The Mechanism of Acupuncture in Treating Essential Hypertension: A Narrative Review

Juan Li ,1 Mingsheng Sun ,2 Jing Ye,2 Yuxi Li ,2 Rongjiang Jin ,1 Hui Zheng ,2 and Fanrong Liang 2 · International Journal of Hypertension · 2019 March 7

DOI 10.1155/2019/8676490

Objective

This article reviews the research from 2000 to 2018 regarding the mechanism of acupuncture for hypertension, and we summarize the current knowledge about using acupuncture for hypertension.

Conclusions

Acupuncture can significantly improve cardiac hypertrophy and the thickness of the aortic wall in order to prevent new vascular remodeling .The latest clinical study unveils the cardioprotective effects of acupuncture through improving wave reflection (augmentation index, AIx) and arterial stiffness in hypertensive patient. Therefore, acupuncture is highly essential in treating hypertension

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Insights

Acupuncture as an adjunctive therapy has antihypertensive effect.

The mechanism of acupuncture for hypertension is related to RAAS, vascular endothelium, oxidative stress, the neuroendocrine system, and other factors; also, there is cross-talk between multiple systems and multiple targets. In addition, the functional images, genes, metabolism, etc. change with antihypertensive effect. Acupuncture can protect target organs in addition to reducing BP. Overall, based on the mechanism research acupuncture may be an effective intervention for management of hypertension.