Safe needling depth at abdominal traditional acupuncture points:  a ultrasonographic study  of cadavers

Shen, Yifeng; Zhou, Qiaoyin; Sun, Xiaojie; Qiu, Zuyun; Jia, Yan; Li, Shiliang; Zhang, Weiguang

doi:10.1177/0964528420922241

Cited by 5 publications

(3 citation statements)

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“…Similarly, the sensation of the de qi response as well as the pain threshold was also enhanced by a greater twirling angle ( Choi et al, 2013 ). Although an excessively large needling amplitude may create potential risks, such as patient intolerance or neurological or vascular injury ( Shen et al, 2021 ; Zhou et al, 2022 ), the result of an animal experiment suggested that the analgesic effect of MA may be positively correlated with the needling amplitude ( Bae et al, 2019 ). The occurrence of this phenomenon probably lie in two factors.…”

Section: Stimulation Parameters Of Ma For Selectionmentioning

confidence: 99%

Manual acupuncture for neuromusculoskeletal disorders: The selection of stimulation parameters and corresponding effects

Wang

Yang

et al. 2023

Front. Neurosci.

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As a minimally invasive method of physical stimulation, manual acupuncture (MA) is used globally as a sort of therapy for neuromusculoskeletal disorders. In addition to selecting appropriate acupoints, acupuncturists should also determine the stimulation parameters of needling, such as the manipulation (lifting-thrusting or twirling), needling amplitude, velocity, and stimulation time. At present, most studies focus on acupoint combination and mechanism of MA, the relationship between stimulation parameters and their therapeutic effects, as well as the influence on mechanism of action are relatively scattered, and lack of systematic summary and analysis. This paper reviewed the three types of stimulation parameters of MA, their common options and values, corresponding effects and potential mechanisms of action. The purpose of such efforts is to provide a useful reference for the dose-effect relationship of MA and the quantification and standardization of its clinical treatment of neuromusculoskeletal disorders to further promote the application of acupuncture in the world.

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Section: Stimulation Parameters Of Ma For Selectionmentioning

confidence: 99%

Manual acupuncture for neuromusculoskeletal disorders: The selection of stimulation parameters and corresponding effects

Wang

Yang

et al. 2023

Front. Neurosci.

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“…. 최근에는 해부용 시신에 초음파를 적용한 연구가 발표되었고 23) , 국내에서도 성인을 대상으로 초음파 및 CT 를 활용하여 연구가 이루어졌다(Table 2) [24][25][26][27] .…”

Section: 복부 경혈의 안전한 자침 깊이 관련 연구unclassified

Review on Intraperitoneal Acupuncture and Needling Depth

Kim

2023

Korean J Acupunct

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Objectives : To review the needling depth, therapeutic and adverse effects of intraperitoneal acupuncture and related acupoints. Methods : Studies and reports from the literature, Korean medical health insurance data and databases were searched and selected. Results : The depth of needle insertion for acupoints related to intraperitoneal acupuncture has been documented to range from 0.9 to 10.5 cm depending on the acupoints and literature. In studies of safe needling depth, the justice of safe needling depth varied from study to study, but was generally based on the peritoneum, and the depth varies by patient age, sex, body type, and weight. Clinical studies in China have shown good efficacy and no side effects of abdominal long needle acupuncture, but there have been case reports of adverse events following abdominal acupuncture. Conclusions : To ensure both therapeutic effectiveness and safety of intraperitoneal acupuncture, It is necessary to utilize the ultrasound in clinical practice and conduct related research.

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“…Unlike “somatic” acupuncture, in abdominal acupuncture, the needle is superficially driven, there is no need for its stimulation and the treatment is based on the symptom location, thus allowing more standardized protocols [ 13 ]. The shallow needles have a diameter of 0.16–0.25 mm, thereby causing less damage and discomfort [ 14 ]. Abdominal acupuncture is therefore less painful and more easily applicable in pediatric patients, patients with a weak physical constitution such as the elderly, and patients with immune deficiencies, and is especially indicated for painful or chronic pathologies [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Somatic and Abdominal Acupuncture for Pain Treatment in Adolescent Complex Regional Pain Syndrome (CRPS) of the Upper Limb: A Case Report

et al. 2021

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Complex regional pain syndrome (CRPS) is still poorly understood. It is a pain disorder in which pain is disproportionate to the initial stimulus. There is no specific therapy for CRPS, but it can be managed by a combination of treatments. We report a 13-year-old girl with CRPS of the upper limb treated with somatic and abdominal acupuncture. She described a severe, pulsating pain in the left wrist and hand, with hypersensitivity, allodynia, a marked reduction in strength, and swelling and sweating at the level of the fingers. Pain began three months previously, after a trauma to the left wrist. The diagnostic tests performed were negative. At the first visit we recommended oral tramadol. During the first two sessions we used somatic acupuncture. At the third session, the girl reported suffering intolerable pain in the affected limb during the previous sessions, so we decided to use abdominal acupuncture. After 8 sessions of abdominal acupuncture the pain completely disappeared. Acupuncture could be a potential alternative when conservative therapy with physical and medical treatment fails, but more often parents and adolescents prefer this therapy since other comorbidities are often present in pediatric populations and abdominal acupuncture could be a valuable alternative aid.

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Safe needling depth at abdominal traditional acupuncture points: a ultrasonographic study of cadavers

Cited by 5 publications

References 0 publications

Manual acupuncture for neuromusculoskeletal disorders: The selection of stimulation parameters and corresponding effects

Manual acupuncture for neuromusculoskeletal disorders: The selection of stimulation parameters and corresponding effects

Review on Intraperitoneal Acupuncture and Needling Depth

Somatic and Abdominal Acupuncture for Pain Treatment in Adolescent Complex Regional Pain Syndrome (CRPS) of the Upper Limb: A Case Report

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