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Effects of Acupoint Stimulation at the Pericadium and Liver Meridian on Heart Rate Variability

수족궐음경(手足厥陰經)의 경혈(經穴)이 심박변이도 SDNN에 미치는 영향

  • Sung, Kang-Keyng (Department of Internal Medicine, Oriental Medical School, Wonkwang University)
  • 성강경 (원광대학교 한의과대학 순환신경내과학교실)
  • Received : 2015.08.31
  • Accepted : 2015.09.14
  • Published : 2015.09.27

Abstract

Objectives : This study is to investigate stimulation effects of acupoints at differential meridian along arm and leg on the physiological phenomenon of heartbeats. Methods : 8 subjects were participated in this study. The experiments were performed in Resting session(Rs), Insertion session(Is), Stimulation session1(Ss1), Stimulation session2(Ss2), Stimulation session3(Ss3) sequence. Time of each session and the interval between each session was 30 seconds all. Acupuncture was performed manually on PC3 or LR8 at random with a two-day interval. stand deviation of N-N interval(SDNN) was measured for each session. Results : At PC3, SDNN increased in Ss1, Ss2, and Ss3 compared to Rs but at LR8, there was little change between Ss1, Ss2, Ss3 and Rs. Post-hoc analysis revealed that mean value of SDNN significantly increased in Ss1 compared with Baseline at PC3, while there was little change at LR8. When LR8 and PC3 were compared at each time point, there was a significant difference only in Ss1. Conclusions : Our results indicate that there is a correlation between specific physiological functions and acupoints.

Keywords

References

  1. Stux G, Berman B, Pomeranz B. Basics of acupuncture. 5th ed. New York : Springer. 2003 ; 138-232.
  2. Sato A, Schmidt RF. The modulation of visceral functions by somatic afferent activity. Jpn J Physiol. 1987 ; 37(1) : 1-17. https://doi.org/10.2170/jjphysiol.37.1
  3. Litscher G, Cheng WP, Cheng GY, Wang L, Zhao J, Litscher D, et al. Acupuncture Point Laterality: Investigation of Acute Effects of Quchi (LI11) in Patients with Hypertension Using Heart Rate Variability. Evid Based Complement Alternat Med. 2014 ; 2014 : 979067.
  4. Bai L, Yan H, Li L, Qin W, Chen P, Liu P, et al. Neural specificity of acupuncture stimulation at pericardium 6: evidence from an FMRI study. J Magn Reson Imaging. 2010 ; 31(1) : 71-7. https://doi.org/10.1002/jmri.22006
  5. Hui KK, Liu J, Makris N, Gollub RL, Chen AJ, Moore CI, et al. Acupuncture modulates the limbic system and subcortical gray structures of the human brain: evidence from fMRI studies in normal subjects. Hum Brain Mapp. 2000 ; 9 (1) : 13-25. https://doi.org/10.1002/(SICI)1097-0193(2000)9:1<13::AID-HBM2>3.0.CO;2-F
  6. Wang SJ, Yang HY, Wang F, Li ST. Acupoint Specificity on Colorectal Hypersensitivity Alleviated by Acupuncture and the Correlation with the Brain-Gut Axis. Neurochem Res. 2015 ; 40(6) : 1274-82. https://doi.org/10.1007/s11064-015-1587-0
  7. Wang G, Tian Y, Jia S, Zhou W, Zhang W. Pilot study of acupuncture point laterality: evidence from heart rate variability. Evid Based Complement Alternat Med. 2013 ; 2013 : 476064.
  8. Matsubara T, Arai YC, Shiro Y, Shimo K, Nishihara M, Sato J, et al. Comparative effects of acupressure at local and distal acupuncture points on pain conditions and autonomic function in females with chronic neck pain. Evid Based Complement Alternat Med. 2011 ; 2011. pii : 543291.
  9. Lee S1, Lee MS, Choi JY, Lee SW, Jeong SY, Ernst E. Acupuncture and heart rate variability: a systematic review. Auton Neurosci. 2010 ; 155(1-2) : 5-13. https://doi.org/10.1016/j.autneu.2010.02.003
  10. Wang G, Tian Y, Jia S, Zhou W, Zhang W. Acupuncture regulates the heart rate variability. J Acupunct Meridian Stud. 2015 ; 8(2) : 94-8. https://doi.org/10.1016/j.jams.2014.10.009
  11. Chung JW, Yan VC, Zhang H. Effect of acupuncture on heart rate variability: a systematic review. Evid Based Complement Alternat Med. 2014 ; 2014 : 819871
  12. McCraty R, Shaffer F. Heart Rate Variability: New Perspectives on Physiological Mechanisms, Assessment of Self-regulatory Capacity, and Health risk. Glob Adv Health Med. 2015 ; 4(1) : 46-61. https://doi.org/10.7453/gahmj.2014.073
  13. Guzzetti S1, Borroni E, Garbelli PE, Ceriani E, Della Bella P, Montano N et al. Symbolic dynamics of heart rate variability: a probe to investigate cardiac autonomic modulation. Circulation. 2005 ; 112(4) : 465-70. https://doi.org/10.1161/CIRCULATIONAHA.104.518449
  14. Tjen-A-Looi SC1, Li P, Longhurst JC. Medullary substrate and differential cardiovascular responses during stimulation of specific acupoints. Am J Physiol Regul Integr Comp Physiol. 2004 ; 287(4) : R852-62. https://doi.org/10.1152/ajpregu.00262.2004
  15. Anderson B, Nielsen A, McKee D, Jeffres A, Kligler B. Acupuncture and heart rate variability: a systems level approach to understanding mechanism. Explore (NY). 2012 ; 8(2) : 99-106. https://doi.org/10.1016/j.explore.2011.12.002
  16. Longhurst J. Acupuncture's Cardiovascular Actions: A Mechanistic Perspective. Med Acupunct. 2013 ; 25(2) : 101-113. https://doi.org/10.1089/acu.2013.0960
  17. Bai L1, Yan H, Li L, Qin W, Chen P, Liu P, et al. Neural specificity of acupuncture stimulation at pericardium 6: evidence from an FMRI study. J Magn Reson Imaging. 2010 ; 31(1) : 71-7. https://doi.org/10.1002/jmri.22006
  18. Shoemaker JK, Norton KN, Baker J, Luchyshyn T. Forebrain organization for autonomic cardiovascular control. Auton Neurosci. 2015 ; 188 : 5-9. https://doi.org/10.1016/j.autneu.2014.10.022
  19. Sakatani K, Kitagawa T, Aoyama N, Sasaki M. Effects of acupuncture on autonomic nervous function and prefrontal cortex activity. Adv Exp Med Biol. 2010 ; 662 : 455-60. https://doi.org/10.1007/978-1-4419-1241-1_65
  20. Yoo SS, Kerr CE, Park M, Im DM, Blinder RA, Park H, et al. Neural activities in human somatosensory cortical areas evoked by acupuncture stimulation. Complement Ther Med. 2007 ; 15(4) : 247-54. https://doi.org/10.1016/j.ctim.2007.01.010
  21. Cho ZH1, Hwang SC, Wong EK, Son YD, Kang CK, Park TS, et al. Neural substrates, experimental evidences and functional hypothesis of acupuncture mechanisms. Acta Neurol Scand. 2006 ; 113(6) : 370-7. https://doi.org/10.1111/j.1600-0404.2006.00600.x
  22. Zhang ZJ1, Wang XM, McAlonan GM. Neural acupuncture unit: a new concept for interpreting effects and mechanisms of acupuncture. Evid Based Complement Alternat Med. 2012 ; 2012 : 429412.

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