Article - Introduction in Acupuncture for Soft Tissue Repair

From: MK Sastry 

Chief Physician 

Acu Pain Care India 

Specialized in Acupuncture based Anesthesia , Neurosciences , Pain and Rehabilitative Medicine

Program Director 

Post Graduate Studies of Medical Sciences , specialization in Neurosciences  Medical Acupuncture , Lincoln University College Malaysia. 

In collaboration with Indian University and Advance Institute of Neurosciences with Physical and Rehabilitative Medicine.

Chief Scientist 

Brain Anatomical approach  and Molecular Biology , Genome sequencing. Using fast Computing , 

Article 

Introduction  in Acupuncture for Soft Tissue Repair Non Surgical Approach , major support for inclusive in Non Surgical based Treatment . 

 Acupuncture, an ancient therapeutic technique, which sustain for centuries  is emerging as an important modality of complementary medicine rather to majority of the clinics in regular procedure  but also has found spaces in Surgical intervention including major and complicated surgeries, in not only most developed countries but also in all developing and underdeveloped countries.  The use and efficacy of acupuncture treatment are widely accepted in best University of the world  

But still Conservative  scientific and medical communities. Demonstration of regionally specific, quantifiable acupuncture, questioning it's logical  interpretations. 

Further joint studies at MIT Hospital USA in collaboration with American University .  Paper Published 

Acupuncture Modulates the Limbic System and Subcortical Gray Structures of the Human Brain:

Evidence From fMRI Studies in

 Normal Subjects" 

*Correspondence to: Kathleen K.S. Hui, M.D., MGH-NMR Center,

Department of Radiology, CNY 2, 149 13th Street, Charlestown, MA

02129. email: hui@nmr.mgh.harvard.edu 

Received for publication 29 December 1998; accepted 6 July 1999" 

The study made effects on relevant structures of the human brain would facilitate acceptance and integration of this therapeutic modality into the practice of modern medicine and gave scientific explanation to the functioning of Acupuncture a dry needles based approach in language of Neural Anatomy and Anatomical interpretation . Research with animal models of acupuncture indicates that manyof the beneficial effects may be mediated at the subcortical level in the brain in which  functional magneticresonance imaging (fMRI)was used as tool  to investigate the effects of acupuncture in normal subjects and to provide a foundation

for future studies on mechanisms of acupuncture action in therapeutic interventions. Acupuncture needle

manipulation was performed at Large Intestine 4 (LI 4, Hegu) on the hand in 13 subjects [Stux, 1997].

Needle manipulation on either hand produced prominent decreases of fMRI signals in the nucleus

accumbens, amygdala, hippocampus, parahippocampus, hypothalamus, ventral tegmental area, anteriorcingulate gyrus (BA 24), caudate, putamen, temporal pole, and insula in all 11 subjects who experiencedacupuncture sensation. In marked contrast, signal increases were observed primarily in the somatosensorycortex. The study gave the outcome on  two subjects who experienced pain instead of acupuncture sensation exhibited signal increasesinstead of decreases in the anterior cingulate gyrus (BA 24), caudate, putamen, anterior thalamus, and

posterior insula. Superficial tactile stimulation to the same area elicited signal increases in the somatosen-

sory cortex as expected, but no signal decreases in the deep structures. These preliminary results suggestthat acupuncture needle manipulation modulates the activity of the limbic system and subcorticalstructures. It was  hypothesize that modulation of subcortical structures may be an important mechanism by

which acupuncture exerts its complex multisystem effects. Hum Brain Mapp 9:13–25, 2000. 

This studies provided a pathway to disqualify the conservative thought about non efficacy of Acupuncture as it was direct evidence in neural pathways , establishing neural signal interpretation on Neurophysiological and Neuroendocrine level giving a deeper understanding on clinical efficacy of Brain . 

 Further it becomes necessary to define Acupuncture  analgesia soft tissue repair which was greatly depended on surgical approach , was given a new modality for bedside recovery in perticularly  rural  communities where tissue injury is most common due to occupational hazards. 

Economically and orthopedic-ally where invasive procedures cannot takes place this,  methodology which was left largely unexplored , brought a new modality in greater extend for patient recovery owing to soft tissue management. 

According to current study conclusion, at least 10 factors as below can directly or indirectly influence the efficacy in acupuncture analgesia: CD pain cases (or models);  individuals of pains and differencesamong individuals; characteristics of acupoints;

 tools for acupuncture; acupuncture methods (direction, angle, depth, reinforcing and reducing manipulations for acupuncture), different parametersfor stimulation (crudeness or fineness of needles,

speed and direction of twirling lifting and thrusting,frequency and intensity of electroacupuncture as wellas other parameters);  duration for acupuncture;

• tissue structures and levels for acupuncture;
• influencing factors beyond acupuncture;
• evaluation methods for analgesic efficacy; and other

factors. Any alteration in the factors as mentionedabove may directly or indirectly affect efficacy in

acupuncture analgesia and its substance basis. If thefactors for controlling are not strictly controlled, or thefactors for examination are not coincidently controlled,

the study conclusions may be one-sided, obsolete

and partial. The widely used single factor methodnow may lead to an obsolete study conclusion, which

leads to and enlarge the contradiction among different

conclusions. The systematical study method is recommended for realizing the transition ofscientific modes for acupuncture analgesia.

Systematical analysis and design of the relationshipsbetween influencing factors for mechanisms ofacupuncture analgesia and analgesic efficacy as well

as those with mechanisms of acupuncture analgesiawill be helpful for comprehensively and intensivelystudying mechanisms of acupuncture analgesia,

unifying the science of diverse mechanisms andfurther providing clinical services for acupuncture

analgesia (optimization for acupuncture programs and

improvements in analgesic efficacy).

During my huge clinical experience of Trumatology , I dedicated my self 

to the study of human head, neck, shoulder, back arm, lumbosacral, buttocks and soft tissue pain, through a large number of clinical studies (soft tissue recovery  more than 6700 cases, silver needle treatment of more than 6000 cases ,various disciplines  More than 40,000 cases of Injection Therapy based on my individual approach  ), have achieved excellence in the development mechanism of soft tissue damaging pain, pathology, signs (formerly called as Perineural Injection theraphy of spinal-related diseases, meridian conduction) , diagnosis and differential diagnosis, therapeutics, preventive medicine, etc

Neurological mechanism and non-nerve mechanism of acupuncture analgesia are largely

discrepant and contradictory. We are obliged to ask: is the contradiction between neurological

mechanism and connective tissue mechanism really Irreconcilable? How about the relationship between

nerve and connective tissue? The understanding on the relationship between nerves and connective tissues may be a key to the significant discrepancy for the studies on mechanisms of acupuncture analgesia now. Firstly, are they correlated? If connective tissues are considered as an independent system for human body and it is independent from nervous system, they should establish inseparable relationship by a certain link or system, because the organism is an organic entity and they are the two very important parts of the organism, is it the relationship between superior and inferior grades, synergistic relationship or other complex relationship? The assertion that connective tissue system is not correlated with nervous system does not meet with natural dialectic or scientific philosophic principles. In terms of the relationship between them, logically, nerves are distributed from deep layer

to shallow layer, if nerves suddenly disappear at superficial fascia and suddenly appear in skin, it is

unbelievable. Therefore, nerves are surely distributed in superficial fascia layers. Current studies have shown that relatively more thin neural branches are distributed in superficial fascia layer, but only a few neural terminals are detected, and most of nerve terminals are distributed in cortex . Connective tissues compose an entity, and a pull at the hair makes the whole body sway. It is estimated that significant pulling at connective tissues may stimulate more nerves than by other methods, and it may induce more and powerful excitation than those by other acupuncture manipulations. Anatomical, electrophysiological and other fundamental study data on thin neural branches and relationship between nerve terminals and superficial fascia are still scarce. There are still large amounts of fundamental

studies to be carried out on mechanisms of acupuncture analgesia, including studies on thin neural

branches and relationship between nerve terminals and superficial fascia. If it is proposed that the new

findings in the studies on acupuncture analgesia promote the reconstruction of basic medicine, it

is one of the major contributions to the studies on mechanisms of acupuncture analgesia, and it is far

significant than mechanisms of acupuncture analgesia themselves.

It was greatly realised that this mechanism which conforms to surgical techniques and tends to be minimal. Innovative, that is, to reduce iatrogenic trauma to the minimum possible, in order to obtain the requirements of ideal therapy, as long as the indications of different treatments are selected, better results can be achieved, which has been confirmed by the majority of clinical workers.