25. May 2017 · Comments Off · Categories: Acupuncture, Insomnia, Menopause

Acupuncture is associated with a significant reduction in sleep disturbances in menopausal women, conclude the authors of a systematic review from Taiwan. Meta-analysis of data from 31 randomised trials involving a total of 2,433 participants found that acupuncture was associated with a significant reduction in the likelihood of sleep disturbances, along with a significant increase in the secretion of serum oestradiol and a reduction in the secretion of follicle-stimulating hormone and luteinising hormone. Further analyses showed that studies in which Sanyinjiao SP-6 was used were associated with a larger increase in serum oestradiol level, compared with those that used other points. Larger increases in oestradiol levels due to acupuncture were associated with lower odds of sleep disturbances.
Acupuncture to Reduce Sleep Disturbances in Perimenopausal and Postmenopausal Women: A Systematic Review and Meta-analysis. Obstet Gynecol. 2016 Mar;127(3):507-15.

25. May 2017 · Comments Off · Categories: Acupuncture, Chronic Prostatitis Pain

Acupuncture compares favourably with drug treatment for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), according to Chinese authors. Network meta-analysis, which allows the comparative effectiveness of interventions that have not been directly evaluated against each other to be calculated, was carried out on data from twelve trials involving 1203 participants. The results showed that, compared with placebo, electro-acupuncture was the most efficacious in improving total symptom scores, followed by manual acupuncture, dual drug therapy (a combination antibiotics and alpha-blockers), antibiotics, sham acupuncture and alpha-blockers. In addition, the incidence of adverse events for acupuncture was relatively rare compared with the other treatments.
Network Meta-Analysis of the Efficacy of Acupuncture, Alpha-blockers and Antibiotics on Chronic Prostatitis/Chronic Pelvic Pain Syndrome. Sci Rep. 2016 Oct 19;6:35737.

25. May 2017 · Comments Off · Categories: Acupuncture, Antidepressants, Depression

Acupuncture may enhance the effect of antidepressant drugs by improving connectivity in brain networks involved in emotional processing and stress. In a Chinese/Korean/American research collaboration, 46 depressed female patients were randomised into either a verum acupuncture plus fluoxetine group, or a sham acupuncture plus fluoxetine group, for eight weeks. The abdominal acupuncture protocol used was: Zhongwan REN-12, Xiawan REN-10, Qihai REN-6, Guanyuan REN-4, Shangqu KID-17 (bilateral), Huaroumen ST-24 (bilateral), and Qipang M-CA-23 (bottom two points only), once a day for the first three days and then once every three days for the remainder of the eight-week trial. Sham treatment consisted of guide tubes without needles being tapped against the same points. Resting-state fMRI data were collected before the first and last treatments. Results showed that, compared with those in the sham acupuncture group, verum acupuncture patients showed greater clinical improvement. Increased resting state functional connectivity between the amygdala and the anterior cingulate cortex was positively associated with clinical improvement in the verum group.
Repeated acupuncture treatments modulate amygdala resting state functional connectivity of depressive patients. Neuroimage Clin. 2016 Jul 27;12:746-752.
The researchers also found that acupuncture had a positive effect on the brain’s motivation/reward circuitry in the same patient group. Previous studies have shown that this corticostriatal reward circuitry is associated with the pathophysiology of major depressive disorder. Increased resting state functional connectivity between the striatum and medial prefrontal cortex following verum acupuncture was significantly positively associated with decreased clinical depression scores.
Acupuncture treatment modulates the corticostriatal reward circuitry in major depressive disorder. J Psychiatr Res. 2017 Jan;84:18-26.

25. May 2017 · Comments Off · Categories: Acupuncture, COPD

Acupuncture can be used as an adjunctive therapy to reduce dyspnoea in patients with chronic obstructive pulmonary disease (COPD). In a randomised trial, 72 participants with COPD received either real or sham needling at the same acupoints (bilateral Zhongfu LU-1, Taiyuan LU-9, Futu L.I.-18, Zusanli ST-36, Wangu GB-12, Feishu BL-13, Pishu BL-20 and Shenshu BL-23) three times per week for eight weeks, in addition to daily medication. At the end of eight weeks of treatment, six-minute walking distance and health-related quality of life were significantly better in the real acupuncture group compared with the sham group.
Acupuncture for chronic obstructive pulmonary disease (COPD): A multicenter, randomized, sham-controlled trial. Medicine (Baltimore). 2016 Oct;95(40):e4879.

25. May 2017 · Comments Off · Categories: Acupuncture, Osteoporosis, Pain

German clinicians have found acupuncture to be effective in producing sustained, clinically relevant pain relief in patients with osteoporosis. In a sham-controlled study, 53 patients received 10 sessions of either verum or sham acupuncture treatment over five weeks. Verum acupuncture consisted of deep needling at specific points according to TCM principles (Shenshu BL-23, Dachangshu BL-25, Weizhong BL-40, Kunlun BL-60, Yanglingquan GB-34, Taixi KID-3 and Bai Hui DU-20, plus a maximum of five individual ah shi points), while sham acupuncture consisted of superficial needling at non-acupuncture points (located at least five centimetres away from the verum acupuncture points). Both groups experienced significant reductions in activity-related pain and pain at rest over time. The verum acupuncture group experienced a significantly greater reduction in mean pain intensity at rest compared with the control group. In the control group, quality of life improved only temporarily post-treatment and declined slightly by the end of the follow-up period. By contrast, patients in the verum acupuncture group experienced continuous and significant improvements in quality of life for up to three months after treatment.
Effects of acupuncture on quality of life and pain in patients with osteoporosis-a pilot randomized controlled trial. Arch Osteoporos. 2016 Dec;11(1):34.

25. May 2017 · Comments Off · Categories: Acupuncture, Menopause

Acupuncture can improve sexual function in women with hypoactive sexual desire disorder (HSDD), a small American study suggests. Fifteen premenopausal women with HSDD were included in a single-arm pilot study and underwent twice-weekly acupuncture sessions for five weeks. Point prescriptions were individualised to each patient’s TCM pattern presentation (including Kidney yang deficiency, Liver qi stagnation, Blood deficiency, Spleen yang deficiency and Heart fire). Five weeks of acupuncture was found to be associated with significant improvements from baseline in overall sexual function, particularly in the specific domains of desire, arousal, lubrication and orgasm, while distress due to symptoms and anxiety levels were found to be significantly reduced.
Acupuncture in Premenopausal Women With Hypoactive Sexual Desire Disorder: A Prospective Cohort Pilot Study. Sex Med. 2016 Sep;4(3):e176-81.

25. May 2017 · Comments Off · Categories: Acupuncture, Threatened Miscarriage
25. May 2017 · Comments Off · Categories: Acupuncture, Breast Cancer, Electro-Acupuncture

The effects of electro-acupuncture (EA) are comparable with those of the drug gabapentin (GP) for improving sleep disturbances among breast cancer survivors. American investigators analysed data from a randomised trial involving 58 breast cancer survivors who were experiencing bothersome hot flushes at least twice per day. Participants were randomly assigned to receive eight weeks of EA (twice a week for two weeks and then weekly for six weeks) or daily GP. By the end of treatment, the mean improvement in total sleep scoresw were significantly greater in the EA group compared with the GP group (-2.6 versus -0.8). EA also improved sleep compared with the GP group: By week eight, the EA group showed improved sleep duration, less sleep disturbance, shorter sleep latency, decreased daytime dysfunction, improved sleep efficiency and better sleep quality compared with baseline, whereas the GP group improved only in duration and sleep quality.
Comparative effectiveness of electro-acupuncture versus gabapentin for sleep disturbances in breast cancer survivors with hot flashes: a randomized trial. Menopause. 2016 Nov 21. [Epub ahead of print].

25. May 2017 · Comments Off · Categories: Gua Sha, Hot Flushes, Menopause