Acupuncture and Maternity Care
A study was conducted outlining the circumstances of use and
patient perspectives regarding the acupuncture service offered in an antenatal
clinic at an Australian public hospital. Study participants were recruited from
women attending the antenatal clinic. Upon completion of their course of
acupuncture treatment, 52 women were given a questionnaire, of which 37 (71%)
were completed and returned. Of the 37 women who attended the acupuncture
clinic, 18 (49%) had previously used at least one form of complementary medicine
and therapy. The most common reason for treatment was physiological symptoms
including back pain, symphysis pubis dysfunction and sciatica. All 37 women
stated that the acupuncture improved their well-being and this finding was
statistically significant (P<0.001). These findings are offered as a means of
identifying potential issues for future investigation in this under-researched
area.
N.Hope-Allan, et al. Complement Ther Nurs Midwifery. 2004
Nov;10(4):229-32
Electrostimulation of
Auricular Points is More Effective for
Chronic Neck Pain than Manual
Auricular Acupuncture
In a randomized, double-blinded, controlled study, the hypothesis
that auricular electroacupuncture relieves pain more effectively than
conventional manual auricular acupuncture was tested. 21 patients with chronic
cervical pain without radicular symptoms with insufficient pain relief (visual
analogue scale >5) were treated with standardized analgesic therapy. All
patients received disposable acupuncture needles on the dominant side on the
following acupuncture points: cervical spine, shen men, and cushion. In 10
patients, needles were continuously stimulated (2-mA constant current, 1 Hz
monophasic) by using the electrical point stimulation device P-STIM. In 11
control patients, no electrical stimulation was administered. All needles were
withdrawn 48 h after insertion. Acupuncture was performed once a week for 6
weeks. The patients had to complete a questionnaire assessing pain intensity,
psychological well-being, activity, sleep, and demand for rescue medication (lornoxicam
and tramadol). The reduction in pain scores was significant in the electrical
acupuncture group. Similarly, psychological well-being, activity, and sleep were
significantly improved in patients receiving electrical acupuncture, and
consumption of rescue medication was significantly less. These results
demonstrate that continuous electrical stimulation of auricular acupuncture
points by using the new point stimulation device P-STIM improves the treatment
of chronic cervical pain in an outpatient population. Therefore, continuous
electrical stimulation of auricular acupuncture points by using the new point
stimulation device P-STIM significantly decreases pain intensity and
significantly improves psychological well-being, activity, and sleep in chronic
cervical pain patients.
Sator-Katzenschlager,S.M Electrical stimulation of auricular
acupuncture points is more effective than conventional manual auricular
acupuncture in chronic cervical pain.in Anesth.Analg. 2003, Vol. 97)5) p. 1469-
Combination Effects of Herbs
in a Multi-herbal Formula
Herbal formulas of traditional Japanese (Kampo), Chinese and
Korean medicines usually comprise multiple herbs in a single formula. These
medicines are expected to show their clinical effects by chemical,
pharmacological and pharmaceutical combination effects of multi-herbs. However,
little effort has been made so far to scientifically clarify the nature of such
combination effects. Interestingly, for example, though a Kampo medicine
Juzen-taiho-to (Shi-Quan-Da-Bu-Tang in Chinese) stimulates the immune functions
of Peyer's patch cells, none of its single component herbs shows such activity.
We thus examined the combination effect of herbs in the Juzen-taiho-to formula
for the expression of its immuno-stimulating activity. Juzen-taiho-to, a
composite formula of 10 herbs, has been generally considered to comprise two
kinds of basic formula, each of which consists of four different herbs in
addition to two others. The combinations of herbs based on these two basic
formulas were evaluated for their stimulating activities on cytokine production
from murine Peyer's patch cells both in vitro and ex vivo. Combined decoction of
six among 10 herbs in Juzen-taiho-to is crucial for the expression of its
stimulating activity on Peyer's patch cells. 3D-HPLC analysis of the ingredients
in the fractions from the combined decoctions indicated that, in addition to
quantitative changes of ingredients, alterations occur in their chemical
composition by decoction of different herbs. The stimulating activity of
Juzen-taiho-to on Peyer's patch cells results from the combination effect of its
six essential component herbs. This combination effect is based on
physicochemical interactions among the ingredients of the component herbs.
Kiyohara H, Matsumoto T, Yamada H. Combination Effects of Herbs
in a Multi-herbal Formula: Expression of Juzen-taiho-to's Immuno-modulatory
Activity on the Intestinal Immune System Evid Based Complement Alternat Med.
2004 Jun 1; 1(1): 83-91.
Acupuncture for
Depression during Pregnancy
There are not many medically acceptable treatments available for
depression during pregnancy. The aim of this randomized controlled pilot study
was to determine whether acupuncture can possibly be used as a treatment for
depression during pregnancy. A small sample of sixty-one pregnant women with
major depressive disorder was randomly assigned to one of three treatments
delivered over 8 weeks: an active acupuncture (SPEC, N=20), an active control
acupuncture (NSPEC, N=21), and massage (MSSG, N=20). Acupuncture treatments were
standardized and double-blinded, but individually tailored. According to the
results, the response rates at the end of the acute phase were statistically
significantly higher for SPEC (69%) than for MSSG (32%), with an intermediate
NSPEC response rate (47%). The SPEC group also exhibited a significantly higher
average rate of reduction in BDI scores from baseline to the end of the first
month of treatment than the MSSG group. Responders to the acute phase of all
treatments combined had significantly lower depression scores at 10 weeks
postpartum than nonresponders. In conclusion, acupuncture holds promise for the
treatment of depression during pregnancy.
Manber R., et al. Acupuncture: a promising treatment for
depression during pregnancyJ Affect Disord. 2004 Nov 15;83(1):89-95.
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