Acupuncture and its

Complementary Role in the

Treatment of

Cardiovascular Diseases.

Roger Wang A.P., Dr. Huimin Wang

Wang’s Acupuncture

Jacksonville, FL

http://wangsacupunctureclinic.com

Demonstration Call for volunteers.

How Does Acupuncture

Work? 1. Conduction of electromagnetic signals:1

strategic conductors of electromagnetic signals.

electromagnetic signals to be relayed at greater-than-

normal rates.

Endorphins, immune system.

2. Activation of the body’s Natural Opioid System1:

Acupuncture releases opioids. 2-3

How Does Acupuncture

Work? 3. Stimulation Of The Hypothalamus And The

Pituitary Gland:1, 4

Wide range of effects.

4. Change In The Secretion Of Neurotransmitters And

Neurohormones.1, 5

5. Modulate the activity within specific brain

areas.6-9

9

How Does Acupuncture

Work? 6. Eastern perspective: flow of qi in meridians.

Who Offers Acupuncture?

Mayo Clinic

Johns Hopkins Hospital

Massachusetts General Hospital

Brigham and Women's Hospital

Cleveland Clinic

University of Texas MD Anderson Cancer

Center

Memorial Sloan-Kettering Cancer Center

And many more . . .

What Are the Indications? According to a VA Literature Review in 2014.10

Pain:10

Positive Effect:

Headache in General and Migraine Specifically.

Chronic Pain.

Dysmenorrhea

What Are the Indications? Potentially positive effect:10

Osteoarthritis

General Pain

Cancer Pain

Labor pain

Prostatitis

Plantar Heel

Tempomandibular

Pregnancy pain

10

What Are the Indications? Wellness:10

Potential Positive Effect:

Insomnia

Smoking cessation

Post-Operative Nausea and Vomiting

Restless Legs

10

What Are the Indications? Mental Health:10

Potential Positive Effect:

Depression

Schizophrenia

Anxiety

PTSD

10

What Are the Indications? Cochrane Review:11-19

low back pain

migraine prophylaxis

neck disorders

peripheral joint osteoarthritis

tension-type headache

fibromyalgia

chemotherapy-induced nausea or vomiting.

Pain management for women in labor

postoperative nausea and vomiting

What Are the Indications? According to Johns Hopkins Integrative Medicine & Digestive Center:20

Acute and chronic pain, including repetitive motion injuries (e.g. carpal tunnel syndrome, trigger finger, and tendonitis), TMJ and teeth grinding, traumatic and post-surgical pain

Autoimmune disorders, including rheumatoid arthritis, fibromyalgia and chronic fatigue, Sjogren’s syndrome, Hashimoto’s thyroiditis, Graves’ disease, Raynaud’s phenomenon, scleroderma, Crohn’s disease, Systemic lupus erythematosus, autoimmune hepatitis, and multiple sclerosis

What Are the Indications? According to Johns Hopkins Integrative Medicine & Digestive Center:20

Cognitive issues, such as lack of concentration, poor memory, ADD, and inability to focus

Dermatological conditions, such as eczema, psoriasis, and cystic acne

Energy problems, such as fatigue, lack of motivation, and chronic fatigue syndrome

Gastrointestinal conditions, including heartburn; abdominal pain; irritable colon; diarrhea; constipation

What Are the Indications? According to Johns Hopkins Integrative Medicine & Digestive Center:20

Gynecological and obstetric issues, including PMS; painful periods; morning sickness, fetal breech presentation, support for delivery in late pregnancy, support for lactation difficulties

Infertility and reproductive problems of women and men

Insomnia and sleep disorders

Musculoskeletal issues, such as low back pain; muscle, tendon, or joint pain; sports injuries

Neurological conditions including chronic headaches; sciatica; nerve injuries

Respiratory problems, such as asthma; sinusitis; allergic rhinitis

What Are the Indications? According to Johns Hopkins Integrative Medicine &

Digestive Center:20

“This list is not exhaustive. If you have a health concern

not listed above, give us a call and we will be happy to

discuss your case.”20

What Are the Indications? According to the World Health Organization:21

Adverse reactions to radiotherapy and/or chemotherapy

Allergic rhinitis (including hay fever)

Biliary colic

Depression (including depressive neurosis and depression

following stroke)

Dysentery, acute bacillary

Dysmenorrhoea, primary

Epigastralgia, acute (in peptic ulcer, acute and chronic

gastritis, and gastrospasm)

What Are the Indications? According to the World Health Organization:21

Facial pain (including craniomandibular disorders)

Headache

Hypertension, essential

Hypotension, primary

Induction of labour

Knee pain

Leukopenia

Low back pain

Malposition of fetus, correction of

Morning sickness

What Are the Indications? According to the World Health Organization:21

Nausea and vomiting

Neck pain

Pain in dentistry (including dental pain and temporomandibular dysfunction)

Periarthritis of shoulder

Postoperative pain

Renal colic

Rheumatoid arthritis

Sciatica

Sprain

Stroke

Tennis elbow

What Are the Indications? Our Clinical Experience at Wang’s Acupuncture:

Musculoskeletal

Neurological

GI

What Are the Indications? The following systems are also involved:

Respiratory

HEENT

Dermatology

Genital Urinary system

Obstetrics/Gynecology

Immune system

Endocrine

Psychiatric

Cardiovascular

What Are the Indications? For a more complete list, visit our website:

http://wangsacupunctureclinic.com.

Cardiovascular Indications. According to the above sources:

Raynaud’s phenomenon20

Hypertension, essential21

Hypotension, primary21

Stroke21

Cardiovascular Indications. According to Our Clinical Experience:

Hypertension

Hypotension

Certain types of arrhythmia (possible parasympathetic and sympathetic regulation)

Raynaud’s phenomenon

Chest Pain

Stroke Sequelae

Peripheral Neuropathy due to PAD

References 1. How Does Acupuncture Affect the Body. New

York Presbyterian Hospital Website.

https://nyp.org/health/cam-acupunc.html.

Published 2008. Accessed March 17th, 2014

2. Han JS. Acupuncture and endorphins. Neurosci

Lett. 2004 May 6;361(1-3):258-61.

3. Wang SM1, Kain ZN, White P. Acupuncture

analgesia: I. The scientific basis. Anesth Analg.

2008 Feb;106(2):602-10

References 4. Cho ZH1, Hwang SC, Wong EK, et al. Neural

substrates, experimental evidences and functional

hypothesis of acupuncture mechanisms. Acta Neurol

Scand. 2006 Jun; 113(6):370-7.

5. Yu LL1, Liu RP, Gao XY, et al. Development of

studies on neurochemical mechanism of

acupuncture underlying improvement of

depression. Zhen Ci Yan Jiu. 2011 Oct;36(5):

383-7.

References 6. Huang W, Pach D, Napadow V, et al. Characterizing acupuncture stimuli using brain imaging with FMRI--a systematic review and meta-analysis of the literature. PLoS One. 2012;7(4):e32960. doi: 10.1371/journal.pone. 0032960. Epub 2012 Apr 9.

7. Liu H1, Xu J, Shan B, et al. Determining the precise cerebral response to acupuncture: an improved FMRI study. PLoS One. 2012;7(11):e49154. doi: 10.1371/ journal.pone.0049154. Epub 2012 Nov 9.

References 8. You Y1, Bai L, Dai R, et al. Altered hub configurations within default mode network following acupuncture at ST36: a multimodal investigation combining fMRI and MEG. PLoS One. 2013 May 17;8(5):e64509. doi: 10.1371/ journal.pone.0064509. Print 2013.

9. Zyloney CE1, Jensen K, Polich G, et al. Imaging the functional connectivity of the Periaqueductal Gray during genuine and sham electroacupuncture treatment. Mol Pain. 2010 Nov 16;6:80.

References 10. Hempel S, Taylor SL, Solloway MR, et al. Evidence Map of Acupuncture. Washington (DC): Department of Veterans Affairs; 2014 Jan. http://www.ncbi.nlm.nih.gov/books/NBK49060/ Accessed March 17th 2014.

11. Furlan AD, van Tulder MW, Cherkin D, Tsukayama H, Lao L, Koes BW, Berman BM. Acupuncture and dry-needling for low back pain. Cochrane Database of Systematic Reviews 2005, Issue 1. Art. No.: CD001351. DOI: 10.1002/14651858.CD001351.pub2

References 12. Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A, White AR. Acupuncture for migraine prophylaxis. Cochrane Database of Systematic Reviews 2009, Issue 1. Art. No.: CD001218. DOI: 10.1002/14651858.CD001218.pub2.

13. Trinh K, Graham N, Gross A, Goldsmith CH, Wang E, Cameron ID, Kay TM, Cervical Overview Group. Acupuncture for neck disorders. Cochrane Database of Systematic Reviews 2006, Issue 3. Art. No.: CD004870. DOI: 10.1002/14651858.CD004870.pub3

References 14. Manheimer E, Cheng K, Linde K, Lao L, Yoo J, Wieland S,

van der Windt DAWM, Berman BM, Bouter LM. Acupuncture

for peripheral joint osteoarthritis. Cochrane Database of

Systematic Reviews 2010, Issue 1. Art. No.: CD001977. DOI:

10.1002/14651858.CD001977.pub2

15. Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A,

White AR. Acupuncture for tension-type headache.

Cochrane Database of Systematic Reviews 2009, Issue 1.

Art. No.: CD007587. DOI:

10.1002/14651858.CD007587.

References 16. Deare JC, Zheng Z, Xue CCL, Liu JP, Shang J, Scott SW,

Littlejohn G. Acupuncture for treating fibromyalgia.

Cochrane Database of Systematic Reviews 2013, Issue 5.

Art. No.: CD007070. DOI:

10.1002/14651858.CD007070.pub2.

17. Ezzo J, Richardson MA, Vickers A, Allen C, Dibble S, Issell

BF, Lao L, Pearl M, Ramirez G, Roscoe JA, Shen J,

Shivnan JC, Streitberger K, Treish I, Zhang G.

Acupuncture-point stimulation for chemotherapy-induced

nausea or vomiting. Cochrane Database of Systematic

Reviews 2006, Issue 2. Art. No.: CD002285. DOI:

10.1002/14651858.CD002285.pub2.

References 18. Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S,

Newburn M, Jordan S, Lavender T, Neilson JP. Pain

management for women in labour: an overview of

systematic reviews. Cochrane Database of Systematic

Reviews 2012, Issue 3. Art. No.: CD009234. DOI:

10.1002/14651858.CD009234.pub2.

19. Lee A, Fan LTY. Stimulation of the wrist acupuncture

point P6 for preventing postoperative nausea and

vomiting. Cochrane Database of Systematic Reviews

2009, Issue 2. Art. No.: CD003281. DOI:

10.1002/14651858.CD003281.pub3.

References 20. Acupuncture. Johns Hopkins Integrative Medicine & Digestive Center Website http://www.hopkinsmedicine.org/integrative_medicine_digestive_center/services/acupuncture.html. Accessed March 17th, 2014

21. Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials. World Health Organization. http://apps.who.int/medicinedocs/en/d/Js4926e/5.html . Published 2003. Accessed March 17th, 2014.

References 22. Kung YY1, Yang CC, Chiu JH, Kuo TB. The

relationship of subjective sleep quality and

cardiac autonomic nervous system in

postmenopausal women with insomnia under

auricular acupressure. Menopause. 2011 Jun;

18(6):638-45.

23. Li J1, Li J, Chen Z, et al. The influence of PC6 on

cardiovascular disorders: a review of central neural

mechanisms. Acupunct Med. 2012 Mar; 30(1):47-50.