@article {2300, title = {Comparative Study of Paracetamol vs Paracetamol Plus Acupressure for Pain Relief in Diabetic Neuropathy Patients}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {June 2024}, pages = {602-605}, type = {Research Article}, chapter = {602}, abstract = {

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder that causes neuropathy. Diabetic neuropathy causes severe pain and needs therapy to relieve its pain. In Indonesia, the therapy uses paracetamol, sometimes combined with acupressure. However, the efficacy of the combination therapy needs to be better understood. Purpose: This study aimed to elucidate the efficacy of paracetamol vs paracetamol combined with acupressure for pain relief in diabetic neuropathy patients. Materials and methods: This study used a cross-sectional study design. Total of 70 participants were agreed to involved in this study. The patients were then interviewed, and their visual analogue scale was assessed. The data was then analysed statistically using Pearson{\textquoteright}s correlation. Result: Out of the 70 patients diagnosed with type II DM, 40 had Diabetic Neuropathic Pain (DNP). Shockingly, most of the patients with type II DM and DNP were females, accounting for 33 out of 40 cases (82.50\%). The study found a significant correlation between the type of therapy and the decrease in VAS scores for diabetic patients with neuropathic pain (p<=0.05). Patients treated with paracetamol and acupressure showed more improvement in the VAS score than those treated with only paracetamol. Conclusion: The study suggests that the combination treatment could benefit DNP as an analgesic for type II DM patients. Advanced study is required to be performed using larger samples so that accurate data can be obtained.

}, keywords = {Acupressure, Diabetic neuropathic pain, Paracetamol, Type II diabetes mellitus, Visual analogue scale}, doi = {10.5530/pj.2024.16.94}, author = {I Made Subhawa Harsa and Andiani and Sulistiawati and Lilik Herawati and Hanik Badriyah Hidayati and Kuntaman} } @article {2382, title = {Increasing Oxytocin through Electroacupuncture Stimulation at LI4 and SP6 Points in Postpartum Cesarean Section}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {October 2024}, pages = {1051-1055}, type = {Original Article}, chapter = {1051}, abstract = {

Background: Pain from postoperative cesarean section stitches can cause physiological stress, thereby disrupting mobility and affecting the uterine involution process postpartum. Acupuncture at points LI4 and SP6 has been reported to stimulate uterine contractions and reduce pain. Objective: To look into how electroacupuncture (EA) stimulation works at particular places LI4, SP6, and the combination of LI4 \& SP6 with frequencies of 30, 50, and 100 Hz on the increase in oxytocin levels postpartum cesarean section. Method: The number of respondents was 144 postpartum cesarean section patients who met the inclusion criteria, divided using the randomized controlled trial (RCT) method into 8 intervention and control groups. Oxytocin levels were analyzed through blood samples using the ELISA method, comparing results before and after the intervention as well as with the control group. Result: The electroacupuncture intervention group{\textquoteright}s analysis at points LI4 and SP6 showed a substantial (P\<0.05) rise in oxytocin levels when compared to the control group. Conclusion: The findings of this research suggest that electroacupuncture intervention following a cesarean section can induce a rise in the levels of the hormone oxytocin.

}, keywords = {Electroacupuncture, LI4, Oxytocin, Postpartum, SP6}, doi = {10.5530/pj.2024.16.170}, author = {Nurul Azizah and Budi Santoso and Abdurachman and Hanik Badriyah Hidayati and Ario Imandiri and Rafhani Rosyidah and Ratna Dwi Jayanti} } @article {2418, title = {SCN9A and SCN10A Polymorphism and Therapeutic Effectiveness of Lidocaine Local Anesthetic Injection in Subjects with Diabetic Neuropathy Pain}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {December 2024}, pages = {1259-1263}, type = {Original Article}, chapter = {1259}, abstract = {

Background: Diabetic neuropathy pain (DNP) is one of the complications experienced by more than half of the diabetic population. Treatment using lidocaine injection is one of the effective ways to manage pain in patients with DNP. Pain therapy using lidocaine locally targets the SCN9A and SCN10A genes, which encode the sodium receptors Nav1.7 and Nav1.8. The effect of lidocaine inhibits these sodium channels to reduce pain transmission. Purpose: This study aims to analyze the effect of polymorphism of genes encoding Nav1.7 and Nav1.8 on the effectiveness of lidocaine local injection therapy in patients with DNP. Methods: This study was an analytic observational study with a cross-sectional approach. A total of 63 people with DNP were genotyped for the SCN9A rs 6746030 gene and the SCN10A rs12632942 gene using Real-Time PCR/qPCR and DNA sequencing. Result: The results showed that 91.2\% and 70.6\% of the population who experienced decreased pain had the GA mutant allele in the SCN9A rs6746030 gene and the AG mutant allele in the SCN10A rs12632942 gene. The results showed a significant association of Nav1.7 and Nav1.8 gene polymorphisms with the effectiveness of lidocaine local anesthetic injection therapy in diabetic neuropathy pain patients (p \< 0.05). Conclusion: This study shows that there was an association between Nav1.7 and Nav1.8 gene polymorphisms and the effectiveness of lidocaine local anesthetic injection therapy in patients with DNP. Lidocaine injection therapy that targets the Nav1.7 and Nav1.8 sodium channels involving the SCN9A and SCN10A genes can be a therapeutic alternative for patients with DNP.

}, keywords = {Diabetes, Diabetic neuropathy pain, Nav1.7, Nav1.8, Polymorphism}, doi = {10.5530/pj.2024.16.204}, author = {I Made Subhawa Harsa and Andiani and Sulistiawati and Lilik Herawati and Hanik Badriyah Hidayati and Kuntaman} } @article {2314, title = {A Study is Examining How Postpartum Pain after Cesarean Section (SC) Can be Reduced by Boosting Levels of β-endorphin Through Electroacupuncture Stimulation at The Specified Points LI4 and SP6}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {June 2024}, pages = {670-676}, type = {Research Article}, chapter = {670}, abstract = {

Background: The physical healing process following a cesarean section surgery can induce anxiety and physiological stress due to wound pain, potentially impairing patient mobility and necessitating the administration of analgesic therapy. Pharmacological treatment sometimes proves insufficient or contraindicated for postpartum cesarean section patients, highlighting the need for non-pharmacological alternative therapies. Objective: This study aims to investigate the impact of electroacupuncture (EA) stimulation at specific points SP6 and LI4 using frequencies of 30, 50, and 100 Hz on reducing pain intensity and increasing levels of the hormone β-endorphin in postpartum cesarean section patients. Method: In this research, 144 postpartum cesarean section participants meeting inclusion criteria are divided into 8 groups, comprising intervention and control groups, utilizing a randomized control trial (RCT) technique. Pain intensity is measured using the pain numeric rating scale (PNRS), while levels of β-endorphin are analyzed through blood samples using the enzyme-linked immunosorbent assay (ELISA) method to compare outcomes before and after intervention. Result: The analysis of the intervention group receiving electroacupuncture at specific points LI4 and SP6 has demonstrated effectiveness in reducing pain by increasing levels of the hormone β-endorphin, in comparison to the control group, with significant findings. Conclusion: The findings of this study show that electroacupuncture intervention in postpartum cesarean section patients can stimulate an increase in β-endorphin hormone levels and effectively reduce postpartum cesarean section pain intensity.

}, keywords = {Cesarean section, Electroacupuncture, LI4, Postpartum, SP6}, doi = {10.5530/pj.2024.16.112}, author = {Nurul Azizah and Budi Santoso and Abdurachman and Hanik Badriyah Hidayati and Ario Imandiri} }