
Sven Andersson (1927-2007).
Line drawing by
Thomas Lundeberg
Sven Andersson, professor in Physiology at
Gothenburg University, has died at the age of 79 after
a long illness. Professor Andersson was born in 1927
in Gesäter in Dalsland, in the western parts of Sweden.
He started his medical studies in Göthenburg, where
he remained throughout most of his career.
Professor Andersson began his scientific career
in the neurophysiology section of the Physiology
department at Gothenburg University. His initial
research was focused on the motor system, and
during 1959-60 he was based at Vernon
Mountcastle’s laboratory in Johns Hopkins University
in Baltimore, USA. In Mountcastle’s laboratory he
learned to register the activity in individual nerve
cells in the somatosensory cortex. He used this
technology later for his doctoral dissertation on the
role of spinal reflexes in somatosensory processing.
Professor Andersson was awarded his doctorate in
1962 and became senior lecturer in Physiology at |
Gothenburg University in 1963. In 1969 he was appointed associate professor in Physiology, and
1979 he was awarded the chair. He was acting Head
of the Physiology Department at Gothenburg
University from 1979 to his retirement in 1992.
For many years he was active in training medical
personnel in acupuncture and received several
awards, including the Life Academic Award for
Chinese Medicine in 1996, for his great contribution
to enhancing scientific research in the field of
acupuncture.
Professor Andersson was perhaps most wellknown
for his important initiatives in pain research
and his focus on the sensory nervous system’s
influence on the regulation of pain and autonomic
tone. Early in his career he became convinced that
acupuncture is an effective method of pain control
based on the activation of the body’s own systems,
and this area dominated his interests from the early
1970s. Over the years that followed, his reputation
grew and he became distinguished for his research
into the fundamental mechanisms of acupuncture
and its pain alleviating effect.
His commitment to pain research also led to his
involvement in assignments in international
commissions and committees and for many years
he was a member of the board of the International
Association for the Study of Pain, the most important
meeting point for the world’s pain researchers and
clinicians interested in pain. For several years he
also served as vice president to its Scandinavian
equivalent, the Scandinavian Association for the
Study of Pain.
As a teacher and research tutor, Professor
Andersson was highly regarded, and supervised a
large number of doctoral students through their
dissertations. He established the Foundation for
Acupuncture and Alternative Biological Treatment
Methods, a non-for-profit charity that for many years
served as the sole Foundation for grants in
acupuncture in Sweden. He made significant
contributions to the Foundation and thereby to
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acupuncture research and the development of
physiologically based acupuncture.
Professor Andersson emphasised the empirical
basis of Traditional Chinese Medicine and when
trying to explain TCM he would tell the story of how
the Vikings tried to explain lightning and thunder.
According to the Vikings, Thor the god of thunder,
son of Odin and a member of the Aesir, smashed
giants’ heads with his mighty hammer, thereby
causing lightning and thunder: in other words, the
lightning and thunder is for real but the rationale
given is not.
He suggested that the failure to study
acupuncture scientifically and to prove or disprove
its claimed effects was the reason for its rejection
by many in the Western scientific community. He
was one of the frontrunners in this field, winning
acceptance in Sweden in 1985, for the use of
acupuncture in treating pain. Professor Andersson
was convinced that acupuncture could be integrated
into mainstream medicine, and that a prerequisite
for this was that the mechanisms of acupuncture
could be explained in terms of endogenous systems.
He was one of the first people to suggest that
acupuncture effects must devolve from physiological
and/or psychological mechanisms that had biological
foundations, and that needle stimulation
(acupuncture) could represent the artificial activation
of such systems. He tried to elucidate what kind of
sensory stimulus was most similar to acupuncture,
and he suggested that acupuncture excites receptors
or nerve fibres in the stimulated tissue, which are
also physiologically activated by strong muscle
contractions, and the effects on certain organ
functions are similar to those obtained by protracted
exercise. Both exercise and acupuncture, according
to Sven Andersson, produce rhythmic discharges in
nerve fibres, and cause the release of endogenous
opioids, essential to the induction of functional
changes in different organ systems.
Professor Andersson also reported that betaendorphin
levels, important in pain control as well as
in the regulation of blood pressure and body
temperature, have been observed to rise in the brain
tissue of animals after both acupuncture and strong
exercise. He was also inspired by the fact that |
experimental and clinical evidence suggest that
acupuncture may affect the sympathetic system via
mechanisms at the hypothalamic and brainstem
levels, and that the hypothalamic beta-endorphinergic system has inhibitory effects on the vasomotor
centres. He also demonstrated that there was a poststimulatory
sympathetic inhibition that reached a
maximum effect a few hours after acupuncture and
which could be sustained for more than 12 hours.
This powerful inhibition of sympathetic tone is
probably one of the most important effects of
acupuncture in the treatment of diseases, and will
show the way for future research.
Professor Andersson’s standpoint was that
without a solid physiological basis and randomised
controlled trials, acupuncture would not achieve
general acceptance in the Western medical
community. His solid scientific background and
authority made him an outstanding advocate for this
method and his initiatives were crucial in order to
get acupuncture accepted within Western medicine.
A Chinese proverb says: ‘A journey of a thousand
miles begins with a single step.’ He took that step
in acupuncture research and it is up to us to follow in
his footsteps.
Sven Andersson often spoke highly of his wife,
his two daughters and his grandchildren. To him,
marriage was the ultimate partnership that should
be given the proper attention and nourishment it
needs to survive and thrive. He was a man of few
words but was given to acts of great kindness. He
would stand solid as a rock, at his beloved Nösund,
when it became stormy, and still exercise discipline
and firmness. He was the proud grandfather riding the
tractor with his grandchildren, or sitting on the
veranda overlooking the sea, or fixing whatever
needed to be fixed. Sven Andersson could be
characterised by the words of William Wordsworth:
‘That best portion of a good man’s life: his little,
nameless, unremembered acts of kindness and love.’
His firm handshake and brilliant mind remain in
our memories, and every time the lightning strikes
and thunder roars, I´ll turn to the sky and know that
he is watching over us.
Thomas Lundeberg
Acunpuncture in Medicine 2008;26(2):128-129. |