This blog is to share the latest research and development of acupuncture and raise the awareness of alternative treatments for your conditions, and is for information only.

Wednesday, 7 October 2015

How does acupuncture exert long-lasting reduction of blood pressure in patients with hypertension?

Electroacupuncture weekly stimulation alone at specific acupoints had a long-lasting reduction of blood pressure in hypertensive patients who did not receive anti-hypertensive medication. According to a randomized controlled clinical trial that was published in the journal of Medical Acupuncture recently.

Although conventional anti-hypertensive medication is able to reduce blood pressure back to normal range in patients with hypertension, long-term medication of those drugs induce many adverse effects. This has sparked a growing interest in alternative medical treatment such as acupuncture.

Recently a group of clinical doctors led by Professor JC Longhurst in the United State carried out a randomized controlled clinical trial to assess the effectiveness and underlying mechanism of eletroacupuncture on hypertension. Sixty-five patients with mild to moderate hypertension, not receiving any medication, were randomly divided into treatment group (n=33) and control group (n=32). Patients in treatment group were given electroacupuncture at acupoints PC5-6+ST36-37, which are thought to have anti-hypertensive effects, for 30min, once a week for 8 weeks. Patients in control group were given electroacupuncture at acupoints LI6-7+GB37-39 which are thought to be irrelevant to blood pressure. Patients were assessed with 24-hour ambulatory blood pressure monitoring to measure the peak and average systolic BP and diabolic BP. Biochemical studies undertaken to look the changes in plasma levels of norepinephrine, renin and aldosterone before and after 8-week treatment.

At the end of 8-week treatment, patients in treatment group had a significant decrease in systolic BP and diabolic BP compared with control group. Four-week follow up found that long-lasting blood pressure-lowering acupuncture effect was still observed in 14 of 33 patients in treatment group. Biochemical studies showed plasma level of norepinephrine, renin and aldosterone, which were initially elevated, was reduced by 41%, 67% and 21% respectively in those patients.

The study showed that electroacupuncture at specific acupoints alone was able to reduced both systolic BP and diabolic BP. Modulation of renin-aldosterone and sympathetic systems were likely linked to long-lasting actions of electroacupuncture.

Reference
Li P et al., Long-Lasting Reduction of Blood Pressure by Electroacupuncture in Patients with Hypertension: Randomized Controlled Trial. MEDICAL ACUPUNCTURE, Volume 27, Number 4, 2015.    http://online.liebertpub.com/doi/full/10.1089/acu.2015.1106

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