The Use of Laser Acupuncture for the Treatment of Neurogenic Pruritus in a Child – a Case History

Stellon, Anthony

doi:10.1136/aim.23.1.31

Cited by 16 publications

(12 citation statements)

References 12 publications

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“…It is also unknown whether repeated needle stimulation may alter sensory processing and responses to subsequent painful stimuli, in the same manner like heel sticks, necessary to take blood samples [6, 39, 57]. LA is a painless procedure, and therefore, it becomes a more and more relevant alternative to manual acupuncture in infants [7–14]. But the central and peripheral effects and the applied doses in neonates and infants undergoing laser acupuncture are a matter of fact in ongoing discussions.…”

Section: Resultsmentioning

confidence: 99%

“…However it is unknown whether repeated needle stimulation may alter sensory processing and responses to subsequent painful stimuli [6] or demonstrates an increased infection risk in premature babies [7]. LA application is painless and can avoid infections, which could be an important alternative to manual acupuncture in infants [8–14]. However, the applied doses, duration of stimulation, peripheral, and central effects of LA are an ongoing discussion [15, 16].…”

Section: Introductionmentioning

confidence: 99%

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Near-Infrared Spectroscopy for Objectifying Cerebral Effects of Laser Acupuncture in Term and Preterm Neonates

Raith

Pichler

Sapetschnig

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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Laser acupuncture (LA) becomes more and more relevant in neonates and infants. With near-infrared spectroscopy (NIRS), a continuous and noninvasive measurement of tissue oxygenation is possible. Aim was to investigate, whether the application of LA was associated with any changes in regional cerebral oxygen saturation (rcSO2) in term and preterm neonates. The study included 20 neonates (12 males, 8 females). The Large Intestine 4 acupuncture point (LI 4, Hegu) was stimulated by a microlaser needle (10 mW, 685 nm laser needle EG GmbH, Germany) for 5 minutes, bilaterally. All neonates underwent polygraphic recording during undisturbed daytime sleep, including heart rate (HR), peripheral oxygen saturation (SpO2), and measurement of nasal flow. Using NIRS, rcSO2 was measured continuously. Cerebral fractional tissue oxygen extraction (cFTOE) was calculated. We did not observe any significant changes in SpO2 and HR values during the whole observation period. However, there was a significant decrease in rcSO2 (P = 0.003) within postintervention period, accompanied by a significant increase in cFTOE (P = 0.010) in postintervention period.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Near-Infrared Spectroscopy for Objectifying Cerebral Effects of Laser Acupuncture in Term and Preterm Neonates

Raith

Pichler

Sapetschnig

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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“…Several clinical studies have demonstrated the efficacy of acupuncture on itch in humans [12, 36–38]. Investigations by Han et al [25] explored the anti-pruritic effects of acupuncture in a rat model of hindlimb scratching.…”

Section: Discussionmentioning

confidence: 99%

Electroacupuncture Attenuates 5′-Guanidinonaltrindole-Evoked Scratching and Spinal c-Fos Expression in the Mouse

Chen

Yang

Lin

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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The present study was undertaken to investigate the influence of electroacupuncture (EA) on compulsive scratching in mice and c-Fos expression elicited by subcutaneous (s.c.) administration of a known puritogen, 5′-guanidinonaltrindole (GNTI) to the neck. Application of EA to Hegu (LI4) and Quchi (LI11) acupoints at 2 Hz, but not 100 Hz, attenuated GNTI-evoked scratching. In mice pretreated with the µ opioid receptor antagonist naloxone, EA 2 Hz did not attenuate GNTI-evoked scratching, whereas EA at 2 Hz did attenuate GNTI-evoked scratching in mice pretreated with the κ opioid receptor antagonist nor-binaltorphimine. Moreover, intradermal (i.d.) administration of the selective µ opioid receptor agonist [d-Ala2, N-Me-Phe4, Gly5-ol]-enkephalin acetate (DAMGO) attenuated GNTI-evoked scratching behavior, while s.c. administration of DAMGO was ineffective. GNTI provoked c-Fos expression on the lateral side of the superficial layer of the dorsal horn of the cervical spinal cord. Application of 2 Hz EA to LI4 and LI11 decreased the number of c-Fos positive nuclei induced by GNTI. It may be concluded that application of 2 Hz EA to LI4 and LI11 attenuates scratching behavior induced by GNTI in mice and that the peripheral µ opioid system is involved, at least in part, in the anti-pruritic effects of EA.

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“…In fact, low-intensity laser stimulation of acupoints is known not to activate the peripheral nerve at the acupoint. 39,40 CONCLUSIONS Studies of the human meridian system have made much progress, and a few hypotheses that attempt to explain the wide range of physiological effects of acupuncture in humans have been suggested such as the bioelectricity theory, neural opiate theory, neural non-opiate theory, and hormonal opiate theory. 1 However, no one mechanism can explain all the physiological effects that are observed.…”

Section: Blood Flow Effect Of Acupuncturementioning

confidence: 99%

Blood Flow Effect of Acupuncture on the Human Meridian

Kuo

Chen

Kuo³

et al. 2010

Medical Acupuncture

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Background: It has been known for thousands of years that humans have meridian lines. Objective: To understand the effects of induction of Qi by acupuncture in the meridians. Design, Setting, and Patients: The study was performed in 56 healthy volunteers who were randomly selected from the university population at Chia-Nan University of Pharmacy and Science, Taiwan. Blood flow at the acupoints of Lieque (LU 7) and Chize (LU 5) of the right hand, or a nonacupuncture point chosen freely near LU 5, was recorded. Intervention: Acupuncture stimulation of a human LU 7 point for about 15 seconds, until the De Qi sensation was achieved. Main Outcome Measure: Skin blood flow detected using a laser Doppler flowmeter. Results: When LU 7 was stimulated by acupuncture, the blood flow was increased after the De Qi sensation; as long as the participant was getting the emergence of a strong De Qi feeling or feeling a flow of numbness to reach LU 5, there was a visible peak of upward LU 5 blood flow. Conclusions: This hot, numb feeling that developed within a few minutes after acupuncture was most likely caused by the circulation of tissue fluid inside the meridian.

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The Use of Laser Acupuncture for the Treatment of Neurogenic Pruritus in a Child – a Case History

Cited by 16 publications

References 12 publications

Near-Infrared Spectroscopy for Objectifying Cerebral Effects of Laser Acupuncture in Term and Preterm Neonates

Near-Infrared Spectroscopy for Objectifying Cerebral Effects of Laser Acupuncture in Term and Preterm Neonates

Electroacupuncture Attenuates 5′-Guanidinonaltrindole-Evoked Scratching and Spinal c-Fos Expression in the Mouse

Blood Flow Effect of Acupuncture on the Human Meridian

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