Objective:In order to obtain the best treatment program for Knee Osteoarthritis(KOA),to alleviate the pain of patients with KOA,and to systematically evaluate the efficacy of acupuncture cupping therapy for KOA.Method...Objective:In order to obtain the best treatment program for Knee Osteoarthritis(KOA),to alleviate the pain of patients with KOA,and to systematically evaluate the efficacy of acupuncture cupping therapy for KOA.Methods:we used computer to search the databases of CNKI(1989-2018.10),Wanfang(1989-2018.10),VIP(1989-2018.10),PubMed(1966-2018.10),EMbase(1986-2018.10)and Cochrane Library(the 3rd issue of 2018).And the literature quality was evaluated by Jadad scale.Results:A total of 19 eligible RCT studies were included,and a total of 2,088 patients participated in the eligible clinical study.Meta-analysis results showed that the total effective rate OR combination=2.85[OR=3.98,95%CI(2.98,5.32),P<0.00001].The results showed that the curative effect of acupuncture and collaterals cupping in the treatment of KOA was superior to other therapies.Conclusion:Acupuncture and cupping therapy of traditional Chinese medicine is effective and safe in treating KOA.Due to the impact of the original study on Meta-analysis results,more large samples and high-quality clinical trials are still needed to verify.展开更多
AIM:Irritable bowel syndrome (IBS) is a common disorder and many patients fail to find adequate relief from conventional therapies for their symptoms. This study tests the claim that acupuncture is effective for a maj...AIM:Irritable bowel syndrome (IBS) is a common disorder and many patients fail to find adequate relief from conventional therapies for their symptoms. This study tests the claim that acupuncture is effective for a majority of these patients. METHODS: A prospective, blinded, sham acupuncture-controlled trial of traditional Chinese acupuncture was performed at a single postgraduate teaching hospital in Europe. Sixty patients with well-established IBS were recruited. The blinded comparator was sham acupuncture administered by the second of two acupuncturists who alone was aware of the randomization, and who otherwise followed the prescription of the first. The primary end-point was a defined fall in the symptom score at 13 wk (by intention to treat). The prior expectation was a 30% placebo response, and a response rate of 70% from acupuncture, for which the study was adequately powered. RESULTS: Patients in treated and sham groups improved significantly during the study-mean improvement in scores being equal (minus 1.9) and significant for both (P<0.05; one-tailed t test). There was a small numeric but nonsignificant difference between the response rate in patients receiving acupuncture (40.7%) and sham treatment (31.2%). Several secondary end-points marginally favored active treatment, but an improved symptom score of any degree of magnitude occurred more often with sham therapy (65.6% vs 59.2%). For no criterion was statistical significance approached. CONCLUSION: Traditional Chinese acupuncture is relatively ineffective in IBS in the European hospital setting, and the magnitude of any effect appears insufficient to warrant investment in acupuncture services.展开更多
背景近年陆续出现了多项运动针法治疗急性非特异性腰痛(ANSLBP)的随机对照试验(RCTs),但尚缺乏新的关于运动针法治疗ANSLBP有效性和安全性的系统评价。目的通过Meta分析方法系统评价运动针法治疗ANSLBP的有效性和安全性。方法计算机检...背景近年陆续出现了多项运动针法治疗急性非特异性腰痛(ANSLBP)的随机对照试验(RCTs),但尚缺乏新的关于运动针法治疗ANSLBP有效性和安全性的系统评价。目的通过Meta分析方法系统评价运动针法治疗ANSLBP的有效性和安全性。方法计算机检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据知识服务平台(Wanfang Data)、维普网(VIP)、PubMed、the National Library of Medicine(MEDLINE)、Embase、the Cochrane Central Register of Controlled Trials(CENTRAL),筛选运动针法治疗ANSLBP有效性和安全性的RCTs、交叉研究、队列研究,检索时间为数据库建立至2021-03-25。采用Revman 5.3软件完成Meta分析。结果最终纳入的17篇文献研究类型均为RCTs,共涉及1226例患者,其中观察组610例,采用运动针法治疗;对照组616例,采用阳性对照或空白对照/安慰针/假针。Meta分析结果:(1)运动针法对照西药,观察组患者治疗后视觉模拟评分法(VAS)评分[MD=-1.54,95%CI(-2.43,-0.65),P=0.0007]、Roland-Morris腰椎功能障碍调查表(RMDQ)评分[MD=-3.08,95%CI(-4.92,-1.24),P=0.001]低于对照组,腰椎关节活动度(ROM)大于对照组[MD=-1.42,95%CI(-1.62,-1.22),P<0.00001],总有效率高于对照组[RR=1.27,95%CI(1.19,1.35),P<0.00001],但两组患者治疗后Oswestry功能障碍指数(ODI)评分比较,差异无统计学意义[MD=-5.11,95%CI(-19.12,8.91),P=0.48];(2)运动针法对照假针,观察组患者治疗后VAS评分[MD=-1.70,95%CI(-2.05,-1.35),P<0.00001]、RMDQ评分[MD=-3.06,95%CI(-4.50,-2.70),P<0.00001]低于对照组;(3)运动针法对照物理治疗,观察组患者治疗后VAS评分[MD=-1.60,95%CI(-2.06,-1.14),P<0.00001]、RMDQ评分[MD=-3.00,95%CI(-4.31,-1.69),P<0.00001]低于对照组;(4)运动针法对照推拿,观察组患者治疗后VAS评分低于对照组[MD=-1.50,95%CI(-1.65,-1.35),P<0.00001],总有效率高于对照组[RR=1.19,95%CI(1.09,1.30),P=0.0001]。1篇文献报道观察组患者治疗期间不良事件发生率为13.33%(4/30)。结论现有文献证据表明运动针法能有效减轻ANSLBP患者疼痛、腰椎功能障碍,提高患者腰椎ROM及总有效率,且安全性较高,但仍需更多大样本、高质量RCTs进一步证实。展开更多
Vulvar leukoplakia refers to the chronic disease of degeneration and hypopigmentation of the skin and mucous membrane of the vulva with unbearable itching in women, seriously affecting the quality of life. The main tr...Vulvar leukoplakia refers to the chronic disease of degeneration and hypopigmentation of the skin and mucous membrane of the vulva with unbearable itching in women, seriously affecting the quality of life. The main treatment of western medicine for vulvar leukoplakia is the external use of glucocorticoids or estrogen, resulting to the high recurrence rate and side effects. Traditional Chinese medicine (TCM) has the characteristics of the overall concept and dialectical treatment with a variety of ways. Literature review in recent years found that the treatment of TCM decoction combined with external therapies, such as external fumigation, acupuncture and other treatments, or the combination of TCM decoction and external western medicine hormone ointment, can obtain good effects in vulvar leukoplakia. During the clinical practice, we found that the use of TCM internally and externally combined with auricular acupuncture point bloodletting was highly effective with unique advantages in the treatment of vulvar leukoplakia, providing the ideas guidance for clinicians.展开更多
Cancer is one of the leading causes of death in most countries and regions,accounting for about ten million deaths each year worldwide.Despite the endeavors and achievements made in treating cancer during the past dec...Cancer is one of the leading causes of death in most countries and regions,accounting for about ten million deaths each year worldwide.Despite the endeavors and achievements made in treating cancer during the past decades,rapid resistance to the current clinically used targeted drugs or targeted chemotherapeutic agents continues to be a major problem in cancer therapies.Moreover,many cancer patients are suffering from tumor complications or cancer-related symptoms.Traditional medicine has been practiced for thousands of years and is also currently diffusely used worldwide as an alternative therapy for cancer.Areas of investigation of traditional medicine in cancer treatment,such as traditional formulas,chemical components derived from herbal medicines,and acupuncture,have received increasing attention,especially in recent years.Here,we included selected studies reported last year regarding traditional medicine for cancer treatment in an attempt to summarize the most relevant findings,providing a valuable reference for the future investigation of traditional medicine in the cancer field.展开更多
文摘Objective:In order to obtain the best treatment program for Knee Osteoarthritis(KOA),to alleviate the pain of patients with KOA,and to systematically evaluate the efficacy of acupuncture cupping therapy for KOA.Methods:we used computer to search the databases of CNKI(1989-2018.10),Wanfang(1989-2018.10),VIP(1989-2018.10),PubMed(1966-2018.10),EMbase(1986-2018.10)and Cochrane Library(the 3rd issue of 2018).And the literature quality was evaluated by Jadad scale.Results:A total of 19 eligible RCT studies were included,and a total of 2,088 patients participated in the eligible clinical study.Meta-analysis results showed that the total effective rate OR combination=2.85[OR=3.98,95%CI(2.98,5.32),P<0.00001].The results showed that the curative effect of acupuncture and collaterals cupping in the treatment of KOA was superior to other therapies.Conclusion:Acupuncture and cupping therapy of traditional Chinese medicine is effective and safe in treating KOA.Due to the impact of the original study on Meta-analysis results,more large samples and high-quality clinical trials are still needed to verify.
基金Supported by the a donation gratefully received from the T-R Golden Charitable Trust
文摘AIM:Irritable bowel syndrome (IBS) is a common disorder and many patients fail to find adequate relief from conventional therapies for their symptoms. This study tests the claim that acupuncture is effective for a majority of these patients. METHODS: A prospective, blinded, sham acupuncture-controlled trial of traditional Chinese acupuncture was performed at a single postgraduate teaching hospital in Europe. Sixty patients with well-established IBS were recruited. The blinded comparator was sham acupuncture administered by the second of two acupuncturists who alone was aware of the randomization, and who otherwise followed the prescription of the first. The primary end-point was a defined fall in the symptom score at 13 wk (by intention to treat). The prior expectation was a 30% placebo response, and a response rate of 70% from acupuncture, for which the study was adequately powered. RESULTS: Patients in treated and sham groups improved significantly during the study-mean improvement in scores being equal (minus 1.9) and significant for both (P<0.05; one-tailed t test). There was a small numeric but nonsignificant difference between the response rate in patients receiving acupuncture (40.7%) and sham treatment (31.2%). Several secondary end-points marginally favored active treatment, but an improved symptom score of any degree of magnitude occurred more often with sham therapy (65.6% vs 59.2%). For no criterion was statistical significance approached. CONCLUSION: Traditional Chinese acupuncture is relatively ineffective in IBS in the European hospital setting, and the magnitude of any effect appears insufficient to warrant investment in acupuncture services.
文摘背景近年陆续出现了多项运动针法治疗急性非特异性腰痛(ANSLBP)的随机对照试验(RCTs),但尚缺乏新的关于运动针法治疗ANSLBP有效性和安全性的系统评价。目的通过Meta分析方法系统评价运动针法治疗ANSLBP的有效性和安全性。方法计算机检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据知识服务平台(Wanfang Data)、维普网(VIP)、PubMed、the National Library of Medicine(MEDLINE)、Embase、the Cochrane Central Register of Controlled Trials(CENTRAL),筛选运动针法治疗ANSLBP有效性和安全性的RCTs、交叉研究、队列研究,检索时间为数据库建立至2021-03-25。采用Revman 5.3软件完成Meta分析。结果最终纳入的17篇文献研究类型均为RCTs,共涉及1226例患者,其中观察组610例,采用运动针法治疗;对照组616例,采用阳性对照或空白对照/安慰针/假针。Meta分析结果:(1)运动针法对照西药,观察组患者治疗后视觉模拟评分法(VAS)评分[MD=-1.54,95%CI(-2.43,-0.65),P=0.0007]、Roland-Morris腰椎功能障碍调查表(RMDQ)评分[MD=-3.08,95%CI(-4.92,-1.24),P=0.001]低于对照组,腰椎关节活动度(ROM)大于对照组[MD=-1.42,95%CI(-1.62,-1.22),P<0.00001],总有效率高于对照组[RR=1.27,95%CI(1.19,1.35),P<0.00001],但两组患者治疗后Oswestry功能障碍指数(ODI)评分比较,差异无统计学意义[MD=-5.11,95%CI(-19.12,8.91),P=0.48];(2)运动针法对照假针,观察组患者治疗后VAS评分[MD=-1.70,95%CI(-2.05,-1.35),P<0.00001]、RMDQ评分[MD=-3.06,95%CI(-4.50,-2.70),P<0.00001]低于对照组;(3)运动针法对照物理治疗,观察组患者治疗后VAS评分[MD=-1.60,95%CI(-2.06,-1.14),P<0.00001]、RMDQ评分[MD=-3.00,95%CI(-4.31,-1.69),P<0.00001]低于对照组;(4)运动针法对照推拿,观察组患者治疗后VAS评分低于对照组[MD=-1.50,95%CI(-1.65,-1.35),P<0.00001],总有效率高于对照组[RR=1.19,95%CI(1.09,1.30),P=0.0001]。1篇文献报道观察组患者治疗期间不良事件发生率为13.33%(4/30)。结论现有文献证据表明运动针法能有效减轻ANSLBP患者疼痛、腰椎功能障碍,提高患者腰椎ROM及总有效率,且安全性较高,但仍需更多大样本、高质量RCTs进一步证实。
文摘Vulvar leukoplakia refers to the chronic disease of degeneration and hypopigmentation of the skin and mucous membrane of the vulva with unbearable itching in women, seriously affecting the quality of life. The main treatment of western medicine for vulvar leukoplakia is the external use of glucocorticoids or estrogen, resulting to the high recurrence rate and side effects. Traditional Chinese medicine (TCM) has the characteristics of the overall concept and dialectical treatment with a variety of ways. Literature review in recent years found that the treatment of TCM decoction combined with external therapies, such as external fumigation, acupuncture and other treatments, or the combination of TCM decoction and external western medicine hormone ointment, can obtain good effects in vulvar leukoplakia. During the clinical practice, we found that the use of TCM internally and externally combined with auricular acupuncture point bloodletting was highly effective with unique advantages in the treatment of vulvar leukoplakia, providing the ideas guidance for clinicians.
基金We extend a sincere apology to those whose work was not discussed or cited in this review due to space limitations.Fu-Wen Yuan was supported by the National Natural Science Foundation of China(No.82202922)the Topnotch Personnel Program from Shanghai University of Traditional Chinese Medicine。
文摘Cancer is one of the leading causes of death in most countries and regions,accounting for about ten million deaths each year worldwide.Despite the endeavors and achievements made in treating cancer during the past decades,rapid resistance to the current clinically used targeted drugs or targeted chemotherapeutic agents continues to be a major problem in cancer therapies.Moreover,many cancer patients are suffering from tumor complications or cancer-related symptoms.Traditional medicine has been practiced for thousands of years and is also currently diffusely used worldwide as an alternative therapy for cancer.Areas of investigation of traditional medicine in cancer treatment,such as traditional formulas,chemical components derived from herbal medicines,and acupuncture,have received increasing attention,especially in recent years.Here,we included selected studies reported last year regarding traditional medicine for cancer treatment in an attempt to summarize the most relevant findings,providing a valuable reference for the future investigation of traditional medicine in the cancer field.
