Yunita Lisa, Viventius Yoshua, Wahdini Sri
Department of Medical Acupuncture, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Medical Acupuncture Specialist Program, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Med Acupunct. 2022 Aug 1;34(4):266-270. doi: 10.1089/acu.2022.0032. Epub 2022 Aug 17.
Obesity is an accumulation of excessive fat tissue that can affect health. Acupuncture has a positive effect on leptin, ghrelin, insulin resistance, glucose metabolism, lipids, serum immunoglobulin levels, and decreased appetite. Laser as an acupuncture modality can be a good option because it is easy to apply, noninvasive, and painless. Laser acupuncture works using a laser pulse to stimulate acupuncture points with a therapeutic effect similar to needle acupuncture.
A 19-year-old woman came to the acupuncture clinic of Cipto Mangunkusumo Hospital (Jakarta, Indonesia) wanting to lose weight and slim down. Acupuncture was done at the following points CV12, ST25, SP15, ST40, ST36, and SP6 with a laser needle multilead continuous wave 4 J for each point with power density 40 mW for 7 minutes. Acupuncture was done with a laser pen RJ-Laser continuous wave 0.5 J for each hunger point with power density 50 mW for 25 seconds, therapy was performed 3 times a week for 2 months.
Decrease in body weight and a decrease in abdominal circumference were noted after 24 sessions. The highest peak of weight loss at the 18th session was 11.5 cm in the umbilicus circumference, above the umbilicus by 6.5 cm, below the umbilicus by 9 cm, then stable with the final result of a decrease in the umbilicus circumference of 10 cm, above the umbilicus by 4 cm, and under the umbilicus by 5 cm. Decrease in random blood sugar was noted from 122 to 100 mg/dL.
A combination of laser needle multilead and laser pen had good results in this case and may be useful for weight loss and a decrease in abdominal circumference in obese patients.
肥胖是过多脂肪组织的堆积,会影响健康。针灸对瘦素、胃饥饿素、胰岛素抵抗、糖代谢、脂质、血清免疫球蛋白水平及食欲下降有积极作用。激光作为一种针灸方式可能是个不错的选择,因为它易于应用、无创且无痛。激光针灸通过激光脉冲刺激穴位,其治疗效果与针刺针灸相似。
一名19岁女性来到印度尼西亚雅加达西托·曼古库苏莫医院的针灸诊所,希望减肥并塑形。在中脘(CV12)、天枢(ST25)、大横(SP15)、丰隆(ST40)、足三里(ST36)和三阴交(SP6)等穴位进行针灸,使用多导联连续波激光针,每个穴位4焦耳,功率密度40毫瓦,照射7分钟。使用RJ - Laser连续波激光笔对每个饥饿点进行针灸,每个穴位0.5焦耳,功率密度50毫瓦,照射25秒,每周治疗3次,持续2个月。
24次治疗后体重下降,腹围减小。第18次治疗时体重减轻的最高峰出现在脐周,减少了11.5厘米,脐上减少了6.5厘米,脐下减少了9厘米,随后稳定下来,最终结果是脐周减少了10厘米,脐上减少了4厘米,脐下减少了5厘米。随机血糖从122毫克/分升降至100毫克/分升。
在该病例中,多导联激光针和激光笔联合使用取得了良好效果,可能对肥胖患者的减肥和腹围减小有用。