Acupuncture point LI-4 (Hegu) known in Chinese as (hg)
Acupressure [from Latin acus needle (see acuity) + pressure (n.) [1] ] is an alternative medicine technique sim- ilar in principle to acupuncture. It is based on the con- cept of life energy which ows through meridians in the body. In treatment, physical pressure is applied to acupuncture points with the aim of clearing blockages in these meridians. Pressure may be applied by hand, by elbow, or with various devices. Some medical studies have suggested that acupressure may be eective at helping manage nausea and vomit- ing, for helping lower back pain, tension headaches, stom- ach ache, among other things, although such studies have been found to have a high likelihood of bias. [2] It may probably not be as eective as acupuncture, but some claim it provides temporary relief. According to Quackwatch acupressure is a dubious prac- tice, and its practitioners use irrational methods. [3] 1 Background Acupoints used in treatment may or may not be in the same area of the body as the targeted symptom. The traditional Chinese medicine (TCM) theory for the se- lection of such points and their eectiveness is that they work by stimulating the meridian system to bring about relief by rebalancing yin, yang and qi (also spelled chi). Many East Asian martial arts also make extensive study and use of acupressure for self-defense and health pur- poses, (chin na, tui na). The points or combinations of points are said to be used to manipulate or incapacitate an opponent. Also, martial artists regularly massage their own acupressure points in routines to remove blockages from their own meridians, claiming to thereby enhance their circulation and exibility and keeping the points soft or less vulnerable to an attack. [4] 2 Reception A 2011 systematic review of acupressures eectiveness at treating symptoms found that 35 out of 43 random- ized controlled trials had concluded that acupressure was eective at treating certain symptoms; however, the na- ture of these 43 studies indicated a signicant likeli- hood of bias. The authors of this systematic review con- cluded that this review of clinical trials from the past decade did not provide rigorous support for the ecacy of acupressure for symptom management. Well-designed, randomized controlled studies are needed to determine the utility and ecacy of acupressure to manage a vari- ety of symptoms in a number of patient populations. [2] A 2011 Cochrane review of four trials using acupunc- ture and nine studies using acupressure to control pain in childbirth concluded that acupuncture or acupressure may help relieve pain during labour, but more research is needed. [5] An acupressure wristband that is claimed to relieve the symptoms of motion sickness and other forms of nausea provides pressure to the P6 acupuncture point, a point that has been extensively investigated. [6] The Cochrane Col- laboration, a group of evidence-based medicine (EBM) reviewers, reviewed the use of P6 for nausea and vom- iting, and found it to be eective for reducing post- operative nausea, but not vomiting. [7] The Cochrane re- view included various means of stimulating P6, including acupuncture, electro-acupuncture, transcutaneous nerve 1 2 6 SEE ALSO stimulation, laser stimulation, acustimulation device and acupressure; it did not comment on whether one or more forms of stimulation were more eective. EBM reviewer Bandolier said that P6 in two studies showed 52% of pa- tients with control having a success, compared with 75% with P6. [8] One author of an article published in the Sci- entic Review of Alternative Medicine disagreed. [9] A Cochrane Collaboration review found that massage provided some long-term benet for low back pain, and said: It seems that acupressure or pressure point massage techniques provide more relief than classic (Swedish) mas- sage, although more research is needed to conrm this. [10] Quackwatch includes acupressure in a list of methods which have no rational place as massage therapy and states that practitioners may also use irrational diagnos- tic methods to reach diagnoses that do not correspond to scientic concepts of health and disease. [3] 3 Acupressure work theory A variant system known as two point acupressure at- tempts to bypass a blockage of vital ow by using one acupoint to create a link with one of the collateral merid- ians, and then using one additional acupoint to stimulate or reduce the ow around the obstruction. 4 Criticism of TCM theory Main article: Acupuncture Criticism of traditional Chinese medicine theory Clinical use of acupressure frequently relies on the conceptual framework of Traditional Chinese Medicine (TCM). There is no physically veriable anatomical or histological basis for the existence of acupuncture points or meridians. [11] Proponents reply that TCM is a prescientic system that continues to have practical rel- evance. Acupuncturists tend to perceive TCM concepts in functional rather than structural terms (e.g., as being useful in guiding evaluation and care of patients). [12] 5 Instruments There are several dierent instruments for applying non- specic pressure by rubbing, rolling, or applying pressure on the reex zones of the body. The acuball is a small ball made of rubber with protuberances that is heatable. It is used to apply pressure and relieve muscle and joint pain. The energy roller is a small cylinder with protuber- ances. It is held between the hands and rolled back and forth to apply acupressure. The foot roller (also krupa chakra) is a round, cylindrical roller with protuberances. The Instruments of Acupressure It is placed on the oor and the foot is rolled back and forth over it. The power mat (also pyramid mat) is a mat with small pyramid-shaped bumps that you walk on. The spine roller is a bumpy roller containing magnets that is rolled up and down the spine. The Teishein is one of the original nine classical acupuncture needles described in the original texts of acupuncture. Even though it is de- scribed as an acupuncture needle it did not pierce the skin. It is used to apply rapid percussion pressure to the points being treated. [13] 6 See also Acupunching Auriculotherapy Fire cupping Jing Luo Points Manipulative therapy Massage Moxibustion Pressure Points Pushing hands Qigong Reexology Reiki Shiatsu 3 7 References [1] AcupressureOnline Etymology Dictionary [2] Lee, Eun Jin; Frazier, Susan K. (2011). The Ecacy of Acupressure for Symptom Management: A Systematic Review. Journal of Pain and Symptom Management 42 (4): 589603. doi:10.1016/j.jpainsymman.2011.01.007. PMC 3154967. PMID 21531533. [3] Stephen Barrett, M.D. (March 9, 2006). Massage Ther- apy: Riddled with Quackery. Quackwatch. Retrieved June 2013. [4] Chinese Medicine Demystied (Part III): The Energy Meridian Model Debunked. [5] Smith, Caroline A; Collins, Carmel T; Crowther, Caro- line A; Levett, Kate M (2011). Acupuncture or acu- pressure for pain management in labour. In Smith, Caroline A. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD009232. PMID 21735441. [6] Dent HE, Dewhurst NG, Mills SY, Willoughby M. Con- tinuous PC6 wristband acupressure for relief of nausea and vomiting associated with acute myocardial infarction: a partially randomised, placebo-controlled trial. Comple- ment Ther Med. 2003 Jun ;11 (2):72-7 http://lib.bioinfo. pl/pmid:12801491 [7] P6 acupoint stimulation prevents postoperative nausea and vomiting with few side eects | Cochrane Sum- maries. [8] Nausea and vomiting in early pregnancy [Jan 1999; 59-4] extquotedbl. [9] Acupuncture. Archived fromthe original on 29 Septem- ber 2011. [10] Massage for low-back pain | Cochrane Summaries. [11] Felix Mann extquotedbl...acupuncture points are no more real than the black spots that a drunkard sees in front of his eyes. (Mann F. Reinventing Acupuncture: A New Concept of Ancient Medicine. Butterworth Heinemann, London, 1996,14.) Quoted by Matthew Bauer in Chinese Medicine Times, Vol 1 Issue 4 - Aug 2006, The Final Days of Traditional Beliefs? - Part One [12] NIH Consensus statement: Despite considerable ef- forts to understand the anatomy and physiology of the acupuncture points, the denition and characterization of these points remains controversial. Even more elusive is the basis of some of the key traditional Eastern med- ical concepts such as the circulation of Qi, the merid- ian system, and the ve phases theory, which are di- cult to reconcile with contemporary biomedical informa- tion but continue to play an important role in the eval- uation of patients and the formulation of treatment in acupuncture. Acupuncture. National Institutes of Health: Consensus Development Conference Statement, Novem- ber 35, 1997. Available online at consensus.nih.gov/ 1997/1997Acupuncture107html.htm. Retrieved 30 Jan- uary 2007. [13] Sharma, Rajeev (2003). Medicina Alternativa. Alpha Sci- ence Int'l Ltd. pp. 196200. Retrieved 2009-01-05. 8 External links Acupuncture at DMOZ 4 9 TEXT AND IMAGE SOURCES, CONTRIBUTORS, AND LICENSES 9 Text and image sources, contributors, and licenses 9.1 Text Acupressure Source: http://en.wikipedia.org/wiki/Acupressure?oldid=627774428 Contributors: Mav, Wesley, Timo Honkasalo, Ed Poor, Eclecticology, Kowloonese, Paul A, CesarB, Ronz, Brettz9, Heidimo, Robbot, Baldhur, Altenmann, Rholton, Mr-Natural-Health, Art Carlson, Marcika, Bradeos Graphon, Duncharris, Yekrats, Geni, Phil Sandifer, R, Stevenmattern, Monkeyman, Rich Farmbrough, Lee- Hunter, Snow steed, BrianJones, Elwikipedista, RoyBoy, CDN99, Davidruben, StoatBringer, Roganhamby, Arthena, Rebroad, Pwqn, The JPS, Barrylb, John Gohde, Erincmartin, Amayzes, Kbdank71, Dpr, Rjwilmsi, Reedbeta, SchuminWeb, AED, Backin72, CarolGray, Travis.Thurston, Srleer, Lemuel Gulliver, Bgwhite, YurikBot, Kennethtennyson, Mccready, Randolf Richardson, Bobak, Thirteenth- Greg, 2over0, Chase me ladies, I'm the Cavalry, Dspradau, SmackBot, Cactus Wren, Apers0n, Scootdown, Bluebot, LinguistAtLarge, Deli nk, DocJohnny, MaxMangel, BullRangifer, DMacks, Playanaut, JzG, Piekarnia, Bronayur, Timichal, Cydebot, Gogo Dodo, Travelbird, Thijs!bot, OrangePeel, Voipmark, JAnDbot, Tony Myers, Frog Splash, Magioladitis, Steven Walling, Redheads, Masseur1, R'n'B, Drsrde- sai, Tikiwont, 12dstring, Mikael Hggstrm, DorganBot, Idioma-bot, WWGB, Timetomosh, TXiKiBoT, Xerces8, SQL, GlassFET, Senyor Nuclear, Alexbrn, OKBot, Stillwaterising, Asher196, Alisondavies, Ottava Rima, Ktboyd, Georgiamonet, Aleksd, XLinkBot, Beachcomber, ThujaSol, DOI bot, Fengshuimestari, Megan Hieatt, Alpham888, Numbo3-bot, Luckas-bot, Jbroch, AnomieBOT, Rubinbot, Piano non troppo, Arvindmreuben, Citation bot, Klingon83, ArthurBot, Transity, Burton63, , Motiondoctor, Citation bot 1, Falukorvarna, Killer Fluoride, Jesus Presley, Dockenny, MasterN1, Hohochoi, DARTH SIDIOUS 2, Stj6, RjwilmsiBot, Giggan, PPdd, Yangutman, GoingBatty, Fartgobbler, H3llBot, Benbright1, ClueBot NG, Jessmaron, Jonathan Fee, MrBill3, ChrisGualtieri, Kenneth.jh.han, Dqgoldin, Password is DOB, WhoIsJohnGalt2013, Jp4gs, Tentinator, DavidLeighEllis, Milon333, Luis Zelda Cappello, Nyashinski and Anonymous: 88 9.2 Images File:Acupuncture_point_Hegu_(LI_4).jpg Source: http://upload.wikimedia.org/wikipedia/commons/0/05/Acupuncture_point_Hegu_ %28LI_4%29.jpg License: CC-BY-SA-3.0 Contributors: Own work Original artist: Mk2010 File:The_instruments_of_acupressure.jpg Source: http://upload.wikimedia.org/wikipedia/en/4/4f/The_instruments_of_acupressure. jpg License: Fair use Contributors: http://www.indiamart.com/acupressure-health-cares-systems/accupressure-instruments.html Original artist: Acupressure Health Care 9.3 Content license Creative Commons Attribution-Share Alike 3.0