1. Wen-Long Hu Traditional Medicine-2015 Birmingham, UK August 03 – 05, 2015 TraditionalMedicine 2015 2015

2. Presented By Name: Wen-Long Hu Country: Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, Taiwan Presented By Name: Wen-Long Hu Country: Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, Taiwan 3 rd International Conference and Exhibition on Traditional & Alternative Medicine August 03-05, 2015 Birmingham, UK In Association with

3. The Advantages of Laser Acupuncture in Obesity Therapy Wen-Long Hu Kaohsiung Chang Gung Memorial Hospital, Taiwan Chinese Medical Association of Acupuncture, Taiwan

4. Laser Acupuncture (LA) in Obesity Therapy LA vs needle acupuncture Successful LA 2015/11/15LA for Obesity4

5. Background (1) Being overweight or obese is a major risk factor for chronic diseases, including cardiovascular diseases, diabetes, musculoskeletal disorders, and some cancers. (WHO, 2006) Most drugs that have achieved regulatory approval and reached the markets have subsequently been withdrawn owing to postmarketing discovery of serious adverse effects. (Astrup, 2010) 2015/11/155LA for Obesity

6. Background (2) Unrealistic expectations regarding weight loss frequently result in a failure to manage weight. (Hainer et al., 2008) LA and low-calorie diet can treat visceral postmenopausal obesity. (Wozniak et al., 2003) LA has been found to exert a therapeutic effect on simple obesity by reducing both body weight and body mass index with a non- restrictive diet protocol. (Hu et al., 2010) 2015/11/156LA for Obesity

7. http://www.am730.com.hk/article.php?article=30136&d=1312 2015/11/157LA for Obesity

8. Laser acupuncture for simple obesity Our participants underwent laser acupuncture and followed a non-restrictive diet protocol. (Hu et al., 2010) Simple obesity: BMI ≥ 30 kg/m² (27 kg/m² in Taiwan) resulting from primary causes. (NIH, 1998) 2015/11/158LA for Obesity

9. Patients 73 women and 22 men Age: 14 – 76 years (36.78 ± 13.24) Height: 145 – 180 cm (162.35 ± 7.48) BW: 62 – 130.8 kg (84.79 ± 14.08) BMI: 27.1 – 51.6 kg/m² (32.10 ± 4.30) 2015/11/159LA for Obesity

10. Daily energy intake Women: (height in cm [160.0 ± 6.0] – 70) × 0.6 × 30 kcal (1620.0 ± 180.0) Men: (height in cm [170.2 ± 6.6] – 80) × 0.7 × 30 kcal (1894.2 ± 198.0) Between what an active person (28.66 kcal/kg/day) and a moderately active person (33.07 kcal/kg/day) would require maintaining their body weight. (Eckel, 2005) 2015/11/1510LA for Obesity

11. Handylaser Trion Gallium aluminum arsenide (GaAlAs) Mmaximal power= 150 mW Wavelength= 810 nm Area of probe= 0.03 cm² power density= 5 W/cm 2 Pulsed wave, Bahr frequencies RJ-Laser, Reimers & Janssen GmbH, Germany 2015/11/1511LA for Obesity

12. Bahr frequencies B1 = 599.5 Hz: lower tissue layer B2 = 1199 Hz: central tissue layer B3 = 2398 Hz: surface tissue structures; omega-Ren channel points B4 = 4796 Hz: omega-DU channel points B5 = 9592 Hz: super omega B6 = 19184 Hz: right ear points B7 = 38368 Hz: left ear points 2015/11/1512LA for Obesity

13. Energy and duration Deliver 0.375 J of energy (5 s) to the following points: Stomach and Hunger (auricular points), ST25 (Tianshu), ST28 (Shuidao), ST40 (Fenglong), SP15 (Daheng), and CV9 (Shuifen). Each subject was treated three times per week for four weeks. 2015/11/1513LA for Obesity

14. 2015/11/1514LA for Obesity

15. 26Advantages of LA in Obesity Therapy15 2015/11/1515LA for Obesity

16. 26Advantages of LA in Obesity Therapy16 2015/11/1516LA for Obesity

17. 26Advantages of LA in Obesity Therapy17 2015/11/1517LA for Obesity

18. 26Advantages of LA in Obesity Therapy18 2015/11/1518LA for Obesity

19. 26Advantages of LA in Obesity Therapy19 2015/11/1519LA for Obesity

20. 26Advantages of LA in Obesity Therapy20 2015/11/1520LA for Obesity

21. 26Advantages of LA in Obesity Therapy21 ST40 2015/11/1521LA for Obesity

22. The reduction in waistline was 1.0 to 3.5 in. Results 2015/11/1522LA for Obesity

23. Discussion (1) Unrealistic expectations regarding weight loss frequently result in a failure to manage weight. (Hainer et al., 2008) Our subjects should not have suffered from hunger. 2015/11/1523LA for Obesity

24. Discussion (2) Stomach and Hunger fortify the spleen and clear the stomach to induce appetite suppression. ST25 and SP15 regulate qi movement to enable bowels to perform their activities. ST28 and CV9 regulate waterways and induce diuresis to alleviate edema. ST40 fortifies the spleen and harmonize the stomach to reduce dampness and resolve phlegm. (WPRO, 2007; Weng and Jiao, 2000 ) 2015/11/1524LA for Obesity

25. Discussion (3) Acupuncture suppresses overeating, inhibits increased gastrointestinal digestion and absorption, reducing calorie uptake, enhance energy metabolism, and promote mobilization and utilization of fat. (Liu et al., 1995) Laser acupuncture integrates the positive effects of acupuncture and low-level lasers. 2015/11/1525LA for Obesity

26. Discussion (4) LA has the advantages of noninvasive, aseptic, painless, safe, effective and requires less time than needle-based acupuncture in obesity therapy. (Stellon, 2005; Whittaker, 2004; Küblböck, 2001) No side effects or complications resulting from laser acupuncture were observed in our subjects. 2015/11/1526LA for Obesity

27. TreatmentInstrumentInvasivenessSensationsPain Traditional acupuncture NeedleInvasiveSoreness, numbness, expansion, or pain Painful Laser acupuncture Low-level laser Non-invasiveNone or slight warmth (if > 10 J/cm 2 ) Painless 2015/11/15LA for Obesity27 LA vs traditional acupuncture

28. 60LA for Obesity28 Advantages of LA (1) 1. Shorter therapy duration (10 ~ 20 seconds /point). 2. Points which are difficult to treat with a needle (mucous membranes, wounds, joints, etc.) can be included in the treatment. 3. Painless therapy (for the sensitive patients, children, etc…)

29. 60LA for Obesity29 4. Used in those cases for which classical acupuncture does not recommended the use of needles (asthenia). 5. Aseptic (sterilization not necessary). 6. Can be used to complement and extend the needle program if additional points are required to optimize energy flow. Advantages of LA (2)

30. 60LA for Obesity30 Advantages of LA (3) Safe Painless Effective Convenience Time-saving

31. Graph of the therapeutic effects of laser acupuncture divided into psychological (pink) and physiological (dark blue) effects. The latter is determined by the shown factors 2015/11/15Acupuncture in Modern Medicine31

32. Conclusions In the hands of an experienced physician, laser acupuncture can be useful in controlling simple obesity. Laser acupuncture produces a therapeutic effect on simple obesity by reducing both BW and BMI. Subjects demonstrate good compliance with this comfortable and non-restrictive diet protocol. 2015/11/1532LA for Obesity

33. 2633 A 45-year-old man before (105.1 kg) and 6 months after (81.0 kg) laser acupuncture treatment 2015/11/1533LA for Obesity

34. 2015/11/15LA for Obesity34

35. Thank you for your attention. 2015/11/1535LA for Obesity

36. Traditional Medicine-2016 Website: http://traditionalmedicine.conferenceseries.com / Meet the eminent gathering once again at Traditional Medicine-2016 London, UK October 03-05, 2016