Is Deqi an Indicator of Clinical Efficacy of Acupuncture? A Systematic Review

Deqi (in Chinese pinyin, literally translated as “arrival of qi”) refers to a composite of sensations felt at the needling site after adequate needle insertion with or without proper manipulation. The production of such a special response of the human body is believed to be based on the flow of qi (energy) along channels referred to as meridians in the body. The term is also known as “needling sensation” in more contemporary textbooks and literatures [1]. Typically, the needling sensation is characterized by specific sensory perceptions such as soreness, numbness, distension, and heaviness. However, perceptions of Deqi vary with recipients, manipulation techniques, and the modes of acupuncture stimulation applied. Less frequently, acupuncture recipients may have feelings of coldness, warmth, itching, aching, or twitching, and such a sensation can sometimes be conducted from the needling site towards a more distant area along the meridian. In the meanwhile, the practitioner feels tenseness, drugging, sinking, and vibrations around the needle tail [2].

Photo by Depositphotos 30618573. Image of acupuncture treatment sourced from Depositphotos. Available here.

Why Ice Delays Recovery

When I wrote my best-selling Sportsmedicine Book in 1978, I coined the term RICE (Rest, Ice, Compression, Elevation) for the treatment of athletic injuries (Little Brown and Co., page 94). Ice has been a standard treatment for injuries and sore muscles because it helps to relieve pain caused by injured tissue. Coaches have used my "RICE" guideline for decades, but now it appears that both Ice and complete Rest may delay healing, instead of helping.

By Mk2010 (Own work) [CC BY-SA 3.0 (http://creativecommons.org/licenses/by-sa/3.0) or GFDL (http://www.gnu.org/copyleft/fdl.html)], via Wikimedia Commons

When Friends and Family Ambush You for Free Medical Advice

As every doctor knows, requests for medical advice don't end when a doctor leaves the office for the day. They are made in parking lots and supermarkets, on buses and planes, at weddings and funerals.
"I'm a doctor 24/7," says Sandra Adamson Fryhofer, an internist in Atlanta, Georgia. "When you're a doctor, you're never off-duty." Dr Fryhofer isn't exaggerating.

Photo by Shutterstock 164747042. Image of a happy group of people sourced from Shutterstock. Available here.

Hawthorn (Crataegus)- Food and Medicine in China

In ancient times, the Chinese herbalists mainly used crataegus (shanzha) to improve digestion; for the past thirty years, Western applications of crataegus have been verified by Chinese researchers and added to its list of applications in Chinese medicine. Numerous Chinese formulations now incorporate the herb for strengthening heart function, lowering blood lipids, and dilating blood vessels to promote blood circulation.

Improving Military Resilience through Mindfulness Training

A University of Miami-led research study, led by principal investigator and neuroscientist Dr. Amishi Jha, and funded by the U.S. Army Medical Research and Materiel Command, has shown that mindfulness meditation exercises positively support active-duty Soldiers in protecting and training their own minds and helping better prepare Soldiers for high-stress combat situations while also improving overall cognitive resilience and performance.

Image sourced from the U.S. Army. Available here.

Who are the users of a traditional Chinese sanfu acupoint herbal patching therapy in China?

Fu is a special period in lunar calendar when yang (a moral connotation of light)[1] is the strongest in both human body and outside environment.[2] There are 3 or 4 fus every year, each of them lasting 10 days, and together are called as sanfu (dog days). Usually, sanfu starts from middle of July to middle of August. According to traditional Chinese medicine (TCM), applying certain therapies during sanfu could help to decrease or even stop the recurrence of winter-susceptible diseases (winter diseases) by taking advantage of inner-body and outside strongest yang qi during sanfu period, which was called “winter diseases treated in summer”.[3] And among several therapies, sanfu acupoint herbal patching (SAHP) is the most common one in China. SAHP is a TCM external therapy that combines the function of herb, the stimulation of acupuncture points and environment which only applied during sanfu.[4] The origin can be traced back to Zhang Shi Yi Tong in 1695

The safety of acupuncture during pregnancy: a systematic review

During pregnancy, women may suffer from various conditions which could affect pregnant women's health as well as normal development and delivery of the infant. Concerns over drug use during pregnancy have helped increase the use of other non-pharmacological treatments. Among them, acupuncture is increasingly practised in pregnant women.

Shutterstock. (n.d.). [Closeup of young woman's abdomen and hands]. Shutterstock. Available here.

Response of Local Nitric Oxide Release to Manual Acupuncture

This study was to examine the influences of manual acupuncture (MA) and electrical heat corresponding to reinforcing methods on nitric oxide (NO) release over the skin regions in humans. A device with collecting solution was taped to the skin surface along pericardium (PC) or lung (LU) meridian. Acupuncture needles were gently inserted into PC 4 with reinforcing stimulation (low force/rate) for 20 minutes in the MA group. LU11 on the finger was heated (43-44°C) by electrical heat for 20 minutes. Biocapture was consecutively conducted for two 20-minute intervals during and after each treatment.

Photo by Alamy. Image of acupuncture needles with cupping glasses sourced from Alamy. Available here.

Can probiotics help treat depression and anxiety?

There is a lot of interest right now in the human microbiome (the populations of bacteria that live in various parts of the body, including the intestine, skin, and lungs). We now know that there are approximately 10 times as many bacterial cells as human cells in the body. The vast majority of these bacterial cells are in the intestinal tract, and they serve many purposes, including digesting foods, manufacturing certain vitamins (for example, vitamin K), and regulating our immune system. Researchers are actively studying whether changes in intestinal bacteria can increase the risk of chronic illnesses, such as obesity or inflammatory bowel disease.

Shutterstock. (n.d.). [Many colorful pills isolated on white]. Shutterstock. Available here.

The Roots of TCM in Depression Treatment

"Yi Jing Bian Qi Lun" ("On the Therapy of Transferring Thought and Spirit"): Yellow asked, "I am told that in ancient times, when a physician treated a disease, he only transferred the patient's thought and spirit to sever the source of the disease. In nowadays, the patient is treated with drugs internally and acupuncture externally. Nevertheless, some of the diseases are cured, but some of them cannot be cured and why is it so?" Qibo answered, "In ancient times, people lived in the cave of the wilderness surrounded with birds and beasts, they drove away the coldness by motion of themselves, and evaded the hot summer by living in the shade. They had no burden in heart in admiring the fame and gain, and had no fatigue in the body for seeking a high position, thus, one can hardly be invaded by exogenous evil in this calm and plain environment. So, when one contracted disease, both drugs for curing inside and acupuncture for curing outside were not necessary, but only transferred the patients emotion and spirit to sever the source of the disease would be enough.

Photo by Shutterstock 280900325. Image of a sleeping hipster lying in tall grass with dandelions sourced from Shutterstock. Available here.

Childhood trauma leads to lifelong chronic illness — so why isn’t the medical community helping patients?

Researchers at Yale had recently shown that when inflammatory stress hormones flood a child’s body and brain, they alter the genes that oversee our stress reactivity, re-setting the stress response to “high” for life.

Photo by Shutterstock 296711729. Image of the word "anxiety" written on a wood block sourced from Shutterstock. Available here.

A pilot study of yogic meditation for family dementia caregivers with depressive symptoms: Effects on mental health, cognition, and telomerase activity

This pilot study found that brief daily meditation practices by family dementia caregivers can lead to improved mental and cognitive functioning, and lower levels of depressive symptoms. This improvement is accompanied by an increase in telomerase activity suggesting improvement in stress-induced cellular aging. These results need to be confirmed in a larger sample.

Image sourced from Alamy. Available here.

Taste isn't just for taste buds anymore

This article will explore the diversity of organs that express elements of the taste transduction cascade and their functions in each area. Taken together, the findings suggest that the taste transduction cascade is not restricted to taste per se or even to systems regulating food intake. The receptors mediating taste transduction evolved early in the vertebrate lineage [13], and were adopted widely as a chemodetection system in a variety of organ systems. Questions still remain as to what the natural ligands are for many of the nongustatory functions of the “taste” transduction system [14].

Figure 2. Sites in the body where cells express the canonical taste receptor cascade. Image sourced from NCBI. Available here. "Taste isn't just for taste buds anymore" by Thomas E. Finger and Sue C. Kinnamon.

Connecting insomnia, sleep apnoea and depression

Insomnia and obstructive sleep apnoea (OSA) are the two most common sleep disorders. Insomnia is a known risk factor for incidence and severity of depression, recurrence of depressive episodes and even suicide.[1] Several studies have also shown that OSA can contribute to the development of depression.[2] Insomnia and OSA often co-occur, but previous research has not addressed the interactions, for example, whether this co-occurrence is associated with worse depression.

Fenugreek (Hu Lu Ba) and Testosterone Levels

Dietary fiber rich fenugreek (Trigonella foenum-graecum) seeds have exhibited cardioprotective, hypolipidemic and other health benefits. Furosap (FS), an innovative, patented, 20% protodioscin-enriched extract was developed in our laboratory from fenugreek seeds. This study examined the free and total testosterone levels, sperm profile and morphology, sexual health, mood and mental alertness, and broad spectrum safety parameters of FS in 50 male volunteers following supplementation over a period of 12 weeks.

Fenugreek (Methi) seeds for cooking or planting. Photo by Shailesh Humbad, sourced from Wikimedia Commons. Available here. Venthayam in Thamizh. Humbads at en.wikipedia.

Wave-Induced Flow in Meridians Demonstrated Using Photoluminescent Bioceramic Material on Acupuncture Points

The mechanisms of acupuncture remain poorly understood, but it is generally assumed that measuring the electrical conductivity at various meridians provides data representing various meridian energies. In the past, noninvasive methods have been used to stimulate the acupuncture points at meridians, such as heat, electricity, magnets, and lasers. Photoluminescent bioceramic (PLB) material has been proven to weaken hydrogen bonds and alter the characteristics of liquid water. In this study, we applied the noninvasive PLB technique to acupuncture point irradiation, attempting to detect its effects by using electrical conductivity measurements. We reviewed relevant literature, searching for information on meridians including their wave-induced flow characteristics.

By Geek3 (Own work) [GFDL (http://www.gnu.org/copyleft/fdl.html) or CC BY-SA 3.0 (http://creativecommons.org/licenses/by-sa/3.0)], via Wikimedia Commons

Association of traditional Chinese medicine therapy and the risk of dementia in patients with hypertension: a nationwide population-based cohort study

Patients with hypertension (HTN) reportedly have a higher risk of developing dementia. However, it remains unclear if use of Traditional Chinese Medicine (TCM), the most common form of complementary and alternative medicine, can help lower the risk of dementia for these patients. So the aim of the study was to investigate the effects of TCM on dementia risk among patients with hypertension.

Dried ginseng roots on burlap. Image Credit: koosen/iStock/Getty Images iStock. (n.d.). [Ginseng raíces]. iStock. Available here.

Hormone Receptor Expression in Human Fascial Tissue

Many epidemiologic, clinical, and experimental findings point to sex differences in myofascial pain in view of the fact that adult women tend to have more myofascial problems with respect to men. It is possible that one of the stimuli to sensitization of fascial nociceptors could come from hormonal factors such as estrogen and relaxin, that are involved in extracellular matrix and collagen remodeling and thus contribute to functions of myofascial tissue.

Image sourced from Wikimedia Commons. Available here.

Guizhi and Rougui (Cinnamomum loureirii bark and twig)

The cinnamon tree has been one of China’s most important herbal sources since antiquity. The Shanghan lun, China’s most revered herbal classic written 1,850 years ago, deliberately commences its introduction of classical prescriptions with Guizhi Tang (Cinnamon Decoction). According to the theory of flavors put forward in the Tangye jing, another influential herb primer from the formative period of Chinese medicine, pungent medicinals have the ability to stimulate the moving power inherent in all life forms. Perhaps more than any other plant, cinnamon’s unique fusion of sweet and spicy flavors have made it a general symbol of yang qi in China. It grows only in the deep South, and is therefore regarded as a warming “solar” plant that has the ability to drive out all cold, stagnant and evil yin influences. No weeds grow underneath a cinnamon tree, even in the thickest jungle.