Acupuncture and moxibustion for stress-related disorders

BioPsychoSocial Medicine

Tetsuya Kondo¹  Masazumi Kawamoto¹ 

[1] Kansai University of Health Sciences, 2-11-1, Wakaba, Kumatori-cho, Sennan-gun 590-0482, Japan

关键词: Sawada-style holistic therapy;    Hypothalamo-pituitary adrenal axis;    Autonomic nervous system;    Irritable bowel syndrome;    Functional gastrointestinal disorder;    Fibromyalgia;    Stress;    Moxibustion;    Acupuncture;   

Others  :  1082332
DOI  :  10.1186/1751-0759-8-7

 received in 2013-06-30, accepted in 2014-01-20,  发布年份 2014

【 摘 要 】

Acupuncture and moxibustion, which medical doctors are licensed by the government of Japan to perform, can improve the psychological relationship between doctors and patients, especially when it is disturbed by a “game”, a dysfunctional interpersonal interaction that is repeated unintentionally. This advantage is due to the essential properties of acupuncture and moxibustion. Acupuncture and moxibustion are helpful in treating somatoform disorders, especially musculoskeletal symptoms. In Japan, a holistic acupuncture and moxibustion therapy called Sawada-style has been developed. This is based on fundamental meridian points that are considered to have effects on central, autonomic nervous, immune, metabolic, and endocrine systems to regulate the whole body balance. In addition, some of the fundamental points have effects on Qi, blood, and water patterns associated with major depression, generalized anxiety disorder, eating disorders, and somatoform disorders. The fixed protocol of Sawada-style would be suitable for large-scale, randomized, controlled studies in the future. Recent systematic reviews indicate that electroacupuncture would be a useful addition to antidepressant therapy for some symptoms accompanying fibromyalgia. Acupuncture and moxibustion are also recommended for irritable bowel syndrome, instead of Western drug therapy. Surprisingly, the dorsal prefrontal cerebral cortex, which is associated with a method of scalp acupuncture applied for gastrointestinal disorders, has been found to be activated in patients with irritable bowel syndrome. It is quite possible that regulation of this cortical area is related to the effect of scalp acupuncture. This acupuncture method can be effective not only for irritable bowel syndrome but also for other stress-related gastrointestinal disorders.

【 授权许可】

   
2014 Kondo and Kawamoto; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Ezzo J, Lao L, Berman B: Assessing clinical efficacy of acupuncture: what has been learned from systematic reviews of acupuncture? In Clinical Acupuncture. Edited by Strux G, Hammershlag R. Heiderberg: Springer; 2001:113-130.
• [2]Lund I, Lundeberg T: Is it all about sex? Acupuncture for the treatment of pain from a biological and gender perspective. Acupunct Med 2008, 26:33-45.
• [3]Kouchi A: Acupuncture and moxibustion therapy in each medical region, pain clinic. In Textbook of Traditional Japanese Medicine Part 2: Acupuncture and Moxibustion. Edited by Arai M. Tokyo: Research on the standardization of traditional Japanese medicine promoting integrated medicine; 2012:254-258.
• [4]Nakamura M, Yukawa S: The importance of the counseling aspects of acupuncture/moxibustion treatments. (in Japanese). Jpn J Couns Sci 2010, 43:192-201.
• [5]Kondo T: A case of fibromyalgia lapsing into “Yes, but” game and treated through the use of psychological aspect of acupuncture therapy. (in Japanese). Jpn J Psychosom Med 2012, 52:315-321.
• [6]Irie T: Main meridian, ching muscle, and extra meridian therapy. (Keibetsu Keikin Kikei Ryoho). 8th edition. Idononihonsha: Yokosuka; 1998.
• [7]Yamada K: Sawada-style acupuncture. (Shinkyu Sawadaryu). Shinkyu Sawadaryu Keishokai: Tokyo; 1980.
• [8]Kobayashi K: Ken Sawada’s triumph. (Sawada Kenno kouseki). Jpn J Acupunct Manual Thers 2011, 809:34-41.
• [9]Shirota B: The essence of acupuncture. (Shinkyu Shinzui). 20th edition. Yokosuka: Japanese Acupuncture and Manual Therapies Publishing; 1958.
• [10]Shirota B: The practice of acupuncture and moxibustion mainly explained with clinical cases, part I. (Chikenreio shuni shita shinkyu chiryono jissai). 2nd edition. Sogensha: Osaka; 1968.
• [11]Watanabe K, Jotsu M, Nabeta T, Kaneda D, Shichido T: Research on how Sawada-style holistic therapy is ackowledged in educational institutes. (Kyoikukikanni okeru Sawadaryu taikyoku ryoho ninchido chosa). Jpn J Acupunct Manual Thers 2009, 790:154-156.
• [12]Kurono Y: On “Kurono’s standard points for the whole body regulation”. (in Japanese). J Jpn Soc Acupunct Moxibustion 1985, 34:252-256.
• [13]Honma Y: Illustration of “The Efficacy of Fourteen Meridians”. (Jushikei kesseihakki). Idononihonsha: Yokosuka; 1984.
• [14]Knardahl S, Elam M, Olausson B, Wallin BG: Sympathetic nerve activity after acupuncture in humans. Pain 1998, 75:19-25.
• [15]Park HJ, Kim HY, Hahm DH, Lee H, Kim KS, Shim I: Electroacupuncture to ST36 ameliorates behavioral and biochemical responses to restraint stress in rats. Neurol Res 2010, 32(Suppl 1):111-115.
• [16]Chen A: An introduction to sequential electric acupuncture (SEA) in the treatment of stress related physical and mental disorders. Acupunct Electrother Res 1992, 17:273-283.
• [17]Minagawa M, Kurono Y, Ishigami T, Yamada A, Kakamu T, Akai R, et al.: Site-specific organ-selective effect of epifascial acupuncture on cardiac and gastric autonomic functions. Auton Neurosci 2013, 179:151-154.
• [18]Liu J, Huang H, Xu X, Chen JD: Effects and possible mechanisms of acupuncture at ST36 on upper and lower abdominal symptoms induced by rectal distension in healthy volunteers. Am J Physiol Regul Integr Comp Physiol 2012, 303:R209-R217.
• [19]Yook T, Yu J, Lee H, Song B, Kim L, Roh J, et al.: Comparing the effects of distilled Rehmannia glutinosa, Wild Ginseng and Astragali Radix pharmacopuncture with heart rate variability (HRV): a randomized, sham-controlled and double-blind clinical trial. J Acupunct Meridian Stud 2009, 2:239-247.
• [20]Ngai SP, Jones AY: Changes in skin impedance and heart rate variability with application of Acu-TENS to BL 13 (feishu). J Altern Complement Med 2013, 19:558-563.
• [21]Inoue K, Aikawa H, Yamauchi T: Autonomic nervous activity and arousal level of patients with anxiety disorder. (in Japanese). Clin Neurophysiol 2003, 31:499-502.
• [22]Shea AK, Kamath MV, Fleming A, Streiner DL, Redmond K, Steiner M: The effect of depression on heart rate variability during pregnancy. A naturalistic study. Clin Auton Res 2008, 18:203-212.
• [23]Tonhajzerova I, Ondrejka I, Javorka K, Turianikova Z, Farsky I, Javorka M: Cardiac autonomic regulation is impaired in girls with major depression. Prog Neuropsychopharmacol Biol Psychiatry 2010, 34:613-618.
• [24]Zhang X, Peng Y, Yu J, Liu C, Cheng H, Liu L, et al.: Changes in histomorphometric and mechanical properties of femurs induced by acupuncture at the Shenshu point in the SAMP6 mouse model of senile osteoporosis. Gerontology 2009, 55:322-332.
• [25]Donoyama N, Hotoge S, Ohkoshi N: Acupuncture might have contributed to improving amenorrhoea in a top athlete. Acupunct Med 2011, 29:304-306.
• [26]Toriizuka K, Okumura M, Iijima K, Haruyama K, Cyong JC: Acupuncture inhibits the decrease in brain catecholamine contents and the impairment of passive avoidance task in ovariectomized mice. Acupunct Electrother Res 1999, 24:45-57.
• [27]Wang K, Wu H, Wang G, Li M, Zhang Z, Gu G: The effects of electroacupuncture on TH1/TH2 cytokine mRNA expression and mitogen-activated protein kinase signaling pathways in the splenic T cells of traumatized rats. Anesth Analg 2009, 109:1666-1673.
• [28]Shirota B: The basis of acupuncture therapy. (Shinkyu chiryo kisogaku). 20th edition. Idononihonsha: Yokosuka; 1996.
• [29]Filshie J, Bolton T, Browne D, Ashley S: Acupuncture and self acupuncture for long-term treatment of vasomotor symptoms in cancer patients–audit and treatment algorithm. Acupunct Med 2005, 23:171-180.
• [30]Kitamura T: Particular acupuncture and moxibustion therapies. (Shinkyu Tokushu Chiryoho). 1st edition. Kitamura: Osaka; 1998.
• [31]Pomeranz B: Acupuncture Analgesia - Basic Research. In Clinical Acupuncture. Edited by Strux G, Hammershlag R. Heiderberg: Springer; 2001:1-28.
• [32]Zao F, JS H: Acupuncture analgesia in impacted last molar extraction. Effect of clomipramine and pargyline. In The Neurochemical Basis of Pain Relief by Acupuncture A Collection of Papers 1973–1989. Edited by Han J. Beijing: Beijing Medical Science; 1987.
• [33]Zhang GJ, Shi ZY, Liu S, Gong SH, Liu JQ, Liu JS: Clinical observation on treatment of depression by electro-acupuncture combined with Paroxetine. Chin J Integr Med 2007, 13:228-230.
• [34]Liu HR, Wang XM, Zhou EH, Shi Y, Li N, Yuan LS, et al.: Acupuncture at both ST25 and ST37 improves the pain threshold of chronic visceral hypersensitivity rats. Neurochem Res 2009, 34:1914-1918.
• [35]Eshkevari L, Egan R, Phillips D, Tilan J, Carney E, Azzam N, et al.: Acupuncture at ST36 prevents chronic stress-induced increases in neuropeptide Y in rat. Exp Biol Med (Maywood) 2012, 237:18-23.
• [36]Terasawa K: Japanese Kampo medicine with cases. (Shoreikara manabu wakanshinryogaku). Tokyo: Igaku Shoin; 1990.
• [37]Terasawa K: Evidence-based reconstruction of Kampo Medicine: part II-the concept of Sho. Evid Based Complement Alternat Med 2004, 1:119-123.
• [38]Kondo T: Textbook of Traditional Japanese Medicine Part 2: Acupuncture and Moxibustion. Edited by Arai M. Tokyo: Research on the standardization of traditional Japanese medicine promoting integrated medicine; 2012:242-244.
• [39]Kondo T, Tokunaga S, Sugahara H, Yoshimasu K, Akamine M, Kanemitsu Y, et al.: Qi-deficiency, Qi-stagnation, Qi-flowback, blood deficiency, and fluid retention in patients with depression, psychiatric disorders, or psychosomatic disorders. Psychology 2011, 2:643-659.
• [40]Kondo T, Yanagida M, Kame S: Traditional Chinese patterns in psychosomatic and psychiatric medicine. Int J Integr Med 2013, 1:81-94.
• [41]Oka A, Tanaka H, Sakaguchi S, Kimura K, Kondo T, Kawamoto M: Effects of acupuncture treatment on lumbar disk herniation wlth phobia. (in Japanese). J Jpn Soc Acupunct Moxibustion 2010, 60:225-233.
• [42]Shirota F: Acupuncture and moxibustion for psychiatric disorders (Shinkei seisinka sikkan to shinkyu). Gendai Touyou Igaku 1993, 14:539-543.
• [43]Kawase Y, Ishigami T, Nakamura H, Hattori T, Minagawa M, Kouda H, et al.: Acupuncture treatment for lower back pain ―multi-center randomized controlled trial using sham acupuncture as a control. (In Japanese). J Jpn Soc Acupunct Moxibustion 2006, 56:140-149.
• [44]Ishigami T, Minagawa M, Fukuda H, Ijima H, Kondo T, Kurono Y: Investigation on acupuncture treatment for indefinite complaints accompanying sleep disorder. J Jpn Soc Acupunct Moxibustion 2006, 56:793-801.
• [45]Martin-Sanchez E, Torralba E, Diaz-Dominguez E, Barriga A, Martin JL: Efficacy of acupuncture for the treatment of fibromyalgia: systematic review and meta-analysis of randomized trials. Open Rheumatol J 2009, 3:25-29.
• [46]Mayhew E, Ernst E: Acupuncture for fibromyalgia–a systematic review of randomized clinical trials. Rheumatology (Oxford) 2007, 46:801-804.
• [47]Deluze C, Bosia L, Zirbs A, Chantraine A, Vischer TL: Electroacupuncture in fibromyalgia: results of a controlled trial. BMJ (Clinical research ed) 1992, 305:1249-1252.
• [48]Xing J, Larive B, Mekhail N, Soffer E: Transcutaneous electrical acustimulation can reduce visceral perception in patients with the irritable bowel syndrome: a pilot study. Altern Ther Health Med 2004, 10:38-42.
• [49]Pei LX, Zhang XC, Sun JH, Geng H, Wu XL: Meta analysis of acupuncture-moxibustion in treatment of irritable bowel syndrome. (in Chinese). Zhongguo Zhen Jiu 2012, 32:957-960.
• [50]Xu YL, Xiong J, Du YH, Xu XM: Classification basis and train of thought of functional dyspepsia in disease menu of acupuncture. (in Chinese). Zhongguo Zhen Jiu 2011, 31:189-192.
• [51]Aizawa E, Sato Y, Kochiyama T, Saito N, Izumiyama M, Morishita J, et al.: Altered cognitive function of prefrontal cortex during error feedback in patients with irritable bowel syndrome, based on FMRI and dynamic causal modeling. Gastroenterology 2012, 143:1188-1198.
• [52]Wang Z, Ocampo MA, Pang RD, Bota M, Bradesi S, Mayer EA, et al.: Alterations in prefrontal-limbic functional activation and connectivity in chronic stress-induced visceral hyperalgesia. PloS One 2013, 8:e59138.
• [53]Drossman DA, Ringel Y, Vogt BA, Leserman J, Lin W, Smith JK, et al.: Alterations of brain activity associated with resolution of emotional distress and pain in a case of severe irritable bowel syndrome. Gastroenterology 2003, 124:754-761.
• [54]Morgan V, Pickens D, Gautam S, Kessler R, Mertz H: Amitriptyline reduces rectal pain related activation of the anterior cingulate cortex in patients with irritable bowel syndrome. Gut 2005, 54:601-607.
• [55]Asano S: All about scalp acupuncture; the theory for scalp acupuncture and meridian points to treat 135 kinds of disorders (Tohishin chiryo no subete; toshin toketsu no riron to 135 byo no chiryoho). Miwa Shoseki: Tokyo; 2011.
• [56]Huang Y, Li DJ, Tang AW, Li QS, Xia DB, Xie YN, et al.: Effect of scalp acupuncture on glucose metabolism in brain of patients with depression. (in Chinese). Zhongguo Zhong Xi Yi Jie He Za Zhi 2005, 25:119-122.
• [57]Zhang HC, Han SK, Tang JL: Fifty cases of irritable bowel syndrome of diarrhea type treated with scalp acupuncture. (in Chinese). Zhongguo Zhen Jiu 2011, 31:605-606.