Acupuncture for functional gastrointestinal disorders

Takahashi, Toshio

doi:10.1007/s00535-006-1773-6

Cited by 206 publications

(148 citation statements)

References 89 publications

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“…29 30 32 45 46 In human adults [47][48][49] and children 50 acupuncture had a benefi cial effect on visceral symptoms like nausea. Acupuncture increased bowel movement in children, 51 altered gastric motility 52 and affected gastric emptying in adults with motility disorders 53 but caused no effect on gastric motility in healthy individuals. 54 Manual acupuncture applied to LI4 induced an increase in the sympathetic and parasympathetic nervous systems in 12 healthy individuals.…”

Section: Possible Mechanisms and Explanationsmentioning

confidence: 98%

Acupuncture reduces crying in infants with infantile colic: a randomised, controlled, blind clinical study

Landgren

Kvorning

Hallström

et al. 2011

Deutsche Zeitschrift für Akupunktur

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Objective To investigate whether acupuncture reduces the duration and intensity of crying in infants with colic. Patients and methods 90 otherwise healthy infants, 2-8 weeks old, with infantile colic were randomised in this controlled blind study. 81 completed a structured programme consisting of six visits during 3 weeks to an acupuncture clinic in Sweden. Parents blinded to the allocation of their children met a blinded nurse. The infant was subsequently given to another nurse in a separate room, who handled all infants similarly except that infants allocated to receive acupuncture were given minimal, standardised acupuncture for 2 s in LI4. Results There was a difference (p=0.034) favouring the acupuncture group in the time which passed from inclusion until the infant no longer met the criteria for colic. The duration of fussing was lower in the acupuncture group the fi rst (74 vs 129 min; p=0.029) and second week (71 vs 102 min; p=0.047) as well as the duration of colicky crying in the second intervention week (9 vs 13 min; p=0.046) was lower in the acupuncture group. The total duration of fussing, crying and colicky crying (TC) was lower in the acupuncture group during the fi rst (193 vs 225 min; p=0.025) and the second intervention week (164 vs 188 min; p=0.016). The relative difference from baseline throughout the intervention weeks showed differences between groups for fussing in the fi rst week (22 vs 6 min; p=0.028), for colicky crying in the second week (92 vs 73 min; p=0.041) and for TC in the second week (44 vs 29 min; p=0.024), demonstrating favour towards the acupuncture group. Conclusions Minimal acupuncture shortened the duration and reduced the intensity of crying in infants with colic. Further research using different acupuncture points, needle techniques and intervals between treatments is required. INTRODUCTIONTen per cent of newborn children in the Western world experience colic.1 2 The aetiology is unclear but gastrointestinal factors and allergy to cow's milk protein have been suggested as possible causes. 3 Another suggestion is that colic is a behavioural condition resulting from unfavourable parent-infant interaction. 3 In three meta-analyses current medical treatments are evaluated as either ineffi cient (simethicone) or as having serious side effects like seizures, asphyxia and death [3][4][5] (dicyclomine, presently withheld by the manufacturer). In spite of the good prognosis of infantile colic with full spontaneous recovery, 6 colic inhibits optimal family relations [7][8][9] and increases the risk of child abuse. [10][11][12] Acupuncture is widely used and discussed in infantile colic. However, few articles have been published on this subject. Two uncontrolled studies report positive outcomes after acupuncture in children with night crying. 13 14 One qualitative study 15 and one randomised controlled study 16 also indicate that acupuncture has an effect on infants' crying. The objective of this study was to further investigate whether minimal acupuncture reduces the durat...

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Section: Possible Mechanisms and Explanationsmentioning

confidence: 98%

Acupuncture reduces crying in infants with infantile colic: a randomised, controlled, blind clinical study

Landgren

Kvorning

Hallström

et al. 2011

Deutsche Zeitschrift für Akupunktur

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“…Acupuncture point ST36 is located in the proximal part of the anterior tibia muscle and is the acupuncture point considered for ailments of gastro-intestinal nature in traditional Chinese medicine (Deadman, Al-Khafaji, and Baker 2008). A postulated neurophysiologic mechanism explains a beneficial effect on gut dysmotility by way of the parasympathetic vagal reflexes, as well as a centrally opioid-mediated pain inhibitory pathway (Takahashi 2006).…”

Section: Acupuncturementioning

confidence: 99%

Local Practices of Infantile Colic Management and Health Outcomes in Children: A Scoping Review

Odetola¹,

Abiona²

2018

AJNM

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Infantile colic is a self-limiting condition that occurs in infants. It is a common disturbance occurring in the first three months of life but is generally harmless. The exact aetiology is unknown, but it is associated with a vicious cycle of the infant crying and swallowing of air. Mothers use a number of methods to relieve their infants from this condition. However, there is limited evidence that support the use of complementary and alternative treatments (such as herbal supplements, and a manipulative approach) or behavioural interventions. The impetus of this paper is thus to explore local or alternative methods of the management of infantile colic. A scoping review of existing literature was done to assess all research on local practices of infantile colic management by nurses and doctors in developed countries and work carried out in Africa. This was done to identify what has been done and to identify any gaps in research. The majority of the studies reviewed revealed positive effects of unorthodox or local methods in managing infantile colic although some cause complications for the infants. There are very few published articles on this subject and methods used. The researchers, therefore, recommend more controlled trials to test the effectiveness of the different local substances used to manage infantile colic.

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“…Acupuncture has been used for treating various GI diseases, including gastroparesis, functional dyspepsia (FD), irritable bowel syndrome (IBS), constipation and diarrhea [24] . Recent study showed that TENS applied to the acupuncture points (transcutaneous-EA; TEA) at the hands and lower legs improves GI symptoms in patients with FD [25] .…”

Section: Anti-stress Effects Of Somatosensory Stimulation 2-1 Effectmentioning

confidence: 99%

Anti-stress Effect of Hypothalamic Oxytocin, Importance of Somatosensory Stimulation and Social Buffering

Takahashi

Babygirija

Ludwig

2015

International Journal of Neurology Research

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A growing body of evidence suggests that stress stimuli, both acute and chronic, promote different physiological mechanisms and neuroendocrine responses. Oxytocin (OXT) is mainly synthesized in the paraventricular nucleus (PVN) and supraoptic nucleus (SON) of the hypothalamus. Central OXT has an anxiolytic effect and attenuates the hypothalamic-pituitary-adrenal (HPA) axis in response to stress. Anti-stress effect of OXT has been explained by its inhibitory effect on corticotropin releasing factor (CRF) expression at the PVN via GABAA receptors. Repeated experience with the same stressor produces habituation, or diminution of behavioral responses and HPA axis responses. Up-regulated OXT expression in the PVN is involved in mediating habituation in response to chronic homotypic stress in rats. In contrast to chronic homotypic stress, no habituation is observed when rats are singly housed and received different types of stressors for 7 days (chronic heterotypic stress). Increased CRF expression and reduced OXT expression at the PVN are observed following chronic heterotypic stress in singly housed rats. Thus, it is conceivable that stress responses to chronic heterotypic stress would be diminished if endogenous OXT expression is upregulated. Various manual therapies such as massage, acupuncture and transcutaneous electrical nerve stimulation (TENS) involve the stimulation of somatosensory neurons. OXT system is activated by manual therapies. TENS increases OXT expression and decreases CRF expression at the PVN following chronic heterotypic stress in singly housed rats. OXT has been implicated in a number of social behaviors, including maternal care, affiliation and social attachment. Social attachment is known to stimulate OXT release in the hypothalamus in rats. A recent study demonstrates an increased OXT expression following chronic heterotypic stress when rats are pair-housed. Somatosensory stimulation is a promising treatment for stress-associated diseases. A social interaction is also important to adapt to our daily life stress.

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Acupuncture for functional gastrointestinal disorders

Cited by 206 publications

References 89 publications

Acupuncture reduces crying in infants with infantile colic: a randomised, controlled, blind clinical study

Acupuncture reduces crying in infants with infantile colic: a randomised, controlled, blind clinical study

Local Practices of Infantile Colic Management and Health Outcomes in Children: A Scoping Review

Anti-stress Effect of Hypothalamic Oxytocin, Importance of Somatosensory Stimulation and Social Buffering

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