Abstract:This study was performed to review clinical research studies involving acupuncture treatment for primary headache disorders to provide a basic reference for future studies. Clinical studies of primary headache disorders treated with acupuncture were retrieved from 3 Korean electronic databases (NDSL, OASIS, and RISS). The studies were classified by year of publication, type of study, type of acupuncture, outlined acupoints, methods used for filiform needles, pharmacopuncture, auricular acupuncture, and thread-… Show more
“…The ear lobe auricular points (AT, LO, Eye1, Eye2) are associated with the head and face, while the upper part of the auricular region, including scapha and superior antihelix crus, correspond to the extremities (SF, AH) (Figure 3). The basic auricular sites for headaches are Shen Men, gallbladder, liver and spleen, heart, antitragus (AT1 = forehead; AT2 = temple; AT3 = occiput), 24,25 and gallbladderthree located at the ear lobe (Figure 3). 27 The utilization of functional magnetic resonance imaging (fMRI), as employed by Romoli et al to investigate brain stem auricular acupoint (BSAA), has demonstrated the potential to investigate other auricular points on the outer ear, such as the tragus, antitragus, and ear lobe.…”
Section: Evaluation Of Dp From the Perspective Of The Chinese Auricul...mentioning
BackgroundDaith piercing is a special ear‐piercing method that punctures the crus of the helix. The penetrated site at the ear's innermost point is assumed to stimulate a pressure point associated with the vagus nerve. It has been reported that the pierced spot relieves migraine and tension‐type headaches by activating vagal afferents, leading to the inhibition of neurons in the caudal trigeminal nucleus via the nucleus tractus solitarii.ObjectiveThe objective of this narrative literature review is to summarize the current state of knowledge concerning daith piercing for the treatment of migraine and tension‐type headaches from the perspectives of the Chinese and Western auricular systems.MethodsPubMed and China National Knowledge Infrastructure databases were searched using the keywords “daith piercing,” “auricular points,” “headache,” and “acupuncture” from database inception to September 1, 2023. Only studies on humans were eligible; otherwise, no further restrictions were applied to the study designs, type of headache, or patient population of the identified articles. Bibliographies of all eligible studies were screened for further eligible studies. The main outcome of interest was a quantitative measure of pain relief by daith piercing. Secondary outcomes were relapse time of headache and further outcomes related to daith piercing, if available.ResultsFrom a total of 186 identified articles, one retrospective study and three case reports fulfilled the inclusion criteria. No clinical trial was identified. The obtained studies describe patients experiencing chronic headaches undergoing daith piercing without changing or reducing their usual medication. In all case studies and the retrospective study, patients reported substantial reductions in pain immediately after daith piercing; however, headache symptoms recurred several weeks to months thereafter. From the perspective of the Chinese and Western auricular systems, no sufficient explanation for the described treatment effect of daith piercing was found.ConclusionThe available literature, combined with the reported recurrence of pain as well as the associated side effects of daith piercing, indicate that current evidence does not support daith piercing for the treatment of migraine, tension‐type headaches, or other headache disorders.Plain Language SummaryThis paper summarizes what we know about Daith piercing (DP) for chronic migraine and tension‐type headache and discusses how DP might work. Current evidence does not support DP as an effective treatment of chronic migraine and tension‐type headache. These findings might assist clinicians in discussing this subject with patients as well as guide future research.
“…The ear lobe auricular points (AT, LO, Eye1, Eye2) are associated with the head and face, while the upper part of the auricular region, including scapha and superior antihelix crus, correspond to the extremities (SF, AH) (Figure 3). The basic auricular sites for headaches are Shen Men, gallbladder, liver and spleen, heart, antitragus (AT1 = forehead; AT2 = temple; AT3 = occiput), 24,25 and gallbladderthree located at the ear lobe (Figure 3). 27 The utilization of functional magnetic resonance imaging (fMRI), as employed by Romoli et al to investigate brain stem auricular acupoint (BSAA), has demonstrated the potential to investigate other auricular points on the outer ear, such as the tragus, antitragus, and ear lobe.…”
Section: Evaluation Of Dp From the Perspective Of The Chinese Auricul...mentioning
BackgroundDaith piercing is a special ear‐piercing method that punctures the crus of the helix. The penetrated site at the ear's innermost point is assumed to stimulate a pressure point associated with the vagus nerve. It has been reported that the pierced spot relieves migraine and tension‐type headaches by activating vagal afferents, leading to the inhibition of neurons in the caudal trigeminal nucleus via the nucleus tractus solitarii.ObjectiveThe objective of this narrative literature review is to summarize the current state of knowledge concerning daith piercing for the treatment of migraine and tension‐type headaches from the perspectives of the Chinese and Western auricular systems.MethodsPubMed and China National Knowledge Infrastructure databases were searched using the keywords “daith piercing,” “auricular points,” “headache,” and “acupuncture” from database inception to September 1, 2023. Only studies on humans were eligible; otherwise, no further restrictions were applied to the study designs, type of headache, or patient population of the identified articles. Bibliographies of all eligible studies were screened for further eligible studies. The main outcome of interest was a quantitative measure of pain relief by daith piercing. Secondary outcomes were relapse time of headache and further outcomes related to daith piercing, if available.ResultsFrom a total of 186 identified articles, one retrospective study and three case reports fulfilled the inclusion criteria. No clinical trial was identified. The obtained studies describe patients experiencing chronic headaches undergoing daith piercing without changing or reducing their usual medication. In all case studies and the retrospective study, patients reported substantial reductions in pain immediately after daith piercing; however, headache symptoms recurred several weeks to months thereafter. From the perspective of the Chinese and Western auricular systems, no sufficient explanation for the described treatment effect of daith piercing was found.ConclusionThe available literature, combined with the reported recurrence of pain as well as the associated side effects of daith piercing, indicate that current evidence does not support daith piercing for the treatment of migraine, tension‐type headaches, or other headache disorders.Plain Language SummaryThis paper summarizes what we know about Daith piercing (DP) for chronic migraine and tension‐type headache and discusses how DP might work. Current evidence does not support DP as an effective treatment of chronic migraine and tension‐type headache. These findings might assist clinicians in discussing this subject with patients as well as guide future research.
“…또한, GV20(百會), PC6(內關) 등 혈위 에 대한 침 자극은 항진된 교감신경계의 활성을 줄 이고 중추신경계의 norepinephrine 분비를 줄이는 작 용을 하며, 뇌내 gamma-aminobutyric acid(GABA) 수치를 높이는 등의 작용으로 불면에 효과가 있다 19 . 두통의 침 치료에 관한 연구에서는 EX-HN5(太陽), GB20(風池), TE17(翳風), 등 혈위가 두통과 관련한 통증 유발점(trigger point)과 연관이 있어 이들 혈위 에 대한 침 치료가 관자근(temporalis muscle), 등세 모근(trapezius muscle), 목빗근(sternocleidomastoid muscle) 등 근육의 긴장을 줄여 두통을 해소할 수 있을 것으로 보았다 20…”
Introduction: This study reports the effect of herbal medicine (<i>Samulanshin-tang-gamibang</i>) and acupuncture on complete atrioventricular (AV) block.Case presentation: A 63-year-old female with complete AV block was experiencing dyspnea, palpitation, dizziness, headache, bradycardia, and insomnia, and she was treated with <i>Samulanshin-tang-gamibang</i> and acupuncture for 12 days. To evaluate the treatment, a numeric rating scale (NRS) and the New York Heart Association (NYHA) functional classification was used. The patient’s NRS scores decreased from 6 to 2 for dyspnea and palpitation and from 5 to 1 for dizziness and headache. Her NYHA Class improved from Class II to Class I. No side effects were observed during treatment.Conclusion: This study suggests that herbal medicine and acupuncture may be effective in relieving symptoms caused by complete AV block. However, the long-term effects of the treatment were not observed, and so further studies are still needed.
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