E K Y G Z S K R K ) B Y G V G R Y J G Z F ( N C I K N G \ : B K L H F T G C E ? R I S P G B N S , P M G Q [ G Z [ , K Z G [ N K O \ Y X K Z C I K N G \ { F \ I G [ F [ T G P E K O N F Y K B { R D Z P G \ P D K Z G K F B H G Z F M P G Z X V J G Z K ) Chemoreceptor Trigger Zone - CTZ ( G P Z M H F F Y B G \ C P G I F J K V G N F P Y G C N C \ Z G V G \ B K R G \ P K E K T K N G P N G G F N T \ K O C F [ V T G \ - N G G B K Y [ G \ E K Y G Z S K R K ) B Y G V G R Y J G Z F ( F G B [ K J F T \ K Y F C F P I E K Z K O P I J K O E Y K Y G \ C R Y G E G \ [ R Y C T G N V K F T K Y Z G Q [ N H Z K P \ B R Z D K F E Z L P S N G N K O [ R Y C T G N V R K B N V K [ R K O ) P Z K E K B R K O ( F F [ V T F R G D E \ - F C I K N G \ [ N F E K Y G Z F S K R K R G C T \ , M M N F R Z B F , P F V Z [ F P G D C Z \ [ N C K \ B - B R E G Z V K R K O G - ACTH C C N G J \ K G \ Z \ - F P G I ) F F K V G V K H F ( , T O E K M G K F B H G Z F M P G Z X V J G Z K G P Z M H F C I K N G \ C R G S U N M L P [ V K T F E K Y G Z T N P T Z M \ F T K M G N F T N K G R F , \ G L F V I \ \ F F V Z [ F [ N I G P X F G F Z D T \ F V Z T G \ - F Y X C C [ Z K Z K F Y K C F C P I Y Z K O Y N K R K K O R P X B , M K F J K V G N C E K Y G Z K T K N C F Y N F T N \ I G [ \ F C I K N G \ , M D G Q C I K N G \ C G Y Z C R [ K O F Z G \ , R G S T K O T O C I K N G \ C P F N L R S K T F , I G N K O N B I Z R K \ G I B G I G N K S Z J Q F T G C Z K O M K P G \ Z V K F F Y E P F C I K N G \ { F \ I G [ F [ T G P E K O N F Y K B { T N G N G \ N F K D Z O C T Y C G \ R S K T F ) travel sickness ( , F Z K G Q ) morning sickness ( , N B I Z R K \ G I C F Z E P F M N N K \ ) post-operative nausea ( B G C T Y C G \ M K P G \ Z V K F C I G N K S Z J Q B O C T Y C G \ F C I K N G \ P \ I K N K O F I G N K O D O N F Y K B , F O T N G N K O N N Y G \ C F \ K K C [ G \ G C F V Z T G \ P J C G N K G \ F P I P K Z G \ B \ P X C O , T E M E K X G Z L C B K [ V G H F J K V G N F P Y G C N R D E C I K N G \ F G B P \ Q \ Z G V G \ F P [ V K T G \ T N F P G I G E Z M K - F T K M G N B G N O J K V G N H F B K R G K T K N C M N F I G N K O , G N T \ K O Y Z G C G \ F G B D G Z O N F [ V T G \ - N G G B K Y [ G \ F P I K K C G \ B \ F V S Y \ F J K V G N ) J C N F 1 ( I [ G C B V G B N P X G B V K \ Z G Q B I Z [ K V I K \ B \ \ I G [ \ F C I K N G \ , P C N K N D Z G O N F [ V T G \ - N G G B K P [ P T G \ K G \ C K [ Z B N G C T G N O T G N F G F G N L P S V Z F V G R K O N J K V G N K Z V G B F P [ N K P F ~ 1 , 2 | C Z G C F V Y G N J G \ N Z V G B F C B Z F " C P G T C Z K O Y G Z S K F [ \ N P G \ C \ I G O H F ~ 3 | , G N B I Z G R F B U F G I N C F T C Z \ Y G Z S K O E G P K O C I N Y P F V Y G N J G \ N Z V G B F C K [ Z B N ~ 4 | M N Y G V G \ - F I G N K O C K [ Z B N P T R K Y G \ [ K Z G \ K Z V G B F P [ N K P F P S G C S E K O , B G N O Z Y % 24 P F Z G V B K O B M Q P V R K O I G N K O N J K V G N K O P S G D H F ~ 5 | T P E \ F P G T X F F P E T K \ [ N F F S \ E Z G \ F Z V G B K \ C K [ Z B N F K B M K " Z V G B F K [ Z Y B I \ , H G F T G S Y \ C J K V G N C B E O , G Z Y Z G V B P G S P L N T S G Y C M L C P S D Z \ T C G E \ G K M G N F Z G V B N C I G Z C [ K J G \ J K V G N [ G R G \ " ~ 6 | B I \ F [ K J G \ F P Y G C N G \ C T G N O F P T Z C K , F Q C P Z M H K F C Z K B G \ F N B G P K K O C B Z F " C NIH) ( G F Q C F S \ E Z G \ F Z V G B K \ F C Z K J K \ ) BMA ( , F K B F E K Y G Z F S K R K ) B Y G V G R Y J G Z F ( ~ 7 , 8 | F E K Y G Z P Y N D O T N S K C N O [ N I G N K O F N G Y K O C C I K N G \ , T N - K E K F [ V T G \ K [ K Z G \ G T Y K V G \ T N F P G I G P T Z M \ F T K M G N P F G E K Y G Z S K R K ? E K Y G Z S K R K { [ K J F F P K G [ P \ C P H Z I F Z I G Y P H F B N V K [ R K O { P C G S S T N F F R I F [ Y K K P \ B R Z D K F ) X ' K ( F H G Z P \ E Z L P S N G N K O ) P Z K E K B R K O ( C D G U F B E O T N - K E K F I E Z \ P I J E Y K Y F ) C Y G J Z 0.20 = 0.30 P " P ( N T G P Y [ N M - 5 P " P P \ I \ N V R K F T G Z , R K \ Q N F [ V K T E Z L F P Z K E K B R K O T N F B K C Z K O F V R K P K K O [ N F D G U Y K K P G \ R Y G E G \ Z C G \ F P [ V K T G \ T N P T Z M \ F T K M G N F T N K G R F , [ R D K T F C F Q P Y N F T N \ I G [ \ F C I K N F , G F R Y G E F F R I Y Z \ C K G \ Z C S V Z G \ F P E T K \ F K B F - P6 ) C S K R K \ Nei Guan , B G ' [ T Z V R K P K ' ( , F R P X B \ M - 4 = 5 V Z G Y S K P N K \ N I N Y F Y E P K [ N [ G Z [ M U F K E , C K Q D K E K F [ Z K Z K O F - Flexor Carpi Radialis G F - Palmaris Longus R K \ Q N F V T K N R Y G E F H G C B P X T G \ P I J K O , H Z P K I [ P N ) TENS ( B G T N - K E K F V T N \ N I W C B P X T G \ X P K E F P K G T E N M L ) acupressure band ( R Y G E \ E K Y G Z R G S V \ , F R P X B \ T N P Z K E K B Q F Y K C F ) Zusanli-Stomach 36 ( , P Z D K T F B U F K B B \ P T Z M \ F T K M G N F T N K G R F ~ 9 | , B G N O J Z O R I Y Z F K T K N G \ F C F Z D T \ C I K N G \ F V \ G V K S K G N G D K F [ N C I K N G \ G F Y B G \ C B H G Z F \ G M K \ ) medulla ( C D H T - F P G I , C P C R F F Z [ \ K \ F X E K ) lateral reticular formation ( , R P X B B H G Z F P M G R F ' P Z M H F F Y B G \ ' N B H G Z H F P D K T K O P S Z K O T X C K K O P P S V Z P G Y E K O : Key words : acupuncture; nausea; pregnancy; travel; post-operative; chemotherapy. J C N F 1 : J K V G N \ Z G V \ K N C I K N G \ G F Y B G \ Y C G X F E G D P F F [ V T G \ - N G G B K T K Y Z K G \ B R J K - E G V B P K R Z D K Metoclopramide B K - [ Y J , K [ R G R K G \ , \ G V T G \ I G W - V K Z P K E K G \ R G D E - F K S J P K R K O Promethazine K [ R G R K G \ , J K [ J G [ Z B K K F , K G C [ C V F , C I K N G \ B R J K M G N K R Z D K Scopalamine K [ R G R K G \ / T Z R G \ , F H K G \ , J B M K Y Z E K F V R G \ K B H K Q Haloperidol \ G V T G \ I G W - V K Z P K E K G \ , Tardive Dyskinesia R G D E - S Z G J G R K Q Ondansteron [ K N [ G N K O , M B C K - Z B [ , V D K T F C M C E , F V Z T G \ - Y X C Y G Z J K Y G - S J Z G B K E K O Dexamethasone B D K Z \ R G H N K O , F K V G Y N P K F , M K C T K M G N K , C I K N G \ P [ ' Y R C K S ) I [ K [ ( Dronabinol I Z E F , C K N C G N , K [ R G R K G \ , E V K Y G \ N C , M B C K - C J Q G C I K N G \ S Y K Z G \ F Z V G B F M Z L 142 , I G C ' E ' ) B V Z K N 2003 ( 297 P T Z M \ F T K M G N , F B G H Q F V R K P K \ ) P T Z M \ F P C G L ( G B H G Z K O B I Z K O C P G I M P G B K H G Z F F V T N F F M P G Z X V J G Z K ) CTZ - Chemoreceptor Trigger Zone ( C Z K X V \ F I E Z F Z C K T K B H G Z F - CTZ Z D K [ N [ K R G K K O M K P K K O ) M D G Q T Y C R J K N \ \ Z G V G \ ( G N F V Z T G \ P J C G N K G \ ) M D G Q [ K K R \ G I P X \ ( C T Y C G \ F D K Z G K K O F Z C K O , [ G N I P Z M H F F Y B G \ P S Z K O B V Z R J K K O ) afferent ( E Z L T X C F G G B D G S , F - phrenic nerve G T X C K T P G E - F [ K E Z F , F B I Z B K K O N F V T N \ [ Z K Z K F C J Q G F X N T G \ , F D G Z P K O C S G U F \ F N K L N V T G N \ F F Y B F C P Y C K N P \ Z I [ K O P S V Z [ K R G K K O C I N Y F T N K G Q [ N E Z M K F T K M G N , M P G K Z K E F C J G R G S [ Z K Z K F Y K C F ) T O F V I \ \ F R K T G F \ Z G Y R G \ ( G N T \ K O R K T F V G L ) V Z E G Y S K ( [ N F \ Z K S Z K G Q K K \ M R G D O \ S P K R K O B G J G R G P K K O , M P G I K G G Z G Q , F H T F , F V Z [ \ Z G Y , V T G N \ P T K K O , G N T \ K O B U K Z K E F C N I W F E O G C E G V Y F [ V T G \ F E K Y G Z F S K R K T N F P G I G P T Z M \ F T K M G N M N F I E Z \ P I J D G Z P \ N [ K R G K K O V K S K G N G D K K O , C T Y C G \ F V T N \ P T Z M G \ M P G B N G F P E M B G \ M B C C T P G E - F [ K E Z F ) DNIC ± Diffuse Noxious Inhibitory Controls ( D K Z G K K O B I Z K O , M P G T K S G K C Y Z F , I G O G Z J J , K M G N K O D O F O N F V T K N P T Z M \ H G ~ 10 | C T Y C G \ J K V G N C E K Y G Z S K R K , M M N F R Z B F C B P X T G \ F V T N \ P T Z M \ F - DNIC , P \ Z I [ G \ P S V Z \ G V T G \ P Z M H K G \ ) \ Z [ K O 1 ( , M P G F V Z [ F P G D C Z \ [ N C K \ B - B R E G Z V K R K O C C N G J \ K G \ Z \ - F P G I ~ 11 | { \ G X B F F P S C K Z F C B G V Q I N Y K B \ F [ V T \ G P [ M M \ F M B C [ N J K V G N H F ~ 12 | C P Z M H F F Y B G \ G C B H G Z F - CTZ P X G K K O Y G N J R K O E G V B P K R Z D K K O ) D2 ( , F K S J P K R K K O ) H1 ( G P G S Y Z K R K K O ) Ach ( , T O R K Z G R K O F P M K N K O B \ F B G V K B J F B R E G D R K B R Y V N K Q ) enkephalin ( ~ 13 | F B G V K B J K O P D Z K O B \ B K H G Z F - CTZ G P E M B K O B \ P Z M H F C I K N G \ , G P \ Q F \ Z G V F R G D E \ - F B G V K B J K O R N G Y S G Q ) Naloxone ( P D C K Z C I K N G \ G F Y B G \ C I G N K S Z J Q F T G C Z K O M K P G \ Z V K F ~ 13 , 14 | C R G S U N C K \ B - B R E G Z V K Q , D G Z O E K Y G Z S K R K N F V Z [ F P G D C Z \ [ N ACTH C C N G J \ K G \ Z \ - F P G I ~ 11 , 15 | N - ACTH G N C K \ B - B R E G Z V K Q Y E O - F G Z P G Q P [ G \ U ) beta lipoprotein hormone ( , G F F V Z [ F [ N ACTH D G Z P \ N T N K K F C Z P G \ F Y G Z J K H G N C E O ~ 16 | N B C Z G Z M K X E P [ V K T K O Y G Z J K Y G S J Z G B K E K O T N P Z M H F F Y B G \ , B L K E G T M K \ Z G V G \ P Y C G X F H G B M Q P V I K \ G \ B \ F \ I G [ F [ N C I K N G \ G N M Q D O R K \ R G \ M J K V G N , C K Q F K \ Z , N I G N K S Z J Q N B I Z M K P G \ Z V K F T O C I K N G \ G F Y B G \ P \ P K E G \ ~ 17 | , G M Q N I G N K O C P X C S G V R K M J K V G N V N K B J K C K ~ 18 | F E K Y G Z P [ V K T D O T N F I N Y F T N K G Q [ N P T Z M \ F T K M G N , T O [ K R G K K O F P G E D P K O C \ Z [ K P K F G N M F I [ P N K \ [ N [ Z K Z K F Y K C F EGG ± electrogastrography) ( , M P G E K M G K F V Z T G \ Y X C ) gastric arrhythmia ( G F D C Z \ D N K O B K J K K O ~ 19 | C R G S U N M L P [ V K T F J K V G N T N F V Z [ \ F I G P X F C Y K C F , M [ F G B P T M C F V Z [ F P Z C K \ ) MAO ( N B I Z B Z G I F B G C T Y C G \ R J K N \ V R J F D S J Z K Q ~ 20 , 21 | F [ V T F H G B K R R F R G C T \ P [ K R G K K O C F V Z [ F [ N D S J Z K Q B G P Z D K [ G \ F \ B K O F V Z K B J N K K O N F G Z P G Q H F , B N B P [ K R G K K O C P S N G N K O T X C K K O B G V K G B K E K K O G G D B N K K O ~ 22 | N B I Z R K \ G I K Y K C F P H Z H F J K V G N C E K Y G Z I H Z \ O [ N Y G N G \ C P T K G V T K N G \ P T K , G F G B P Y X Z B \ H P Q F F P \ R F T E P T C Z F D H K O F Z B [ G Q P P T Z M \ F T K M G N ~ 23 , 24 | M P G - M Q , P S K K T F E K Y G Z F S K R K N I G N K O C T \ C E K Y G \ B R E G S Y G V K G \ [ N P T Z M \ F T K M G N F T N K G R F ) D S J Z G S Y G V K F ( ~ 25 | C P I Y Z B I E B U R P X B ~ 26 | , M K F J K V G N K T K N C I G N K O F N G Y K O C \ K S P G R \ F P T K F Z D K H ) irritable bowel syndrome ( E K Y G Z S K R K G C I K N G \ : P I Y Z K O Y N K R K K O R G S T K O Z C K O N G Y K O C C I K N G \ P \ R G T F ) motion sickness ( , C T K Y Z T N Z Y T Z D K [ G \ - K \ Z [ N F P T Z M \ F G G S J K C G N Z K \ B K Q H F C Z G Z P E G T P [ \ R F F Z D K [ G \ N \ R G T F P B E O N B E O , B L M E K [ C I K N G \ \ G V T R F E Z G [ F P T Z M \ [ N P F [ N F T X C F [ P K R K G P S N G N K O G S J K C G N Z K K O - P G I K K O ) cerebral ( D K Z G K K O C Z B K K F ) visual ( , I G S Z B G G K Z T O \ I G [ \ P I R Y , G Z D [ G \ M P G V I E G I Z E F K M G N K O N F V T K N F \ Y U , G N M Q P G P N W N F K P R T P Y Z K B F , P B M K N \ - K \ Z G P [ \ K K \ B N M G F G N C T \ R S K T F \ Z G V G \ B R J K - M G N K R Z D K G \ G M E G Z K F Z D T F K M G N K O N S K K T , B G N O R J K N \ O M Z G M F C F [ V T G \ - N G G B K Z C G \ C [ R K P I Y Z K O R P X B , M K R Y G E \ F E K Y G Z P6 P B G E K T K N F C F V I \ \ C I K N G \ G F Y B G \ P \ R G T F ~ 27 , 28 | M [ C T K O T E [ P G R K O - G I P K [ F B I G H K O P F R [ K O F F Z G \ N G Y G \ C C I K N G \ , G C - % 50 R D Z P G \ F Y B G \ ~ 29 | F C I K N G \ R D Z P G \ P [ K R G K K O F G Z P G R K K O ) C T K Y Z T N K K F I E F C Z P G \ F V Z G D S J Z G Q G - b HCG C E O ( F P [ V K T K O T N F P G I G P T Z M \ F T K M G N F T N K G R F R [ K O F N G Y G \ C C I K N G \ G C F Y B G \ N N B [ K V G Z \ I \ J K V G N \ Z G V \ K ) N E G D P F , metoclopramide ( , T N G N G \ N N Y G \ C F \ K K C [ G \ G C [ K R G K K O P J C G N K K O P [ P T G \ K K O , T O F \ F G G \ Hyperemesis Gravidum { P X C F P S M Q F Q B \ F B O G F Q B \ F T G C Z C P J F - B R N K H F [ N [ C T F P I Y Z K O [ R C E Y F C F O F F [ V T F [ N F V T N \ N I W C E K Y G Z F S K R K ) acupressure ( T N R Y G E F P6 C R [ K O T O C I K N G \ C F Z K G Q ) n=667 ( , R P X B F F J C F P [ P T G \ K \ P C I K R F S J J K S J K \ ~ 30 | T O H B \ , P S Y R \ I G Y Z K F - Cochrane Group F K B [ \ G X B G \ F P I Y Z K O B K R Q I E - P [ P T K G \ ~ 29 | K K \ M Q [ H G \ D G C F I N Y K \ N J K V G N C - acupressure , G N M Q K [ P Y G O N T Z G L P I Y Z K S G E K T O J K V G N C P I J K O ) acupuncture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{ M N B N F \ G Z P K O N \ G V T F H G C P I Y Z P J F - B R N K H F ) n=1234 ( R P X B C [ K C T F P \ G L [ P G R F P I Y Z K O [ K V G Z P [ P T G \ K [ N F R Y G E F P6 C I G N K O B N G , G C P I Y Z F [ P K R K ) n=66 ( , [ R M N N G C G K N E K O N B I Z \ K Y G Q V H K N F ) T O J K V G N C - acupressure C R Y G E F P6 ( , N B R P X B [ K V G Z C T N P [ P T G \ S J J K S J K \ ~ 30 | C P I Y Z P J F - B R N K H F R G S U F D K T G F I G Y Z K O N P S Y R F [ F J K - V G N K T K N , B L N B M B [ Z F G B P C G X T C H P Q F R K \ G I B N B Z Y C F \ B G [ [ G \ ~ 31 | C P I Y Z [ N K [ K ) n=500 ( R P X B , [ F J K V G N F Q K T K N C K G \ Z G F Q N N B F [ V T G \ - N G G B K M N N , G N M Q F G B K M G N N F K G \ J K V G N P G P N W T C G Z I G N K O B N G ~ 32 | I G N K S Z J Q N G Y K O N T \ K O Y Z G C G \ C C I K N G \ G C F Y B G \ , D O C T Y C G \ J K V G N K F M K P G \ Z V K F F P D Z K O B \ F - CTZ , G D O B O Y K K P \ P T G Z C G \ [ N F P G I B G F C J Q N V I G \ % 31 P I G N K F S Z J Q C B Z F " C V G R K O N Z V G B F P [ N K P F ~ 33 | , N T \ K O M E K N F Y N T N S K C N O , B L K K \ M Q [ D O C \ Y G G F N P X G B Z K V G K C [ K J G \ I N G V K G \ F B D G E F N P N I P F C S Z J Q C B Z F " C ) American Cancer Society ( B P R O P H F K Z F [ F E K Y G Z F S K R K B K R R G P [ V K T T N P F N L F P I N F ) Y X C [ K D [ G D \ B K O P P B K Z K O , F \ V [ J G \ D Z G Z G \ ( , B L C P Y C K N P P N K X F T N F J K V G N N F Y N F T N F \ N G R G \ F Y [ G Z G \ N S Z J Q G N J K V G N K O F B G R Y G N G D K K O , M G N N C I K N G \ ~ 34 | C P I Y Z K F P J F - B R N K H F R P X B , M K D O C I G N K O B N G P C K B F J K V G N C R Y G E F P6 N [ K V G Z P [ P T G \ K C C I K N G \ C T Y C G \ M K P G \ Z V K F ~ 30 , 31 |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~ 5 | , G K [ N B V [ Z N F O N Z M G [ B \ M N F M N K O F T [ G K K O N F G T K N N F O C T \ K E N F Y N T N S K C N O [ N P J G V N K F O C K C N K G D Z V K F 1. 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