The Effect of Acupuncture Therapy on Blood Pressure Changes in Hypertensive Patients with Middle Jiao Dampness-Phlegm Accumulation Syndrome

Authors

  • Cicillia Ari Setyorini Sudarmadi Acupuncture Department, Health Polytechnic Ministry of Health Surakarta, Indonesia
  • Stefanus Aditya Acupuncture Department, Health Polytechnic Ministry of Health Surakarta, Indonesia
  • Anis Lupita Ningrum Acupuncture Department, Health Polytechnic Ministry of Health Surakarta, Indonesia

DOI:

https://doi.org/10.62354/ijoa.v4i1.63

Keywords:

Acupuncture, Hypertension, Middle Jiao dampness-phlegm accumulation syndrome

Abstract

Hypertension is a primary cause of global premature mortality, with a significant burden in low- and middle-income countries where treatment access remains limited. This pre-experimental quantitative study investigated the effect of acupuncture therapy on blood pressure in hypertensive patients diagnosed with Middle Jiao dampness-phlegm accumulation syndrome. Employing a one-group pretest-posttest design, 20 subjects aged 30-40 were selected via purposive sampling at the Sumber Sehat Acupuncture Foundation in Bandung (March-June 2025). The intervention consisted of daily acupuncture sessions over six days. Blood pressure measurements were taken pre- and post-intervention. Pre-test results showed the highest systolic pressure was 139 mmHg and the lowest was 130 mmHg. Post-intervention, the highest systolic pressure decreased to 130 mmHg and the lowest to 120 mmHg. Diastolic pressure also declined from a pre-intervention high of 89 mmHg to a post-intervention high of 85 mmHg. Statistical analysis using the Paired Sample T-Test confirmed a significant difference between pre- and post-intervention measurements (p-value < 0.05), with a mean systolic reduction of 9.50 mmHg and a mean diastolic reduction of 4.55 mmHg. It is concluded that acupuncture therapy significantly influences blood pressure, demonstrating a statistically meaningful effect in patients with this specific syndrome.

References

World Health Organization. Guideline for the pharmacological treatment of hypertension in adults: summary [Internet]. Geneva: WHO; 2022 [cited 2026 Apr 18]. Available from: https://www.who.int/publications/i/item/9789240050969

Rokom. Hipertensi penyakit paling banyak diidap masyarakat [Internet]. Jakarta: Kementerian Kesehatan RI; 2019 May 19 [cited 2026 Apr 18]. Available from: https://sehatnegeriku.kemkes.go.id

World Health Organization. Global report on hypertension: the race against a silent killer [Internet]. Geneva: WHO; 2023 [cited 2026 Apr 18]. Available from: https://www.who.int

Badan Penelitian dan Pengembangan Kesehatan. Hasil Utama Riskesdas 2018. Jakarta: Kementerian Kesehatan RI; 2018.

Kementerian Kesehatan RI. Pedoman pengendalian hipertensi di fasilitas kesehatan tingkat pertama. Jakarta: Kementerian Kesehatan RI; 2023.

Open Data Jabar. Data penderita hipertensi Provinsi Jawa Barat tahun 2023 [Internet]. Bandung: Pemerintah Provinsi Jawa Barat; 2025 [cited 2026 Apr 18]. Available from: https://opendata.jabarprov.go.id

Wang Q, Dong L, Zhang R, Li P. Treatment of 40 cases of cervicogenic hypertension by augmentation point pressure method. Chin Med Res. 2018;31(11):16-8.

Adrian SJ. Hipertensi esensial: diagnosis dan tatalaksana terbaru pada dewasa. Cermin Dunia Kedokt. 2019;46(3):172-8.

Dewi. Faktor risiko terjadinya hipertensi pada pekerja pariwisata di Pantai Kuta tahun 2016 [thesis]. Denpasar: Poltekkes Denpasar; 2016.

Adriaansz PN, Rottie J, Lolong J. Hubungan konsumsi makanan dengan kejadian hipertensi pada lansia di Puskesmas Ranomuut Kota Manado. e-J Keperawatan. 2016;4(1):1-7. doi:10.35790/jkp.v4i1.12132.

Suci DU, Syafriani, Isnaeni LMA. Hubungan indeks massa tubuh dan asupan natrium dengan kejadian hipertensi di Desa Koto Perambahan wilayah kerja UPT BLUD Puskesmas Kampa tahun 2021. J Kesehat Tambusai. 2021;2(4):18-25.

Zheng H, Li Y, Zhang W, et al. Acupuncture for patients with mild hypertension: an fMRI study. J Altern Complement Med. 2016;22(1):1-8.

Liu Y. TCM case studies: internal medicine. Beijing: People’s Medical Publishing House; 2014.

Xiang X. Introduction to Chinese Internal Medicine. Hackensack (NJ): World Century Publishing Corporation; 2013.

Yang X, Zhao H, Wang J. Chinese massage (Tuina) for the treatment of essential hypertension: a systematic review and meta-analysis. Complement Ther Med. 2014;22(3):541-8.

Wijayanti AE, Setiyawan D, Widyaningtyas R. Efektivitas terapi akupunktur terhadap penderita hipertensi. J Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat. 2023;18(1):69-75.

Ulfa NK, Imandiri A, Adianti M. Hypertension therapy using acupuncture and herbals of leeks and carrots. J Vocat Health Stud. 2018;2(2):67-73.

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Published

2026-04-18

How to Cite

Sudarmadi, C. A. S., Aditya, S., & Ningrum, A. L. (2026). The Effect of Acupuncture Therapy on Blood Pressure Changes in Hypertensive Patients with Middle Jiao Dampness-Phlegm Accumulation Syndrome. Indonesian Journal of Acupuncture, 4(1), 20–25. https://doi.org/10.62354/ijoa.v4i1.63

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Articles