Basics of Acupuncture

Stux, Gabriel; Pomeranz, Bruce

doi:10.1007/978-3-642-97638-4

Cited by 46 publications

(70 citation statements)

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“…After a literature review on acupuncture for LBP, only widely accepted acupoints were selected. [8][9][10][11] The standard points in the lumbar region (local points) were BL23, 25, and GB30; standard points on the lower extremity (distal points) were BL40, 60 and GB34. Additionally, up to four ah shi points of greatest tenderness were chosen, which were often close to, but not necessarily identical to, BL54, 31 and 32 ( Figure 2).…”

Section: Treatmentmentioning

confidence: 99%

Trigger Point Acupuncture Treatment of Chronic Low Back Pain in Elderly Patients – a Blinded Rct

Katsumi²,

2004

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Objective There is some evidence for the efficacy of acupuncture in chronic low back pain, but it remains unclear which acupuncture modes are most effective. Our objective was to evaluate the effects of two different modes of trigger point acupuncture on pain and quality of life in chronic low back pain patients compared to standard acupuncture treatment. Methods Thirty five consecutive out-patients (25 women, 10 men; age range: 65–81 years) from the Department of Orthopaedic Surgery, Meiji University of Oriental Medicine, with non-radiating low back pain for at least six months and normal neurological examination, were randomised to one of three groups over 12 weeks. Each group received two phases of acupuncture treatment with an interval between them. Nine patients dropped out during the course of the study. The standard acupuncture group (n=9) received treatment at traditional acupuncture points for low back pain, while the other acupuncture groups received superficial (n=9) or deep (n=9) treatments on trigger points. Outcome measures were VAS pain intensity and Roland Morris Questionnaire. Results After treatment, the group that received deep needling to trigger points reported less pain intensity and improved quality of life compared to the standard acupuncture group or the group that received superficial needling to trigger points, but the differences were not statistically significant. There was a significant reduction in pain intensity between the treatment and interval in the group that received deep needling to trigger points (P<0.01), but not in the standard acupuncture group or the group that received superficial needling to trigger points. Conclusion These results suggest that deep needling to trigger points may be more effective in the treatment of low back pain in elderly patients than either standard acupuncture therapy, or superficial needling to trigger points.

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Section: Treatmentmentioning

confidence: 99%

Trigger Point Acupuncture Treatment of Chronic Low Back Pain in Elderly Patients – a Blinded Rct

Katsumi²,

2004

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“…30 In terms of traditional medicine, it is believed that acupuncture works to alter central nervous system neurotransmitter levels by stimulating peripheral nerves at acupoints. These stimulated nerves then carry the signals centrally, 31,32 shown in Figure 1, including to the spinal cord, pituitary, and midbrain. Activated centers can then release neurochemicals: endorphins, monoamines, and cortisol.…”

Section: Meridians and Acupointsmentioning

confidence: 99%

“…Activated centers can then release neurochemicals: endorphins, monoamines, and cortisol. 31 Acupoint stimulation A large number of acupuncture points (365 points have been identified in Chinese acupuncture maps) show concentrations of peripheral nerve junctions, referred to as 'trigger points'. 26 A variety of methods are used to stimulate acupoints.…”

Section: Meridians and Acupointsmentioning

confidence: 99%

Acupuncture for the treatment of obesity: a review of the evidence

2003

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Although acupuncture is being utilized to treat a variety of important health problems, its usefulness in obesity management has not yet been fully evaluated. The aim of this review paper was to survey and critically evaluate the descriptive and controlled trials of acupuncture for enhancing weight loss. The underlying principles of acupoint stimulation are described, with an emphasis on auricular (ear) acupuncture, the method most often chosen for obesity studies. The difficulties of selecting suitable placebo controls are highlighted. To date, most trials have been descriptive in nature, of short duration (r12 weeks), and designed using nonstandard treatment protocols. Despite the unique challenges involved, further careful study of acupuncture's potential usefulness as an adjunct in weight management is recommended. An agenda for future research in this area is provided.

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“…Focally increased CBF was observed in all patients, especially in the hypoperfused zone surrounding the ischemic lesion, the ipsilateral or contralateral sensorimotor area, or both. In this study we specifically evaluated fMRI activation associated with electrical stimulation of acupoints LI4 and LI11, which according to the acupuncture literature are treatment acupoints for upper limb numbness (14). We refer to these as sensory-implicated acupoints.…”

mentioning

confidence: 99%

An fMRI study of somatosensory‐implicated acupuncture points in stable somatosensory stroke patients

Jack

Yang

2006

Magnetic Resonance Imaging

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Purpose: To assess differences in brain responses between stroke patients and controls to tactile and electrical acupuncture stimulation using functional MRI (fMRI). Materials and Methods:A total of 12 male, clinically stable stroke patients with left side somatosensory deficits, and 12 age-matched male control subjects were studied. fMRI was performed with two different paradigms; namely, tactile stimuli and electrical stimulation at acupuncture points LI4 and LI11 on the affected side of the body. fMRI data were analyzed using SPM99.Results: Tactile stimulation in both patients and controls produced significant activation in primary and secondary sensory and motor cortical areas and cerebellum. Greater activation was present in patients than controls in the somatosensory cortex with both the tactile task and the acupuncture point (acupoint) stimulation. Activation was greater during the tactile task than the acupuncture stimulation in patients and normal controls. Conclusion:Differences observed between patients and controls on both tasks may indicate compensatory over recruitment of neocortical areas involved in somatosensory perception in the stroke patients. The observed differences between patients and controls on the acupoint stimulation task may also indicate that stimulation of acupoints used therapeutically to enhance recovery from stroke, selectively activates areas thought to be involved in mediating recovery from stroke via functional plasticity. fMRI of acupoint stimulation may illustrate the functional substrate of the therapeutically beneficial effect of acupuncture in stroke rehabilitation.

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Basics of Acupuncture

Cited by 46 publications

References 0 publications

Trigger Point Acupuncture Treatment of Chronic Low Back Pain in Elderly Patients – a Blinded Rct

Trigger Point Acupuncture Treatment of Chronic Low Back Pain in Elderly Patients – a Blinded Rct

Acupuncture for the treatment of obesity: a review of the evidence

An fMRI study of somatosensory‐implicated acupuncture points in stable somatosensory stroke patients

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