Beruflich Dokumente
Kultur Dokumente
e in cancer
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Acupuncture
Mechanisms
Acupuncture Mechanisms
Activate the hypothalamus and the pituitary gland
Balance the sympathetic and parasympathetic systems
Anti-inflammatory effects
Endogenous opioid system
Boost animal immune function by enhancing NK cell
and lymphocyte activity
The positive results of the studies on chemotherapyinduced N/V, which benefit from scientifically sound
research designs, are the most convincing
Other indications
Weight loss
Anxiety
Depression
Insomnia
Poor appetite
Xerostomia
Hot flashes
Peripheral neuropathy
Gastrointestinal symptoms (constipation and diarrhea)
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Laboratory &
Animal
Preclinical Studies
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Sato T, Yu Y, Guo SY, et al.: Acupuncture stimulation enhances splenic natural killer cell cytotoxicity
in rats. Jpn J Physiol 46 (2): 131-6, 1996
Another study found that NK cell activity and Tlymphocyte transformation rate were increased in a
mouse model of transplanted mammary cancer
compared with a control after eight sessions of
acupuncture and moxibustion
Liu LJ, Guo CJ, Jiao XM: [Effect of acupuncture on immunologic function and histopathology of
transplanted mammary cancer in mice] Zhongguo Zhong Xi Yi Jie He Za Zhi 15 (10): 615-7, 1995.
Liu LJ, Guo CJ, Jiao XM: [Effect of acupuncture on immunologic function and
histopathology of transplanted mammary cancer in mice] Zhongguo Zhong Xi Yi Jie He Za
Zhi 15 (10): 615-7, 1995
Human/Clinical
Studies
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Effect of Acupuncture on
Immune Function
Second study
immune
Third study
immune
The data showed that IL-2 level and NK cell activity were
significantly increased in the acupuncture group,
compared with the control group (P < .01)
Wu B, Zhou RX, Zhou MS: [Effect of acupuncture on interleukin-2 level and NK cell immunoactivity
of peripheral blood of malignant tumor patients] Zhongguo Zhong Xi Yi Jie He Za Zhi 14 (9): 537-9,
1994
Fourth study
immune
Fifth study
immune
Sixth study
immune
Effect of Acupuncture
on Cancer Pain
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
First study
pain
Second study
pain
Alimi D, Rubino C, Leandri EP, et al.: Analgesic effects of auricular acupuncture for cancer pain. J Pain Symptom Manage
19 (2): 81-2, 2000
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Third study
Pain
Filshie J, Redman D: Acupuncture and malignant pain problems. Eur J Surg Oncol 11 (4): 389-94,
1985
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Forth study
pain
Wen HL: Cancer pain treated with acupuncture and electrical stimulation. Mod Med Asia 13 (2): 126, 1977
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Effect of Acupuncture on
Cancer Treatmentrelated
Side Effects
Li QS, Cao SH, Xie GM, et al.: Combined traditional Chinese medicine and Western medicine. Relieving effects of Chinese
herbs, ear-acupuncture and epidural morphine on postoperative pain in liver cancer Chin Med J (Engl) 107 (4): 289-94, 1994
He JP, Friedrich M, Ertan AK, et al.: Pain-relief and movement improvement by acupuncture after ablation and axillary
lymphadenectomy in patients with mammary cancer. Clin Exp Obstet Gynecol 26 (2): 81-4, 1999
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Donald GK, Tobin I, Stringer J: Evaluation of acupuncture in the management of chemotherapyinduced peripheral
neuropathy. Acupunct Med 29 (3): 230-3, 2011
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Crew KD, Capodice JL, Greenlee H, et al.: Randomized, blinded, sham-controlled trial of acupuncture for the management of
aromatase inhibitor-associated joint symptoms in women with early-stage breast cancer. J Clin Oncol 28 (7): 1154-60, 2010.
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Dr Mehran
Rezvani
pain fellowship
anesthesiologist
Vickers AJ: Can acupuncture have
specific
effects
on health?
A systematic review of acupuncture
&
acupuncturist
antiemesis trials. J R Soc Med 89 (6): 303-11, 1996.
Enblom A, Lekander M, Hammar M, et al.: Getting the grip on nonspecific treatment effects: emesis
in patients randomized to acupuncture or sham compared to patients receiving standard care. PLoS
One 6 (3): e14766, 2011.
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Vasomotor symptoms
Some studies have reported that acupuncture may be
effective in reducing vasomotor symptoms among
postmenopausal women with breast cancer and prostate
cancer patients on androgen-deprivation therapy
Vasomotor symptoms -1
In women with hormone receptorpositive breast cancer.
Acupuncture was just as effective as venlafaxine and
caused fewer adverse effects
Walker EM, Rodriguez AI, Kohn B, et al.: Acupuncture versus venlafaxine for the management of
vasomotor symptoms in patients with hormone receptor-positive breast cancer: a randomized
controlled trial. J Clin Oncol 28 (4): 634-40, 2010.
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Vasomotor symptoms -2
An uncontrolled prospective case series of 50 women on
tamoxifen for early breast cancer evaluated women After
acupuncture vasomotor symptoms dropped by 49.8% (P
< .0001)
de Valois BA, Young TE, Robinson N, et al.: Using traditional acupuncture for breast cancer-related
hot flashes and night sweats. J Altern Complement Med 16 (10): 1047-57, 2010.
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Vasomotor symptoms -3
In retrospective evaluation of 194 patients with
predominantly breast or prostate cancer found long-term
relief of vasomotor symptoms associated with acupuncture.
Filshie J, Bolton T, Browne D, et al.: Acupuncture and self acupuncture for long-term treatment of
vasomotor symptoms
in cancer patients--audit and treatment algorithm. Acupunct Med 23 (4): 171-80, 2005.
Fatigue
In a RCT, 47 cancer patients with moderate to severe
fatigue were randomly assigned to one of three groups.
The study concluded that acupuncture was a more
effective method than acupressure or sham acupressure
Molassiotis A, Sylt P, Diggins H: The management of cancer-related fatigue after chemotherapy with
acupuncture and acupressure: a randomised controlled trial. Complement Ther Med 15 (4): 22837,2007.
Molassiotis A, Bardy J, Finnegan-John J, et al.: Acupuncture for cancer-related fatigue in patients with
breast cancer: a pragmatic randomized controlled trial. J Clin Oncol 30 (36): 4470-6, 2012.
Xerostomia
Acupuncture was associated with a decrease in the onset
of symptoms and an increased saliva flow in two
randomized studies that compared acupuncture with
standard care for preventing xerostomia in patients
undergoing radiation therapy
Braga FP, Lemos Junior CA, Alves FA, et al.: Acupuncture for the prevention of radiation-induced
xerostomia in patients with head and neck cancer. Braz Oral Res 25 (2): 180-5, 2011 Mar-Apr.
Meng Z, Garcia MK, Hu C, et al.: Randomized controlled trial of acupuncture for prevention of
radiation-induced xerostomia among patients with nasopharyngeal carcinoma. Cancer 118 (13):
3337-44, 2012.
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Xerostomia
Compared with standard care, acupuncture significantly
improved xerostomia symptoms in patients who experienced
the condition following radiation therapy
Simcock R, Fallowfield L, Monson K, et al.: ARIX: a randomised trial of acupuncture v oral care sessions in
patients with chronic xerostomia following treatment of head and neck cancer. Ann Oncol 24 (3): 776-83,
2013
Pfister DG, Cassileth BR, Deng GE, et al.: Acupuncture for pain and dysfunction after neck dissection: results
of a
randomized controlled trial. J Clin Oncol 28 (15): 2565-70, 2010.
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Other Treatment-related
Side Effects
Mehling WE, Jacobs B, Acree M, et al.: Symptom management with massage and
acupuncture in postoperative cancer patients: a randomized controlled trial. J Pain
Symptom Manage 33 (3): 258-66, 2007.
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Johnstone PA, Polston GR, Niemtzow RC, et al.: Integration of acupuncture into the
oncology clinic. Palliat Med 16 (3): 235-9, 2002.
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
COMMON POINTS:
Anorexia
ST-36 Zusanli
BL-21 Weishu
BL-20 Pishu
PC-6 Neiguan
CV 12 Zhongwan
SP-9 Yinlingquan
CV-6 Qihai
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Radiation cystitis
SP-6 Sanyinjiao
SP-9 Yinlingquan
BL-28 Pangguangshu
CV -3 Zhongji
BL-20 Pishu
ST 36 Zusanli
BL-23 Shenshu
CV-4 Guanyuan
SP-10 Xuehai
CV-6 Qihai
BL-40' Weizhong
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Radiation proctitis
CV 12 Zhongwan
ST-36 Zusanli
ST-25 Tianshu
ST 37 Shangjuxu
LI-11 Quchi
ST-44 Neiting
LI-4 Hegu
BL-20 Pishu
CV-4 Guanyuan
BL-23 Shenshu
BL-25 Dachangshu
SP-6 Sanyinjiao
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Hair loss
GV 20 Baihui
BL-23 Shenshu
ST-36 Zusanli
SP-6 Sanyinjiao
BL-15 Xinshu
BL-17 Geshu
BL-20 Pishu
Fever
Enrich Yin and clear Heat, quiet the Heart and Spirit.
GV-14 Dazhui
SI-3 Houxi
HT -6 Yinxi
KI-3 Taixi
SP-6 Sanyinjiao
PC-6 Neiguan
KI-7Fuliu
BL-15 Xinshu
BL-17 Geshu
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Profuse sweating
BL-13 Feishu
BL-43 Gaohuang
ST-36 Zusanli
CV-4 Guanyuan
BL-20 Pishu
LU-9 Taiyuan
Hemoptysis
BL-13 Feishu
LU-1 Zhongfu
GV 14 Dazhui
LU-6 Kongzui
LU-5 Chize
LI-4 Hegu
HEMATURIA
BL-28 Pangguangshu
CV -3 Zhongji
BL-40Weizhong
SP-6 Sanyinjiao
ST 25 Tianshu
BL-22 Sanjiaoshu
PC-7 Daling
Pleural effusion
GV 14 Dazhui
BL-13 Feishu
LU-1 Zhongfu
CV 17 Danzhong
PC-6 Neiguan
LU-5 Chize
SP-9 Yinlingquan
BL-20 Pishu
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Ascites
ST 25 Tianshu
CV-6 Qihai
CV 12
Zhongwan
ST-36 Zusanli
SP-9 Yinlingquan
CV-3Zhongji
BL-22 Sanjiaoshu
BL-20 Pishu
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Constipation
HEAT CONSTIPATION
BL-25 Dachangshu
ST-25 Tianshu
TB-6Zhigou
ST 37 Shangjuxu
ST-40 Fenglong
ST 29Guilai
LI-4 Hegu
LI-11 Quchi
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Constipation
CONSTIPATION DUE TO QI STAGNATION
BL-25 Dachangshu
ST-25 Tianshu
TB-6 Zhigou
ST 40 Fenglong
ST 29 Guilai
LR-3Taichong
CV 12 Zhongwan
BL-22 Sanjiaoshu
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Constipation
QI DEFICIENCY
BL-25 Dachangshu
ST-25 Tianshu
ST-36 Zusanli
CV -4 Guanyuwan
ST-37 Shangjuxu
BL-43 Gaohuang
BL-20 Pishu
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Constipation
BLOOD DEFICIENCY
ST 25 Tianshu
ST 36 Zusanli
BL-20 Pishu
ST 40 Fenglong
SP-3 Taibai
BL-17 Geshu
SP-6 Sanyinjiao
BL-25 Dachangshu
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Constipation
COLD CONSTIPATION
BL-25 Dachangshu
ST-25 Tianshu
TB-6 Zhigou
ST-40 Fenglong
CV-8 Shenque
CV-6 Qihai
GV 4 Mingmen
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
Pain
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
HEADACHE
HEADACHE
WIND-COLD OBSTRUCTION
GB-20 Fengchi
EX-HN-5 Taiyang
GV 14Dazhui
LI-4 Hegu
TB-5 Waiguan
HEADACHE
DEFICIENCY FIRE PATTERN
GB-20 Fengchi
EX-HN-5 Taiyang
GV 14 Dazhui
LI-4 Hegu
LI-11 Quchi
LR-3 Taichong
HEADACHE
PHLEGM TURBIDITY
GB-20 Fengchi
EX-HN-5 Taiyang
ST-40 Fenglong
EX-HN-3 Yintang
LU-7 Lieque
SP-4 Gongsun
HEADACHE
BLOOD STASIS
GB-20 Fengchi
EX-HN-5 Taivang
LI-4 Hegu
GV-20 Baihui
SP-10 Xuehai
LR-3 Taichong
SP-6 Sanyinjiao
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
HEADACHE
QI AND BLOOD DEFICIENCY
GV 23 Shangxing
SP-10 Xuehai
SP-6Sanyinjiao
BL-18 Ganshu
HEADACHE
Commonly used acupuncture points
frontal headache: GB-14 Yangbai and LI-4 Hegu
migraine: TB-20 Jiaosun, GB-20 Fengchi and TB-5
Waiguan
occipital headache : GB-20 Fengchi and BL-60 Kunlun
headache at the vertex: GV 20 Baihui and LR-3 Taichong
CHEST PAIN
CHEST PAIN
PHLEGM-HEAT CONGESTING THE LUNGS
CV-17 Danzhong
LI-11 Quchi
PC-5 Jianshi
LI-4 Hegu
ST-40 Fenglong
SP-6 Sanyinjiao
CHEST PAIN
ACCUMULATION AND OBSTRUCTION OF PHLEGM
TURBIDITY
SP-9 Yinlingquan
ST-40 Fenglong
PC-6 Neiguan
SP-4 Gongsun
CV-11 jianli
CV-14 Juque
Dr Mehran Rezvani pain fellowship anesthesiologist
& acupuncturist
CHEST PAIN
QI STAGNATION AND BLOOD STASIS
CV-17 Danzhong
LU-1 Zhongfu
TB-6 Zhigou
LR-3 Taichong
CHEST PAIN
QI AND YIN DEFICIENCY
ST-36 Zusanli
SP-6 Sanyinjiao
PC-4 Ximen
HT-3 Shaohai
CV-17 Danzhong
CV-6 Qihai
ABDOMINAL PAIN
ABDOMINAL PAIN
CONGEALING AND STAGNATION OF PATHOGENIC COLD
CV-12 Zhongwan
ST-36 Zusanli
SP-4 Gongsun
CV-8 Shenque
CV-4 Guanyuan
ABDOMINAL PAIN
INTERNAL OBSTRUCTION OF DAMPHEAT
TB-6 Zhigou
SI-4 Wangu
SP-9 Yinlingquan
ST 36 Zusanli
SP-4 Gongsun
ABDOMINAL PAIN
QI STAGNATION AND BLOOD STASIS
LR-3 Taichong
CV-6 Qihai
SP-6 Sanyinjiao
GB-34 Yanglingquan
ABDOMINAL PAIN
DEFICIENCY COLD OF THE SPLEEN AND STOMACH
BL-20 Pishu
BL-21 Weishu
CV 12 Zhongwan
CV-6 Qihai
ST 36 Zusanli
SP-6 Sanyinjiao
BRACHIAL PLEXUS
NEURALGIA
all bilateral
ST-31 Biguan
ST 32 Futu
STUMP PAIN
STUMP PAIN
Technique :
Insert the needles deeply into local points (the relevant
Shu)
If there is no transport point available, select one local
point on each of the six channels (three Yin and three
Yang channels) and insert the needle obliquely upward
(at an angle of about 45 to the skin surface)