The purpose of this work was to assess the evidence for effectiveness of acupuncture （AC） treatment in gastrointestinal diseases. A systematic review of the Medline-cited literature for clinical trials was performed...The purpose of this work was to assess the evidence for effectiveness of acupuncture （AC） treatment in gastrointestinal diseases. A systematic review of the Medline-cited literature for clinical trials was performed up to May 2006. Controlled trials assessing acupuncture point stimulation for patients with gastrointestinal diseases were considered for inclusion. The search identified 18 relevant trials meeting the inclusion criteria. Two irritable bowel syndrome （IBS） trials, 1 Crohn＇s disease and 1 colitis ulcerosa trial had a robust random controlled trial （RCT） design. In regard to other gastrointestinal disorders, study quality was poor. In all trials, quality of life （QoL） improved significantly independently from the kind of acupuncture, real or sham. Real AC was significantly superior to sham acupuncture with regard to disease activity scores in the Crohn and Colitis trials. Efficacy of acupuncture related to QoL in IBS may be explained by unspecific effects. This is the same for QoL in inflammatory bowel diseases （IBD）, whereas specific acupuncture effects may be found in clinical scores. Further trials for IBDs and in particular for all other gastrointestinal disorders would be necessary to evaluate the efficacy of acupuncture treatment. However, it must be discussed on what terms patients benefit when this harmless and obviously powerful therapy with regard to QoL is demystified by further placebo controlled trials.展开更多
Objective:To observe the time-effect relationship of moxibustion for primary dysmenorrhea(PD)due to stagnation and congelation of cold-damp,thus explore the optimal choice of moxibustion duration,and provide evidence ...Objective:To observe the time-effect relationship of moxibustion for primary dysmenorrhea(PD)due to stagnation and congelation of cold-damp,thus explore the optimal choice of moxibustion duration,and provide evidence for achieving satisfactory efficacy in moxibustion treatment.Methods:A total of 90 patients with PD due to stagnatin and congelation of cold-damp were divided into three groups by the random number table method,with 30 cases in each group.All the patients in the three groups were given moxibustion treatment at Guanyuan(CV 4),20 min in group A,40 min in group B and 60 min in group C.The changes in the pain measurement score in the three groups were observed after treatment.Results:After treatment,there were significant differences in the clinical efficacy among the three groups(P<0.05);the clinical efficacy was better in group B and group C than that in group A(P<0.05),and that in group B was better than that in group C(P<0.05).Besides,the pain measurement score changed significantly after treatment in the three groups(all P<0.05),and the between-group differences were also statistically significant(P<0.05);the pain measurement scores in group B and group C were lower than that in group A(P<0.05),and that in group B was lower than that in group C(P<0.05).Conclusion:Given the same stimulating frequency and intervention time of moxibustion,40-minute duration demonstrates relatively better efficacy for PD due to stagnation and congelation of cold-damp.展开更多
Objective： To summarize the timing-efficacy relationship and the dosage–efficacy relationship of acupuncture in stroke treatment. Method： Literature research was conducted for quantitative clinical studies of acupu...Objective： To summarize the timing-efficacy relationship and the dosage–efficacy relationship of acupuncture in stroke treatment. Method： Literature research was conducted for quantitative clinical studies of acupuncture in stroke treatment, with the entry point on the timing factor and dosage factor. A hierarchical analysis was performed on observing the time–efficacy relationship and the dosage–efficacy relationship before, during and after acupuncture. Results： Though the retrieved studies differ especially in such timing factors as needle retaining time, acupuncture interval and course, they share an agreement in the acupuncture intervention time point, acupuncture timing, specificity of acupoints and acupuncture manipulation. Conclusion： The optimal stimulation is the core of the research on the timing-efficacy relationship and the dosage–efficacy relationship of acupuncture and also the key to the clinical efficacy.展开更多
Objective： To observe the specificity of reinforcing and reducing methods of mild moxibustion and explore its clinical significance. Methods： Thirty healthy students were selected and given reinforcing of mild moxi...Objective： To observe the specificity of reinforcing and reducing methods of mild moxibustion and explore its clinical significance. Methods： Thirty healthy students were selected and given reinforcing of mild moxibustion on the left Neiguan （PC 6） and reducing on the right Neiguan （PC 6） respectively. Temperature of the acupoint skin surface and the temperature-time curve were recorded by a digital thermometer. Results： In application of mild moxibustion on Neiguan （PC 6）, there was a statistical difference in the temperature-increase section between reinforcing and reducing methods （P〈0.01）. The temperature-increasing section of the temperature-time curve in the reducing method was obviously steeper than that in the reinforcing method. In the period of 0.5-3 min during moxibustion, the temperature of Neiguan （PC 6） was remarkably higher in the reducing than in the reinforcing （P〈0.01）. In the application of the reducing, the time for the temperature of Neiguan （PC 6） to increase to 40~C was remarkably advanced （P〈0.05） and the rate of burning pain in the subjects was remarkably higher in the reducing method than in the reinforcing method （P〈0.001）. Conclusion： In comparison with the reinforcing method, the acupoint temperature increased more quickly in the application of reducing method and can produce obvious hot stimulation in a short period of time. In the application of the reinforcing method, the acupoint temperature increased mildly and could enhance the tolerance of the organism to the high temperature.展开更多
To compare the acupuncture plus oral administration of Chinese herbal decoction with simple oral administration of Chinese herbal decoction in the treatment of vascular headache. Methods： Sixty two patients were rand...To compare the acupuncture plus oral administration of Chinese herbal decoction with simple oral administration of Chinese herbal decoction in the treatment of vascular headache. Methods： Sixty two patients were randomly divided into a treatment group （32 cases） and a control group （30 cases）. Acupuncture at Baihui （GV 20）, Fengchi （GB 20）, Shuaigu （GB 8）, Xingjian （LR 2）, Neiguan （PC 6）, Sanyinjiao （SP 6） and Ashi points combined with oral administration of Chinese herbal decoction, was applied in the treatment group, and simple oral administration of Chinese herbal decoction was applied in the control group. Results： The total therapeutic effect in the treatment group was better than that in the control group （P〈0.05）. After treatment, the frequency, and duration of the attacks were reduced and shortened, and headache greatly alleviated in both groups （P〈0.01）. The alleviation in the treatment group was more obvious than that in the control group （P〈0.05）. Conclusion： Acupuncture combined with oral administration of Chinese herbal decoction provided remarkable therapeutic effects in treating vascular headache.展开更多
Objective:To summarize the influence patterns of related time factors on acupuncture effectiveness in different disease model rats/mice,and to provide reference for acupuncture clinical practice.Methods:Retrieved the ...Objective:To summarize the influence patterns of related time factors on acupuncture effectiveness in different disease model rats/mice,and to provide reference for acupuncture clinical practice.Methods:Retrieved the relevant literatures on time-effect experimental studies of acupuncture in rats/mice in the recent 10 years.The correlations between the key time factors(such as different intervention timings of acupuncture,acupuncture moments,operation durations,needle-retaining times,intervals and treatment courses)and the acupuncture effect were analyzed and summarized.Results:From the mainstream perspective of quantification,the earlier the acupuncture intervention,the better.The proper time to implement acupuncture varied depending on disease models and points.The best operation time varied widely between different diseases.The most frequently needle-retaining time was 20-30 min.The frequency of acupuncture was usually 1 time/day;the length of the treatment course was determined according to practitioners'experience.Conclusion:Throughout the time-effect studies of acupuncture intervention in experimental rats/mice,conclusions are inconsistent,especially the lack of quantitative research on acupuncture operation time,acupuncture frequency,acupuncture treatment duration,and optimal stimulation amount.Future research should explore and determine the best time-quantity parameters that affect the effectiveness of acupuncture intervention,which is the key and goal of the acupuncture time-effect research.Independent intervention-time experiments throughout the entire course of a single disease(dominant disease)need to be done to guide clinical and disciplinary development.展开更多
文摘The purpose of this work was to assess the evidence for effectiveness of acupuncture （AC） treatment in gastrointestinal diseases. A systematic review of the Medline-cited literature for clinical trials was performed up to May 2006. Controlled trials assessing acupuncture point stimulation for patients with gastrointestinal diseases were considered for inclusion. The search identified 18 relevant trials meeting the inclusion criteria. Two irritable bowel syndrome （IBS） trials, 1 Crohn＇s disease and 1 colitis ulcerosa trial had a robust random controlled trial （RCT） design. In regard to other gastrointestinal disorders, study quality was poor. In all trials, quality of life （QoL） improved significantly independently from the kind of acupuncture, real or sham. Real AC was significantly superior to sham acupuncture with regard to disease activity scores in the Crohn and Colitis trials. Efficacy of acupuncture related to QoL in IBS may be explained by unspecific effects. This is the same for QoL in inflammatory bowel diseases （IBD）, whereas specific acupuncture effects may be found in clinical scores. Further trials for IBDs and in particular for all other gastrointestinal disorders would be necessary to evaluate the efficacy of acupuncture treatment. However, it must be discussed on what terms patients benefit when this harmless and obviously powerful therapy with regard to QoL is demystified by further placebo controlled trials.
文摘Objective:To observe the time-effect relationship of moxibustion for primary dysmenorrhea(PD)due to stagnation and congelation of cold-damp,thus explore the optimal choice of moxibustion duration,and provide evidence for achieving satisfactory efficacy in moxibustion treatment.Methods:A total of 90 patients with PD due to stagnatin and congelation of cold-damp were divided into three groups by the random number table method,with 30 cases in each group.All the patients in the three groups were given moxibustion treatment at Guanyuan(CV 4),20 min in group A,40 min in group B and 60 min in group C.The changes in the pain measurement score in the three groups were observed after treatment.Results:After treatment,there were significant differences in the clinical efficacy among the three groups(P<0.05);the clinical efficacy was better in group B and group C than that in group A(P<0.05),and that in group B was better than that in group C(P<0.05).Besides,the pain measurement score changed significantly after treatment in the three groups(all P<0.05),and the between-group differences were also statistically significant(P<0.05);the pain measurement scores in group B and group C were lower than that in group A(P<0.05),and that in group B was lower than that in group C(P<0.05).Conclusion:Given the same stimulating frequency and intervention time of moxibustion,40-minute duration demonstrates relatively better efficacy for PD due to stagnation and congelation of cold-damp.
基金Supported by Shi Xuemin TCM Master Inheritance Center~~
文摘Objective： To summarize the timing-efficacy relationship and the dosage–efficacy relationship of acupuncture in stroke treatment. Method： Literature research was conducted for quantitative clinical studies of acupuncture in stroke treatment, with the entry point on the timing factor and dosage factor. A hierarchical analysis was performed on observing the time–efficacy relationship and the dosage–efficacy relationship before, during and after acupuncture. Results： Though the retrieved studies differ especially in such timing factors as needle retaining time, acupuncture interval and course, they share an agreement in the acupuncture intervention time point, acupuncture timing, specificity of acupoints and acupuncture manipulation. Conclusion： The optimal stimulation is the core of the research on the timing-efficacy relationship and the dosage–efficacy relationship of acupuncture and also the key to the clinical efficacy.
基金supported by National Basic Research Program of China(973 Program,2009CB522901)National Natural Science Foundation of China(81202648)+2 种基金Project of Shanghai Science and Technology Committee(11DZ1973300,11ZR1436700)Innovation Project of Shanghai Municipal Education Commission(11YZ68)Leading Academic Discipline Project of the State Administration of Traditional Chinese Medicine
文摘Objective： To observe the specificity of reinforcing and reducing methods of mild moxibustion and explore its clinical significance. Methods： Thirty healthy students were selected and given reinforcing of mild moxibustion on the left Neiguan （PC 6） and reducing on the right Neiguan （PC 6） respectively. Temperature of the acupoint skin surface and the temperature-time curve were recorded by a digital thermometer. Results： In application of mild moxibustion on Neiguan （PC 6）, there was a statistical difference in the temperature-increase section between reinforcing and reducing methods （P〈0.01）. The temperature-increasing section of the temperature-time curve in the reducing method was obviously steeper than that in the reinforcing method. In the period of 0.5-3 min during moxibustion, the temperature of Neiguan （PC 6） was remarkably higher in the reducing than in the reinforcing （P〈0.01）. In the application of the reducing, the time for the temperature of Neiguan （PC 6） to increase to 40~C was remarkably advanced （P〈0.05） and the rate of burning pain in the subjects was remarkably higher in the reducing method than in the reinforcing method （P〈0.001）. Conclusion： In comparison with the reinforcing method, the acupoint temperature increased more quickly in the application of reducing method and can produce obvious hot stimulation in a short period of time. In the application of the reinforcing method, the acupoint temperature increased mildly and could enhance the tolerance of the organism to the high temperature.
文摘To compare the acupuncture plus oral administration of Chinese herbal decoction with simple oral administration of Chinese herbal decoction in the treatment of vascular headache. Methods： Sixty two patients were randomly divided into a treatment group （32 cases） and a control group （30 cases）. Acupuncture at Baihui （GV 20）, Fengchi （GB 20）, Shuaigu （GB 8）, Xingjian （LR 2）, Neiguan （PC 6）, Sanyinjiao （SP 6） and Ashi points combined with oral administration of Chinese herbal decoction, was applied in the treatment group, and simple oral administration of Chinese herbal decoction was applied in the control group. Results： The total therapeutic effect in the treatment group was better than that in the control group （P〈0.05）. After treatment, the frequency, and duration of the attacks were reduced and shortened, and headache greatly alleviated in both groups （P〈0.01）. The alleviation in the treatment group was more obvious than that in the control group （P〈0.05）. Conclusion： Acupuncture combined with oral administration of Chinese herbal decoction provided remarkable therapeutic effects in treating vascular headache.
文摘Objective:To summarize the influence patterns of related time factors on acupuncture effectiveness in different disease model rats/mice,and to provide reference for acupuncture clinical practice.Methods:Retrieved the relevant literatures on time-effect experimental studies of acupuncture in rats/mice in the recent 10 years.The correlations between the key time factors(such as different intervention timings of acupuncture,acupuncture moments,operation durations,needle-retaining times,intervals and treatment courses)and the acupuncture effect were analyzed and summarized.Results:From the mainstream perspective of quantification,the earlier the acupuncture intervention,the better.The proper time to implement acupuncture varied depending on disease models and points.The best operation time varied widely between different diseases.The most frequently needle-retaining time was 20-30 min.The frequency of acupuncture was usually 1 time/day;the length of the treatment course was determined according to practitioners'experience.Conclusion:Throughout the time-effect studies of acupuncture intervention in experimental rats/mice,conclusions are inconsistent,especially the lack of quantitative research on acupuncture operation time,acupuncture frequency,acupuncture treatment duration,and optimal stimulation amount.Future research should explore and determine the best time-quantity parameters that affect the effectiveness of acupuncture intervention,which is the key and goal of the acupuncture time-effect research.Independent intervention-time experiments throughout the entire course of a single disease(dominant disease)need to be done to guide clinical and disciplinary development.
