Kenji Imai

Comparison of transient heart rate reduction associated with acupuncture stimulation in supine and sitting subjects

We investigated the difference in transient heart rate reduction associated with brief acupuncture in 20 healthy subjects at rest in a supine and in a sitting position. After the subjects had been at rest for about 20 minutes, acupuncture needling using the sparrow-pecking method, in which the needle is moved vertically lifting and thrusting, was performed for one minute at the Shousanli point on the right forearm (LI10). The procedure was carried out with the subjects in a supine position and in a sitting position. The position for stimulation of each subject, either supine or sitting, was selected at random, and on different days. The results showed that the average heart rate reduction associated with stimulation in supine subjects was 3.6±0.19 (mean ± standard error {SE}) beats per minute (bpm), while that for sitting subjects was about 7.0±1.07 (mean ± SE) bpm, indicating that stimulation reduces heart rate to a greater degree in subjects who are sitting (p<0.05, Mann-Whitney test). These results would be consistent with a mechanism involving reduced sympathetic drive to the heart, as sympathetic nerve activity has more influence on the heart rate in the sitting than in the supine position.

Review of the Effects of Acupuncture and Moxibustion on Chronic Pain

慢性疼痛に対する鍼灸の効果と現状を総合テーマとして、当該領域のレビューを行った。基礎実験から得られた末梢および中枢における慢性疼痛の発症機序を中心に紹介した。ヒトを対象とした慢性疼痛における鍼鎮痛の生理学的機序を、神経因性疼痛および術後疼痛を中心に紹介した。また、慢性疼痛に対する鍼灸の臨床効果については、おもに侵害受容性疼痛に関する文献を総括し、腰痛、頚部痛、頭痛における鍼灸治療の有効性について総括した。