The use of auricular examination for screening hepatic disorders

Journal of Acupuncture and Meridian Studies
Gladys Lai-Ying CheingSing Kai Lo

Abstract

Researches on auricular acupuncture (AA) have examined mainly its treatment effects. This study aimed to investigate the accuracy and precision of using auricular examination (AE) as a complementary diagnostic tool for screening hepatic disorders. Twenty patients suffering from liver dysfunction and 25 controls aged 18-60 years were recruited from an acute hospital. Participants were examined using three AE methods including visual inspection, electrical skin resistance measurement, and tenderness testing on the liver AA zone of both ears. Significant differences were found in visual inspection and electrical skin resistance on the AA zones between the two groups. Patients suffering from liver dysfunction tended to have at least one abnormality in skin color, appearance, presence of papules, abundance of capillary and desquamation on the ear (Relative Risk-Right ear: RR = 2.9, 95% confidence interval (CI) 1.4, 6.2; Left: RR = 1.8, 95% CI, 1.01, 3.1). The sensitivity for visual inspection was 0.7 for both ears; specificity was 0.76 for the (R) and 0.6 for the (L) ear. The mean difference in electrical skin resistance was 4.3 MOmega (95% CI, 1.7, 6.9) for the (L) ear; 4.5 MOmega (95% CI, 1.5, 7.6) for the (R) ear. Our results sug...Continue Reading

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Citations

Dec 15, 2010·Acupuncture in Medicine : Journal of the British Medical Acupuncture Society·T I UsichenkoD Pavlovic
Jan 24, 2019·Medical Acupuncture·Taras I UsichenkoJohannes Fleckenstein

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