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Role of Parameter Setting in Electroacupuncture: Current Scenario and Future Prospects

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Abstract

Acupuncture is an ancient therapeutic method based on the theory of Chinese medicine (CM). Traditional acupuncture has many limitations; it is subjective and relies more on the experience of an acupuncturist, and the efficacy is sometimes irreproducible. In contrast, electroacupuncture (EA) has special characteristics in terms of objectivity and stability, thereby gaining considerable attention. Parameter setting plays a crucial role in EA practice. The current paper summarizes the current situation and limitations of parameter setting in EA practice. Objectification is the tendency and future of CM as well as EA. With the development of computerized technologies, such as wearable sensors, vast data, and artificial intelligence, CM syndromes can be successfully objectified. We propose the development of a novel self-feedback-adjust EA system, which may improve the parameter setting in EA and be beneficial to both the patients and clinicians.

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References

  1. Xiong J, Liu F, Zhang MM, Wang W, Huang GY. De-qi, not psychological factors, determines the therapeutic efficacy of acupuncture treatment for primary dysmenorrhea. Chin J Integr Med 2012;18:7–15.

    Article  PubMed  Google Scholar 

  2. Jin X, Ding SQ, Shi FY, Wang LL, Wu ZC, Ren J. Research on the angle and effective depth of deep acupuncture at Baliao points by three-dimensional reconstruction of computed tomography. Acup Res (Chin) 2017;42:537–541.

    Google Scholar 

  3. Fan GQ, Zhao Y, Fu ZH. Acupuncture analgesia and the direction, angle and depth of needle insertion. Chin Acupunct Moxib (Chin) 2010;30:965–968.

    Google Scholar 

  4. Asakawa T, Xia Y. Acupuncture treatment for Parkinson’s disease. In: Xia Y, Ding G, Wu GC, eds. Current research in acupuncture. New York: Springer; 2013:215–253.

    Chapter  Google Scholar 

  5. Asakawa T, Xia Y. Future research in acupuncture: better design and analysis for novel and valid findings. In: Xia Y, Ding G, Wu GC, eds. Current research in acupuncture. New York: Springer; 2013:687–725.

    Chapter  Google Scholar 

  6. Asakawa T, Sugiyama K, Nozaki T, Sameshima T, Kobayashi S, Wang L, et al. Can the latest computerized technologies revolutionize conventional assessment tools and therapies for a neurological disease? the example of Parkinson’s disease. Neurol Med Chir 2019;59:69–78.

    Article  Google Scholar 

  7. Zhu D, Bai L, Zhang X, Xu X, Zhang J. Research progress on quantification of electroacupuncture parameters. Chin Acupunct Moxibust 2015;35:525–528.

    Google Scholar 

  8. Ma N. Clinical obsevation of efficacy using variable frequency electro-acupuncture to treat various pain syndromes. Chin Med Dev inform (Chin) 2016;22:72–73.

    Google Scholar 

  9. Wang LL, Shan L, Du L, Zhang Y, Jia FY. Comparison of electroacupuncture and body acupuncture on gastrocnemius muscle tone in children with spastic cerebral palsy: a single blinded, randomized controlled pilot trial. Chin J Integr Med 2020;26:14–19.

    Article  CAS  PubMed  Google Scholar 

  10. Ning Z, Wang M, Liu J. Progress in clinical research of electroacupuncture parameters. J Youjiang Med Coll National (Chin) 2010;36:99–101.

    Google Scholar 

  11. Chen ZH, Liang FR, Yang MX, Li DH, Zhang Y, Ren YL. Effect and safety of CX-DZ- II intelligent electroacupuncture therapeutic instrument for neck pain caused by cervical spondylos: study protocol for a randomized controlled trial. Chin J Integr Med 2020;26:375–381.

    Article  CAS  PubMed  Google Scholar 

  12. Han JS. Research on acupuncture anesthesia-analgesia. Acupunct Res (Chin) 2016;41:377–387.

    Google Scholar 

  13. Fang X, Sugiyama K, Akamine S, Sun W, Namba H. The different performance among motor tasks during the increasing current intensity of deep brain stimulation of the subthalamic nucleus in rats with different degrees of the unilateral striatal lesion. Neurosci Lett 2010;480:64–68.

    Article  CAS  PubMed  Google Scholar 

  14. Asakawa T, Fang H, Hong Z, Sugiyama K, Nozaki T, Namba H. Peripheral stimulation in treating Parkinson’s disease: is it a realistic idea or a romantic whimsicality? Intractable Rare Dis Res 2012;1:144–150.

    PubMed  PubMed Central  Google Scholar 

  15. Wang XB, Chen J, Li TJ, Tao J, Chen LD, He J, et al. Effect of electroacupuncture in different frequencies on electromyography and ambulation in stroke patients with lower-extremity spasticity: a randomized controlled study. Chin Acupunct Moxibust 2011;31:580–584.

    CAS  Google Scholar 

  16. Qu F, Li R, Sun W, Lin G, Zhang R, Yang J, et al. Use of electroacupuncture and transcutaneous electrical acupoint stimulation in reproductive medicine: a group consensus. J Zhejiang Univ Sci B 2017;18:186–193.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Xu F, Chen Z, Guo Y. Research situation and prospects of modern electric acupuncture apparatus. China Med Dev (Chin) 2014; 29:56–58.

    CAS  Google Scholar 

  18. Fang X, Sugiyama K, Akamine S, Namba H. Improvements in motor behavioral tests during deep brain stimulation of the subthalamic nucleus in rats with different degrees of unilateral parkinsonism. Brain Res 2006;1120:202–210.

    Article  CAS  PubMed  Google Scholar 

  19. Guo HF, Tian J, Wang X, Fang Y, Hou Y, Han J. Brain substrates activated by electroacupuncture (EA) of different frequencies (II): role of Fos/Jun proteins in EA-induced transcription of preproenkephalin and preprodynorphin genes. Brain Res Mol Brain Res 1996;43:167–173.

    Article  CAS  PubMed  Google Scholar 

  20. Guo HF, Wang XM, Tian JH, Huo YP, Han JS. 2 Hz and 100 Hz electroacupuncture accelerate the expression of genes encoding three opioid peptides in the rat brain. Acta physiol Sin 1997;49:121–127.

    CAS  Google Scholar 

  21. Xiong K, Ma T, Yang J, Li H, Zheng P. The influence of electroacupuncture with different frequencies on nitric oxide synthas (NOS) expression in the head of nucleus caudatus putamen in rats. Acta Acad Med Wannan (Chin) 2001;20:157–158.

    Google Scholar 

  22. Han J, Chen X, Sun S, Xu X, Yuan Y, Yan S, et al. Effect of low-and high-frequency TENS on Met-enkephalin-Arg-Phe and dynorphin A immunoreactivity in human lumbar CSF. Pain 1991;47:295–298.

    Article  CAS  PubMed  Google Scholar 

  23. Han JS. Acupuncture: neuropeptide release produced by electrical stimulation of different frequencies. Trend Neurosci 2003;26:17–22.

    Article  CAS  PubMed  Google Scholar 

  24. Han JS. Acupuncture and endorphins. Neuroscience Let 2004;361:258–261.

    Article  CAS  Google Scholar 

  25. Asakawa T, Xia Yeds. An important role of the δ -opioid receptor in electroacupuncture-induced protection against ischemic brain injury. New York: Neural Functions Delta-Opioid Receptor, Springer; 2015:409–435.

    Google Scholar 

  26. Wang C, Zhao Y, Guo Y. Clinical progress of acupuncture in the treatment of muscle spasms. West J Tradit Chin Med (Chin) 2011;24:110–112.

    Google Scholar 

  27. Lin T, Fu T, Chen C, Lin Y, Chien C. Low and high frequency electroacupuncture at Hoku elicits a distinct mechanism to activate sympathetic nervous system in anesthetized rats. Neurosci Lett 1998;247:155–158.

    Article  CAS  PubMed  Google Scholar 

  28. Lu C, Li X, Zhang H. Clinical observation of the efficacy of electroacupuncture in different wave pattern in treating neurogenic bladder caused by spinal injury. Shanghai J Acupunct Moxibust (Chin) 2016;35:1442–1444.

    Google Scholar 

  29. Sun Y, Liu L, Yu T. Treatment of tinnitus with electroacupuncture in different wave pattern. J Clin Acupunct Moxibust (Chin) 2017;33:32–34.

    CAS  Google Scholar 

  30. Wang DY, Shu L, Wang B. Design of quantitative study on acupuncture stimulation. Shanghai J Acupunct Moxibust (Chin) 2013;5:94–96.

    Google Scholar 

  31. Liu T, Shen H, Yang H, Gao M. Discussion on the industry standard: electroacupuncture therapy device. Chin Acupunct Moxibust (Chin) 2016;36:99.

    CAS  Google Scholar 

  32. Sun J, Wang C, Chen LF, Fang JQ. Exploration of preponderant electroacupuncture parameters in stage treatment of facial neuritis. Shanghai J Acupunct Moxibust (Chin) 2016;35:105–108.

    Google Scholar 

  33. Zhao T, Xi Q, Guo Y. Current research status and analysis of electroacupuncture parameters for post-operative pain. Shanghai J Acupunct Moxibust (Chin) 2015;5:92–95.

    Google Scholar 

  34. Zhu M, Qiu P, Nie N, Jia F, Liang Y, Chen Q. Analysis of electroacupuncture treatment parameters for postherpetic neuralgia. J Emerg Tradit Chin Med (Chin) 2019;28:641–644.

    CAS  Google Scholar 

  35. Asakawa T, Fang H, Sugiyama K, Nozaki T, Hong Z, Yang Y, et al. Animal behavioral assessments in current research of Parkinson’s disease. Neurosci Biobehav Rev 2016;65:63–94.

    Article  PubMed  Google Scholar 

  36. Asakawa T, Fang H, Sugiyama K, Nozaki T, Kobayashi S, Hong Z, et al. Human behavioral assessments in current research of Parkinson’s disease. Neurosci Biobehav Rev 2016;68:741–772.

    Article  PubMed  Google Scholar 

  37. Chen Q, Zhang Y, Li S, Chen S, Lin X, Li C, et al. Mechanisms underlying the prevention and treatment of cholelithiasis using traditional Chinese medicine. Evid-Based Complement Altern Med 2020;20:41.

    Google Scholar 

  38. Wang Y, Li S, Lin X, Wang C, Li C. Preliminary study on the evaluation model of efficacy based on integral, dynamic and personalized. Chin J Tradit Chin Med Pharm (Chin) 2017;32:3371–3373.

    Google Scholar 

  39. Chen Q, Wang Q, Ding S, Li S, Zhang Y, Chen S, et al. Problems lowering the study quality in traditional medicine, introspection from an example of meta-analysis of acupuncture. BMC Complement Med Ther 2020;20:41.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

The authors would like to thank Enago (www.enago.jp) for the English language review.

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Authors and Affiliations

Authors

Contributions

Asakawa T conceived the original ideas. Zhang YY, Chen QL, Qiong W, Ding SS, Li SN, Chen SJ, Lin XJ, and Lin XJ searched for the literatures and extracted the information. Chen QL, Zhang YY and Asakawa T wrote the draft; Asakawa T drew the figures, Li CD and Asakawa T supervised the review. All authors discussed and approved the final version for publication.

Corresponding authors

Correspondence to Can-dong Li or Tetsuya Asakawa.

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Conflict of Interest

The authors declare no conflicts of interest in the present study.

Supported by the National Natural Science Foundation of China (No. U1705286), Fujian Province Center for Collaborative Innovation of Traditional Chinese Medicine Health Management 2011 (No. JG2018001), the Japanese Society for the Promotion of Science (Grant-in-Aid for Young Scientists, Type B, No. 20791025 and Grant-in-Aid for Scientific Research C, General, No. 24592157,15k10358 and 18K08991)

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Zhang, Yy., Chen, Ql., Wang, Q. et al. Role of Parameter Setting in Electroacupuncture: Current Scenario and Future Prospects. Chin. J. Integr. Med. 28, 953–960 (2022). https://doi.org/10.1007/s11655-020-3269-2

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