Objective To compare the clinical efficacy between electroacupuncture combined with heat-sensitive moxibustion and western medicine for treatment of premature ovarian failure. Methods Eighty patients were randomly div...Objective To compare the clinical efficacy between electroacupuncture combined with heat-sensitive moxibustion and western medicine for treatment of premature ovarian failure. Methods Eighty patients were randomly divided into an electroacupuncture combined with heat-sensitive moxibustion group（group A, n=40） and a western medicine group（group B, n=40）. Zǐgōng（子宫 EX-CA 1）, Xuèhǎi（血海 SP 10）, Gānshū（肝俞 BL 18） and Shènshū（肾俞 BL 23） were selected in group A, and acupuncture combined with heat-sensitive moxibustion were carried out. Climen was taken orally in group B. The score changes of menstrual cycle, tidal fever and sweatiness, emotional excitement, soreness and weakness of waist and knees, dizziness and tinnitus, as well as the cured and markedly effective rate of the patients in the two groups before and after two courses of treatment were compared. Results The cured and markedly effective rate of group A was 72.5%（29/40）, which was superior to that of group B（37.5%, 15/40）（ P〈0.05）. The symptom scores were improved significantly in the two groups after treatment（all P〈0.05）, and the improvement in group A was superior to that in group B（all P〈0.05）. Conclusion The efficacy of electroacupuncture combined with heat-sensitive moxibustion is superior to that of conventional western medicine in treatment of premature ovarian failure.展开更多
Moxibustion is an important component part of Traditional Chinese Medicine(TCM).Among different kinds of moxibustion methods,thermal stimulation seems to be a pivotal impact factor to the theraputic efficacy.Based on ...Moxibustion is an important component part of Traditional Chinese Medicine(TCM).Among different kinds of moxibustion methods,thermal stimulation seems to be a pivotal impact factor to the theraputic efficacy.Based on its thermal characteristic and treated area-skin,we hypothesize that the thermosensitive TRPV channels may involve in the mechanism of moxibustion.This study,by referring to various experimental and clinical data,analyzes the properties and features of transient receptor potential vanilloid(TRPV)subfamily 1-4 and the impact of moxibustion on these channels.The factors impacting the efficacy of moxibustion treatment were analyzed on three levels:the independent ba-sic factors of moxibustion(temperature,space and time);moxibustion intensity(a compound factor achieved through comprehensive control of the three individual basic factors mentioned above);and moxibustion quantity(the amount of temperature stimulation applied within a certain unit of time,including the total amount of moxibustion treatment).The results from present study show that the effect of moxibustion therapy appears to be determined by the activation of TRPV1-4,mainly TRPV1 and TRPV2.Temperature(the degree of heat stimulation),time and area(how long the treatment lasts and how many TRPV1-4 channels are activated)affect the intensity of moxibustion treatment to form effective moxibustion quantity;this should be considered in clinical moxibustion application.展开更多
基金Supported by Nanchang Municipal Guiding Science and Technology Planning Project:H.K.Z.[2016]No.96,item 19
文摘Objective To compare the clinical efficacy between electroacupuncture combined with heat-sensitive moxibustion and western medicine for treatment of premature ovarian failure. Methods Eighty patients were randomly divided into an electroacupuncture combined with heat-sensitive moxibustion group（group A, n=40） and a western medicine group（group B, n=40）. Zǐgōng（子宫 EX-CA 1）, Xuèhǎi（血海 SP 10）, Gānshū（肝俞 BL 18） and Shènshū（肾俞 BL 23） were selected in group A, and acupuncture combined with heat-sensitive moxibustion were carried out. Climen was taken orally in group B. The score changes of menstrual cycle, tidal fever and sweatiness, emotional excitement, soreness and weakness of waist and knees, dizziness and tinnitus, as well as the cured and markedly effective rate of the patients in the two groups before and after two courses of treatment were compared. Results The cured and markedly effective rate of group A was 72.5%（29/40）, which was superior to that of group B（37.5%, 15/40）（ P〈0.05）. The symptom scores were improved significantly in the two groups after treatment（all P〈0.05）, and the improvement in group A was superior to that in group B（all P〈0.05）. Conclusion The efficacy of electroacupuncture combined with heat-sensitive moxibustion is superior to that of conventional western medicine in treatment of premature ovarian failure.
基金Supported by the National Key Basic Research Program 973(Dual Effects of Acupuncture on Functional Intestinal Disease and its Relationship with Autonomic Nervous Function,No.2011CB505206)the 2013 Jiangsu Province Education Department of Natural Science Research into major projects(Research into the Role of TRPV1 in the Anti-inflammatory and Analgesic Effects of Moxibustion Treatment,No.13KJA360001)+1 种基金the Academic Propagation Project on Scientific and Technical Innovation Teamthe Nanjing University of Chinese Medicine 2013 Scientific and Technical Innovation Team Project
文摘Moxibustion is an important component part of Traditional Chinese Medicine(TCM).Among different kinds of moxibustion methods,thermal stimulation seems to be a pivotal impact factor to the theraputic efficacy.Based on its thermal characteristic and treated area-skin,we hypothesize that the thermosensitive TRPV channels may involve in the mechanism of moxibustion.This study,by referring to various experimental and clinical data,analyzes the properties and features of transient receptor potential vanilloid(TRPV)subfamily 1-4 and the impact of moxibustion on these channels.The factors impacting the efficacy of moxibustion treatment were analyzed on three levels:the independent ba-sic factors of moxibustion(temperature,space and time);moxibustion intensity(a compound factor achieved through comprehensive control of the three individual basic factors mentioned above);and moxibustion quantity(the amount of temperature stimulation applied within a certain unit of time,including the total amount of moxibustion treatment).The results from present study show that the effect of moxibustion therapy appears to be determined by the activation of TRPV1-4,mainly TRPV1 and TRPV2.Temperature(the degree of heat stimulation),time and area(how long the treatment lasts and how many TRPV1-4 channels are activated)affect the intensity of moxibustion treatment to form effective moxibustion quantity;this should be considered in clinical moxibustion application.
