Current Directions in the Auricular Vagus Nerve Stimulation II – An Engineering Perspective. Citation: (Kaniusas 2019, 772)

Bioelectronic medicine progressively comes into focus as offering a non-pharmaceutical treatment option for various diseases. Here neuromodulation of the vagus nerve (VN) has gained a special interest. In a comprehensive review technical issues, modeling concepts, regulatory and safety requirements, and novel architectures of open and closed-loop aVNS paradigms, Kaniusas and his colleagues focus on the physiological role of VN including a biology-driven rationale for Auricular Vagus Nerve Sti...


The Present and Future of Vagus Nerve Stimulation. Citation: (Yang 2019, 344-352)

Vagus nerve stimulation (VNS) is an adjunctive neuromodulation therapy that was approved in 1997 for the alleviation of seizures; however, efforts to control epilepsy by stimulating the vagus nerve have been studied for over 100 years. The ability for VNS to affect various brain areas, has a wide indication for various intractable epileptic syndromes and epilepsyrelated comorbidities. Moreover, recent studies have shown anti-inflammatory effects of VNS, and the indication is expanding beyond ...


Experimental Results in Auricular Medicine—A New Hypothesis. Citation: (Litscher 2018, 132)

This editorial proposes a multimodal concept for future research on the Vascular Autonomic Signal (VAS) through hypothesis concerning mechanisms of the VAS. Download the paper on Medicines (external link)  Litscher G, Yannacopoulos T, Kreisl P. Nogier Reflex: Physiological and Experimental Results in Auricular Medicine—A New Hypothesis. Medicines 2018;5(4):132. 


Anatomo-Physiologic Basis for Auricular Stimulation. Citation: (Mercante 2018, 141-150)

The human ear (the auricle) offers access for neuromodulation in support of a broad range of therapeutic approaches. Auricular methods work well under both biomedical and biopsychosocial models (for pain and other conditions). From Transcutaneous Electrical Nerve Stimulation,[1] to acupuncture,[3][6] to psychological frameworks such as Polyvagal Theory, Trauma-Informed Care, and Somatic Psychology,[2-3] auricular methods provide an integrative pathway to healing that is grounded in a holistic...


Auriculotherapy in Neurology as an Evidence-Based Medicine: A Brief Overview. Citation: (Stanton 2018, 130-132)

Gary Stanton, MD, provides an overview of how ear acupuncture is used in the treatment of various neurologic conditions. Although not comprehensive, this paper offers informative citations (primarily journal articles referenced in PubMed) to demonstrate that auriculotherapy used in neurology is an evidence-based medicine. Read the full paper (external link) Reference: Stanton G. Auriculotherapy in Neurology as an Evidence-Based Medicine: A Brief Overview. Med Acupunct. 2018;30(3):130–132.


Resonance Signaling and Yoga. Citation: (Srinivasan 2018, 89-90)

Everything in nature resonates in one way or another. Resonance is a phenomenon we can find in everything from our daily interactions — “you give me a good vibe” — to the basic science of cellular biology. In cellular biology we understand that biologically generated (endogenous) electrical fields are produced, for example, around an injury on the skin to provide an electrical potential that initiates repair. Scientific interest in the idea of resonance is furthering integrative healing conce...


Auricular Acupuncture for the Treatment of Pediatric Migraines in the Emergency Department. Citation: (Graff 2018, 258-262)

Headache remains a frequent complaint for children presenting to a pediatric emergency departments and typical treatments such as oral or intravenous medications do not always relieve the pain. An alternative intervention shown to be effective is auricular acupuncture. This pilot study presents a cohort study of patients 8 to 18 years of age treated by ear acupuncture, with all showing improvement or resolution of their migraine headache, Read the entire pilot study (external link) Reference...


Auricular Neuromodulation: The Emerging Concept beyond the Stimulation of Vagus and Trigeminal Nerves. Citation: (Mercante 2018, 10)

In a review of TNS, tVNS and Auricular Stimulation, Benjamina Mercante (and her colleagues Franca Deriu, and Claire-Marie Rangon) present possible sites and mechanisms of action in the Central Nervous System. The paper suggests that with the continuous advancement since the auricular maps of physician Paul Nogier, the field of advanced non-invasive neuromodulation via the ear, due to the innervation by the cervical plexus, may become the most affordable, accurate and powerful gateway to the b...


Auricular Acupuncture as an Alternative Medicine. Citation: (Stanton 2017, 23)

As a result of the increasing worldwide research into auricular acupuncture, the field is now considered by many physicians to be an evidence-based medicine. Gary Stanton at the Department of Neurology, Sleep Medicine and Pain Medicine Services at Emerson Hospital in the USA, offers a summary of the history of auricular acupuncture, its clinical rationale, indications, methods and advantages. See the report (external link). Reference:Stanton G. Auricular Acupuncture as an Alternative Me...


Investigation of a Micro-test for Circulatory Autonomic Nervous System Responses. Citation: (Moser 2017)

Most cells in the body react to signals of the autonomic nervous system. This explains the importance of this unconscious part of our nervous system for homeostatic regulation and hemodynamic balance. Searching for a suitable test for the organismic response to acupuncture, Nogier discovered a cardiovascular reaction, which could be triggered by slightly stimulating certain points mechanically on the human ear (Nogier, 1972). He called it “réflexe auriculo cardiaque” or RAC, known in English ...


Auriculotherapy to reduce anxiety and pain in nursing professionals: a randomized clinical trial. Citation: (Kurebayashi 2017)

In a randomized clinical trial with an initial sample of 180 professionals, Kurebayashi and her colleagues studied the effectiveness of auricular methods (e.g. an auricular protocol for pain & anxiety) as a efficient, drug-free approach for improving the quality of life of the nursing staff of a hospital.  Results showed a 17% reduction in anxiety, a 36% reduction in pain, and a 13% increase in the mental aspect of quality of life. Details on descriptive statistics, analysis of variance...


Auricular Acupuncture Analgesia in Thoracic Trauma: A Case Report. Citation: (Papadopoulos 2017, 49-52)

In a case of thoracic trauma (rib fractures with pneumothorax and pulmonary contusions) with severe chest pain leading to ineffective ventilation and oxygenation, doctors in emergency department applied auricular acupuncture to ameliorate pain and hopefully improve his functional ability to cough and breathe deeply. The patients pain scores diminished considerably within minutes. Ventilation and oxygenation indices improved to safe limits. Read the full case report (external link) Reference...