acupuncture for cancer baraye 1.pptx

7/25/2019 acupuncture for cancer baraye 1.pptx

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Acupunctu

e in canceDr Mehran Rezvani pain fellowship anesthesiologist

& acupuncturist


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Acupuncture is dened as the application of stsuch as needling, moxibustion, cupping, and aon specic sites of the body nown as acupunc

Dr Mehran Rezvani pain fellowship anesthesiologist& acupuncturist


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!n "hina, acupunctureis part of a#"M system traditionalmedical nowledge and is practiced along withtreatment modalities such as $

%erbal medicine

#ui na massage and acupressure'

Mind(body exercise e)g),*igong and tai chi'

Dietary therapy



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Acupuncture has been practiced in"hina and other Asian countries fomore than +, years



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#he relatively brief history of acupuncture in th.tatescan be traced bac about / years, when Dr) 1achepublished a report in the 2orth American Medi

.urgical3ournal on his use of acupuncture to treat lowe



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#he -).) 0ood and Drug Administration approthe acupuncture needle as a medical device i



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#he human body must be perceived and treatewhole andas part of nature7health is the result of harmobodily functions and between the body and nadisease occurs

when this harmony is disrupted



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Acupuncture is closely associated with "hinetheory

According to this theory, there are 4/ primarorchannels, and 8 additional meridians, each foparticular directional course along the body



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A vital energy nown as *i 9ows through these and participates in the homeostatic regulation bodilyfunctions)

Along the meridians are approximately :6 poi

serveas both pathognomonic signs of disorder and aacupuncture treatments



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;hen the normal 9ow of energy over a meridiaobstructede)g), as a result of tissue in


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AcupunctureMechanisms



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Acupuncture Mechanisms

Activate the hypothalamusand the pituitary gla

1alance the sympathetic and parasympathetic s

Anti=in9ammatorye>ects

?ndogenous opioidsystem

1oost animal immune function by enhancing 2@and lymphocyte activity



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aboratory and animal studies to explore themechanisms of acupuncture for cancer treatmfocused mainly on therole of acupuncture in the activation of immunfunctions, such

as increasing blood cell count and enhancingandnatural iller cell activity



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Acupuncture indications in ca

Manage cancer=related symptoms

#reat side e>ects induced by chemotherapy therapy

1oost blood cell count

?nhance lymphocyte and natural iller 2@'



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Brimary use is symptommanagement

"ancer pain

"hemotherapy=induced nausea and vomiting



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#he positive results of the studies on chemotheinduced 2(C, which benet from scientically soresearch designs, are the most convincing



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ther indications

;eight lossAnxiety

Depression

!nsomnia

Boor appetite

Eerostomia

%ot 9ashes

Beripheral neuropathy

Fastrointestinal symptoms constipation and diarr



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Laboratory &Animal

Preclinical Studie



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At least seven animal studiesinvestigating the e>ects of acupunin cancer or cancer=related condithave been reported in the scient

literature



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0our ex vivo studies suggested thacupuncture is useful in anticancer th

either by actively stimulating immuactivity or by preventing chemother

suppression of immune activity



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!n a study involving normalrats,electroacupu

applied at the point#su=.anli .t:6' for / hours dconsecutive days enhanced the cytotoxicity of natural iller 2@' cells compared with a stimula

non acupuncture control point in the

abdominal muscle

Sato T, Yu Y, Guo SY, et al.: Acupuncture stimulation enhances splenic natural killer cein rats. Jpn J Physiol 46 !": #$#%6, #&&6'



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Another study found that 2@ cell activity and #=lymphocyte transformation rate were increased inmouse model of transplanted mammary cancercompared with a control after eight sessions ofacupuncture and moxibustion

(iu (J, Guo )J, Jiao *+: -ect o/ acupuncture on immunolo0ic /unction an1 histopathtransplante1 mammary cancer in mice2 3hon00uo 3hon0 *i Yi Jie e 3a 3hi #5 #": 6



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A study using moxibustionto warm the acupunctpoint Fuanyuan "C+'once a day for 4 days fousignicantly increased production of erythrocytescompared with a nontreatment control

8u P, )ao Y, 8u J: -ects o/ moxa%cone moxi9ustion at Guanyuan on erythrocytic imre0ulatie /unction in tumor%9earin0 mice. J Tra1it )hin +e1 !# #": 6;%7#, !#'



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Repeated ?A treatments 4/ treatments administover : days' in

B" ratssignicantly lowered the concentrationsin the ovaries, compared with untreated B" rats

G.tener=Cictorin ?, undeberg #, ;aldenstrHm -, et al)$ ?>ects of electro=acupuncture on nerve gr

factor and ovarian morphology in rats with experimentally induced polycystic ovaries) 1iol ReprodI:, /K



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A study of cyclophosphamide =induced emesis in behavioral model used acupuncture as an adects ofchemotherapy signicantly reducedthe total numemetic episodes by L :6=J:

Gao , hang F, ;ong R%, et al)$ #he e>ect of electroacupuncture as an ad


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#he ndings of these studies suggest tacupuncture may be e>ective in treaticancer=related symptoms and cancertreatmentNrelated disorders and that

acupuncture may be able to activateimmune functions and regulate theautonomic nervous system



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nly one studyreported a decrease in tumor voluanimals treated with acupuncture compared with animals imited scientic value'

Giu 3, Fuo "3, 3iao EM$ O?>ect of acupuncture on immunologic function andhistopathology of transplanted mammary cancer in miceP hongguo hong Ehi 4I 4'$ 64I=J, 455IK

Dr Mehran Rezvani pain fellowship anesthesiologist

& acupuncturist


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& acupuncturist


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%uman("linical.tudies


& acupuncturist


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?>ect of Acupuncture !mmune 0unction


& acupuncturist


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At least seven human studies have evaluated theof acupuncture on immune system function in patall in china'

0our randomized controlled trials

ne nonrandomized clinical study

#wo case series

Acupunctureenhanced orregulatedimmunefunction


& acupuncturist


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#he rst randomized controlled immune

Acupuncture treatment enhanced platecount and prevented leuocyte decreaafter radiation therapy or chemotherap

Eia Q, hang D, Qang "E, et al)$ An approach to the e>ectumors of acupuncture in combination with radiotherapy ochemotherapy) 3 #radit "hin Med 6 4'$ /:=6, 4586


& acupuncturist


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.econd studyimmune

euocyte phagocytosis was enhancedin the

treated group, compared with the baseline measuB S )4'

hou RE, %uang 0, 3iang .R, et al)$ #he e>ect of acupuncture on the

activity of human leuocytes) 3 #radit "hin Med 8 /'$ 8:=+, 4588)


& acupuncturist


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#hird studyimmune

#he data showed that !=/ level and2@ cell activisignicantly increasedin the acupuncture group,compared with the control group B S )4'

G;u 1, hou RE, hou M.$ O?>ect of acupuncture on interleuin=/ level and 2@ cell immof peripheral blood of malignant tumor patientsP hongguo hong Ei Qi 3ie %e a hi 4+455+K


& acupuncturist


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0ourth studyimmune

#he data showed that acupuncture treatment increaproportion of the "D:T and "D+T #=lymphocyte subthe "D+T("D8T ratio B S )4', and the level of bet

#he investigators suggested that the anticancer e>eacupuncture may be mediated via the mechanism oimmunomodulation

G;u 1, hou RE, hou M.$ O?>ect of acupuncture on immunomodulation in patients withmalignant tumorsP hongguo hong Ei Qi 3ie %e a hi 46 :'$ 4:5=+4, 4556K


& acupuncturist


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0ifth studyimmune

?lectroacupuncturein patients undergoing chemoexperienced no declines in # cells "D:T, "D+T, or in 2@ cell activity, both of which are usuallysuppressed by chemotherapy

GQe 0, "hen ., iu ;$ ?>ects of electro=acupuncture on immune function after chemothcases)3 #radit "hin Med // 4'$ /4=:, //K


& acupuncturist


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.ixth studyimmune

+8 patients with leuopeniaUincluding two cancepatientsUwho were treated with manual acupuncexperienced improvements in leuocyte count, animmunoglobulin!gF, !gA, and !gM' levels after 4+acupuncture treatments, compared with theirpretreatment levels

G;ei $ "linical observation on therapeutic e>ect of acupuncture at zusanli foleuopenia)

3 #radit "hin Med 48 /'$ 5+=I, 4558KDr Mehran Rezvani pain fellowship anesthesiologist& acupuncturist


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& acupuncturist


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?>ect of Acupunctuon "ancer Bain


& acupuncturist

0i t t d


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0irst studypain

Randomized trial compared two type acupuncturea

conventional analgesic treatment in patients with gacancer pain

#here was e*uivalent analgesic e>ect among the thgroups observed after / months of treatment7 howeconventionally treated group experienced signicansuperior analgesia in rst 4 days of treatment

GDang ;, Qang 3$ "linical study on acupuncture treatment of stomach carcinoma pain) 3 #ra

Med 48 4'$ :4=8, 4558K


& acupuncturist

. d t d


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.econd studypain

!n study evaluated the e>ect of auricular acupunctu

cancer patients who were still experiencing pain aftetreatment with analgesics ;hile patients continued tanalgesic medication, auricular acupuncture needlesembedded in ear acupuncture points)

pain intensity decreased or remained stable after au

acupuncture in all patients, with a signicant averagintensity decrease of :: mm B S )4'

GAlimi D, Rubino ", eandri ?B, et al)$ Analgesic e>ects of auricular acupuncture for cancer pain) 3 Bain .45 /'$ 84=/, /K Dr Mehran Rezvani pain fellowship anesthesiologist

& acupuncturist

#hi d t d


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#hird studyPain

!n a case series involving 48: cancer patients whotreated with acupuncturefor cancer=related pain, were signicantly helped B value not stated

G0ilshie 3, Redman D$ Acupuncture and malignant pain problems) ?ur 3 .urg ncol 44 +458IK


& acupuncturist

0orth stud


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0orth studypain

case series, /5 patients with malignant tumors wdeveloped pain received ?A treatment ) All experivarious degrees of pain relief, and /I out of /5 weto either reduce or eliminate their

analgesic re*uirements following multiple ?A trea

G;en %$ "ancer pain treated with acupuncture and electrical stimulation) Mod Med As6, 45JJK


& acupuncturist

Most of these studies were positive but the ndin


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Most of these studies were positive but the ndinlimited signicance because of methodologic weasuch as $

.mall sample sizes

An absence of patient blinding to treatment in mcases

Carying acupuncture treatment regimens

A lac of standard outcome measurements

Absence of ade*uate randomization


& acupuncturist


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& acupuncturist


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?>ect of Acupuncture on"ancer#reatmentNrelated.ide ?>ects


& acupuncturist

B i d 4


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Bain due to cancer treatment =4

A R"# evaluated the e>ect of various combinations of

acupuncture, "hinese herbs, and epidural morphine to

postoperative pain in 46 patients with liver cancer

All of the combination treatment groups experienced banalgesia than did the placebo=treated control group

Gi ., "ao .%, Eie FM, et al)$ "ombined traditional "hinese medicine and ;estern medicine) Relieving e>eherbs, ear=acupuncture and epidural morphine on postoperative pain in liver cancer "hin Med 3 ?ngl' 4J


& acupuncturist

B i d t t t t /


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Bain due to cancer treatment =/#he e>ect of acupuncture in postoperative painmanagement and arm movement in breast cancer pafter surgical excision of the cancer and axillary lym

#he acupuncture group had signicant pain relief dumovementon the fth and seventh days following sand at the time of discharge) #he range of arm motiincreased signicantly in the treatment group, B S

G%e 3B, 0riedrich M, ?rtan A@, et al)$ Bain=relief and movement improvement by acupuncture after ablatlymphadenectomy in patients with mammary cancer) "lin ?xp bstet Fynecol /6 /'$ 84=+, 4555K


& acupuncturist

B i d t t t t :


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Bain due to cancer treatment =:

A small retrospective case review of acupuncture

chemotherapy=induced peripheral neuropathy in patients showed benetwith reduced symptoms

GDonald F@, #obin !, .tringer 3$ ?valuation of acupuncture in the management of chemotherapyindneuropathy) Acupunct Med /5 :'$ /:=:, /44K


& acupuncturist

Arthralgias and myalgias from


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Arthralgiasand myalgiasfromaromatase inhibitors#rue acupuncture was signicantly more e>ective than

acupuncture, as measured by 1rief Bain !nventory=.hoscores in relieving


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"hemotherapy induced nausea andvomiting

#he positive e>ect of acupuncture on chemothera

induced nausea and vomiting 2(C' is the mostconvincing, as demonstrated by the consistency oresults of a variety of clinical study types


& acupuncturist

"hemotherapy=induced nausea


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"hemotherapy induced nausea vomitingA systematic review of the e>ect of acupuncture o

describes ve clinical trials of chemotherapy=indu2(C, conducted by di>erent investigators on di>ergroups of patients and using di>erent forms ofacupuncture point stimulation

All ve trials yielded positive results

GCicers A3$ "an acupuncture have specic e>ects on healthV A systematic review of ac

antiemesis trials) 3 R .oc Med 85 6'$ ::=44, 4556)K


& acupuncturist

Radiation=induced nausea and


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ad a o duced ausea a dvomiting!n one randomized study, patients who were rand

assigned to acupuncture experienced fewer episonausea and vomiting than did those who receivedstandard care

G?nblom A, eander M, %ammar M, et al)$ Fetting the grip on nonspecic treatment ein patients randomized to acupuncture or sham compared to patients receiving standane 6 :'$ e4+J66, /44)K


& acupuncturist

Casomotor symptoms


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Casomotor symptoms

.ome studies have reported that acupuncture ma

e>ectivein reducing vasomotor symptoms amongpostmenopausal women with breast cancer andpcancer patients on androgen=deprivation therapy


Casomotor symptoms 4


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Casomotor symptoms =4

!n women with hormone receptorNpositive breast

Acupuncture wasective as venlafaxinecaused fewer adverse e>ects

G;aler ?M, Rodriguez A!, @ohn 1, et al)$ Acupuncture versus venlafaxine for the manavasomotor symptoms in patients with hormone receptor=positive breast cancer$ a randcontrolled trial) 3 "lin ncol /8 +'$ 6:+=+, /4)K


Casomotor symptoms /


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Casomotor symptoms =/

An uncontrolled prospective case series of I wom

tamoxifen for early breast cancer evaluated womeacupuncturevasomotor symptoms dropped by +5S )4'

Gde Calois 1A, Qoung #?, Robinson 2, et al)$ -sing traditional acupuncture for breast cahot 9ashes and night sweats) 3 Altern "omplement Med 46 4'$ 4+J=IJ, /4)K


Casomotor symptoms :


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Casomotor symptoms =:

!n retrospective evaluation of 45+ patients with

predominantly breast or prostate cancer found longrelief of vasomotor symptoms associated with acup

G0ilshie 3, 1olton #, 1rowne D, et al)$ Acupuncture and self acupuncture for long=term treatmvasomotor symptoms

in cancer patients==audit and treatment algorithm) Acupunct Med /: +'$ 4J4=8, /I)K


0atigue


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0atigue

!n a R"#, +J cancer patients with moderate to sev

fatigue were randomly assigned to one of three g

#he study concluded that acupuncture was a more>ective method than acupressure or sham acup

GMolassiotis A, .ylt B, Diggins %$ #he management of cancer=related fatigue after chemacupuncture and acupressure$ a randomised controlled trial) "omplement #her Med 4I:J,/J)K



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!n next study, :/ breast cancer patients were ra

assigned to a 6=wee course of either daily Acupusignicantly reduced fatigue and improved *ualityover that of the Wenhanced usual careW group

GMolassiotis A, 1ardy 3, 0innegan=3ohn 3, et al)$ Acupuncture for cancer=related fatigue inbreast cancer$ a pragmatic randomized controlled trial) 3 "lin ncol : :6'$ ++J=6, /


Eerostomia


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Eerostomia

Acupuncture was associated with a decrease in th

of symptoms and an increased saliva 9ow in tworandomized studies that compared acupuncture wstandard care for preventing xerostomia in patien

undergoing radiation therapy

1raga 0B, emos 3unior "A, Alves 0A, et al)$ Acupuncture for the prevention of radiationxerostomia in patients with head and nec cancer) 1raz ral Res /I /'$ 48=I, /44 Ma

Meng , Farcia M@, %u ", et al)$ Randomized controlled trial of acupuncture for prevenradiation=induced xerostomia among patients with nasopharyngeal carcinoma) "ancer :::J=++, /4/)


Eerostomia


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Eerostomia

"ompared with standard care, acupuncture signican

improved xerostomia symptomsin patients who expethe condition following radiation therapy

.imcoc R, 0alloweld , Monson @, et al)$ AR!E$ a randomised trial of acupuncture v oral care

patients with chronic xerostomia following treatment of head and nec cancer) Ann ncol /+

/4:)

Bster DF, "assileth 1R, Deng F?, et al)$ Acupuncture for pain and dysfunction after nec dissof a

randomized controlled trial) 3 "lin ncol /8 4I'$ /I6I=J, /4)



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ther #reatment=rela.ide ?>ects


!n a R"# J6 patients with various types of cancer, iesophageal cancer,gastric cancer, lung cancer


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esophageal cancer,gastric cancer, lung cancer

#he acupuncture group in combination with radiattherapy or chemotherapy, had the below benets $

signicantly more body weight B S )4'

Freater improvements in the symptoms of cough,thoracodynia, hemoptysis, and fever for patients wcancer and the symptoms of chest pain, mucus vomand diXculty in swallowingfor patients with esoph

su>ered

Eia Q, hang D, Qang "E, et al)$ An approach to the e>ect on tumors of acupuncture in cwith radiotherapy or chemotherapy) 3 #radit "hin Med 6 4'$ /:=6, 4586)



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An R"# of 4:8 patients treated with acupuncture p

massage versus usual care showed decreased painI' and a decrease in

depressive mood B Y ):' in postoperative cancepatients

Mehling ;?, 3acobs 1, Acree M, et al)$ .ymptom management with massage aacupuncture in postoperative cancer patients$ a randomized controlled trial) 3 .ymptom Manage :: :'$ /I8=66, /J)


A retrospective survey study $ Batients were refeacupuncture clinics for $


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acupuncture clinics for $

Bain I:L',

Eerostomia :/L'

%ot 9ashes 6L'

2ausea(loss of appetite 6L'

G3ohnstone BA, Bolston FR, 2iemtzow R", et al)$ !ntegration of acupuncture in

oncology clinic) Balliat Med 46 :'$ /:I=5, //)K

.ixty percent of thepatients showed atleast :L improvem

their symptoms, andone=third had no chathe severity of symp



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"MM2 B!2#.


2ausea and vomiting


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2ausea and vomiting

.#=:6 usanli

1=/4 ;eishu

1=/ Bishu

B"=6 2eiguan

"C 4/ hongwan


2ausea and vomiting


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2ausea and vomiting

Main point$ .#=:6 usanli bilateral'

Auxiliary ear points $ .henmen, Apex of ower

#ragus, 1rain, Middle ?ar, and .tomach


Anorexia


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.#=:6 usanli

1=/4 ;eishu

1=/ Bishu

B"=6 2eiguan

"C 4/ hongwan

.B=5 Qinling*uan

"C=6 ihai


Dry mouth and tongue and mouulcers


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ulcerso-=4 Qu


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y.B=6 .anyin


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p"C 4/ hongwan

.#=:6 usanli

.#=/I #ianshu.# :J .hang


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g1=48 Fanshu

1=45 Danshu

1=/ Bishu

1=/4 ;eishu

@4=: #aixi

R=: #aichong

R=4+ imen

R=/ ingiian

B"=6 2eiguan

.B=6 .anyin


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FC / 1aihui

1=/: .henshu .#=:6 usanli

.B=6 .anyin


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?nrich Qin and clear %eat, *uiet the %eart and .pirit)

FC=4+ Dazhui.!=: %ouxi

%# =6 Qinxi

@!=: #aixi

.B=6 .anyin


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1=4: 0eishu

1=+: Faohuang .#=:6 usanli

"C=+ Fuanyuan

1=/ Bishu

-=5 #aiyuan


%emoptysis


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1=4: 0eishu

-=4 hongfu

FC 4+ Dazhui

-=6 @ongzui

-=I "hize

!=+ %egu


%?MA#-R!A


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1=/8 Bangguangshu

"C =: hong


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FC 4+ Dazhui

1=4: 0eishu -=4 hongfu

"C 4J Danzhong

B"=6 2eiguan

-=I "hize .B=5 Qinling*uan

1=/ Bishu


Ascites


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.# /I #ianshu

"C=6 ihai "C 4/

hongwan

.#=:6 usanli

.B=5 Qinling*uan

"C=:hong


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.B=6 .anyin


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.B=6 .anyin


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%?A# "2.#!BA#!2

1=/I Dachangshu .#=/I #ianshu

#1=6higou

.# :J .hang


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"2.#!BA#!2 D-? # ! .#AF2A#!2

1=/I Dachangshu.#=/I #ianshu

#1=6 higou

.# + 0englong

.# /5 Fuilai

R=:#aichong

"C 4/ hongwan

1=// .an


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! D?0!"!?2"Q


.#=:6 usanli

"C =+ Fuanyuwan

.#=:J .hang


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1D D?0!"!?2"Q

.# /I #ianshu.# :6 usanli

1=/ Bishu

.# + 0englong

.B=: #aibai

1=4J Feshu

.B=6 .anyin


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"D "2.#!BA#!2


#1=6 higou

.#=+ 0englong

"C=8 .hen*ue

"C=6 ihai

FC + MingmenDr Mehran Rezvani pain fellowship anesthesiologist

& acupuncturist


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BainDr Mehran Rezvani pain fellowship anesthesiologist

& acupuncturist


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%?ADA"%?


%?ADA"%?


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;!2D="D 1.#R-"#!2

F1=/ 0engchi ?E=%2=I #aiyang

FC 4+Dazhui

!=+ %egu

#1=I ;aiguan


%?ADA"%?


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D?0!"!?2"Q 0!R? BA##?R2


FC 4+ Dazhui

!=+ %egu

!=44 uchi R=: #aichong


%?ADA"%?


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B%?FM #-R1!D!#Q


.#=+ 0englong

?E=%2=: Qintang

-=J ie*ue .B=+ Fongsun


%?ADA"%?


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1D .#A.!.

F1=/ 0engchi ?E=%2=I #aivang

!=+ %egu

FC=/ 1aihui

.B=4 Euehai R=: #aichong

.B=6 .anyin


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! A2D 1D D?0!"!?2"Q

FC /: .hangxing.B=4 Euehai

.B=6.anyin


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"ommonly used acupuncture points

frontal headache$ F1=4+ Qangbai and !=+ %egu

migraine$ #1=/ 3iaosun, F1=/ 0engchi and #1=I;aiguan

occipital headache $ F1=/ 0engchi and 1=6 @u

headache at the vertex$ FC / 1aihui and R=: #



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"%?.# BA!2


"%?.# BA!2


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B%?FM=%?A# "2F?.#!2F #%? -2F.

"C=4J Danzhong !=44 uchi

B"=I 3ianshi

!=+ %egu

.#=+ 0englong .B=6 .anyin


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A""-M-A#!2 A2D 1.#R-"#!2 0 B%?FM

#-R1!D!#Q .B=5 Qinling*uan

.#=+ 0englong

B"=6 2eiguan

.B=+ Fongsun

"C=44


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! .#AF2A#!2 A2D 1D .#A.!.

"C=4J Danzhong -=4 hongfu

#1=6 higou

R=: #aichong


"%?.# BA!2


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! A2D Q!2 D?0!"!?2"Q

.#=:6 usanli .B=6 .anyin


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A1DM!2A BA!2


A1DM!2A BA!2


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"2F?A!2F A2D .#AF2A#!2 0 BA#%F?2!" "

"C=4/ hongwan .#=:6 usanli

.B=+ Fongsun

"C=8 .hen*ue

"C=+ Fuanyuan


A1DM!2A BA!2


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!2#?R2A 1.#R-"#!2 0 DAMB%?A#

#1=6 higou .!=+ ;angu

.B=5 Qinling*uan

.# :6 usanli

.B=+ Fongsun


A1DM!2A BA!2


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! .#AF2A#!2 A2D 1D .#A.!.

R=: #aichong "C=6 ihai

.B=6 .anyin


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D?0!"!?2"Q "D 0 #%? .B??2 A2D .#MA"%

1=/ Bishu 1=/4 ;eishu

"C 4/ hongwan

"C=6 ihai

.# :6 usanli

.B=6 .anyin


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BA!2 !2 #%? %QB"%2DR!


BA!2 !2 #%? %QB"%2DR!-


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1D .#A.!. 1.#R-"#!2F #%? 2?#;R@ C?.

#1=6 higou F1=:+ Qangling*uan

1=4J Feshu


BA!2 !2 #%? %QB"%2DR!-


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D?BR?..!2 A2D 1!2D!2F 0 !C?R !

1=48 FanshuR=4+ imen


BA!2 !2 #%? %QB"%2DR!-


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DAMB=%?A# !2 #%? !C?R A2D FA1ADD?R

R=4+ imen#1=6 higou

R : #aichong

.B=6 .anyin


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A""-M-A#!2 0 B%?FM=0-!D.

R=4: hangmen "C 4/ hongwan

1=/ Bishu

1=/4 ;eishu

.#=:6 usanli

F1=:+ Qangling*uan


BA!2 !2 #%? %QB"%2DR!-

!2.-00!"!?2"Q 0 !C?R Q!2%# 6 Qi i


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!2.-00!"!?2"Q 0 !C?R=Q!2%#=6 Qinxi

1=4I Einshu .B=4 Euehai

.B=6 .anyin


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;?R 1A"@ BA!2


;?R 1A"@ BA!2

"2F?A!2F A2D A""-M-A#!2 0 "D DAM


119/134

"2F?A!2F A2D A""-M-A#!2 0 "D=DAM

1=:/ "iliao FC/ Qaoshu

1+ ;eizhong

1=6 @unlun


;?R 1A"@ BA!2

DAMB %?A#


120/134

DAMB=%?A#

1=:4 to 1=:+ 1aliao .# + 0englong

1=+ ;eizhong


;?R 1A"@ BA!2

1D .#A.!.


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1D .#A.!.

1=:4 to 1=:+ 1aliao 1=+ ;eizhong

!=+ %egu

1=/: .henshu

FC : Qaoyangguan


;?R 1A"@ BA!2

@!D2?Q D?0!"!?2"Q


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@!D2?Q D?0!"!?2"Q

1=/: .henshu FC + Mingmen

@!=: #aixi

1=I/ hishi


1RA"%!A B?E-.


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1RA"%!A B?E-.2?-RAF!A


1RA"%!A B?E-. 2?-RAF

1=4 #ianzhu


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1 4 #ianzhu

FC 4+ Dazhui

1=44 Dazhu

.!=4: uyuan

!=4I 3ianyu

!=44 uchi

#1=I ;aiguan

.!=: %ouxi

R=8 u*uan

@!=: #aixi


BA!2 A0#?R AMB-#A#!


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BA!2 A0#?R AMB-#A#!


BA!2 A0#?R AMB-#A#!2

Main points $


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Main points $

!=+ %egu

R=: #aichong all bilateral

.B=6 .anyin


127/134

Auxiliary points$

0or amputation of the ngers, add the correspondwell' points

.!=4 .haoze

#1=4 Fuanchong

!=4 .hangyang

%#=5 .haochong,

-=44 .haoshang, or B"=5 hongchong



Auxiliary points$


128/134

Auxiliary points$

0or amputation of the forearm, add#1=I ;aiguan

!=4 .housanli



Auxiliary points$


129/134

Auxiliary points$

0or amputation of the upper arm, add !=4I 3ianyu

!=4+ 1inao



Auxiliary points$


130/134

y p

0or amputation of the toes, add the Ncorresponding well' points

F1=++ u*iaoyin

.#=+I idui

1=6J hiyin

.B=4 Qinbai R=4 Dadun

@!=4 Qong*uan



Auxiliary points$


131/134

y p

0or amputation below the nee


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y p

Foramputation below the hip joint, add

ST-31 Biguan

ST 32 Futu


.#-MB BA!2


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.#-MB BA!2


.#-MB BA!2

#echni*ue $


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*

!nsert the needles deeply into local points the r.hu'

!f there is no transport point available, select onepoint on each of the six channels three Qin and

Qang channels' and insert the needle obli*uely uat an angle of about +I[ to the sin surface'


acupuncture for cancer baraye 1.pptx

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