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Journal of Chinese Integrative Medicine ›› 2012, Vol. 10 ›› Issue (4): 362-368.doi: 10.3736/jcim20120402

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High-tech acupuncture made in Austria — cerebral circulation

Gerhard Litscher()   

  1. Stronach Research Unit for Complementary and Integrative Laser Medicine, Research Unit of Biomedical Engineering in Anesthesia and Intensive Care Medicine, and TCM Research Center Graz, Medical University of Graz, Graz, Austria
  • Received:2012-01-23 Accepted:2012-02-09 Online:2012-04-20 Published:2018-04-15

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It is little known that Austria has tradition in research in Chinese integrative medicine, especially traditional Chinese medicine. For more than 15 years, the research concerning high-tech acupuncture has been playing an important role at the Medical University of Graz, Austria. Within this review article, a short summary concerning high-tech acupuncture and cerebral circulation, and transcranial Doppler (TCD) sonography is presented. TCD has been extensively used in various basic and clinical situations, and in the last decade has established its role also as a tool of investigating the effects of various acupuncture methods. Based on the Doppler principle, it uses ultrasound waves to insonate the blood vessels supplying the brain and to obtain stimulation-induced changes of hemodynamic information. The purpose of this review is to present the basic concepts of TCD technique in relation to acupuncture research, and the specific effects on cerebral hemodynamics caused by acupuncture stimulation.

Key words: laser acupuncture, Austria, cerebrovascular circulation, ultrasonography, blood flow velocity, laser-doppler flowmetry, review

Figure 1

Evidence of acupuncture effects from multidirectional transcranial ultrasound Doppler sonography Specific acupuncture points modulate blood flow velocity in specific brain arteries. ACA: anterior cerebral artery; BA: basilar artery; PCA: posterior cerebral artery; OA: ophthalmic artery; STA: supratrochlear artery; MCA: middle cerebral artery."

Figure 2

“Windows to the brain” for transcranial ultrasound investigations Transorbital (A and C), transtemporal (B left and C right) and transnuchal (B right). The probe holder constructions were developed at the Traditional Chinese Medicine Research Center in Graz, Austria."

Figure 3

Helmet construction Equipment for the first proof of changes in cerebral circulation caused by acupuncture."

Figure 4

Changes in blood flow velocity after laser acupuncture Example of the on/off-effect on mean blood flow velocity at the beginning and end of violet laser acupuncture in a healthy female volunteer."

[1] Tan XY, Wang YG . China-Austria ties turn 40 — interviews with Chinese and Austrian ambassadors. China Pictorial. 2011; 759:20-23.
[2] Litscher G . Bioengineering assessment of acupuncture, part 1 : thermography. Crit Rev Biomed Eng. 2006; 34(1):1-22.
doi: 10.1615/CritRevBiomedEng.v34.i1
[3] Litscher G . Bioengineering assessment of acupuncture, part 2 : monitoring of microcirculation. Crit Rev Biomed Eng. 2006; 34(4):273-293.
doi: 10.1615/CritRevBiomedEng.v34.i4
[4] Litscher G . Bioengineering assessment of acupuncture, part 3 : ultrasound. Crit Rev Biomed Eng. 2006; 34(4):295-326.
doi: 10.1615/CritRevBiomedEng.v34.i4
[5] Litscher G . Bioengineering assessment of acupuncture, part 4 : functional magnetic resonance imaging. Crit Rev Biomed Eng. 2006; 34(4):327-345.
doi: 10.1615/CritRevBiomedEng.v34.i4
[6] Litscher G . Bioengineering assessment of acupuncture, part 5 : cerebral near-infrared spectroscopy. Crit Rev Biomed Eng. 2006; 34(6):439-457.
doi: 10.1615/CritRevBiomedEng.v34.i6
[7] Litscher G . Bioengineering assessment of acupuncture, part 6 : monitoring — neurophysiology. Crit Rev Biomed Eng. 2007; 35(1-2):1-36.
doi: 10.1615/CritRevBiomedEng.v35.i1-2
[8] Litscher G . Bioengineering assessment of acupuncture, part 7 : heart rate variability. Crit Rev Biomed Eng. 2007; 35(3-4):183-195.
doi: 10.1615/CritRevBiomedEng.v35.i3-4
[9] Litscher G . Bioengineering assessment of acupuncture, part 8 : innovative moxibustion. Crit Rev Biomed Eng. 2010; 38(2) : 117-126.
doi: 10.1615/CritRevBiomedEng.v38.i2
[10] Litscher G . Ten years evidence-based high-tech acupuncture —A short review of peripherally measured effects. Evid Based Complement Alternat Med. 2009; 6(2):153-158.
doi: 10.1093/ecam/nem145
[11] Litscher G . Ten years evidence-based high-tech acupuncture —A short review of centrally measured effects (part II ). Evid Based Complement Alternat Med. 2009; 6(3) : 305-314.
doi: 10.1093/ecam/nem169
[12] Litscher G . Ten years evidence-based high-tech acupuncture part 3 : A short review of animal experiments. Evid Based Complement Alternat Med. 2010 ; 7(2):151-155.
doi: 10.1093/ecam/nen034
[13] Litscher G, Yang NH, Schwarz G, Wang L . Computer- controlled acupuncture. A new construction for simultaneous measurement of blood flow velocity of the supratrochlear and middle cerebral arteries. Biomed Tech ( Berl). 1999 ; 44(3) : 58-63. German with abstract in English.
[14] Litscher G, Wang L, Yang NH, Schwarz G . Computer- controlled acupuncture. Quantification and separation of specific effects. Neurol Res. 1999; 21(6):530-534.
doi: 10.1080/01616412.1999.11740970
[15] Litscher G, Wang L, Yang NH, Schwarz G . Ultrasound- monitored effects of acupuncture on brain and eye. Neurol Res. 1999; 21(4):373-377.
doi: 10.1080/01616412.1999.11740946
[16] Litscher G, Schwarz G, Sandner-Kiesling A, Hadolt I, Eger E . Effects of acupuncture on the oxygenation of cerebral tissue. Neurol Res. 1998; 20(Suppl 1) : S28-S32.
doi: 10.1080/01616412.1998.11740605
[17] Litscher G, Schwarz G, Sandner-Kiesling A, Hadolt I . Robotic transcranial Doppler sonography probes and acupuncture. Int J Neurosci. 1998; 95(1-2) : 1-15.
doi: 10.3109/00207459809000645
[18] Litscher G . Computer-based quantification of traditional Chinese-, ear- and Korean hand acupuncture : needle- induced changes of regional cerebral blood flow velocity. Neurol Res. 2002; 24(4):377-380.
doi: 10.1179/016164102101200177
[19] Litscher G, Schikora D . Cerebral vascular effects of non-invasive laserneedles measured by transorbital and transtemporal Doppler sonography. Lasers Med Sci. 2002; 17(4) : 289-295.
[20] Litscher G, Rachbauer D, Ropele S, Wang L, Schikora D, Fazekas F, Ebner F . Acupuncture using laser needles modulates brain function: first evidence from functional transcranial Doppler sonography and functional magnetic resonance imaging. Lasers Med Sci. 2004; 19(1):6-11.
doi: 10.1078/1615-1615-00119
[21] Szeles JC, Litscher G . Objectivation of cerebral effects with a new continuous electrical auricular stimulation technique for pain management. Neurol Res. 2004; 26(7):797-800.
doi: 10.1179/016164104225016100
[22] Litscher G, Huang T, Wang L, Zhang W . Violet laser acupuncture — Part 1 : Effects on brain circulation. J Acupunct Meridian Stud. 2010; 3(4):255-259.
doi: 10.1016/S2005-2901(10)60045-3
[23] Petelin LS, Goidenko VS, Biblina IM . Dynamics of various electrophysiologic indices in patients with mild acute closed craniocerebral injuries during complex treatment using reflexotherapy. Zh Nevropatol Psikhiatr Im S S Korsakova. 1985; 85(8) : 1166-1171. Russian with abstract in English.
[24] Nikolaev NA . Therapeutic efficacy of laser and electropuncture reflexotherapy in correcting the initial manifestations of cerebral circulatory insufficiency. Zh Nevropatol Psikhiatr Im S S Korsakova. 1986; 86(1): 60-64. Russian with abstract in English.
[25] Evtushenko SK, Omel’ianenko AA . The therapy of non-traumatic vegetative state syndrome in children. Zh Nevrol Psikhiatr Im S S Korsakova. 2001 ; 101(11): 19-25. Russian with abstract in English.
[26] Podgalo DA, Dvoriakovskaia GM, Ivanov AP . Dynamics of the indicators of blood circulation in children with bronchial asthma treated by reflexotherapy. Pediatriia. 1990; 6: 72-76. Russian.
[27] Xiang LM, Wang HL Li ZJ. TCD observation on cerebral blood flow dynamics inference of cerebral palsy with scalp therapy. Zhen Ci Yan Jiu. 1996; 21(4) : 7-9. Chinese with abstract in English.
项立敏, 王宏亮, 李祖剑 . 观察头皮针疗法对脑瘫患儿脑部血流动力学的影响 .针刺研究. 1996; 21(4): 7-9. 28
[28] Chen W, Gu HW, Ma WP, Li QS, Yu Q, Liu XQ, Liu SH, Li WH, Liu HL Dai MT. Multicentral randomized controlled study on effects of acupuncture at Zusanli(ST36) and Xuanzhong (GB39) on cerebrovascular function in the patient of ischemic stroke. Zhongguo Zhen Jiu. 2006; 26(12) : 851-853. Chinese with abstract in English.
陈文, 顾红卫, 马维平, 李启珊, 喻强, 刘兴勤, 刘世红, 李文华, 刘惠玲, 戴美堂 . 针刺足三里、悬钟对缺血性中风患者脑血管功能的影响:多中心随机对照研究.中国针灸. 2006; 26(12):851-853.
[29] Hwang EH. Effects of hand acupuncture therapy on sleep quality in sleep disrupted adults: verification by polysomnographyand cerebral blood flow test. Taehan Kanho Hakhoe Chi. 2007; 37(7): 1108-1118. Korean with abstract in English.
[30] Park KH, Kim HJ, Baek SY, Cho BM, Yoo TW . Effect of acupuncture on blood flow velocity and volume in common carotid and vertebral arteries in migraine patients. Med Acupunct. 2009 ; 21(1) : 47-54.
doi: 10.1089/acu.2008.0649
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