Guest guest Posted December 8, 2009 Report Share Posted December 8, 2009 HI All, Ahn AC, Schnyer R, Conboy L, Laufer MR, Wayne PM. (2009) Electrodermal Measures of Jing-Well Points and Their Clinical Relevance in Endometriosis-Related Chronic Pelvic Pain. J Altern Complement Med Dec 3. [Epub ahead of print]. 1 Division for Research and Education in Complementary and Integrative Medical Therapies, Harvard Medical School , Boston, MA. Objectives: To determine whether electrodermal measures at Jing-Well AP points, " indicator " points located at the tips of fingers and toes are associated with clinical measures in adolescent women with chronic pelvic pain. Design: The design of this study was a randomized sham- controlled trial. Analyses of electrodermal measures were based on longitudinal, multivariable analyses using generalized estimating equations. Subjects and setting: The subjects were 14 young women (ages 14-22) with laparoscopically diagnosed endometriosis and chronic pelvic pain. Subjects were randomized to sham AP or Japanese-style active AP. Sixteen (16) treatments were administered over 8 weeks. Outcome measures: Using a Hibiki-7 device, electrodermal impedance measures were obtained at all 24 Jing-Well points for each treatment visit. From these readings, measures of " imbalance " were determined by calculating statistical dispersion (statistical deviation and Gini coefficient) and level of asymmetry (left-right, top-bottom, and yin-yang). Clinical outcome measures were obtained at baseline, week 4, and week 8 and included level of pelvic pain, Endometriosis Health Profile, Pediatric Quality of Life, perceived stress, and inflammatory cytokine levels (interleukin-6 and tumor necrosis factor-alpha). Results: Participants designated to the AP group had, on average, a substantial decrease in statistical dispersion and asymmetry of Hibiki-7 values over the course of treatment compared to the sham group. Electrodermal asymmetry variables, specifically either yin-yang or left-right measure, were significantly associated with pelvic pain, Endometriosis Health Profile, Pediatric Quality of Life, and Perceived Stress even after adjusting for treatment designation. No associations between electrodermal balance measures and inflammatory cytokines were found. CONCLUSIONS: Electrodermal measures may be significantly associated with clinical outcome and AP treatments in adolescent women with chronic pelvic pain. PMID: 19958132 [PubMed - as supplied by publisher] Chen XY, Jia WH, Liu MJ, Meng XQ, Ma YD, Wang LL. (2009) [Observation on therapeutic effect of digital acupoint pressure for treatment of the nerve root type of cervical spon dylosis] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):659-62. Dept of Orthopedics, The Forth People's Hospital of Hengshui City, Hengshui, China. chenxiangyunying OBJECTIVE: To observe the therapeutic effect of digital acupoint pressure for treatment of the nerve root type of cervical spondylosis. METHODS: Four hundred cases were randomly divided into a digital acupoint pressure group (DAP group) and a medicine group, 200 cases in each group. Acupoints ST12, GB21 and ST11 etc. were used for digital pressing in the DAP group; and Gentongping Chinese herb formula was taken routinely in the medicine group. After 3 treatment courses, symptoms of pain and numbness, signs of pressure measurement by compression of head, brachial plexus drawer test and arm myodynamia, as well as the total cumulative scores of daily living capability, were compared. RESULTS: After treatment, the total cumulative scores of numbness, pressure measurement by compression of head, brachial plexus drawer test, arm myodynamia and daily living capability in both groups were obviously better than those of before treatment (all P<0.01); but there was a significant difference on the total cumulative score of the symptoms and signs between the two groups. The cured rate of 78.0% and total effective rate of 99.0% in the DAP group were better than those of 61.0% and 87.0% in the medicine group, respectively (both P<0.01). CONCLUSION: Digital acupressure has an active role in improving the SSs in patients with nerve root type of cervical spondylosis, which is better than Gentongping Chinese herb formula. PMID: 19947274 [PubMed - in process] Phil's Note: Gentongping Jiaonang ; Root Pain Ease Capsule; has 12 Hbs: Baishao , Gegen , Xuduan , Gouji , Shenjincao , Taoren , Honghua , Ruxiang , Moyao , Niuxi , Dihuang , Gancao ; [cannot find inclusion rates on WWW]; Oral dose: 12g / time as drink in boiled water , BID-TID orally taken after meal for 10d / course of Tx; maintenance dose: 12g / time, BID orally after meal for 15d / course of Tx; Move Xue + Move Xueyu, Dispel Damp + Strengthen Muscle; Lessen Bone Hyperplasia, Dispel Congelation; Antioedema, Antiinflammatory; Anodyne esp pain dt nerve root pressure; Open Luo ; Clinical uses: Wind Cold Blocking Luo causing neck + loin vertebra disease , neck + shoulder ache + pain + stiffness, movement restricted , 4 limbs (arms + legs) numbness , headache + dizziness; hyperosteogeny, spinal canal stenosis, neck / loin intervertebral disc prolapse, sciatica; has mild stimulant effect on ST-SI-LI tract; AVOID during menses; CI in pregnancy / lactation; CAUTION if other Meds being used / in serious intercurrent diseases Chen XY, Zhu Y, Huang XS. (2009) [Effect of strong stimulation of acupuncture at twelve Jing-well points as main for neurosurgery patients with disorder of consciousness] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):619-22. Dept of AP and Moxibustion, Hainan People's Hospital, Haikou, China. chxiaoyun66 OBJECTIVE: To observe the promoting consciousness effect of AP for neurosurgery patients with disorder of consciousness. METHODS: 92 neurosurgery patients with medium or severe disorder of consciousness were randomly divided into an AP plus medicine group and a western medicine group, 46 cases in each group. The AP plus medicine group was treated with the routine western medicine and AP with strong stimulation at 12 Jing points and GV26 combined with EAP at GV20, Sishencong, GV24 and GB13. The western medicine group was treated by routine western medicine. Two courses later, the therapeutic effects were compared between the two groups. RESULTS: After treatment, the total effective rate was 100.0% in the AP plus medicine group and 91.3% in the western medicine group, with a significant difference between the two groups (P<0.01). CONCLUSION: Strong stimulation of AP at 12 Jing points + GV26 combined with EAP at the head acupoints have an obvious promotion of consciousness recovery for neurosurgery patients with disturbance of consciousness, and AP involved in the treatment can significantly shorten the healing time. PMID: 19947263 [PubMed - in process] Cui JM, Ma SX, Wu SJ, Yang XX, Qi F, Sun N. (2009) [Effect of needling " Housanli " (ST36) with different retaining-needle time on the pain threshold o f mice using the hot water tail-flick test] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):653-4. TCM Dept, North China Coal Medical Univ, Tangshan, China. cjm2188 OBJECTIVE: To observe the effect of needling ST36 with different retaining-needle time on the pain threshold of mice using the hot water tail-flick test, and investigate the relationship between the retaining-needle time and the therapeutic effect. METHODS: 24 healthy mice were randomly divided into four groups: no retaining-needle group (group A), retaining-needle 10 min group (group B), retaining-needle 20 min group (group C) and retaining-needle 30 min group (group D), with 6 mice for each group. After AP ST36, the tail of mouse was put into the hot water at 50 degrees C, and the intervening time from the tail entered water to the tail flicked out of water was recorded and analyzed for each group. RESULTS: After acupuncturing ST36, the pain threshold was significantly improved with the hot water tail-flick test in both group A and group C (both P<0.01), however, there was no significant difference in both group B and group D (both P>0.05). Within 30 min of retaining-needle, the effect curve of AP analgesia was showed in a waved line. In contrast, the maximum value of latent period on the tail-flick was detected in the group C that was the biggest effect of AP analgesia among the four groups. CONCLUSION: The best retaining-needle time of hand-AP for AP analgesia is 20 min. PMID: 19947272 [PubMed - in process] Deng XH, Zhang SK. (2009) [survey of studies on the electromagnetic characteristics of acupoints and meridians] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):633-6. Ophthalmic Hospital, China Academy of Chinese Medical Sciences, Beijing, China. DEN19760511 The present paper reviewes the literatures on the electromagnetic characteristic of meridians at home and abroad in the last twenty years. It generally summarize the studies on the electromagnetic characteristic of meridians from the aspects of the imaging of meridians, the electromagnetic model of meridians, and the physiological and pathological observations on the electro changes at acupoints. The results indicate that acupoints apparently have electro characteristics which are associated with the change of the health condition, time, environment, etc. By means of electromagnetic characteristic, the image of meridians can be made and the phenomena of meridians can be clarified, the essence of meridians can be explained in a certain degree. It still demands further research on this characteristic of meridians. PMID: 19947267 [PubMed - in process] Ding MH, Zhang H, Li Y. (2009) [A randomized controlled study on warming needle moxibustion for treatment of knee osteoarthritis] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):603-7. College of AP and Massage, Guangzhou Univ of TCM, Guangzhou, China. OBJECTIVE: To assess the short-term and long-term therapeutic effect of warming needle moxibustion for treatment of knee osteoarthritis. METHODS: Ninety cases were randomly divided into a warming needle moxibustion group, a western medicine group and a waiting group, 30 cases in each group. The warming needle moxibustion group was treated with warming needle moxibustion on SP10, ST35 and ST36, etc.; the western medicine group was treated with oral administration of Ibuprofen sustained release capsule; the waiting group did not receive any treatment. Western Ontario and McMaster Univ Osteoarthritis Index (WOMAC) and Chinese version of SF-16 were used to assess the therapeutic effect before treatment, after treatment and 10 weeks after treatment. RESULTS: After treatment for 2 weeks, the total effective rate was 86.7% in the warming needle moxibustion group, 90.0% in the western medicine group, and 60.0% in the waiting group, both the warming needle moxibustion group and the western medicine group being significantly better than the waiting group (both P<0.05) and with no significant difference between the warming needle moxibustion group and the western medicine group (P>0.05); 10 weeks after treatment, the total effective rate of 83.3% in the warming needle moxibustion group was better than that of 60.0% in the western medicine group (P<0.05). There were no significant differences in comparison of WOMAC and SF-16 scores after treatment between the warming needle moxibustion group and the western medicine group, and the warming needle moxibustion group in improvement of these scores was superior to the western medicine group (P<0.01, P<0.05). CONCLUSION: The therapy of warming needle moxibustion is effective to Tx knee osteoarthritis, and the short-term therapeutic effect is same as that of oral administration of Ibuprofen and the long-term therapeutic effect is better than that of Ibuprofen. PMID: 19947259 [PubMed - in process] Han Y Y, Yin H, Zhou YL, Zhang G, Wu YH, Xing W, Sun F, Jin XY, Xu HZ. (2009) [investigation on the changes of dependent signal on the amplitude of low frequency fluctuations at blood oxygen level in brain after acupuncture Neiguan (PC 6)] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):647-51. Third Affiliated Hospital of Henan Colloge of TCM, Zhengzhou, China. OBJECTIVE: To investigate the relationship of the acupoint and its functional location in the brain. METHODS: Ten healthy participants were examined with the resting state functional magnetic resonance imaging (fM- RI). The scanning includes the resting state 1 (R 1), AP stimulating PC06 and the resting state 2 (R 2). All data were analyzed with the amplitude of low frequency fluctuations (ALFF). RESULTS: 1) During the R1, the regions with active signal on the ALFF contained bilateral superior frontal gyrus, medial frontal gyrus and some part of cerebellum (including right declive, culme, tonsil and left uvula), as well as left precuneus, right superiour temporal gyrus. 2) As for AP, the active regions with higher ALFF were bilateral superior frontal gyrus and right cuneus, as well as left middle frontal gyrus, declivis and right semi-lunar lobule. 3) The main difference on ALFF between R1 and AP appeared within bilateral cingulated gyrus and declivis, left lingualgurus, and cuneus, as well as right precuneus, fusiform gyrus, superior frontal gyrus, medial frontal gyrus and superior temporal gyrus, etc. CONCLUSION: After AP stimulating left PC06, the active regions on ALFF are detected on bilateral cingulated gyrus, right superior frontal gyrus and medial frontal gyrus, as well as bilateral declivis and left lingual gurus, etc. These regions have the close relationship with the mental disorder and nervous diseases, which might be the possible neural mechanism of AP stimulating PC06 for treating some of related mental disorder and nervous diseases. PMID: 19947271 [PubMed - in process] Hou SW, Li YC. (2009) [Discussion on the treatment amount of acupuncture and moxibustion] [Article in Chinese]. 19. Zhongguo Zhen Jiu 29(8):670-4. Dept of AP and Moxibustion, Affiliated Hospital of Shandong Univ of TCM, Jinan, China. hsw509 In the present paper, the theory and practice of AP and moxibustion therapy by a clinical point of view are explored and summarized. Such concepts as the total treatment amount, the unit treatment amount, the immediate treatment amount, the overtreatment amount, the inferior treatment amount and the measurement of treatment amount are proposed and discussed. The basic constituent elements of treatment amount of AP and moxibustion, i. e. AP, moxibustion, cupping, acupoint injection, EAP are summarized. It is held that the treatment amount of AP and moxibustion in condition of suitable controlling is the fundamental guarantee for the best clinical therapeutic effect, the key to which include correct AP manipulation, rational selection acupoints for the prescriptions, suitable AP therapy combination, the variety of treatment amount assignment being related with the state of disease and so on. The overtreatment amount and the inferior treatment amount must be avoided. PMID: 19947277 [PubMed - in process] Hwang IK, Chung JY, Yoo DY, Yi SS, Youn HY, Seong JK, Yoon YS. (2009) Comparing the Effects of Acupuncture and Electroacupuncture at Zusanli and Baihui on Cell Proliferation and Neuroblast Differentiation in the Rat Hippocampus. J Vet Med Sci. Dec 1. [Epub ahead of print]. Dept of Anatomy and Cell Biology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National Univ. We compared the effects of AP and EAP on cell proliferation and neuroblast differentiation using specific markers, Ki67 and doublecortin (DCX), in the subgranular zone of the dentate gyrus (SZDG) in 13-week old Wistar rats. AP and EAP were applied simultaneously in the acu-points, ST36 and GV20, once a day for 3 weeks. AP and EAP at these acu-points significantly increased the number of Ki67- positive cells and DCX-immunoreactive neuroblasts compared to the control or sham AP group. EAP treatment significantly increased the number of well-developed (tertiary) dendrites in the SZDG compared to AP treatment. These results suggest that both AP and EAP increase neurogenesis in the normal, but that EAP has greater effects on neuroblast plasticity than AP in the dentate gyrus. PMID: 19952513 [PubMed - as supplied by publisher] Kim TH, Kim JI, Shin MS, Lee MS, Choi JY, Jung SY, Kim AR, Seol JU, Choi SM. (2009) Acupuncture for dry eye: a randomised controlled trial protocol. Trials. Dec 3;10(1):112. [Epub ahead of print]. ABSTRACT: BACKGROUND: Dry eye is usually managed by conventional medical interventions such as artificial tears, anti-inflammatory drugs and surgical treatment. However, since dry eye is one of the most frequent ophthalmologic disorders, safer and more effective methods for its treatment are necessary, especially for vulnerable patients. AP has been widely used to treat patients with dry eye. Our aim is to evaluate the effectiveness and safety of AP for this condition. METHOD: A randomised, patient-assessor blinded, sham (non-AP point, shallow AP) controlled study was established. Participants allocated to verum AP and sham AP groups will be treated three times weekly for three weeks for a total of nine sessions per participant. 17 points (GV23; bilateral BL02, GB04, SJ23, Taiyang, ST01 and GB20; and left SP03, LU09, LU10 and HT08 for men, right for women) have been selected for the verum AP; for the sham AP, points have been selected that do not coincide with a classical AP point and that are located close to the verum points, except in the case of the rim of the eye. Ocular surface disease index, tear film breakup time, the Schirmer I test, medication quantification scale and general assessment of improvement will be used as outcome variables for evaluating the effectiveness of AP. Safety will also be assessed at every visit. Primary and secondary outcomes will be assessed four weeks after screening. All statistical analyses will be performed using analysis of covariance. DISCUSSION: The results of this trial will be used as a basis for clarifying the efficacy of AP for dry eye. PMID: 19958541 [PubMed - as supplied by publisher] Lin LW, Fu YT, Dunning T, Zhang AL, Ho TH, Duke M, Lo SK. (2009) Efficacy of Traditional for the Management of Constipation: A Systematic Review. J Altern Complement Med. Dec 3. [Epub ahead of print]. 1 School of Nursing, Deakin Univ , Burwood, Victoria, Australia . Objectives: The aim of this systematic review was to critically appraise published clinical trials designed to assess the effect of Traditional (TCM) on the management of constipation. Methods: Databases searched included both English and non-English articles published in the Cochrane library, MEDLINE,(®) CINAHL, AMED, EMBASE, China National Knowledge Infrastructure (CNKI), and the Chinese Electronic Periodical Services (CEPS). Studies reviewed included randomized controlled trials and controlled clinical trials. Methodological quality was assessed using the modified Jadad scale. Results: One hundred and thirty-seven (137) studies met the inclusion criteria, of which 21 were high-quality trials (n = 2449). Eighteen (18) were Chinese herbal medicine (CHM) and 3 were AP trials. The primary outcome measure was total effective rate. CHM was more effective than conventional medicines in eight trials. Of the 10 remaining CHM trials, 9 compared the study CHM with another CHM and the results were significant in 4 trials. The effective rate was significantly higher in the intervention group than in the placebo group in the last CHM study. One (1) of the three AP trials compared AP with a conventional medicine, one trial with Sennae folium, and one trial with deeper AP on ST25. The therapeutic effect in the treatment group was more effective than that in the control group in all three studies. CONCLUSIONS: TCM interventions appear to be useful to manage constipation. Significant positive results were found in 15 high-quality studies. However, only 21 of the 137 publications identified attained high Jadad scores. There was heterogeneity in diagnostic procedures and interventions among the studies. Outcome indicators were also different. Hence, the results should be interpreted cautiously. PMID: 19958146 [PubMed - as supplied by publisher] Liu L, Liu LG, Lü M, Ran WJ. (2009) [Observation on therapeutic effect of electroacupuncture combined with Chinese herbs for treatment of prolapse of lumbar intervertebral disc of yang deficiency and cold coagulation type] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):626-8. Dept of AP and Moxibustion, Dazhou Second People's Hospital of Sichuan Province, Dazhou, China. liulan12345678 OBJECTIVE: To search for an effective therapy for prolapse of lumbar intervertebral disc of yang deficiency and cold coagulation type. METHODS: One hundred and twenty-six cases were randomly divided into a combined EAP and Chinese herb group (n=49), an EAP group (n=42) and a Chinese herb group (n=35). The combined EAP and Chinese herb group was treated with EAP at BL25, BL26, BL27 and GV03 and oral administration of Chinese herbs for cold- removing and yang-invigorating. The EAP group was treated with the same EAP treatment alone and the Chinese herb group with the same self Chinese herbs alone. The therapeutic effects were observed after treatment for 20 days, and the recurrence rates were followed up at 180 days after the last treatment among the three groups. RESULTS: The cured-markedly effective rate was 79.6% in the combined EAP and Chinese herb group, 54.8% in the EAP group and 51.4% in the Chinese herb group, the combined EAP and Chinese herb group being significantly better than both the EAP group and the Chinese herb group (both P<0.05) and the therapeutic effect of both the EAP group and the Chinese herb group being similar (P>0.05). The recurrence rate after 180 days was 15.4% in the combined EAP and Chinese herb group, 83.3% in the EAP group and 80.0% in the Chinese herb group, with more obvious decrease in the combined EAP and Chinese herb group (both P<0.01). CONCLUSION: EAP combined with Chinese herbs is a better therapy for prolapse of lumbar intervertebral disc of yang deficiency and cold coagulation type. PMID: 19947265 [PubMed - in process] Meng SX. (2009) [Observation on therapeutic effect of acupuncture for treatment of patients with nonalcoholic steatohepatitis] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):616-8. Dept of Digestology, The First Affiliated Hospital of Henan College of TCM, Zhengzhou, China. mengshengxi OBJECTIVE: To observe the therapeutic effect of AP for treatment of patients with nonalcoholic steatohepatitis. METHODS: Ninety-eight cases were randomly divided into an AP group (n= 50) and a medicine group (n=48). The AP group was treated with AP at BL23, CV04, KI03, SP06, etc.; the medicine group was treated with oral administration of Polyene Phosphatidylcholine Capsules. They were treated for 12 weeks. The changes of clinical symptoms, serum enzyme, blood fat and abdominal CT performance were compared between the two groups before and after treatment. RESULTS: After treatment, alanine aminotransferase (ALT), aspartate aminotransferase (AST), galactosylhydroxylysyl glucosyltransferase (GGT), triglyeride (TG) and total cholesterol (TC) significantly decreased in the AP group (all P<0.01); ALT, AST and GGT significantly decreased in the medicine group (all P<0.01), and there were no significant differences in changes of TG and TC in the medicine group (both P>0.05). After treatment, CT image showed there was significant improvement of liver injury in both groups (both P<0.01), and the improvement of liver injury in the AP group was superior to that in the medicine group (P<0.01). CONCLUSION: AP has a significant therapeutic effect on nonalcoholic steatohepatitis. PMID: 19947262 [PubMed - in process] Park SU, Ko CN, Bae HS, Jung WS, Moon SK, Cho KH, Kim YS, Park JM. (2009) Short-Term Reactions to Acupuncture Treatment and Adverse Events Following Acupuncture: A Cross-Sectional Survey of Patient Reports in Korea. J Altern Complement Med Dec 2. [Epub ahead of print]. 1 Oriental Medicine of Stroke & Neurological Disorders Center, East-West NEO Medical Center, Kyung Hee Univ , Seoul, Korea. Objectives: The objective of this study was to explore the type and frequency of short-term reactions, de qi associated with AP treatment, and to determine the incidence of adverse events following AP treatment in Korea. Subjects and methods: This study is a retrospective and cross-sectional survey of patient reports using 1095 subjects; 585 subjects are outpatients of the East-West NEO Medical Center and the remaining 510 subjects are outpatients of the Kyung Hee Medical Center. In the period of June to November 2006, the participating subjects, who had all received AP, consented and completed a single survey form. On this form, patients were asked to report their short-term reactions to the AP, de qi, a patient satisfaction score (using the Visual Analogue Scale [VAS]) and any adverse events related to the AP treatment. The 8 acupuncturists involved in this study were Korean medicine doctors who had more than 10 years' experience working as practitioners. Results: The average age of the 1095 subjects was 58 years old. Positive short-term AP reactions were reported by 878 (80.2%) of the 1095 subjects. Seventy-five (75) (6.8%) subjects described negative short-term AP reactions. The most common positive short-term AP reaction was that of a " relaxed " feeling in 472 (43.1%), followed by 90 (8.2%) who acknowledged a feeling of " less pain " ; 16 (1.5%) felt " energized " ; 16 (1.5%) experienced " tingling " and a sensation of " Heat " or " Coldness " was reported by 10 (0.9%). Negative short-term AP reactions included feelings of " pain " 37 (3.4%), tiredness 24 (2.2%), and dizziness 9 (0.8%). Traditionally, the needling sensations of de qi refer to a patient's response to treatment, such as distension, pulling, soreness, heaviness, and numbness. Some (39.7%) subjects reported de qi during needling. A number experienced " distension " 333 (30.4%), " soreness " 52(4.7%), " pulling " 22(2.0%), " heaviness " 18(1.6%), and " numbness " 10 (0.9%). Positive short-term AP reactions and de qi ratings were highest in those less than 40 years of age (83/96 86.5%, 50/96 52.1%). No reaction responses to AP were the highest frequency in subjects over 70 years of age (31/187, 16.6%). Patient satisfaction level using VAS was comparatively high: 72.9 +/- 19.9. The only adverse events reported were bleeding in 92 (8.4%) of the participants. The majority of patients treated with AP had suffered from stroke (430; 16.9%), headache (185; 16.9%), hypertension (97; 8.9%), or dizziness (85; 7.8%). CONCLUSIONS: Short- term AP reactions and de qi were related to the age group. With the exception of bleeding, there were no adverse events related to the AP treatment in this study. We consider AP treatment to be very safe if the practitioners are well educated, trained and experienced. The number of post-treatment positive short-term AP reactions was 12 times higher than that of the negative short-term reactions. Overall, subjects were comparatively satisfied with the AP treatment. PMID: 19954337 [PubMed - as supplied by publisher] Platon B, Andréll P, Raner C, Rudolph M, Dvoretsky A, Mannheimer C. (2009) High-frequency, high-intensity transcutaneous electrical nerve stimulation as treatment of pain after surgical abortion. Pain. Dec 1. [Epub ahead of print]. Dept of Anaesthesiology and Intensive Care Medicine, Sahlgrenska Univ Hospital/Ostra, SE-416 85 Göteborg, Sweden. The aim of the study was to compare the pain-relieving effect and the time spent in the recovery ward after treatment with high-frequency, high-intensity TENS or intravenous (IV) conventional pharmacological treatment after surgical abortion. 200 women who underwent surgical abortion and postoperatively reported a visual analogue scale (VAS) pain score3 were included. The patients were randomised to TENS or conventional pharmacological treatment for their postoperative pain. The TENS treatment was given with a stimulus intensity between 20 and 60mA during 1min and repeated once if insufficient pain relief (VAS3). In the conventional pharmacological treatment group, a maximum dose of 100mug fentanyl was given IV. There was no difference between the groups with regard to pain relief according to the VAS pain score (TENS=VAS 1.3 vs. IV opioids=VAS 1.6; p=0.09) upon discharge from the recovery ward. However, the patients in the TENS group spent shorter time (44min) in the recovery ward than the conventional pharmacological treatment group (62min; p<0.0001). The number of patients who needed additional analgesics in the recovery ward was comparable in both groups, as was the reported VAS pain score upon leaving the hospital (TENS=2.0 vs. conventional pharmacological treatment=1.8, NS). These results suggest that the pain-relieving effect of TENS seems to be comparable to conventional pharmacological treatment with IV opioids. Hence, TENS may be a suitable alternative to conventional pain management with IV opioids after surgical abortion. PMID: 19959293 [PubMed - as supplied by publisher] Qi YZ, Fu LX, Xiong J, Wang ZL, Mou J, Lu YM. (2009) [systematic evaluation of acupuncture for treatment of post-stroke spastic paralysis] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):683-8. Tianjin Univ of TCM, Tianjin, China. OBJECTIVE: To evaluate the effects of AP on post-stroke spastic paralysis. METHODS: A systematic evaluation including all the relavant randomized controlled trials (RCTs) or quasi-RCTs of AP and moxibustion for treatment of post-stroke spastic paralysis were carried out according to the method recommended by the Cochrane Collaboration. RESULTS: Nine hundred and seventy-eight patients being included in fourteen papers met the enrolled criteria. However, their methodological quality was relatively poor. Meta-analysis of nine trials indicated that there was no significant difference between the treatment groups and the control groups in Ashworth scores, Carr-Shepherd scores, nerve defect scores and hip adductor tension scores. Whereas the Fugel-Meyer scores in one trial and the Barthel scores in three trials were better in the treatment groups than those of the control group. A reliable CONCLUSION cannot be drawn from the present data because of the defects in methodological quality and insufficient numbers of trials, especially lack the long-term terminal outcomes, although it appears a tedency that AP can improve the conditions of post-stroke spastic paralysis. Therefore, it is necessary to perform more multi-central RCTs of high quality in future. PMID: 19947279 [PubMed - in process] Rancan SV, Bataglion C, Bataglion SA, Bechara OM, Semprini M, Siéssere S, de Sousa JP, de Souza Crippa JA, Hallak JE, Regalo SC. (2009) Acupuncture and Temporomandibular Disorders: A 3-Month Follow-up EMG Study. J Altern Complement Med Dec 3. [Epub ahead of print]. 1 Ribeirão Preto Dental School, São Paulo Univ , São Paulo, Brazil. Objectives: The purpose of this study was to investigate the levels of electromyographic (EMG) activation and maximal molar bite force before and after a 3-month AP therapy in individuals with TMJ disorder (Helkimo Index) from a pool of subjects attending the Special Care Course of the Ribeirão Preto Dental School, São Paulo Univ, Brazil. Design: All 17 patients, aged between 37 and 50 years (44.2 +/- 4.84 years), with an average weight of 71 +/- 9.45 kg and height of 1.64 +/- 0.07 m, were clinically examined with regard to pain and dysfunctions of the masticatory system. The AP points needled were BL02, LI04, ST06, ST07, GB14, GB20, SI18, SI19, LV03, ST36, GB34, ST44, KI03, and Taiyang. EMG measures were acquired before and after the treatment using a MyoSystem-BR1 electromyographer. The data collected at rest, protrusion, left and right laterality, and clenching were normalized by maximum voluntary contraction. Maximal bite force in right and left molar regions were registered using a dynamometer with a capacity of up to 1000 N, adapted for oral conditions. The highest value out of three recordings was considered to be the individual's maximal bite force. The results were statistically analyzed using the paired t test (SPSS version 15.0) during the comparison before and after treatment. Results: We found decreased EMG activity at rest, protrusion, left and right laterality, and clenching; as well as increased values of maximal bite force after AP treatment. CONCLUSIONS: AP promoted alterations in the EMG activity of masticatory muscles, increased maximal molar bite force, and led to remission of the subjects' painful symptomatology. PMID: 19958104 [PubMed - as supplied by publisher] Takakura N & Yajima H. (2009) Analgesic effect of acupuncture needle penetration: a double-blind crossover study. Open Med. 3(2):e54-61. BACKGROUND: Double-blind evaluation of AP treatment has not previously been reported. We investigated the possible advantage of analgesic effects of needle penetration compared with skin pressure using non-penetrating needles in a double-blind study. METHODS: We conducted a double-blind crossover study of penetrating and non-penetrating (placebo) AP trials. We recruited 56 healthy volunteers. They received painful electrical stimulation in the forearm for 1 minute before and immediately after and 10 minutes after each needle insertion to LI04, as well as 1 minute before, immediately after, and 10, 20, 30 and 40 minutes after the removal of the needle, which had remained in place for 20 minutes. After each application of electrical stimulation, the subjects rated the pain intensity using a numeric rating scale (0-150) comparing it with the baseline pain intensity (100) before the needle was applied. Pain from skin penetration and deep, dull pain (de qi) associated with needle application, which is considered essential for achieving successful AP analgesia, were also recorded. RESULTS: We found no significant difference in analgesic effects between the penetrating and non-penetrating needle trials. In addition, no significant correlation was found between analgesic effect and de qi. A significant analgesic effect was observed during needle application and immediately after needle removal for both the penetrating and non-penetrating needle trials when compared with the no-AP control condition (penetrating v. control: immediately, 10 minutes and 20 minutes after needle insertion [p < 0.001 for each] and immediately, 10 minutes and 20 minutes after needle removal [p < 0.050] for each; non- penetrating v. control: immediately, 10 minutes and 20 minutes after needle insertion [p < 0.001 for each] and immediately after needle removal [p = 0.010]). INTERPRETATION: Needle penetration did not confer a specific analgesic advantage over non-penetrating (placebo) needle application. PMCID: PMC2765771 PMID: 19946394 [PubMed - in process] Tan KL, He JF, Qu YT, Xie MZ, Lei XM, Dai FY (2009) [Observation on therapeutic effect of moxibustion and exercise for children with short stature of deficience of the kidney essence] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):613-5. Dept of Art and Sports, Hunan Univ of TCM, Changsha, China. OBJECTIVE: To observe the therapeutic effect of moxibustion and exercise comprehensive scheme intervention for children with short stature of deficience of the kidney essence. METHODS: 24 cases of children in 12 to 14 years old were selected, 12 male and 12 female, they were treated with comprehensive therapy of exercise therapy and moxibustion. Running and jumping were selected as main exercise therapy, it became a suitable exercise amount when the heart rate reach to 150 to 170 times per minute, thrice each week, 35-45 minutes each time. After exercises they were treated with moxibustion, CV06, CV04, ST36, BL11, GB39, BL17 etc. were selected. After treatment for half a year, the changes of the body height, body weight, bone age(BA), growth hormone (GH), testosterone (T) and estradiol (E2) were compared before and after treatment. RESULTS: The body height and bone age of the boys and girls were significantly higher than those before treatment (all P<0.05), the growth of body height was more than 4 cm, the growth of bone age was more than 0.5 years old in half a year; the testosterone of all children was significantly increased (all P<0.05), and there were no significant differences in body weight, GH and E2 compared to those before treatment (all P>0.05). CONCLUSION: Moxbustion and exercise comprehensive scheme can effectively improve the children with short stature dt KI Jingxu; the mechanism is related to the improving of the testosterone level. PMID: 19947261 [PubMed - in process] Wang JF. (2009) [Effect of acupuncture combined with TDP on estrogen and bone metabolism in postmenopausal patients with deficiency of liver and kidney syndrome] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):623-5. Institute of Medical Sciences of Dezhou Univ, Dezhou, China. jyff62 OBJECTIVE: To observe the clinical effect of AP combined with TDP for treatment of postmenopausal patients with deficiency of liver and kidney syndrome and to explore its mechanism. METHODS: One hundred and twelve cases were randomly divided into an AP group and a medication group, 56 cases in each group. The AP group was treated with AP combined with TDP, BL23, GV04 and CV04 were selected as main points; the medication group was treated with oral administration of Nylestriol and Oryzanol. The therapeutic effects were evaluated after treatment of 3 months in the two groups, and the changes of estrogen,bone mineral density and endometrium of patients were observed before and after treatment. RESULTS: The total effective rate of 94.6% in AP group was superior to 75.0% in medication group (P<0.01), the AP group was better than the medication group in increasing bone mineral density and decreasing the endometrial thickness (P<0.05, P<0.01), the medication group was better than the AP group in decreasing the levels of serum follicular stimulating hormone (FSH) and luteinizing hormone (LH) and increasing the estradiol (E2) level (all P<0.01). CONCLUSION: The clinical effect of AP combined with TDP for treatment of postmenopausal patients with deficiency of liver and kidney syndrome is significant, and it can increase bone mineral density, decrease endometrial thickness and obviously regulate the estrogen level. PMID: 19947264 [PubMed - in process] Wang SX, Wang ZH. (2009) [Debating some issues on the application of auricular point] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):637-8. Dept of AP and Moxibustion, The First Affiliated Hospital, Guangzhou Univ of TCM, Guangzhou, China. widiot Some issues on the auricular AP including its effectiveness and side effects, the relationship of positive reaction and diseases, the key point of auricular point selection and standard auricular point popularization and application, are debated in this paper according to the authors' comprehension based on their many years clinical and teaching practice. In the paper, the authors point out that the auricular AP has the characteristics of the high effective rate, low cured rate and some recurrence rate. The relationship of positive reacted point in the auricular AP and disease include two kinds of reaction as " one point for multiple diseases " and " one disease for multiple points " . Correct locating and reasonable selection of auricular points are the key point for using auricular point. Finally, the authors propose that standard auricular point still has not been popularized, and also, it should be paid attention to the problem of side effect induced by the auricular AP. PMID: 19947268 [PubMed - in process] Wang YL, Zhang R. (2009) [Professor Sun Shen-tian's experience in treatment of mental diseases] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):639-41. Second Affiliated Hospital of Heilongjiang Univ of TCM, Harbin, China. wyl_tb Professor SUN Shen-tian is an expert in AP and moxibustion science of TCM and neurology, especially in the treatment of neurology difficult diseases by using the therapy of AP and moxibustion and combination of TCM with western medicine, showing his ingenuity and obvious therapeutic effect. In treating mental diseases, professor SUN considers that the morbidity of mental diseases is mainly related to the malfunction of brain, therefore regulating mind is the key to treat this kind of disease, GV20, Yintang, Emotional area and Zone 1 of SUN's abdominal acupoints are often selected. This present article introduces the principle of treatment based on syndrome differentiation and routine selecting acupoints, attached with four effective cases in treating mental diseases by professor SUN applying " the methods of regulating vitality and increasing intelligence " . PMID: 19947269 [PubMed - in process] Yao H, Tong J, Zhang PD, Tao JP, Li JX. (2009) [Acupoint sticking therapy for treatment of bronchial asthma: a multicenter controlled r andomized clinical trial] [Article in Chinese]. Zhongguo Zhen Jiu 29(8):609-12. Dept of TCM and AP, The First Affiliated Hospital of Guangzhou Medical College, Guangzhou, China. hnyaohong OBJECTIVE: To observe the effect of acupoint sticking on clinical symptoms and life quality in patients with bronchial asthma. METHODS: Multicenter randomized double-blind clinical trial was done, one hundred and eighty-eight cases were divided into a medication acupoint sticking group (125 cases) and a placebo group (63 cases). GV14, BL13, CV22, etc. were selected in both groups. The medication cakes were made of grinding pepper, brassica alba seeds, asarum, etc. into fine powder mixed with ginger oil and ginger juice, applied on acupoints in the acupoint sticking group. While another compound cakes made of powder of red rice, black rice, maize mixed with small amount of ginger juice, were used in the placebo group. Asthma Quality of Life Questionnaire(AQLQ), symptom scores during the day and night, scores of self effect, and the value of lung function were observed. RESULTS: The value of daily behavior and environmental factors of AQLQ, total scores of AQLQ, daytime symptoms and scores of self effect in the medication acupoint sticking group, were significantly improved compared to those of placebo group (all P<0.05). The lung function of forced expiratory volume in one second (FEV1) and the percentage of forced expiratory volume in one second in predicted value (FEV1/FVC) had no significant diffrence between two groups (both P>0.05). CONCLUSION: The acupoint sticking therapy can significantly improve clinical symptoms of patients with bronchial asthma, and can improve life quality of the patients. PMID: 19947260 [PubMed - in process] Best regards, Quote Link to comment Share on other sites More sharing options...
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