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ACUPUNCTURE AND POST-OPERATIVE PAIN

Pain after surgery is common, often severe and largely unnecessary. Effective relief of post-operative pain is vital, and not just for humanitarian reasons. Such pain probably prolongs hospital stay, as it can affect all organ systems, including: respiratory (e.g. reduced cough, sputum retention, hypoxemia); cardiovascular (e.g. increased myocardial oxygen consumption, ischemia);

gastrointestinal (e.g. decreased gastric emptying, reduced gut motility, constipation); genitourinary (e.g. urinary retention); neuroendocrine (e.g. hyperglycemia, protein catabolism, sodium retention); musculoskeletal (e.g. reduced mobility, pressure sores, increased risk of DVT); and psychological (e.g. anxiety, fatigue). There is now evidence that post-operative pain relief has

significant physiological benefit (Charlton 1997). Not only can it result in earlier discharge from hospital, but it may also reduce the onset of chronic pain syndromes. Nevertheless, post-operative pain remains grossly under treated, with up to 70% of patients reporting moderate to severe pain following surgery

How acupuncture can help

Systematic reviews suggest that acupuncture and ear acupuncture are useful adjunctive treatments for post-operative pain management (Sun 2008; Usinchenko 2008). Several recent randomized controlled trials have found acupuncture and electro acupuncture to reduce post-operative pain, the use of patient-controlled analgesia (opioids), and post-operative nausea and vomiting (Salmeddini 2010; Larson 2010; Parthasarathy 2009; Wu 2009; Grube 2009; Wong 2006).

In general, acupuncture is believed to stimulate the nervous system and cause the release of neurochemical messenger molecules. The resulting biochemical changes influence the body's homeostatic mechanisms, thus promoting physical and emotional well-being. Stimulation of certain acupuncture points has been shown to affect areas of the brain that are known to reduce sensitivity to pain and stress, as well as promoting relaxation and deactivating the ‘analytical’ brain, which is responsible for anxiety

About traditional acupuncture

Acupuncture is a tried and tested system of traditional medicine, which has been used in China and other eastern cultures for at least 2thousand years to restore, promote and maintain good health. Its benefits are now widely acknowledged all over the world and

in the past couple of decade traditional acupuncture has begun to feature more prominently in mainstream healthcare in the west. In conjunction with needling, the practitioner may use techniques such as moxibustion, cupping, massage or electro-acupuncture. They may also suggest dietary or lifestyle changes.

Traditional acupuncture takes a holistic approach to health and regards illness as a sign that the body is out of balance. The exact pattern and degree of imbalance is unique to each individual. The traditional acupuncturist’s skill lies in identifying the precise nature of the underlying disharmony and selecting the most effective treatment.

The choice of acupuncture points will be specific to each patient’s needs.

Traditional acupuncture can also be used as a preventive measure to strengthen the constitution

and promote general well-being.

An increasing weight of evidence from Western scientific research  is demonstrating the effectiveness of acupuncture for treating a wide variety of conditions.

From a biomedical viewpoint, acupuncture is believed to stimulate the nervous system, influencing the production of the body’s communication substances hormones and neurotransmitters. The resulting biochemical changes activate the body's self regulating homeostatic systems, stimulating its natural healing abilities and promoting physical and emotional well –being

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Acupuncture De Qi sensations now quantifiable!

A major technology university has scientifically measured unique brain responses to manual acupuncture stimulation. De qi, sensations induced by specific manual needle stimulation techniques, is posited as having therapeutic effects within the Traditional Chinese Medicine (TCM) system and was the focus of the study. De qi is a combination of bodily sensations induced by acupuncture needling techniques combined with physiological responses to the stimulation. The researchers note that de qi sensation is often described as dull, heavy, deep pressure, pulling, numb, aching, spreading, radiating, electrical, refreshing, relieving and tingling.

In this new study conducted at the Huazhong University of Science and Technology, researchers measured de qi’s relationship to changes in blood flow, tissue displacement, myoelectricity and brain MRI signals. As a result, the research team notes that they have demonstrated measurable and repeatable “intrinsic change(s) of (the) human body” induced by de qi during acupuncture. The team added that the “study demonstrated that de qi elicited significant response(s) to acupuncture in the specific brain regions….”

In a related study, researchers note that achieving de qi at acupuncture points elicits distinctly different cortical responses than at non-acupuncture points. The researchers suggest that these findings point to de qi having a different effect on the central nervous system dependent on the acupuncture points chosen. Specific acupuncture points demonstrate a consistent and unique ability to stimulate specific brain regions upon de qi stimulation. By contrast, non-acupuncture points did not induce unique responses.

Another investigation of acupuncture connects modern research with the traditional inducement of deqi. Researchers from the Beijing University of Chinese Medicine, Medimar International Hospital and the European Foundation of TCM performed a meta-analysis of the medical implications of de qi. The findings suggest a direct correlation between ancient acupuncture techniques and improved positive patient outcomes.

These investigations connect ancient TCM teachings dating back to the Nei Jing Su Wen with modern scientific findings. Eliciting de qi responses was posited as having medically beneficial effects over 1,000 years ago. Now, modern scientific equipment allows researchers to test this theory. These initial

investigations show that de qi is linked to clinically positive patient outcomes.

References: Tian, Dai-Shi, Jin Xiong, Qing Pan, Fang Liu, Lu Wang, Sha-Bei Xu, Guang-Ying Huang, and Wei Wang. "De Qi, a Threshold of the Stimulus Intensity, Elicits the Specific Response of Acupoints and Intrinsic Change of Human Brain to Acupuncture." Evidence-Based Complementary and Alternative Medicine 2014 (2014).

Zhu, Shi-Peng, Li Luo, Ling Zhang, Song-Xi Shen, Xiao-Xuan Ren, Meng-Wei Guo, Jia-Min Yang et al. "Acupuncture DE-qi: from Characterization to Underlying Mechanism."

Chen, Sheng, Shengnan Guo, Federico Marmori, Yanping Wang, Qi Zhao, Baokai Wang, Eunhae Ha et al. "Appraisal of the De qi Concept among Contemporary Chinese Acupuncturists."

Acupuncture De Qi Sensations Now Quantifiable SOURCE: http://www.healthcmi.com/Acupuncture-Continuing-Education-News/1348-acupuncture-de-qi-sensations-now-quantifiable

May you have a healthy and happy New year!!