Effect of acupuncture at LU9, LI11 and UB17 on hemodynamic parameters in hypertensive patients: a case series

Authors

  • Karthikeyan Palanisamy Department of Anatomy, Nandha Naturopathy and Yoga Medical College and Hospital, Erode, Tamil Nadu, India
  • Alkousar T. Mujeebullah Department of Naturopathy, Govt. Yoga and Naturopathy Medical College and Hospital, Chennai, Tamil Nadu, India
  • Reeves J. Dhas Nandha Naturopathy and Yoga Medical College and Hospital, Erode, Tamil Nadu, India
  • Samyuktha Senthilkumar Kongu Naturopathy and Yoga Medical College and Hospital, Erode, Tamil Nadu, India
  • Kaarrthik Samynathan JSS Institute of Naturopathy and Yogic Science, Coimbatore, Tamil Nadu, India
  • Yogapriya Chidambaram International Institute of Yoga and Naturopathy Medical Sciences, Chengalpattu, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20264128

Keywords:

Acupuncture, Blood pressure, Hypertension, Traditional Chinese medicine

Abstract

Hypertension is a prevalent cardiovascular disorder associated with substantial morbidity and mortality, and complementary approaches such as acupuncture have gained attention as potential adjunctive interventions for blood pressure regulation. This case series describes the effects of acupuncture at LU9, LI11, and UB17 on blood pressure and selected cardiovascular hemodynamic parameters in three patients with hypertension aged 55-65 years. Participants received acupuncture treatment at the three specified points for five consecutive days. Sterile disposable needles were manually stimulated and retained for 30 minutes during each session. We assessed blood pressure and cardiovascular hemodynamic parameters, including pulse pressure, mean arterial pressure, rate pressure product, and double product, at baseline, immediately after the first treatment session, and after completion of the five-day intervention. All three participants demonstrated reductions in systolic and diastolic blood pressure following the intervention. Favorable changes were also observed in pulse pressure, mean arterial pressure, rate pressure product, and double product, suggesting improved cardiovascular hemodynamics and reduced myocardial workload. The treatment was well tolerated, with no adverse events reported. These findings suggest that acupuncture at LU9, LI11, and UB17 may be an integrative approach to improving blood pressure control and cardiovascular hemodynamic function in individuals with hypertension. Larger, rigorously designed clinical studies are warranted to confirm these preliminary findings and clarify the underlying mechanisms.

References

World Health Organisation. Hypertension. Available at: https://www.who.int/news-room/fact-sheets/deta il/hypertension. Accessed on 06 January 2026.

Hunter PG, Chapman FA, Dhaun N. Hypertension: Current trends and future perspectives. British J Clin Pharmacol. 2021;87(10):3721-36.

Guthi VR, Kumar DS, Kumar S, Kondagunta N, Raj S, Goel S, et al. Hypertension treatment cascade among men and women of reproductive age group in India: analysis of National Family Health Survey-5 (2019–2021). Lancet Reg Health Southeast Asia. 2024;1:23.

Deshmukh SH, Acharyya A. Risk factors of hypertension in Indian adults: a systematic review (1994-2014). Int J Community Med Public Heal. 2021;8(4):2020.

Kifle ZD, Adugna M, Chanie GS, Mohammed A. Prevalence and associated factors of hypertension complications among hypertensive patients at University of Gondar Comprehensive Specialized Referral Hospital. Clin Epidemiol Glob Health. 2022;13:100951.

Carey RM, Moran AE, Whelton PK. Treatment of hypertension: a review. JAMA. 2022;328(18):1849-61.

Stubbe DE. Complementary and alternative medicine: If you don’t ask, they won’t tell. Focus. 2018;16(1):60-2.

Van Hal M, Dydyk AM, Green MS. Acupuncture. StatPearls. Treasure Island (FL): StatPearls Publishing. 2024.

Tan X, Pan Y, Su W, Gong S, Zhu H, Chen H, et al. Acupuncture therapy for essential hypertension: a network meta-analysis. Ann Transl Med. 2019;7(12).

Prakash ES, Madanmohan, Sethuraman KR, Narayan SK. Cardiovascular autonomic regulation in subjects with normal blood pressure, high–normal blood pressure and recent‐onset hypertension. Clin Exp Pharmacol Physiol. 2005;32(5‐6):488-94.

Sivakumar S, Chidambaram Y, Boopalan D, Arumuganainar M, Kathiresan A, Narayanasamy M, et al. Immediate effect of mud pack on resting cardiovascular parameters in hypertensive individuals–A single-arm pilot study. Open Health. 2024;5(1):20230012.

Tan YY, Wang YY, Zhang Q. Electroacupuncture of" Quchi"(LI 11) Inhibits the Elevation of Arterial Blood Pressure and Abnormal Sympathetic Nerve Activity in Hypertension Rats. Zhen Ci Yan Jiu. 2016;41(2):144-9.

Zhou TL, Reulen JP, Van Der Staaij H, Stehouwer CD, Van Greevenbroek M, Henry RM, et al. Cardiovagal baroreflex sensitivity, blood pressure and blood pressure variability–the Maastricht study. J Hypertens. 2023;41(2):254-61.

Burgoyne S, Georgakopoulos D, Belenkie I, Tyberg JV. Systemic vascular effects of acute electrical baroreflex stimulation. Am J Physiol Heart Circ Physiol. 2014;307(2):H236-41.

Guo ZL, Malik S. Acupuncture activates a direct pathway from the nucleus tractus solitarii to the rostral ventrolateral medulla. Brain Res. 2019;1708:69-77.

Li QQ, Shi GX, Xu Q, Wang J, Liu CZ, Wang LP. Acupuncture effect and central autonomic regulation. Evid Based Complement Alternat Med. 2013;2013(1):267959.

Wang L, Yang NN, Shi GX, Wang LQ, Li QQ, Yang JW, et al. Acupuncture attenuates blood pressure via inducing the expression of nNOS. Evid Based Complement Alternat Med. 2021;2021(1):9945277.

Downloads

Published

2026-10-30

How to Cite

Palanisamy, K., Mujeebullah, A. T., Dhas, R. J., Senthilkumar, S., Samynathan, K., & Chidambaram, Y. (2026). Effect of acupuncture at LU9, LI11 and UB17 on hemodynamic parameters in hypertensive patients: a case series. International Journal Of Community Medicine And Public Health, 13(11), 6922–6925. https://doi.org/10.18203/2394-6040.ijcmph20264128

Issue

Section

Case Series