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In this Issue

In this Issue Highlights 1,2 David John Carr doi:10.1136/acupmed-2018-011642 This issue of Acupuncture in Medicine paper is followed by another technolog- addiction/obesity, in which they draw a opens with a new, single-blinded, ical evaluation of acupuncture technique number of parallels with other forms of randomised controlled trial (RCT) by by Tang et al, in which three-dimensional addiction and highlight the key histor- Chung et al, in which the effectiveness of motion video analysis is used to describe ical aspects of acupuncture’s emerging traditional needle acupuncture, adminis- the characteristics of different types of role in the field. tered both with and without concurrent traditional needle manipulations (namely auricular acupuncture, and compared ‘lifting-thrusting’, ‘reinforcing’ and Contributors DJC wrote the manuscript. with allocation to a waiting list, is assessed ‘attenuating’), translated into the move- Funding This research received no as a potential treatment for insomnia. ments of the various finger joints, among specific grant from any funding agency in Both groups receiving acupuncture treat- both teachers and students of acupunc- the public, commercial or not-for-profit ment demonstrated a lesser degree of ture. While the clinical impact of vari- sectors. insomnia and fatigue, fewer symptoms able needle manipulation style remains Competing interests None declared. relating to anxiety or depression, and unknown, there is indeed some evidence Provenance and peer review Not improved functional status, relative to the of a differential effect on specific biophys- commissioned; internally peer reviewed. untreated control group. There appeared ical parameters, and the authors argue © Article author(s) (or their employer(s) to be no synergistic effect of body and that motion-tracking technology may play unless otherwise stated in the text of auricular needling, however, given that a future role in traditional acupuncture the article) 2018. All rights reserved. the two active acupuncture treatment education. No commercial use is permitted unless groups did not significantly differ with Elsewhere in this issue, we have otherwise expressly granted. respect to any primary or secondary three interesting preclinical papers outcomes. Nevertheless, this latest report and a review. Tian et al take a neuro- RefeRences adds to an ever-growing RCT-level physiological approach to the study of 1 Yeung WF, Chung KF, Zhang SP, et evidence base, predominantly courtesy of acupuncture’s metabolic effects in rats al. Electroacupuncture for primary this particular psychiatric research group with streptozotocin-induced diabetes 1–3 insomnia: a randomized controlled trial. at the University of Hong Kong, who mellitus, by comparing the impact of have made other recent contributions to electroacupuncture (EA) at BL15, BL23 Sleep 2009;32:1039–47. the Journal in debating whether a positive and Weiwanxiashu, which are located in 2 Yeung WF, Chung KF, Tso KC, et al. response to acupuncture among insom- the T5, L2 and T8 myotomes, respec- Electroacupuncture for residual insomnia 4 5 niacs is predictable to some degree. tively. Needling in the two thoracic associated with major depressive Next, Jin et al present the findings segments, but not at BL23 (or a sham disorder: a randomized controlled trial. of their functional magnetic resonance acupuncture point on the tail), differ- Sleep 2011;34:807–15. imaging (fMRI) study of 30 healthy volun- entially affected blood levels of glucose, 3 Chung KF, Yeung WF, Yu YM, et al. teers undergoing acupuncture at SP6 (the insulin, triglycerides and (total and Acupuncture for residual insomnia inspiration for this issue’s cover image), low-density lipoprotein) cholesterol associated with major depressive in which they compare the utility of a over a 4 week time period. Next, Zhou disorder: a placebo- and sham- new approach to analysis called intersub- et al demonstrate that EA inhibits controlled, subject- and assessor-blind, ject synchronisation (ISS) against a more subchondral bone loss in an ovariecto- randomized trial. J Clin Psychiatry conventional approach using the general my-induced rat model of osteoarthritis 2015;76:e752–60. linear model (GLM). The bottom line is and implicate regulation of nuclear 4 Yeung WF, Chung KF, Yu YB, et al. that ISS was better able to examine rela- factor kappa-B ligand and osteoprote- What predicts a positive response to tively more sustained effects of acupunc- gerin, and inhibition of matrix metal- acupuncture? A secondary analysis of ture and also revealed additional clusters loproteinase-13, in the underlying three randomised controlled trials of of activation that GLM analysis failed mechanism of action. Thereafter, dos to detect, suggesting that this method Anjos-Ramos et al assess the potential insomnia. Acupunct Med 2017;35:24–9. is worthy of consideration, and further role of EA-induced alterations of gastric 5 Chung KF, Yeung WF, Leung CY, et validation, by future fMRI studies. This motility in the clearance of the intes- al. An integrative Chinese-western tinal parasite Strongyloides venezuelensis diagnostic approach to predict a positive Department of Obstetrics, Gynecology and in rats deliberately infected and then response to acupuncture. Acupunct Med Reproductive Sciences, The Robert Larner, M.D. treated at ST36 and CV12. EA impacted 2017;35:306–8. College of Medicine, The University of Vermont, transit times and increased the number 6 Bäcker M, Hammes MG, Valet M, et al. Burlington, Vermont, USA 2 of eggs per gram of rat faeces, suggesting Department of Maternal and Fetal Medicine, Different modes of manual acupuncture it could have a potentially adjunctive UCL EGA Institute for Women’s Health, University stimulation differentially modulate role to conventional antiparasitic ther- College London, London, UK cerebral blood flow velocity, arterial apies. Finally, Chen et al contribute an Correspondence to Dr David John Carr, University blood pressure and heart rate in human interesting review of the potential uses of Vermont Medical Center, Burlington, VT 05401, subjects. Neurosci Lett 2002;333:203–6. of acupuncture in the treatment of food USA; dcarr@ uvm. edu Carr DJ. Acupunct Med 2018;36:1. doi:10.1136/acupmed-2018-011642 1 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acupuncture in Medicine SAGE

In this Issue

Carr, David John
Acupuncture in Medicine , Volume 36 (1): 1 – Feb 1, 2018
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References (6)

Publisher
SAGE
Copyright
© 2018 British Medical Acupuncutre Society
ISSN
0964-5284
eISSN
1759-9873
DOI
10.1136/acupmed-2018-011642
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Abstract

Highlights 1,2 David John Carr doi:10.1136/acupmed-2018-011642 This issue of Acupuncture in Medicine paper is followed by another technolog- addiction/obesity, in which they draw a opens with a new, single-blinded, ical evaluation of acupuncture technique number of parallels with other forms of randomised controlled trial (RCT) by by Tang et al, in which three-dimensional addiction and highlight the key histor- Chung et al, in which the effectiveness of motion video analysis is used to describe ical aspects of acupuncture’s emerging traditional needle acupuncture, adminis- the characteristics of different types of role in the field. tered both with and without concurrent traditional needle manipulations (namely auricular acupuncture, and compared ‘lifting-thrusting’, ‘reinforcing’ and Contributors DJC wrote the manuscript. with allocation to a waiting list, is assessed ‘attenuating’), translated into the move- Funding This research received no as a potential treatment for insomnia. ments of the various finger joints, among specific grant from any funding agency in Both groups receiving acupuncture treat- both teachers and students of acupunc- the public, commercial or not-for-profit ment demonstrated a lesser degree of ture. While the clinical impact of vari- sectors. insomnia and fatigue, fewer symptoms able needle manipulation style remains Competing interests None declared. relating to anxiety or depression, and unknown, there is indeed some evidence Provenance and peer review Not improved functional status, relative to the of a differential effect on specific biophys- commissioned; internally peer reviewed. untreated control group. There appeared ical parameters, and the authors argue © Article author(s) (or their employer(s) to be no synergistic effect of body and that motion-tracking technology may play unless otherwise stated in the text of auricular needling, however, given that a future role in traditional acupuncture the article) 2018. All rights reserved. the two active acupuncture treatment education. No commercial use is permitted unless groups did not significantly differ with Elsewhere in this issue, we have otherwise expressly granted. respect to any primary or secondary three interesting preclinical papers outcomes. Nevertheless, this latest report and a review. Tian et al take a neuro- RefeRences adds to an ever-growing RCT-level physiological approach to the study of 1 Yeung WF, Chung KF, Zhang SP, et evidence base, predominantly courtesy of acupuncture’s metabolic effects in rats al. Electroacupuncture for primary this particular psychiatric research group with streptozotocin-induced diabetes 1–3 insomnia: a randomized controlled trial. at the University of Hong Kong, who mellitus, by comparing the impact of have made other recent contributions to electroacupuncture (EA) at BL15, BL23 Sleep 2009;32:1039–47. the Journal in debating whether a positive and Weiwanxiashu, which are located in 2 Yeung WF, Chung KF, Tso KC, et al. response to acupuncture among insom- the T5, L2 and T8 myotomes, respec- Electroacupuncture for residual insomnia 4 5 niacs is predictable to some degree. tively. Needling in the two thoracic associated with major depressive Next, Jin et al present the findings segments, but not at BL23 (or a sham disorder: a randomized controlled trial. of their functional magnetic resonance acupuncture point on the tail), differ- Sleep 2011;34:807–15. imaging (fMRI) study of 30 healthy volun- entially affected blood levels of glucose, 3 Chung KF, Yeung WF, Yu YM, et al. teers undergoing acupuncture at SP6 (the insulin, triglycerides and (total and Acupuncture for residual insomnia inspiration for this issue’s cover image), low-density lipoprotein) cholesterol associated with major depressive in which they compare the utility of a over a 4 week time period. Next, Zhou disorder: a placebo- and sham- new approach to analysis called intersub- et al demonstrate that EA inhibits controlled, subject- and assessor-blind, ject synchronisation (ISS) against a more subchondral bone loss in an ovariecto- randomized trial. J Clin Psychiatry conventional approach using the general my-induced rat model of osteoarthritis 2015;76:e752–60. linear model (GLM). The bottom line is and implicate regulation of nuclear 4 Yeung WF, Chung KF, Yu YB, et al. that ISS was better able to examine rela- factor kappa-B ligand and osteoprote- What predicts a positive response to tively more sustained effects of acupunc- gerin, and inhibition of matrix metal- acupuncture? A secondary analysis of ture and also revealed additional clusters loproteinase-13, in the underlying three randomised controlled trials of of activation that GLM analysis failed mechanism of action. Thereafter, dos to detect, suggesting that this method Anjos-Ramos et al assess the potential insomnia. Acupunct Med 2017;35:24–9. is worthy of consideration, and further role of EA-induced alterations of gastric 5 Chung KF, Yeung WF, Leung CY, et validation, by future fMRI studies. This motility in the clearance of the intes- al. An integrative Chinese-western tinal parasite Strongyloides venezuelensis diagnostic approach to predict a positive Department of Obstetrics, Gynecology and in rats deliberately infected and then response to acupuncture. Acupunct Med Reproductive Sciences, The Robert Larner, M.D. treated at ST36 and CV12. EA impacted 2017;35:306–8. College of Medicine, The University of Vermont, transit times and increased the number 6 Bäcker M, Hammes MG, Valet M, et al. Burlington, Vermont, USA 2 of eggs per gram of rat faeces, suggesting Department of Maternal and Fetal Medicine, Different modes of manual acupuncture it could have a potentially adjunctive UCL EGA Institute for Women’s Health, University stimulation differentially modulate role to conventional antiparasitic ther- College London, London, UK cerebral blood flow velocity, arterial apies. Finally, Chen et al contribute an Correspondence to Dr David John Carr, University blood pressure and heart rate in human interesting review of the potential uses of Vermont Medical Center, Burlington, VT 05401, subjects. Neurosci Lett 2002;333:203–6. of acupuncture in the treatment of food USA; dcarr@ uvm. edu Carr DJ. Acupunct Med 2018;36:1. doi:10.1136/acupmed-2018-011642 1

Journal

Acupuncture in Medicine – SAGE

Published: Feb 1, 2018

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