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Acupuncture

Acupuncture refers to the practice of inserting needles (usually use filiform needle) into the body of a patient at a certain angle under the guidance of traditional Chinese medicine, and using acupuncture techniques such as twirling and lifting to stimulate specific parts of the body so as to achieve the purpose of treating diseases.
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Bibliometrics and social network analysis of clinical researches on acupuncture and moxibustion
Jin-Hua Si , Chen Zhao, Yan Li, Ge Li, Jin-Hui Tian, Hong-Cai Shang
92Medical Data Mining    2018, 1 (2): 46-56.   https://doi.org/10.12032/mdm2018006
Abstract PDF (771KB)  
Objective: In order to explore the development trend and research hotspots of clinical researches of acupuncture and moxibustion and provide some insight into the key research direction for researchers. Methods: The clinical studies of acupuncture and moxibustion were searched in PubMed. Using the method of bibliometry, the year, country, journals, authors were analyzed. The cluster analysis was used to analyze subject terms by the social network analysis. Results: A total of 4237 literature were retrieved, published in 617 journals. The number of clinical studies on acupuncture and moxibustion has been increased substantially since 2006. The clinical researches on acupuncture and moxibustion have been conducted worldwide, specifically in China, the United States, Britain, Sweden, etc. Three major author cooperation networks (China, South Korea and European and North American countries) has been formed. The cluster analysis based on 53 high-frequency theme words indicates that
the clinical researches on acupuncture and moxibustion are mainly concerned about acupoint selection associated with pain, stroke, knee osteoarthritis and other diseases in different age groups, blind, treatment outcomes, time factor of acupuncture, etc. Conclusion: Clinical researches on acupuncture and moxibustion have been widely concerned by international medicine. The research direction is clear, Thematic is concentrate, and research paradigm has been formed. However, international influence is still limited academically. The cooperation between different authors or teams is insufficient. The core research hotspots include the selection of acupoint, acupuncture and moxibustion tools, research design, treatment outcome, blind, time factor, follow-up, placebo, clinical protocol, quality of life, patient satisfaction and so on. 
Network meta-analysis of acupuncture treatment for mammary gland hyperplasia
Yi-Hua Fan, Hui -Le Li, Yun-Rui Jin, Qiang Zhang
92Medical Data Mining    2018, 1 (1): 19-29.   https://doi.org/10.12032/mdm2018002
Abstract PDF (935KB)  

Objective: To evaluate the efficacy of acupuncture for the treatment of mammary gland hyperplasia. Methods: Randomized controlled trials before December 2017 in CNKI, China Biology Medicine disc, Chinese sci-tech periodical full-text database, Wanfang database, Cochrane Library, Pubmed, Embase and Web of Science were searched. The risks were evaluated by two investigators according to the Cochrane Handbook 5.1.0 criteria. Evaluation GeMTC was used for network-meta analysis. Results: A total of 43 articles were included, involving 5531 patients. Network meta-analysis results showed that there were differences in the comparison before and after treatment: acupuncture + Chinese herbal medicine vs acupuncture, acupuncture + Chinese herbal medicine vs Chinese herbal medicine, acupuncture + Chinese herbal medicine v s acupoint embedding, acupuncture + western medicine vs acupuncture, acupuncture + western medicine vs western medicine, acupuncture + western medicine vs Chinese herbal medicine, fire needle vs acupuncture, fire needle vs Chinese herbal medicine, moxibustion vs acupuncture, moxibustion vs Chinese herbal medicine, acupoint embedding line + Chinese herbal medicine vs Chinese herbal medicine, acupoint embedding line + Chinese herbal medicine vs western medicine, acupoint embedding line + Chinese herbal medicine vs acupuncture, acupoint embedding line + Chinese herbal medicine vs acupuncture + Chinese herbal medicine, acupoint embedding line + Chinese herbal medicine vs acupuncture + western medicine, acupoint embedding line + Chinese herbal medicine vs fire needle, acupoint embedding line + Chinese herbal medicine vs fire needle + Chinese herbal medicine, acupoint embedding line Chinese herbal medicine vs electroacupuncture, acupoint embedding line + Chinese herbal medicine vs acupoint embedding line, Acupoint embedding line + Chinese herbal medicine vs ear acupuncture, acupoint embedding line + Chinese herbal medicine vs moxibustion, acupoint embedding line + Chinese herbal medicine vs moxibustion + Chinese herbal medicine. Conclusion:Acupoint embedding + traditional Chinese medicine, acupuncture + western medicine is the best treatment for mammary gland hyperplasia, but the exact conclusion still needs high-quality clinical research to further verify.

Effects of comprehensive therapy of traditional Chinese medicine on pneumonia caused by influenza
Bing-Sheng Yuan
9TMR Non-Drug Therapy    2019, 2 (1): 9-12.   https://doi.org/10.12032/TMRND201902004
Abstract HTML PDF (504KB)  

Highlights

Comprehensive therapy consisting of acupuncture, sliding cup and Chinese herb has beneficial effect on pneumonia complicated by influenza.

Editor’s Summary

Acupuncture and sliding cup, as the methods of non-drug therapy, is possible to be introduced as part of comprehensive treatment modality for the management of respiratory diseases.

Abstract

Objective: To investigate the effects of comprehensive therapy of traditional Chinese medicine consisting of acupuncture, sliding cup and Chinese herb on a patient with pneumonia caused by influenza. Method: Needling the points of Zhaohai (KI 6), Lieque (LU 7), Chize (LU 5), Zhongwan (CV 12), Qihai (CV 6), Zusanli (ST 36), Yinxi (HT 6), Fuliu (KI 7), Neiguan (PC 6), Yuji (LU10), Fengchi (GB 20), Fengmen (BL 12), Dazhui (GV 14), Shenzhu (GV 12), Feishu (BL 13), Jueyinshu (BL 14) and Geshu (BL 17). After acupuncture, slide cupping was applied along the bladder meridian of foot-Taiyang on the back. The administration of Chinese herb of Xiaochaihu Soup combined Guizhi plus Houpuxingren Soup was also applied. Result: After the treatment, dyspnea relieved obviously and the symptoms of severe pain throughout the body, aversion to cold and high fever were eliminated. Conclusion: Comprehensive therapy consisting of acupuncture, sliding cup and Chinese herb has beneficial effects on pneumonia complicated by influenza.

Research on the influence of traditional Chinese medicine therapy on the intestinal flora in obese patients
Pei-Yao Li, Wen-Wen Zhao, Chun-Hua Zhang, Hui-Xin Ding, Ling Wang, Heng Yang, Chun-Guang Yu
9TMR Non-Drug Therapy    2019, 2 (1): 2-8.   https://doi.org/10.12032/TMRND201902002
Abstract HTML PDF (564KB)  

Highlights

Characteristic TCM therapies including acupuncture, moxibustion, and cupping, etc. have therapeutic effects on obese patients by interfering with the intestinal flora.

Editor’s Summary

Traditional Chinese medicine therapy aiming at regulating intestinal flora is expected to become one of the main treatment methods for obese patients.

Abstract

In recent years, the prevalence of obesity has been increasing year by year, leading to a rise in serious complications. The pathogenesis of obesity is complicated in which the intestinal flora plays an important role. Intestinal micro ecology is composed of large and complex intestinal flora that participate in important physiological functions such as metabolism, energy conversion, maintaining intestinal mucosal defense function, and promoting immune system development and maturation and other important physiological functions; furthermore, they are influenced by the host’s genetic background, diet, and other factors. Therefore, intestinal microflora has potential as a new field of drug therapy. At present, it is found that traditional Chinese medicine therapy may prevent and treat obesity by interfering with the intestinal flora, which is expected to become one of the main treatment methods for obese patients. However, its mechanism of action remains unclear. The balance of intestinal flora can be adjusted by acupuncture, massage, and acupoint application. By analyzing the mechanism of obesity caused by intestinal micro ecology and the impact of obesity on the host’s intestinal micro ecological environment, this paper discusses the influence of oral Chinese medicine, acupuncture, massage, acupoint sticking, and other traditional Chinese medicine therapies on the intestinal microflora in obese patients and provides a scientific basis for its clinical application.

Clinical observation of the effect of acupuncture on constipation after stroke
Tian Dan-Dan, Geng Xiao-Qiang, Niu Wen-Min
9TMR Non-Drug Therapy    2018, 1 (4): 138-144.   https://doi.org/10.12032/TMRND201801020
Abstract HTML PDF (1405KB)  

Highlights

The present study highlights that the short-term and long-term efficacy of acupuncture on constipation after stroke is better than that of treatment with lactulose oral solution.

Editor’s Summary

Compared with lactulose oral solution, the acupuncture is shown as a safe method with no side effects and is a long-lasting and highly feasible treatment method suitable for constipation after stroke.

Abstract

Objective: To observe the differences in therapeutic effects of acupuncture and lactulose oral solution on constipation after stroke. Method: Sixty patients with constipation after stroke were divided into an acupuncture group and a western medicine group by a random number method, with 30 cases in each group. Based on the the conventional treatment and rehabilitation for function recovery, the acupuncture group was treated at the selected the bilateral acupoints: Daheng (SP15), Fujie (SP14), Zhigou (TE6), Zhaohai (KI6), Yingxiang (LI20), and Shaoshang (LU11) while the western medicine group was treated with 30 ml of lactulose oral solution. The clinical symptoms score and clinical efficacy of the treatment provided for constipation in both groups were recorded pre-treatment, at one week of treatment, after treatment for two weeks, and one month after discharge respectively. Results: The clinical symptom scores of constipation in the two groups after one week of treatment, two weeks of treatment, and one month of treatment were significantly lower than those before treatment (P < 0.001). The treatment efficacy in the acupuncture group showed significant improvement when compared with the western medicine group, at one week, two weeks and one month (1.03 ± 1.19 vs 1.43 ± 1.19, P > 0.05 ; 0.73 ± 1.01 vs 1.33 ± 1.18, P < 0.05; 0.53 ± 0.82 vs 1.27 ± 1.14, P < 0.05, respectively). The efficacy rate was statistically significant at two weeks after treatment and one month after follow-up (86.67% vs 70%,P < 0.05; 93.33% vs 73.33%, P < 0.05, respectively). Conclusion: The short-term and long-term efficacy of acupuncture on constipation after stroke is better than that of treatment with lactulose oral solution. This method is safe, free of side effects, durable, has high feasibility, and is suitable for clinical application.

Therapeutic effect of different treatment methods on functional anorectal pain
Li Hua-Juan, Wei Zhi-Jun, Wu Xi-Hua
9TMR Non-Drug Therapy    2018, 1 (4): 131-137.   https://doi.org/10.12032/TMRND201801019
Abstract HTML PDF (1597KB)  

Highlights

Non-drug therapy including acupuncture and physical exercise can enhance the clinical efficacy of single Chinese medicine in the treatment of functional anorectal pain.

Editor’s Summary

Because pain is a main subjective symptom of patient with functional anorectal pain, the role of non-drug therapy in pain remission has an advantage and is worthy of further research.

Abstract

Objective: To observe the clinical efficacy of oral traditional Chinese medicine (Jiaweitiaoqi decoction), electroacupuncture, biofeedback, and combined treatment on functional anorectal pain (FAP). Methods: A total of 200 patients with FAP were randomly divided into 4 groups, with 50 patients in each group. Group 1 was given oral Jiaweitiaoqi decoction; group 2 was given electroacupuncture at the lumbosacral acupoints; group 3 was given biofeedback training; and group 4 was given combined treatment. The numeric rating scale (NRS), Short Form-36 (SF-36) quality of life scale, static pressure of the anal canal, and maximum systolic pressure were observed in the 4 groups. Results: The observation indices of the 4 groups were all improved after treatment compared with those before treatment, and the fourth group showed the most obvious improvement. Regarding NRS scores, the static pressure of the anal canal, and maximum systolic pressure, group 4 had lower values than the other 3 groups (P < 0.05 for all). In the SF-36 quality of life score, group 4 showed a higher value than the other 3 groups (P < 0.05). Conclusion: Non-drug therapy including acupuncture and physical exercise can enhance the clinical efficacy of single Chinese medicine in the treatment of FAP.

Effects of acupoint embedding combined with clomiphene in patients with polycystic ovary syndrome: a randomized controlled trial
Wang Jia-Xuan, Lin Guo-Hua
9TMR Non-Drug Therapy    2018, 1 (4): 124-130.   https://doi.org/10.12032/TMRND201801018
Abstract HTML PDF (1359KB)  

Highlights

Acupoint embedding combined with clomiphene could downregulate BMI, LH, and LH / FSH ratio, and increase the number of menstrual cycles in patient with polycystic ovary syndrome.

Editor’s Summary

The combination use of acupuncture and endocrine regulation drug has the potential to improve the function of ovarium.

Abstract

Objective: To compare the efficacy of acupoint embedding combined with clomiphene with clomiphene alone in the treatment of patients with polycystic ovary syndrome (PCOS). Methods: Sixty patients who met the diagnostic criteria of PCOS were randomly divided into the acupuncture-medicine combination (30 cases) and the single medicine (30 cases) groups. For a total of 4 menstrual cycles, patients in the acupuncture-medicine combination group were treated with acupoint embedding combined with oral clomiphene, whereas those in the single medicine group were treated with clomiphene only. Clinical efficacy of the two treatments was observed after 2 months of treatment, and body mass index (BMI), number of menstrual cycles, luteinizing hormone (LH), follicle stimulating hormone (FSH), LH / FSH ratio, and serological levels of testosterone before and after treatment were analyzed. Results: Compared with the single medicine group, patients in the acupuncture-medicine group showed lower BMI (24.3 ± 1.6 vs 26.1 ± 1.8) and higher number of menstrual cycles (3.6 ± 1.5 vs 2.8 ± 1.2); the differences were statistically significant (P = 0.018, P = 0.025). LH (9.53 ± 5.46 vs 12.29 ± 5.67) and LH / FSH (1.02 ± 0.57 vs 1.45 ± 0.23) levels were significantly decreased (P = 0.041, P = 0.039). Compared to before treatment, BMI (24.3 ± 1.6 vs 27.6 ± 1.4) was lower and the number of menstrual cycles was higher (3.6 ± 1.5 vs 1.8 ± 0.8) after treatment; the differences were statistically significant (P = 0.034, P = 0.024). The levels of LH (9.53 ± 5.46 vs 18.12 ± 11.04) and LH / FSH (1.02 ± 0.57 vs 2.38 ± 1.09) were significantly decreased (P = 0.007 P = 0.005). Total effective rates were 76.67% and 70% in the acupuncture-medicine combination and single medicine groups, respectively; the difference between the two groups was statistically significant (P = 0.043). Conclusion: Acupoint embedding combined with clomiphene in the treatment of PCOS could downregulate BMI, LH, and LH / FSH ratio, and increase the number of menstrual cycles.

Systematic evaluation and trial sequential analysis of warming acupuncture combined with joint mobilization in the treatment of scapulohumeral periarthritis
Tian Rong, Li Da, Han Yu-Hui, Fan Yi-Hua
TMR Non-Drug Therapy    2018, 1 (3): 96-108.   https://doi.org/10.12032/TMRND201801014
Abstract HTML PDF (1846KB)  

Highlights

Warming acupuncture combined with joint mobilization had a significant effect on the treatment of scapulohumeral periarthritis.

Editor’s Summary

This review provides a new combination of non-drug therapy in the treatment of scapulohumeral periarthritis.

Abstract

Objective: To evaluate the clinical efficacy of warming acupuncture combined with joint mobilization for the treatment of scapulohumeral periarthritis. Methods: A search for published randomized controlled trials (RCT) investigating warming acupuncture combined with joint mobilization for the treatment of scapulohumeral periarthritis was performed using the Cochrane Library, PubMed, Embase, and Web of Science databases. According to requirements of the Cochrane systematic review, all evaluations of RCT investigating warming acupuncture with joint mobilization in the treatment of scapulohumeral periarthritis were performed via method quality assessment, data extraction, and data analysis. Revman 5.3 and Stata 12.0 statistical software were used for the meta-analysis, and the trial sequential analysis (TSA) software estimated the required information size for each outcome. Results: A total of 14 articles were retrieved for meta-analysis, which included 551 cases in the treatment group and 539 cases in the control group. Meta-analysis showed that: (1) warming acupuncture combined with joint mobilization improved total efficiency [OR = 6.16, 95% CI (3.79, 10.00), Z = 7.34; P < 0.001), TSA results confirmed the results of the meta-analysis; (2) warming acupuncture combined with joint mobilization improved the cure rate [OR = 2.84, 95% CI (2.19, 3.70), P < 0.001], TSA results revealed that no further tests were needed to verify; (3) warming acupuncture combined with joint mobilization reduced the number of treatments required for healing [MD = -7.49, 95% CI (-9.75, -5.23), P < 0.001], TSA results confirmed the results of the meta-analysis; (4) in comparing visual analog scale scores before and after treatment, meta-analysis result showed that: SMD = -2.01, 95%CI (-2.37, -1.65), P < 0.001, the difference was statistically significant, TSA results confirmed the results of the meta-analysis. Conclusion: Warming acupuncture combined with joint mobilization had a significant effect on the treatment of scapulohumeral periarthritis.

Fire needle combined with blood-letting therapy for a case of 20-year trigeminal neuralgia
Zhang Kai-Jun, Xu Jia-Chun, Zhou Zhen
9TMR Non-Drug Therapy    2018, 1 (4): 145-150.   https://doi.org/10.12032/TMRND201801021
Abstract HTML PDF (1416KB)  

Highlights

Fire needle combined with blood-letting therapy has the potentials to control pain in a patient with 20-year trigeminal neuralgia.

Editor’s Summary

As a complementary and alternative medicine therapeutic approach in patients with trigeminal neuralgia, the integration of several non-drug therapies from Chinese medicine achieves a complete clinical response in pain control.

Abstract

Background: Trigeminal neuralgia (TN) is a neuropathic pain syndrome. It is the most frequent cranial neuralgia and defined as sudden, usually unilateral and lightning-like, knife-like or burning-like recurrent episodes of pain within the distribution area of one or more divisions of the trigeminal nerve. Here we reported that an 81-year-old woman with TN who complained of severe pain on her right face showed a complete clinical relief after comprehensive therapy containing fire needle, filiform needle and blood-letting therapy. Methods: The patient was applied fire needle combined with filiform needle therapy (3 times / week for 4 months) and three consecutive fire needle combined with blood-letting therapy (3 times / week for one week). Fire needle was inserted into the back points of Du meridian, the first lateral line of bladder meridian, the right spreading area of the trigeminal nerve and the points around the pain radiation site. The filiform needle acupuncture was applied to the points on the right face including Yuyao (EX-HN4), Yangbai (GB14), Toulinqi (GB15), et al; points on the abdomen including Xiawan (RN10), Qihai (RN16), Guanyuan (RN14) and the bilateral points including Tianshu (ST25), Daheng (SP15), Zusanli (ST36), et al. Finally, the three-edged fire needle punctured the points of Yangbai (GB41), Shangguan (GB3), Jiache (ST6) on the right face accompanied by the cupping method on the bleeding points. Results: The patient reported the complete disappearance of pain and could open mouth and eat normally. The face was normal and no triggering pain recurred after one-month follow-up. Conclusions: The fire needle combined with blood-letting therapy can cure the TN and might provide an alternative non-drug therapy for those patients who still suffered from TN after other medical treatments or whom that refused surgical treatment.

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