Integrative Cardiology: Where Does East Meet West?...• Vital substance constituting human body •...
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Integrative Cardiology: Where Does East Meet West? Shaista Malik, MD, PhD, MPH, FACC Professor, Department of Medicine Executive Director, Susan Samueli Integrative Health Institute Associate Vice Chancellor, Integrative Health, Susan and Henry Samueli College of Health Sciences
Transcript of Integrative Cardiology: Where Does East Meet West?...• Vital substance constituting human body •...
Integrative Cardiology: Where Does East Meet West?
Shaista Malik, MD, PhD, MPH, FACC
Professor, Department of Medicine
Executive Director, Susan Samueli Integrative Health Institute
Associate Vice Chancellor, Integrative Health, Susan and Henry Samueli College of Health Sciences
Spectrum of Medical Systems
“All Disease begins in the gut” Hippocrates
• Ancient concept of illnesses originating in the gut• Hypochondrium
• Upper part of the abdomen
• Excessive black bile• 17th century: Hypochondriasis
(occurred only in men) depression/anxiety without cause
Ayurvedic Medicine and Gut Health
Traditional Chinese Medicine (TCM) and Microbiome
TCM and CVD
Clinical Uses of Acupuncture
History of Acupuncture
What is Acupuncture?
Acupoints, Meridians and Qi
• Vital substance
constituting human body
• Physiological functions of
organs and meridians
‘Qi’• 360 acupoints
• 12 main meridians
• Acupuncture: stimulation of specific acupuncture points
along the skin of the body using thin needles.
• Manual & electro-acupuncture
Hypertension Electro-acupuncture: Cardiovascular Acupoints on Meridians
• Targeted Electroacupunture points:• Neiguan, Jianshi (pericardial
meridian, P 6 and 5 points)• Zusanli, Shangjuxi (stomach
meridian, ST 36 and 37)
• Once a week treatment (for 30 minutes) performed for 8 weeks, followed by once a month treatment
Li P, Tjen-A-Looi S,...Longhurst. Long-lasting reduction of Blood Pressure by Electroacupunture in Patients with Hypertension. Medical Acupunture, 27:4:2015
P5P6
S36S37
S36S37
P5P6
active
Pericardial M.
Stomach M.
control 2w 4w 6w 8wS
BP
(m
mH
g)/
24
hrs
0
130
140
150
160
170
180
190
Peak SBP
Avg SBP
**
n=33
EA (PC 5-6 + ST 36-37)
***-8 mmHg
*-6 mmHg
control 2w 4w 6w 8w
MB
P (
mm
Hg)/
24
hrs
0
100
105
110
115
120
125
130
135
140
Peak MBP
Avg MBP
* *
n=33
EA (PC 5-6 + ST 36-37)
**
-5 mmHg
-4 mmHg
B.
EA (PC 5-6 + ST 36-37)
control 2w 4w 6w 8w
HR
(b/m
in)/
24 h
rs
0
60
65
70
75
80
85
90
95
100
105
Peak HR
Avg HR n=33
D.
control 2w 4w 6w 8w
DB
P (
mm
Hg)/
24 h
rs
0
80
85
90
95
100
105
110
115
Peak SBP
Avg SBP
EA (PC 5-6 + ST 36-37)
***
n=33
*-5 mmHg
-4 mmHg
C.
A.
Acupuncture in Hypertensive Patients (Active acupoints)
30% Non-response rate:Post-menopausal Women
• Peak SBP dropped 8 mm Hg, DBP dropped 5 mm Hg
• Norephinephrine decreased 41%, Renin decreased 67%, aldosterone 25%
Li P, Tjen-A-Looi S,...Longhurst. Long-lasting reduction of Blood Pressure by Electroacupunture in Patients with Hypertension. Medical Acupunture, 27:4:2015
Delving into mechanisms
Acupuncture for Angina
