Journal•ISSN: 1933-6586
Medical Acupuncture
Mary Ann Liebert, Inc.
About: Medical Acupuncture is an academic journal published by Mary Ann Liebert, Inc.. The journal publishes majorly in the area(s): Acupuncture & Medicine. It has an ISSN identifier of 1933-6586. Over the lifetime, 829 publications have been published receiving 3611 citations.
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TL;DR: Electroacupuncture at select acupoints reduces blood pressure in hypertensive patients and underlying mechanisms of acupuncture with plasma norepinephrine, renin, and aldosterone systems were likely related to the long-lasting EA actions.
Abstract: Background: Acupuncture at specific acupoints has experimentally been found to reduce chronically elevated blood pressure. Objective: To examine effectiveness of electroacupuncture (EA) at select acupoints to reduce systolic blood pressure (SBP) and diastolic blood pressures (DBP) in hypertensive patients. Design: Two-arm parallel study. Patients: Sixty-five hypertensive patients not receiving medication were assigned randomly to one of the two acupuncture intervention (33 versus 32 patients). Intervention: Patients were assessed with 24-hour ambulatory blood pressure monitoring. They were treated with 30-minutes of EA at PC 5-6+ST 36-37 or LI 6-7+GB 37-39 once weekly for 8 weeks. Four acupuncturists provided single-blinded treatment. Main outcome measures: Primary outcomes measuring effectiveness of EA were peak and average SBP and DBP. Secondary outcomes examined underlying mechanisms of acupuncture with plasma norepinephrine, renin, and aldosterone before and after 8 weeks of treatment. Outcom...
71 citations
TL;DR: There is high-level evidence to support the use of acupuncture for treating major depressive disorder in pregnancy and a novel method for assessing acupuncture trial quality is presented.
Abstract: Background: Anxiety and depression are high in prevalence, especially in the female population, whose incidence is approximately double that of the male population. In addition, these conditions are difficult to treat and have high relapse rates and medication side-effects. There is evidence to suggest that acupuncture may be an effective treatment modality. Objective: The aim of this review is to summarize the existing evidence on acupuncture as a therapy for anxiety and depression in women and to present a novel method for assessing acupuncture trial quality. Methods: Published randomized controlled trials were included, whereby acupuncture was compared with any control procedure in subjects with anxiety and/or depression. Two authors extracted data independently. A novel acupuncture trial quality-assessment tool was developed to analyze the literature quality. Results: Six articles used the desired inclusion and exclusion criteria. The quality of research varied heavily. Five studies were prop...
70 citations
TL;DR: Clinical studies suggest that acupuncture can be used to treat cardiac diseases, such as myocardial ischemia and hypertension, associated with overactivity of the sympathetic nervous system.
Abstract: Over the last several decades, there has been an explosion of articles on acupuncture, including studies that have begun to explore mechanisms underlying its analgesic and cardiovascular actions Modulation of cardiovascular function is most effective during manual and low-frequency, low-intensity electroacupuncture (EA) at a select set of acupoints situated along meridians located over deep somatic nerves on the upper and lower extremities Stimulation at these acupoints activates underlying sensory neural pathways that project to a number of regions in the central nervous system (CNS) that ultimately regulate autonomic outflow and hence cardiovascular function A long-loop pathway involving the hypothalamus, midbrain, and medulla underlies EA modulation of reflex increases in blood pressure (BP) Actions of excitatory and inhibitory neurotransmitters in the supraspinal CNS underlie processing of the somatic input and adjustment of autonomic outflow during EA Acupuncture also decreases elevated blood pressure through actions in the thoracic spinal cord Reflexes that lower BP likewise are modulated by EA through its actions on sympathetic and parasympathetic nuclei in the medulla The autonomic influence of acupuncture is slow in onset but prolonged in duration, typically lasting beyond the period of stimulation Clinical studies suggest that acupuncture can be used to treat cardiac diseases, such as myocardial ischemia and hypertension, associated with overactivity of the sympathetic nervous system
49 citations
TL;DR: Accumulating evidence suggests that VNS and TNS share multiple levels and mechanisms of action in the central nervous system, however, the sites and neurobiologic mechanisms by which they produce their therapeutic effects are not clear yet.
Abstract: Introduction: Stimulation of cranial nerves modulates central nervous system (CNS) activity via the extensive connections of their brainstem nuclei to higher-order structures. Clinical exp...
46 citations
TL;DR: A circulatory system that could be the anatomical basis of classical acupuncture points and Meridian points is proposed and described in detail.
Abstract: Background: In the early 1960s, Korean anatomist Bong Han Kim proposed the existence of a circulatory system that could be the anatomical basis of classical acupuncture points and Meridian...
46 citations