The Effect of Acupuncture on the Coronary Arteries as Evaluated by Coronary Angiography: A Preliminary Report

2002 ◽  
Vol 30 (02n03) ◽  
pp. 387-396 ◽  
Author(s):  
Y. Kurono ◽  
M. Egawa ◽  
T. Yano ◽  
K. Shimoo
Keyword(s):  
Angina Pectoris ◽  
Preliminary Report ◽  
Acupuncture Treatment ◽  
Acupuncture Point ◽  
Syndrome X ◽  
Acupuncture Stimulation ◽  
Heart Meridian ◽  
The Mean ◽  
Circulatory Disorders ◽  
Coronary Dilation

The Neiguan acupuncture point (EH-6) of the heart meridian is often used for circulatory disorders. To clarify this effect, we measured coronary diameters in patients with angina pectoris following acupuncture stimulation using cardioangiography. Two kinds of acupuncture stimulation, the leaving needle (LN) and the sparrow pecking method (SPM), were employed for this study. No significant differences were found between LN and SPM. Concerning the pattern of coronary reaction, coronary constriction following acupuncture showed a relationship to patients with vasospastic angina. Coronary dilation following acupuncture showed a relationship to patients with Syndrome X. The mean dilatation with acupuncture was 68.8% of that caused by isosorbide dinitrate. These findings may help to clarify the mechanism of acupuncture treatment.

Fear of Acupuncture Enhances Sympathetic Activation to Acupuncture Stimulation

2013 ◽  
Vol 31 (3) ◽  
pp. 276-281 ◽  
Author(s):  
In-Seon Lee ◽  
Hee-Jin Jo ◽  
Soon-Ho Lee ◽  
Hyangsook Lee ◽  
Hyejung Lee ◽  
...  
Keyword(s):  
Individual Differences ◽  
Skin Conductance Response ◽  
Acupuncture Treatment ◽  
Pearson Correlation ◽  
Acupuncture Point ◽  
Autonomic Response ◽  
Dominant Factor ◽  
Acupuncture Stimulation ◽  
Painful Sensation ◽  
Pearson Correlation Analysis

Background Acupuncture treatment frequently evokes both pain and fear, causing patients to be hesitant about undergoing the procedure. This study investigated individual differences in autonomic response to acupuncture stimulation and its relationship to fear of the procedure. Methods Twenty-seven participants filled out the acupuncture fear scale (AFS) questionnaire and underwent acupuncture stimulation at the LI4 acupuncture point. Autonomic responses were measured by recording the skin conductance response (SCR) throughout acupuncture stimulation. Pearson correlation analysis was performed between the self-reported AFS scores and changes in SCR. Results After acupuncture stimulation, SCR significantly increased and there were greater individual differences in enhanced sympathetic activations to acupuncture stimulation. Changes in SCR correlated with scores for the painful sensation domain of the AFS. Conclusions Our results indicate that fear of acupuncture-induced pain is associated with physiological arousal when people receive acupuncture stimulation. Fear of pain is the dominant factor in acupuncture-related fear and it should be considered in practice and in research.

scholarly journals Acupuncture Alleviates Anxiety and 22-kHz Ultrasonic Vocalizations in Rats Subjected to Repeated Alcohol Administration by Modulating the Brain-Derived Neurotrophic Factor/Corticotropin-Releasing Hormone Signaling Pathway

2021 ◽  
Vol 22 (8) ◽  
pp. 4037
Author(s):  
Su Yeon Seo ◽  
Se Kyun Bang ◽  
Suk Yun Kang ◽  
Seong Jin Cho ◽  
Kwang Ho Choi ◽  
...  
Keyword(s):  
Negative Emotions ◽  
Acupuncture Point ◽  
Repeated Administration ◽  
Ultrasonic Vocalizations ◽  
Corticotropin Releasing Hormone ◽  
Releasing Hormone ◽  
Alcohol Administration ◽  
Heart Meridian ◽  
Mature Brain ◽  
Neurotropic Factor

The Shenmen point (acupuncture point heart 7: HT7), located in the heart meridian, is frequently used to treat mental disorders, including drug addiction, anxiety, and depression. This study aimed to determine how HT7 regulates anxiety and negative emotions caused by repeated alcohol administration, focusing on the amygdala and paraventricular nucleus (PVN). Repeated administration of alcohol (ETOH; 2 g/kg, i.p. injection, 16% v/v) for 14 days increased the corticosterone (CORT) levels, and HT7 stimulation reduced the plasma CORT levels. HT7 stimulation mitigated anxiety-like behaviors and reduced 22-kHz ultrasonic vocalizations in rats receiving repeated ETOH injections. HT7 stimulation increased the amygdala expression of mature brain-derived neurotropic factor (mBDNF) and phosphorylated tropomyosin receptor kinase B (pTrkB) and decreased the PVN corticotropin-releasing hormone (CRH) expression. Amygdala microinjections of the TrkB antagonist ANA-12 (0.1 pmol/1 μL) reversed the increase in PVN CRH levels. The reduced PVN CRH levels were regulated by CRH-expressing neurons in the amygdala, and the increased amygdala CRH levels were affected by the HT7-stimulation induced increases in mBDNF. HT7 stimulation alleviates increased stress hormone levels and mitigates anxiety and negative emotions caused by repeated ETOH administration. These results provide scientific support for the clinical use of acupuncture to treat various alcoholism-induced diseases.

A Traditional Chinese View of Acupuncture for Neurological Disease

1995 ◽  
Vol 13 (2) ◽  
pp. 88-90
Author(s):  
Mingyuan Gao
Keyword(s):  
Neurological Disorders ◽  
Peripheral Nerves ◽  
Neurological Disease ◽  
Acupuncture Treatment ◽  
Acupuncture Point ◽  
Chinese View

Acupuncture is mainly based on neuroanatomy and neurophysiology. There are peripheral nerves and terminals at each acupuncture point. Suggested acupuncture treatment for selected neurological disorders is presented, showing that acupuncture can play a useful role in the neurology department.

scholarly journals Determinants of Parental Satisfaction with Nursing Care in Paediatric Wards—A Preliminary Report

2019 ◽  
Vol 16 (10) ◽  
pp. 1774 ◽  
Author(s):  
Agnieszka Kruszecka-Krówka ◽  
Ewa Smoleń ◽  
Grażyna Cepuch ◽  
Krystyna Piskorz-Ogórek ◽  
Mieczysława Perek ◽  
...  
Keyword(s):  
Higher Education ◽  
Nursing Care ◽  
Preliminary Report ◽  
Parental Satisfaction ◽  
Satisfaction With Care ◽  
Level Of Satisfaction ◽  
The Mean ◽  
Sense Of Satisfaction ◽  
Emergency Mode

Background: The quality of medical services for a child and their parents are tantamount to a sense of satisfaction with care. Purpose: The assessment of determinants of parental satisfaction with nursing care in paediatric wards. Methods: The study covered 336 parents of children hospitalised in paediatric departments and was based on the “EMPHATIC” questionnaire, standardized and adapted to Polish conditions. Results: The mean score of the overall parental satisfaction was high, amounting to 4.19 points. The lower level of satisfaction with nursing care was reported in parents of children under the age of 6 years, admitted in an emergency mode with a diagnosed post-trauma condition and those with higher education. The duration of hospitalisation, sex and age of parents did not have an influence on the satisfaction with care. Conclusions: The age of the child, admission mode and education of respondents are determinants of parental satisfaction with nursing care.

scholarly journals Investigating Prescriptions and Mechanisms of Acupuncture for Chronic Stable Angina Pectoris: An Association Rule Mining and Network Analysis Study

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Jie Yu ◽  
Yongliang Jiang ◽  
Mingqi Tu ◽  
Binjun Liao ◽  
Jianqiao Fang
Keyword(s):  
Network Analysis ◽  
Angina Pectoris ◽  
Stable Angina ◽  
Association Rule ◽  
Association Rule Mining ◽  
Acupuncture Treatment ◽  
Chronic Stable Angina ◽  
Controlled Trials ◽  
Stable Angina Pectoris ◽  
Rule Mining

Chronic stable angina pectoris (CSAP) is a worldwide cardiovascular disease that severely affects people’s quality of life and causes serious cardiovascular accidents. Although acupuncture had been confirmed as a potential adjunctive treatment for CSAP, the basic rules and mechanisms of acupoints were little understood. We conducted a systematic search of the China Biology Medicine (CBM), VIP database, Wangfang database, China National Knowledge Infrastructure (CNKI), PubMed, Cochrane Library, Embase, and Web of Science to identify eligible clinical controlled trials (CCTs) and randomized controlled trials (RCTs), from their inception to 18th February 2020. The acupoint prescriptions in the treatment of CSAP were extracted and analyzed based on the association rule mining (ARM) and network analysis. In addition, potential mechanisms of acupuncture for treating CSAP were summarized by data mining. A total of 27 eligible trials were included. Analysis of acupoint prescriptions covered 36 conventional acupoints and 1 experience acupoint, distributing in 10 meridians. The top three frequently used acupoints were PC6, LU9, and ST36. The top three frequently used meridians were the pericardial meridian, lung meridian, and heart meridian. The most frequently used acupoint combinations were LU9 combined with PC6. Besides, network analysis indicated that the core acupoints included PC6, BL15, ST40, and RN17. Moreover, potential mechanisms of acupuncture for treating CSAP involved the regulation of autonomic nerve function, the content of matrix metalloproteinase-9 (MMP-9), volume and the equivalent block of coronary artery calcified plaque (CACP), endothelin (ET), and nitric oxide (NO), neutrophil-lymphocyte ratio (NLR), the content of C-reactive protein (CRP), and tumor necrosis factor-α (TNF-α). In conclusion, our findings concerning acupoint prescriptions and potential mechanisms in the acupuncture treatment of CSAP could provide an optimized acupuncture treatment plan for clinical treatment of CSAP and promote further mechanism research and network research of CSAP.

P5636Lipid core burden index is associated with microcirculatory dysfunction even in stable angina pectoris; Insights from intracoronary electrocardiography

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
T Sato ◽  
Y Taya ◽  
Y Ikeda ◽  
S Fujita ◽  
M Takahashi ◽  
...  
Keyword(s):  
Angina Pectoris ◽  
Stable Angina ◽  
Culprit Lesion ◽  
Stable Angina Pectoris ◽  
Plaque Volume ◽  
Gray Scale ◽  
Distal Embolization ◽  
Lipid Core ◽  
Microcirculatory Dysfunction ◽  
The Mean

Abstract Background Combined near-infrared spectroscopy (NIRS) and intravascular ultrasonography (NIRS-IVSU) is an imaging modality for precise detection of lipid core burden. Distal embolization has been reported to be a mechanism of microcirculatory dysfunction (MD) caused by percutaneous coronary intervention (PCI). High lipid core burden index at the 4-mm maximal segment (max-LCBI(4)) has been associated with the cardiovascular event. A max-LCBI(4) of >500 was related to perioperative myocardial infarction even in patients with stable angina pectoris. Unlike 12-lead electrocardiography, intracoronary electrocardiography can detect slight ischemia during PCI, maybe indicating distal embolization. However, whether PCI for culprit plaques with a low max-LCBI(4) can cause MD is unclear. Thus, this study aimed to investigate whether plaques with low max-LCBI(4) influence MD, using intracoronary electrocardiography. Methods Forty consecutive patients who underwent PCI for stable angina pectoris due to stenosis of the proximal segment of the left anterior descending artery were enrolled. NIRS-IVUS was performed in all the patients before predilatation to evaluate for the culprit lesion. Total LCBI and max-LCBI(4) within the culprit lesion were measured. On gray-scale IVUS, vessel area, lumen area, plaque volume, and percent (%) plaque volume were measured. Intracoronary electrography was performed at stent implantation to measure the time from the initiation of S-T segment elevation from the isoelectric baseline to the return of S-T segment to the isoelectric baseline after the deflation of the stent balloon, which was defined as the severity of the MD. The patients were divided into 2 groups according to median max-LCBI(4) (high [n=20] and low LCBI groups [n=20]). Results The mean age was 72±6 years. Of the patients, 80% were male. The mean overall max-LCBI(4) was 140±100. Max-LCBI(4) was significantly higher in the high-LCBI(4) group than in the low-LCBI(4) group. No significant differences in age, body mass index, American College of Cardiology and American Heart Association classification, and low-density lipoprotein level were found between the groups, as well as in the gray-scale IVUS parameters such as %plaque volume. The mean time from the initiation of the initiation of S-T segment elevation from the isoelectric baseline to the return of S-T segment to the isoelectric baseline was significantly longer in the high LCBI group than in the low LCBI group (33 vs 12 sec, P=0.01) despite no change in the S-T segment on 12-lead electrography. The S-T segment elevation occurred only during stent balloon inflation and returned to the isoelectric baseline immediately after stent balloon deflation at a max-LCBI(4) of 0. The no-reflow and slow flow phenomena were not observed. Conclusion Even low max-LCBI(4) on NIRS-IVUS was associated with MD during PCI in patients with stable angina pectoris.

Acupuncture Therapy for the Treatment of Tobacco Smoking Addiction

1982 ◽  
Vol 10 (01n04) ◽  
pp. 107-121 ◽  
Author(s):  
R. Prasaad Steiner ◽  
Donald Lee Hay ◽  
A. William Davis
Keyword(s):  
Cigarette Smoking ◽  
Acupuncture Treatment ◽  
Smoking Habit ◽  
Acupuncture Point ◽  
Placebo Treatment ◽  
Sham Acupuncture ◽  
Cigarette Consumption ◽  
Research Subjects ◽  
Point Selection ◽  
Pre Treatment

Acupuncture has been reported as an effective treatment for some addictions. The purpose of this study was to evaluate acupuncture treatment effect on the cigarette smoking habit with a motivated population in controlled clinical setting. From a volunteer research population, sixteen matched pairs were assembled according to age, sex and severity of smoking habit. Research subjects were randomly assigned to real or sham acupuncture treatment groups. Self-reported cigarette logs were measured pre-treatment and post-treatment. Analysis of variants confirmed homogeneity of group pre-treatment cigarette consumption. Cigarette consumption significantly decreased in both the real and sham treatments groups. Treatment group, age, sex, or severity of smoking habit were not significant factors in treatment effects for cessation of smoking. Legitimate crossover treatment for sham research group showed a significant decrease (p < 0.05) in cigarette consumption; this change was not statistically different from change in cigarette consumption during placebo treatment. A discussion of acupuncture point selection rationale is made as is an analysis of Tehchi sensations and subjective reports of appetite for cigarettes. Acupuncture did not enhance the cessation of cigarette smoking in this study.

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