Acupuncture and
its value
Acupuncture originates from China, and it has a long and
successful history there, being practiced for thousands of years.
Acupuncture involves the insertion of very thin needles
through the patient's skin at specific points on the body - the needles are
inserted to various depths. While there are no solid scientific explanations, why
and how acupuncture affects so drastically the patients’ health, the
overwhelming data confirms its positive effects on numerous medical conditions
and substantial therapeutic benefits, including pain relief and alleviation
from nausea caused by chemotherapy.
According to traditional Chinese medical theory,
acupuncture points are located on meridians through which gi vital energy runs.
There is no histological, anatomical or scientific proof that these meridians
or acupuncture points exist. Acupuncture remains controversial among Western
medical doctors and scientists.
Creating case studies that use proper scientific controls
is difficult because of the invasive nature of acupuncture - a clinical study
involves a placebo, compared to the targeted treatment. It is very hard to
devise an imitation of acupuncture control, that one can compare to proper
acupuncture. The study resulted in article, published in a peer-reviewed
British Medical Journal in March 2009, confirms that the principles of
acupuncture are firmly grounded in science, and you don't need Chinese
philosophy either to make it work, or to practice it.
According to WHO (World Health Organization) acupuncture
is effective for treating 28 conditions, while evidence indicates it may have
an effective therapeutic value for many more.
New Studies on Acupuncture
and Alzheimer’s
There are several respected studies, bringing an
overwhelming evidence that Acupuncture Therapy may be very effective for
Alzheimer’s patients, not only slowing down the disease, but being able to
reverse the cognitive impairment – the therapeutic effect, which is yet to be
achieved with other traditional therapies and medications.
In two separate studies - one at the Wellesley College
Center for Research on Women, the other at the University of Hong Kong -
scientists have found that acupuncture can increase a patient's verbal and
motor skills and improve mood and cognitive function.
In the first study, Dr. Nancy Emerson Lombardo and a team
of colleagues at Wellesley College in Massachusetts studied 11 patients, 10
with Alzheimer's and one with vascular dementia. Subjects were treated with
acupuncture twice a week for three months, with each subject receiving a
minimum of 22 treatments. Patients were subjected to a variety of tests before
and after being treated, including the Cornell Scale for Depression, the Speilberger
State Anxiety Inventory, and the Mini-Mental Status Exam (MMSE) for cognitive
function.
The researchers found "statistically significant
improvements" in the depression and anxiety scores of patients. For
example, the average Spielberger anxiety score at the start of treatment was
49.5; at the end of three months, it had decreased to 40.1. Four subjects
experienced "substantial improvement" in mood symptoms after
undergoing acupuncture; of those whose moods improved, two also showed improved
MMSE scores, and a third improved in tests for fluency and naming ability.
While cognitive function was not measured scientifically
(no control group was used), Lombardo said that those delivering treatment
seemed to note an improvement in their subjects' thinking skills along with the
other improvements, which she believes indicates a close relationship between
cognitive ability, anxiety and depression.
In Dr. Kao's study, eight patients diagnosed with mild to
moderate Alzheimer's disease were treated at the University of Hong Kong.
Treatment consisted of needling and fine finger turning at eight acupoints: the
si shen cong (Estra 7, four points on the scalp), shen men (HT7 on the wrists)
and tai xi (KI3 on the feet). Needles were inserted 0.5 inches at an angle into
si shen cong; 0.5 inches directly into shen men; and 0.8 inches directly into
tai xi.
Needling for each acupoint lasted a total of 30 minutes,
comprising the needle testing and its reinsertion after every 10 minutes of
therapy. Patients received a seven-day treatment cycle with a three-day break
in between for a total of 30 days.
Patients were graded using the TCM Symptoms Checklist for
Alzheimer's and the MMSE exam to measure their levels of orientation; memory;
attention; and the ability to name an object, follow verbal and written
commands, and write a sentence spontaneously.
After being treated, Kao's team reported that patients
"significantly improved" on measures of verbal orientation and motor
coordination and had higher overall MMSE scores. They also noted that patients
"showed a significant overall clinical improvement" on the TCM
checklist, leading the researchers to conclude that acupuncture treatment
"has shown significant therapeutic effects" in reducing the symptoms
of Alzheimer's disease.
MRI Validation for
the Acupuncture Positive Effects
MRI imaging confirmed that acupuncture therapy enhances
brain activity in Alzheimer disease (AD) patients. Researchers investigated the
effects of two important acupuncture points on the human brains of Alzheimer
disease patients using fMRI imaging with a SIEMENS verio 3-Tesla scanner. The
researchers discovered that acupuncture “can enhance the hippocampal
connectivity in AD patients.”
The hippocampus is an area of the brain involved in
processing emotions, memory and the autonomic nervous system. The researchers
note that the MRI scans demonstrate that acupuncture “increased connectivity”
in the hippocampus in patients with AD. Alzheimer’s disease damages the
hippocampus resulting in memory loss, cognitive dysfunction, dementia and
disorientation. The study suggests that acupuncture may provide important
clinical benefits to AD patients.
The controlled clinical investigation of human subjects
measured multiple regions of disrupted connectivity in AD patients. After
acupuncture, MRI imaging revealed that AD patients had significant improvements
in connectivity for both frontal and lateral temporal regions of the
hippocampus. The researchers note, “Due to the cognitive impairment associated
with AD, acupuncture on specific acupoints can modulate the cerebral blood flow
and strengthen the hippocampal connectivity in AD patients.”
The researchers note that these findings are consistent
with other MRI studies on the effects of acupuncture on brain activity. This
investigation used fMRI imaging to measure the effects of acupuncture points LV3
(Tai chong) and LI4 (He gu). The investigators note
that similar prior research on acupuncture point KI3 on patients with cognitive
impairment also demonstrated increased connectivity. The researchers added that
acupuncture has long-lasting and beneficial effects on the human brain. They
note, “Our study provides new evidence that acupuncture has a striking,
sustained effect on AD patients.”
How is acupuncture
treatment done?
Acupuncture needles Acupuncture generally involves
several weekly or fortnightly treatments. Most courses consist of up to 12
sessions. A visit to an acupuncturist will involve an exam and an assessment of
the patient's condition, the insertion of needles, and advice on self-care.
Most sessions last about 30 minutes.
The patient will be asked to lie down, either face-up,
face-down or on his/her side, depending on where the needless are inserted. The
acupuncturist should use single-use disposable sterile needles. As each needle
is inserted the patient should feel them, but initially without pain. However,
when the needle reaches the right depth there should be a deep aching
sensation. Sometimes the needles are heated or stimulated with electricity
after insertion. Once inserted, the needles will remain there for about twenty
minutes.
How does
acupuncture work?
Traditional Chinese medicine explains that health is the
result of a harmonious balance of the complementary extremes of yin and yan of
the life force known as gi or chi. Qi is said to flow through meridians (pathways)
in the human body. Through 350 acupuncture points in the body, these meridians
and energy flows may be accessed. Illness is said to be the consequence of an
imbalance of the forces. If needles are inserted into these points with
appropriate combinations it is said that the energy flow can be brought back
into proper balance.
In Western societies and several other parts of the
world, acupuncture is explained including concepts of neuroscience. Acupuncture
points are seen by Western practitioners as places where nerves, muscles and
connective tissue can be stimulated. Acupuncture practitioners say that the
stimulation increases blood flow while at the same time triggering the activity
of our own body's natural painkillers.
Acupuncture points
for Alzheimer's disease
Only the trained certified practitioner is able to
perform acupuncture therapy, therefore the following review of the particular acupuncture
points should be considered as “for reference only”. The points listed below
are by no means the only relevant points, rather the commonly used points among
the experts for this condition.
* GV 20 Acupuncture Point - Bai Hui - Governing Vessel
Meridian
Chinese Name: Bai Hui
English Name: Hundred Convergences
* SI 16 Acupuncture Point - Tian Chuang - Small Intestine
Meridian
Chinese Name: Tian Chuang
English Name: Celestial Windows
* LI 17 Acupuncture Point - Tian Ding - Large Intestine
Meridian
Chinese: Name Tian Ding
English Name: Celestial Tripod
* LV 3 Acupuncture Point - Tai Chong - Liver Meridian
Chinese Name: Tai Chong
English Name: Great Surge
* LI 4 Acupuncture Point - He Gu - Large Intestine
Meridian
Chinese Name: He Gu
English Name: Union Valley
* HT 7 Acupuncture Point - Shen Men - Heart Meridian
Chinese Name: Shen Men
English Name: Spirit Gate
Sources and
Additional Information: