Medical Acupuncture最新文献

{"title":"Neuroanatomical Specificity of Acupuncture Points of the Shoulder Girdle.","authors":"Jeffrey Liu, Poney Chiang","doi":"10.1089/acu.2024.0078","DOIUrl":"10.1089/acu.2024.0078","url":null,"abstract":"<p><strong>Background: </strong>Acupuncture is a popular modality for treating shoulder pain and dysfunction. However, its reproducibility in shoulder-related clinical studies has been inconsistent. Several discrepancies were found between the systematic classical (Jia Yi Jing [JYJ]) and a modern standardized acupuncture text for the location of points on the shoulder girdle.</p><p><strong>Objective: </strong>To define the neuroanatomical target of acupoint with respect to the shoulder girdle.</p><p><strong>Methods: </strong>Transliteration of the location of shoulder girdle-related acupuncture points from the JYJ. Point locations from the JYJ were compared to the textbook Chinese Acupuncture and Moxibustion. A review of surgical literature, cadaver dissection, and response from electrical stimulation on healthy volunteers was used to propose new neuroanatomical targets for each acupuncture point.</p><p><strong>Results: </strong>Acupuncture points of the shoulder girdle corresponded to the following: dorsal scapular, spinal accessory, long thoracic, thoraco-dorsal, suprascapular, axillary, and pectoral nerves.</p><p><strong>Conclusions: </strong>The present research verified the relationship between acupuncture points of the shoulder girdle and their corresponding neuroanatomical targets. This information increases the precision of acupuncture point stimulation and aids in the standardization of acupuncture point locations. It is expected to improve the interpretation of acupuncture studies on shoulder rehabilitation and future research design.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 5","pages":"398-407"},"PeriodicalIF":1.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12852181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107732","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":"Effect of Laser Auricular Acupuncture in Tobacco Smoking Cessation: A Systematic Review and Meta-Analysis.","authors":"Zainab Akram, Mahesh R Khairnar, Naveen Kumar P G, Sachin Kumar Jadhav, Ananta Kusumakar, Savitha Priyadarsini S","doi":"10.1089/acu.2023.0142","DOIUrl":"10.1089/acu.2023.0142","url":null,"abstract":"<p><strong>Introduction: </strong>This study explores laser auricular acupuncture as a potential solution for nicotine dependence, comparing it to conventional counseling. With a death every 6.5 s due to tobacco, the systematic review aims to assess the efficacy of laser acupuncture versus counseling or placebo, offering insights into innovative strategies for combating tobacco addiction.</p><p><strong>Methods: </strong>A systematic search across scientific databases yielded 2537 articles (2000-2021), reduced to 1294 after deduplication. Abstract screening narrowed it down to eight articles; after a full-text assessment based on inclusion/exclusion criteria, four were selected. Inter-rater reliability between coders (Z.A., M.R.K.) was strong at each screening stage, with perfect agreement at the full text (κ = 1.0), abstract (κ = 0.99), and title (κ = 0.89) stages, all with a 95% confidence interval.</p><p><strong>Results: </strong>In the meta-analysis of two studies on post-intervention nicotine dependence using the Fagerstrom scale, the laser group showed significantly lower scores (<i>p</i> = 0.002, mean difference = -0.60). Examining subjects who failed to quit smoking immediately after therapy, the laser group had 53.8% continuation compared to 83.0% in the comparison group (non-significant difference). At the 3-month mark, the continuation rates were 60.8% for the laser group and 86.6% for the comparison group (non-significant difference).</p><p><strong>Conclusion: </strong>Potential superiority of laser auricular acupuncture over behavioral counseling in tobacco cessation, with reported safety. However, the limited trials and sample size warrant cautious interpretation. Laser therapy emerges as a promising modality, but further extensive trials, especially in combination with other interventions, are crucial to solidify its efficacy in facilitating successful tobacco cessation.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 5","pages":"341-350"},"PeriodicalIF":1.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031111","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 at Neiguan Acupoint (PC6) for Coronary Heart Disease: A Scoping Review.","authors":"Jin-Huan Yue, Sheng-Lan Gao, Wei-Ran Chen, Dong-Hong Huang, Xian-Qi Zhao, Ang Li, Xiao-Ling Li, Guanhu Yang, Qin-Hong Zhang","doi":"10.1089/acu.2024.0008","DOIUrl":"10.1089/acu.2024.0008","url":null,"abstract":"<p><strong>Background: </strong>Coronary heart disease (CHD), also known as coronary artery atherosclerosis, is a highly prevalent and deadly disease worldwide, posing a serious threat to human health. There is an urgent need for more convenient and cost-effective treatment modalities to improve the symptoms and prognosis of patients.</p><p><strong>Method: </strong>This article reviews existing studies on acupuncture treatment of CHD using the Neiguan acupoint (PC6), which is documented in traditional Chinese medicine for alleviating \"chest congestion\" and \"heartache\" and is a hot topic in modern clinical research.</p><p><strong>Results: </strong>Acupuncture, particularly at PC6, has unique advantages in effectively relieving the clinical symptoms of CHD patients.</p><p><strong>Conclusions: </strong>The review aims to assist in the clinical application of PC6 acupuncture for CHD by summarizing current evidence.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 5","pages":"351-358"},"PeriodicalIF":1.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031141","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":"<i>Letter:</i> Acupuncture Clinical Trials in the Chinese Clinical Registry: Growth, Regional Disparities, and Standardization Challenges.","authors":"Changyang Li, Jianying Zhang, Yanlei Cui, Chunyan Zhang, Huanmin Gao","doi":"10.1089/acu.2025.0040","DOIUrl":"10.1089/acu.2025.0040","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 5","pages":"423-424"},"PeriodicalIF":1.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031098","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":"Effectiveness of Transcutaneous Electrical Acupoint Stimulation in the Treatment of Post-COVID Severe Dyspnea: A Case Report.","authors":"Lismin Dirwanto, Dendy Ali, Willie Japaries, Wijono Sukaputra Agussalim","doi":"10.1089/acu.2024.0011","DOIUrl":"10.1089/acu.2024.0011","url":null,"abstract":"<p><strong>Introduction: </strong>Long COVID, or post-COVID syndrome, refers to signs, symptoms, and conditions that persist or emerge following an acute coronavirus disease (COVID-19) infection. The most frequent symptoms are fatigue and dyspnea, with approximately 10-20% of patients recovering from COVID-19. Currently, there are no specific medical recommendations, except for symptomatic treatment.</p><p><strong>Objective: </strong>To evaluate the use of transcutaneous electrical acupoint stimulation (TEAS) for the treatment of post-COVID severe dyspnea.</p><p><strong>Methodology: </strong>This is a case report of successful treatment using TEAS in a patient with severe dyspnea after recovery from COVID-19.</p><p><strong>Results: </strong>A female adult patient experienced progressive dyspnea after recovering from COVID-19 a year prior. One session of TEAS successfully relieved severe dyspnea. No adverse effects or recurrence of dyspnea were reported at the 6-month follow-up.</p><p><strong>Conclusion: </strong>TEAS is a safe, simple, and effective treatment for overcoming post-COVID severe dyspnea.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 5","pages":"408-411"},"PeriodicalIF":1.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031127","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":"A Retrospective Examination of Acupuncture and Acupressure for Patients with Severe Preeclampsia.","authors":"Abbey C Sidebottom, Zena V Kocher, Anna K Schulte, Sandra R Castro-Pearson, David A Watson, Whitney L Wunderlich, Marc C Vacquier, Catherine A Bigelow, Heidi L Thorson, Kate M Levett, Laura C Colicchia","doi":"10.1089/acu.2024.0049","DOIUrl":"10.1089/acu.2024.0049","url":null,"abstract":"<p><strong>Background: </strong>Preeclampsia is a leading cause of maternal mortality, puerperal ICU admission, and iatrogenic preterm delivery. Some small studies suggest that acupuncture and acupressure may improve blood pressure, but few studies have examined the impact of these treatments on outcomes in patients with preterm preeclampsia with severe features.</p><p><strong>Objective: </strong>This retrospective chart review study assessed if acupuncture/acupressure (AQ/AP) in conjunction with routine care is associated with longer time from admission to delivery or gestational age at delivery in hospitalized patients with preterm preeclampsia compared to routine care alone. Secondary outcomes included breakthrough antihypertensive use, mean arterial pressure (MAP), postpartum length of stay, ICU admission, measures of hepatic and renal function, platelet counts, birthweights, and 5-min Apgar scores.</p><p><strong>Study design: </strong>This was a retrospective matched cohort study (2010-2020) of patients with preterm preeclampsia with severe features admitted for expectant management. Patients receiving AQ/AP were matched with controls who received only routine care.</p><p><strong>Results: </strong>The final sample of 100 matched pairs found the mean latency period from admission to delivery was 2.5 days longer in the AQ/AP group (95% CI: 0.81-4.26, <i>p</i> = 0.004). Breakthrough antihypertensive medication use, changes in MAP, and other biomarkers did not differ significantly.</p><p><strong>Conclusion: </strong>Among patients hospitalized for preeclampsia with severe features, those who received acupuncture and/or acupressure treatment had a longer time to delivery than matched controls, but AQ/AP treatment was not significantly associated with MAP or use of breakthrough antihypertensive medication.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 5","pages":"359-368"},"PeriodicalIF":1.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031100","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":"Observer-Blind Randomized Crossover Trial of Yamamoto New Scalp Acupuncture in Diagnosis and Treatment Points for Neck Pain and Shoulder Stiffness in Healthy Participants.","authors":"Soichiro Kaneko, Tetsuharu Kamiya, Shin Takayama, Ryutaro Arita, Rie Ono, Akiko Kikuchi, Minoru Ohsawa, Takuya Suematsu, Fumiya Omata, Sachie Kasukabe, Manami Suzuki, Tadashi Ishii","doi":"10.1089/acu.2024.0003","DOIUrl":"10.1089/acu.2024.0003","url":null,"abstract":"<p><strong>Background: </strong>Yamamoto New Scalp Acupuncture (YNSA) uses microsystems in the body for various treatments. In YNSA diagnosis, Hoku is important for determining the treatment side. The A-point is used for treating neck and shoulder symptoms, and the D-point for low back pain; however, no studies support this.</p><p><strong>Aim: </strong>To investigate the site specificity of stimulation at the A-point and the usefulness of Hoku diagnosis.</p><p><strong>Methods: </strong>Nineteen healthy adults with no previous acupuncture experience were included. Participants randomly received three sessions of A-point, D-point, or no stimulation, followed by a 1-week minimum washout period. The visual analog scale (VAS) of shoulder stiffness, pressure pain threshold (PPT), and muscle hardness were evaluated at the bilateral shoulder region before, during, and 20 min after the stimulation, with the observer blinded to group allocation.</p><p><strong>Results: </strong>No significant differences were found in PPT between the three groups. Significant differences in VAS were observed between the three groups and in the comparison between the A-point and the control group. Intragroup analysis showed a significant improvement in the A-point and none in the D-point group. In subjects who had tenderness and induration on the right side of Hoku, the VAS score was significantly improved between the groups and multiple comparisons between the A-point and the control. The effect size was greater when limited by the Hoku diagnosis.</p><p><strong>Conclusion: </strong>The stimulation point selected according to the diagnosis point information might be more effective in YNSA. However, the results of this study were based on healthy adults, so the effect size was small. In the future, large-scale studies on patients with symptoms are needed.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 5","pages":"382-390"},"PeriodicalIF":1.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031117","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":"Clinical Pearl: Treatment of Postural Orthostatic Tachycardia Syndrome with Acupuncture and Chinese Herbs.","authors":"Pukai Jin, Jieying Zhang, Guanhu Yang","doi":"10.1177/19336586251383278","DOIUrl":"10.1177/19336586251383278","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 5","pages":"412-413"},"PeriodicalIF":1.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031170","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":"Pressure Probes for Auriculotherapy Diagnosis: Are They Accurate?","authors":"Kariny Realino Ferreira, Maria de Cássia Macedo, Larisa Bachir Polloni, Michelle Almeida Barbosa, Alexandre Carvalho Barbosa","doi":"10.1089/acu.2024.0002","DOIUrl":"10.1089/acu.2024.0002","url":null,"abstract":"<p><strong>Background: </strong>Point detection is a pillar for auriculotherapy diagnosis. However, the pressure probes' accuracy is yet to be established.</p><p><strong>Objective: </strong>To assess the accuracy of commercially available pressure probes for auriculotherapy's diagnosis.</p><p><strong>Methods: </strong>Four probes were tested against a semi-analytic bubble level and calibrated precision pressure scale. Forty peaks of pressure from each device were recorded. The raw and the normalized peaks (by probes' length and diameter) were analyzed.</p><p><strong>Results: </strong>The absolute and the relative trials consistency were considered reliable, but inter-device differences were found for all pairwise comparisons among devices. The ideal preset pressure of 250 g was not achieved by any device, with effect sizes ranging from moderate to huge.</p><p><strong>Conclusions: </strong>All devices showed higher values compared with 250 g. The device's results disagree compared to each other, impairing the reliability and the diagnosis. Aside from the within-device absolute and relative consistency, the results suggest there is still no gold-standard device to assertively assess the auricular tender points.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 5","pages":"377-381"},"PeriodicalIF":1.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031217","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":"Improvement of Urinary Retention Symptoms After Vaginal Delivery with Electroacupuncture.","authors":"Ayu Permata Sari, Suskhan Djusad, Irma Nareswari, Didi Lazuardi, Yanto Kusnawara","doi":"10.1177/19336586251384759","DOIUrl":"10.1177/19336586251384759","url":null,"abstract":"<p><strong>Background: </strong>Post-partum urinary retention (PPUR) is defined as the inability to urinate spontaneously after 6 h postpartum with residual urine ≥200 mL. Management of PPUR by inserting a urinary catheter. Electroacupuncture (EA) increased detrusor contractions, encouraged micturition, and reduced residual volume with minimal side effects.</p><p><strong>Objectives: </strong>The purpose of this study was to determine the effectiveness of EA in accelerating micturition and reducing residual urine in patients with PPUR.</p><p><strong>Methods: </strong>This is a double-blind randomized clinical trial. This study was performed on 60 subjects who presented with residual urine volume between 500 mL and 1000 mL 6 h after delivery (measured with a female catheter) and were divided into EA (<i>n</i> = 30) and sham (<i>n</i> = 30) groups. In the EA group, acupuncture needles were inserted into the following points: CV3, CV4, bilateral SP6, BL32, and BL33. The needles were connected to an EA stimulator with a continuous wave 2 Hz for 30 min. In the sham group, the needles were not inserted into the skin but only attached to the skin with round band-aids. They were then connected to EA, but no electrical stimulation was given. EA was performed two times within 24 h, while the patient had a catheter inserted.</p><p><strong>Results: </strong>The first spontaneous micturition in the EA group was faster (average time to first spontaneous micturition in the EA group occurred in 102.4 (±63.6) min and spontaneous micturition in the sham group occurred in 191.8 (±97.5) min). This result was statistically significant with <i>p</i> < 0.001. Residual urine volume with the EA therapy study group was less compared to the control group (sham). The median final residual volume in the EA group was 100 mL (0-400 mL), while in the sham group was 185 mL (5-660 mL). This result was statistically significant with <i>p = 0.005</i>.</p><p><strong>Conclusion: </strong>EA may accelerate spontaneous micturition and reduce residual urine volume in patients with PPUR.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"38 2","pages":"127-136"},"PeriodicalIF":1.1,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147933768","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}