July's Question Submitted By:
Jamie Kitzman, MD
Department of Anesthesiology
Children's Healthcare of Atlanta
Yintang is an acupuncture point that has been shown to decrease preoperative anxiety in children and adults. Which of the following statements is true about Yintang?
Yintang is a very commonly used acupuncture point used in the treatment of pain and anxiety. It is an easy point to locate making it a very teachable point for others to use. Medical providers can learn how to apply acupressure to this point and, in turn, teach their patients and/or parents of patients how to use this point. It is located at the glabella, or midpoint between the eyebrows. To perform acupressure, sit/lay down in a comfortable position. Then, apply firm, deep pressure for 5 seconds in a circular motion and release. Allow the muscles in your face to relax. Repeat as needed. There are many studies demonstrating its effectiveness in the treatment of preprocedural anxiety. It is also commonly used in the treatment of pain, headache, agitation, nasal/sinus ailments, and insomnia.
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1. Kwon CY, Lee B. Acupuncture or Acupressure on Yintang (EX-HN 3) for Anxiety: A Preliminary Review. Med Acupunct. 2018 Apr 1;30(2):73-79. doi: 10.1089/acu.2017.1268. PMID: 29682147; PMCID: PMC5908420.
2. Wiles MD, Mamdani J, Pullman M, Andrzejowski JC. A randomised controlled trial examining the effect of acupuncture at the EX-HN3 (Yintang) point on pre-operative anxiety levels in neurosurgical patients. Anaesthesia. 2017 Mar;72(3):335-342. doi: 10.1111/anae.13785. Epub 2017 Jan 16. PMID: 28092106.
3. Wang SM, Escalera S, Lin EC, Maranets I, Kain ZN. Extra-1 acupressure for children undergoing anesthesia. Anesth Analg. 2008 Sep;107(3):811-6. doi: 10.1213/ane.0b013e3181804441. PMID: 18713889.