Acupuncture and electroacupuncture for the treatment of. Since 1970, the mechanism of acupuncture analgesia has been broadly investigated, and numerous pieces of evidence demonstrated that acupuncture analgesia is mediated via neuronal mechanisms correlated with the central nervous system cns 6, 37, 38. Their electrical acupuncture devices were designed to apply electric current to needles inserted into acupoints. Ea is a modified acupuncture technique that, as its name implies, utilizes electrical stimulation, and its analgesic effect on different types of. Electrical devices can be internal or external, at the site of pain local or delocalized throughout the whole body.
Article pain relief during oocyte retrieval exploring. Evidence, costeffectiveness, and care availability for acupuncture. Eapa is defined as electroacupuncture analgesia very rarely. Immediate effects of acupuncture treatment on intra and interlimb contributions to body support during gait in patients with bilateral medial knee osteoarthritis. Furthermore, part of the response to electro acupuncture is antagonized by the opioid receptor antagonist naloxone 14. In 1975, the chinese government created a set of four stamps to commemorate the successful integration of chinese medicine with modern biomedicine. Acupuncture analgesia and anesthesia jama surgery jama. Stagedependent analgesia of electroacupuncture in a mouse model of cutaneous cancer pain qiliang maoying a, kemi cui a, qiong liu a, zhiqiang dong a, wei wang a, jun wang a, hong sha c, gencheng wu a, yanqing wang a,b, a department of integrative medicine and neurobiology, institute of acupuncture research, shanghai medical college, fudan university.
A total of 94 women undergoing ivf were randomized to auricular acupuncture with ea, n 32 or without a, n 32 continuous 1 hz auricular stimulat ion using a battery powered miniaturized. Abstractin a previous study, we showed that electroacupuncture ea applied to the si6 point on the contralateral forelimb produces longlasting and powerful analgesia in pain caused by ankle sprain in a rat model. Electroacupuncture is also variously termed ea, electro acupuncture or incorporated under the generic term electrotherapy. Hence, the method is used in much less than 10% of the operations in china, and in these the analgesia is satisfactory by western standards in only approximately 30%. In the late 1960s, chinese doctors also started to combine the use of electrical stimulation with acupuncture after some successful experiments with acupuncture anesthesia. Perioperative auricular electroacupuncture has no effect. Electroacupuncture at the zusanli, yanglingquan, and. Manual acupuncture or a local injection of the adenosine a1 receptor agonist. Electroacupuncture an overview sciencedirect topics. A kwd808 electrical stimulator was used to incrementally induce a dense.
This research has been very productive, leading to the publication of numerous studies that have added to our understanding of the neurophysiology of pain. Acupuncture is not considered reasonable and necessary within the. Classical acupuncture the traditional practice of acupuncture is based on the hypothesis that all the bodys physiological functions are modulated by 12 bilaterally distributed channels six yin and six yang channels, supplemented by two midline channels one in the front and the. Electroanalgesia is a form of analgesia, or pain relief, that uses electricity to ease pain. Evaluation of the effect of metoclopramide on acupuncture and. Effectiveness of electroacupuncture analgesia compared. Electroacupuncture therapy should be used with caution for the following conditions. Effects of electroacupuncture versus manual acupuncture on the human brain as measured by fmri vitaly napadow,1,2 nikos makris,3 jing liu,1 norman w. Acupuncture, acupressure and electroacupuncture for pain management in childbirth labor. Acupuncture has a great potential of being used for various medical purposes. After showing a recent graduate of an acupuncture college how to treat a sciatica patient with estim using a. Electro acupuncture is a technique in which low frequency electrical current is applied to acupuncture points for either analgesic purposes or non analgesic purposes. In the group that underwent electro acupuncture, an important analgesic effect was observed.
Manual acupuncture ma is the original form of acupuncture practiced by tcm practitioners and is carried out. The present research was aimed at defining the inherited genetic influence on acupuncture analgesia in the mouse, using 10 common inbred strains. Electroacupuncture ea at bilateral st36 reduced the manifestations of acetic acidinduced abdominal writhing, whereas needle insertion. Martinos center for biomedical imaging, department of radiology, massachusetts general hospital and harvard medical school, charlestown, massachusetts. Psychophysical outcomes from a randomized pilot study of. Substance p and betaendorphin mediate electroacupuncture. It defines a set of therapeutic principles in which needles are inserted at specified points on the body along designated meridians, with the aim of reestablishing the homeostatic balance of the internal milieu involving yingyang, the five elements, and the zhongfus and thereby relieving most. Their involvement in electroacupuncture analgesia is yet to be investigated. Auricular acupuncture aa has been shown to alleviate acute and chronic pain. Mechanisms of electro acupuncture induced analgesia on neuropathic pain in animal model.
Progress in the use of acupuncture since the 1970s d. We investigated the effects of auricular electroacupuncture ae on pain and analgesic drug consumption in the first 48 h after unilateral mandibular third molar tooth extraction under local anesthesia in a prospective, randomized, doubleblind, placebocontrolled study in 149 patients. Use electroacupuncture for conditions such as headache, dizziness, tinnitus, deafness, seizures, chorea, facial spasm, hysteria, stroke, or aphasia. A metaanalysis published in late 2017 in the journal of the american medical.
Acupuncture is a promising adjunctive analgesic modality to reduce the risk of postoperative opioid dependence. Substance p and betaendorphin mediate electroacupuncture induced analgesia in mouse cancer pain model hyo jeong lee, jae ho lee, eun ok lee, hyo jung lee, kwan hyun kim, sun hyung kim, keun sung lee, hee jae jung, sung hoon kim. The most recognized mechanisms are endogenous opiates mechanisms 5, 39 and. The effect is manifest within 7 to 9 days 23 or 2 to 7 days with reversal after 14 days 24. Electro acupuncture is a newer intervention in the field of chiropractic.
The effect of genotype on sensitivity to electroacupuncture. Acupuncture is an ancient medical treatment whose origins in china date back as far as 10,000 bc. The electrodes were stimulated on the treatment day. Effects of electroacupuncture versus manual acupuncture on. Stagedependent analgesia of electroacupuncture in a mouse. What acupuncture can and cannot treat university of florida. Progress in the pharmacological studies of acupuncture analgesia c.
Mechanisms of electroacupunctureinduced analgesia on. Electroacupuncture ea, involving endogenous opioids and. Histamine h 1 receptor antagonists facilitate electroacupuncture analgesia article in the american journal of chinese medicine 461. Neurophysiology of electroacupuncture analgesia springerlink. South encyclopedia of life support systems eolss 3. When treating a condition for which more than three points are listed, start by trying out the first three points. In fact, the analgesia afforded by acupuncture, especially electro acupuncture, 4. In western countries, though its scientific efficacy remained controversial for many years, it was only recognized as a complementary medical treatment by the us national institutes of health. Article pain relief during oocyte retrieval exploring the. For anesthesia, acupuncture acts to produce only hypalgesia in most patients, although some experience total analgesia. A prospective study was conducted to evaluate the use of electro acupuncture in the treatment of horses with signs of chronic thoracolumbar pain. Mechanisms of acupunctureelectroacupuncture on persistent pain.
Lesioning of the dorsal raphe nuclei 23 and the dorsal and medial raphe nuclei 24 interferes with the effect of electro acupuncture ea. For example, we and others have shown that the doses of anesthetics and postopera tional analgesics can be significantly reduced when a hans is used during a surgical procedure acupuncture assisted analgesia. It works by interfering with the electric currents of pain signals, inhibiting them from reaching the brain and inducing a response. Electroacupuncture is also variously termed ea, electroacupuncture or incorporated under the generic term electrotherapy. The primary aims were to compare the painrelieving effect and postoperative wellbeing between electro acupuncture analgesia ea and conventional analgesia ca comprising opiates.
Analgesic effects of electro acupuncture on inflammatory pain in the rat model of collageninduced arthritis. Perioperative auricular electroacupuncture has no effect on. Electroacupuncture mechanisms and application acupuncture. Ying department of integrative medicine and neurobiology, institute of acupuncture research, shanghai medical college, fudan university, post box 291, 8 yi xue yuan road, shanghai 200032, china. Electroacupuncture is considered to be especially useful for conditions in which there is an accumulation of chi, such as in chronic pain syndromes, or in cases where the chi is difficult to stimulate. This research synthesis investigated acupuncture, acupressure and electroacupuncture as an alternative and complementary treatment option in childbirth labor, specifically the effects of acupuncture, acupressure and electroacupuncture on shortening labor duration, and how the above treatments can reduce the pain and need for pharmacological and. Evaluation of the effect of metoclopramide on acupuncture and electroacupuncture analgesia a blind and controlled study in rats. Stimulation consisted of 2hz and 100hz currents alternated at 2s intervals. This study investigated the influence of the histamine h 1 receptor antagonists, chlorpheniramine chl and pyrilamine, on the analgesic effects of acupuncture in mice.
Professor jisheng han of beijing university states that when electrodes are placed on the surface of the skin, and when the point of stimulation is selected according to traditional acupuncture, the process is usually called. Analgesic relief involves the activation of endogenous opioid systems and muopioid receptors mor has also been shown in animal models5,12. Pdf successful practice of electroacupuncture analgesia in. Medicare reimbursement for acupuncture, as an anesthetic or as an analgesic or for other therapeutic purposes, may not be made. Stagedependent analgesia of electro acupuncture in a mouse model of cutaneous cancer pain qiliang maoying a, kemi cui a, qiong liu a, zhiqiang dong a, wei wang a, jun wang a, hong sha c, gencheng wu a, yanqing wang a,b. Effectiveness of electroacupuncture analgesia compared with. We are doing some work to elucidate the possible mechanisms of acupuncture and electroacupuncture analgesia by this animal model both intrathecal and.
Stagedependent analgesia of electroacupuncture in a. In the second study, using electroacupuncture, a signi. Electro acupuncture in the treatment of chronic lameness in horses and ponies. Patient selection and mental preparation are careful. Evaluation of the effect of metoclopramide on acupuncture and electro acupuncture analgesia a blind and controlled study in rats. Successful practice of electroacupuncture analgesia in. Electro acupuncture has stronger effects than other types of acupuncture 4, and acupuncture analgesia has been pro. We are doing some work to elucidate the possible mechanisms of acupuncture and. Pdf 5 electroacupuncture and stimulatory frequencies for. The mechanisms of acupuncture analgesia have been widely explored since 1970s. Successful practice of electroacupuncture analgesia in equine surgery. Electroacupuncture analgesia was used for surgery in horses and donkeys. Neuropathic pain remains as one of the most difficult clinical pain syndromes to treat.
In recent years, electroacupuncture ea analgesia has been the focus of intense multidisciplinary research. Electroacupuncture and stimulatory frequencies in analgesia. Acupuncture analgesia manual acupuncture or electroacupuncture ea has convincing therapeutic effects in various painful conditions, and these effects could last for a long period of time even hours after acupuncture application being terminated11. Endogenous opioids and descending inhibitory system.
Needles were percutaneously placed on treatment days. Successful practice of electroacupuncture analgesia in equine surgery article pdf available in journal of acupuncture and meridian studies 81 july 2014 with 316 reads how we measure reads. Mild stimulation of stomach 36 acupuncture point by. Professor jisheng han of beijing university states that when electrodes are placed on the surface of the skin, and when the point of stimulation is selected according to traditional acupuncture, the process is usually called electroacupuncture ea. Electroacupunctureinduced analgesia in a rat model of ankle. We observed that electroacupuncture ea decreased hyperalgesia in transgenic mice with scd with varied analgesia from high to moderate to no response. Acupuncture analgesia manual acupuncture or electro acupuncture ea has convincing therapeutic effects in various painful conditions, and these effects could last for a long period of time even hours after acupuncture application being terminated11. Substance p modulates electroacupuncture analgesia in. Analgesia reduces pain through affecting the transmission of nerve signals to the. Antagonism of acupuncture analgesia in man by the narcotic antagonist naloxone.
Please follow the simple guide to find your condition and locate the relevant points of acupuncture. Successful practice of electroacupuncture analgesia in equine. The feasibility of patient blinding and effects on early postoperative pain the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Electro acupuncture is a technique in which low frequency electrical current is applied to acupuncture points for either analgesic purposes or nonanalgesic purposes. Feasibility of electro auricular acupuncture for analgesia after acl surgery. Successful practice of electroacupuncture analgesia in equine surgery eldessouky sheta 1, safwat ragab 2. Lee, delare that the master by research thesis entitled using silver spike point needlefree electro acupuncture for postoperative pain management is no more than 60,000 words in length including quotes and exclusive of tables, figures, appendices, bibliography. Acupuncture is a medical technique experienced in the eastern world since 30005000 yr ago. Treat the patient once daily or every other day for 10 treatments per course with 7 to 10 days between courses. Electroacupuncture analgesia for colonoscopy request pdf. Acupuncture is an old chinese technique for treatment. Annlouise gejervall, elisabet stenervictorin, anders moller, per olof janson, charlotte werner, christina bergh, electroacupuncture versus conventional analgesia.
Acupuncture, acupressure and electroacupuncture for pain. Electroacupuncture and stimulatory frequencies for analgesia. Summary in order to better understand the therapeutic effectiveness of acupuncture, questions about the means by which it operates need to be addressed. Electroacupuncture ea stimulation of these sites results in activation of descend. Electro acupuncture is advantageous in treating conditions that benefit from acupuncture and electrical stimulation. Evaluation of the effect of metoclopramide on acupuncture. Electroacupuncture and stimulatory frequencies in analgesia, acupuncture concepts and physiology, marcelo saad, intechopen, doi.
In acupuncture treated animals, etisf% required was lower than in control animals at any time interval and was significantly different during second ovary traction, p analgesia was evaluated using a subjective pain scoring system at fixed time intervals from tracheal extubation to 24 h after surgery table 1. Central and peripheral mechanism of acupuncture analgesia on. Auricular electroacupuncture as an additional perioperative. Electroacupuncture analgesia how is electroacupuncture. Neurophysiological basis of acupunctureinduced analgesiaan.
Pain pharmacology and analgesia encyclopedia of life. Mechanisms of acupunctureelectroacupuncture on persistent. Nociceptive response was evaluated by the acetic acidinduced abdominal writhe test. Increased cerebrospinal fluid levels of endorphins after electroacupuncture. Although mechanisms of acupuncture analgesia have been investigated at each level of the pain pathway in inflammatory pain models, acupuncture analgesia has been studied mainly at the spinal level in neuropathic pain models 129 and shows involvement of opioids, serotonin, norepinephrine, amino acids, and glia cellcytokines. Analgesic effects of acupuncture in thoracolumbar disc disease in dogs. The most recognized mechanisms are endogenous opiates mechanisms 5, 39 and descending. The concordance of some acupuncture points and trigger points is noted. In addition to the established use of needle acupuncture, there have been a variety of ways to achieve acupuncture point. Electroacupuncture at the zusanli, yanglingquan, and kunlun. Ying department of integrative medicine and neurobiology, institute of acupuncture research, shanghai medical college, fudan university, post box 291, 8. Pdf successful practice of electroacupuncture analgesia.
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