Points - Recent Research
Therapeutic Effects of Different Durations of Acupuncture on Rats with Middle Cerebral Artery Occlusion
Acupuncture for Depression
  Augmentation effect of Acupuncture on Bi’nao for Hypophasis in patients with Bell’s Palsy

Therapeutic Effects of Different Durations of Acupuncture on Rats with Middle Cerebral Artery Occlusion

Chao Zhang, et al.

BACKGROUND: Acupuncture is regarded as an effective therapy for cerebral ischemia. Different acupuncture manipulations and durations may result in different therapeutic effects. In the present study, the Neiguan (PC6) acupoint of rats with occluded middle cerebral arteries was needled at a fixed frequency (3 Hz) with different durations, i.e., 5, 60 and 180 seconds under a twisting-rotating acupuncture method. Results showed that different durations of acupuncture had different therapeutic effects, with 60 seconds yielding a better therapeutic effect than the other two groups. This duration of treatment demonstrated rapid cerebral blood flow, encouraging recovery of neurological function, and small cerebral infarct volume. Experimental findings indicated that under 3 Hz frequency, the treatment of needling Neiguan for 60 seconds is effective for ischemic stroke.

Neural Regen Res. 2015 Jan; 10(1): 159–164.

Source: PubMed

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Acupuncture for Depression

Caroline A Smith, et al.

Depression is recognised as a major public health problem that has a substantial impact on individuals and on society. People with depression may consider using complementary therapies such as acupuncture, and an increasing body of research has been undertaken to assess the effectiveness of acupuncture for treatment of individuals with depression. This is the second update of this review.
Objectives: To examine the effectiveness and adverse effects of acupuncture for treatment of individuals with depression.
To determine:
• Whether acupuncture is more effective than treatment as usual/no treatment/wait list control for treating and improving quality of life for individuals with depression.
• Whether acupuncture is more effective than control acupuncture for treating and improving quality of life for individuals with depression.
• Whether acupuncture is more effective than pharmacological therapies for treating and improving quality of life for individuals with depression.
• Whether acupuncture plus pharmacological therapy is more effective than pharmacological therapy alone for treating and improving quality of life for individuals with depression.
• Whether acupuncture is more effective than psychological therapies for treating and improving quality of life for individuals with depression.
• Adverse effects of acupuncture compared with treatment as usual/no treatment/wait list control, control acupuncture, pharmacological therapies, and psychological therapies for treatment of individuals with depression.
Authors' conclusions: The reduction in severity of depression was less when acupuncture was compared with control acupuncture than when acupuncture was compared with no treatment control, although in both cases, results were rated as providing low‐quality evidence. The reduction in severity of depression with acupuncture given alone or in conjunction with medication versus medication alone is uncertain owing to the very low quality of evidence. The effect of acupuncture compared with psychological therapy is unclear. The risk of adverse events with acupuncture is also unclear, as most trials did not report adverse events adequately. Few studies included follow‐up periods or assessed important outcomes such as quality of life. High‐quality randomised controlled trials are urgently needed to examine the clinical efficacy and acceptability of acupuncture, as well as its effectiveness, compared with acupuncture controls, medication, or psychological therapies.

Cochrane Database Syst Rev. 2018 Mar; 2018(3): CD004046.

Source: PubMed

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Augmentation effect of Acupuncture on Bi’nao for Hypophasis in patients with Bell’s Palsy

Xiaoyan Li, et al.

Hypophasis is one of the most frequently observed sequelae of patients with Bell’s palsy, who have not recovered completely, creating a clinical difficulty for physicians. Acupuncture therapy has been widely used to treat Bell’s palsy as a reasonable resolution for management of symptoms such as hypophasis. The number of acupuncture points (acu-points) is frequently selected in the approach of acupuncture therapy; however, whether these had high efficiency has not been proved. According to the literature review, Bi’nao was useful for treating eye and eye lipid diseases, which could be proved only by some successful cases. Thus, a randomized controlled trial was designed to evaluate the efficiency of the acu-point Bi’nao.
Methods/Design: Participants with hypophasis as the major symptom are selected among patients with Bell’s palsy and randomly allocated into one of the three groups at a 1:1:1 allocation ratio. All participants receive conventional acupuncture therapy; however, those assigned to the real acupuncture group will be given added acupuncture therapy on the acu-point Bi’nao, while those assigned to the sham acupuncture group were given extra acupuncture therapy on the sham Bi’nao as a placebo. The efficacy of the acupuncture therapy on the acu-point Bi’nao for hypophasis will be evaluated by Eye Crack Width Measurement (ECWM) and Eyelid Strength Assessment (ESA) before and after therapy.
The results showed that the acupuncture treatment on the acu-point Bi’nao is a safe and effective method for improving hypophasis. Furthermore, the study provided evidence to support the application of acupuncture therapy in the management of Bell’s palsy and its sequelae in the future.

Trials. 2018; 19: 316.

Source: PubMed

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