What is Mesopuncture? details

#Mesopuncture is the deposit of few drops of a neutral or active liquid drug, either by injection or passive deposit into the Acupuncture Point _ AP. It is a version of treatment, proposed by Chinese medicine, accompanying in general the classical Acupuncture.

Its revival in the West, after a period of oblivion, was initiated by #Bleumedical, Fr, facilitated by the concept of BMN, and published in a website: mesopuncture.com

This Internet publication was followed by a multitude of sites, under various titles.

If initially, the liquid drug was injected, only by needle, into the AP, the use of iontophoresis has allowed later to describe a version without needles.

 At what point of the acupuncture consultation, is performed Mesopuncture?
The Mesopuncture is fully integrated into the acupuncture consultation before, during or after insertion of the conventional acupuncture needles which remain in situ for about twenty minutes.

 What is the diameter of the acupuncture needle and injection hypodermic needle?

• Usually, the Acupuncture needle diameter is 0.3 mm. The injection needle diameter is 0.45 mm.

 Is diameter the only criterion for the needle to be qualified as acupuncture needle?
Normally, the acupuncture needle diameter is 0.30mm there are, but rarely indeed, acupuncture needles with a finer diameter.

It is not the exclusive criteria to define the acupuncture needle. This is the need for the needle to have a handle allowing the Therapist to perform acupuncture.

 How is the liquid drug chosen?
It is selected in the pharmacopoeia according to the health or aesthetics disorder, presented by the Patient.
It is a liquid drug, already used in daily practice, preferentially intravenously or intramuscularly more rarely. The liquid drug is then divided into micro-doses, injected or deposited, by needle or iontophoresis, into the AP for Mesopuncture and into the dermis around the AP, to create, in this case, Mesotherapy Points_ MPs.

Both actions can be realized during the same session with the same injection vector, the BMN.

 What is the advantage of combining Acupuncture and Mesopuncture?

  • First these two actions can be carried out during the same consultation with the same injection vector, the BMN.
  • The medication acts by both 'Pharmacological effect' and ' Acupuncture Effect ', two effects due to physicochemical structure of the drug. These two actions are added to conventional stimulation with an acupuncture needle.

It seems moreover, that the most tangible benefit of using the medicine in Acupuncture is the possibility to act on the length of the ‘Acupuncture Effect’ like the titanium implants in Auriculotherapy or the catgut burial into the APs.

 The use of Hyaluronic Acid -HA allows prioritizing duration of the Acupuncture Effect when injected into a PA while taking into account the positive Pharmacological Effect in aesthetics, but of not immediate but of secondary interest for the Therapist.

Hyaluronic acid _HA is known in aesthetic medicine, as having a so-called comfort action but of  long duration, several months, without major adverse effects described on health.

 Into the PA, the HA produces an Acupuncture Effect, of same duration as the Pharmacologic Effect, but in this case, the possible improvement of  aesthetic problems, would not be an obstacle for using the HA to get an Acupuncture Effect extended over several months.

It is a virtual separation between the 'Acupuncture Effect’ and "Pharmacological Effect', both  effects are subtended by the physicochemical structure of the drug.

It is thus possible to use a liquid drug, not for its ‘Pharmacological effect’ duration, but for its PA stimulus duration or ‘Acupuncture effect’.

 Are all drugs eligible?

  • All liquid drugs, including drugs without significant therapeutic or Pharmacological effect, such as distilled water or saline, can be used. For these liquid drugs, the Acupuncture Effect by stimulation of the AP is privileged.
  • Some drugs allow obtaining a prolonged stimulation of the AP giving a therapeutic effect by Acupuncture or ‘Acupuncture effect’, also extended.

 In effect,  the drug acts on the AP, by its physicochemical structure that controls both the duration of the drug effect in the body, its ‘Pharmacological effect’ and duration of stimulation of the AP that is to say its ‘Acupuncture effect’.

 Is it possible to separate the two effects of the liquid drug, of same duration the ‘Pharmacological effect’ and ‘Acupuncture effect’: Both effects depending on the physicochemical structure of the drug.

 Both effects are of equal duration but only ‘Acupuncture effect’ is privileged at the expense of the ‘Pharmacological effect’ of same duration but ignored because of low impact on the health patient, in effect, the liquid drug used is classified in, Drugs of comfort.

 How to optimize the double needle insertion pain, knowing that if it is acceptable for a single AP, it becomes uncomfortable when several APs are targeted?

 In effect, in each AP it is necessary to insert a compact acupuncture needle.
After about twenty minutes, required to obtain the ‘Acupuncture Effect’, this compact needle is replaced by the hollow needle of a syringe. It allows to inject few drops of the liquid drug contained in the syringe, first in the AP to achieve Mesopuncture and secondly in the dermis around the AP to create Mesotherapy points.

To avoid inserting several needles into the same AP and privileging insertion of a single needle into the same AP or no needle at all, two solutions are possible:

Either the Therapist chooses the non-invasive version: Mesopuncture performed by iontophoresis and Acupuncture by massaging, waves, heat…

Or he chooses to use the BMN, in the version by needle: It is the best solution, comfortable and practical, and why?

The BMN is a simple device, a hollow needle of 0.3 in diameter, surmounted by a deformable polymer reservoir, all functioning as a dropper.

The originally empty reservoir, used for gripping and using the needle, is filled by two fingers pressure.

Furthermore the BMN does not prevent the dorsal or ventral decubitus.

 Why the BMN is an acupuncture needle notwithstanding?
Because, according to the FDA, to be an acupuncture needle, the needle must have a handle for grasping it when performing Acupuncture: The reservoir is the handle necessary to properly perform acupuncture with the BMN.

 The needle is inserted into the PA to stay twenty minutes at the end of which are injected few drops of the drug filling the reservoir, not only in the AP, but also in the dermis around the AP to create the Mesotherapy Points_ MPs.

The BMN with a single insertion of the same needle has enabled the realization of two versions of Chinese medicine, Acupuncture and Mesopuncture and a new western method of drug delivery by local injection or Mesotherapy.

 How is held the Acupuncture-Mesopuncture consultation?
The BMN is inserted into the AP, the consultation continues, the dorsal or prone positions are possible. At the end of the allotted time (about 20 minutes), some drops of the reservoir contents are injected into the AP, this is Mesopuncture. According to a star shape, into the dermis, all around the AP, some drops of liquid drug from the same origin are injected to create the MPs.

It could thus be achieved the set Mesotherapy Acupuncture Mesopuncture or MAM with a single insertion pain of a single needle in the skin.    The BMN thus allows optimizing the pain due to the insertion of multiple needles.