Click this link to be surprised.
MSN "news" page has a nice introduction to some things for which acupuncture is very effective.
Click this link to be surprised.
Thank you, Dr Evans.
I have been active physically since my parents enrolled me in gymnastics at Brown's Olympic Training Center when I was 4 years old. I learned in college to schedule time outdoors every week to help me get through the rigors of being an honors student. Now, as a health care provider, sports medicine is one of my favorite specialties. Every day, I treat folks with musculo-skeletal injuries with good results. Some are chronic conditions, some recent injuries. Many receive enough pain relief and opportunity to heal with acupuncture, including elctro-acupunture, and herbal topical or internal application that other more invasive and costly remedies can be avoided. Remember Traditional Chinese Medicine to help you stay active physically.
Changes in lumbar multifidus muscle function and nociceptive sensitivity in low back pain
patient responders versus non-responders after dry needling treatment. Koppenhaver SL,
Walker MJ, Su J, McGowen JM, Umlauf L, Harris KD, Ross MD. Man Ther. 2015 Mar 13. pii:
S1356-689X(15)00051-X. doi: 10.1016/j.math.2015.03.003. [Epub ahead of print] US
Army-Baylor Univ Doctoral Program in Physical Therapy, San Antonio, TX, USA.
email@example.com BACKGROUND: Little is known about the physiologic
mechanism of dry needling. While some evidence suggests that dry needling may decrease
nocioceptive sensitivity and facilitate muscle function, no studies to date have examined
these physiologic changes compared to clinical outcomes. OBJECTIVE: To examine
changes in lumbar multifidus (LM) muscle function and nociceptive sensitivity after dry
needling in patients with LBP and to determine if such changes differ in patients that exhibit
improved disability (responders) and those that do not (non-responders). DESIGN:
Quasi-experimental study. METHODS: Sixty-six volunteers with mechanical LBP (38 men,
age = 41.3±9.2 years) completed the study. Ultrasound measurements and pain algometry of
the LM were taken at baseline and repeated immediately following dry needling treatment to
the LM muscles and after one week. The percent change in muscle thickness from rest to
contraction was calculated for each time point to represent muscle function. Pressure pain
threshold (PPT) was used to measure nociceptive sensitivity. Participants were dichotomized
as responders and non-responders based on whether or not they experienced clinical
improvement using the modified Oswestry Disability Index after one week. 2 × 3 mixed-model
ANOVA were conducted for group (responders vs. non-responders) by time. RESULTS:
Patient responders exhibited larger improvements in LM muscle contraction and nociceptive
sensitivity 1 week, but not immediately, after dry needling than non-responders.
CONCLUSIONS: Our results suggest that there may be lasting and clinically relevant
sensorimotor changes that occur in LBP patients that improve with dry needling treatment
that partially explain the physiologic mechanism of action. Published by Elsevier Ltd. PMID:
25801100 [PubMed - as supplied by publisher]
Even after 15 years of direct experience, it still amazes me how scalp acupuncture can improve brain function.
Electro-AP Suppressed Neuronal Apoptosis and Improved Cognitive Impairment in the AD
Model Rats Possibly via Downregulation of Notch Signaling Pathway. Guo HD, Tian JX, Zhu
J, Li L, Sun K, Shao SJ, Cui GH. Evid Based Complement Alternat Med. 2015;2015:393569.
doi: 10.1155/2015/393569. Epub 2015 Feb 25. Dept of Anatomy, School of Basic Medicine,
Shanghai Univ of TCM, Shanghai 201203, China. AP is a potential strategy for the treatment
of Alzheimer's disease (AD) and the possible mechanisms worth to be explored. In this study,
we proposed and tested the hypothesis that whether Notch signaling pathway is involved in
the effect of Electro-AP (EA) treatment. Rats that received EA treatment on the acupoints of
Baihui (Du 20) and Shenshu (BL 23) had shorter latency and remained in the original
platform quadrant longer and crossed the former platform contained quadrant more
frequently compared to the A injection rats without EA treatment. EA obviously alleviated the
cell apoptosis resulted by A infusion in hippocampus CA1 regions through upregulating the
expression of Bcl-2 and downregulating the expression of Bax. EA could further obviously
promote the expression of synapsin-1 and synaptophysin in hippocampus. A injection
significantly increased the expression of Notch1, Jag1, and Hes1 mRNA, while EA treatment
downregulated the level of Notch1 and Hes1 mRNA in hippocampus, but not Jag1 mRNA.
CONCLUSION: EA treatment improved learning and memory function in the AD rat model
partially through downregulating Notch signaling pathway. PMID: 25810743 [PubMed]
One of my great loves of acupuncture is its effectiveness as anesthesia alternative to drugs. Now research suggests it also helps speedy recovery from anesthesia. I often see people post-surgery and dental procedures to help speed recovery, including recovery from anesthesia.
AP accelerates recovery after general anesthesia: a prospective randomized controlled trial.
Gemma M, Nicelli E, Gioia L, Moizo E, Beretta L, Calvi MR. J Integr Med. 2015
Mar;13(2):99-104. doi: 10.1016/S2095-4964(15)60159-5. Dept of Anesthesia and
Neurointensive Care, San Raffaele Scientific Institute, 20132 Milan, Italy. BACKGROUND:
AP anesthesia was created in the 1950's in China and continues to be used there today
during most major surgeries. It is widely used in China for such complex operations as brain,
heart, and abdominal surgery. It is popular in China because it is economical, practical, and
beneficial to the patients. With AP anesthesia there is less bleeding during surgery and there
is also quicker post-operative recovery. OBJECTIVE: This randomized prospective study
aims at comparing the effect of two acupoints, KI01 and GV26 with sham AP and no AP on
the time to recovery of consciousness after general anesthesia by means of the Bispectral
Index monitor (BIS). DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: This is a
prospective randomized controlled study. We randomly assigned 50 patients to 5 groups
during recovery from surgical anesthesia. Four groups had AP on KI01 (group A), GV26
(groups B), both KI01 and GV26 (group C), and sham points (group D), and one had no AP
(group E). MAIN OUTCOME MEASURES: Bispectral Index (BIS), time to spontaneous eye
opening, time to tracheal extubation, and time to following commands were measured as the
main outcome measures. RESULTS: Time to spontaneous eye opening differed among
groups (p=.002), as well as time to tracheal extubation (p<.0001) and time to following
commands (p=.0006). BIS values differed significantly among groups both 5 and 10 min after
the end of anesthesia (p<.000 1 and p=.0004, respectively). BIS values of groups D and E
were lower than those of the other groups and those of group C were higher. The same
pattern was observed also 15 and 30 min after the end of anesthesia, although the difference
among groups was not significant at these time points (p=.164 and p=.104, respectively).
CONCLUSION: AP on GV26 and KI01 accelerates recovery of consciousness after general
anesthesia. Moreover, a possible synergistic effect of GV26 and KI01 is suggested. This
issue may play a role in the optimization of operating room management and raise interest
about the usefulness of AP on unconsciousness states of different nature. PMID: 25797640
[PubMed - in process]
Effects of the acupoints PC 6 Neiguan and LR 3 Taichong on cerebral blood flow in normal
subjects and in migraine patients.
Quirico PE, Allais G, Ferrando M, de Lorenzo C, Burzio C,
Bergandi F, Rolando S, Schiapparelli P, Benedetto C.
Neurol Sci. 2014 May;35 Suppl 1:129-33. doi: 10.1007/s10072-014-1754-0.
Center for the Study of Natural and Physical
Therapies (CSTNF), Corso Galileo Ferraris, 164, 10134, Turin, Italy, firstname.lastname@example.org
AP has been proven to be effective in the treatment of various cardiovascular disorders; it
acts both on the peripheral flow and on the cerebral flow. Our study aimed to evaluate the
effects of needling of PC06 and LV03 on the cerebral blood flow (CBF) in the middle cerebral
artery (MCA). These effects were measured in a group of patients suffering from migraine
without aura (Group M) and in a healthy control group (Group C). In the study, we included
16 patients suffering from migraine without aura, classified according to the criteria of the
International Headache Society, and 14 healthy subjects as a control group. The subjects
took part in the study on two different days, and on each day, the effect of a single acupoint
was evaluated. Transcranial Doppler was used to measure the blood flow velocity (BFV) in
the MCA. Our study showed that needling of PC06 in both groups results in a significant and
longlasting reduction in the average BFV in the MCA. After needling LV03, instead, the
average BFV undergoes a very sudden and marked increase; subsequently, it decreases
and tends to stabilize at a slightly higher level compared with the baseline, recorded before
CONCLUSIONS: Our data seem to suggest that PC06 and LV03 have very
different effects on CBF. Needling of PC06 probably triggers a vasodilation in MCA, while the
pricking of LV03 determines a rapid and marked vasoconstriction.
PMID: 24867849 [PubMed - in process]
A Pilot Study of AP in Treating Bortezomib-Induced Peripheral Neuropathy in Patients With
Bao T, Goloubeva O, Pelser C, Porter N, Primrose J, Hester L, Sadowska
M, Lapidus R, Medeiros M, Lao L, Dorsey SG, Badros AZ. Integr Cancer Ther. 2014 May 26.
pii: 1534735414534729. [Epub ahead of print]
The Univ of Maryland School of Medicine, Baltimore, MD, USA email@example.com
Background. Peripheral neuropathy is the dose limiting
toxicity of bortezomib in patients with multiple myeloma (MM).
Objectives. To examine the safety, feasibility and efficacy of AP in reducing bortezomib-induced peripheral neuropathy
Methods. Patients with MM experiencing persistent BIPN >=grade 2
despite adequate medical intervention and discontinuation of bortezomib received 10 AP
treatments for 10 weeks (2×/week for 2 weeks, 1×/week for 4 weeks, and then biweekly for 4
weeks). Responses were assessed by the Clinical Total Neuropathy Score (TNSc),
Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity
(FACT/GOG-Ntx) questionnaire, and the Neuropathy Pain Scale (NPS). Repeated-measures
analysis of variance was used to test for monotonic decline in scores on each of the
measures. Serial serum levels of proinflammatory and neurotrophic cytokines were obtained
at baseline and weeks 1, 2, 4, 8, and 14.
Results. 27 patients with MM were enrolled in the trial. There were no adverse events associated with the AP treatments. TNSc data were deemed invalid and therefore were not reported. At weeks 10 and 14, FACT/GOG-Ntx and
NPS showed significant reduction suggesting decreased pain, and improved function
(p<.0001 for both FACT/GOG-Ntx and NPS at weeks 10 and 14). However, nerve conduction
studies did not change significantly between baseline assessment and end of study. There
was no correlation in serum cytokines for responders versus non-responders.
CONCLUSIONS. AP is safe, feasible and produces subjective improvements in patients'
symptoms in bortezomib-induced peripheral neuropathy. A follow-up randomized controlled
trial is warranted.
© The Author(s) 2014. PMID: 24867959 [PubMed - as supplied by
AP in cluster headache: four cases and review of the literature.
Fofi L, Allais G, Quirico PE,
Rolando S, Borgogno P, Barbanti P, Benedetto C. Neurol Sci. 2014 May;35 Suppl 1:195-8.
doi: 10.1007/s10072-014-1769-6. Headache and Pain Unit, IRCCS San Raffaele Pisana, Via
della Pisana 235, 00163, Rome, Italy, firstname.lastname@example.org.
Although cluster headache (CH) is the most disabling form of primary headache, little evidences regarding alternative
and complementary therapies are available. Only few dated studies and some isolated cases
are described. We describe four patients with CH treated with AP as a preventive treatment,
combined with verapamil or alone. All patients received AP treatment twice/week for
2weeks, then once/week for 8weeks, and then once/alternate weeks for 2weeks. According
to TCM the acupoints selected were: Ex HN-5 Taiyang, GB14 (both only on the affected
side), GB20 (bilateral), LI04, LV02, SP06, ST36 (all bilateral). At each point, after the
insertion of the needle, the feeling of "Deqi" was evoked; after obtaining this sensation the
acupoints were not further stimulated for a period of 20min, until needle removal. In all
patients an interruption of cluster attacks was obtained. To our knowledge, this is the first
report concerning AP in CH patients which details the protocol approach, acupoints and
duration of the treatment. Our results offer the opportunity to discuss the emerging role of AP
in the therapy of CH, assuming a possible influence on opioid system. PMID: 24867865
[PubMed - in process]
Qufeng Tongluo" AP Prevents the progression of glomerulonephritis by decreasing renal
sympathetic nerve activity.
An P, Dang HM, Shi XM, Ye BY, Wu XL. J Ethnopharmacol. 2014
May 26. pii: S0378-8741(14)00388-2. doi: 10.1016/j.jep.2014.05.019. [Epub ahead of print]
Dept of Integrated Chinese Traditional and Western Medicine, 2nd Affiliated Hospital,
Medical School of Xi'an Jiaotong Univ/Shaanxi Province Key TCM Dept of Nephrology, Xi'an
710004, PRC. email@example.com
ETHNOPHARMACOLOGICAL RELEVANCE: Although
the exact mechanism(s) underlying AP remain unknown, AP and AP-like somatic nerve
stimulation have been used to treat different kidney diseases and several complications
related to them.The aim of this preliminary study was to assess the effectiveness of AP on
glomerulonephritis (GN) according to the theory of "Wind-hided renal collaterals" [Phil: KI Luo
Latent Wind (Fengfu Shenluo) / KI Luo Wind Moving (Shenluo Fengdong )]
MATERIAL AND METHODS: We used a New Zealand white rabbit
model of cationized bovine serum albumin (cBSA)-induced glomerulonephritis and then
administered them metoprolol, irbesartan or AP to evaluate the effectiveness of AP treatment
and preliminarily explore its potential mechanism.
RESULTS: After immunization, our results
showed that compared to the cBSA+MET and cBSA+IRB medication groups, "Qufeng
Tongluo" [Phil: , Dispel Wind + Dredge Luo] significantly lowered parameters of
renal function and improved podocyte injury in the 3(rd), 6(th) and 8(th) weeks of treatment.
Moreover, AP increased the protein expression of phosphorylated ERK1/2.
Our study suggests that a potential mechanism by which AP has an antihypertensive effect
and can significantly halt deteriorating renal function due to cBSA GN might be mediated by
inhibiting the Erk1/2 MAPK pathway to reduce renal sympathetic nerve activity (RSNA).
Copyright © 2014. Published by Elsevier Ireland Ltd. PMID: 24875645 [PubMed - as supplied
Doctor of Oriental Medicine & Licensed Acupuncturist