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J Acupunct Meridian Stud 2024; 17(3): 81-82

Published online June 30, 2024 https://doi.org/10.51507/j.jams.2024.17.3.81

Copyright © Medical Association of Pharmacopuncture Institute.

New Insights into the Acupuncture Point Microenvironment

Sungtae Koo*

Department of Korean Medicine, School of Korean Medicine, Pusan National University, Yangsan, Korea

Correspondence to:stkoo@pusan.ac.kr

Received: May 29, 2024; Revised: June 3, 2024; Accepted: June 3, 2024

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Body

A groundbreaking study published in the Journal of Acupuncture and Meridian Studies introduces an innovative methodology that sheds new light on the dynamics of acupuncture points and their responses to needle stimulation. Pitta et al. [1] developed a novel technique for assessing water content at acupuncture points by evaluating the tissue dielectric constant (TDC) [2], a measure of a material’s ability to store electrical energy in an applied electric field. Zhang et al. [3] previously proposed the concept of interstitial fluid movement along acupuncture meridians, offering a fresh perspective on meridian pathways and illustrating how acupuncture points respond to low hydraulic resistance channels. The findings of Pitta et al. align with this concept, focusing on two specific acupuncture points, ST36 and SP6. The study revealed a statistically significant reduction in TDC at these points following needle stimulation, indicating fluctuations in water content within the surrounding skin layers. This suggests that needle stimulation triggers changes in the microenvironment of these points.

Validation against electrical impedance analysis confirmed the accuracy of the TDC measurements in identifying changes in water content at acupuncture points, thereby enhancing the reliability of this innovative technology. This validation is crucial in establishing the credibility of the TDC approach and paves the way for its broader application in acupuncture research. An interesting aspect of the study is the increase in electrical impedance at the acupuncture points after needling. Since the 1950s, acupuncture points have been known to have reduced impedance and resistance compared to nonacupuncture points [4,5]. Based on the findings of Pitta et al., the electrical impedance around acupuncture points may be dynamic due to microenvironmental changes induced by acupuncture needling.

The significance of this study lies in its potential to provide a quantitative, real-time, and noninvasive assessment of the microenvironment surrounding acupuncture points. By monitoring water content fluctuations, researchers can gain insights into the immediate effects of acupuncture needle stimulation on these points, which have long been considered key targets in traditional East Asian medicine. While further research is required to fully understand the implications of water content changes at acupuncture points, the TDC methodology represents a significant step forward in understanding the microenvironmental dynamics surrounding these points. This novel approach opens up new options for studying the mechanisms underlying acupuncture’s therapeutic effects by providing a quantitative and noninvasive method of evaluating water content variations.

As the field of acupuncture research evolves, the integration of novel methodologies, such as the TDC technique, will be crucial in unraveling the complexities of this ancient healing practice. Researchers can reveal the subtle processes that occur at acupuncture points by utilizing cutting-edge technologies and rigorous scientific methodologies, paving the path for more effective and evidence-based acupuncture treatments in the future.

CONFLICT OF INTEREST

The author declares no conflict of interest.

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References

  1. Pitta MG, Zhang K, de Mello Rosa GH, Rangon FB, de Oliveira Guirro EC, da Silva ML, et al. Evaluating dielectric properties for assessing water content at acupuncture points: new methodology. J Acupunct Meridian Stud 2024;17:86-93.
    CrossRef
  2. Mayrovitz HN. Medical applications of skin tissue dielectric constant measurements. Cureus 2023;15:e50531.
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  3. Zhang WB, Tian YY, Li H, Tian JH, Luo MF, Xu FL, et al. A discovery of low hydraulic resistance channel along meridians. J Acupunct Meridian Stud 2008;1:20-8.
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  4. Ahn AC, Martinsen OG. Electrical characterization of acupuncture points: technical issues and challenges. J Altern Complement Med 2007;13:817-24.
    Pubmed KoreaMed CrossRef
  5. Ahn AC, Colbert AP, Anderson BJ, Martinsen OG, Hammerschlag R, Cina S, et al. Electrical properties of acupuncture points and meridians: a systematic review. Bioelec. tromagnetics 2008;29:245-56. https://doi.org/10.1002/bem.20403.
    Pubmed CrossRef