (24.5%). Adverse events were rare (2%) and mild. Pain and nausea scores reduced from a mean±SD of 7.01±2.02 before acupuncture to 4.72±2.62 after acupuncture and from 2.6±2.19 to 1.42±1.86, respectively.</p><p><strong>Conclusions: </strong>Acupuncture in the ED appears safe and acceptable for patients with pain and/or nausea. Results suggest combined care may provide effective pain and nausea relief in ED patients. Further high-quality, sufficiently powered randomised studies evaluating the cost-effectiveness and efficacy of the add-on effect of acupuncture are recommended.</p>","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"250-6"},"PeriodicalIF":2.5,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/acupmed-2013-010501","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40294272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chōng meridian an ancient Chinese description of the vascular system?","authors":"Vivien Shaw","doi":"10.1136/acupmed-2013-010496","DOIUrl":"https://doi.org/10.1136/acupmed-2013-010496","url":null,"abstract":"<p><p>The objectives of this research are, first, to establish if the extraordinary acupuncture meridian known as Chōng, Penetrating Vessel or Sea of Blood, is in essence a description of certain macroscopic parts of the underlying vascular system and, second, by extension, to show that it is likely that cadaveric dissection would have been used as a tool to arrive at this understanding. Generally accepted scholarly opinion holds that the ancient Chinese rarely used dissection in order to explore the anatomy of the human body, and that the meridians are therefore invisible metaphysical structures corresponding to lines drawn on the body. However, the seminal text, 'The Yellow Emperor's Classic of Internal Medicine', describes using palpation to examine the living and dissection to examine the dead. This implies that the original authors of these texts were observing physical structures visible to the naked eye. Dissection has therefore been used to compare the descriptions of the Chōng meridian in 'The Yellow Emperor's Classic of Internal Medicine' with the vascular anatomy of the human body. Fifteen acupuncture points located on various different ordinary meridians but bearing the same name, Chōng, were also examined to see if they bore any relationship to the vascular system. The dissections clearly show that the Chōng meridian correlates to certain main blood vessels in the body, in particular the vena cava. Similarly, most Chōng acupuncture points have a strong correspondence with blood vessels, marking terminal arteries on the hands, feet and forehead and anastomoses on the face, body and feet. These findings strongly suggest that the ancient Chinese texts relating to this meridian are likely to have been a 'description' of the vascular system. Furthermore, the ancient Chinese apparently had a high degree of anatomical skill in the practice of dissection and acute powers of observation.</p>","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"279-85"},"PeriodicalIF":2.5,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/acupmed-2013-010496","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40283556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}