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  4. Improvement in acupoint selection for acupuncture of nerves surrounding the injury site: electro-acupuncture with Governor vessel with local meridian acupoints

Improvement in acupoint selection for acupuncture of nerves surrounding the injury site: electro-acupuncture with Governor vessel with local meridian acupoints

Neural Regeneration Research, 2015 · DOI: 10.4103/1673-5374.150720 · Published: January 1, 2015

Alternative MedicineRegenerative MedicineNeurology

Simple Explanation

Peripheral nerve injuries can affect the injury site and induce neuronal apoptosis in the spinal cord. This study compares acupuncture at Governor vessel and local meridian acupoints combined with acupuncture at local meridian acupoints alone. The GV/LM group had acupuncture at the injury site plus specific acupoints on the Governor vessel. The LM group only had acupuncture at the injury site. The study found that electroacupuncture on Governor vessel acupoints promotes functional motor nerve repair after peripheral nerve injury, suggesting it improves the local microenvironment and ensures continuity between peripheral and central nervous systems.

Study Duration
6 weeks
Participants
50 patients with peripheral nerve injury
Evidence Level
Level 2: Randomized controlled study and Electromyographic analysis

Key Findings

  • 1
    Acupuncture at Governor vessel and local meridian acupoints combined (GV/LM) showed better clinical response (80%) compared to acupuncture at local meridian acupoints alone (LM) (38.5%).
  • 2
    Electroacupuncture on specific Governor vessel acupoints promotes functional repair after peripheral nerve injury, particularly in terms of motor conduction.
  • 3
    Electromyography showed an increase in motor nerve conduction velocity and amplitude after treatment with the GV/LM method.

Research Summary

This study compares the efficacy of electroacupuncture at local meridian acupoints alone with acupuncture at Governor vessel and local meridian acupoints combined for treating peripheral nerve injury. The results indicate that electroacupuncture on Governor vessel and local acupoints combined is more clinically effective than using local meridian acupoints alone. The mechanism of action may involve improvement of the local microenvironment in injured nervous tissue and ensuring continuity between the peripheral and central nervous systems.

Practical Implications

Improved Acupoint Selection

Selecting acupoints along the Governor vessel in combination with those along the injured peripheral nerve improves therapeutic outcome.

Functional Motor Nerve Repair

Electroacupuncture on specific Governor vessel acupoints promotes functional repair after peripheral nerve injury, particularly motor conduction.

Microenvironment Improvement

Electroacupuncture on the Governor vessel improves the microenvironment of the nervous tissue and stimulates neurotrophic factor release.

Study Limitations

  • 1
    Small sample size
  • 2
    Delayed recovery of sensory function compared to motor function
  • 3
    Lack of long-term follow-up

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