Acupuncture
Specifically for Gastroparesis
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Why it works for Gastroparesis:
Neurological Mechanisms:
- In someone with gastroparesis, acupuncture sends a signal to the brain via the vagus nerve, telling the stomach to work better A “Smart Watch” for Acupuncture : Johns Hopkins Center for Innovative Medicine
- EA enhances gastric accommodation, slow waves, contractions and emptying; suggesting a therapeutic potential for functional dyspepsia and gastroparesis Gastrointestinal Motility Disorders and Acupuncture - PMC
- Stimulating the abdominal acupoints inhibits gastric/duodenal/jejunal motility by increasing sympathetic efferent fiber activity; and stimulating acupoints in the limb facilitates motility by exciting vagal efferent fiber activity Neuromechanism of acupuncture regulating gastrointestinal motility
Cellular and Molecular Effects:
- Interestingly, the c-Kit signaling pathway is a common therapeutic mechanism in acupuncture treatment for gastroparesis. EA also expressed the tyrosine kinase receptor c-Kit in the gastric wall and restored the ICC network, leading to decreased inflammation Frontiers | Effects of acupuncture on gastrointestinal diseases and its underlying mechanism: a literature review of animal studies
- Nitrergic neurons, which are inhibitory neurons, relax muscle tissue by releasing nitric oxide (NO) synthesized by nNOS Electroacupuncture at ST36 Improve the Gastric Motility by Affecting Neurotransmitters in the Enteric Nervous System in Type 2 Diabetic Rats - Han - 2021 - Evidence-Based Complementary and Alternative Medicine - Wiley Online Library
Hormonal Regulation:
- Electroacupuncture can facilitate gastric emptying by inhibiting the secretion of motilin, gastrin, and cholecystokinin Frontiers | An overview of systematic reviews of acupuncture for diabetic gastroparesis
How to use for Gastroparesis:
Primary Acupoint Combinations:
- The combination of Zhongwan (CV 12) with Zusanli (ST 36) showed the most promising effect on relief of the symptoms in patients with gastroparesis PubMed CentralPubMed
- ST36, CV12 and PC6 seemed to be the common acupoints selected ScienceDirectPubMed
Treatment Protocol:
- Treatment was performed for 30 minutes every day, 5 days as a course of treatment. There were 2 days off between courses and three courses in total PubMedWiley Online Library
- acupuncture treatment twice a week on Ren 14 and ST 36 Acupuncture Treatment for Gastroparesis | Medical Acupuncture
Needle Technique:
- Rapidly in slowly out, moderate to strong stimulation, lift thrust, twirl rotation, reinforcing reducing and needle retention of 5–30 min were the common technique used The effectiveness of acupuncture in postoperative gastroparesis syndrome – A systematic review and meta-analysis - ScienceDirect
Most Commonly Used Acupoints:
- According to the analysis of acupuncture treatment of gastroparesis, the top three acupoints with the highest frequency of use in all acupoints are Zhongwan (CV 12), Zusanli (ST 36), and Neiguan (PC 6) A Clinical Randomized Controlled Trial of Acupuncture Treatment of Gastroparesis Using Different Acupoints - PMC
Scientific Evidence for Gastroparesis:
Major Clinical Trials:
- Randomized Controlled Trial (NCT02594397):A total of 99 patients who met the diagnostic criteria for gastroparesis were enrolled in 3 clinical centers and randomly divided into group A (33 cases), group B (33 cases, 1 case of shedding), and group C (33 cases, 1 case of shedding) A Clinical Randomized Controlled Trial of Acupuncture Treatment of Gastroparesis Using Different Acupoints - PubMed
- Results showed significant symptom improvement with acupuncture
- Meta-Analysis Evidence:Both acupuncture and acupuncture combined with medication showed significant higher total effective rate than control (usual care/medication); with (RR 1.27, 95% CI 1.13, 1.44; P<0.0001) and (RR 1.37, 95% CI 1.18, 1.58; P<0.0001) respectively The effectiveness of acupuncture in postoperative gastroparesis syndrome--a systematic review and meta-analysis - PubMed
- Case Study Evidence:Before treatment, gastric emptying was 25% at 2 hours and 69% at 4 hours. After treatment, gastric emptying was 84% at 2 hours and 100% at 4 hours Acupuncture Treatment for Gastroparesis | Medical Acupuncture
Cochrane Review Findings:
- There was very low‐certainty evidence that formula acupuncture alone or in combination with gastrokinetic medication may provide short‐term benefits for the management of symptoms of diabetic gastroparesis Acupuncture for symptomatic gastroparesis - PMC
Specific Warnings for Gastroparesis:
General Safety Profile:
- Acupuncture is considered a safe intervention when performed by qualified practitioners in the general population Acupuncture for symptomatic gastroparesis - PMC
- Acupuncture has been shown to be effective in treating shingles, depression, and chronic pain with few side effects Frontiers | An overview of systematic reviews of acupuncture for diabetic gastroparesis
Specific Warnings for Gastroparesis Patients:
- However, the safety of acupuncture in people with gastroparesis, who commonly have chronic underlying conditions, such as diabetes, cannot be assumed based on the review findings Acupuncture for symptomatic gastroparesis - PMC
- We do not know whether acupuncture is safe for people with diabetes who have delayed emptying of the stomach, because safety was incompletely reported in most trials PubMed CentralCochrane
General Contraindications:
- individuals on blood thinners or those with bleeding disorders should approach acupuncture cautiously Potential Side Effects and Contraindications of Acupuncture: What You Should Know - Digital Naturopath
- Certain conditions may contraindicate acupuncture, such as bleeding disorders, skin infections, or severe cardiovascular issues. Pregnant women should also consult healthcare providers since specific points may stimulate labor Potential Side Effects and Contraindications of Acupuncture: What You Should Know - Digital Naturopath
Possible Side Effects:
- Some individuals may experience side effects such as fatigue, bruising, and nausea. The risk of infection exists if non-sterile needles are used or if proper hygiene practices are not followed Potential Side Effects and Contraindications of Acupuncture: What You Should Know - Digital Naturopath
Research Limitations:
- Adverse events reporting are recommended in future studies for safety evaluation The effectiveness of acupuncture in postoperative gastroparesis syndrome – A systematic review and meta-analysis - ScienceDirect
- Reports of harm have remained largely incomplete, precluding assessments of the safety of acupuncture in this population Acupuncture for symptomatic gastroparesis - PMC
General Information (All Ailments)
What It Is
Acupuncture is a traditional Chinese medical practice that involves inserting very thin needles into specific points on the body, known as acupoints, to balance the flow of energy or “Qi” (pronounced “chee”). It is one of the oldest healing techniques in the world, originating in China over 2,500 years ago, and remains a central component of Traditional Chinese Medicine (TCM).
In modern healthcare, acupuncture is recognized as a complementary or integrative therapy often used alongside conventional medicine to help manage pain, stress, and various health conditions.
How It Works
From the Traditional Chinese Medicine perspective, acupuncture works by:
- Regulating the flow of Qi, the vital energy believed to circulate through pathways called meridians.
- Restoring balance between Yin and Yang, the two opposing but complementary forces that sustain health.
- Stimulating the body’s natural healing responses by correcting energy blockages or imbalances.
From a Western biomedical perspective, research suggests acupuncture works through several physiological mechanisms:
- Nervous System Activation – Needle stimulation triggers sensory nerves under the skin and in muscles, leading to the release of neurotransmitters such as endorphins, serotonin, and dopamine that reduce pain and promote well-being.
- Improved Circulation – Local microcirculation increases around needle sites, aiding tissue repair and reducing inflammation.
- Regulation of the Autonomic Nervous System – Acupuncture may balance the sympathetic (“fight or flight”) and parasympathetic (“rest and digest”) systems, reducing stress and promoting relaxation.
- Neurohormonal Modulation – It can influence the hypothalamus-pituitary-adrenal (HPA) axis, affecting hormone release and immune function.
Why It’s Important
Acupuncture plays a significant role in both traditional and modern healthcare for several reasons:
- Pain Management – It is widely used to treat chronic pain conditions such as back pain, osteoarthritis, migraines, and fibromyalgia, sometimes reducing the need for pain medications.
- Holistic Healing – It addresses both the symptoms and underlying causes of illness by promoting overall balance and well-being.
- Stress Reduction – Regular treatments can help regulate stress hormones and improve emotional resilience.
- Complementary Care – Acupuncture is often used alongside physical therapy, psychotherapy, or medication to enhance overall treatment outcomes.
- Preventive Benefits – Many practitioners and patients use acupuncture to maintain energy flow and prevent illness before it arises.
Considerations
Before beginning acupuncture, it’s important to consider the following:
- Safety – When performed by a qualified, licensed practitioner using sterile, single-use needles, acupuncture is very safe. However, risks like minor bruising, bleeding, or soreness at needle sites can occur.
- Qualifications – Always ensure your acupuncturist is licensed or certified according to local regulations.
- Medical Conditions – People with bleeding disorders, pacemakers, or who are pregnant should consult their healthcare provider before treatment.
- Integration with Western Medicine – Acupuncture should not replace conventional treatment for serious medical conditions but can complement it effectively.
- Individual Response – Effectiveness varies; some people experience immediate relief, while others may need several sessions for noticeable improvement.
Helps with these conditions
Acupuncture is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Fibromyalgia
Targets central sensitization & pain modulation. FM is understood as a disorder of pain processing (heightened central sensitization with impaired...
Varicose Veins
Proposed mechanisms (physiology): Lab and translational work suggests acupuncture can trigger local nitric oxide (NO) release and vasodilation—i.e., i...
Restless Legs Syndrome
Acupuncture likely helps RLS by modulating neurotransmitters and pain pathways, improving local circulation and sleep, and reducing central nervous-sy...
Lupus
Symptom relief (pain, fatigue): A small randomized, controlled pilot trial in SLE found a 10-session course of acupuncture was feasible and appeared s...
Gallstones
Acupuncture at points like Jiuwei, Burong (right), Yanglingquan (right), and Zusanli (right) significantly influences the relaxation of the Oddi's sph...
Scoliosis
Pain modulation & muscle tone: Acupuncture can activate endogenous pain-inhibitory pathways (opioid, serotonergic/descending inhibition) and modul...
Sjogren’s Syndrome
Autonomic + neuropeptide effects on salivary glands. Sensory stimulation from needling can activate autonomic pathways and trigger release of neuropep...
Gastroparesis
Neurological Mechanisms:In someone with gastroparesis, acupuncture sends a signal to the brain via the vagus nerve, telling the stomach to work better...
Childhood Asthma
Neuro-immune modulation & anti-inflammatory effects. Reviews describe acupuncture activating autonomic reflexes (e.g., vagal/cholinergic anti-infl...
Breast Cancer
Guideline support (pain): The Society for Integrative Oncology and ASCO issued a joint clinical guideline recommending acupuncture (among other integr...
Lung Cancer
Cancer pain (adjunctive): Major guidelines from the Society for Integrative Oncology and ASCO recommend acupuncture as part of a multimodal approach t...
Colorectal Cancer
Nerve & brain circuits for pain: Needle stimulation activates A- and C-fiber afferents and engages central pain-modulating circuits; effects invol...
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Remedy Statistics
Helps With These Conditions
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