Journal of Acupuncture and Meridian Studies
Volume 1, Issue 1 , Pages 58-62, September 2008

Vascular Responses to Manual PC6 Acupuncture in Nonsmokers and Smokers Assessed by the Second Derivative of the Finger Photoplethysmogram Waveform

  • José F. Rivas-Vilchis

      Affiliations

    • División de Ciencias Biológicas y de la Salud, Especialización en Acupuntura y Fitoterapia, Universidad Autónoma Metropolitana – Iztapalapa, Distrito Federal, México
    • Corresponding Author InformationCorresponding author. División de Ciencias Biológicas y de la Salud, Especialización en Acupuntura y Fitoterapia, Universidad Autónoma Metropolitana – Iztapalapa, San Rafael Atlixco 186, Iztapalapa, DF, 09340 México
  • ,
  • Ricardo Escorcia-Gaona

      Affiliations

    • Especialización en Acupuntura y Fitoterapia, Universidad Autónoma Metropolitana – Iztapalapa, Distrito Federal, México
  • ,
  • Jorge A. Cervantes-Reyes

      Affiliations

    • Especialización en Acupuntura y Fitoterapia, Universidad Autónoma Metropolitana – Iztapalapa, Distrito Federal, México
  • ,
  • Rubén Román-Ramos

      Affiliations

    • División de Ciencias Biológicas y de la Salud, Especialización en Acupuntura y Fitoterapia, Universidad Autónoma Metropolitana – Iztapalapa, Distrito Federal, México

Received 11 December 2007; accepted 19 February 2008.

Abstract 

Background

Smoking is reported to increase arterial stiffness. Indices obtained from the second derivative of digital volume pulse (SDDVP) waveform have been proposed to characterize vascular aging and arterial rigidity. PC6 (Neiguan) is a traditional acupoint in each forearm that has been shown to modify cardiovascular functioning.

Objective

To investigate the acute effects of manual needling with PC6 on SDDVP indices in healthy chronic smoker and nonsmoker subjects.

Subjects and Methods

Aging index (AI) was defined as (b – c – d – e)/a, B:A was calculated as the ratio of the absolute value for the height of the b wave (B) to that of the a wave (A), and D:A was calculated as the ratio of the absolute value for the height of the d wave (D) to that of the a wave (A). These indices derived of the wave components of SDDVP of healthy nonsmokers (n=40; 28.3±3.0 years old) vs. chronic smokers (n=30; 29.9±2.9 years old) were compared. The digital volume pulse (DVP) was obtained by measuring infrared light transmission through the finger. Of each subject, a DVP registration 20 minutes long was obtained. PC6 was stimulated unilaterally by manual needling for 5 minutes (1–6 minutes). SDDVP indices were compared in each subject in pre- vs. post-acupuncture periods (30 seconds vs. 18 minutes, respectively).

Results

At baseline, we found significant difference in B:A between nonsmokers and smokers. Comparing pre- vs. post-acupuncture periods, B:A and D:A did not show significant differences among nonsmokers, but B:A improved significantly in smokers and AI improved significantly in both nonsmokers and smokers.

Conclusion

These findings suggest that manual needling with PC6 could revert some of the deleterious effects on vascular functioning produced by chronic cigarette smoking.

Key Words:  acupuncture , arterial stiffness , cigarette smoking , Neiguan , pulse waveform

 

PII: S2005-2901(09)60009-1

doi:10.1016/S2005-2901(09)60009-1

Journal of Acupuncture and Meridian Studies
Volume 1, Issue 1 , Pages 58-62, September 2008