Auricular acupuncture for pre-exam anxiety in medical students: a prospective observational pilot investigation.
Acupunct Med. 2015 Oct 5. Epub 2015 Oct 5. PMID: 26438557
Catharina Klausenitz, Thomas Hesse, Henriette Hacker, Klaus Hahnenkamp, Taras Usichenko
OBJECTIVE: Auricular acupuncture (AA) is effective for the treatment of preoperative anxiety. We aimed to study the feasibility and effects of AA on exam anxiety in a prospective observational pilot study.
METHODS: Healthy medical students received bilateral AA using indwelling fixed needles at points MA-IC1, MA-TF1, MA-SC, MA-AH7, and MA-T on the day before an anatomy exam. The needles were removed after the exam. Anxiety levels were measured using the State-Trait-Anxiety Inventory (STAI) and a 100 mm visual analogue scale (VAS-100) before and after the AA intervention and once again immediately before the exam. The duration of sleep on the night before the exam was recorded and compared to that over the preceding 1 week and 6 months (all through students' recollection). In addition, blood pressure, heart rate and the acceptability of AA to the students were recorded.
RESULTS: Ten students (all female) were included in the final analysis. All tolerated the needles well and stated they would wish to receive AA again for exam anxiety in the future. Exam anxiety measured using both STAI and VAS-100 decreased by almost 20% after AA.
CONCLUSIONS: AA was well accepted, the outcome measurement was feasible, and the results have facilitated the calculation of the sample size for a subsequent randomised controlled trial.
Article Published Date : Oct 04, 2015
[Clinical efficacy on vertebrobasilar insufficiency treated with auricular acupuncture].
Zhongguo Zhen Jiu. 2014 Dec ;34(12):1161-4. PMID: 25876341
Zun-Hua Shu, Guo-Qiang Wang, Ming-Quan Li, Xiu-Ge Wang
OBJECTIVE: To compare the efficacy on vertebrobasilar insufficiency (VBI) between auricular acupuncture therapy and oral administration of medicine.
METHODS: Sixty patients of VBI were randomized into an auricular acupuncture therapy group and a medicine group, 30 cases in each one. In the auricular acupuncture group, acupuncture was applied bilaterally to gan (CO12) and jiejie (HX8) on the ears and needles were retained for 15 min. After needle withdrawal, the vaccariae semen were fixed with plaster at naogan (AT3, 4i), zhen (AT3), jing (AH12), shen (CO10) and pi (CO13) on the ears. In the medicine group, flunarizine hydrochloride capsules (Sibelium), 5mg were prescribed for oral administration, once every night. The treatment lasted continuously for 2 weeks (14 days) in the two groups. In 2 weeks, the clinical efficacy was assessed and the transcranial doppler (TCD) examination was performed.
RESULTS: After treatment, the symptom scores were all apparently reduced in the patients of the two groups (P<0.01, P<0.05). Compared with the medicine group, the reduced score was much more obvious in the auricular acupuncture group (P<0.05), indicating the significant difference. After treatment, with TCD examination, the blood velocity was increased to different degrees in the patients of low velocity type in the auricular acupuncture group and the medicine group; that was reduced to different degrees in the patients of high velocity type in the auricular acupuncture group and the medicine group. All of them were different significantly as compared with those before treatment (all P<0.05). But the difference was not significant between the two groups (both P>0.05). In comparison of clinical efficacy between the two groups, the effective rate was 93.3% (28/30) in the acupuncture group and better than 76.7% (23/30) in the medicine group, indicating the significant difference in comparison (P<0.05).
CONCLUSION: The auricular acupuncture therapy achieves the definite efficacy on VBI and the efficacy is better than flunarizine hydrochloride capsules.
Article Published Date : Nov 30, 2014
[Effects of scalp acupuncture combined with auricular point sticking on cognitive behavior ability in patients with vascular dementia].
Zhongguo Zhen Jiu. 2014 May ;34(5):417-20. PMID: 25022106
Si-Kang Li, Ding-Ming Ding, Zheng-Long Zhang, Lan Ma, Hai-Yan Huang, Xiao-Hong Wu
OBJECTIVE: To compare the therapeutic differences among scalp acupuncture combined with auricular point sticking, body acupuncture and western medication for treatment of vascular dementia (VD).
METHODS: Ninety cases were randomly divided into a combined therapy group (31 cases), a body acupuncture group (29 cases) and a western medication group (30 cases). The combined therapy group was treated with scalp acupuncture at forehead middle line, parieral middle line, temporal front line and temporal rear line as well as auricular point sticking at naogan (AT3,41), shen (CO10), shenmen (TF4), zhen (AT3), once a day; the body acupuncture group was treated with acupuncture at Baihui (GV 20), Fengchi (GB 20), Zusanli (ST 36) and so on, once a day; the western medication group was treated with oral administration of aniracetam tablets, 0.2 g per time, twice a day. Fourteen days were considered as a treatment course, and totally 3 courses were required. The mini-mental state examination (MMSE) and activities of daily living (ADL) were applied to assess the changes of cognitive behavior ability before and after treatment among three groups. Also the efficacy among three groups were compared.
RESULTS: One case dropped out in the body acupuncture group and western medication group, respectively. The total effective rate was 90.334 (28/31) in the combined therapy group, which was superior to 85.734 (24/28) in the body acupuncture group and 79.3% (23/29) in the western medication group (both P<0.05). After the treatment, the scores of MMSE and ADL were all improved among three groups, which was the most significant in the combined therapy group (MMSE: 23.32 +/- 4.45 vs 21.23 +/- 4.13, P<0.05; 23.32 +/- 4.45 vs 20.41 +/- 4. 01, P<0.01; ADL: 53.18 +/- 21.55 vs 51.92 +/- 20.42, P<0.05; 53.18 +/- 21.55 vs 49.42 +/- 19.43, P<0.01).
CONCLUSION: The scalp acupuncture combined with auricular point sticking could improve the clinical symptoms and cognitive behavior ability in patients with vascular dementia, which has superior total efficacy to body acupuncture and western medication aniracetam tablets.
Article Published Date : Apr 30, 2014
Intraocular pressure-lowering effect of auricular acupressure in patients with glaucoma: a prospective, single-blinded, randomized controlled trial.
J Altern Complement Med. 2010 Nov;16(11):1177-84. PMID: 21058884
Jiann-Shyan Her, Po-Len Liu, Neng-Chin Cheng, Hung-Chang Hung, Po-Hsun Huang, Yuh-Lien Chen, Chih-Pei Lin, Chao-Hsin Lee, Chun-Chien Chiu, Jung-Sheng Yu, Hong-Song Wang, Yuan-Ju Lee, Jui-Lung Shen, Wen-Chi Chen, Yung-Hsiang Chen
1 Graduate Institute of Integrated Medicine, College of Chinese Medicine, Department of Urology, China Medical University and Hospital , Taichung, Taiwan .
Abstract Objective: The objective of the study was to evaluate the effect of auricular acupressure in controlling intraocular pressure (IOP) in patients with glaucoma. Design: Thirty-three (33) patients were recruited through advertisement at the clinic for glaucoma. These patients were divided into the auricular acupressure group (16 patients, 28 glaucoma eyes) and the sham group (17 patients, 32 glaucoma eyes). Patients in the acupressure group received auricular acupoint (kidney, liver, and eye) stimulator tapping and regular massage twice a day for 4 weeks. Patients in the sham group received tapping at sham auricular acupoints (wrist, shoulder, and jaw) without massage stimulation. The IOP and visual acuity (VA) were assessed before and after the treatment in the first 4 weeks and followed up, up to 8 weeks. Results: After the treatment and at the 8-week follow-up, IOP and VA improved significantly in the acupressure group when compared with pretreatment (p < 0.05). The most significant IOP-lowering effect was seen at about 3-4 weeks after auricular acupressure. IOP returned to the initial level after acupressure had been discontinued for 4 weeks. Significant improvement of the uncorrected VA (UCVA) was noted at about 2-4 weeks in the acupressure group. UCVA improvement was also noted in the sham group. The difference was only significant in week 3. Improvement of the best-corrected VA was noted in both groups, but was only significant in week 2. Conclusions: Our data suggest that auricular acupressure can be used as a complementary treatment toameliorate IOP and VA for patients with glaucoma.
Article Published Date : Nov 01, 2010
Ear acupuncture in unilateral migraine pain.
Neurol Sci. 2010 Jun;31 Suppl 1:S185-7. PMID: 20464619
Gianni Allais, Marco Romoli, Sara Rolando, Ilaria Castagnoli Gabellari, Chiara Benedetto
The needle contact test (NCT) is a diagnostic technique useful to identify, through the contact of the needle on the skin of the ear, the most efficacious points for reducing pain during a migraine attack. The aim of this study was to identify the most important auricular zones for pain control by applying the NCT in a group of 15 women during a unilateral attack of migraine without aura. We also assessed how effective the insertion of a semi-permanent needle in these zones was in reducing the migraine pain during the next 24 h. The most effective tender points in pain control were located on the antero-internal part of the antitragus, the anterior part of the lobe and the upper auricular concha ipsilateral to the side of pain. The insertion of a semi-permanent needle in these zones allowed stable control of the migraine pain, which occurred within 30 min and persisted at the same levels 24 h later (ANOVA for repeated measures: p<0.01). Pain was tested by using a visual analogue scale; the values recorded were the following: 7.6 +/- 1.6 at baseline and 4.3 +/- 1.7; 4.1 +/- 1.9; 3.9 +/- 1.8; 3.4 +/- 1.8; 2.3 +/- 1.6 after, respectively, 15, 30, 60, 120 min and 24 h.
Article Published Date : Jun 01, 2010
[Study on the effects of the auricular acupuncture with different manipulations for rapid analgesia on the patients with lumbar disc hernia].
Zhongguo Zhen Jiu. 2010 Jan;30(1):35-9. PMID: 20353112
Er-jun Liu, Chun-sheng Jia, Xiao-feng Li, Xiao-shun Ma, Jing Shi
Department of TCM, The First Affiliated Hospital of Hebei Medical University, Shijiazhuang 050091, China)
OBJECTIVE: To compare the effects of the point-to-point needling and perpendicular needling of auricular acupuncture for rapid analgesia on the patients with lumbar disc hernia, and find which method is better for this disease. METHODS: Ninety two patients were paired according to the three factors as sex, age and degree of pain, and then randomly divided into the point-to-point needling group and perpendicular needling group. The methods of point-to-point needling through the skin and perpendicular needling towardS the skin were respectively applied at bilateral lumbar areas as auricular acupuncture, and added acupoints following the change of symptom. All patients accorded with the demands of McGill pain questionnaire (MPQ), before treatment, 5 and 30 min after treatment, the accumulated score of pain was recorded respectively for observing the difference of the effects in both groups. RESULTS: After 5 min treatment, the effect of analgesia on the male patients in the point-to-point needling group was better than that of in the perpendicular needling group (P<0.05), but there was no difference on the female patients in both groups (P>0.05). After 30 min treatment, the effect of analgesia in the point-to-point needling group was better than that of the perpendicular needling group (P<0.05). Besides the patients with light degree pain, there was no significant difference between the two groups after 5 min treatment as score of pain (P>0.05), paired t-test showed that the effects of analgesia on the patients with lumbar disc hernia in the point-to-point needling group was better than that of perpendicular needling group (P<0.05). CONCLUSION: The point-to-point needling method can rapidly relieve patients' lumbar disc hernia of pain, which is better than the perpendicular needling method.
Article Published Date : Jan 01, 2010
[Randomized controlled study on ear-electroacupuncture treatment of endometriosis-induced dysmenorrhea in patients].
Free Radic Res. 2008 Jan;42(1):94-102. PMID: 19761114
Ya-bei Jin, Zhan-ling Sun, Hui-fang Jin
OBJECTIVE: To observe the therapeutic effect of ear-electroacupuncture (Ear-EA) on dysmenorrhea in patients with endometriosis and to explore its underlying mechanism.
METHODS: A total of 80 endometriosis patients were randomly and equally divided into ear-EA group and body-EA group. EA (50 Hz, 0.5-0.8 mA) was applied to auricular points (Uterus, Subcortex, Shenmen, Endocrine, etc.) and body acupoints [Tianshu (ST 25), Qihai (CV 6), Guanyuan (CV 4), Sanyinjiao (SP 6), Diji (SP 8), Uterus (EX-CA 1), etc.] respectively for 30 min, once every other day for 3 months. Dysmenorrhea severity score (DSS) was assessed and plasma prostaglandin (PGE2) and 6-Keto-PGF1alpha levels detected by radioimmunoassay.
RESULTS: Compared with pre-treatment, DSS lowered significantly during the 1st and 2nd menstrual cycle in body-EA group, and during the 1st, 2nd and 3rd menstruation in ear-EA group; and the DSS of ear-EA group during the 3rd menstruation was evidently lower than that of body-EA group (P<0.05). During the 3rd menstrual onset after the treatment, plasma PGE2 contents in both groups decreased obviously (P<0.01), and plasma 6-Keto-PGF1alpha, levels increased considerably in comparison with pre-treatment (P<0.01). Comparison between two groups during the 3rd menstruation showed that plasma PGE2 level of ear-EA group was markedly lower than that of body-EA group, and 6-Keto-PGF1alpha, level of ear-EA group was significantly higher than that of body-EA group (P<0.05). No significant difference was found between two groups in clinical therapeutic effect (P>0.05).
CONCLUSION: Both ear-EA and body-EA can effectively relieve endometriosis-induced dysmenorrhea, and the former is superior to the later in reducing pain severity, which may be closely related to their effects in reducing plasma PGE2 and raising 6-Keto-PGF1alpha level.
Article Published Date : Jan 01, 2008
Acupuncture in the treatment of obesity: a narrative review of the literature.
Acupunct Med. 2013 Mar;31(1):88-97
Authors: Belivani M, Dimitroula C, Katsiki N, Apostolopoulou M, Cummings M, Hatzitolios AI
Obesity is one of the leading health risk factors worldwide and is associated with several other risk factors and health problems including type 2 diabetes mellitus, cardiovascular disease and malignancies. Current conventional therapeutic strategies for obesity cannot achieve adequate weight control in all patients, so complementary types of treatment are also performed. Acupuncture, one of the oldest healing practices, represents the most rapidly growing complementary therapy which is recognised by both the National Institutes of Health and the WHO. A previous review concluded that acupuncture was superior to lifestyle advice, to sham acupuncture and to conventional medication. In this narrative review, the possible mechanisms of actions and the results of recent experimental and clinical studies with different forms of acupuncture (eg, body, auricular, manual and electroacupuncture) are presented. In particular, the effects of acupuncture on anorexigenic and orexigenic peptides, insulin resistance, lipid metabolism and inflammatory markers are discussed. Both experimental and clinical current data suggest that acupuncture exerts beneficial effects on the mechanisms of obesity. Some data suggest that electroacupuncture may be more effective than manual acupuncture; however, the most effective frequency remains controversial. Combination of different forms of acupuncture with diet and exercise seems to be necessary for achieving and maintaining weight loss. Further prospective clinical trials are needed to establish the effectiveness of this complementary method for obesity treatment.
PMID: 23153472 [PubMed - indexed for MEDLINE]
Ameliorative effect of purple bamboo salt-pharmaceutical acupuncture on cisplatin-induced ototoxicity.
Acta Otolaryngol. 2011 Jan;131(1):14-21
Authors: Myung NY, Choi IH, Jeong HJ, Kim HM
CONCLUSION: Our findings demonstrated that purple bamboo salt (PBS)-pharmaceutical acupuncture has an ameliorative effect on cisplatin-induced ototoxicity.
OBJECTIVES: We have previously reported that PBS exhibited anti-allergic and anti-inflammatory actions in vitro and in vivo. Pharmaceutical acupuncture is a traditional oriental therapeutic technique that combines acupuncture with herbal treatment. The aim of this study was to investigate the protective effect and mechanism of PBS-pharmaceutical acupuncture against cisplatin-induced ototoxicity in the auditory cell line, HEI-OC1, and in vivo.
METHODS: The ELISA method, a caspase-3 assay, an MTT assay, Western blot analysis, and a luciferase assay were utilized to investigate the effect of PBS in vivo and in vitro.
RESULTS: When it was acupunctured at the Ermen acupoint (triple energizer meridian 21) after an administration of cisplatin, PBS-pharmaceutical acupuncture significantly suppressed interleukin (IL)-6 production and caspase-3 activation induced by cisplatin in the cochlea. In addition, PBS significantly inhibited cisplatin-induced apoptosis and IL-6 production in HEI-OC1 cells. PBS also suppressed cytochrome c release and caspase-3 activation, and it inhibited extracellular signal-related kinase and nuclear factor-κB activation in HEI-OC1 cells.
PMID: 20958132 [PubMed - indexed for MEDLINE]
Epilepsy, electroacupuncture and the nucleus of the solitary tract.
Acupunct Med. 2006 Dec;24(4):164-8
Authors: Cakmak YO
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. Taken together with laboratory findings, the neuroprotective pathways of electroacupuncture in epileptic models may stem from the collaboration of its anti-inflammatory and neurotrophic actions through the nucleus of the solitary tract via vagus nerve stimulation.
PMID: 17264834 [PubMed - indexed for MEDLINE]
[Clinical therapeutic effects of body acupuncture and ear acupuncture on juvenile simple obesity and effects on metabolism of blood lipids].
Zhongguo Zhen Jiu. 2006 Mar;26(3):173-6
Authors: Li L, Wang ZY
OBJECTIVE: To probe the optimal acupuncture treatment program for juvenile simple obesity.
METHODS: Ninety cases were randomly divided into 3 groups: ear acupuncture group, body acupuncture group and control group. The patients of the control group were treated by regulating diet structure, increasing motion and mental direct of slimming, in the body acupuncture group, body acupuncture at Sanyinjiao (SP 6), Tianshu (ST 25), Zusanli (ST 36), etc. were added, and in the ear acupuncture group, acupuncture at ear acupoints Jidian (hunger point), Pizhixia (subcortex), earshenmen, etc. were added. Seventy days later, the therapeutic effects and changes of blood lipids were observed. And they were followed up after one month.
RESULTS: The total effective rate was 69.23% in the body acupuncture group, 65.52% in the ear acupuncture group and 26.67% in the control group, with significant differences as the two acupuncture groups compared with the control group. And there were significant differences in total cholesterol (TC) and lower density lipid protein-cholesterol (LDL-C) as the two acupuncture groups compared with the control group. There was no significant difference between the two acupuncture groups in all the indexes.
CONCLUSION: Both ear acupuncture and body acupuncture have obvious therapeutic effect on juvenile simple obesity, and have some actions on blood lipids.
PMID: 16570435 [PubMed - indexed for MEDLINE]
[The effect of puncture actions on the ocular hypertension caused by chronic stimulation of the hypothalamus and amygdaloid body].
Fiziol Zh Im I M Sechenova. 1992 Dec;78(12):88-94
Authors: Danilov GE, Sterkhova VI, Gurfinkel' KhV, Egorkina SB
PMID: 1306760 [PubMed - indexed for MEDLINE]