Acupuncture Continuing Education News

Acupuncture has long lasting effects in reducing hot flashes for breast and prostate cancer patients. The new findings prove that acupuncture reduces hot flashes by over 30 percent. Published in Supportive Care in Cancer, researchers evaluated 222 publications and chose 6 quality studies from this data as the basis for the investigation. All 6 studies were weighed for inclusion based on randomization, withdrawals and drop-outs, double-blinding and other criteria for the selection of quality research. The researchers discovered that acupuncture caused significant reductions in the frequency of hot flashes. In addition, the therapeutic effects lasted on average more than 6 months after the cessation of acupuncture treatments. The researchers concluded that acupuncture is both safe and effective for the treatment of hot flashes associated with cancer therapy.

Over 50% of perimenopausal and postmenopausal women have hot flashes. They are more common and more severe in women with breast cancer. Hot flashes are caused, in part, by cancer therapy medications including tamoxifen. Hormone therapies are often used to control the hot flashes but may cause side effects such as the increased risk of cardiovascular disorders and a higher incidence of breast cancer. The researchers note that acupuncture is safer and no major side effects occurred. 

The home of the Kentucky Derby makes the acupuncture news in the Year of the Horse. New acupuncture education and license titles may come to Kentucky. Out of the gates in the Chinese New Year, the Kentucky State Senate takes up new acupuncture legislation. To learn more about the Chinese New Year, visit the HealthCMi blog on the Year of the Horse.

The Kentucky State Senate committee has approved new acupuncture legislation. As a result, the bill goes to the full Senate for consideration. The bill, SB 29, changes the status of acupuncturists in Kentucky from certified to licensed acupuncturists. Sponsored by State Senator Tom Burford (Nicholasville), the bill amends the original 2006 Kentucky legislation that made acupuncture legal for clinical practice.

Acupuncture and herbs relieve premenstrual syndrome (PMS) according to recent research. PMS is treated with several types of acupuncture and herbal medicine protocols. A meta-analysis of 8 acupuncture studies and 11 herbal medicine studies revealed a success rate of 50% or greater for the reduction of PMS and premenstrual dysphoric disorder (PMDD). No incidence of major adverse events occurred. As a result, the researchers concluded that the acupuncture and herbal medicines investigated in the study are both safe and effective.

PMS occurs during the late luteal phase of the menstrual cycle. The research notes that up to “25% of menstruating women report moderate-to-severe premenstrual symptoms. Approximately 5% report severe symptoms.” Acupuncture demonstrated the ability to reduce symptoms by 77.8% within 2-4 treatments. The treatment protocol yielding these results employed the use of acupuncture points DU20, LI4, HT3, CV3, CV4, CV6, PC6, GB34, UB23 and ear Shenmen. In addition, these results were significantly superior to the sham acupuncture controls.

Hand acupuncture was found more effective than traditional acupuncture for the treatment of hot flashes. Hand moxibustion demonstrated very high improvement rates for the treatment of anxiety, mood swings, swelling and depression. Notably, there were no differences in treatment outcomes between acupuncture treatments given during the luteal and follicular phases. The researchers concluded that these findings demonstrate that acupuncture treatments “need not be limited only to the luteal phase.”

As with acupuncture, no serious adverse events were reported with the herbal medicines investigated in the study. The herbal medicines were effective in the relief of PMS and included the herbal formulas Dan Zhi Xiao Yao San and Xiao Yao San. Groups treated with either hand acupuncture, Vitex Agnus castus or Xiao Yao San demonstrated over a 70% improvement in the reduction of PMS symptoms. The findings of this recent study are confirmed in another study entitled the Therapeutic effect of Vitex agnus castus in patients with premenstrual syndrome. That study concludes, “Vitex agnus can be considered as an effective and well tolerated treatment for the relief of symptoms of mild and moderate PMS.” The same findings were concluded in the study Treatment of Premenstrual Syndrome with a Phytopharmaceutical Formulation Containing Vitex agnus castus.

New research published in Translational Andrology and Urology finds distal acupuncture effective in assisting local anesthesia for surgical procedures on the penis. Acupuncture needles are inserted into the forearm and hand to relieve discomfort associated with surgery. Acupuncture NeedlesAcupuncture has long been used in combination with conventional anesthetics during surgery and for post-operative pain. This new study investigates the effects of combining acupuncture points on the arm with local anesthetics to produce a more comfortable experience for the patient. The goal was to determine if this combination can facilitate a shift from general and spinal anesthesia to local anesthesia for penile surgeries.

A study of 1,481 males undergoing penile surgery investigated the efficacy of applying distal acupuncture points combined with topical nerve blocks. The main points used were LI4 (Hegu), LI10 (Shousanli), LI11 (Quchi), TB5 (Waiguan) and PC6 (Neiguan). The researchers discovered that the combination of acupuncture with local nerve blocks facilitated surgical interventions. The investigators note that this approach minimizes adverse effects and results in a more rapid return to daily living activities.

The researchers discovered that the use of acupuncture was effective for relaxing patients during diagnostic procedures including pharmaco-cavernosography and ultrasonography. Acupuncture was also successful in treating patient discomfort during preoperative preparations for penile venous stripping, penile corporoplasty, urethroplasty, vaso-vasostomy, penile arterial reconstruction, penile implants and penectomy. The researchers note that it is “meaningful to enhance those specific nerve blocks in penile surgeries” with acupuncture. They also note that acupuncture did not introduce significant difficulties into the surgical protocol. In addition, the researchers conclude that, “Acupuncture assisted Local anesthesia on an outpatient basis for penile surgeries appears to be highly promising.”

New research discovers acupuncture and moxibustion effective for the treatment of knee osteoarthritis. A combination of acupuncture and moxibustion was discovered more effective than an injection-supplement combination. The researchers concluded that acupuncture was both safe and effective. In addition, acupuncture and moxibustion showed long term results.

Acupuncture points were chosen based on local pain indications and syndrome differentiation. Both local and distal acupuncture were applied on the affected acupuncture meridians. Acupuncture was applied to UB23 (BL23, Shenshu) and local Ah Shi points with lifting, thrusting and rotating techniques. Reinforcing and reducing methods were applied according to differential diagnostics. Moxibustion was applied with a moxa stick over local painful sites following acupuncture. Acupuncture was applied once per day for 5 days comprising 1 session. A two day break between a total of 2 sessions was given.

Another group did not received acupuncture but instead received a treatment of oral supplements and injections. In a comparison of the two groups, acupuncture was found significantly more effective in the long-term relief of knee pain due to osteoarthritis over the supplement/injection group. The second group received oral administration of glucosamine sulfate combined with knee joint cavity injections. The injections included sodium hyaluronate and triamcinolone acetonide acetate.

New lab experiments reveal acupuncture has antidepressant effects. The research shows that application of electro-acupuncture increases brain cell health associated with mental health. An examination of brain cells following acupuncture treatments uncovered important mechanisms by which acupuncture exerts its antidepressant effects. Acupuncture caused the regulation of brain cell activity associated with therapeutic results.

The researchers discovered that acupuncture exhibits regulatory effects on special brain cells in the hippocampus called neural progenitor cells (NPs). These cells contribute to the maintenance of the brain and spinal cord. A major function of NPs is in the replacement of damaged or dead cells. Injured cells activate NPs to differentiate into the target tissue. NPs vary slightly from stem cells because they are more specific and tend to differentiate into a specific type of cell.

The researchers cite numerous studies showing “that acupuncture is an effective remedy for depression and it may be as effective as antidepressant drugs.” They also note that electro-acupuncture increases neurogenesis in the hippocampus as do SSRIs (serotonin reuptake inhibitors), a class of antidepressant medications. Neurogenesis is the process by which neurons are generated from neural stem and progenitor cells.

Electro-acupuncture is found effective in reducing inflammation and pain. Electro-acupuncture is effective for pain reduction according to new MRI and biochemical measurements. A review published in Anesthesiology - The Journal of the American Society of Anesthesiologists concludes that electro-acupuncture is more effective at the 2 - 10 Hz setting than the 100 Hz setting for the relief of inflammation and neuropathic pain. The investigators note that electro-acupuncture “blocks pain by activating a variety of bioactive chemicals through peripheral, spinal, and supraspinal mechanisms.”

Details reveal that electro-acupuncture activates natural endogenous opioids and other biochemicals that desensitize sensory receptors for painful stimuli (nociceptors). The researchers note that electro-acupuncture desensitizes “peripheral nociceptors and reduce(s) proinflammatory cytokines peripherally and in the spinal cord, and serotonin and norepinephrine, which decrease(s) spinal N-methyl-D-aspartate receptor subunit GluN1 phosphorylation.” This results in less pain and inflammation.

The reviewers note that electro-acupuncture demonstrates unique characteristics. Electro-acupuncture activates the nervous system differently in healthy conditions than when treating pain related conditions. In addition, the reviewers note that studies now “suggest that electroacupuncture, when combined with low dosages of conventional analgesics, provides effective pain management which can forestall the side effects of often-debilitating pharmaceuticals.”

The California Acupuncture Board presented information on the acupuncture workforce in the USA at recent stakeholder meetings in San Francisco and Los Angeles. The California Acupuncture Board is responsible for licensing acupuncturists. The data presented by the California Acupuncture Board Executive Director, Terri Thorfinnson, J.D., covered work hours, income and educational status for licensed acupuncturists in California and nationwide. This provides a greater understanding of the acupuncture profession in the USA.

The largest national percentage of acupuncturists working less than 30 hours per week makes $40,000 per year or less. Notably, there is a similar quantity of acupuncturists making either $40,000 per year or less compared with those making between $81,000 and $160,000 per year for those acupuncturists working more than 30 hours per week. A small proportion of acupuncturists earn greater than $161,000 per year.

New evidence finds acupuncture and Chinese herbal medicine effective for the treatment of menstrual pain. Ze Xie and other herbs in Dang Gui Shao Yao San exert medicinal effects. Ze XieOne study reveals a popular herbal medicine for the relief of cramping and pain. Another study found acupuncture as effective as non-steroidal anti-inflammatory drugs (NSAIDs) for menstrual related pain. The first and most recent study on Traditional Chinese Medicine (TCM) for the treatment of menstrual discomfort was conducted in Taiwan.

This new study finds Dan Gui Shao Yao San the primary herbal formula consumed in Taiwan for the treatment of primary dysmenorrhea. This type of dysmenorrhea is characterized by lower abdominal cramping and pain prior or during menstruation and is not due to endometriosis. Approximately 53% of Taiwanese women with primary dysmenorrhea use Traditional Chinese Medicine (TCM) and over 90% of this group sought the relief of menstruation related pain. The study notes that Dan Gui Shao Yao San is the most commonly prescribed herbal formula for this condition and it contains both “sedative and anti-inflammatory agents.”