Acupuncture and its Complementary Role in the Treatment of Cardiovascular Diseases.

Transcription

1 Acupuncture and its Complementary Role in the Treatment of Cardiovascular Diseases. Roger Wang A.P., Dr. Huimin Wang Wang s Acupuncture Jacksonville, FL

2 Call for volunteers. Demonstration

3 How Does Acupuncture Work? 1. Conduction of electromagnetic signals: 1 strategic conductors of electromagnetic signals. electromagnetic signals to be relayed at greater-thannormal rates. Endorphins, immune system. 2. Activation of the body s Natural Opioid System 1: Acupuncture releases opioids. 2-3

4 How Does Acupuncture Work? 3. Stimulation Of The Hypothalamus And The Pituitary Gland: 1, 4 Wide range of effects. 4. Change In The Secretion Of Neurotransmitters And Neurohormones. 1, 5 5. Modulate the activity within specific brain areas. 6-9

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6 How Does Acupuncture Work? 6. Eastern perspective: flow of qi in meridians.

7 Who Offers Acupuncture? Mayo Clinic Johns Hopkins Hospital Massachusetts General Hospital Brigham and Women's Hospital Cleveland Clinic University of Texas MD Anderson Cancer Center Memorial Sloan-Kettering Cancer Center And many more...

8 What Are the Indications? According to a VA Literature Review in Pain: 10 Positive Effect: Headache in General and Migraine Specifically. Chronic Pain. Dysmenorrhea

9 What Are the Indications? Potentially positive effect: 10 Osteoarthritis General Pain Cancer Pain Labor pain Prostatitis Plantar Heel Tempomandibular Pregnancy pain

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11 What Are the Indications? Wellness: 10 Potential Positive Effect: Insomnia Smoking cessation Post-Operative Nausea and Vomiting Restless Legs

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13 What Are the Indications? Mental Health: 10 Potential Positive Effect: Depression Schizophrenia Anxiety PTSD

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15 What Are the Indications? Cochrane Review: low back pain migraine prophylaxis neck disorders peripheral joint osteoarthritis tension-type headache fibromyalgia chemotherapy-induced nausea or vomiting. Pain management for women in labor postoperative nausea and vomiting

16 What Are the Indications? According to Johns Hopkins Integrative Medicine & Digestive Center: 20 Acute and chronic pain, including repetitive motion injuries (e.g. carpal tunnel syndrome, trigger finger, and tendonitis), TMJ and teeth grinding, traumatic and post-surgical pain Autoimmune disorders, including rheumatoid arthritis, fibromyalgia and chronic fatigue, Sjogren s syndrome, Hashimoto s thyroiditis, Graves disease, Raynaud s phenomenon, scleroderma, Crohn s disease, Systemic lupus erythematosus, autoimmune hepatitis, and multiple sclerosis

17 What Are the Indications? According to Johns Hopkins Integrative Medicine & Digestive Center: 20 Cognitive issues, such as lack of concentration, poor memory, ADD, and inability to focus Dermatological conditions, such as eczema, psoriasis, and cystic acne Energy problems, such as fatigue, lack of motivation, and chronic fatigue syndrome Gastrointestinal conditions, including heartburn; abdominal pain; irritable colon; diarrhea; constipation

18 What Are the Indications? According to Johns Hopkins Integrative Medicine & Digestive Center: 20 Gynecological and obstetric issues, including PMS; painful periods; morning sickness, fetal breech presentation, support for delivery in late pregnancy, support for lactation difficulties Infertility and reproductive problems of women and men Insomnia and sleep disorders Musculoskeletal issues, such as low back pain; muscle, tendon, or joint pain; sports injuries Neurological conditions including chronic headaches; sciatica; nerve injuries Respiratory problems, such as asthma; sinusitis; allergic rhinitis

19 What Are the Indications? According to Johns Hopkins Integrative Medicine & Digestive Center: 20 This list is not exhaustive. If you have a health concern not listed above, give us a call and we will be happy to discuss your case. 20

20 What Are the Indications? According to the World Health Organization: 21 Adverse reactions to radiotherapy and/or chemotherapy Allergic rhinitis (including hay fever) Biliary colic Depression (including depressive neurosis and depression following stroke) Dysentery, acute bacillary Dysmenorrhoea, primary Epigastralgia, acute (in peptic ulcer, acute and chronic gastritis, and gastrospasm)

21 What Are the Indications? According to the World Health Organization: 21 Facial pain (including craniomandibular disorders) Headache Hypertension, essential Hypotension, primary Induction of labour Knee pain Leukopenia Low back pain Malposition of fetus, correction of Morning sickness

22 What Are the Indications? According to the World Health Organization: 21 Nausea and vomiting Neck pain Pain in dentistry (including dental pain and temporomandibular dysfunction) Periarthritis of shoulder Postoperative pain Renal colic Rheumatoid arthritis Sciatica Sprain Stroke Tennis elbow

23 What Are the Indications? Our Clinical Experience at Wang s Acupuncture: Musculoskeletal Neurological GI

24 What Are the Indications? The following systems are also involved: Respiratory HEENT Dermatology Genital Urinary system Obstetrics/Gynecology Immune system Endocrine Psychiatric Cardiovascular

25 What Are the Indications? For a more complete list, visit our website:

26 Cardiovascular Indications. According to the above sources: Raynaud s phenomenon 20 Hypertension, essential 21 Hypotension, primary 21 Stroke 21

27 Cardiovascular Indications. According to Our Clinical Experience: Hypertension Hypotension Certain types of arrhythmia (possible parasympathetic and sympathetic regulation) Raynaud s phenomenon Chest Pain Stroke Sequelae Peripheral Neuropathy due to PAD

28 References 1. How Does Acupuncture Affect the Body. New York Presbyterian Hospital Website. Published Accessed March 17th, Han JS. Acupuncture and endorphins. Neurosci Lett May 6;361(1-3): Wang SM1, Kain ZN, White P. Acupuncture analgesia: I. The scientific basis. Anesth Analg Feb;106(2):602-10

29 References 4. Cho ZH1, Hwang SC, Wong EK, et al. Neural substrates, experimental evidences and functional hypothesis of acupuncture mechanisms. Acta Neurol Scand Jun; 113(6): Yu LL1, Liu RP, Gao XY, et al. Development of studies on neurochemical mechanism of acupuncture underlying improvement of depression. Zhen Ci Yan Jiu Oct;36(5):

30 References 6. Huang W, Pach D, Napadow V, et al. Characterizing acupuncture stimuli using brain imaging with FMRI--a systematic review and meta-analysis of the literature. PLoS One. 2012;7(4):e doi: /journal.pone Epub 2012 Apr Liu H1, Xu J, Shan B, et al. Determining the precise cerebral response to acupuncture: an improved FMRI study. PLoS One. 2012;7(11):e doi: / journal.pone Epub 2012 Nov 9.

31 References 8. You Y1, Bai L, Dai R, et al. Altered hub configurations within default mode network following acupuncture at ST36: a multimodal investigation combining fmri and MEG. PLoS One May 17;8(5):e doi: / journal.pone Print Zyloney CE1, Jensen K, Polich G, et al. Imaging the functional connectivity of the Periaqueductal Gray during genuine and sham electroacupuncture treatment. Mol Pain Nov 16;6:80.

32 References 10. Hempel S, Taylor SL, Solloway MR, et al. Evidence Map of Acupuncture. Washington (DC): Department of Veterans Affairs; 2014 Jan. Accessed March 17th Furlan AD, van Tulder MW, Cherkin D, Tsukayama H, Lao L, Koes BW, Berman BM. Acupuncture and dry-needling for low back pain. Cochrane Database of Systematic Reviews 2005, Issue 1. Art. No.: CD DOI: / CD pub2

33 References 12. Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A, White AR. Acupuncture for migraine prophylaxis. Cochrane Database of Systematic Reviews 2009, Issue 1. Art. No.: CD DOI: / CD pub Trinh K, Graham N, Gross A, Goldsmith CH, Wang E, Cameron ID, Kay TM, Cervical Overview Group. Acupuncture for neck disorders. Cochrane Database of Systematic Reviews 2006, Issue 3. Art. No.: CD DOI: / CD pub3

34 References 14. Manheimer E, Cheng K, Linde K, Lao L, Yoo J, Wieland S, van der Windt DAWM, Berman BM, Bouter LM. Acupuncture for peripheral joint osteoarthritis. Cochrane Database of Systematic Reviews 2010, Issue 1. Art. No.: CD DOI: / CD pub2 15. Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A, White AR. Acupuncture for tension-type headache. Cochrane Database of Systematic Reviews 2009, Issue 1. Art. No.: CD DOI: / CD

35 References 16. Deare JC, Zheng Z, Xue CCL, Liu JP, Shang J, Scott SW, Littlejohn G. Acupuncture for treating fibromyalgia. Cochrane Database of Systematic Reviews 2013, Issue 5. Art. No.: CD DOI: / CD pub Ezzo J, Richardson MA, Vickers A, Allen C, Dibble S, Issell BF, Lao L, Pearl M, Ramirez G, Roscoe JA, Shen J, Shivnan JC, Streitberger K, Treish I, Zhang G. Acupuncture-point stimulation for chemotherapy-induced nausea or vomiting. Cochrane Database of Systematic Reviews 2006, Issue 2. Art. No.: CD DOI: / CD pub2.

36 References 18. Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, Jordan S, Lavender T, Neilson JP. Pain management for women in labour: an overview of systematic reviews. Cochrane Database of Systematic Reviews 2012, Issue 3. Art. No.: CD DOI: / CD pub Lee A, Fan LTY. Stimulation of the wrist acupuncture point P6 for preventing postoperative nausea and vomiting. Cochrane Database of Systematic Reviews 2009, Issue 2. Art. No.: CD DOI: / CD pub3.

37 References 20. Acupuncture. Johns Hopkins Integrative Medicine & Digestive Center Website ne_digestive_center/services/acupuncture.html. Accessed March 17th, Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials. World Health Organization. ml. Published Accessed March 17 th, 2014.

38 References 22. Kung YY1, Yang CC, Chiu JH, Kuo TB. The relationship of subjective sleep quality and cardiac autonomic nervous system in postmenopausal women with insomnia under auricular acupressure. Menopause Jun; 18(6): Li J1, Li J, Chen Z, et al. The influence of PC6 on cardiovascular disorders: a review of central neural mechanisms. Acupunct Med Mar; 30(1):47-50.