Thermometrische Objektivierung der punktförmigen transkutanen elektrischen Nervenstimulation (PuTENS) - eine Akupunkturvariante - im Rahmen der Kopfschmerztherapie

Journal/Book: Deutsche Zeitschrift für Akupunktur. 1991; 34/04: 74-79.

Abstract: Acupuncture and TENS are successful nonmedicinal forms of treatment for pain. When I commenced studying the effect of PuTENS (1973) I used high volt impulses of maximally 200 volts. Now I use maximally 500 volts. Prospective, controlled and randomiced studies as well as placebo experiments have proved the effect of PuTENS. In this study thermometry was used to measure the cutaneous circulation, an important parameter for the effect of acupuncture. Changes of more than 0,3-0,6 degrees centigrade on the corresponding regions of the skin must be considered as clinically significant. Hypothermia can be found in chronic and acute disorders. A digital handpyrometer infrared camera was used. Measurements of hairless areas of the scalpwere taken prior to and aftr a PuTENS therapy as well at various intervals thereafter. 321 headache patients and 36 healthy controls were included in this sudy. Tables and graphs show the results. The acupuncture points used were: Li 3, Sp 4,6, K 6,5, St 36, G 41, B 62, P 6, Lu 7, LI 4, SI 3 and TH 5. Significant increases in the skin temperature were measured on the headache patients both during and between attacks. There was practically no change in the skin temperature of the control group. Thermometric measurements taken at intervals up to 48 hours after therapy still showed increased values. An asymmetry of the temperature (in the sense of hypothermia) both during an attack and between attacks had been found in earlier studies. It was also found that a PuTENS stimulus resulted in an initial lowering of the temperature which was followed by a definite increase after 2-3 minutes. Both the local points and the so-called distant points are discussed. A successful PuTENS therapy effects a balance in the symmetry of, and a 12 degree centigrade increase in the temperature of the skin of the scalp. This increase was still evident two days later.

Keyword(s): Akupunktur, TENS, Elektroakupunktur (PuTENS), Thermometrie, Kopfschmerztherapie.

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