New references on AP

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Hi All,

 

See these

 

Phil

 

Kuo, Tsun-Cheng; Chen, Zong-Shiow; Chen, Ching-Hsein; Ho,

Feng-Ming; Lin, Chii-Wann; Chen, Yu-Jen The physiological effect

of DE QI during AP. Journal of Health Science 50 (4) August

2004, 336-342. kuotsung Dept Cosmet Sci,

Chia Nan Univ Pharm and Sci, 60 Erh Jen RD,Sec 1,Jen Te,

Tainan, 707, Taiwan Acupoints tend to show higher electric

conductivity and have a higher concentration of neural and vascular

elements as well as mast cells. According to one model, the

meridian is an extravascular fluid (interstitial fluid) pathway and

circulation of this fluid is driven by skeletal muscle contraction. Our

result derived from laser Doppler flowmetry shows that Yanglao

(SI6) and Xiaohai (SI8) have larger amplitude of heartbeat and

vasomotion than non-AP points. The amplitude of blood flow on the

SI8 shows a more significant increase (4.3 +/- 0.7 PU) than that of

non-AP points (1.1 +/- 0.2 PU). Our results indicate that AP

increases blood flow when the De-Qi sensation takes place. In the

experiment, the needle was only entered into the subject by 2 mm

for about 15 sec during a SI6 AP session, and the blood flow

increased immediately. The blood flow of SI8 began to rise 5 sec

after implementation and increased by 11.1 +/- 0.9 PU. However,

when the arm was tied up, the blood flow at the S18 point slowed

down quickly. Even though insertion with a twirling needle was

followed after the drop in blood flow, the blood flow at the S18 point

did not accelerate again (0.7 +/- 0.2 PU). The present study seems

to show that AP is effective in regulating the ANS. Implementation

of AP causes the sphincter of microvessel to relax, and the tissue

fluid to flow out, and the propagated sensation along the meridian

is caused by this large amount of tissue fluid that flows along the

loosen body stalk. The interstitial fluid increases during the

needling and blood capillary expansion, which may be one of the

mechanisms of AP regulation.

 

Huntley, Alyson L.; Coon, Joanna Thompson; Ernst, Edzard

Complementary and alternative medicine for labor pain: A

systematic review. American Journal of Obstetrics and Gynecology

191 (1), July 2004, 36-44. alyson.huntley Peninsula

Med Sch, Univ Exeter, 25 Victoria Pk Rd, Exeter, Devon, EX2 4NT,

UK Objectives: The purpose of this study was to systematically

review the literature for, and critically appraise, randomized

controlled trials of any type of complementary and alternative

therapies for labor pain. Study design: Six electronic databases

were searched from their inception until July 2003. The inclusion

criteria were that they were prospective, randomized controlled

trials, involved healthy pregnant women at term, and contained

outcome measures of labor pain. Results : Our search strategy

found 18 trials. Six of these did not meet our inclusion criteria. The

remaining 12 trials involved acupuncture (2), biofeedback (1),

hypnosis (2), intracutaneous sterile water injections (4), massage

(2), and respiratory autogenic training (1). Conclusion: There is

insufficient evidence for the efficacy of any of the complementary

and alternative therapies for labor pain, with the exception of

intracutaneous sterile water injections. For all the other treatments

described it is impossible to make any definitive conclusions

regarding effectiveness in labor pain control. Copyright 2004

Elsevier Inc. All rights reserved.

 

Spence, D. Warren; Kayumov, Leonid; Chen, Adam; Lowe, Alan;

Jain, Umesh; Katzman, Martin A.; Shen, Jianhua; Perelman, Boris;

Shapiro, Colin M. AP Increases Nocturnal Melatonin Secretion and

Reduces Insomnia and Anxiety: A Preliminary Report. Journal of

Neuropsychiatry & Clinical Neurosciences 16 (1) 2004, 19-28.

Centre for Addiction and Mental Health, Toronto, ON, Canada;

lkayumov The response to AP of 18 anxious

adult subjects who complained of insomnia was assessed in an

open prepost clinical trial study. Five weeks of AP treatment was

associated with a significant (p=0.002) nocturnal increase in

endogenous melatonin secretion (as measured in urine) and

significant improvements in polysomnographic measures of sleep

onset latency (p=0.003), arousal index (p=0.001), total sleep time

(p=0.001), and sleep efficiency (p=0.002). Significant reductions in

state (p=0.049) and trait (p=0.004) anxiety scores were also found.

These objective findings are consistent with clinical reports of AP's

relaxant effects AP treatment may be of value for some categories

of anxious patients with insomnia. (PsycINFO Database Record ©

2004 APA, all rights reserved)

 

White Peter; Lewith George; Hopwood Val; Prescott Phil The

placebo needle, is it a valid and convincing placebo for use in AP

trials? A randomised, single-blind, cross-over pilot trial. Pain 106

(3) 2003, 401-409. Complementary Medicine Research Unit, Mail

Point OPH, Royal South Hants Hospital, University of

Southampton, Southampton, United Kingdom; Complementary

Medicine Research Unit, Mail Point OPH, Royal South Hants

Hospital, University of Southampton, Southampton, United

Kingdom; Complementary Medicine Research Unit, Mail Point

OPH, Royal South Hants Hospital, University of Southampton,

Southampton, United Kingdom; Department of Mathematics,

University of Southampton, Southampton, United Kingdom

pjw1 The issue of what constitutes an effective and

realistic AP placebo control has been a continuing problem for AP

research. In order to provide an effective placebo, the control

procedure must be convincing, visible and should mimic, in all

respects, apart from a physiological effect , the real active

treatment The 'Streitberger' needle might fulfil these criteria and this

paper reports on a validation study. This was a single-blind,

randomised, cross-over pilot study. Patients were drawn from the

orthopaedic hip and knee, joint replacement waiting list.

Intervention consisted of either 2 weeks of treatment with real AP

followed by 2 weeks on placebo, or vice versa. The prime outcome

was a needle sensation questionnaire and there was a range of

secondary outcomes. Thirty-seven patients were randomised and

completed treatment No significant differences between groups or

needle types were found for any of the sensations measured. No

major differences in outcome between real and placebo needling

could be found. The fact that nearly 40% of subjects did NOT find

that the two interventions were similar, however, raises some

concerns with regard to the wholesale adoption of this instrument

as a standard AP placebo. (PsycINFO Database Record © 2004

APA, all rights reserved)

 

 

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