Acupuncture in Medicine
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Acupuncture for locomotor disabilities in a South American red-footed tortoise (Geochelone carbonaria) - a case report.
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The literature contains numerous reports of the effect of acupuncture on domestic or experimental animals, but only a few involving wild animals. This paper reports on acupuncture treatment for locomotor disabilities in a South American red-footed tortoise (Geochelone carbonaria, SPIX, 1824), an endangered land tortoise found in Brazils Cerrado region. The animal was captured and kept in an aquatic pen, subsequently developing respiratory symptoms and locomotor disabilities. The respiratory symptoms resolved in response to antibiotic treatment. However, despite the use of nutritional supplements, the motor symptoms rem...
Source: Acupuncture in Medicine - December 1, 2008 Category: Complementary Medicine Authors: Scognamillo-Szabó MV, Santos AL, Olegário MM, Andrade MB Tags: Acupunct Med Source Type: journals
The Emperors sham - wrong assumption that sham needling is sham.
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During the last five years a large number of randomised controlled clinical trials (RCTs) have been published on the efficacy of acupuncture in different conditions. In most of these studies verum is compared with sham acupuncture. In general both verum and sham have been found to be effective, and often with little reported difference in outcome. This has repeatedly led to the conclusion that acupuncture is no more effective than placebo treatment. However, this conclusion is based on the assumption that sham acupuncture is inert. Since sham acupuncture evidently is merely another form of acupuncture from the physiolo...
Source: Acupuncture in Medicine - December 1, 2008 Category: Complementary Medicine Authors: Lundeberg T, Lund I, Näslund J, Thomas M Tags: Acupunct Med Source Type: journals
Acupuncture for preconditioning of expectancy and/or Pavlovian extinction.
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Both specific and non-specific factors, as well as the therapist, may play a role in acupuncture therapy. Recent results suggest that verum acupuncture has specific physiological effects and that patients expectations and belief regarding a potentially beneficial treatment modulate activity in the reward and self-appraisal systems in the brain. We suggest that acupuncture treatment may partly be regarded and used as an intervention that preconditions expectancy, which results in both conditional reflexes and conditioning of expected reward and self-appraisal. If so, acupuncture should preferably be applied before the s...
Source: Acupuncture in Medicine - December 1, 2008 Category: Complementary Medicine Authors: Lundeberg T, Lund I Tags: Acupunct Med Source Type: journals
Perforation of the median nerve with an acupuncture needle guided by ultrasound.
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In an experiment on one of the authors, we used ultrasound to visualise an acupuncture needle completely perforating the median nerve at the acupuncture point PC6. During this procedure only a slight sensation occurred, and no pain. We conclude that, in individual cases, the median nerve might be perforated without causing pain or neurological problems.
PMID: 19098694 [PubMed - in process]
Source: Acupuncture in Medicine - December 1, 2008 Category: Complementary Medicine Authors: Kessler J, Streitberger K Tags: Acupunct Med Source Type: journals
A placebo acupuncture needle with potential for double blinding - a validation study.
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CONCLUSION: The non-penetrating placebo needle was effective in masking fully informed subjects. When used together with the matched penetrating needle, it has potential for use in double blind (patient and practitioner blind) studies.
PMID: 19098693 [PubMed - in process]
Source: Acupuncture in Medicine - December 1, 2008 Category: Complementary Medicine Authors: Takakura N, Yajima H Tags: Acupunct Med Source Type: journals
Intramuscular and periosteal acupuncture in patients suffering from chronic musculoskeletal pain - a controlled trial.
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CONCLUSIONS: Periosteal pecking was no more effective than standard intramuscular acupuncture, but both were more effective than information only.
PMID: 19098692 [PubMed - in process]
Source: Acupuncture in Medicine - December 1, 2008 Category: Complementary Medicine Authors: Hansson Y, Carlsson C, Olsson E Tags: Acupunct Med Source Type: journals
Do general practices which provide an acupuncture service have low referral rates and prescription costs? A pilot survey.
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CONCLUSIONS: We have conducted the first survey of the effects of provision of acupuncture in UK general practice, using data provided by the NHS, and uncovered a wide variation in the availability of the service in different areas. We have been unable to demonstrate any consistent differences in the prescribing or referral rates that could be due to the use of acupuncture in these practices. The wide variation in the data means that if such a trend exists, a very large survey would be needed to identify it. However, we discovered inaccuracies and variations in presentation of data by the PCTs which have made the numerical...
Source: Acupuncture in Medicine - December 1, 2008 Category: Complementary Medicine Authors: Johnson G, White A, Livingstone R Tags: Acupunct Med Source Type: journals
Investigating the safety of electroacupuncture with a Picoscope.
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Our wish to know more about the paths taken by electrical currents in electroacupuncture (EA) with special reference to the heart, particularly in patients with an implanted pacemaker, prompted us to undertake this study. Using ourselves as subjects, we have developed a safe oscillographic method to detect, visualise and record the EA currents that avoids the use of equipment requiring mains electricity. After two trials with unsatisfactory equipment, we found that the newly developed model 3425 PicoScopeTM (Pico Technology Ltd), with a four channel differential amplifier input connected to a laptop PC operating in bat...
Source: Acupuncture in Medicine - September 1, 2008 Category: Complementary Medicine Authors: Thompson JW, Cummings M Tags: Acupunct Med Source Type: journals
Defining an adequate dose of acupuncture using a neurophysiological approach.
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Many different styles of acupuncture practice exist, and lack of agreement on the optimal acupuncture treatment for any particular condition may mean that some patients do not receive the best treatment. This uncertainty also makes the negative results of sham controlled trials difficult to interpret. Unless we can be sure that both adequate acupuncture and an inactive sham were used in a particular trial, then that trial should not be interpreted as dismissing acupuncture for that condition. Acupuncture practice clearly involves much more than needling procedures, but there is a strong argument for elucidating the rol...
Source: Acupuncture in Medicine - June 1, 2008 Category: Complementary Medicine Authors: White A, Cummings M, Barlas P, Cardini F, Filshie J, Foster N, Lundeberg T, Stener-Victorin E, Witt C Tags: Acupunct Med Source Type: journals
Is there a role for acupuncture in endometriosis pain, or 'endometrialgia'?
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Endometriosis is a common cause of pelvic pain in women, many of whom suffer a progression of symptoms over their menstrual life. Symptoms may include combinations of abnormal visceral sensations and emotional distress. Endometriosis pain, or 'endometrialgia' often has a negative influence on the ability to work, on family relationships and sense of worth. Endometrialgia is often considered to be a homogeneous sensory entity, mediated by a specialised high threshold sensory system, which extends from the periphery through the spinal cord, brain stem and thalamus to the cerebral cortex. However, multiple mechanisms have...
Source: Acupuncture in Medicine - June 1, 2008 Category: Complementary Medicine Authors: Lundeberg T, Lund I Tags: Acupunct Med Source Type: journals
Acupuncture in the rehabilitation of women after breast cancer surgery.
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Conclusions Acupuncture in rehabilitation after breast cancer surgery was shown to be associated with improvements in movement amplitude of the shoulder, symptoms of heaviness and tightness in the arm, and the degree of lymphoedema. However, controlled trials should be performed to ascertain whether the results were due to the natural history of the complaint or the acupuncture treatment.
PMID: 18591908 [PubMed - in process]
Source: Acupuncture in Medicine - June 1, 2008 Category: Complementary Medicine Authors: Alem M, Gurgel M Tags: Acupunct Med Source Type: journals
Pupillary response induced by acupuncture stimulation.
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Conclusions It is thought that the pupillary constriction observed after gentle, superficial acupuncture stimulation may be attributed to an increase of parasympathetic nerve function. Further study is necessary in order to further clarify the duration of the observed response and to elucidate the mechanisms behind it.
PMID: 18591907 [PubMed - in process]
Source: Acupuncture in Medicine - June 1, 2008 Category: Complementary Medicine Authors: Mori H, Ueda S, Kuge H, Taniwaki E, Tanaka T, Adachi K, Nishijo K Tags: Acupunct Med Source Type: journals
A blinded randomised trial of acupuncture (manual and electroacupuncture) compared with a non-penetrating sham for the symptoms of osteoarthritis of the knee.
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Conclusions Acupuncture gives symptomatic improvement for patients with osteoarthritis of the knee, and is significantly superior to non-penetrating sham acupuncture. The study did not confirm earlier reports of release of plasma b-endorphin during acupuncture.
PMID: 18591906 [PubMed - in process]
Source: Acupuncture in Medicine - June 1, 2008 Category: Complementary Medicine Authors: Jubb R, Tukmachi E, Jones P, Dempsey E, Waterhouse L, Brailsford S Tags: Acupunct Med Source Type: journals
Possible effects of acupuncture on atrial fibrillation and post-herpetic neuralgia - a case report.
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A 72 year old female with a main complaint of severe post-herpetic neuralgia and a secondary complaint of atrial fibrillation (AF) received two series of acupuncture treatments totalling 20 treatments over a four month period. Her standard medical treatment remained unchanged. The primary focus of the acupuncture was pain relief; however, two acupuncture points (PC6, SP4) were included in both treatment series because of possible effects on both costal or chest pain and cardiac arrhythmias, according to Traditional Chinese Medicine (TCM) teaching and limited research. As recorded by her pacemaker, estimated weekly epis...
Source: Acupuncture in Medicine - March 1, 2008 Category: Complementary Medicine Authors: Valaskatgis P, Macklin EA, Schachter SC, Wayne PM Tags: Acupunct Med Source Type: journals
High volume acupuncture clinic (HVAC) for chronic knee pain - audit of a possible model for delivery of acupuncture in the National Health Service.
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Recent research has established the efficacy, effectiveness and cost effectiveness of acupuncture for some forms of chronic musculoskeletal pain. However, there are practical problems with delivery which currently prevent its large scale implementation in the National Health Service. We have developed a delivery model at our hospital, a 'high volume' acupuncture clinic (HVAC) in which patients are treated in a group setting for single conditions using standardised or semi-standardised electroacupuncture protocols by practitioners with basic training. We discuss our experiences using this model for chronic knee pain and...
Source: Acupuncture in Medicine - March 1, 2008 Category: Complementary Medicine Authors: Berkovitz S, Cummings M, Perrin C, Ito R Tags: Acupunct Med Source Type: journals
Is it all about sex? Acupuncture for the treatment of pain from a biological and gender perspective.
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Pain is a unique personal experience showing variability where gender and sex related effects might contribute. The mechanisms underlying the differences between women and men are currently unknown but are likely to be complex and involving interactions between biological, sociocultural and psychological aspects. In women, painful experimental stimuli are generally reported to produce a greater intensity of pain than in men. Clinical pain is often reported with higher severity and frequency, longer duration, and present in a greater number of body regions in women than in men. Women are also more likely to experience a...
Source: Acupuncture in Medicine - March 1, 2008 Category: Complementary Medicine Authors: Lund I, Lundeberg T Tags: Acupunct Med Source Type: journals
Manual acupuncture as an adjunctive treatment of nausea in patients with cancer in palliative care - a prospective, observational pilot study.
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CONCLUSION: The study demonstrated that acupuncture treatment in cancer patients can be associated with a significantly reduced intensity of nausea during a period of chemotherapy in their final phase of life.
PMID: 18356796 [PubMed - in process]
Source: Acupuncture in Medicine - March 1, 2008 Category: Complementary Medicine Authors: Nystrom E, Ridderstrom G, Leffler AS Tags: Acupunct Med Source Type: journals
Trigger point acupuncture for treatment of knee osteoarthritis - a preliminary RCT for a pragmatic trial.
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CONCLUSION: These results suggest that trigger point acupuncture therapy may be more effective for osteoarthritis of the knee in some elderly patients than standard acupuncture therapy.
PMID: 18356795 [PubMed - in process]
Source: Acupuncture in Medicine - March 1, 2008 Category: Complementary Medicine Authors: Itoh K, Hirota S, Katsumi Y, Ochi H, Kitakoji H Tags: Acupunct Med Source Type: journals
Acupuncture for irritable bowel syndrome an exploratory randomised controlled trial.
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CONCLUSIONS: We established the feasibility of a full scale trial, successfully recruiting patients and calculating the sample size required. The results of our pilot analysis suggest that more definitive research into acupuncture for IBS is merited. A pragmatic trial design will not be able to distinguish between acupuncture specific effects and placebo effects; however, it is the design of choice to determine cost effectiveness.
PMID: 18356794 [PubMed - in process]
Source: Acupuncture in Medicine - March 1, 2008 Category: Complementary Medicine Authors: Reynolds JA, Bland JM, Macpherson H Tags: Acupunct Med Source Type: journals
Surface electrostimulation of acupuncture points for sedation of critically ill patients in the intensive care unit - a pilot study.
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CONCLUSIONS: This pilot study showed significant reduction in the dose of propofol required for sedation in critically ill patients following surface electrostimulation of acupuncture points, without any adverse effects. A randomised controlled trial is warranted.
PMID: 18356793 [PubMed - in process]
Source: Acupuncture in Medicine - March 1, 2008 Category: Complementary Medicine Authors: Nayak S, Wenstone R, Jones A, Nolan J, Strong A, Carson J Tags: Acupunct Med Source Type: journals
Acupuncture in medicine. In this issue.
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PMID: 18499940 [PubMed - in process]
Source: Acupuncture in Medicine - March 1, 2008 Category: Complementary Medicine Authors: White A Tags: Acupunct Med Source Type: journals
Large tender areas, not discrete points, observed in patients with fibromyalgia.
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PMID: 18297779 [PubMed - in process]
Source: Acupuncture in Medicine - December 1, 2007 Category: Complementary Medicine Authors: Baldry P Tags: Acupunct Med Source Type: journals
Are reviews based on sham acupuncture procedures in fibromyalgia syndrome (FMS) valid?
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In recent reviews regarding the efficacy of acupuncture in fibromyalgia syndrome (FMS) it has been concluded that acupuncture has no specific effect since the control procedure (superficial needling and/or needling away from 'specific' points) had similar effects. These conclusions may be questioned since superficial needling and/or needling away from specific trigger points is not inert. Also, manual acupuncture or mild electroacupuncture (EA) may not be sufficient to activate the endogenous pain inhibiting system. Patients with FMS suffer from allodynia, fatigue and muscle ache, which is partly explained by periphera...
Source: Acupuncture in Medicine - September 1, 2007 Category: Complementary Medicine Authors: Lundeberg T, Lund I Tags: Acupunct Med Source Type: journals
Acupuncture, ketamine and piriformis syndrome - a case report from palliative care.
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This case history gives the unusual presentation of piriformis syndrome as the immediate cause of symptoms for a patient with spinal stenosis and non Hodgkin's lymphoma in a palliative care setting. It also details the relief and subsequent resolution of symptoms with acupuncture where strong opioids and neuropathic agents such as gabapentin and ketamine were providing only minimal relief.
PMID: 17906604 [PubMed - in process]
Source: Acupuncture in Medicine - September 1, 2007 Category: Complementary Medicine Authors: Spiller J Tags: Acupunct Med Source Type: journals
Auricular acupuncture to resolve the exacerbations in ocular myasthenia - a case report.
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We report a case in which auricular acupuncture was used as an adjunct to pharmacological treatment. The time course of the response suggests that acupuncture appeared to help resolve the current relapse.
PMID: 17906603 [PubMed - in process]
Source: Acupuncture in Medicine - September 1, 2007 Category: Complementary Medicine Authors: Crestati F, Shaladi A, Preteroti S, Tartari S Tags: Acupunct Med Source Type: journals
Acupuncture - self-appraisal and the reward system.
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Acupuncture is an ancient therapy with a variety of different explanatory models. A cascade of physiological effects has been reported, both in the peripheral and the central nervous system, following the insertion of a needle or light tapping of the skin. Clinical trials testing the specific claims of acupuncture have generally tried to focus on testing the efficacy of applying specific techniques and/or specified points. However, different conditions may respond differently to different modes of stimulation. Recently, it was demonstrated that both superficial and deep needling (with de qi/Hibiki) resulted in ameliora...
Source: Acupuncture in Medicine - September 1, 2007 Category: Complementary Medicine Authors: Lundeberg T, Lund I, Näslund J Tags: Acupunct Med Source Type: journals
Effect of varying frequency and duration of electroacupuncture stimulation on carrageenan-induced hyperalgesia.
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CONCLUSION: These results show that EA produces electroacupuncture analgesia of carrageenan-induced hyperalgesia. These findings also suggest that, among the frequencies and durations tested, EA at 3Hz (60 minutes) is the most suitable frequency and duration for carrageenan-induced inflammation. It seems that EA has different analgesic effects and mechanisms according to the parameters of stimulation. For EA in the clinical induction of analgesia, it is especially important that an effective frequency and duration are selected.
PMID: 17906601 [PubMed - in process]
Source: Acupuncture in Medicine - September 1, 2007 Category: Complementary Medicine Authors: Taguchi T, Taguchi R Tags: Acupunct Med Source Type: journals
Are auricular maps reliable for chronic musculoskeletal pain disorders? A double-blind evaluation.
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CONCLUSIONS: Our results did not show agreements between patients' reported musculoskeletal pain regions and tender zones in the external ears assessed according to commonly used maps in auricular acupuncture using a pressure stylus. However, very tender points occur on the external ear in a population with chronic musculoskeletal pain.
PMID: 17906600 [PubMed - in process]
Source: Acupuncture in Medicine - September 1, 2007 Category: Complementary Medicine Authors: Andersson E, Persson AL, Carlsson CP Tags: Acupunct Med Source Type: journals
Acupuncture for mild to moderate emotional complaints in pregnancy - a prospective, quasi-randomised, controlled study.
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CONCLUSIONS: Emotional complaints are very common in pregnancy and medication is always a risk. In this study, acupuncture seems to be an efficacious means of reducing symptoms and improving the quality of life of women with emotional complaints during pregnancy. Large randomised studies are recommended to confirm these results.
PMID: 17906599 [PubMed - in process]
Source: Acupuncture in Medicine - September 1, 2007 Category: Complementary Medicine Authors: Bosco Guerreiro da Silva J Tags: Acupunct Med Source Type: journals
Needles for ethiopia.
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PMID: 17641570 [PubMed - in process]
Source: Acupuncture in Medicine - June 1, 2007 Category: Complementary Medicine Authors: Johnson G, Watkins S Tags: Acupunct Med Source Type: journals
Spontaneous post-insertion needle movement - an unusual risk in acupuncture treatment.
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Authors:
PMID: 17641569 [PubMed - in process]
Source: Acupuncture in Medicine - June 1, 2007 Category: Complementary Medicine Tags: Acupunct Med Source Type: journals
Bell's Palsy following acupuncture treatment - a case report.
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A case of Bell's palsy after acupuncture is presented. It concerns a healthy 47 year old man who developed Bell's palsy less than 24 hours after local acupuncture treatment for temporomandibular dysfunction. The Bell's palsy recovered within two weeks, and may have been caused by a haematoma around the facial nerve.
PMID: 17641568 [PubMed - in process]
Source: Acupuncture in Medicine - June 1, 2007 Category: Complementary Medicine Authors: Rosted P, Woolley DR Tags: Acupunct Med Source Type: journals
Effectiveness of acupuncture and related techniques in treating non-oncological pain in primary healthcare - an audit.
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CONCLUSIONS: Acupuncture seems to be effective in treating musculoskeletal pain, and presents no severe adverse events. With acupuncture treatment, the consumption of analgesic and anti-inflammatory drugs is considerably reduced.
PMID: 17641567 [PubMed - in process]
Source: Acupuncture in Medicine - June 1, 2007 Category: Complementary Medicine Authors: Vas J, Aguilar I, Perea-Milla E, Méndez C Tags: Acupunct Med Source Type: journals
Sham acupuncture devices - practical advice for researchers.
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Several validated sham acupuncture devices have recently become available. While some debate exists on whether such needles are the best placebo control for an RCT of acupuncture, practical advice based on research experience is missing from the literature. This paper shares our concrete experience using the most commonly used such sham needle (the 'Streitberger needle' and its paired verum needle) in a large RCT (n=135) which included a two-week run-in period. The placebo run-in gave us an opportunity to use the sham device on all participants, who were then re-randomised to receive genuine acupuncture or to continue ...
Source: Acupuncture in Medicine - June 1, 2007 Category: Complementary Medicine Authors: McManus CA, Schnyer RN, Kong J, Nguyen LT, Hyun Nam B, Goldman R, Stason WB, Kaptchuk TJ Tags: Acupunct Med Source Type: journals
Evidence from RCTs on optimal acupuncture treatment for knee osteoarthritis - an exploratory review.
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This article reviews the recent research into acupuncture treatment for osteoarthritis of the knee, to explore whether any aspects of treatment seem more likely to be associated with good outcome of treatment. Among four recent, high quality RCTs, one showed a much greater treatment response than the other three, and the possible factors are discussed. A recent systematic review included 13 RCTs, and this article discusses the possible explanations for differences in their outcomes. It is speculated that optimal results from acupuncture treatment for osteoarthritis of the knee may involve: climatic factors, particularly hi...
Source: Acupuncture in Medicine - June 1, 2007 Category: Complementary Medicine Authors: Vas J, White A Tags: Acupunct Med Source Type: journals
The characteristics of middle aged Australian women who consult acupuncturists.
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CONCLUSIONS: While the development of a research base and clinical applications for acupuncture are ongoing, health professionals should be aware that acupuncture is currently being used by large numbers of middle aged women. In addition, given the relatively higher prevalence of acupuncture use reported in our study, it is important that further research explores acupuncture use in more detail and the relationship between women's health issues and their use and experience of acupuncture.
PMID: 17641564 [PubMed - in process]
Source: Acupuncture in Medicine - June 1, 2007 Category: Complementary Medicine Authors: Sibbritt D, Adams J, Young AF Tags: Acupunct Med Source Type: journals
Acupuncture as a potential treatment for non-cardiac chest pain - a survey.
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CONCLUSION: People with continuing non-cardiac chest pain after attending a Rapid Access Chest Pain Unit have shown considerable interest in acupuncture as a primary care treatment option.
PMID: 17641563 [PubMed - in process]
Source: Acupuncture in Medicine - June 1, 2007 Category: Complementary Medicine Authors: Macpherson H, Dumville JC Tags: Acupunct Med Source Type: journals
Two styles of acupuncture for treating painful diabetic neuropathy - a pilot randomised control trial.
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In a pilot study, we evaluated the clinical and mechanistic effects of two styles of acupuncture, Traditional Chinese Medicine (TCM) and Japanese acupuncture, for the treatment of painful diabetic neuropathy. Out of seven patients enrolled, three received Traditional Chinese acupuncture while four received Japanese style acupuncture. Treatments were delivered once a week for 10 weeks. Acupuncturists were permitted to select the needle interventions. Substantial differences in diagnostic techniques, choice of acupuncture points, and needle manipulation were observed between TCM and Japanese acupuncturists. Clinically, p...
Source: Acupuncture in Medicine - June 1, 2007 Category: Complementary Medicine Authors: Ahn AC, Bennani T, Freeman R, Hamdy O, Kaptchuk TJ Tags: Acupunct Med Source Type: journals
Acupuncture for anxiety and anxiety disorders - a systematic literature review.
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CONCLUSIONS: Positive findings are reported for acupuncture in the treatment of generalised anxiety disorder or anxiety neurosis but there is currently insufficient research evidence for firm conclusions to be drawn. No trials of acupuncture for other anxiety disorders were located. There is some limited evidence in favour of auricular acupuncture in perioperative anxiety. Overall, the promising findings indicate that further research is warranted in the form of well designed, adequately powered studies.
PMID: 17641561 [PubMed - in process]
Source: Acupuncture in Medicine - June 1, 2007 Category: Complementary Medicine Authors: Pilkington K, Kirkwood G, Rampes H, Cummings M, Richardson J Tags: Acupunct Med Source Type: journals
My elective in Shanghai - experiencing the use of acupuncture in China.
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PMID: 17264838 [PubMed - in process]
Source: Acupuncture in Medicine - December 1, 2006 Category: Complementary Medicine Authors: Wells S Tags: Acupunct Med Source Type: journals
A new MSc in Western Medical Acupuncture.
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PMID: 17264837 [PubMed - in process]
Source: Acupuncture in Medicine - December 1, 2006 Category: Complementary Medicine Authors: Richardson M, Cummings M Tags: Acupunct Med Source Type: journals
Guidelines for providing acupuncture treatment for cancer patients - a peer-reviewed sample policy document.
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This article includes a general review of the evidence on mechanisms, effectiveness and safety of acupuncture that is intended to be used in conjunction with the guidelines; and the guidelines themselves. An appendix includes instructions for self acupuncture. The guidelines contain sections on roles and responsibilities, criteria for acupuncture practice, indications for acupuncture, contraindications and cautions, acupuncture treatment, and review and audit. These guidelines set basic, minimum standards of care, and need re-assessment and ongoing validation as further data and evidence accumulate.
PMID: 17264836 [PubMed - in process]
Source: Acupuncture in Medicine - December 1, 2006 Category: Complementary Medicine Authors: Filshie J, Hester J Tags: Acupunct Med Source Type: journals
Role of C tactile fibres in touch and emotion - clinical and research relevance to acupuncture.
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Acupuncture is generally thought to rely on Adelta fibre stimulation for its effects and the role of C fibres has been largely discounted. Recent research, however, shows that there are C tactile fibres in humans that respond to light touch and project to the limbic system. They are thought to be responsible for feelings of calm and wellbeing that are elicited by gentle manual stimulation, as in stroking. These findings are likely to be relevant to acupuncture as regards both clinical practice and research. They may explain why even superficial acupuncture with brief needle insertion can have a clinical effect and why ...
Source: Acupuncture in Medicine - December 1, 2006 Category: Complementary Medicine Authors: Campbell A Tags: Acupunct Med Source Type: journals
Epilepsy, electroacupuncture and the nucleus of the solitary tract.
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Vagal nerve stimulation and electroacupuncture have some promise as neuroprotective therapies for patients with poorly controlled epilepsy. It has been demonstrated that stimulation of acupuncture points on the extremities results in stimulation of the vagus nerve. It is possible that the antiepileptic effects of these two applications might be targeting the same centre in the brain. The nucleus of the solitary tract, which is a primary site at which vagal afferents terminate, is also the site for afferent pathways of facial, scalp and auricular acupuncture via trigeminal, cervical spinal and glossopharyngeal nerves. T...
Source: Acupuncture in Medicine - December 1, 2006 Category: Complementary Medicine Authors: Cakmak YO Tags: Acupunct Med Source Type: journals
Use of acupuncture in female infertility and a summary of recent acupuncture studies related to embryo transfer.
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During the last five years the use of acupuncture in female infertility as an adjuvant to conventional treatment in assisted reproductive technology (ART) has increased in popularity. The present paper briefly discusses clinical and experimental data on the effect of acupuncture on uterine and ovarian blood flow, as an analgesic method during ART, and on endocrine and metabolic disturbances such as polycystic ovary syndrome (PCOS). Further it gives a summary of recent studies evaluating the effect of acupuncture before and after embryo transfer on pregnancy outcome. Of the four published RCTs, three reveal significantl...
Source: Acupuncture in Medicine - December 1, 2006 Category: Complementary Medicine Authors: Stener-Victorin E, Humaidan P Tags: Acupunct Med Source Type: journals
The effects of auricular acupuncture on smoking cessation may not depend on the point chosen - an exploratory meta-analysis.
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CONCLUSION: Auricular acupuncture appears to be effective for smoking cessation, but the effect may not depend on point location. This calls into question the somatotopic model underlying auricular acupuncture and suggests a need to re-evaluate sham controlled studies which have used 'incorrect' points. Further experiments are necessary to confirm or refute these observational conclusions.
PMID: 17264832 [PubMed - in process]
Source: Acupuncture in Medicine - December 1, 2006 Category: Complementary Medicine Authors: White A, Moody R Tags: Acupunct Med Source Type: journals
The evidence on acupuncture for knee osteoarthritis - editorial summary on the implications for health policy.
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Decisions on whether a health service should provide a particular treatment are based on the evidence on three questions: 1) whether the treatment can work, ie it is biologically active; 2) whether the treatment is safe and effective in daily practice; and 3) whether it is economically worthwhile. Evidence presented at the Kyoto conference shows that acupuncture for osteoarthritis of the knee has a biological effect, has a large clinical effect in practice, has negligible risk, and has a cost effectiveness which is well within the usual acceptable limit. On the present evidence, acupuncture is likely to offer an altern...
Source: Acupuncture in Medicine - December 1, 2006 Category: Complementary Medicine Authors: White A, Kawakita K Tags: Acupunct Med Source Type: journals
Acupuncture for knee osteoarthritis - a randomised trial using a novel sham.
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CONCLUSIONS: Acupuncture seems to provide improvement in function and pain relief as an adjunctive therapy for osteoarthritis of the knee when compared with credible sham acupuncture and education control groups.
PMID: 17308513 [PubMed - in process]
Source: Acupuncture in Medicine - December 1, 2006 Category: Complementary Medicine Authors: Manheimer E, Lim B, Lao L, Berman B Tags: Acupunct Med Source Type: journals
Some of the effects of acupuncture in knee pain may be due to activation of the reward system.
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Acupuncture is an ancient therapy with a variety of different explanatory models. A cascade of physiologic effects has been reported, both in the peripheral and the central nervous system, following the insertion of a needle. Clinical trials testing the specific claims of acupuncture have generally tried to focus on testing the efficacy of applying specific techniques and/or specified points. However, different conditions may respond differently to different modes of stimulation. Also, insertion of needles into the body can stimulate effects not dependent on the locations of stimulation. Recently, it was demonstrated t...
Source: Acupuncture in Medicine - December 1, 2006 Category: Complementary Medicine Authors: Lundeberg T Tags: Acupunct Med Source Type: journals
Mechanisms of action of acupuncture for chronic pain relief - polymodal receptors are the key candidates.
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Therapeutic benefits of acupuncture for chronic pain patients have been clearly identified in recent clinical trials. Underlying mechanisms of acupuncture action mediated by endogenous opioids have been well demonstrated. The existence of pain inhibitory systems in the central nervous system has also been clarified and acupuncture seems to be a potent stimulus for activating the analgesic systems, although the pain mechanisms in acute and chronic states are essentially different. On the other hand, the exact nature of the acupuncture point still remains unclear. Here, we propose a key role of polymodal receptors (PMR) ...
Source: Acupuncture in Medicine - December 1, 2006 Category: Complementary Medicine Authors: Kawakita K, Okada K Tags: Acupunct Med Source Type: journals
