OBJECTIVE:To assess the efficacy and safety of heat-sensitive moxibustion in the treatment of lumbar disc herniation(LDH).METHODS:Randomized controlled trials(RCTs) involving heat-sensitive moxibustion in the treatmen...OBJECTIVE:To assess the efficacy and safety of heat-sensitive moxibustion in the treatment of lumbar disc herniation(LDH).METHODS:Randomized controlled trials(RCTs) involving heat-sensitive moxibustion in the treatment of LDH were retrieved from the Chinese Biological Medical Literature database(1978-20011),Weipu database(1989-2011),Wanfang digital journal(1998-2011),China National Knowledge Internet(1979-2011),PubMed(1966-2011),EMBASE(1980-2011),and Cochrane Library(Issue 1,2011).Hand-search of the relevant journals from the Library of Jiangxi University of Traditional Chinese Medicine was also adopted for the collection of data.Data were extracted and evaluated by two reviewers independently with a specially designed extraction form.The Cochrane Collaboration's RevMan 5.0.20 software was used for data analyses.RESULTS:A total of 6 trials involving 580 patients were included.Meta-analysis showed that the total effectiveness rate in the heat-sensitive moxibustion group was significantly different when compared with conventional moxibustion [RR=1.19,95% CI [1.06,1.33)] and diclofenac sodium [RR=1.47,95% CI [1.17,1.85)],but similar to that of acupuncture.The cure rate in the heat-sensitive moxibustion group was significantly different when compared with conventional moxibustion [RR=1.58,95% CI(1.04,2.40)] and diclofenac sodium [RR=1.91,95% CI(1.01,3.60)],but similar with that of acupuncture.In terms of the Japanese Orthopaedic Association scores,significant differences were noted in subjective indices,objective indices,and daily life subscales.Two trials reported that there were no adverse events over the duration of treatment.CONCLUSION:Compared with conventional moxibustion,acupuncture,and diclofenac sodium,heat-sensitive moxibustion in the treatment of LDH is superior in efficacy.Further large-scale trials are required to define the role of heat-sensitive moxibustion in the treatment of this disease.展开更多
In the traditional Chinese Medicine(TCM), the timing of performing the treatment during the year is always an important factor for maximizing its effectiveness. Based on over half a century of observational and reanal...In the traditional Chinese Medicine(TCM), the timing of performing the treatment during the year is always an important factor for maximizing its effectiveness. Based on over half a century of observational and reanalysis data, a modified calendric system, named the Twenty-four Medical Terms(24-MTs), has been established for China's Mainland following a systematic calibration and geographical adjustment of the classic Twenty-four Solar Terms(24-STs). In view of "adapting the human body to the changing universe", a core philosophy of the TCM, this improved medical calendar is expected to make a significant contribution to the development of precise Chinese Medicine in the big data era. Specifically, two maps of localized timings for the so-called Triple-Fu(TF) and Triple-Jiu(TF) defined using a joint heat index of air temperature and relative humidity are created as an alternative to the two nationwide unified timings representing the warmest and coldest periods of the year. These location-specific medical calendars, with a maximum regional time shift of one week for TJ and a systematic advancing of 3.6–28.2 days for TF in China's Mainland, are thought to be clinically useful for carrying out precise TCM such as"treating winter deceases in summer". In addition, similar maps of localized timings for peak spring and peak autumn defined as the days of fastest warming and cooling around the years are generated for China's Mainland, so as to provide a helpful guidance for practicing season(ST/MT) related and geographically dependent precise health care in the context of "born in spring, grow in summer, harvest in autumn, and preserve in winter", which is a key ideology in the TCM.展开更多
基金Supported by the National "11th 5-year Plan" (2006BAI12B04-2)National Plan on Developing Key Basic Researches("973" Plan)(2009CB522902)+1 种基金State Natural Science Fund(30760320)a project of Key Sci-tech Support Plan in Jiangxi Province
文摘OBJECTIVE:To assess the efficacy and safety of heat-sensitive moxibustion in the treatment of lumbar disc herniation(LDH).METHODS:Randomized controlled trials(RCTs) involving heat-sensitive moxibustion in the treatment of LDH were retrieved from the Chinese Biological Medical Literature database(1978-20011),Weipu database(1989-2011),Wanfang digital journal(1998-2011),China National Knowledge Internet(1979-2011),PubMed(1966-2011),EMBASE(1980-2011),and Cochrane Library(Issue 1,2011).Hand-search of the relevant journals from the Library of Jiangxi University of Traditional Chinese Medicine was also adopted for the collection of data.Data were extracted and evaluated by two reviewers independently with a specially designed extraction form.The Cochrane Collaboration's RevMan 5.0.20 software was used for data analyses.RESULTS:A total of 6 trials involving 580 patients were included.Meta-analysis showed that the total effectiveness rate in the heat-sensitive moxibustion group was significantly different when compared with conventional moxibustion [RR=1.19,95% CI [1.06,1.33)] and diclofenac sodium [RR=1.47,95% CI [1.17,1.85)],but similar to that of acupuncture.The cure rate in the heat-sensitive moxibustion group was significantly different when compared with conventional moxibustion [RR=1.58,95% CI(1.04,2.40)] and diclofenac sodium [RR=1.91,95% CI(1.01,3.60)],but similar with that of acupuncture.In terms of the Japanese Orthopaedic Association scores,significant differences were noted in subjective indices,objective indices,and daily life subscales.Two trials reported that there were no adverse events over the duration of treatment.CONCLUSION:Compared with conventional moxibustion,acupuncture,and diclofenac sodium,heat-sensitive moxibustion in the treatment of LDH is superior in efficacy.Further large-scale trials are required to define the role of heat-sensitive moxibustion in the treatment of this disease.
基金supported by the National Natural Science Foundation of China(Grant No.61361136001)
文摘In the traditional Chinese Medicine(TCM), the timing of performing the treatment during the year is always an important factor for maximizing its effectiveness. Based on over half a century of observational and reanalysis data, a modified calendric system, named the Twenty-four Medical Terms(24-MTs), has been established for China's Mainland following a systematic calibration and geographical adjustment of the classic Twenty-four Solar Terms(24-STs). In view of "adapting the human body to the changing universe", a core philosophy of the TCM, this improved medical calendar is expected to make a significant contribution to the development of precise Chinese Medicine in the big data era. Specifically, two maps of localized timings for the so-called Triple-Fu(TF) and Triple-Jiu(TF) defined using a joint heat index of air temperature and relative humidity are created as an alternative to the two nationwide unified timings representing the warmest and coldest periods of the year. These location-specific medical calendars, with a maximum regional time shift of one week for TJ and a systematic advancing of 3.6–28.2 days for TF in China's Mainland, are thought to be clinically useful for carrying out precise TCM such as"treating winter deceases in summer". In addition, similar maps of localized timings for peak spring and peak autumn defined as the days of fastest warming and cooling around the years are generated for China's Mainland, so as to provide a helpful guidance for practicing season(ST/MT) related and geographically dependent precise health care in the context of "born in spring, grow in summer, harvest in autumn, and preserve in winter", which is a key ideology in the TCM.
