Several studies in China and abroad have reported that acupuncture
can bring about symptomatic improvement in Parkinson’s Disease
(PD). The increase of dopamine in the brain and the excitability
of the dopamine neurons induced by acupuncture may contribute to
the therapeutic effects.
The first report on the
treatment of PD with acupuncture appeared in 1955, but it was not
until the 1970’s when the effectiveness of scalp acupuncture
in the treatment of PD was discovered that the treatment became
widespread. One Chinese report on 218 cases of PD treated with acupuncture
concluded that “acupuncture possesses definite therapeutic
effectiveness for Parkinson's disease, which is mainly represented
by improvement in the clinical symptoms and signs, delaying of the
disease's progression, decrease in the dosage of anti-parkinsonian
drug, and expectant treatment of the complications and symptoms
induced by the drug side-effects.”
In one U.S. study, acupuncture
was found to improve sleep in Parkinson’s patients. The patients
also reported other discrete symptomatic improvements. (Shulman
et al, 2002).
Acupuncture Treatment
of Parkinson’s Disease. Report of Huashan Affiliated
Hospital TCM Department, Shanghai First Hospital, Shanghai, 1979.
Electro-acupuncture at 120-150 Hz for 20 min. 1 treatment/day for
a total of 15 treatments. Rest 3-5 days then repeat. Of 53 patients,
11 (20.8%) had marked improvement, 30 (56.6%) showed improvement,
12 (22.6%) showed no improvement. In patients who showed no improvement
in the first series of treatments, there was no improvement in the
subsequent series either. Patients with “rigid type”
PD responded better than those with “tremor type.”
Jiao S, Scalp Acupuncture,
Shanxi People’s Press, 1982: 126. Acupuncture at Chorea-Tremor
Area for Parkinson’s Disease.13 subjects (43.3%)
had “marked improvement” (tremors stopped for more than
6 months, muscle hypertonicity recovered normal levels, other symptoms
improved, able to resume work, but relapse in 6 months). 16 subjects
had “improvement” (tremors ceased for 8 hours or more,
hypertonicity and general symproms improved). 1 subject had no effect
(3.4%). Acupuncture treatment with scalp needles was found to be
most effective in the early stages of PD.
Jiang Da-shu 1990. Xi
Jia-fang 1995. Combined acupuncture and Chinese herbs for
Parkinson’s Disease.
Jin et al. Acupuncture
in the treatment of Parkinson’s Disease. Zhenjiu
Linchuang Zazhi 1998; 14(3):5.
Chen Li-guo. Clinical
Observation of 40 Cases of Parkinson’s Disease Treated with
Acupuncture. Zhong Yi Za Zhi 1996; 37(4):216. (J Tradit
Chin Med 1998 Mar;18(1):23-6) . Marked improvement in 10 cases,
improvement in 16, no effect in 14.
Shulman LM, Wen X, Weiner
WJ, Bateman D, Minagar A, Duncan R, Konefal J, 2002. Acupuncture
therapy for the symptoms of Parkinson's disease. Mov Disord
2002 Jul;17(4):799-802
Liang XB, Liu XY, Li
FQ, Luo Y, Lu J, Zhang WM, Wang XM, Han JS. 2002. Long-term
high-frequency electro-acupuncture stimulation prevents neuronal
degeneration and up-regulates BDNF mRNA in the substantia nigra
and ventral tegmental area following medial forebrain bundle axotomy.
Brain Res Mol Brain Res 2002 Dec 16;108(1-2):51-9. The
results of this study done with lab rats suggest that long-term
high-frequency electro-acupuncture is effective in halting the degeneration
of dopaminergic neurons in the substantia nigra and up-regulating
the levels of brain-derived neurotrophic factor (BDNF) mRNA levels
in ventral midbrain. The effect was found at 100 Hz electroacupuncture.
Zero Hz and 2 Hz had no effect. Activation of endogenous neurotrophins
by electro-acupuncture may be involved in the regeneration of the
injured dopaminergic neurons, which may underlie the effectiveness
of electro-acupuncture in the treatment of Parkinson’s Disease
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