Acubriefs Newsletter Volume 5 Issue 3

Fall 2004

Are you ready for the Nobel Prize in acupuncture research? Well how about one for clinical acupuncture research? I vote this year for the work of Andrew Vickers.

Readers of Acubriefs know that I can be quite critical of current acupuncture research, whether it has favorable or unfavorable results. I've even argued publicly that current research may do more harm than good. After reading the current articles by Vickers et al, I feel refreshed - like someone on a Sunday morning who hears the message of Easter preached. Vickers' approach to clinical acupuncture research resonates with truth. It is a primary template for research in clinical acupuncture for the foreseeable future. The study design honors acupuncture as an adjunctive form of therapy and avoids the "either/or" approach of conventional randomized control trials. It recognizes context beyond the diagnosis, pill, or procedure.

Though Vickers's paper didn't bring tears to my eyes, as might the sight of well-placed needles, there's beauty in his work. It's a beauty of hard steel and precision that turns our head as it passes by. His recent papers are representative of a paradigm shift in acupuncture research. Seven years after the NIH conference we are at the dawn of pragmatic acupuncture trials. Like a new art form, there will be critics and those who hold fast to the comfort of the past. But there is a movement, albeit sometimes circular, that must begin to propel forward. Like the helix of life, our research designs must do a better job of revealing the contextual nature of clinical acupuncture.

I am going to encourage readers to appreciate this art form directly. The article is published online at the British Medical Journal's home site. Acupuncture for chronic headache in primary care large, pragmatic, randomized trial. Vickers AJ, Rees RW, Zollman CE, McCarney R, Smith CM, Ellis N, Fisher P, Van Haselen R.; BMJ. 2004 Mar 27;328(7442):744. Epub 2004 Mar 15. PubMed Abstract with links to full text Full text free online

If the appeal and power of the first study wasn't enough, Vickers is the second author with David Wonderling of: Cost effectiveness analysis of a randomized trial of acupuncture for chronic headache in primary care. Wonderling D, Vickers AJ, Grieve R, McCarney R.; BMJ. 2004 Mar 27;328(7442):747. Epub 2004 Mar 15.; PubMed Abstract with links to full text Full text free online This is a jewel of a study and could be the best example I've seen of an acupuncture intervention evaluated for cost effectiveness. The product is not only sleek and powerful the price is right!

What is more, Vickers makes it clear that he is concerned about what the data actually reveals. There is a recent Vickers article that reviews a common statistical problem related to using simple before-and-after statistical comparisons in clinical trials associated with pain. Here again, Vickers emphasizes the need for context to be appreciated when evaluating acupuncture and its use in conditions associated with chronic pain. By reassessing four previous acupuncture trials, he admonishes: if the severity of baseline pain, and other characteristics of the distribution regarding the population's pain levels over the course of the study are not taken into account, the choice of the statistical test and the power of the study can be compromised, along with its conclusions. I predict this paper will also significantly change the landscape of future clinical acupuncture trials and meta-analyses thereof. The article is entitled: Statistical Reanalysis of Four Recent Randomized Trials of Acupuncture for Pain Using Analysis of Covariance. Vickers, A.J.; Clin J Pain 2004 Sept-Oct;20(5):319-23 PubMed Abstract

So, I am calling for a celebration! Recently The Best of Both Worlds Foundation, at http://www.acubriefs.com/bbw, was established to support the work of Acubriefs and other efforts aimed at integrating acupuncture and other models of health care into our western system. I would like it to help celebrate the work of Vickers and other acupuncture researchers. Please consider making a contribution, of either your time or your money, to this charitable foundation. All contributions earmarked for celebrating research accomplishments will be honored as such. I'm envisioning a wingding of a celebration that will bring together researchers from all over the world.

We might not duplicate the Nobel Prize ceremonies but in our way we can strive to surpass them.

James K. Rotchford MD, MPH, Editor

Though we are publishing Acubriefs Newsletter quarterly, our New Citations pages are updated each month.

Click here for the July 2004 New Citations page (238)

Click here for the September New Citations (201)

This month's citations (92) are listed below.

Acubriefs Newsletter has three objectives:
1. To provide a centralized resource for reviewing new citations on acupuncture in English.
2. To provide annotated abstracts on citations of particular interest to clinicians and researchers.
3. To facilitate access to citations quoted/reviewed. (Please let us know if you have suggestions on how we might better meet these objectives)
The editor for the newsletter is J.K. Rotchford MD, MPH, Past President of the Medical Acupuncture Research Foundation.

At Acubriefs.com, we invite readers to:

• Comment on Acubriefs reviews
• Read comments others have made
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• Search the Acubriefs Database for similar articles
• Search the Acubriefs Review Database for past reviews
• Submit references to our database, using our online form, or by email to admin@acubriefs.com
  

Fall 2004 Newsletter citations =92

Ear Acupuncture Prescriptions and Techniques, Part One. Abbate, S.; Acupuncture Today 2004, Vol. 5(9) Full text free online

Acupressure to Treat Nausea and Vomiting in HIV/AIDS Patients. ClinicalTrials gov 2004, Abstract online

Acupuncture Shown to Relieve Post-op Nausea -Study. Reuters Health Information 2004, Vol. July 28 Full text free online

[Changes in prooxidant-antioxidant homeostasis in front brain of rats under the influence of bioptron device polarized light on acupuncture point] (in Ukranian). Fiziol Zh 2004, Vol. 50(3) p.59-64 PubMed Abstract (ENG)online

[The information-wave hypothesis of a pain] (in Ukranian). Fiziol Zh 2004, Vol. 50(3) p.92-102 PubMed Abstract (ENG) online

The possible effect of clinical recovery on regional cerebral blood flow deficits in fibromyalgia: a prospective study with semiquantitative SPECT. Adiguzel, O., Kaptanoglu, E., Turgut, B., and Nacitarhan, V.; South Med J 2004, Vol. 97(7) p.651-655 PubMed Abstract

UPMC SHADYSIDE CENTER FOR COMPLEMENTARY MEDICINE SEEKING PARTICIPANTS IN STUDY ON ACUPUNCTURE FOR DEPRESSION. Aldinger, A.; UPMC News Bureau 2004, March 31 Full text free online

Oriental Medicine: An Integral Part of Integrative Oncology, Part One. Anand, K.; Acupuncture Today 2004, Vol. 5(9) Full text free online

Acupuncture Safety/Efficacy in Knee Osteoarthritis. Berman, B. M.; ClinicalTrials gov 2000, Abstract online

Comparison of stochastic vs. conventional transcutaneous electrical stimulation for pain modulation in patients with electromyographically documented radiculopathy. Bloodworth, D. M., Nguyen, B. N., Garver, W., Moss, F., Pedroza, C., Tran, T., and Chiou-Tan, F. Y.; Am J Phys Med Rehabil 2004, Vol. 83(8) p.584-591 PubMed Abstract

[Chronic headache: improvement using acupuncture. Re: the article from DMW 20/2004] (letter) (in German). Bocking, G.; Dtsch Med Wochenschr 2004, Vol. 129(31-32) p.1700 PubMed Citation

Nonsurgical treatment of tennis elbow] (in French). Boisaubert, B., Brousse, C., Zaoui, A., and Montigny, J. P.; Ann Readapt Med Phys 2004, Vol. 47(6) p.346-355 PubMed Abstract (ENG)

Lessons from fibromyalgia: abnormal pain sensitivity in knee osteoarthritis. Bradley, L. A., Kersh, B. C., DeBerry, J. J., Deutsch, G., Alarcon, G. A., and McLain, D. A.; Novartis Found Symp 2004, Vol. 260:258-70; discussion 270-9.258-270 PubMed Abstract

Acupuncture and Chinese herbal medicine in the treatment of patients with seasonal allergic rhinitis: a randomized-controlled clinical trial. Brinkhaus, B., Hummelsberger, J., Kohnen, R., Seufert, J., Hempen, C. H., Leonhardy, H., Nogel, R., Joos, S., Hahn, E., and Schuppan, D.; Allergy 2004, Vol. 59(9) p.953-960 PubMed Abstract

[Fibromyalgia] (in German). Bruckle, W. and Zeidler, H.; Internist (Berl) 2004, Vol. 45(8) p.923-934 PubMed Abstract (ENG)

Presentation and treatment of complex regional pain syndrome type 1 in a 3 year old. Bukhalo, Y. and Mullin, V.; Anesthesiology 2004, Vol. 101(2) p.542-543 PubMed Citation

Acupuncture statistics. Carter, B. B.; The Pulse of Oriental Medicine 2004, June 15 Full text free online

Integrating Chinese and Western Medicine for Post-Stroke Aphasia. Carter, B. B.; The Pulse of Oriental Medicine 2004, June 15 Full text free online

Why I'm Going to Western Medical School. Carter, B. B.; Acupuncture Today 2004, Vol. 5(9) Full text free online

The effect of acupuncture on alpha-motoneuron excitability. Chan, A., Vujnovich, A., and Bradnam-Roberts, L.; Acupunct Electrother Res 2004, Vol. 29(1-2) p.53-72

Physicians and complementary-alternative medicine: training, attitudes, and practices in Hawaii. Chan, P. S. and Wong, M. M.; Hawaii Med J 2004, Vol. 63(6) p.176-181 PubMed Abstract

Would the addition of TENS to exercise training produce better physical performance outcomes in people with knee osteoarthritis than either intervention alone? Cheing, G. L. and Hui-Chan, C. W.; Clin Rehabil 2004, Vol. 18(5) p.487-497 PubMed Abstract

[Transcranial magnetic stimulation (TMS): physiology, psychology, brain mapping and clinical applications] (in Chinese). Chen, A. C., Zhang, W. T., and Han, J. S.; Sheng Li Ko Hsueh Chin Chan 2004, Vol. 35(2) p.102-106 PubMed Abstract (ENG)

Weight Loss Reduction in China. Christian, M. K.; Acupuncture Today 2004, Vol. 5(9) Full text free online

Cerebral activation during hypnotically induced and imagined pain. Derbyshire, S. W., Whalley, M. G., Stenger, V. A., and Oakley, D. A.; Neuroimage 2004, Vol. 23(1) p.392-401 PubMed Abstract

Further clues to recognition of patients with fibromyalgia from a simple 2-page patient multidimensional health assessment questionnaire (MDHAQ). DeWalt, D. A., Reed, G. W., and Pincus, T.; Clin Exp Rheumatol 2004, Vol. 22(4) p.453-461 PubMedAbstract

Musculoskeletal conditions and complementary/alternative medicine. Ernst, E.; Best Pract Res Clin Rheumatol 2004, Vol. 18(4) p.539-556 PubMed Abstract

Mutational analysis of serotonin receptor genes: HTR3A and HTR3B in fibromyalgia patients. Frank, B., Niesler, B., Bondy, B., Spath, M., Pongratz, D. E., Ackenheil, M., Fischer, C., and Rappold, G.; Clin Rheumatol 2004, Vol. 23(4) p.338-344 PubMed Abstract

Efficacy of low power laser therapy and exercise on pain and functions in chronic low back pain. Gur, A., Karakoc, M., Cevik, R., Nas, K., Sarac, A. J., and Karakoc, M.; Lasers Surg Med 2003, Vol. 32(3) p.233-238 PubMed Abstract

Is there a vasospasmolytic effect of acupuncture in patients with secondary Raynaud phenomenon? Hahn, M., Steins, A., Mohrle, M., Blum, A., and Junger, M.; Journal der Deutschen Dermatologischen Gesellschaft 2004, Vol. 2(9) p.758-762 Abstract online

[Analgesics use in patients with chronic musculoskeletal pain.] (in Norwegian). Holtedahl, R.; Tidsskr Nor Laegeforen 2004, Vol. 124(15) p.1930-1932 PubMed Abstract (ENG)

Effects of acupuncture for chronic pelvic pain syndrome with intrapelvic venous congestion: Preliminary results. Honjo, H., Kamoi, K., Naya, Y., Ukimura, O., Kojima, M., Kitakoji, H., and Miki, T.; Int J Urol 2004, Vol. 11(8) p.607-612 PubMed Abstract

Complementary and alternative medicine for labor pain: A systematic review. Huntley, A. L., Coon, J. T., and Ernst, E.; Am J Obstet Gynecol 2004, Vol. 191(1) p.36-44 PubMed Abstract

[Femoral nerve block as pain relief in hip fracture. A good alternative in perioperative treatment proved by a prospective study] (in Swedish). Kullenberg, B., Ysberg, B., Heilman, M., and Resch, S.; Lakartidningen 2004, Vol. 101(24) p.2104-2107 PubMed Abstract (ENG)

Recent Study Shows Effect of Acupuncture Lasts Three Years or More. Kumar, V.; The Pulse of Oriental Medicine 2004, (Sept 15) Full text free online

Bee venom acupoint stimulation increases Fos expression in catecholaminergic neurons in the rat brain. Kwon, Y. B., Han, H. J., Beitz, A. J., and Lee, J. H.; Mol Cells 2004, Vol. 17(2) p.329-333 PubMed Abstract

Clinical importance of active scars: abnormal scars as a cause of myofascial pain. Lewit, K. and Olsanska, S.; J Manipulative Physiol Ther 2004, Vol. 27(6) p.399-402 PubMed Abstract

Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system. Landi, N., Manfredini, D., Tognini, F., Romagnoli, M., and Bosco, M.; J Prosthet Dent 2004, Vol. 92(2) p.190-195 PubMed Abstract

Decreased sleep spindles and spindle activity in midlife women with fibromyalgia and pain. Landis, C. A., Lentz, M. J., Rothermel, J., Buchwald, D., and Shaver, J. L.; Sleep 2004, Vol. 27(4) p.741-750 PubMed Abstract

A parametric study of electroacupuncture on persistent hyperalgesia and Fos protein expression in rats. Lao, L., Zhang, R. X., Zhang, G., Wang, X., Berman, B. M., and Ren, K.; Brain Res 2004, Vol. 1020(1-2) p.18-29 PubMed Abstract

Acupuncture decreases neuropeptide Y expression in the hypothalamus of rats with streptozotocin-induced diabetes. Lee, J. D., Jang, M. H., Kim, E. H., and Kim, C. J.; Acupunct Electrother Res 2004, Vol. 29(1-2) p.73-82

Anti-inflammatory Effect of Bee Venom on Type II Collagen-Induced Arthritis. Lee, J. D., Kim, S. Y., Kim, T. W., and et al; Am J Chin Med 2004, Vol. 32(3) p.351-367 Abstract online

External Qi Therapy to Treat Symptoms of Agent Orange Sequelae in Korean Combat Veterans of the Vietnam War. Lee, M. S., Woo, W. H., Lim, W. H., and Moo, S. R.; Am J Chin Med 2004, Vol. 32(3) p.461-466 Abstract online

The Effectiveness of Auriculoacupoint Treatment for Artificially Induced Acute Hepatic Injury in Dogs. Lee, S. E., Song, K. H., Liu, J., Kwon, H. J., and Kim, D. H.; Am J Chin Med 2004, Vol. 32(3) p.445-451 Abstract online

[Clinical study on effect of acupoint sticking of chuanfuling in dog-days in preventing and treating children asthma in remission stage] (in Chinese). Li, Y. L., Luo, F., Zhang, J. Y., and Liu, C.; Zhongguo Zhong Xi Yi Jie He Za Zhi 2004, Vol. 24(7) p.601-604 PubMed Abstract (ENG)

A personal experience using Limoge's current during a major surgery (letter). Limoge, A. and Dixmerias-Iskandar, F.; Anesth Analg 2004, Vol. 99(1) p.309 PubMed Citation

Expression of c-fos in the nucleus of the solitary tract following electroacupuncture at facial acupoints and gastric distension in rats. Liu, J. H., Li, J., Yan, J., CHANG, X. R., Cui, R. F., He, J. F., and Hu, J. M.; Neurosci Lett 2004, Vol. 366(2) p.215-219 PubMed Abstract

fMRI study of acupuncture-induced periaqueductal gray activity in humans. Liu, W. C., Feldman, S. C., Cook, D. B., Hung, D. L., Xu, T., Kalnin, A. J., and Komisaruk, B. R.; Neuroreport 2004, Vol. 15(12) p.1937-1940 PubMed Abstract

Electro-acupuncture stimulation protects dopaminergic neurons from inflammation-mediated damage in medial forebrain bundle-transected rats. Liu, X. Y., Zhou, H. F., Pan, Y. L., Liang, X. B., Niu, D. B., Xue, B., Li, F. Q., He, Q. H., Wang, X. H., and Wang, X. M.; Exp Neurol 2004, Vol. 189(1) p.189-196 PubMed Abstract

What Is Qi? Can We See Qi? Lo, Y.; Acupuncture Today 2004, Vol. 5(9) Full text free online

Medullary ventrolateral nitric oxide mediates the cardiac effect of electroacupuncture at "Neiguan" acupoint on acute myocardial ischemia in rats. Lu, J. X., Zhou, P. H., Wang, J., Li, X., Cao, Y. X., Zhou, X., and Zhu, D. N.; Sheng Li Hsueh Pao 2004, Vol. 56(4) p.503-508 PubMed Abstract

Mood spectrum in patients with different painful temporomandibular disorders. Manfredini, D., di Poggio, A. B., Romagnoli, M., Dell'Osso, L., and Bosco, M.; Cranio 2004, Vol. 22(3) p.234-240 PubMed Abstract

Phantoms in rheumatology. McCabe, C. S., Haigh, R. C., Shenker, N. G., Lewis, J., and Blake, D. R.; Novartis Found Symp 2004, Vol. 260:154-74; discussion 174-8, 277-9.154-174 PubMed Abstract

An overview of two Cochrane systematic reviews of complementary treatments for chronic asthma: acupuncture and homeopathy. McCarney, R., Lasserson, T., Linde, K., and Brinkhaus, B.; Respir Med 2004, Vol. 98(8) p.687-696 PubMed Abstract

Moxibustion. American Cancer Society 2004, Full text free online

Upper crossed syndrome and its relationship to cervicogenic headache. Moore, M. K.; J Manipulative Physiol Ther 2004, Vol. 27(6) p.414-420 PubMed Abstract

An investigation into the 'carry over' effect of neurostimulation in the treatment of angina pectoris. Murray, S., Collins, P. D., and James, M. A.; Int J Clin Pract 2004, Vol. 58(7) p.669-674 PubMed Abstract

Therapeutic modality: rehabilitation of the injured athlete. Nyland, J. and Nolan, M. F.; Clin Sports Med 2004, Vol. 23(2) p.299-313, vii PubMed Abstract

Special sunrise and sunset solar energy stored papers and their clinical applications for intractable pain, circulatory disturbances and cancer: Comparison of beneficial effects between special solar engery stored paper and Qigong energy stored paper. Omura, Y.; Acupunct Electrother Res 2004, Vol. 29(1-2) p.1-42

One-third of U.S. adults use some form of alternative medicine. The Internet Medical Journal 2004, Full text free online

Acute Nociceptive Somatic Stimulus Sensitizes Neurons in the Spinal Cord to Colonic Distension in the Rat. Peles, S., Miranda, A., Shaker, R., and Sengupta, J. N.; J Physiol 2004, Epub ahead of print PubMed Abstract

Cerebrospinal fluid glutamate levels in chronic migraine. Peres, M., Zukerman, E., Senne, S. C., Alonso, O., Santos, B., and Faulhaber, M.; Cephalalgia 2004, Vol. 24(9) p.735-739 PubMed Abstract

Percutaneous neuromuscular electrical stimulation (P-NMES) for treating shoulder pain in chronic hemiplegia. Effects on shoulder pain and quality of life. Renzenbrink, G. J. and IJzerman, M. J.; Clin Rehabil 2004, Vol. 18(4) p.359-365 PubMed Abstract

Depression and fibromyalgia: treatment and cost when diagnosed separately or concurrently. Robinson, R. L., Birnbaum, H. G., Morley, M. A., Sisitsky, T., Greenberg, P. E., and Wolfe, F.; J Rheumatol 2004, Vol. 31(8) p.1621-1629 PubMed Abstract

The Tampa Scale for Kinesiophobia: further examination of psychometric properties in patients with chronic low back pain and fibromyalgia. Roelofs, J., Goubert, L., Peters, M. L., Vlaeyen, J. W., and Crombez, G.; Eur J Pain 2004, Vol. 8(5) p.495-502 PubMed Abstract

Pseudoparadoxical dissociation of cerebral oxygen saturation and cerebral blood flow velocity after acupuncture in a woman with cerebrovascular dementia: a case report. Schwarz, G., Litscher, G., and Sandner-Kiesling, A.; Neurol Res 2004, Vol. 26(6) p.698-701 PubMed Abstract

Effect of Acupressure on Nausea and Vomiting During Chemotherapy Cycle for Korean Postoperative Stomach Cancer Patients. Shin, Y. H., Kim, T. I., Shin, M. S., and Juon, H. S.; Cancer Nurs 2004, Vol. 27(4) p.267-274 PubMed Abstract

The effects of ear-point stimulation of the contents of somatostatin and amino acid neurotransmitters in brain of rat with experimental seizure. Shu, J., Liu, R. Y., and Huang, X. F.; Acupunct Electrother Res 2004, Vol. 29(1-2) p.43-51

Acupuncture for Physical Fitness and Sports. Sklar, C. E.; The Pulse of Oriental Medicine 2004, June 15 Full text free online

Chinese Medicine Boosts Immunity in HIV Patients. Sklar, C. E.; The Pulse of Oriental Medicine 2004, June 15 Full text free online

Men Find Health Benefits with Acupuncture. Sklar, C. E.; The Pulse of Oriental Medicine 2004, June 15 Full text free online

Integrated Healing: Acupuncture Usage Shows Relief of Chronic Symptoms. Sok, S. R. and Kim, K. B.; Holist Nurs Pract 2004, Vol. 18(4) p.220-220 Abstract online

Treating Stomach Pain With Oriental Medicine. Sonmore, S.; The Pulse of Oriental Medicine 2004, (Sept. 1) Full text free online

Maintenance of windup of second pain requires less frequent stimulation in fibromyalgia patients compared to normal controls. Staud, R., Price, D. D., Robinson, M. E., Mauderli, A. P., and Vierck, C. J.; Pain 2004, Vol. 110(3) p.689-696 PubMed Abstract

Ear Acupuncture. (book) Strittmatter, B.; 2003, 1-382 Abstract online

[The factors influencing on depression of patients for fibromyalgia syndrome] (in Korean). Sung, K. W., Shin, I. H., and Lee, K. H.; Taehan Kanho Hakhoe Chi 2003, Vol. 33(5) p.609-617 PubMed Abstract (ENG)

The context of health care communication in chronic illness. Thorne, S. E., Harris, S. R., Mahoney, K., Con, A., and McGuinness, L.; Patient Educ Couns 2004, Vol. 54(3) p.299-306 PubMed Abstract

[Effect of acupuncture on the expression of choline acetyltransferase mRNA in the brain of ovarietomized rats] (in Chinese). Tian, S. J., Yin, L., SUN, J. P., Tian, Q. H., Zu, Y. Sheng Li Hsueh Pao 2004, Vol. 56(4) p.498-502 PubMed Abstract (ENG) online

Acupressure and Transcutaneous Electrical Acupoint Stimulation in Improving Fatigue, Sleep Quality and Depression in Hemodialysis Patients. Tsay, S. L., Cho, Y. C., and Chen, M. L.; Am J Chin Med 2004, Vol. 32(3) p.407-416 Abstract online

The use of electrical devices for the treatment of bladder dysfunction: a review of methods. van Balken, M. R., Vergunst, H., and Bemelmans, B. L.; J Urol 2004, Vol. 172(3) p.846-851 PubMed Abstract

Fibromyalgia: a stress disorder? Piecing the biopsychosocial puzzle together. Van Houdenhove, B. and Egle, U. T.; Psychother Psychosom 2004, Vol. 73(5) p.267-275 PubMed Abstract

[Treatment of Bell's palsy with combination of traditional Chinese medicine and western medicine] (in Chinese). Wang, X. H., Zhang, L. M., Han, M., Zhang, K. Q., and Jiang, J. J.; Hua Xi Kou Qiang Yi Xue Za Zhi 2004, Vol. 22(3) p.211-213 PubMed Abstract (ENG)

Effects of Tai Chi Exercise on Physical and Mental Health of College Students. Wang, Y. T., Taylor, L., Pearl, M., and Chang, L. S.; Am J Chin Med 2004, Vol. 32(3) p.453-459 Abstract online

A Study of Electrical Conductance of Meridian in the Obese During Weight Reduction. WENG, C. S., Hung, Y. L., and Shyu, L. Y.; Am J Chin Med 2004, Vol. 32(3) p.417-425 Abstract online

Acupuncture as Effective as Drug Therapy for Migraines and Headache. Wilkowski, R.; The Pulse of Oriental Medicine 2004, June 15 Full text free online

Pain Assessment in Patients With Fibromyalgia Syndrome: A Consideration of Methods for Clinical Trials. Williams, D. A., Gendreau, M., Hufford, M. R., Groner, K., Gracely, R. H., and Clauw, D. J.; Clin J Pain 2004, Vol. 20(5) p.348-356 PubMed Abstract

The effects of acupuncture on cardiac muscle cells and blood pressure in spontaneous hypertensive rats. Wu, H. C., Lin, J. G., Chu, C. H., and et al; Acupunct Electrother Res 2004, Vol. 29(1-2) p.83-95

A Culturally Sensitive Health Care Practice Model - Theory Construction and Its Testing. Wu, T.; Am J Chin Med 2004, Vol. 32(3) p.467-485 Abstract online

Effects of Electroacupuncture at 'Anmian (Extra)' Acupoints on Sleep Activities in Rats: The Implication of the Caud al Nucleus tractus solitarius. Yi, P. L., Tsai, C. H., Lin, J. G., Liu, H. J., and Chang, F. C.; J Biomed Sci 2004, Vol. 11(5) p.579-590 PubMed Abstract

Involvement of opioid receptors in electroacupuncture-produced anti-hyperalgesia in rats with peripheral inflammation. Zhang, R. X., Lao, L., Wang, L., Liu, B., Wang, X., Ren, K., and Berman, B. M.; Brain Res 2004, Vol. 1020(1-2) p.12-17 PubMed Abstract

Electroacupuncture combined with indomethacin enhances antihyperalgesia in inflammatory rats. Zhang, R. X., Lao, L., Wang, X., Ren, K., and Berman, B. B.; Pharmacol Biochem Behav 2004, Vol. 78(4) p.793-797 PubMed Abstract

Preventive and Therapeutic Effects of Acupuncture on Bone Mass in Osteopenic Ovariectomized Rats. Zhang, W., Kanehara, M., Ishida, T., and et al; Am J Chin Med 2004, Vol. 32(3) p.427-443 Abstract online

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