Medical Acupuncture最新文献

{"title":"How Do You Treat Haemorrhoids in Your Practice?","authors":"Md Felipe Abreu Márquez","doi":"10.1089/acu.2024.0136","DOIUrl":"https://doi.org/10.1089/acu.2024.0136","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"36 5","pages":"296-297"},"PeriodicalIF":0.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915914","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":"How You Treat Hemorrhoids with Acupuncture and/or Chinese Herbs, in Your Practice.","authors":"Arkady Kotlyar","doi":"10.1089/acu.2024.0134","DOIUrl":"https://doi.org/10.1089/acu.2024.0134","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"36 5","pages":"297-299"},"PeriodicalIF":0.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915916","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":"How You Treat Hemorrhoids with Acupuncture and/or Chinese Herbs, in Your Practice.","authors":"Y M Garcia, L K Fujita, Acf Rocha","doi":"10.1089/acu.2024.0145","DOIUrl":"10.1089/acu.2024.0145","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"36 5","pages":"299-300"},"PeriodicalIF":0.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915884","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":"Teaching Guatemalan Lay Midwives Acupressure: Outcomes and Lessons Learned.","authors":"Lisa J Taylor-Swanson, Lisa Bell, Wen Tu, Ashlee Taft Nelson, Caroline Sariah Howell, Cinnamon Geppelt, Joan Boccino, Buffy Taylor, Gabriela Alvarez, Claudia Citkovitz, Kimberly Johnson, Jeannette Villalta, Kimberly Garcia","doi":"10.1089/acu.2023.0139","DOIUrl":"10.1089/acu.2023.0139","url":null,"abstract":"<p><strong>Purpose: </strong>Lay midwives attend most births at home in Guatemala facing many challenges with limited resources. Current research demonstrates that acupressure can reduce preterm contractions and encourage post-term labor. Sharing acupressure techniques with lay midwives could improve birth outcomes in Guatemala. The purpose of this study was to deliver an educational session for lay midwives to assess their learning and satisfaction with acupressure, and its feasibility and usefulness in their work.</p><p><strong>Methods: </strong>Two acupressure protocols were designed based on the clinical expertise of University of Utah College of Nursing faculty and extant literature. Demographic data and a pretest were conducted, followed by a focus group and various educational activities. A post-test was administered, and participants were given Spanish-language, laminated Reminder Cards with acupressure point illustrations to reinforce knowledge retention as the group had a low literacy rate. This study was IRB approved.</p><p><strong>Results: </strong>Eleven lay midwives participated (all female, average age 52 with an average of 21 years of lay midwifery experience). Lay midwives lacked knowledge about acupressure before the educational session and were eager to learn. Afterward, most participants recalled six points to discourage preterm labor and six points to encourage post-term labor on a post-test, and expressed an intent to use their new acupressure knowledge with patients.</p><p><strong>Discussion: </strong>This sample of lay midwives eagerly embraced new acupressure information and demonstrated increased knowledge after this educational intervention. Next steps would be to continue to expand lay midwife knowledge and skills in response to their request for acupressure interventions for retained placenta.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"36 5","pages":"264-271"},"PeriodicalIF":0.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915886","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":"Acupuncture as an Adjunct Treatment in Stiff Person Syndrome.","authors":"Kendra Unger, Courtney Pilkerton","doi":"10.1089/acu.2023.0138","DOIUrl":"10.1089/acu.2023.0138","url":null,"abstract":"<p><strong>Objective: </strong>Stiff person syndrome (SPS) is a rare neurological disorder. Treatments are limited, and non-pharmacologic therapies are recommended based on symptomatology. A G2P2002 post-menopausal 60-year-old female with hypertension, obesity, and type II diabetes, and SPS secondary to a paraneoplastic process cause by endometrioid ovarian adenocarcinoma who presented to acupuncture clinic seeking treatment for SPS and its sequela. Her main complaints upon presentation included muscles spasticity causing low back pain, hip flexor pain, insomnia and chemotherapy induced peripheral neuropathy. Her mood and quality of life were also noted to be poor at presentation.</p><p><strong>Materials and methods: </strong>A case report of implementation and customization of acupuncture treatment protocol for the sequelae of SPS including painful spasticity, insomnia, and reduced quality of life is discussed. Outcomes included measures of stiffness (degree of stiffness, distribution of stiffness, heightened sensitivity score) at each visit and health-related quality of life 14 item index at baseline. These outcomes were measured at the initiation of the acupuncture intervention (baseline) and after 9 weeks of weekly acupuncture treatments. These treatments included body acupuncture, electro acupuncture and auricular acupuncture. Acupuncture was performed in addition to her ongoing IVIG therapy.</p><p><strong>Results: </strong>Forward bending increased with maximal benefit observed by treatment 3. Lateral bending showed significant improvement with maximal effect by treatment 4. Timed activity testing (walk and stair climb) initially did not improve but showed a significant and sustained improvement following acupuncture protocol change following week 5. The self-rated quality of life outcome measure of overall health was unchanged (\"good\" at baseline and at follow-up), but all other quality of life outcome measures showed improvements.</p><p><strong>Conclusions: </strong>SPS is a rare disorder causing substantial impairment for patients affected. The evidence supporting the use of acupuncture specifically for SPS is at most limited, however, the evidence supports the use of acupuncture for many of the symptoms experienced by those with SPS. This case illustrates how acupuncture can be considered as an adjunct therapy to improve the quality of life and function of these patients. More studies are needed to further investigate and optimize acupuncture treatment protocols for this rare disease.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"36 5","pages":"289-295"},"PeriodicalIF":0.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915907","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 at Traditional Acupoints or Myofascial Trigger Points for Chronic Nonspecific Low Back Pain: High or Alternated Frequency? A Double-Blinded Randomized Controlled Trial.","authors":"Oanh Thi Kim Ngo, Dieu-Thuong Thi Trinh, Wei Tang","doi":"10.1089/acu.2024.0005","DOIUrl":"10.1089/acu.2024.0005","url":null,"abstract":"<p><strong>Background: </strong>Chronic nonspecific low back pain (cNLBP) can be effectively treated by electroacupuncture (EA) at traditional acupoints (TAPs) and myofascial trigger points (MTrPs). However, the optimal type and frequency of stimulation (alternated frequency [AF] and high frequency [HF]) remain unclear. This study aimed to explore this.</p><p><strong>Methods: </strong>A double-blinded randomized controlled trial was conducted with four treatment groups: EA using AF at MTrPs (MTP-AF group), HF at MTrPs (MTP-HF group), AF at TAPs (TAP-AF group), and HF at TAPs (TAP-HF), each with 40 middle-aged cNLBP patients. The AF was 2/100 Hz and HF was 100 Hz. Pain-visual analog scale (pain-VAS), paracetamol requirement, Oswestry disability index (ODI) score, global improvement, and adverse effects (AEs) were monitored.</p><p><strong>Results: </strong>After 4 weeks, groups of EA targeting MTrPs and TAPs with the same frequency showed no significant differences. Groups using AF demonstrated significantly superior pain-VAS and ODI percentage score reductions compared with HF groups, extending at least 4 weeks post-EA. All groups showed consistent results in paracetamol use, global improvement, and safety. Subgroup analysis indicated that EA with AF at MTrPs provided better results in patients aged ≥60-65 years.</p><p><strong>Conclusions: </strong>EA at MTrPs and TAPs demonstrated similar effects on cNLBP. However, an AF proves more effective than an HF, potentially maintaining this trend in the short term. Older patients may respond better to EA at MTrPs with AF. Future studies may explore combined MTrPs and TAPs for cNBLP treatment with a broader age range and more diverse demographic groups.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"36 5","pages":"250-263"},"PeriodicalIF":0.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915909","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":"Hemorrhoids with Acupuncture: A Case Study.","authors":"Yongfeng Liu","doi":"10.1089/acu.2024.0142","DOIUrl":"https://doi.org/10.1089/acu.2024.0142","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"36 5","pages":"299"},"PeriodicalIF":0.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915911","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":"Enhancing Vagal Tone, Modulating Heart Rate Variability with Auricular Acupressure at Point Zero: A Randomized Controlled Trial.","authors":"Dieu-Thuong Thi Trinh, Nguyen Cong Nguyen, An Hoa Tran, Minh-Man Pham Bui, Nguyen Lam Vuong","doi":"10.1089/acu.2024.0001","DOIUrl":"10.1089/acu.2024.0001","url":null,"abstract":"<p><strong>Introduction: </strong>Point Zero located within the vagus nerve's auricular branch shows promise in addressing imbalances. This study aims to explore its effects on vagal activity using auricular acupressure (AA), measured through heart rate variability (HRV).</p><p><strong>Methods: </strong>This single-blinded randomized controlled trial involved 114 healthy volunteers randomly assigned to receive AA (AA group, <i>n</i> = 57) or sham-AA (SA group, <i>n</i> = 57) at Point Zero. The 30-minute procedure comprised six stages: T1 and T2 (pre-intervention), T3 to T5 (intervention), and T6 (post-intervention). Interventions involving 30-s acupoint pressure stimulations at T3 and T5. The HRV-measured outcomes included heart rate (HR), standard deviation of R-R intervals (SDNN), root mean square of successive RR interval differences (RMSSD), natural logarithm of low-frequency power (LnLF), and natural logarithm of high-frequency power (LnHF). In addition, respiratory rate (RR) was monitored for its stability.</p><p><strong>Results: </strong>The AA group demonstrated a significant decrease in HR and increases in SDNN, RMSSD, and LnHF from stages T3 to T6 compared with T1 (baseline), notably prominent at T3 (median changes [25th; 75th percentiles]: -2 [-5; -1], 17.85 [9.65; 31.72], 4.9 [1.08; 10.65], 0.26 [0.00; 0.62], respectively) and T5 (-3 [-6; -1], 19.45 [10.6; 32.89], 6.17 [-0.17; 16.34], 0.40 [-0.14; 0.83], respectively), while the SA group did not. LnLF showed nonsignificant alterations, and RR remained stable in both groups. Despite minor HRV fluctuations, the AA group consistently displayed significantly higher changes in SDNN and RMSSD compared with the SA group from T3 onwards. HR remained unchanged at T6, and LnHF significantly differed only at T5.</p><p><strong>Conclusion: </strong>AA at Point Zero may promptly enhance vagal activity, evident in the modulation of HRV, notably pronounced with pressure stimulation, and can be sustained for at least 5 min. Further studies are needed to assess its long-term effectiveness and efficacy in preventing or treating patients.(<b>Clinical Trial Registration:</b> NCT05586698).</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"36 4","pages":"203-214"},"PeriodicalIF":0.8,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298178","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":"How Do You Treat Groin Pain in Adult Patients with Acupuncture.","authors":"Arkady Kotlyar","doi":"10.1089/acu.2024.0074","DOIUrl":"10.1089/acu.2024.0074","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"36 4","pages":"245-246"},"PeriodicalIF":0.8,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298179","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":"Acupuncture for Residual Dizziness After Successful Repositioning Maneuvers in Patients with Benign Paroxysmal Positional Vertigo: Study Protocol for a Randomized Noninferiority Trial.","authors":"Yu Xia, Jingchao Sun, Kun Dai, Fuqiang Sun, Zhe Ren, Bin Cheng","doi":"10.1089/acu.2023.0135","DOIUrl":"10.1089/acu.2023.0135","url":null,"abstract":"<p><strong>Introduction: </strong>Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo among adults. Successful treatment often requires an appropriate canalith repositioning procedure (CRP), which has proven effective in the treatment of BPPV. However, some patients experience residual dizziness (RD) after CRP, affecting their daily activities and quality of life. Although oral betahistine is a common clinical treatment for RD, some patients may discontinue this medication due to adverse effects. Conversely, acupuncture has demonstrated efficacy in treating dizziness with minimal adverse effects. However, to date, no trials have directly compared the efficacy of acupuncture and betahistine in treating RD. Our goal was to assess the noninferiority of acupuncture in treating RD compared with the commonly used oral betahistine treatment.</p><p><strong>Methods and analysis: </strong>A randomized, controlled, non-inferiority trial was conducted to compare the effectiveness of acupuncture and betahistine in patients with BPPV who experience RD after a successful CRP. Eighty-four participants were randomly assigned to two treatment groups, each receiving either acupuncture or betahistine. The assessors and statisticians were blinded to treatment allocation. The primary outcomes were the response rate and change in vertigo level, and secondary outcomes included Visual Analog Scores and the presence and change in depressive symptoms among patients. Scale measures were recorded at baseline, 2, 4, and 12 weeks after randomization. This trial aims to provide causal evidence supporting the non-inferiority of acupuncture therapy relative to oral betahistine, offering an alternative treatment avenue for patients intolerant to betahistine.</p><p><strong>Ethics and dissemination: </strong>Ethics approval was obtained from the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, with permission number 2023-095-KY. Written informed consent was obtained from the enrolled patients.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"36 4","pages":"227-234"},"PeriodicalIF":0.8,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298176","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}