Friday, August 22, 2014

New CT Scans Reveal Acupuncture Points

This new finding demonstrates the physical existence of acupuncture points.
CT scans reveal anatomical structures of acupuncture points. 
A CT (computerized tomography) scan is a series of X-rays used to create cross-sectional images. In this study published in the Journal of Electron Spectroscopy and Related Phenomena, researchers used in-line phase contrast CT imaging with synchrotron radiation on both non-acupuncture points and acupuncture points. The CT scans revealed clear distinctions between the non-acupuncture point and acupuncture point anatomical structures.
Acupuncture points have a higher density of micro-vessels and contain a large amount of involuted microvascular structures. The non-acupuncture points did not exhibit these properties.
The researchers note that the state-of-the-art CT imaging techniques used in this study allow for improved three-dimensional (3D) imaging of a large field of view without artifacts. This greatly improves imaging of soft tissue and allowed the researchers to make this important discovery.
The acupuncture points ST36 (Zusanli) and ST37 (Shangjuxu) were shown to have very distinct structural differences than surrounding areas. At the acupuncture points, microvascular densities with bifurcations “can be clearly seen around thick blood vessels” but non-acupuncture point areas showed few thick blood vessels and none showed fine, high density structures. The acupuncture points contained fine structures with more large blood vessels that are several dozen micrometers in size plus beds of high density vascularization of vessels 15-50 micrometers in size. This structure was not found in non-acupuncture point areas.
The researchers note that the size of an acupuncture point “can be estimated by the diameter of microvascular aggregations….” They also commented that other research has found unique structures of acupuncture points and acupuncture meridians using MRI (magnetic resonance imaging), infrared imaging, LCD thermal photography, ultrasound and other CT imaging methods. The researchers commented that many studies using these technological approaches have already shown that acupuncture points exist. They note that “the high brightness, wide spectrum, high collimation, polarization and pulsed structure of synchrotron radiation” facilitated their discovery. They concluded, “Our results demonstrated again the existence of acupoints, and also show that the acupoints are special points in mammals.”
In another interesting study, researchers used an amperometric oxygen microsensor to detect partial oxygen pressure variations at different locations on the anterior aspect of the wrist. The researchers concluded that partial oxygen pressure is significantly higher at acupuncture points. Below are images from the study measuring the increase of partial oxygen pressure combined with an overlay of the local acupuncture point locations. The images map the Lung, Pericardium and Heart channels and their associated local points. Acupuncture points P7 and P6 clearly show high oxygen pressure levels as do the other acupuncture points in the region.
These measurements are not needled points but are natural resting states of acupuncture points absent stimulation. A truly unique finding, acupuncture points exhibit special oxygen characteristics. Acupuncture points and acupuncture channels are scientifically measurable phenomena in repeated experiments.
This is an oxygen picture of PC6.


This an image of PC7.


References:
Chenglin, Liu, Wang Xiaohu, Xu Hua, Liu Fang, Dang Ruishan, Zhang Dongming, Zhang Xinyi, Xie Honglan, and Xiao Tiqiao. "X-ray phase-contrast CT imaging of the acupoints based on synchrotron radiation." Journal of Electron Spectroscopy and Related Phenomena (2013).
Author Affiliations:
1. Liu Chenglin, Wang Xiaohua, Xu Hua; Physics Department of Yancheng Teachers’ College, Yancheng, China.
2. Liu Fang, Dang Ruishan; Anatomy Department of Second Military Medical University, Shanghai, China.
3. Zhang Dongming, Zhang Xinyi; Synchrotron Radiation Research Center of Fudan University, Shanghai, China.
4. Xie Honglan, Xiao Tiqiao; Shanghai Synchrotron Radiation Facility of Shanghai Institute of Applied Physics, Shanghai, China.
Minyoung Hong, Sarah S. Park, Yejin Ha, et al., “Heterogeneity of Skin Surface Oxygen Level of Wrist in Relation to Acupuncture Point,” Evidence-Based Complementary and Alternative Medicine, vol. 2012, Article ID 106762, 7 pages, 2012. doi:10.1155/2012/10a6762.
Yan X H, Zhang X Y, et al. Do acupuncture points exist? [J]. Physics in Medicine and Biology, 54 (2009):N143–N150.
Zhang Y, Yan X H, Liu C L, et al. Photoluminescence of acupuncture points “Waiqiu” in human superficial fascia [J]. J Lumin. 2006, 119-120:96-99.
Julia J. Tsuei, Scientific Evidence in Support of Acupuncture and Meridian Theory: I. Introduction. IEEE Engineering in Medicine and Biology Magazine. 1996, 15(3):58-63.
Li Lei, Yau To, Yau Chuen-heung. What Is the Origin of Acupoint. J. Acupunct. Tuina. Sci. 2012, 10 (2):125-127.
Song X J, Zhang D. Study on the manifestation of facial infrared thermography induced by acupuncturing Guangming (GB 37) and Hegu (LI 4) [J]. Chinese Acupuncture & Moxibustion. 2010, 30(1):51-54.
Liu P, Zhou G Y, Zhang Y, et al. The hybrid GLM‒ ICA investigation on the neural mechanism of acupoint ST36: An fMRI study [J]. Neuroscience Letters, 2010, 479: 267-271.
Fei L, Cheng H S, et al. The experimental exploration and the research prospects about the material basis and the functional characteristics of the meridian [J]. Chinese Science Bulletin, 1998, 439(6):658-672.
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Thursday, August 21, 2014


Résumé : 
Introduction : Les obésités graves se définissent par un IMC > 35. En MTC, l'obésité est décrite sous le terme de feipang. Ce dernier désigne un surpoids du corps dû à l'accumulation de graisse qui correspond à des mucosités. Les obésités graves ne sont pas nécessairement la conséquence du ‘trop manger/peu bouger' mais résultent de déséquilibres énergétiques plus profonds. Et l'acupuncture semble tout à fait indiquée dans la correction de ces déséquilibres.
Méthodes : Afin de déterminer l'apport de l'acupuncture associée à la diététique dans le traitement des obésités graves, une étude a été réalisée de Janvier 2000 à Décembre 2009. 
Résultats : L'analyse portant sur 1486 patients souffrant d'obésité grave et soumis à un protocole de traitement acupunctural standardisé a bien mis en évidence le rôle positif de l'acupuncture par comparaison à d'autres études où cette dernière n'était pas utilisée. L'acupuncture permet une perte de poids significativement plus importante tout en apportant plus de confort au patient. En plus de son rôle régulateur du métabolisme, elle réduit la faim et calme le stress. 
Conclusions : Ces premiers résultats, bien que très encourageants, nécessitent d'être validés par d'autres études similaires. L'acupuncture constitue une voie de recherche à ne pas négliger et une alternative qu'on aurait tort d'ignorer.

Effectiveness of Stimulation of Acupoint KI 1 by Artemisia vulgaris (Moxa) for the Treatment of Essential Hypertension: A Systematic Review of Randomized Controlled Trials


Xiaochen Yang, Xingjiang Xiong, [...], and Jie Wang
Abstract
Objective. A systematic review of randomized controlled trials has been performed to assess the effectiveness of stimulation of acupoint KI 1 by Artemisia vulgaris (the Japanese name is moxa) to lower blood pressure compared to antihypertensive drugs.Methods and Findings. Articles published from 1980 to August 2013 in databases of CENTRAL, Pubmed, CBM, CNKI, VIP, and online clinical trial registry websites were searched. Studies included were randomized controlled trials (RCTs); moxibustion-type intervention on KI 1 compared with antihypertensive drugs; meta-analysis showed superior effects of moxibustion plus antihypertensive drugs on systolic blood pressure (WMD: −4.91 [−7.54, −2.28]; P = 0.0003) but no superior effects on diastolic blood pressure (WMD: −6.38 [−17.17, 4.41]; P = 0.25). 
Conclusions. Our systematic review of the current literature shows a beneficial effect of using moxibustion interventions on KI 1 to lower blood pressure compared to antihypertensive drugs. However, the results are influenced by the existing differences in design of the current trials.

Thursday, February 13, 2014

Treating vascular mild cognitive impairment by acupuncture: a systematic review of randomized controlled trials


 2013 Dec;33(12):1626-30.

Abstract

OBJECTIVE:

To systematically evaluate the effect and safety of acupuncture in the treatment of vascular mild cognitive impairment (VMCI).

METHODS:

Recruited were China National Knowledge Infrastructure Database (CNKI) (1979-2012), Chinese Science and Technology Periodical Database (VIP) (1989-2012), Chinese Biomedical Database (CBM), Wanfang degree and conference papers database (1985-2012), PubMed Database (1966-2012), and The Cochrane Library (Issue 1, 2012). The search date ended in February 2012. Randomized controlled trials (RCTs) by taking acupuncture as the main treatment for VMCI (nonvascular dementia) were collected. Results were measured using at least one internationally recognized evaluation cognitive scale. Two analysts selected the data independently. The assessment of methodological quality was based on the Cochrane Handbook and the data were analyzed by using RevMan 5.1.0 Software. The mean difference (MD) or risk ratio (RR) were taken and graphed with 95% confidence interval (CI).

RESULTS:

Recruited 12 RCTs included a total of 691 cases meeting the inclusion criteria (all of the methodological quality was of B level). Acupuncture combined other therapies was involved in 9 RCTs, with effect compared with that of other therapies. Results of meta-analysis showed, compared with the cognitive function training alone, electroacupuncture (MD 1.59, 95% CI 0.69-2.48, P = 0.0005, 3 studies) or body acupuncture (MD 3.26, 95% CI 1.69-4.83, P < 0.01, 1 study) combined with the cognitive function training could significantly increase the mini-mental state examination (MMSE) score of patients. In comparison to Western medicine, acupuncture could elevate ADAS-Cog score (MD 2.16, 95% CI 1.36-2.95, P < 0.01, 3 studies). In all the studies, adverse event had not been reported.

CONCLUSIONS:

Acupuncture in combination with other therapies could significantly improve cognitive functions. Acupuncture itself appeared to have better therapeutic effects than Western medicine alone.

Tuesday, January 28, 2014

Comparison the effect of lateral wedge insole and acupuncture in medial compartment knee osteoarthritis: A randomized controlled trial


 2013 Dec 27. pii: S0968-0160(13)00249-4. doi: 10.1016/j.knee.2013.12.002.

Abstract

BACKGROUND:

There is lack of well-designed trials evaluating structural benefits of non-pharmacologic therapies in knee osteoarthritis (OA). In this parallel-group randomized controlled trial, we aim to compare the possible advantages of lateral wedge insole and acupuncture in patients with medial knee OA.

METHOD:

Patients with grade two or three of medial knee OA were randomly allocated to group one who received an in shoe lateral wedge and group two who underwent acupuncture. We assessed patients' pain, function and knee joint cartilage thickness before and after intervention. Paired t-test and independent samples t-test were used for in group and between group analyses. (Level of evidence: 2.) 
RESULTS: Twenty patients in each group were recruited in the study. Pain significantly decreased after therapy in both groups one and two (paired t test, P<0.001, 95% CI: 1.62-3.25 and 1.58-3.20 respectively). Function improved in each group (paired t test, P=0.001, 95% CI of 0.94-2.38 in group one and 0.97-2.43 in group two). A non-clinically statistically significant difference regarding the femoral and tibial cartilage thickness was obtained in both groups one (P=0.005, CI: -0.43-0.82 and P=0.037, CI: -0.44-0.80 respectively) and two (P=0.025, CI: -0.45-0.79 and P=0.035, CI: -0.29-0.96 respectively). Between groups analysis showed no significant difference regarding abovementioned measures.

CONCLUSION:

Both lateral wedge insole and acupuncture can be effective in the treatment of medial knee osteoarthritis without any superiority of one over the other. 
Copyright © 2013 Elsevier B.V. All rights reserved.

KEYWORDS:

Acupuncture, Knee osteoarthritis, Lateral wedge insole, Magnetic resonance imaging

Saturday, January 4, 2014

Efficacy observation of carpal tunnel syndrome treated with electroacupuncture

 2013 Aug;33(8):700-2.

Xia Q, Liu XW, Wang XL, Tao Y.

Abstract

OBJECTIVE:

To explore the impacts of electroacupuncture on median nerve conduction velocity and morphology in patients of carpal tunnel syndrome (CTS) and evaluate the efficacy of electroacupuncture on CTS.

METHODS:

Thirty cases of CTS were treated with electroacupuncture at Quchi (LI 11), Yangchi (TE 4), Shousanli (LI 10), Neiguan (PC 6) and Hegu (LI 4) on the affected side, combined with semiconductor laser irradiation at Shenmen (HT 7) and Yangxi (LI 5) on the affected side. The improvements in the symptoms and changes in nerve conduction velocity and ultrasound morphology were observed before and after treatment.

RESULT:

The clinical total effective rate was 96.7% (29/30). The median nerve conduction velocity was accelerated apparently and the amplitude was increased after treatment as compared with those before treatment, indicating the statistically significant difference (all P<0.001). The distal motor latency was shortened apparently (P<0.001) and the motor amplitude had no apparent change (P>0.05). The proximal median nerve swelling was relieved apparently after treatment (P<0.05) and the effective rate was 36.7% (11/30). There was no apparent difference in the ratio of the vertical and horizontal diameters of carpal tunnel after treatment as compared with that before treatment (P>0.05).

CONCLUSION:

Electroacupuncture presents the positive repair function to the median nerve in the patients of CTS. It can effectively alleviate inflammatory reaction and relieve ischemia and swelling of nerve fibers. And it cannot induce the changes in morphology in a short term.