It’s May, and everything in Nashville is covered in a layer of pollen. We go through it every year, but the scratchy throat, itchy eyes, and runny nose are still an unpleasant harbinger of spring. Some allergens are around us all the time in the form of dust mites, pet dander, or food sensitivities.
Allergies trigger histamines, which are incredibly helpful for the body – they help the body get rid of something bothering you, like an allergy. They’re part of the body’s defense system and want to get rid of the stimulant, which is why you might sneeze, tear up, or itch. When your body is triggered by an allergen, your immune system signals mast cells in the skin, lungs, nose, mouth, gut, and blood to release histamines. The histamines boost blood flow in the affected area, causing inflammation and inviting other parts of the body’s defense system to engage.
Sometimes, the histamine response is dramatic and prolonged, such as when a tick bite triggers an Alpha Gal response and an allergic response to animal products. Acupuncture is one of the only techniques that can effectively reduce the severity of an Alpha-Gal response – there are no drugs, vaccines, or allergy shots available.
Acupuncture Treatments with Affinity Acupuncture
Acupuncture treatments can help with other environmental, seasonal, and food allergies also – by up to 80-95%. A simple protocol involves an exam, one visit, and one needle. We help identify the allergen, place a small needle in the ear for several weeks, and then allergens can be carefully and systematically reintroduced. For allergies severe enough to anaphylactic shock – the goal is not to intentionally reintroduce, but to lessen the severity of response if the body is exposed to the allergen. If you’re interested in finding out if you’re a good candidate for acupuncture to help relieve your allergy symptoms, call 615-939-2787 today, or click on this link.
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Acupuncture is effective for the treatment of polycystic ovarian syndrome. Researchers find acupuncture effective for normalizing hormone levels and improving the overall health of patients with polycystic ovarian syndrome. Scientific data demonstrates that acupuncture produces significant improvements in menstrual regularity, restores ovulation pattern regularity, increases pregnancy rates, regulates hormonal secretions, normalizes basal body temperature patterns, and increases embryo survival rates. Fertility enhancements provided by acupuncture apply to both natural conception and IVF (in vitro fertilization) patients.
Research published in the Shanghai Journal of Acupuncture and Moxibustion entitled Advances In Clinical Research On Acupuncture Moxibustion Treatment For Polycystic Ovarian Syndrome cites several clinical studies. Let’s take a look at the finings. Chen et al. applied stimulation with acupuncture at sacral plexus acupoints and paraspinal acupoints. Acupuncture treatment sessions were regularly administered over the course of three menstruation cycles. Upon completion of all acupuncture therapy, follow-up examinations (including ultrasound imaging) demonstrated significant improvements in menstrual regularity, ovulation frequency, and cervical mucus consistency. In addition, the pregnancy rate of patients in the study increased significantly.
The research published in the Shanghai Journal of Acupuncture reviewed the work of Wang et al. That study demonstrated an 80.8% total effective rate for the treatment of polycystic ovarian syndrome with acupuncture. The acupuncture points used in the study included the following acupoints:
Two additional acupuncture points were added, based on symptomatic presentations and differential diagnostic considerations: Taichong (LV3), Fenglong (ST40). In another investigation, Huang et al. combined moxibustion with traditional Chinese medicine massage (Tui Na) and medications. The controlled investigation demonstrated the ability of traditional Chinese medicine to regulate ovulation and secretion of sex hormones to normal levels when compared with the control group that received only drug therapy. Moxibustion was applied to the following: Sanyinjiao, Guanyuan, Zigong. The researchers conclude that moxa and Chinese massage enhance the efficacy of drug therapy for the treatment of polycystic ovarian syndrome.
Xie et al. combined traditional Chinese herbal medicine with acupuncture and achieved significant clinical results. Patients with polycystic ovarian syndrome had an 80% total treatment effective rate using the combined therapy protocol. An herbal pill (Zi Shen Yu Tai) was administered to nourish the kidneys and reinforce fertility. On the fifth day following menstruation, acupuncture was applied to the following acupoints:
The pattern of basal body temperatures significantly normalized using the herbal medicine combined with acupuncture therapy approach to patient care. In addition, hormone levels significantly normalized, including the following hormones: LH (luteinizing hormone), testosterone, FSH (follicle-stimulating hormone). The work of Xie et al. was published in the Guiding Journal of Traditional Chinese Medicine.
Qiu and Xu administered electroacupuncture to patients that had a combination of polycystic ovarian syndrome with obesity. Electroacupuncture was applied to body style acupuncture points. In addition, auricular (ear) acupuncture was added. Important clinical improvements were documented by the researchers. Patients had significant improvements in the reduction of polycystic ovarian syndrome symptoms, including improved menstruation regularity. In addition, many patients experienced a healthy reduction a bodily fat. The total treatment affective rate was 89.7%.The auricular acupuncture points used in the study were as follows: Zigong, Neifenmi, Pizhixia, Pi, Shen, Luanchao. Body style acupuncture points used in the study were as follows:
Li et al. administered acupuncture therapy to determine whether or not it is successful for the improvement of in vitro fertilization (IVF) embryo survival rates. Inclusion criteria for the study predetermined that all patients were of kidney deficiency type (according to Chinese medicine principles) and had a confirmed diagnosis of polycystic ovarian syndrome. The results demonstrate significant clinical improvements, including higher embryo survival rates. The following acupuncture points used in the study were as follows:
In related research, Chengdu University of Traditional Chinese Medicine researchers investigated ovulation and pregnancy rates for patients with polycystic ovarian syndrome. The study involved two groups. Group one received acupuncture, herbs, and therapeutic exercises. Group two received drug therapy (cyproterone acetate / ethinylestradiol tablets and metformin). The acupuncture, herbs, and exercise group slightly outperformed the drug group.
The combination of acupuncture, herbs, and therapeutic exercises produced higher rates of ovulation and pregnancies in PCOS patients, producing a 46.92% ovulation rate and a 32.16% pregnancy rate. The drug therapy protocol produced a 40.61% ovulation rate and a 30.16% pregnancy rate. The researchers concluded that drug therapy and Chinese medicine produce similar positive patient outcomes for patients with PCOS.
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Zheng HM, Lv GY, Wang YJ, Hou WG, Chen YL, Zeng YJ. (2013). Advances in Clinical Research on Acupuncture moxibustion Treatment for Polycystic Ovarian Syndrome. Shanghai Journal of Acupuncture and Moxibustion. 32(9).
Wang XY, Zhang YJ, Wu FD, Lu Y & Huang GQ. (2007). Acupuncture Treatment for 26 Cases of Polycystic Ovary Syndrome. Journal of acupuncture, moxibustion & Tuina. (05).
Chen D, Chen SR, Shi XL, Guo FL, Zhu YK, Li Z, Cai MX, Deng LH & Xu H. (2007). Needle pricking therapy in treating polycystic ovary syndrome. China Journal of Acupuncture & Moxibustion. (02).
Huang M, Lai H, Lv FB & Pan BQ. (2007). Moxibustion in treating polycystic ovarian syndrome. Massage methodology. (01).
Qiu HN & Xu J. (2006). Acupuncture, moxibustion and auricular point sticking in treating obese polycystic ovarian syndrome. Chinese Community Doctors. 8(14): 86-87.
Li J, Cui W, Sun W. (2009). Electroacupuncture in treating patients with kidney deficiency type of PCOS and receive IVF-ET. China Journal of Sexual Science. (07).
Bai, S. L., Jiang, X. H., Li, Y. L., Huang, W. Q., Wang, L. & Liu, X. Z. (2014). The effect of weight-loss herbal decoction combined with acupuncture and exercise on endocrine markers and pregnancy outcomes in non-obesity patients with polycystic ovary syndrome. Chinese Journal of Family Planning. 22(8).
Diamanti-Kandarakis E, Papavassiliou AG. Molecular mechanisms of insulin resistance in polycystic ovary syndrome. Trends Mol Med JT – Trends in molecular medicine, 2006, 12(7):324.
Sun, J., J. M. Zhao, R. Ji, H. R. Liu, Y. Shi, and C. L. Jin. “[Effects of electroacupuncture of” Guanyuan”(CV 4)-” Zhongji”(CV 3) on ovarian P450 arom and P450c 17alpha expression and relevant sex hormone levels in rats with polycystic ovary syndrome].” Zhen ci yan jiu= Acupuncture research/[Zhongguo yi xue ke xue yuan Yi xue qing bao yan jiu suo bian ji] 38, no. 6 (2013): 465-472.
Article Originated at
Why Doctors Approve Acupuncture For Medical Ailments Treatment
The American College of Physicians formally recommends acupuncture for the treatment of back pain. Published in the prestigious Annals of Internal Medicine, clinical guidelines were developed by the American College of Physicians (ACP) to present recommendations based on evidence. Citing quality evidence in modern research, the ACP notes that nonpharmacologic treatment with acupuncture for the treatment of chronic low back pain is recommended. The official grade by the ACP is a “strong recommendation.” 
The Medical Goal of Acupuncture
A major goal of the recommendation is for acupuncture and other nonpharmacological therapies to replace drug therapy as a primary source of pain relief. Treatment with opioids is only recommended, with an official “weak recommendation,” when other modalities do not provide adequate relief. A strong recommendation is also made by the American College of Physicians for the treatment of both acute and subacute lower back pain with heat, massage, acupuncture, and spinal manipulation.  The recommendations were approved by the ACP Board of Regents and involves evidence based recommendations from doctors at the Penn Health System (Philadelphia, Pennsylvania), Minneapolis Veterans Affairs Medical Center (Minnesota), and the Yale School of Medicine (New Haven, Connecticut).
The American College of Physicians notes that approximately 25% of USA adults have had, at the very minimum, a one day lower back pain episode within the past three months. The socioeconomic impact of lower back pain in the USA was approximately $100 billion in the year 2006 . The costs include medical care and indirect costs due to lost wages and declines in productivity.  Recommendations for treatment options, including those for the use of acupuncture, include considerations of positive medical patient outcomes, the total number of back pain episodes, duration between episodes, alleviation of lower back pain, improvement in function of the back, and work disability reductions. Recommendations are for both radicular and nonradicular lower back pain.
The target audience for the American College of Physicians recommendations includes all doctors, other clinicians, and the adult population with lower back pain. The ACP notes, “Moderate-quality evidence showed that acupuncture was associated with moderately lower pain intensity and improved function compared with no acupuncture at the end of treatment .”  In agreement, the National Institute of Neurological Disorders and Stroke (National Institutes of Health) notes that acupuncture is an effective treatment modality for the relief of chronic lower back pain. 
These findings are consistent with those published in Mayo Clinic proceedings finding that acupuncture is effective for the treatment of lower back pain. The same Mayo Clinic report notes that acupuncture does not cause any significant adverse effects.  The Mayo Clinic findings apply to both nociceptive and non-nociceptive pain. Nociceptive back pain includes musculoskeletal inflammation and pain involving nerve cells wherein nociceptors are activated. Nociceptors are afferent neurons in the skin, muscles, joints, and other areas. For example, nerve impingement (often referred to as a “pinched nerve”) produces one type of nociceptive pain.
Non-nociceptive pain does not involve inflammation and is more relevant to pain processing in the central nervous system. One type of non-nociceptive pain condition is fibromyalgia and acupuncture has been confirmed as an effective treatment modality for this condition. The Mayo Clinic proceedings note, “Martin et al. found a significant improvement between electroacupuncture vs sham electroacupuncture. Differences were seen on the Fibromyalgia Impact Questionnaire (FIQ) scores for fatigue and anxiety.” 
The Mayo Clinic and American College of Physicians findings are consistent with additional quality research. Memorial Sloan Kettering Cancer Center (New York) and University of York (United Kingdom) researchers note “We have provided the most robust evidence from high-quality trials on acupuncture for chronic pain. The synthesis of high-quality IPD found that acupuncture was more effective than both usual care and sham acupuncture. Acupuncture is one of the more clinically effective physical therapies for osteoarthritis and is also cost-effective if only high-quality trials are analysed.” 
Doctors understand the true need for effective pain management. Nonpharmacological solutions are important for a variety of reasons including prevention of addiction, effective relief of pain, and prevention of adverse effects. This is often of heightened concern during pregnancy and for children. As a result, university hospitals integrate acupuncture into usual care settings to improve patient outcomes. For example, pediatric doctors at the UCSF Benioff Children’s Hospital San Francisco provide acupuncture to children, including non-needle laser acupuncture. At the University of California hospital, acupuncture is made available for both inpatients and outpatients. Dr. Kim notes that acupuncture reduces nausea up to 70%. She adds that acupuncture is also effective for significant reductions in post-surgical pain and chronic headaches. 
Recently, researchers have discovered how acupuncture stops pain and provides other forms of relief for patients. Breakthrough research conducted by University of South Florida (Tampa) and Fujian University of Traditional Chinese Medicine (Fuzhou) researchers documents how acupuncture stops pain. The researchers note, “acupuncture exerts a remarkable analgesic effect on SCI [spinal cord injury] by also inhibiting production of microglial cells through attenuation of p38MAPK and ERK activation.” 
Microglia are central nervous system immunity cells that secrete proinflammatory and neurotoxic mediators. Acupuncture reduces pain by attenuating this response. The researchers also document that acupuncture provides neuroprotection. The researchers note that acupuncture prevents brain damage in the hippocampus by “preventing microglial activation.” The University of South Florida members of the research team were from the Department of Neurosurgery and Brain Repair and the Department of Pharmaceutical Sciences. Funding was provided by the United States Department of Defense, University of South Florida Neurosurgery and Brain Repair, and the James and Esther King Biomedical Research Foundation.
The aforementioned research reveals an important biochemical mechanism involved in acupuncture’s ability to alleviate pain and reduce harmful inflammation. Researchers focus on other mechanisms activated by administration of acupuncture treatments. For example, laboratory investigations reveal how acupuncture regulates blood pressure.
University of California (Irvine) researchers find acupuncture effective for the treatment of high blood pressure. In a controlled laboratory study, University of California researchers have proven that electroacupuncture at acupoint ST36 (Zusanli) promotes enkephalin production, which dampens proinflammatory excitatory responses from the sympathetic nervous system that cause hypertension. Specifically, electroacupuncture regulates preproenkephalin gene expression, a precursor substance that encodes proenkephalin, which then stimulates the production of enkephalin. 
The formal recommendation for the use of acupuncture in cases of lower back pain by the American College of Physicians is based on modern research. Mayo Clinic findings and research from the Memorial Sloan Kettering Cancer Center (New York) and the University of York support this recommendation. In response to the needs of patients, doctors have already implemented acupuncture into several hospitals throughout the USA and both inpatient and outpatient acupuncture treatments are available.
Now, modern scientific investigations reveal how acupuncture works. University of South Florida and Fujian University of Traditional Chinese Medicine researchers confirm acupuncture’s ability to attenuate microglial activation. University of California researchers have quantified acupuncture’s ability to control inflammation by regulating enkephalins. In addition, the NCCAOM (National Certification Commission for Acupuncture and Oriental Medicine) provides professional certification for acupuncturists, which ensures standards of excellence for licensed acupuncturists. Given the large body of supportive research and the administrative support for providing safe and effective acupuncture to the general public, expect to see greater implementation of acupuncture into usual care settings.
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1. Qaseem, Amir, Timothy J. Wilt, Robert M. McLean, and Mary Ann Forciea. “Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of PhysiciansNoninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain.” Annals of Internal Medicine (2017).
2. Qaseem, et al. Annals of Internal Medicine (2017).
3. Katz J.N. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences.J Bone Joint Surg Am200688 Suppl 2214.
4. Lam M. Galvin R. Curry P. Effectiveness of acupuncture for nonspecific chronic low back pain: a systematic review and meta-analysis.Spine (Philadelphia, Pennsylvania 1976) 201338212438.
5. ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Low-Back-Pain-Fact-Sheet. Low Back Pain Fact Sheet, National Institute of Neurological Disorders and Stroke, National Institutes of Health.
6. Nahin, Richard L., Robin Boineau, Partap S. Khalsa, Barbara J. Stussman, and Wendy J. Weber. “Evidence-based evaluation of complementary health approaches for pain management in the United States.” In Mayo Clinic Proceedings, vol. 91, no. 9, pp. 1292-1306. Elsevier, 2016.
7. Martin DP, Sletten CD, Williams BA, Berger IH. Improvement
in fibromyalgia symptoms with acupuncture: results of a randomized
controlled trial. Mayo Clin Proc. 2006;81(6):749-757.
8. MacPherson, H., A. Vickers, M. Bland, D. Torgerson, M. Corbett, E. Spackman, P. Saramago et al. “Acupuncture for chronic pain and depression in primary care: a programme of research.” (2017).
9. Leslie Lingaas. ucsf.edu/news/2014/04/113966/acupuncture-helps-young-patients-manage-pain. Acupuncture Helps Pediatric Patients Manage Pain and Nausea, 2014.
10. Lin, Lili, Nikola Skakavac, Xiaoyang Lin, Dong Lin, Mia C. Borlongan, Cesar V. Borlongan, and Chuanhai Cao. “Acupuncture-induced analgesia: the role of microglial inhibition.” Cell transplantation 25, no. 4 (2016): 621-628.
11. Cevic, C and Iseri, SO. The effect of acupuncture on high blood pressure of patients using antihypertensive drugs. Acupuncture & electro-therapeutics research 2013; 38(1-2): 1-15. ncbi.nlm.nih.gov/pubmed/23724695.
Qi-guiding acupuncture relieves disc herniation pain and a special intensive silver acupuncture needle protocol relieves chronic lower back myofascial pain.
Researchers find acupuncture effective for the treatment of lower back pain disorders. In a protocolized study from the Shanghai Jiaotong University Sixth People’s Hospital, researchers determined that a special type of manual acupuncture therapy, known as qi-guiding acupuncture, produces significant positive patient outcomes for lumbar intervertebral disc herniation patients. In related research from Xinping Hospital of Traditional Chinese Medicine, investigators find acupuncture combined with moxibustion effective for the alleviation of lower back pain due to lumbodorsal myofascial pain syndrome. A special application of silver acupuncture needles produced superior patient outcomes. Let’s start with a look at the Shanghai Jiaotang University research and then we’ll see how the silver needle protocol boosts treatment efficacy for the treatment of lower back pain.
Acupuncture is effective for the treatment of lumbar intervertebral disc herniations. Wu et al. (Shanghai Jiaotong University Sixth People’s Hospital) investigated the treatment results of qi-guiding acupuncture with meridian differentiated acupoint selections and determined that it produces significant positive treatment outcomes for lumbar intervertebral disc herniation patients. Wu et al. also find electroacupuncture with meridian differentiated acupoint selections effective; however, qi-guiding acupuncture had a slightly higher rate of producing positive patient outcomes. Qi-guiding acupuncture had an 87.5% total treatment effective rate and electroacupuncture achieved an 86.6% total treatment effective rate. Qi-guiding acupuncture also had better outcomes for increases in nerve conduction velocity. The results are definitive given the large sample size of 549 patients with lumbar disc herniations evaluated in this study.
Lumbar disc herniation patients experience lower back pain and radiculopathy (radiating pain and numbness) as a result of anulus fibrosis damage, IVF encroachment, and other issues associated with disc damage (Hu et al.). Acupuncture, as one of the most common non-surgical treatment methods for lumbar disc herniation, has a high treatment effective rate and no significant adverse effects (Cheng).
Qi-guiding acupuncture was first documented in ancient literature, including The Systematic Classic of Acupuncture & Moxibustion by Huang-fu Mi. In qi-guiding acupuncture, needle entry and removal is controlled and slow. To direct qi upward, the acupuncture needle is oriented upward; similarly, to direct qi downward, the needle is pointed downward. Subsequently, the needle is frequently rotated, lifted, and thrust to regulate the flow of qi in the body. Additional manipulation techniques may be intermittently applied. In modern use, qi-guiding acupuncture repairs ultramicroscopic structures of damaged nerve roots and accelerates other aspects of nerve repair, thereby increasing nerve conduction.
In this study, lumbar disc herniation patients receiving qi-guiding acupuncture achieved an 87.5% total treatment effective rate. Patients receiving electroacupuncture achieved an 86.6% total treatment effective rate. Both qi-guiding acupuncture and electroacupuncture significantly increased nerve conduction velocity. Qi-guiding acupuncture had a slightly greater improvement in common peroneal nerve conduction velocity and superficial fibular nerve conduction velocity. Common peroneal nerve conduction velocity increased from 38.26 ± 12.8 to 44.75 ± 5.24 after the application of qi-guiding acupuncture, and increased from 39.11 ± 3.64 to 39.86 ± 10.95 after electroacupuncture. Superficial fibular nerve conduction velocity increased from 41.63 ± 4.37 to 42.55 ± 6.43 after the application of qi-guiding acupuncture, and increased from 40.71 ± 9.56 to 40.43 ± 4.01 after electroacupuncture.
A total of 549 patients with lumbar disc herniations were treated and evaluated in this study. These patients were diagnosed with lumbar disc herniations between December 2012 and March 2014. They were randomly divided into a treatment group and a control group, with 280 patients in the treatment group and 269 patients in the control group. The treatment group underwent qi-guiding acupuncture therapy, while the control group received electroacupuncture. Acupoint selection for both groups was based on meridian differentiation. Identical acupoints were selected for both patient groups.
For Taiyang meridian lumbago and leg pain (scelalgia):
For Yangming meridian lumbago and leg pain:
For Shaoyang meridian lumbago and leg pain:
For qi-guiding acupuncture, the following protocol was administered. Upon disinfection with 75% ethanol, a 0.30 mm x 40 mm filiform acupuncture needle was inserted into each selected acupoint. Huantiao and Juliao were needle to a depth of 2.5 inches. The remaining acupoints were needled to a depth of 1.2 inches. When a deqi sensation was achieved for all acupoints, qi-guiding needling with the Xie (reducing) manipulation technique was applied to Weizhong, Tiaokou, and Yanglingquan to transmit the needling sensation upward and toward the hip or waist. The same technique was applied to Huantiao, Juliao, and Biguan, instead transmitting the needle sensation downward and toward the legs. Subsequently, qi-guiding needling with the Bu (tonification) manipulation technique was applied on Dachangshu to transmit the needle sensation toward the lumbosacral area. The same technique was used on Shenshu until a deqi sensation of soreness or swelling was perceived at the lumbar region. A needle retention time of 20 minutes was observed during which the needles were rotated, lifted, and thrusted every 5 minutes to facilitate the flow of qi. One qi-guiding acupuncture session was conducted every other day for a total of 10 treatments.
Electroacupuncture for the control group was administered with the same aforementioned protocol. Before needle retention, the needles were connected to an electroacupuncture device. The device was then set to a continuous wave at 4 Hz with a 2mA current. A 20 minute needle retention time was subsequently observed. One electroacupuncture session was conducted every other day for a total of 10 treatments. The clinical results the Wu et al. study demonstrate that both qi-guiding acupuncture and electroacupuncture, when combined with meridian-differentiated acupoint selection, are suitable and effective therapies for lumbar disc herniation patients. However, qi-guiding acupuncture produces slightly better treatment outcomes in terms of nerve conduction velocity improvements.
In a related study, Wang H.D. (Xinping Hospital of Traditional Chinese Medicine) finds acupuncture combined with moxibustion therapy effective for the treatment of lumbodorsal myofascial pain syndrome. The study also finds that a silver needle protocol produces preferable treatment outcomes to conventional acupuncture. Lumbodorsal myofascial pain syndrome causes chronic lumbago and commonly occurs in young adults. Intensive acupuncture combined with moxibustion using silver needles was famously used by Professor Xuan Zhe Ren, a renowned Chinese orthopedist.
Acupoints were selected based on the degree of soft tissue damage, area of muscular tissue involved, and size of tendon contracture. In this approach, acupoints are 2 cm apart from each other and are mainly located on the lumbosacral region. Results from Wang’s study demonstrate that lumbodorsal myofascial pain syndrome patients receiving intensive acupuncture combined with moxibustion using silver needles achieved a 90% total treatment effective rate. Conventional acupuncture with moxibustion achieved an 83.3% total treatment effective rate.
Wang’s study involved a total of 60 patients with lumbodorsal myofascial pain syndrome. They were divided into a treatment group and a control group, with 30 patients in each group. The treatment group underwent intensive acupuncture-moxibustion therapy with silver needles. The control group received conventional acupuncture-moxibustion.
Intensive acupuncture-moxibustion with silver needles was applied to the T12 – L4 Jiaji acupoints and the acupoints located at the midpoint between each Jiaji acupoint. In addition, acupoints located 2 cm lateral to the Jiaji acupoints were needled. Finally, moxibustion applied with one Zhuang of 3 cm moxa cigar. One session was conducted daily for a total of 7 days. For conventional acupuncture-moxibustion therapy, the following primary acupoints were selected:
Additional acupoints were selected based on individual symptoms. For lumbago with chill-dampness:
For lumbago due to exhaustion:
For lumbago with kidney deficiency:
A needle retention time of 30 minutes was observed. Subsequently, moxibustion was applied using either a 4 hole or 6 hole moxa box on the lumbar acupoints. One session was conducted daily for a total of 7 days. The treatment efficacy for each patient was evaluated and categorized into 1 of 3 tiers:
Recovery: Complete elimination of symptoms. Physical movement regained completely. No pain points.
Significantly effective: Elimination of symptoms. Physical movement regained. Discomfort reoccurs only under exhaustion or change in weather. No pain or numbness.
Effective: Symptoms relieved. Pain or numbness present.
Not effective: No improvement in symptoms.
The total treatment effective rate for each patient group was derived as the percentage of patients who achieved at least an effective tier of improvement. The intensive acupuncture-moxibustion with silver needles protocol outperformed conventional acupuncture. However, both approaches produced significant positive patient outcomes.
Both aforementioned studies indicate that acupuncture is effective for the alleviation of lower back pain. These studies highlight the differences in therapeutic effects between various forms of acupuncture. As a result, qi-guiding acupuncture and intensive acupuncture-moxibustion with silver needles are found clinically effective for the relief of lower back pain.
Wu YC, Sun YJ, Zhang JF, Li Y, Zhang YY & Wang CM. (2014). Clinical Study of Qi-guiding Acupuncture at Points Selected According to Meridian Differentiation for Treatment of Lumbar Intervertebral Disc Herniation. Shanghai Journal of Acupuncture and Moxibustion. 33(12).
Cheng XN. (1987). The study of Chinese acupuncture-moxibustion. Volume 1, Beijing: People’s medical publishing house. 192-284.
Hu YG. (1995). Prolapse of lumbar intervertebral disc. Volume 2, Beijing: People’s medical publishing house. 226-228.
Zhu WM, Wu YC, Zhang JF, et al. (2010). Tuina combined with acupoint injection in treating prolapse of lumbar intervertebral disc. Chinese Journal of Sports Medicine. 29(6): 708-709.
Wang HD. (2013). Clinical Observation on Intensive Acupuncture-moxibustion with Silver Needles for Lumbodorsal Myofascial Pain Syndrome. Shanghai J Acu-mox. 32(8).
How Alternative Medicine Like Acupuncture Alleviates Menstrual Pain
Researchers find acupuncture combined with moxibustion more effective for the treatment of painful menstruation than ibuprofen. Across three independent studies, researchers made several important findings. Acupuncture plus moxibustion produces superior treatment outcomes to oral intake of ibuprofen. Acupuncture plus moxibustion is superior to using only acupuncture as a standalone therapy. Acupuncture improves blood circulation and hemorheological characteristics for patients with dysmenorrhea (painful menstruation). Let’s take a look at the results.
Hubei University of Medicine researchers (Jiao et al.) conducted a controlled clinical trial and confirm that the combination protocol of acupuncture plus moxibustion produces superior outcomes to using ibuprofen capsules to control menstruation cramping and pain. Jiao et al. conclude that acupuncture plus moxibustion has a 96.8% total treatment effective rate for the treatment of dysmenorrhea. Ibuprofen sustained time release capsules achieved a 58.1% total treatment effective rate. Acupuncture plus moxibustion outperformed ibuprofen by 38.7%. This is consistent with the independent research of Zhao et al. finding acupuncture effective for improving blood hemorheological characteristics, regulating blood viscosity, and enhancing the microcirculation of blood in the uterus for patients with dysmenorrhea.
Jiao et al. had a sample size of 62 human female patients and conducted a clinical trial at the Acupuncture Division of Hubei University of Medicine. Patients were randomly divided into an acupuncture group and a medication group, with 31 patients in each group. The acupuncture group received a combination of acupuncture and moxibustion therapy and the medication group received ibuprofen sustained time release capsules. The primary acupoints selected for all patients were the following:
Additional acupoints were selected on an individual symptomatic basis. Acupoints selection was based on the Traditional Chinese Medicine (TCM) system of differential diagnosis by pattern differentiation. For qi and blood stasis, the following acupoints were added:
For depressed liver qi with dampness and heat, the following acupoints were added:
For liver and kidney deficiency, the following acupoints were added:
For poor qi and blood circulation, the following acupoints were added:
Treatment commenced with patients in a supine position. After disinfection of the acupoint sites, a 0.30 mm x 40 mm disposable filiform needle was inserted into each acupoint with a high needle entry speed. Manual acupuncture stimulation techniques for obtaining deqi including lifting, thrusting, and rotating. Once a deqi sensation was obtained, the needles were retained and moxibustion was conducted on the same acupoints.
Moxa cigar cuttings, each 2 cm long, were attached to each needle handle and ignited. Moxa was left in place to self-extinguish. One acupuncture session was conducted daily for 3 – 4 consecutive days during menstruation. Treatment was also conducted on the 2 days prior to the next menstrual cycle. The entire course of treatment comprised 3 menstrual cycles. Patients were also advised to avoid getting chilled and to keep warm during activities of daily living.
For the ibuprofen group, patients received 300 mg of ibuprofen sustained time release capsules starting 1 – 2 days prior to menstruation. Capsules were orally administered twice per day for 2 – 3 days until the symptoms were mitigated, for a total of 3 menstrual cycles. Vitamin B was administered additionally for patients who also experienced stomach discomfort. The results tabulated, the acupuncture plus moxibustion protocol provided greater pain relief than the ibuprofen protocol.
In an independent research trial, Lu Ying (Xianning Hospital of Traditional Chinese Medicine) investigated the treatment efficacy of triple acupuncture and mild moxibustion for primary dysmenorrhea patients. Lu Ying determined that triple acupuncture with mild moxibustion yielded better treatment results than conventional acupuncture. For primary dysmenorrhea, triple acupuncture plus mild moxibustion therapy achieved a 96.7% total treatment effective rate. Conventional acupuncture achieved a 90% total treatment effective rate.
A total of 60 patients were treated and evaluated in the study. They were randomly divided into a treatment group and a control group, with 30 patients in each group. The treatment group underwent triple acupuncture with mild moxibustion therapy while the control group received conventional acupuncture therapy. The primary acupoints selected for the treatment group were the following:
Additional acupoints were selected based on individual symptoms. For poor blood and qi circulation, the following acupoints were added:
For poor blood and qi circulation with blood stasis, the following acupoints were added:
For chills and dampness, the following acupoint received moxibustion but needling was not applied:
For dampness and heat in liver, the following acupoint was needled bilaterally:
Patients were instructed to urinate prior to treatment and subsequently rested in a supine position. Upon disinfection of the acupoint sites, a 0.30 mm x 50 mm filiform acupuncture needle was inserted into the acupoints. For Zhongji, the needle was inserted toward Qugu (CV2) with a high entry speed at an entry angle of 45°, to a depth of 5 mm, and until the needle stimulated a deqi response at the midpoint of the upper edge of the pubic bone.
Subsequently, two acupoints located 3 mm laterally to Zhongji were swiftly pierced to a depth of 5 mm and were then inserted to become parallel to the needle at Zhongji. The same deqi response was stimulated at these points, as was in the case of Zhongji. This is the triple acupuncture technique applied to Zhongji.
The remaining acupoints were pierced perpendicularly until a deqi sensation was achieved. The deqi sensation was defined as the patient feeling soreness, numbness, swelling, or aching towards the bottom part of the perineum or a slight electrical sensation. A needle retention time of 30 minutes was observed. During needle retention, the needles were each manipulated every 10 minutes with manual acupuncture techniques. Additionally, during needle retention, mild moxibustion was conducted at Zhongji, until the skin was flushed and moxibustion heat was transmitted downward into the skin.
For the control group, selected acupoints were identical to those of the treatment group. Primary and additional acupoints were perpendicularly pierced with a 0.30 mm x 50 mm filiform acupuncture needle. Needle manipulation techniques varied based on individual body conditions. The triple acupuncture threading technique was not applied, only perpendicular insertion was used. For poor blood and qi circulation, blood clotting, or chills and dampness, the Xie (attenuating) manipulation technique was applied. For poor liver health, heat, and dampness, the Ping Bu Ping Xie (attenuating and tonifying) manipulation technique was applied. For poor blood and qi circulation, the Bu (tonifying) manipulation technique was applied. A needle retention time of 30 minutes was observed. During needle retention, the needles were each manipulated every 10 minutes.
Both groups of patients received their respective treatments 5 days prior to menstruation. For one treatment cycle, treatment was conducted once daily for 5 consecutive days. Treatment was ceased during menstruation. The entire treatment course comprised 4 menstrual cycles. In addition, patients were advised to maintain a positive emotional state and avoid exhaustion and becoming chilled. The clinical results demonstrate that triple acupuncture and mild moxibustion produce greater therapeutic effects than conventional acupuncture in the treatment of primary dysmenorrhea.
The average rate of dysmenorrhea in China is approximately 30% – 40%. During puberty, the rate is approximately 50%. Among all cases of dysmenorrhea, 10% – 20% are severe. The researchers provide a brief synopsis of the Traditional Chinese Medicine understanding of primary dysmenorrhea. In Traditional Chinese Medicine, primary dysmenorrhea falls under the Jing Xing Fu Tong class of disorders. TCM classifies primary dysmenorrhea into two major types based on the overall TCM pathology: deficiency and excess. Deficient primary dysmenorrhea is caused by weak qi and blood circulation, deficiency of the liver and kidneys, or qi and blood deficiency. Excess-type primary dysmenorrhea is exacerbated by emotional pressures, depressed liver qi, blood stasis, or poor qi circulation. Consuming cold drinks during menstruation also contributes to excess-type primary dysmenorrhea.
The researchers also provide some insight into TCM principles relative to the treatment of primary dysmenorrhea. Regulating the Chong and Ren meridians improves blood and qi circulation to produce healthy, well regulated, and trouble-free menstruation. The Guanyuan acupoint significantly restores yuan (source) qi, improves blood and qi circulation, eliminates blood stasis, and relieves pain for patients with dysmenorrhea. Administering moxibustion at Guanyuan warms the meridians, expels chills, and regulates the Chong and Ren meridians. Guanyuan, Qihai, and Zhongji are acupoints which benefit yang and regulate the Chong and Ren meridians. Sanyinjiao is a central acupoint for the maintenance of liver, spleen, and kidney health and is therefore beneficial to patients with dysmenorrhea.
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Jiao FL, Liang YC & He M. (2014). Therapeutic Observation of Acupuncture-moxibustion for Primary Dysmenorrhea. Shanghai Journal of Acupuncture and Moxibustion. 33(5).
Lu Y. (2014). Therapeutic Observation of Triple Acupuncture at Zhongji (CV 3) plus Mild Moxibustion for Primary Dysmenorrhea. Shanghai Journal of Acupuncture and Moxibustion. 33(7).
Zhao NX, Guo RL, Ren QY et al. (2007). Acupuncture therapy in treating primary dysmenorrhea, treatment efficacy and hemorheology study. Zhejiang University of TCM Journal. 31(3): 364-365, 367