Medical Acupuncture

Low-Frequency Electroacupuncture Improves Insulin Sensitivity in Obese Diabetic Mice through Activation of SIRT1/PGC-1α in Skeletal Muscle

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Figure 4: Schematic model of electroacupuncture on insulin resistance in skeletal muscle. SIRT1-mediated deacetylation of PGC1α is required to activate genes that are associated with mitochondrial fatty acid oxidation in response to energy demands. The resultant increase in expression of mitochondrial genes, including NRF1, could exert positive effects on insulin signaling. eNOS: endothelial nitric oxide synthase; PGC1α: peroxisome proliferator-activated receptor γ coactivator 1α; SIRT1: Sirtuin 1; NRF1: nuclear respiratory factor 1.

This study suggested a preliminary mechanism of electroacupuncture. Specifically, low-frequency EA improved insulin sensitivity in a mouse model of genetic insulin resistance and diabetes, at least in part, via stimulation of SIRT1/PGC-1α in the skeletal muscle. Events involved in this mechanism are presented in Figure 4. This effect leads to a net switch in the metabolic program of the organism to an adaptation that may be of benefit in the face of disorders characterized by insulin resistance. The study introduces an effective and safe activator (electroacupuncture) for SIRT1, offering a basis for applying acupuncture in clinical practice in the treatment of diseases related to insulin resistance.

Low-Frequency Electroacupuncture Improves Insulin Sensitivity in Obese Diabetic Mice through Activation of SIRT1/PGC-1α in Skeletal Muscle

Evidence-Based Complementary and Alternative Medicine
Volume 2011

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Medical Acupuncture

Long-Lasting Reduction of Blood Pressure by Electroacupuncture in Patients with Hypertension

Results: After 8 weeks, 33 patients treated with EA at PC 5-6+ST 36-37 had decreased peak and average SBP and DBP, compared with 32 patients treated with EA at LI 6-7+GB 37-39 control acupoints. Changes in blood pressures significantly differed between the two patient groups. In 14 patients, a long-lasting blood pressure–lowering acupuncture effect was observed for an additional 4 weeks of EA at PC 5-6+ST 36-37. After treatment, the plasma concentration of norepinephrine, which was initially elevated, was decreased by 41%; likewise, renin was decreased by 67% and aldosterone by 22%.

Conclusions: EA at select acupoints reduces blood pressure. Sympathetic and renin-aldosterone systems were likely related to the long-lasting EA actions.

Hypertensive patients benefit from acupuncture treatments, UCI study finds

UCI researchers have found that electroacupuncture – a form of acupuncture that employs low-intensity electrical stimulation – can reduce high blood pressure in hypertensive patients for up to six weeks. Chris Nugent / UCI

Long-Lasting Reduction of Blood Pressure by Electroacupuncture in Patients with Hypertension: Randomized Controlled Trial

Medical AcupunctureVol. 27, No. 4

Hypertensive patients benefit from acupuncture treatments, UCI study finds

Ancient Chinese practice lowers blood pressure, may lessen stroke, heart disease risks

August 19, 2015

 

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Medical Acupuncture

Electroacupuncture for Painful Diabetic Peripheral Neuropathy

The participants in the EA group received EA treatment with a mixed current of 2 Hz/120 Hz at 12 acupuncture points (bilateral Zusanli [ST36], Xuanzhong [GB39], Yinlingquan [SP9], Sanyinjiao [SP6], Taichong [LR3], and Zulinqi [GB41]) twice per week for 8 weeks. Depending on the sites of pain, the additional acupuncture point Bafeng (EX-LE10) was available.

Electroacupuncture for Painful Diabetic Peripheral Neuropathy A Multicenter Randomized Assessor Blinded Controlled Trial

“To our knowledge, this is the first multicenter randomized controlled trial to evaluate the effectiveness and safety of EA treatment for the management in PDN. One limitation is that neither a placebo nor sham EA was used as an active control; therefore, the possibility of a placebo effect was not excluded. In conclusion, the results of this study
demonstrate that EA treatment is effective for reducing pain and improving sleep disturbance and quality of life in PDN. In addition, EA treatment was well tolerated and safe during this study. These findings suggest that EA treatment may be recommended as a nonpharmacological treatment for pain reduction in PDN.”

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Medical Acupuncture

Electro-acupuncture for post-stroke spasticity: a systematic review and meta-analysis

“Electro-acupuncture combined with conventional routine care has the potential of reducing spasticity in upper and lower limb and improving overall and lower extremity motor function and activity of daily living for spasticity patients within 180 days post stroke.”

Electro-acupuncture for post-stroke spasticity: a systematic review and meta-analysis

Data Synthesis

In total, 22 trials met the search criteria and were included involving 1,425 participants. The estimated add-on effects of EA to reduce spasticity in upper limb measured by MAS (SMD: -0.57[-0.84, -0.29]) and improve overall motor function measured by FMA (MD: 10.60[8.67, 12.53]) were significant. It was also found that for spasticity in lower limb, lower-limb motor function and activity of daily living, significant add-on effects of EA were also shown (SMD: -0.88[-1.42, -0.35], MD:4.42[0.06, 8.78] and MD: 6.85[3.64, 10.05] respectively), though with high heterogeneity. For upper-limb motor function, no significant add-on effects of EA was received.

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Medical Acupuncture, TMJ & Spine care

A Randomized Clinical Trial Comparing the Effectiveness of Electroacupuncture versus Medium-Frequency Electrotherapy for Discogenic Sciatica

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“Electric Acupuncture showed greater short-term and long-term benefits for chronic discogenic sciatica than Medium-Frequency Electrotherapy, and the effect of EA was superior to that of MFE.”

 

A Randomized Clinical Trial Comparing the Effectiveness of Electroacupuncture versus Medium-Frequency Electrotherapy for Discogenic Sciatica

Evidence-Based Complementary and Alternative Medicine
Volume 2017 (2017), Article ID 9502718, 9 pages

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