Does Acupuncture help with COPD?

Research from Spain: Does acupuncture help with COPD? ‘Does acupuncture help with COPD?’ was the question asked by authors of a collaborative systematic review by universities in Barcelona and Beijing. Their analysis of data from 28 randomised trials showed that acupuncture added into patients’ usual treatment, improved difficulty breathing, quality of life, lung function and capacity for exercise, all when compared to sham treatment. The authors conclude that acupuncture might be beneficial for COPD, although the quality of trials was low and they would like to see further, well-designed studies undertaken.

(Filiform needle acupuncture for copd: A systematic review & meta-analysis. Complementary Therapies in Medicine, December 2019.)

Acupuncture for COPD

Acupuncture Exeter: acupuncture for COPD. Researchers in the Department of Respiratory Medicine at a Japanese hospital, studying acupuncture for COPD (chronic obstructive pulmonary disease), have shown treatment is associated with improved exercise performance parameters. In the trial, 16 patients with COPD received acupuncture once a week for 12 weeks, in addition to any usual medication. The effects of treatment were evaluated at baseline and at 12, 16, and 24 weeks.

During the trial period, significant improvements were found. There were increases in peak oxygen uptake and minute ventilation during exercise tests. By 12 weeks, exercise endurance time was significantly increased, and oxygen uptake upon finishing the exercise session was significantly lower compared to baseline. There were also improvements in patients’ perceived exertion scores. The researchers conclude these findings indicate that acupuncture may be a new intervention for COPD, in addition to conventional maintenance therapies.

(Clinical Effects of Acupuncture on the Pathophysiological Mechanism of Chronic Obstructive Pulmonary Disease During Exercise. International Journal of Chronic Obstructive Pulmonary Disease, 5 December 2019.)

Preoperative Acupuncture Reduces Anaesthetic Requirement

Research from France: preoperative acupuncture reduces anaesthetic requirement. A French pilot study suggests that preoperative acupuncture administered to the ear, reduces the dose of drugs needed to achieve subsequent general anaesthesia. A total of 32 patients aged 18 to 65 awaiting elective digestive or gynaecological surgery, were allocated to receive either acupuncture or no acupuncture as a control group. Needles were retained for 20 minutes before administering conventional anaesthetics. The required dose was 18% lower in the acupuncture group. The study authors believe acupuncture may exert its effects in this case via the vagus nerve and parasympathetic nervous system.

(Effect of Auricular Acupuncture on Propofol Induction Dose: Could Vagus Nerve and Parasympathetic Stimulation Replace Intravenous Co-Induction Agents? Medical Acupuncture, 15 April 2019.)

Acupuncture reduces Recurrence of Atrial Fibrillation

Acupuncture in Exeter: acupuncture reduces recurrence of atrial fibrillation . Acupuncture combined with amiodarone, a standard anti-arrhythmic drug, seems more effective at preventing the recurrence of atrial fibrillation after ablation, than does the drug alone. A Chinese team randomised 85 patients into acupuncture and control groups. Both groups used the drug from day one after the ablation, but additionally the acupuncture group received daily needling for seven days afterwards.

After three months, the rate of atrial fibrillation recurrence in the acupuncture group was 12%, compared with 33% in the control group. Serum inflammatory markers were elevated in both groups after ablation but the acupuncture group displayed significantly lower levels.

(Effect of acupuncture at Neiguan point combined with amiodarone therapy on early recurrence after pulmonary vein electrical isolation in patients with persistent atrial fibrillation. Journal of Cardiovascular Electrophysiology, 24 March 2019.)

Acupuncture for Prostatitis

Acupuncture in Exeter: acupuncture for prostatitis. A Cochrane Database systematic review by Italian authors looking at acupuncture for prostatitis/chronic pelvic pain syndrome, has concluded that based on short term follow up, acupuncture reduces prostatitis symptoms in an appreciable number of participants compared with sham procedure. In an appreciable number of patients, it probably also decreases prostatitis symptoms when compared with standard medical therapy. In all, the authors examined 38 studies covering 3300 men, which made 23 comparisons between different treatment and lifestyle interventions.

(Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome. Cochrane Database of Systematic Reviews, 12 May 2018.)