Bibliography

December 2005
This Bibliography was created over a period of 18 months by John M. Ackerman, M.D., Diplomate in Psychiatry, and provided to the American Academy of Medical Acupunture.

ADVANTAGES OF COLLABORATIVE ACUPUNCTURE OR ACUPRESSURE REGARDING THE SIDE EFFECTS OF THE FOLLOWING TYPES OF MEDICATIONS/THERAPIES

ANALGESICS
ANTI-ARRHYTHMICS
ANTIBIOTICS
ANTI-DEPRESSANTS
ANTI-PSYCHOTICS
ANTI-THYROID MEDICATION
BASIC SCIENCE ACUPRESSURE ARTICLES
BASIC SCIENCE ACUPUNCTURE ARTICLES
CHEMOTHERAPY
HIV MEDICATIONS
INTERFERON
LOCAL ANESTHETICS
LOW BACK PAIN
MEDICATION FOR HOT FLASHES
MEDICATION FOR NOCTURAL ENURESIS
MEDICATION FOR PROSTATITIS
NARCOTICS
NON-STEROIDAL ANTI-INFLAMMATORIES
OVERVIEW ARTICLES
OXYTOCIN
POST-OP AFTER THE USE OF GENERAL ANESTHETICS
RADIATION
RENAL COLIC
SEDATIVES
STEM CELL TRANSPLANTATION

ANALGESICS

Chapman, C. R., Colpitts, Y. M., and Benedetti, C.; Event-related potential correlates of analgesia; comparison of fentanyl, acupuncture, and nitrous oxide. Pain 1982. Vol.14, p.327-337. This study was undertaken to determine whether different analgesic treatments result in a common change in the event-related potentials (ERP) elicited during painful dental stimulation. The effects of electrical acupuncture delivered at 2 Hz to LI-4, the opiate fentanyl 0.1 mg i.v., and the inhalation analgesia mixture of 33% nitrous oxide in oxygen were examined in volunteers undergoing painful tooth pulp stimulation. ERPs were recorded at vertex and subjects provided reports of pain intensity. Discriminant function analysis was used to determine which subset of the pain report and ERP variables could best discriminate baseline from treatment conditions without regard to specificity of treatment. Together with pain report, amplitude of the ERP positive deflection at 250 msec was a significant indicator of analgesia across the 3 treatments. Other changes specific to the individual treatments were also observed. Since the 250 msec amplitude measure was not redundant statistically with pain report, the ERP data provided significant new information about analgesia even though pain report was a very sensitive measure. Pain report alone could account for 48% of the variance across treatments while ERP measures alone accounted for 34%.

Gejervall, A. L., Stener-Victorin, E., Moller, A., Janson, P. O., Werner, C., and Bergh, C.; Electro-acupuncture versus conventional analgesia: a comparison of pain levels during oocyte aspiration and patients' experiences of well-being after surgery. Hum Reprod 12-17-2004.

Martelete, M.; Comparative study of the analgesic effect of TNS, electroacupuncture, and meperidine in the treatment of post operative pain. Acupunct Electrother Res 1985. Vol.10, p.183-193. Seventy two patients, from 15 to 60 years old, in good physical status and submitted to surgery in the upper or lower abdominal, rectal or lumbar areas were studied. In the immediate postoperative period, they were randomly divided in three groups and each group was submitted to one of the following treatments: intravenous meperidine, transcutaneous nerve stimulation (TNS) or electroacupuncture (EA). Each treatment was divided in two phases with one hour interval between them. Each phase was constituted of 30 minutes of stimulation in case of TNS and EA and fractionated administration of meperidine in all groups. The pain level was evaluated through a visual analogue scale before and after each phase of treatment. The results were compared among groups and, on each group, between the phases of treatment. In all surgery types, the postoperative pain relief presented by TNS and EA groups of patients was greater than that of meperidine treated group. But, the analgesia presented by the EA treated group of patients lasted longer and increased with the repetition of treatment. The differences of behaviour of TNS and EA analgesia suggest that their neurochemical mechanisms may not be the same. Clinical trial.

Wang, H.; A study in the effectiveness of acupuncture analgesia for colonoscopic examination compared with conventional premedication. Am J Acupunct 1992. Vol.20[3], p.217-221.

Wang, H. H., Chang, Y. H., Liu, D. M., and Ho, Y. J.; A clinical study on physiological response in electroacupuncture analgesia and meperidine analgesia for colonoscopy. Am J Chin Med 1997. Vol.25[1], p.13-20. Fifty-nine patients underwent consecutive colonoscopic examination with premedication of electroacupuncture analgesia (EA) were compared with conventional meperidine analgesia (MA) in pain relief and changes of neurotransmitters in serum. The results showed that analgesic efficacy of both groups were the same but with less side effects in the EA group (P < 0.01) especially in regard to dizziness. Serum concentration of beta-endorphin in both groups has a similar curve change at 4 different phases during colonoscopy. Serum concentration of epinephrine, norepinephrine, dopamine and cortisol showed no significant difference between these two groups. The analgesic effect of EA and MA during colonoscopic examination may be closely related to beta-endorphin production in serum Department of Internal Medicine, China Medical College Hospital, Taichung, Taiwan Reviewed in FACT, 1997, Vol. 2(3) p. 106-107.

White, A. R.; Electroacupuncture May be Useful Analgesia for Colonoscopy. FACT 1997. Vol.2[3], p.106-107. Original article ' A clinical study on physiological response in electroacupuncture analgesia and meperidine analgesia for colonoscopy.' (Wang,H.H.; Chang, Y.H.; Liu,D.M.; et al), Amercan Journal of Chinese Medicine, 1997, Vol 25, P. 13-20.

ANTI-ARRHYTHMICS

Abstract of "Frequent Ventricular Extrasystole Treated by Needling Neiguan (PC 6) plus Oral Administration of Mexiletine ? A Report of 30 Cases" (Zhang,J.). J Chin Med 2004. Vol.76, p.61.

ANTIBIOTICS

Antibiotic prophylaxis during acupuncture. Nurs Drug Alert 1984. Vol.8, p.3.

ANTI-DEPRESSANTS

Amelin, A. V., Vasil'ev IuN, Ignatov IuD, and Skoromets, A. A.; [The combined use of acupuncture and antidepressants for managing the spondylogenic lumbosacral pain syndrome]. [RUSSIAN]. Farmakol Toksikol 1991. Vol.54[5], p.12-13. Abstract: The effects of antidepressants amitriptyline and pyrazidol on the analgesic action of acupuncture in patients with lumbosacral radiculitis was studied by the double blind control method. The combined use of acupuncture with antidepressants was shown to enhance the effectiveness of the treatment, to increase on the average by 5-6 hours the duration of analgesia within 24 hours after each procedure, to reduce the duration of the treatment on the average by 4-5 days, that indicates the expediency of clinical use of the proposed combination. Clinical trial.

ANTI-PSYCHOTICS

Atwood, Tom (LMSW/ALP, 812 Saturn Circle, Temple, Texas 76502; FAX 254-298-7111; Telephone 254-939-2915), Acudetox As An Alternative Treatment For Symptom Management Of Serious Mental Illness, presented at Convegno Internazionale NADA-1997 (Milano, Italy).

Shi, Z.X. "Observation On The Therapeutic Effect Of 120 Cases Of Hallucination Treated With Auricular Acupuncture," ," Journal of Traditional Chinese Medicine, Vol. 8, No. 4, 1988, pp. 263-264.

Shi, Z.X., Tan, M.Z. "An Analysis Of The Therapeutic Effect Of Acupuncture Treatment In 500 Cases Of Schizophrenia," ," Journal of Traditional Chinese Medicine, Vol. 6, No. 2, 1986, pp. 99-104.

White, A. R.; Acupuncture May Allow Reduced Doses of Antipsychotics in Treating Schizophrenia. FACT 1998. Vol.3[1], p.9-10. Original article 'Comparative clinical study on the treatment of schizophrenia with electroacupuncture and reduced doses of antipsychotic drugs.' (Zhou,G.; Jin,S.B.; Zhang,L.D.), American Journal of Acupunture, 1997, Vol 25, P.25-31.

Wu, F. "Treatment Of Schizophrenia With Acupuncture-Moxibustion And Chinese Medicine," ," Journal of Traditional Chinese Medicine, Vol. 15, No. 2, 1995, pp. 106-109.

Wu, Y. "Treatment Of Schizophrenia With Acu-Moxibustion And Chinese Medicine," Journal of Traditional Chinese Medicine, Vol. 15, No. 2, 1995, pp. 106-109.

Yang, X., et al. "Clinical Observation On Needling Extrachannel Points In Treating Mental Depression," ," Journal of Traditional Chinese Medicine, Vol. 14, No. 1, 1994, pp. 14-18.

Zhang, L.D., Hu, S.H., Tang, Y.H., Zhu, W.B. "A Comparative Study Of The Treatment Of Schizophrenia With Electric Acupuncture, Herbal Decoction And Chlorpromazine," American Journal of Acupuncture, Vol. 18, No. 1, 1990, pp. 11-14.
Zhang, L.D., Tang, Y.H., Zhu, W.B., Xu, S.H. "Comparative Study Of Schizophrenia Treatment With Electroacupuncture, Herbs And Chlorpromazine," Chinese Medical Journal,(Engl.) Vol. 100, No. 2, February 1987, pp. 152-157.

Zhou, G., Jin, S. B., and Zhang, L. D.; Comparative clinical study on the treatment of schizophrenia with electroacupuncture and reduced doses of antipsychotic drugs. Am J Acupunct 1997. Vol.25[1], p.25-32. Twenty-five of 40 patients were treated with electroacupuncture (EA) at 180 Hz for 36 sessions with points based on TCM diagnosis and compared to 15 receiving only anti-psychotic drugs. Drug use was translated into chlorpromazine equivalents (ie, 1.6 mgm haloperidol equals 100 mgm, etc.) DSM-III criteria were used for diagnosis with those scoring over 35 on the brief psychiatric scale rating accepted for study. Five TCM diagnostic catagories were also used. The EA treated were needled at Yintrang deeply, PC 6, 7, and Taiyang (Ex-HN 5), with supplemental needles at ST 36, 40, or SP 6 depending on TCM diagnosis. EA patients used 60% less medication for an effect equivalent to the control group, with much less side effects. Calmed behavior occurred in 2 weeks in the EA group versus 4 in controls. Plasma levels of both beta- endorphin and cyclic AMP were markedly lower than normal in the patients before study and increased with symptom improvement. Yintang punctured to the nasal bridge heart zone calms and tranquilizes and helps mental equilibrium and clears "Heart Fire" as do the other main points used. Comment: An impressive study, with statistics given that can be recalculated by the purist. The randomization method is not given. The duration of diagnosis averaged 8.2 years. The exact placing of electrodes is not given, with two pairs of points used each day.

Zhuge, D. Y. and Chen, J. K.; Comparison between electro-acupuncture with chlorpromazine and chlorpromazine alone in 60 schizophrenic patients. [Chinese]. Chung Kuo Chung Hsi I Chieh Ho Tsa Chih 1993. Vol.13[7], p.408-9,:388. Yangzhou 2nd People's Hospital, Yangzhou [225(π)2]. Thirty schizophrenic patients were treated with electro-acupuncture and chlorpromazine therapy compared to the thirty patients in the control group only utilizing chlorpromazine. The curative effect was evaluated for each group with a brief rating scale, I1'RS. Data demonstrated that the overall "curative" effects of the two groups were similar. However, clinical improvements appeared earlier in the combined therapy group. Less chlorpromazine was indicated in that combined group; hence, the patients in that group displayed fewer side effects.

ANTI-THYROID MEDICATION

Hu, J.; Acupuncture alone versus acupuncture plus Tapazole in treatment of Grave's disease. Inter J Clin Acup 1995. Vol.6[4], p.383-388.

BASIC SCIENCE ACUPRESSURE ARTICLES

Dullenkopf, A., Schmitz, A., Lamesic, G., Weiss, M., and Lang, A.; The influence of acupressure on the monitoring of acoustic evoked potentials in unsedated adult volunteers. Anesth.Analg. 2004. Vol.99[4], p.1147-1151.

Rose, J. B. and Watcha, M. F.; Postoperative nausea and vomiting in paediatric patients. Br J Anaesth. 1999. Vol.83[1], p.104-117.

White, P. F.; Are nonpharmacologic techniques useful alternatives to antiemetic drugs for the prevention of nausea and vomiting? [editorial; comment]. Anesth.Analg. 1997. Vol.84[4], p.712-714.

BASIC SCIENCE ACUPUNCTURE ARTICLES

Clifford, D. H., Lee, M. O., and Lee, D. C.; Cardiovascular effects of atropine on acupuncture, needling with electrostimulation, at Tsu San Li (St-36) in dogs. Am J Vet Res 1977. Vol.38[6], p.845-849. Acupuncture, needling with electrostimulation, at Tsu San Li (St-36) produced (1) significant decrease in cardiac output, (2) decrease in stroke volume, (3) increase in total peripheral resistance, and (4) minimal changes in heart rate, mean arterial pressure, pulse pressure, and central venous pressure in dogs under halothane anesthesia. Atropine given alone and given before acupuncture at Tsu San Li (St-36) produced (1) early significant increase in cardiac output, (2) early significant increase in heart rate, (3) increase in mean arterial pressure, (4) decrease in total peripheral resistance, and (5) minimal changes in stroke volume, pulse pressure, and central venous pressure in anesthetized dogs. It was concluded that the effects of acupuncture at Tsu San Li (St-36) were parasympathomimetic-like and that these effects could be blocked by atropine, a parasympatholytic drug.

Clifford, D. H., Lee, D. C., and Lee, M. O.; Effects of dimethyl sulfoxide and acupuncture on the cardiovascular system of dogs. Ann N Y.Acad Sci 1983. Vol.411, p.84-93. The intravenous administration of dimethyl sulfoxide (100 mg/kg) resulted in a significant increase in cardiac output, stroke volume, central venous pressure, and a significant decrease in heart rate. Acupuncture by electrocautery at Jen Chung (Go-26) produced a significant increase in cardiac output, stroke volume, heart rate, mean arterial pressure, and pulse pressure and a significant decrease in total peripheral resistance in dogs under 0.75% halothane anesthesia. Both DMSO and acupuncture elicit an analgesic effect and enhance cardiovascular function as exemplified by an increase in the cardiac output.

Skarda, R. T. and Muir, W. W., III; Comparison of electroacupuncture and butorphanol on respiratory and cardiovascular effects and rectal pain threshold after controlled rectal distention in mares. Am J Vet Res 2003. Vol.64[2], p.137-144.
Yi, C.; A study on the release of tritiated 5HT from brain during acupuncture and morphine analgesia. Sci Sin 1977. Vol.20, p.113-124.

Zhang, R. X., Lao, L., Wang, X., Ren, K., and Berman, B. B.; Electroacupuncture combined with indomethacin enhances antihyperalgesia in inflammatory rats. Pharmacol Biochem.Behav 2004. Vol.78[4], p.793-797.

CHEMOTHERAPY

Abstract of "Acupuncture treatment of vomiting caused by chemotherapy" (Li,D). J Chin Med 2003. Vol.71, p.45. #17493 Original article in J Tradit Chin Med, Dec. 2002, Vol.20(4) p.272-273.

Beer, T. M.; Acupuncture for hot flashes in prostate cancer patients. CRISP 2003. Abstract online CRISP (Computer Retrieval of Information on Scientific Projects) is a biomedical database system containing information on research projects and programs supported by the U.S. Department of Health and Human Services. Grant Number: 1R21CA098406-01A1 Institution: OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR 972393098 Fiscal Year: 2003 Department: MEDICINE Project Start: 14-JUL-2003 Project End: 30-JUN-2005 ICD: NATIONAL CANCER INSTITUTE.

Can acupuncture have specific effects on health? A systematic review of acupuncture antiemesis trials. J R Soc Med 1997. Vol.89, p.303-311. A search for and review of 42 articles on nausea and vomiting treated primarily with MH 6point needling. 33 articles were considered sufficient for review, with 21 studies of postoperative vomiting, 5 of chemotherapy, and 7 with pregnancy nausea. 27 showed acupuncture significantly superior to control, but 4 indicated no help when treatment was given during anesthesia. 12 studies which were randomized with placebo also supported the efficacy of acupuncture. Comment: This is one disorder for which there now can be no doubt of the efficacy of acupuncture.

Chen, H. L. and Huang, X. M.; Treatment of chemotherapy-induced leukocytopenia with acupuncture and moxibustion. [Chinese]. Chung Hsi I Chieh Ho Tsa Chih 1991. Vol.11[6], p.350-2,:325. Dept. of Internal Medicine, Henan Tumor Hospital, Zhengzhou 3055 The effects of acupuncture and moxibustion on 376 cases of chemotherapy-induced leukocytopenia was observed in patients with malignant tumors in the intermediary and advanced stages. Findings revealed that the total effect in 121 cases (88.4%) occurred in the group treated with acupuncture and moxibustion with warming needle; while the total effect in 221 cases (90.9%) was in the group treated with moxibustion with ignited moxa cone. A comparison made between the 2 groups showed no significant difference (P greater than 0.05). The total effective rate was 38.2% when compared with the control group using batylalcohol and pentoxyl and so the difference was significant (P less than 0.01). Analysis found that with patients having higher basic WBC value, the effect would be higher. Conversely, those who had lower basic value in their WBCs, the expected effect would be lower. These findings suggest that acupuncture and moxibustion in raising the effect on the white cells were influenced by the extent to which the bone marrow was inhibited, having no relevance to the kind of disease, the chemotherapy regime, and the treatment course which the patient was in.

Coleman, R.; Acupuncture in management of anxiety with adjuvant C/T for breast cancer and on haematological recovery/immune function. National Research Register 2000., p. Does acupuncture reduce anxiety and aid haematological recovery during adjuvant chemotherapy.Randomised trial.Women receiving adjuvant CMF chemotherapy for early breast cancer. The Cochrane Controlled Trials Register. In: The Cochrane Library, Issue 1, 2002. Oxford: Update Software. Updated quarterly.

Dundee, J. W., Ghaly, R. G., Fitzpatrick, K. T., Abram, W. P., and Lynch, G. A.; Acupuncture prophylaxis of cancer chemotherapy-induced sickness. J R Soc Med 1989. Vol.82[5], p.268-271. Department of Anaesthetics, Queen's University of Belfast 4123 In a multi-facet study we evaluated the efficacy of P6 electroacupuncture (10 Hz applied for 5 min) as an antiemetic in patients receiving a variety of cancer chemotherapy drugs. The study involved 130 (15 in an open pilot study, 10 in a randomized placebo controlled crossover study and 105 in a definitive study) patients who had a history of distressing sickness after previous treatment, and who, on the basis of a previous survey, would be expected to have a 96% chance of this with subsequent therapy. Sickness was either completely absent or reduced considerably in 97% of patients and no side effects were encountered. The limited crossover study, using a 'dummy' acupuncture (ACP) point showed that the beneficial effects were limited to the P6 point. Logistic and ethical considerations excluded the possibility of carrying out a larger placebo-controlled study. While in our hands P6 ACP was an effective antiemetic in patients having cancer chemotherapy, because of the time involved and the brevity of the action (8 h) an alternative approach to electro-ACP is required before this technique is adopted clinically. Clinical trial.

Erickson, R. J.; Abstract of Treatment of hot flushes in breast cancer patients with acupuncture. 2000. An excellent symptom review is given in this article. 22 consecutive breast cancer patients unresponsive to other therapies and referred by an oncologist for treatment of hot flushes were treated with biweekly acupuncture for up to 7 weeks. Symptoms, often severe, are caused by abrupt ovarian estrogen loss due to radiation or chemotherapy. Hormone therapy is risky due to cancer. By TCM criteria, symptoms are caused by LR Yin deficiency, and KI water exhaustion, and HT and SP dysfunction can be involved. BL62, LR14, KI3, HT7, TE6 are given as specific points; SP6, LI11, ST36 as homeostatic points, and GV20 and LI4 as sedative points. The rationale is provided. Between 6 and 10 points were needled each session for 6 to 14 sessions; 8 being maximum without a response. The number of hot flushes declined from 13 per day and 10 per night to 1 or 2 each time period and remained low on 3 to 5 week follow up. Comment: The study, as the author states, is uncontrolled and therapy by acupuncture should be further investigated. However, the results are spectacular and as previously stated, a carefully denoted series of case studies can be as effective as a controlled study.

Fan, Y. and Yang, Z.; Acupuncture treatment of side-effects of chemotherapy. Inter J Clin Acup 2000. Vol.11[1], p.23.

Grass, G. W.; Reversal of chemotherapy-induced myelosupression with electroacupuncture. Med Acup 2003. Vol.15[1], p.35-39.

Guerra, M. del C.; Acupuncture for refractory cases of chemotherapy-induced nausea and vomiting. Med Acup 2004. Vol.16[1], p.40-42.

Li, H. and et al; Clinical study on acupuncture treatment of side reactions of radiotherapy and chemotherapy for malignant tumor. World J Acup-Moxi 1998. Vol.8[2], p.8-12.

Lida, S.; Treatment of hiccup by acupuncture in 30 cases of malignant tumor patients after chemotherapies. World J Acup-Moxi 1999. Vol.9[2], p.38-40. 30 patients with hiccup following chemotherapy that did not respond to sedation and antispasmodic treatment, were needled at ST 36 and PC(MH) 6. for 15-20 minutes. Hiccup disappeared after 1 treatment in 18, and after 2 to 4 in 10 (R. Erickson).

O'Duffy, G.; Acupuncture as an adjunct to chemotherapy - a preventative approach. N Z J Acup 1998., p.16-25.

Pilot study of acupuncture for post-chemotherapy fatigue. FACT 2004. Vol.9[4], p.328.

Porzio, G., Trapasso, T., Martelli, S., Sallusti, E., Piccone, C., Mattei, A., Di Stanislao, C., Ficorella, C., and Marchetti, P.; Acupuncture in the treatment of menopause-related symptoms in women taking tamoxifen. Tumori 2002. Vol.88[2], p.128-130.

SHEN, G. W. and ZHAO, J. S.; Effects of Acupuncture on Gastro-dynamics in Patients with Post-chemotherapeutic Vomiting (in Chinese). [Shanghai Journal of Acupuncture and Moxibustion] 2003. Vol.22[03], p.18-21. Objective: To compare the effects of different acupuncture methods on gastro-dynamics in patients with post-chemotherapeutic vomiting, different acupuncture methods were employed to treat post-chemotherapeutic vomiting. Methods: Zusanli (ST 36) was treated by warm-needling, needling and moxibustion methods respectively; the spectrum, wave, frequency and amplitude of gastro-electricity were recorded. Results: Different methods had different immediate effects and lasting effects. Specifically, the immediate effects of needling were better than those of warm-needling and moxibustion. Conclusion: Early administration of acupuncture is quite effective in improving the gastro-dynamic. The lasting effects of warm-needling were better than those of needling and moxibustion Chinese name: SHANG HAI ZHEN JIU ZA ZHI; ISSN: 1005-0957; Period: Monthly; Date of Publication: the 25th of every month; Sponsor: Shanghai Academy of TCM; Shanghai Society of Acupuncture and Moxibustion; E-mail: shzj@chinajournal.net.cn ; Tel: 86-21-64382181 (Editorial Office).

Towlerton, G., Filshie, J., O'Brien, M., and Duncan, A.; Acupuncture in the control of vasomotor symptoms caused by tamoxifen [letter]. Palliat.Med. 1999. Vol.13[5], p.445.

Vickers, A. J., Straus, D. J., Fearon, B., and Cassileth, B. R.; Acupuncture for postchemotherapy fatigue: a phase II study. J Clin Oncol 5-1-2004. Vol.22[9], p.1731-1735.

Yang, X. F., Feng, H. L., and Yang, F.; Clinical observation on treatment of chemotherapy-induced stubborn leukopenia by acupoint-injection combined with Chinese drugs (in Chinese). [Chinese Acupuncture & Moxibustion] 2003. Vol.23[03], p.135-137. Objective: To explore effective methods for treatment of chemotherapy-induced leukopenia. Methods: Treatment group (88 cases) were treated with injection of dexamethasone plus 654-2 injection into Zusanli (ST 36) oral administration of Chinese drugs, and the control group (43 cases) by subcutaneous injection of filgratim injection. Results: The effective rate for increase of white blood cells was 77.3% in the treatment group and 58.2% in the control group with a significant difference between the two groups (P<0.05); the effective rate for remission of symptoms was 92.0 % m the treatment group and 74.4 % in the control group with a very significant difference between the two groups; the effective rate for the patients who had been treated by stem cell colony stimulating factor with no good results was 63.5% in the treatment group and 37.5% in the control group. Conclusion: The acupoint-injection combined with Chinese drug is effective and safe for treatment of chemotherapy-induced leukopenia Chinese Name: ZHONG GUO ZHEN JIU; ISSN: 0255-2930; Period: Monthly; Date of Publication: the 12th of every month; Sponsor: China Association of Acupuncture and Moxibustion; Institute of Acupuncture & Moxibustion, China Academy of TCM; E-mail: webmaster@cjacupuncture.com ; Tel: 86-10-64014411 branch 2946 ( Editorial Office ).

Ye, F., Chen, S., and Wang, X; Behaviour of T-cells subsets and NK cells under electro-acupuncture during chemotherapy. Inter J Clin Acup 2000. Vol.11[4], p.301-303.

Ye, F., Chen, S., and Liu, W.; Effects of electro-acupuncture on immune function after chemotherapy in 28 cases. J Tradit Chin Med 2002. Vol.22[1], p.21-23.
Zhou, J., Li,Z. and Jin,P.; A clinical study on acupuncture for prevention and treatment of toxic side-effects during radiotherapy and chemotherapy. J Tradit Chin Med 1999. Vol.19, p.16-21.

HIV MEDICATIONS

Sommers, E. and Porter, K.; Acupuncture cross-over trial: side-effect management and adherence to HIV-combination therapy. Clin Acupunct Orient Med 2003. Vol.4[1], p.54-55. Abstracts for poster presentations, Society for Acupuncture Research, October 18-19, 2002, Fred Huchinson Cancer Research Center, Seattle, WA .

INTERFERON

Cohen, M. R.; Chinese Medicine and CAM Therapies: Dealing with Side-Effects of Interferon Therapy in Hepatitis C. Acupuncture Today 2004. Vol.5[8].

LOCAL ANESTHETICS

Rosted, P. and Bundgaard, M.; Can Acupuncture Reduce the Induction Time of a Local Anaesthetic? - A Pilot Study. Acupunct Med 2003. Vol.21[3], p.92-99.

Schwartz, L.; Acupuncture augmentation of local anesthesia with intravenous sedation for a child undergoing awake craniotomy. Med Acup 1998. Vol.10[1], p.47-48.

LOW BACK PAIN

Meng, C.F., Wang, D., Ngeow, J., Lao, L., Peterson, M., Paget, S. Acupuncture for chronic low back pain in older patients: a randomized controlled trial. Rheumatology (Oxford, England), 42 (12), December, 2003, pp. 1508-1517.

Kittang, G., Melvaer, T., Baerheim, A. Acupuncture contra antiphlogistics in acute lumbago. Tidsskrift for den Norske laegeforening, Norway, 121 (10),April 20, 2001, pp. 1207-1210.

MEDICATION FOR HOT FLASHES

Walsh, N.; Hot flash relief associated with use of acupuncture. (Pilot Study). OB/GYN News 2003.

MEDICATION FOR NOCTURAL ENURESIS

Capozza, N., Creti, G., De Gennaro, M., Minni, B., and Caione, P.; The treatment of nocturnal enuresis. A comparative study between desmopressin and acupuncture used alone or in combination. [Italian]. Minerva Pediatr 1991. Vol.43[9], p.577-582. Servizio di Urologia Pediatrica, Ospedale del Bambino Gesu, Roma 5105 During the period from March to September 1989, 40 children suffering from primary nocturnal enuresis, aged between 5 and 14 years, were included in a study to assess the comparative therapeutical efficacy of DDAVP and acupuncture. Children were divided into four groups of 10: group A was treated with DDAVP, group B was treated with acupuncture, group C was treated with DDAVP and acupuncture and group D was treated with placebo (control). The trial design included 3 periods: observation (2 weeks), treatment (8 weeks) and follow-up (4 weeks). Nineteen children completed the study. The efficacy of treatment, which was expressed as a percentage of dry nights, was high in both the DDAVP and acupuncture groups, when used separately. The combined treatment of DDAVP and acupuncture appeared to be the most efficacious both in terms of the percentage of dry nights at the end of treatment and in relation to the stability of results, even after the end of the study. The paper gives a detailed analysis of correlations between type of treatment and urinary osmolarity. Controlled clinical trial.

MEDICATION FOR PROSTATITIS

ZHANG, Y. K., ZHANG, M. X., and Wu, Q.; Clinical Observations on Treatment of 80 Chronic Prostatitis Patients with Combined Acupuncture and Medicine (in Chinese). [Shanghai Journal of Acupuncture and Moxibustion] 2003. Vol.22[06], p.19-20. Purpose: To comparatively observe the curative effect of combined acupuncture and medicine on chronic prostatitis (CP). Methods: The patients were randomly divided into a treatment group of 80 cases and a control group of 30 cases. The clinical effects were evaluated. Results: Both the cure rate and the total effective rate were higher in the treatment group than in the control group (P < 0.01, P < 0.05). In the treatment group there was no significant difference in curative effect between bacterial CP and nonbacterial CP (P > 0.05). In the control group the curative effect on bacterial CP was significantly superior to that no nonbacterial CP. Conclusion: Treatment with combined acupuncture and medicine is a good therapy for nonbacterial CP Chinese name: SHANG HAI ZHEN JIU ZA ZHI; ISSN: 1005-0957; Period: Monthly; Date of Publication: the 25th of every month; Sponsor: Shanghai Academy of TCM; Shanghai Society of Acupuncture and Moxibustion; E-mail: shzj@chinajournal.net.cn ; Tel: 86-21-64382181 (Editorial Office).

NARCOTICS

Barashkov, G. N. and Starovarov, A. T.; Effect of electroacupuncture and electroacupuncture combined with narcotic analgesics on the summation-threshold index in freely moving rats. [RUSSIAN]. Anestesiol Reanimatol 1982.[3], p.26-27.

Allais, G., Bosio, A., Mana, O., Airoda, G., Ciochetto, D., Terzi, M.G., De Lorenzo, C., Quirico, P.E., Bandetto, C.; Migraine during pregnancy and lactation: treatment of the acute attack and non-pharmacoogical prophylactic strategies. Centro Cefalee della Donna, III Clinica Ostertrico-Ginecologica, (4 Suppl 1), August, 2003, pp 27-38.

NON-STEROIDAL ANTI-INFLAMMATORIES

Abramson, S. B., Kieran, O., Lee, M., and Kurland, H. D.; Therapy and mechanisms of nonsteroidal anti-inflammatory drugs, and pain management, acupuncture, and rehabilitation. [Review] Treatment of headache with auto-acupressure. Curr Opin.Rheumatol 1977. Vol.17[3], p.271-274. New York University Medical Center, New York.

OVERVIEW ARTICLES

Allais, O., Bosfo, A., Mana, O., Aireda, G., Ciochetto, D., Terzi, M.G., DeLorenzo, C., Qirico, P.E., Benedetto, C.. Migraine during pregnancy in lactation: treatment of the acute attack and non-pharmacological prophylactic strategies (originally in Italian). Centro Cefalee della Donna, III Clinica Ostetrico-Ginecologica, Dipartimento di Discipline Ginecologiche e Ostetriche, Universita degli Studi di Torino, CSTNF-Centro Studi Terapie Naturali e Fisiche, Torino.

Hua, X.; Interaction between acupuncture and drugs. World J Acup-Moxi 1998. Vol.8[3], p.35-47.

Ivanov, V. I.; Combined use of acupuncture and drug therapy. [Russian]. Voen.Med Zh. 1982.[2], p.49-51.

Nezhentsev, M. V., Suslova, G. A., and Aleksandrov, S.; Problem of combined use of drugs and acupuncture. [Review] [RUSSIAN]. Sov Med 1991.[8], p.34-37.

Sommers, E. and et al; ACUPUNCTURE AND SIDE-EFFECT MANAGEMENT. J Altern Complement Med 2004. Vol.10[1], p.220. Poster presentation at the Tenth Annual Symposium of the Society for Acupuncture Research, November 2003, Cambridge MA.

Zhu, C.; Research on combination of acupuncture with drugs. World J Acup-Moxi 1997. Vol.7[4], p.54.

OXYTOCIN

Pak, S. C., Na, C. S., Kim, J. S., Chae, W. S., Kamiya, S., Wakatsuki, D., Morinaka, Y., and Wilson, L., Jr.; The effect of acupuncture on uterine contraction induced by oxytocin. Am J Chin Med 2000. Vol.28[1], p.35-40. Available on-line PubMed ID: 10794115 Review in Acupunct Med 2001 (19)2) p.133-4.

Zeisler, H., Tempfer, C., Mayerhofer, K., Barrada, M., and Husslein, P.; Influence of acupuncture on duration of labor. Gynecol Obstet Invest 1998. Vol.46[1], p.22-25.

POST-OP AFTER THE USE OF GENERAL ANESTHETICS

Acupuncture for postoperative sore throat. FACT 2004. Vol.9[4], p.327. Original article "Prevention of postoperative sore throat using capsicum plaster applied at the Korean hand acupuncture point" (Park,H.S., et al) in Anaesthesia 2004, Vol. 59(7) p. 647-51.

Acupuncture in anaesthesia. Acupunct Med 2002. Vol.20[2-3], p.117-119. Abstracts from the plenary sessions at the 10th International Congress of Medical Acupuncture and Related Techniques (ICMART), Edinburgh, Scotland, May 4-6 2002.
al Sadi, M., Newman, B., and Julious, S. A.; Acupuncture in the prevention of postoperative nausea and vomiting. Anaesthesia 1997. Vol.52[7], p.658-661.
Available on-line PubMed ID: 9244025; Reviewed in FACT, 1998 Vol. 3(1) p. 7.

An unusual type of acupuncture for postoperative vomiting. FACT 2003. Vol.8[1], p.86. Original article "Capsicum Plaster at the Korean Hand Acupuncture Point Reduces Postoperative Nausea and Vomiting After Abdominal Hysterectomy" (Kim,K.S., et al) in Anesth.Analg. 2002, Vol. 95, p. 1103-7.

Bagirov, A. N.; Electroacupuncture and laser puncture in the early postoperative period of urological patients. [Russian]. Urol Nefrol (Mosk) 1991.[5], p.9-13. To provide an objective assessment of the analgetic effect obtained at electric or laser acupuncture early after operative treatment of 117 uronephrological patients, the study was performed of a general vegetative and psychoneurological responses and blood levels of some hormones. There were positive effects on psychoemotional postoperative stress, pain impulses from the wound reflected by higher pain thresholds and lowered levels of contrainsular hormones against higher insulin and C-peptide concentrations. These changes were dependent on a nociception degree and agreed with the analgetic action of the reflex anesthesia modalities.

Biguang, Q., Yingtao, L., and Changgen, L.; Summary of Clinical Research on Acupuncture Combined with Epidural Anesthesia for Cholecystectomy. 2001. Vol.26[1], p.45-53.

Biguang, Q.; Progress in the Study on Acupuncture Combined with Epidural Anesthesia. Chen Tzu Yen Chiu 2001. Vol.26[3], p.164-165. China National Publication Import and Export 15291.

Can acupuncture have specific effects on health? A systematic review of acupuncture antiemesis trials. J R Soc Med 1997. Vol.89, p.303-311. A search for and review of 42 articles on nausea and vomiting treated primarily with MH 6point needling. 33 articles were considered sufficient for review, with 21 studies of postoperative vomiting, 5 of chemotherapy, and 7 with pregnancy nausea. 27 showed acupuncture significantly superior to control, but 4 indicated no help when treatment was given during anesthesia. 12 studies which were randomized with placebo also supported the efficacy of acupuncture. Comment: This is one disorder for which there now can be no doubt of the efficacy of acupuncture.

Ceccherelli, F., Manani, G., Ambrosio, F., Angel, A., Valenti, S., Facco, E., and Giron, G. P.; Influence of acupuncture on the postoperative complications following ketamine anesthesia. The importance of manual stimulation of point R and shen menn. Acupunct Electrother Res 1981. Vol.6[4], p.255-264. The Authors have investigated the antihallucinogenic and sedative effects of auricular points R and shen menn during surgery under ketamine anesthesia. The results demonstrate that the insertion of the needle in point R is very efficient in reducing hallucinations of ketamine emergence, while the insertion of needle in auricular point shen menn causes only a brief period of sedation in the beginning of the emergence period. The acupunctural technique employed by the Authors has been shown to increase considerably approbation of ketamine anesthesia.

Chiang, J. S.; Acupuncture to Prevent Postoperative Paralytic lleus. ClinicalTrials.gov 2003. Abstract online Grant Number: 1R21AT001065-01A1; Institution: UNIVERSITY OF TEXAS MD ANDERSON CAN CTR CANCER CENTER HOUSTON, TX 77030 Fiscal Year: 2003 Department: Project Start: 15-JUN-2003 Project End: 28-FEB-2005 ICD: NATIONAL CENTER FOR COMPLEMENTARY & ALTERNATIVE MEDICINE; CRISP (Computer Retrieval of Information on Scientific Projects) is a biomedical database system containing information on research projects and programs supported by the U.S. Department of Health and Human Services.

Cummings, M.; EA for PONV after tonsillectomy in children (n=120). Acupunct Med 2002. Vol.20[2-3], p.133-134. Original article "Electroacupuncture Prophylaxis of Postoperative Nausea and Vomiting following Pediatric Tonsillectomy with or without Adenoidectomy" (Rusy,L.M., et al) in Anesthesiology 2002, Vol 96(2) p. 300-305.

Dundee, J. W.; Reduction in emetic effects of opioid preanaesthetic medication by acupuncture. Br J Clin Pharmacol 1986. Vol.22, p.583-584.

Facco, E., Manani, G., Angel, A., Vincenti, E., Tambuscio, B., Ceccherelli, F., Troletti, G., Ambrosio, F., and Giron, G. P.; Comparison study between acupuncture and pentazocine analgesic and respiratory post-operative effects. Am J Chin Med 1981. Vol.9, p.225-235. The authors studied the effects of acupuncture and pentazocine on post-operative respiratory function and pain management on patients hysterectomized by means of a subumbilical midline incision. The acupunctural technique consisted of GB-26, St-36, Sp-6 and auricular Shen-Men bilateral electrostimulation for 40 minutes. The analgesic effect of acupuncture was equivalent to that of 30 mg pentazocine, yet the most important effect of acupuncture consisted in a net increase of Xital capacity during the period of acupuncture analgesia Xhat lasted for 3-4 hr after stimulation; contrariwise,pentazocXne did not cause any vital capacity increment and vitXl capacity remained at the levels observed prior to narcotic administration.

Gao, X., Jiang, C., and Yan, H.; Clinical observation on operation of cerebral speech area under combined acupuncture-drug anesthesia (in Chinese). Zhong Guo Zhong Xi Yi Jie He Za Zhi (Chinese Journal of Integrated Chinese-Western Medicine) 2000. Vol.20[10], p.731-732.

Gejervall, A. L., Stener-Victorin, E., Moller, A., Janson, P. O., Werner, C., and Bergh, C.; Electro-acupuncture versus conventional analgesia: a comparison of pain levels during oocyte aspiration and patients' experiences of well-being after surgery. Hum Reprod 12-17-2004.

Lin X. and Zhong H.H.; Acupuncture treatment of postoperative abdomenal distension: a report of 33 cases. Inter J Clin Acup 1997. Vol.8[1], p.45-48. Abdomen surgery with peridural anesthesia was followed by distension. The following points were needled: ST 25, 36, 37, Lanwei (EX-LE 7) for post-appendectomy, LI 4, SP 6, and LU 5, with EA over ST 25 for 10 minutes after other surgeries. Treatment was once or twice daily, with 38 of 44 cured by the second needling. Two illustrative cases are given. Comment: There are several articles attesting to the good services of acupuncture in relieving pain and distension following surgery. Someone would do patients a great service by running a randomized controlled study in this country; surgeons locally have chosen not to accept my wisdom, though I did have my agonized and vomiting relative up and conversing happily within an hour. He also healed twice as rapidly as his friend with the same surgery, but I can't claim that as a control.

Martelete, M.; Comparative study of the analgesic effect of TNS, electroacupuncture, and meperidine in the treatment of post operative pain. Acupunct Electrother Res 1985. Vol.10, p.183-193. Seventy two patients, from 15 to 60 years old, in good physical status and submitted to surgery in the upper or lower abdominal, rectal or lumbar areas were studied. In the immediate postoperative period, they were randomly divided in three groups and each group was submitted to one of the following treatments: intravenous meperidine, transcutaneous nerve stimulation (TNS) or electroacupuncture (EA). Each treatment was divided in two phases with one hour interval between them. Each phase was constituted of 30 minutes of stimulation in case of TNS and EA and fractionated administration of meperidine in all groups. The pain level was evaluated through a visual analogue scale before and after each phase of treatment. The results were compared among groups and, on each group, between the phases of treatment. In all surgery types, the postoperative pain relief presented by TNS and EA groups of patients was greater than that of meperidine treated group. But, the analgesia presented by the EA treated group of patients lasted longer and increased with the repetition of treatment. The differences of behaviour of TNS and EA analgesia suggest that their neurochemical mechanisms may not be the same.

Mok, P. Y. P.; Medical acupuncture applications in surgical anesthesia. AAMA Rev 1991. Vol.3[1], p.20-24.

Mok, Y. P.; Abstract of "Preoperative intradermal acupuncture reduces postoperative pain, nausea and vomiting, analgesic requirement, and sympathoadrenal responses" (Kotani,N., et al). Acubriefs Newsletter 2001. Vol.2[9].

Oho, T.; The effects of epidural anesthesia and acupuncture upon human somatosensory evoked potential (author's transl). [Japanese]. Masui 1978. Vol.27[7], p.694-699.

Rotchford, J. K.; Abstract of "The effect of auricular acupuncture on anaesthesia with desflurane" (Taguchi,A., et al). Original article in Anaesthesia 2002, Vol 57(12) p.1159-1163.

Stener-Victorin, E. and Waldenstrom; A randomized study of the effects of electro-acupuncture versus Alfentanil as anaesthesia during oocyte aspiration. Human Reproduction Abstracts 1998. Vol.13[Abstract Book 1 P-103], p.181. Human Reproduction Abstracts of the 14th Annual Meeting of the ESHRE, Goteborg The Cochrane Controlled Trials Register. In: The Cochrane Library, Issue 1, 2002. Oxford: Update Software. Updated quarterly.

Visetti, E. and Costa, P; Auriculotherapy for intra-operative hiccup in anesthetized patients. Am J Acupunct 1995. Vol.23[2], p.105-108. Forty- two cases of interoperative hiccups were treated with auricular acupuncture with initial point "diaphragm" (Oleson auricular location C14/C15), with hiccups abolished in half. Another 24% were abolished if "larynx" (C18) was added and a further 19% by adding "point 0" (H 1). Only 3 patients (7%) did not respond. A mild, but statistically significant bradycardia (average pulse 79 reduced to 70) was noted, but no other effects were seen. 15 cases were associated with GI surgery, 12 with gynecologic and 5 with orthopedic cases (with spinal anesthesia).Comment: This study demonstrates a technique that can easily be performed by the anesthesiologist. If this is to be added to the anesthesia "bag of tricks", it is critically important to have a control group in a study. Sham ear acupuncture might itself have problems due to non-specific effects of ear needling (see article by Margolin, et.al. elsewhere in this collection), but the study can be done with a non-needle control, or perhaps a "helix control" as proposed by Margolin, et.al. (Dr. Diehl).

Wang, J.; Clinical application of combined acupuncture-drug anesthesia with isoflurane-induced hypotension in cerebral operation. [Chinese]. Zhong Guo Zhong Xi Yi Jie He Za Zhi (Chinese Journal of Integrated Chinese-Western Medicine) 2000. Vol.20[3], p.167-169. Abstract (ENG) online PMID: 11789275 ; ID:CN-00377005 17687.

Wang, J. L., Xie, W. X., and Zhang, Q.; Effects of combined transdermal acupoint electric stimulation and isoflurane anesthesia on isoflurane-induced hypotension and tissue oxygen metabolism in patients undergoing craniotomy (in Chinese). Zhong Guo Zhong Xi Yi Jie He Za Zhi (Chinese Journal of Integrated Chinese-Western Medicine) 2001. Vol.21[3], p.180-182.

Wang, S. M. and Kain, Z. N.; P6 acupoint injections are as effective as droperidol in controlling early postoperative nausea and vomiting in children. Anesthesiology 2002. Vol.97[2], p.359-366. Abstract online PMID: 12151925 #17215 Abstract in Complement Ther Med 2002, Vol.10(2) p.112.

Wang, S. M., Maranets, I., Weinberg, M E, and et al; Parental Auricular Acupuncture as an Adjunct for Parental Presence during Induction of Anesthesia. Anesthesiology 2004. Vol.100[6], p.1399-1404.

YAO, C.; Observation on therapeutic effect of acupuncture at point Neiguan (PC 6) on traction reflection of the viscus in operation (in Chinese). [Chinese Acupuncture & Moxibustion] 2004. Vol.24[09], p.635-636. Objective: To search for a therapy for traction reflection of the viscus m operation. Methods: Acupuncture was given at Neiguan (PC 6) on one side for treatment of 2980 cases with traction reflection of the viscus operation. Results: Of the 2980 cases, 2086 cases were cured, 447 cases were markedly effective and 447 cases were effective, 1he total effective rate being 100.0%. Conclusion: Acupuncture at Neiguan (PC 6) can rapidly cure traction reflection of viscera during operation Chinese name: ZHONG GUO ZHEN JIU; ISSN: 0255-2930; Period: Monthly; Date of Publication: the 12th of every month; Sponsor: China Association of Acupuncture and Moxibustion; Institute of Acupuncture & Moxibustion, China Academy of TCM; E-mail: webmaster@cjacupuncture.com ; Tel: 86-10-64014411 branch 2946 (Editorial Office).

RADIATION

Bruce, S. D.; Radiation-induced xerostomia: how dry is your patient? Clin J Oncol Nurs 2004. Vol.8[1], p.61-67. Abstract online PMID: 14983765 19998.

Johnstone, P. A., Peng, Y. P., May, B. C., Inouye, W. S., and Niemtzow, R. C.; Acupuncture for pilocarpine-resistant xerostomia following radiotherapy for head and neck malignancies. Int J Radiat.Oncol Biol.Phys 6-1-2001. Vol.50[2], p.353-357. Abstract online PMID: 11380221 Reviewed in Acubriefs June 2001 Vol.2(6) #14368, p14188.

Li, H. and et al; Clinical study on acupuncture treatment of side reactions of radiotherapy and chemotherapy for malignant tumor. World J Acup-Moxi 1998. Vol.8[2], p.8-12.

Zhou, J., Li,Z. and Jin,P.; A clinical study on acupuncture for prevention and treatment of toxic side-effects during radiotherapy and chemotherapy. J Tradit Chin Med 1999. Vol.19, p.16-21.

RENAL COLIC

Lee, Y.H., Lee, W.C., Chen, M.T., Huang, J.K., Chung, C. Chang, L.S. Acupuncture in the treatment of renal colic. Journal of Urology, 147 (1), January, 1992, pp. 16-18.

SEDATIVES

Chen, X. H.; Observations on the Curative Effect of Combined Acupuncture and Medicine on Insomnia (in Chinese). [Shanghai Journal of Acupuncture and Moxibustion] 2003. Vol.22[11], p.30-31. Objective: To improve the curative effect of acupuncture on insomnia. Methods: Eighty patients with insomnia were randomly divided into a treatment group and a control group, 40 cases each. The treatment group received estazolam plus acupuncture and the control group, simple estazolam. Results: The total effective rate was 97.5% in the treatment group and significantly higher than in the control group. Statistical analysis showed a significant difference between the two groups (P < 0.01). Conclusion: Estazolam with the cooperation of acupuncture can effectively prolong sleep time, improve sleep quality and relieve accompanying symptoms so as to heighten the curative effect Chinese name: SHANG HAI ZHEN JIU ZA ZHI; ISSN: 1005-0957; Period: Monthly; Date of Publication: the 25th of every month; Sponsor: Shanghai Academy of TCM; Shanghai Society of Acupuncture and Moxibustion; E-mail: shzj@chinajournal.net.cn ; Tel: 86-21-64382181 (Editorial Office).

Stellon, A. and Palmer, T.; Acupuncture as an alternative to Diazepam sedation for diagnostic endoscopy. Acupunct Med 1999. Vol.17[1], p.2-4. 206 patients were given pharyngeal xylocaine spray, 95 chose sedation with IV Diazepam, 54 were given acupuncture, and 53 no other therapy as a control group. LI4, PC (MH)6, ST9, CV23, 24 were needled, stimulated and left in situ during the procedure. Emotional and physical distress was assessed by ordinal scale. Distress and number of endoscopic attempts were less in the sedated group. Emotional distress was less in the acupuncture than control group, just above statistical significance; there was no difference in physical distress. 8.8% of sedated patients required oxygen and respiratory attention, versus 3.8% of control group and 0% of the acupuncture group. Some bias was introduced by providing initial choice for sedation or none—more females chose sedation (R. Erickson).

STEM CELL TRANSPLANTATION

Shen, J., Wenget, N. S., Glaspy, J. A., Hays, R. D., Elliott, M., Choi, C., and Shekelle, P. G.; Adjunct antiemesis electroacupuncture in stem cell transplantation [abstract]. Proc Am Soc Clin Oncol 1997. Vol.148, p.42a. Ablative chemotherapy is one of the MOST emetogenic procedures. EAP was given 20 minutes daily for 5 days at SP6 and ST36. Emesis and nausea decreased significantly and quality of life was enhanced in their patients.

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