HOW ACUPUNCTURE WORKS - MODERN RESEARCH Physiological Effects of Acupuncture The National Institute of Health (NIH) states that “studies have demonstrated that acupuncture can cause multiple biological responses, mediated mainly by sensory neurons, to many structures within the central nervous system. This can lead to activation of pathways, affecting various physiological systems in the brain, as well as in the periphery.” NIH also suggests that acupuncture “may activate the hypothalamus and the pituitary gland, resulting in a broad spectrum of systemic effects. Alteration in the secretion of neurotransmitters and neurohormones, and changes in the regulation of blood flow, both centrally and peripherally, have been documented. There is also evidence of alterations in immune functions produced by acupuncture.” Current Theories on the Mechanism of Acupuncture 1. Neurotransmitter Theory- Acupuncture affects higher brain areas, stimulating the secretion of beta-endorphins and enkephalins in the brain and spinal cord. The release of neurotransmitters influences the immune system and the antinociceptive system. 2. Autonomic Nervous System Theory- Acupuncture stimulates the release of norepinephrine, acetylcholine, and several types of opioids, affecting changes in their turnover rate, normalizing the autonomic nervous system, and reducing pain. 3. Gate Control Theory- Acupuncture activates non-nociceptive receptors that inhibit the transmission of nociceptive signals in the dorsal horn, “gating out” painful stimuli. 4. Vascular-interstitial Theory – Acupuncture manipulates the electrical system of the body by creating or enhancing closed-circuit transport in tissues. This facilitates healing by allowing the transfer of material and electrical energy between normal and injured tissues. 5. Blood Chemistry Theory – Acupuncture affects the blood concentrations of triglycerides, cholesterol, and phospholipids, suggesting that acupuncture can both raise and diminish peripheral blood components, thereby regulating the body toward homeostasis. CURRENT RESEARCH ON SPECIFIC CONDITIONS ALLERGIC RHINITIS Acupuncture can significantly relieve allergic rhinitis symptoms. European Journal of Integrative Medicine. Nov 2008; 101(5): 535-543. ALLERGIES Acupuncture had an extensive action against type I allergic reaction, and the curative effect of the patients receiving acupuncture was higher than in the desensitization group in allergic asthma, allergic rhinitis, and chronic urticaria. Med J Aust, September 2007. ARTHRITIS A randomized, controlled trial conducted by the University of Maryland School of Medicine suggests that acupuncture can provide effective pain relief and improve function for osteoarthritis of the knee. Annals of Internal Medicine, December 2004. ASTHMA Symptoms of bronchial asthma were markedly improved after acupuncture treatments, and the dosage of patients’ medication was gradually reduced. Another study suggests improvement of the quality of life for patients with clinically stable, chronic obstructive asthma when conventional care is combined with acupuncture. Journal of Alter. Comp. Medicine, October 2003; Journal of Traditional Chinese Medicine, March 1998. BREAST CANCER Acupuncture is as effective and longer-lasting in managing the common debilitating side effects of hot flashes, night sweats, and excessive sweating associated with beast cancer treatment and has no treatment side effects compared to conventional drug therapy. American Society for Therapeutic Radiology and Oncology’s 50th Annual Meeting, Boston 2008. Acupuncture reduces pain levels in cancer patients. Journal of Clinical Oncology Nov. 15, 2003; 21(22) : 4120-4126. CARPAL TUNNEL SYNDROME Acupuncture is as effective as the corticosteroid, prednisone, for the treatment of carpal tunnel syndrome. The Clinical Journal of Pain. 25(4): 327-333, May 2009 CANCER/CHEMOTHERAPY Electro-acupuncture can strengthen immune function, hematopoietic function and improve appetite, sleep, alleviate pain and digestive distress. Another study suggests acupuncture is able to normalize the pattern of leukocytes. Journal of Traditional Chinese Medicine, March 2002; Neuroscience Letters, March 2002. CROHN’S DISEASE Acupuncture found effective in treatment of Crohn’s disease. Digestion, 2004; 69(3): 131-139. DEPRESSION Electro-acupuncture can produce the same therapeutic results as tetracycline drugs, but with fewer side effects and better symptomatic improvement. Journal of Traditional Chinese Medicine, September 2004. FIBROMYALGIA/CHRONIC PAIN Using brain imagery, a University of Michigan study is the first to provide evidence that acupuncture affects the brain’s long-term ability to regulate pain by acting on opiod receptors. Journal of NeuroImage, Volume 47, Issue 3, September 2009, pp 1077-1085 GASTRITIS A study from the Guangxi College of Traditional Chinese Medicine concluded that acupuncture was effective in the treatment of chronic gastritis, resulting in a 95% effective rate. Journal of Traditional Chinese Medicine, December 2003. HEADACHES Acupuncture is more effective than medication in reducing the severity and frequency of chronic headaches according to a new meta-analysis done by Duke University Medical Center researchers. Duke Medicine News and Communications 2009. People who suffer from chronic migraines may benefit from acupuncture to reduce the severity and frequency of headaches. Cephalalgia, Volume 28 Issue 9, pp 911-913 HYPERTENSION Patients with hypertension achieved significant short-term reduction in systolic and diastolic blood pressure following administration of acupuncture. Circulation, June 2007. Patients treated with acupuncture had an overall decrease in the level of systolic pressure during and after treatment. Journal of Traditional Chinese Medicine, March 2003. INFERTILITY Women undergoing IVF were 65% more likely to become pregnant when they combined the procedure with acupuncture. British Medical Journal, February 2008. Acupuncture is an essential part of successful IVF outcomes, by improving implantation and live birth rates. Infertility and Sterility, April 2007. Acupuncture improves pregnancy success rate by 50% in women undergoing in-vitro fertilization. J Fertility and Sterility, April 2002. INSOMNIA Acupuncture yields significant results with total effective rate of 90.4%, improves the quality of sleep and overcomes complications induced by sleep medications. Journal of Traditional Chinese Medicine, December 2003. MEMORY Acupuncture can significantly improve learning and memory capacity that has been impaired by hyperglycemia and cerebral ischemia. Neuroscience Letters, Volume 443, Issue 3, October 2008, pp 193-198. MENSTRUAL PAIN A recent German study confirms that acupuncture can relieve a woman of menstrual pain. American Journal of Obstetrics & Gynecology, Volume 198, Issue 2, pp 166.e1-166.e8, February 2008. MENOPAUSE/HOT FLASHES Acupuncture reduces nighttime hot flashes caused by menopause. Fertility and Sterility, September 2006, Volume 86, pp 700-710. POLYCYSTIC OVARIAN SYNDROME Exercise and electro-acupuncture treatments reduce sympathetic nerve activity in women with PCOS. Electro-acupuncture treatments led to more regular menstrual cycles, reduced testosterone levels, and reduced waist circumference. AJP Regulatory Integrative and Comparative Physiology, 2009 TINNITUS Research finding in animals suggests that acupuncture, if used to target nerves in the head and neck, may provide relief for some people plagued by tinnitus. European Journal of Neuroscience, Volume 27, Issue 1, January 2008 WEIGHT LOSS Systematic review of studies shows that acupuncture effective for weight loss. International Journal of Obesity, January 2009.