Systematic review of the therapeutic effect of fire acupuncture on psoriasis vulgaris based on"releasing stagnated fire"theory

Background:To systematically evaluate the clinical efficacy of fire acupuncture(or needle)in the treatment of psoriasis vulgaris.Methods:The following electronic databases were retrieved by calculator:PubMed,Embase,Cochrane Library,CNKI,Wanfang Academic Journal Database,VIP Chinese Journal Database,etc.All the randomized controlled trials using fire needles in the treatment of psoriasis vulgaris from the self-established database to August 2021 were included,and the qualified literatures were included.Review manager 5.3 software was used for the combined analysis of the included literatures,TSA v0.9 Beta for sequential analysis,and GRADE pro V3.6 for evidence quality evaluation.Results:A total of 14 studies with 1,440 patients were included in this study.Meta analysis results showed:effective rate[RR=1.15,95%CI(1.10,1.19),P<0.00001,very low quality evidence];Psoriasis Area and Severity Index[PASI score,WMD=-2.15,95%CI(-2.40,-1.90),P<0.00001,evidence of low quality],Dermatology Life Quality Index scale[DLQI score,WMD=-3.56,95%CI(-4.86,-2.26),P<0.00001,very low quality evidence],the experimental group was better than the control group(P<0.05).Sequential analysis further showed that the use of fire needle as the primary treatment could significantly reduce PASI score.The adverse reactions rate of the experimental group was 6%,and that of the control group was 11%,P<0.05.Conclusion:Fire acupuncture as the main treatment can reduce PASI and QLDI scores of patients with psoriasis vulgaris,improve the treatment efficiency,and fewer adverse reactions.

Therapeutic effect of plaque psoriasis by fire acupuncture based on theory of midnight-noon ebb-flow

Objective:To observe the clinical efficacy,immune inflammatory factors and hemorheology of patients with plaque psoriasis by using fire acupuncture combined with the theory of midnight-noon ebb-flow.Methods:Sixty-two patients with plaque psoriasis who met the diagnosis and inclusion criteria were randomly divided into control group and fire acupuncture with midnight-noon ebb-flow,with 31 cases in each group.The control group was treated with carpotriol ointment for external use,while the fire acupuncture group was treated with fire acupuncture with midnight-noon ebb-flow on the basis of the former and selected points by the opening method through midnight-noon ebb-flow theory.The patients in both groups were treated for 8 weeks and followed up for 4 weeks.The levels of PASI,DLQI,PSQI,HAMA,hs-CRP,TNF-αand hemorheology indexes in 2 groups before and after treatment were observed,including the comparison of whole blood viscosity,plasma viscosity and hematocrit.Results:PASI,DLQI,PSQI,HAMA,hs-CRP,TNF-α,blood viscosity and hematocrit levels were significantly improved after treatment(P<0.05,P<0.01),and the group in fire acupuncture with midnight-noon ebb-flow was significantly better than control group after treatment(P<0.01).Conclusion:fire acupuncture with midnight-noon ebb-flow can improve the sleep quality of patients with psoriasis,relieve anxiety and effectively improve the blood cell rheology and microcirculation,alleviate clinical symptoms and improve the quality of life.

Similarities and differences between kaiy in Persian medicine and moxibustion in Chinese medicine

Kaiy(medieval cautery)is an ancient method of heat therapy in traditional Persian medicine(TPM).Some of its important applications have been neglected during the medical revolution.Meanwhile,different treatment modalities that incorporate heat,including moxibustion,have progressed in traditional Chinese medicine.In this study,we reviewed the main TPM textbooks that were written specifically in the field of kaiy.We considered the traditional teachings in the context of contemporary information,gathered from the scientific literature about moxibustion and modern cauterization.Some surgical therapeutic indications of kaiy(e.g.,debridement and coagulative procedures)have been advanced by the innovation of electro-cauterization.However,those therapeutic applications that were based on the TPM humoral theory for relieving body coldness or myofascial pains—which are similar to moxibustion usages—have not received the same attention.Apart from the broad similarities of kaiy and moxibustion as thermal therapies with similar indications,there is a striking correspondence between kaiy point mapping and acupoints.Therefore,further research on different kaiy aspects is recommended.