Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

Effect of Acupuncture at Yintang Point(EX-$HN_3$) on Heart Rate Variability in Healthy Adults with Mental Stress

인당혈(印堂穴) 침자극이 정신적 스트레스를 가한 성인의 심박변이도에 미치는 영향

  • Kim, So Jung (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Nam Sik (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Jong Yoon (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Yong Suk (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Nam, Sang Soo (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)
  • 김소정 (경희대학교 한의과대학 침구의학교실) ;
  • 김남식 (경희대학교 한의과대학 침구의학교실) ;
  • 김종윤 (경희대학교 한의과대학 침구의학교실) ;
  • 김용석 (경희대학교 한의과대학 침구의학교실) ;
  • 남상수 (경희대학교 한의과대학 침구의학교실)
  • Received : 2012.11.08
  • Accepted : 2012.12.04
  • Published : 2012.12.20
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study was performed to investigate the effect of acupuncture at Yintang point(EX-$HN_3$) on heart rate variability in healthy adults with mental stress. Methods : 38 healthy volunteers(sham point group : 19, Yintang point group 19) participated in this study. The study was established by randomized trial. After 10 minutes rest period, mental stress was provided for 10 minutes. HRV was recorded before and after stress. And then simple acupuncture was applied at sham or Yintang point for 15 minutes. We measured HRV 3 times: before and after stress, and after acupuncture. Results : In sham point group, LF norm and HF norm changed significantly after mental stress. In Yintang point group, LF, HF, LF norm, HF norm and LF/HF showed a significant change after mental stress. In sham point group, all indicators were not affected after acupuncture. In Yintang point group, HF norm decreased significantly. LF, LF norm and LF/HF increased significantly. There were significant differences between two groups(p<0.05). Conclusions : The results suggest that acupuncture at Yintang point(EX-$HN_3$) can regulate and prevent the alteration of autonomic nerve system by mental stress.

Keywords

References

  1. Ko Kyoung-Bong. Stress & Psychosomatic maticine. Seoul : Ilchokak. 2002 : 3-22.
  2. Park Hi Jun, Lyu Yeon Hui, Hong Mi Sug, Kim Seung Tae, Im Sa Bi Na. The effect of HT7 acupuncturing on the food intake and hypothalamic neuropeptide Y expression changed by maternal separation in rat pups. The Journal of Korean Acupuncture & Moxibustion Society. 2003 ; 20(3) : 93-101.
  3. Cho Jung Jin. Job Stress and Cardiovascular Disease. Journal of Korean academy of family medicine. 2002 ; 23(7) : 841-54.
  4. Kamath MV, Fallen EL. Power spectral analysis of heart rate variability : a noninvasive signature of cardiac autonomic function. Crit Rev Biomed Eng. 1993 ; 21(3) : 245-311.
  5. Seong Yeun Cho, Jin Young Jang, So Jung Kim, Young Suk Kim, Sang Soo Nam. Effect of PC6 Moxibustion for Mental Stress on Shortterm Analysis of Heart Rate Variability. The Journal of Korean Acupuncture & Moxibustion Society. 2010 ; 27(2) : 51-8.
  6. Jeung Shin Kim, Wook Hwang, Ki Tae Bae, Sang Soo Nam, Yong Suk Kim. Effect of Acupuncture for Mental Stress on Short-term Analysis of Heart Rate Variability(HRV). The Journal of Korean Acupuncture & Moxibustion Society. 2004 ; 21(5) : 227-39.
  7. Ji Na Kim, Ji Su Lee, Jung Soo Hong, Soo Jung Kim, Sung Il Moon. Effect of Simple Acupuncture and Electroacupuncture at Bai Hui(GV20) on Heart Rate Variability in Healthy Adults with Stress Task. The Journal of Korean Acupuncture & Moxibustion Society. 2012 ; 29(3) : 89-99.
  8. Jin Young Jang, Seong Yeun Cho, So Jung Kim, Young Suk Kim, Sang Soo Nam. The Effect of Laser Acupuncture at HT(7)(Sinmun) for Mental Stress on Short-term Analysis of Heart Rate Variability. The Journal of Korean Acupuncture & Moxibustion Society. 2010 ; 27(5) : 51-8.
  9. Mun-su Kang, Lak-hyung Kim. The Effect of Mental Stress Stimulation and Acupuncture at Shinmun(HT7) on Heart Rate Variability. J. of Oriental Neuropsychiatry. 2009 ; 20(1) : 165-76.
  10. Jeong Ju Lee, Seong Joung Kim, Ok Ju Park, Sang Mi Lee, Min Cheol Park, Eun Heui Jo. The Effect of Moxibustion at Jeonjung(CV17) on the Heart Rate Variability in Healthy Adults. The Journal of Korean Acupuncture & Moxibustion Society. 2012 ; 29(4) : 43-53.
  11. Seong Yeun Cho, Seon Yun Ha, Jin Young Jang, Sang Soo Nam, Yong Suk Kim. Effect of Hwangryunhaedok-tang Pharmacopuncture at CV17(Jeongjung) for Mental Stress on Shortterm Analysis of Heart Rate Variability. The Journal of Korean Acupuncture & Moxibustion Society. 2009 ; 26(5) : 49-56.
  12. Jin Soo Park, Min Seob Ahn, Jeong Ju Lee et al. Study on the Effect of Acupuncture at Jeonjung(CV17) on the Heart Rate Variability in Healthy Adults. The Journal of Korean Acupuncture & Moxibustion Society. 2011 ; 28(2) : 13-25.
  13. Hyun Seol, Tae Han Yook. Effects of Hwangryunhaedoktang Herbal-acupuncture at G21(Kyonjong) on the Heart Rate Variability. The Journal of Korean Acupuncture & Moxibustion Society. 2004 ; 21(6) : 37-50.
  14. Seong-Uk Park, Woo-Sang Jung, Sang-Kwan Moon et al. Effects of Acupuncture on Autonomic Nervous System in Normal Subjects under Mental Stress. J Korean Oriental Med. 2008 ; 29(2) : 107-15.
  15. Sang Hoon Lee, Eun Jung Kim, Yeon Cheol Park, Young Jin Koh, Dong Woo Nam. Effect of Acupuncture Stimulation on Heart Rate Variability in Stroke Patients. The Journal of Korean Acupuncture & Moxibustion Society. 2009 ; 23(1) : 135-43.
  16. Kim Min Su, Gwag Min A, Jang U Seog et al. Effect of Electroacupuncture Stimulation on Heart Rate Variability in Healthy Adults. The Journal of Korean Acupuncture & Moxibustion Society. 2003 ; 20(4) : 157-69.
  17. Bo Hyoung Jang, Jung Hee Lee, Kyoung Suk Mun, Jin Won Kim, O Seop Kwon. Effect of Auricular Acupuncture for Mental Stress on Heart Rate Variability(HRV). The Journal of Korean Acupuncture & Moxibustion Society. 2005 ; 22(6) : 173-80.
  18. Hyee Kwon Kim, Sang Hoon Lee, Yong Suk Kim. Effects of Sa-am Acupuncture (Damjeonggyeok) on Autonomic Nervous System in Night Nurses. The Journal of Korean Acupuncture & Moxibustion Society. 2007 ; 24(4) : 13-23.
  19. An Yong-Gi. Acupuncture points study series. Seoul : Seongbosa. 1991 : 715.
  20. A Fassoulaki, A Paraskeva, K Patris, T Pourgiezi, G Kostopanagiotou. Pressure applied on the extra 1 acupuncture point reduces bispectral index values and stress in volunteers. Anesthesia and Analgesia. 2003 ; 96(3) : 885-9.
  21. A Agarwal, R Ranjan, S Dhiraaj, A Lakra, MKumar, U Singh. Acupressure for prevention of preoperative anxiety: a prospective, randomized, placebo controlled study. Anaesthesia. 2005 ; 60(10) : 978-81. https://doi.org/10.1111/j.1365-2044.2005.04332.x
  22. G Litscher. Effects of acupressure, manual acupuncture and laser needle acupuncture on EEG bispectral index and spectral edge frequency in healthy volunteers. European Journal of Anaesthesiology. 2004 ; 21 : 13-9.
  23. G Litscher. Electro encephalogram-entropy and acupuncture. Anesthesia and Analgesia. 2006 ; 102(6) : 1745-51. https://doi.org/10.1213/01.ane.0000217188.71710.47
  24. Tong-Hyun Nam, Young-Bae Park. A Study of Gender and Age-related Differences in the Pulse Rate Variability. The Journal of the Korea Institute of Oriental Medical Diagnosis. 2001 ; 5(2) : 93-101.
  25. Cho Soo Churl. Attention Deficit/Hyperactivity Disorder. Seoul : Seoul National University Press. 2001 : 211.
  26. Sapolsky RM. Stress, the aging brain, and the mechanisms of neuron death. Cambridge : MIT Press. 1992.
  27. Lee Kyung-Woo. Huangdineijing Suwen Seoul : Yeogang. 2000 ; 2 : 531.
  28. Bae Byung-Chul. Huangdineijing Lingshu. Seoul : Seongbosa. 1995 : 111, 270-1, 519.
  29. Biofunctional Medicine Dept. Biofunctional Medicine. Seoul : Koonja Publishing. 2008 : 81-100
  30. Jain Burg, Soufer & Zaret. Prognostic implications of mental stress-induced silent left ventricular dysfunction in patients with stable angina pectoris. The American Journal of Cardiology. 1995 ; 76 : 31-5. https://doi.org/10.1016/S0002-9149(99)80796-6
  31. Porges SW. Vagal Tone. A physiologic marker of stress vulnerability. Pediatrics. 1992 ; 90 : 498-504.
  32. Malliani A, Lombardi F, Pagani M. Power spectrum analysis of heart rate variability; a tool to explore neural regulatory mechanism. Br Heart J. 1994 ; 71(1) : 1-2. https://doi.org/10.1136/hrt.71.1.1
  33. Kang Mahn Hee. Clinical Significance of the Stress Test using Heart Rate Variability. Graduate School of Complementary Alternative Medicine Pochon CHA University. 2007.
  34. Mun-su Kang, Lak-hyung Kim. The Effect of Mental Stress Stimulation and Acupuncture at Shinmun(HT7) on Heart Rate Variability J of Oriental Neuropsychiatry. 2009 ; 20(1).
  35. N Kawamoto N, Tanaka M, Takasaki. Power spectral analysis of heart rate variability after spinal anaesthesia. Br J Anaesth. 1993 ; 71(4) : 523-7. https://doi.org/10.1093/bja/71.4.523
  36. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation. 1996 ; 93 : 1043-65. https://doi.org/10.1161/01.CIR.93.5.1043