Evidence map›Paper›PMID 22474503›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2012

Neural acupuncture unit: a new concept for interpreting effects and mechanisms of acupuncture.

Zhang-Jin Zhang, Xiao-Min Wang, Grainne M McAlonan

5 registry-linked trialsAbstract read
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 104 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02457039 nacompletednot on this mapstarted 2015, after this paper: background citation

An Assessor-Blinded, Randomised Controlled Trial of Acupuncture to Prevent Chemobrain in Breast Cancer Patients

TypeinterventionalSponsorThe University of Hong KongRan2015 to 2019Enrolled93ConditionsChemo-brain, Drug-Related Side Effects and Adverse Reactions, Mild Cognitive Impairment, Breast CancerArmsDense cranial electroacupuncture stimulation, Body acupuncture, Least acupuncture stimulation, Cytoxan-containing chemotherapy regimens
NCT02644161 nacompletednot on this mapstarted 2015, after this paper: background citation

A Multisite, Assessor-blinded, Randomized Controlled Trial of Acupuncture for Post-stroke Depression

TypeinterventionalSponsorThe University of Hong KongRan2015 to 2018Enrolled91ConditionsStroke, Depression, Stroke SequelaeArmsDense cranial electroacupuncture stimulation, Body acupuncture, Antidepressant, Rehabilitation, Least acupuncture stimulation
NCT04305951 nacompletednot on this mapstarted 2021, after this paper: background citation

Combining Acupuncture and Acupressure for Dementia Elderly: an Assessor-blinded, Randomized Controlled Trial

TypeinterventionalSponsorThe University of Hong KongRan2021 to 2025Enrolled236ConditionsDementiaArmsComprehensive acupuncture therapy (CAT), Comfy Acupressure for the Elderly (CAE)
NCT05102253 nacompletednot on this mapstarted 2022, after this paper: background citation

Transcutaneous Electrical Acupoint Stimulation (TEAS) and Dense Cranial Electroacupuncture Stimulation (DCEAS) for Psychiatric Sequelae and Related Biomarkers in Women Victims of Domestic Violence: a Randomized Controlled Trial

TypeinterventionalSponsorThe University of Hong KongRan2022 to 2025Enrolled110ConditionsDepression, Domestic Violence, Psychiatric DisorderArmsDense cranial electroacupuncture stimulation (DCEAS), Transcutaneous electrical acupoint stimulation (TEAS), Wait-list control: Routine care
NCT06638450 narecruitingnot on this mapstarted 2026, after this paper: background citation

Dense Cranial Electroacupuncture Stimulation Plus Body Acupuncture for Adolescents With Psychological Distress: a Randomized Controlled Trial With Observations on Salivary Oxytocin and Cortisol Changes

TypeinterventionalSponsorThe University of Hong KongRan2026 to 2028Enrolled148ConditionsPsychological Distress, InsomniaArmsDense Cranial Electroacupuncture Stimulation plus Body Acupuncture (DCEAS+BA), Minimal Acupuncture Stimulation (MAS)
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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44 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Zhang-Jin ZhangSchool of Chinese Medicine, LKS Faculty of Medicine, The University of Hong Kong, 10 Sassoon Road, Pokfulam, Hong Kong.
Xiao-Min Wang
Grainne M McAlonan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

When an acupuncture needle is inserted into a designated point on the body and mechanical or electrical stimulation is delivered, various neural and neuroactive components are activated. The collection of the activated neural and neuroactive components distributed in the skin, muscle, and connective tissues surrounding the inserted needle is defined as a neural acupuncture unit (NAU). The traditionally defined acupoints represent an anatomical landmark system that indicates local sites where NAUs may contain relatively dense and concentrated neural and neuroactive components, upon which acupuncture stimulation would elicit a more efficient therapeutic response. The NAU-based local mechanisms of biochemical and biophysical reactions play an important role in acupuncture-induced analgesia. Different properties of NAUs are associated with different components of needling sensation. There exist several central pathways to convey NAU-induced acupuncture signals, Electroacupuncture (EA) frequency-specific neurochemical effects are related to different peripheral and central pathways transmitting afferent signals from different frequency of NAU stimulation. More widespread and intense neuroimaging responses of brain regions to acupuncture may be a consequence of more efficient NAU stimulation modes. The introduction of the conception of NAU provides a new theoretical approach to interpreting effects and mechanisms of acupuncture in modern biomedical knowledge framework.

Identifiers

PMID22474503
PMCPMC3310280

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.