Fumigation Therapy Research Articles

Literary review on Dhoopana Karma quoted in various ayurvedic classics for the management of pain and inflammation

ABSTRACT Dhoopana Karma (fumigation therapy) is mentioned in various scriptures of Ayurveda as Rakshoghna Karma (protective action) to prevent and cure diseases. It is less practiced for pain management in Ayurveda, whereas it is widely practiced in the Chinese Medicine System. Dhoopana Karma can be used effectively when there is involvement of Kapha Dosha along with Vata Dosha, where Kleda (discharge) is more. But in Ayurvedic classics, we get very few references regarding Dhoopana Karma as Chikitsa for Shoola (pain). Sukshma Srotogamitva (subtle channel penetration) of Dhoopana Dravya (fumigating substance) is due to Akasha, Vayu, and Agni Mahabhoota. Hence, they possess properties like Kledaghna (reduces discharge), Shoolaghna (pain-alleviating), Vranaropaka (wound-healing), and Shothahara (anti-inflammatory), etc. Dhoopana Karma also improves blood circulation, which helps to reduce pain and inflammation. In this article, an attempt is made to understand the anti-inflammatory action of Dhoopana Karma mentioned in various Ayurvedic treatises. Key words: Dhoopana, Shoolahara, Shothahara, Pain and inflammation.

Efficacy of TCM Fumigation Using Dampness-and-cold-dispelling Formula Combined with Methotrexate and Leflunomide Treating Rheumatoid Arthritis with Cold-dampness Bi Syndrome

BackgroundRheumatoid arthritis (RA), a chronic autoimmune disease, has a high incidence and disability rate, causing patients significant discomfort. Although several medicines can be effective, they are also associated with significant adverse effects. In contrast, fumigation as one of the most often used traditional Chinese medicine (TCM) external therapy has shown both efficacy and safety with less side effect. In light of this, we complement western medicine treatment with TCM fumigation therapy to improve patients' clinical efficacy, alleviate symptoms, and improve prognosis. ObjectiveTo investigate the therapeutic effect of TCM fumigation and modern medicine combined therapy in treating RA patients with cold-dampness Bi syndrome. MethodsA single-center, randomized, controlled study was designed. From January 2022 to December 2022, a total of 60 RA patients with cold-dampness Bi syndrome were enrolled in the study. The control group (30 cases) received conventional modern medicine treatment with methotrexate for 4 weeks, while the observation group (30 cases) for 4 weeks received a combination of TCM fumigation treatment and conventional modern medicine. The effects of the two groups were comprehensively compared, including the changes in TCM symptom scores and laboratory indicators, as well as the use of visual analogue scale (VAS) and health status rating scale (HAQ) before and after treatment. ResultsThe total effective rate of the observation group was 93.3%, which was significantly higher than that of the control group, which is 70% (P < 0.05). Before treatment, there were no significant differences in joint functional activity, pain visual analogue scale (VAS), health assessment questionnaire (HAQ-DI) and laboratory indexes between the two groups (P > 0.05). After treatment, each group compared to their initial condition, respectively, showed major improvement of joint functional activity and significantly decreased VAS, HAQ-DI, and RA-related biomarkers (P < 0.05); inter-group comparison of these indicators showed significanty further enhanced effect of TCM fumigation combined therapy on the RA-related biomarkers and joint functional activity of patients (P < 0.05), yet the control group receiving only modern medicine showed better results of the VAS and HAQ-DI . ConclusionThe TCM fumigation combined therapy is effective to treat RA patients with cold-dampness Bi syndrome, and to enhance their life quality, improving the joint function, and reducing inflammation.

Clinical Application of Fumigation and Washing Therapy in Anorectal Department

Clinical Application of Fumigation and Washing Therapy in Anorectal Department

Efficacy and Safety of Guizhi Decoction AssociatedFormulas for Allergic Rhinitis: A Systematic Review.

In this study, we aim to evaluate the efficacy and safety of Guizhi Decoction associated formulas for the treatment of allergic rhinitis. A total of seven online databases were searched to collect studies published up to Feb 23rd, 2020. Study quality of each included article was evaluated by the Cochrane Collaboration risk of bias tool. Systematic reviews were conducted based on the Cochrane systematic review method by using RevMan 5.3 Software. Among the included trials, Guizhi Decoction associated formulas alone (or plus Western medicine, or acupoint-based therapy) were main therapies in experimental groups. Interventions in control groups include Western medicine, Guizhi Decoction associated formulas alone, Chinese patent medicine, and placebo control. Primary outcomes in this study include recovery rate, accumulative marked effective rate, accumulative effective rate, and recurrence rate. Finally, 23 trials involving 2281 participants were included. Results of systematic reviews show that Guizhi Decoction and associated formulas alone, plus Western medicine or plus acupoint-based therapies, were significantly better compared with using Western medicine alone in terms of efficacy. In addition, the formulas plus nasal TCM fumigation therapy could improve effective rate for AR treatment compared to using the formulas alone. More types and cases of adverse events were reported in the control groups (Western medicine alone), but events of included trials were all mild and did not need specific medical intervention. More RCTs of high quality, and large sample size, with appropriate blinding methods or nonblinded pragmatic trials of Guizhi Decoction and associated formulas for AR are needed.

Peony and licorice decoction fumigation treatment for strephenopodia after stroke: Study protocol for a randomized controlled pilot trial.

Background:As one of the most common functional disabilities in stroke patients with hemiplegia, poststroke strephenopodia (PSS) seriously affects the life quality of patients, and causes mental and emotional disorders. Some studies have suggested that the traditional Chinese medicine fumigation therapy could be an effective intervention method for patients with PSS. This study aims to investigate the biomechanical effect of the classic prescription peony and licorice decoction (PLD) fumigation treatment for PSS.Methods/Design:This study is a multicenter, randomized, placebo-controlled, double blind trial. A total of 190 patients with PSS according to the inclusion criteria will be recruited in 3 centers and randomly distributed to either the intervention group or the control group in a 1:1 ratio. The intervention group will receive PLD fumigation treatment, while the control group will receive placebo fumigation treatment. All patients will receive standardized modern rehabilitation treatment according to the “Chinese Guidelines for Stroke Rehabilitation” (2011 version). The primary outcome measure is medial plantar area (Metatarsal 1+ Metatarsal 2 + Heel Medial) generating from the RSSCAN gait system. The secondary outcome measures contain the scores of clinical scales including Berg Balance Scale, Fugl-Meyer Assessment, Modified Ashworth Scale, Barthel Index, and Stroke-Specific Quality of Life Scale. All assessments will be implemented at baseline, 4 weeks after intervention and at the end of 3 months’ follow-up. Intention-to-treat analysis and per-protocol analysis will be applied in this trial.Discussion:The results of this study are expected to verify the clinical effect of PLD fumigation treatment for strephenopodia after stroke, and to explore the related biomechanical mechanisms by objective evaluation parameter.Trial registration:Chinese Clinical Trial Registry, ChiCTR2000032433. Registered on 28 April 2020. http://www.chictr.org.cn/showprojen.aspx?proj=52644

Concept of Dhoopan Chikitsa (Medicinal Fumigation Therapy) and Its Importance in Prevention of air-borne diseases– A review

A person could spread infectious diseases to another person or an animal to person. Most of the contagious diseases are airborne, air borne diseases spread by tiny pathogens in the air. Bacteria, fungi or viruses transmit them. These diseases are spread by sneezing, coughing and phlegm. Airborne diseases are the most widespread, and complete prevention is complicated. These pandemic conditions had occurred in ancient times, which were described in Ayurveda text such as Janpadodhwansaj vikar (mass destruction of population) and infectious diseases (Auopsargika rogas) and Samarikavishaprayoga.Janpadodhwansaj vikar, communicable diseases (Auopsargika rogas) and Samarikavishaprayoga spread by four routes – air, water, region, time. At that time, Dhoopan Chikitsa (Fumigation therapy) had been mentioned for treating these types of airborne diseases spread by air. Dhoopana is one of the measures suggested for the maintenance of the internal and external environment of man. Dhoopana is a method by which drugs of herbal, herbo-mineral or animal origin are used for fumigation. Herbs belonging to Plant origin possess kushthahara krimihara and kandughna properties, Animal products like horn, hair, nails etc. have also been used for fumigation and Mineral like sulphur compound viz, Hartal (Arsenic trisulphide) and Manashila (Arsenic disulphide) have been used as a disinfectant for Dhoopa Chikitsa or medicinal fumigation therapy. The nose is the best route for the administration of drugs to the patient. Dhoopan Chikitsa is very easy to administer, and it can fumigate the environment also.

Research progress of Chinese medicine fumigation therapy in the treatment of joint pain disease

This paper summarized the literature about traditional Chinese medicine fumigation treatment for osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, lumbar disc herniation, cervical spondylosis, periarthritis of shoulder joint pain diseases. This paper aimed to provide reference for the study of Chinese medicine fumigation treatment of joint pain diseases. Key words: Traditional Chinese medicine, Steam Bath; Arthralgia; Treatmen; Review

An overview of acupuncture for psoriasis vulgaris, 2009–2014

Psoriasis is a chronic, proliferative, and inflammatory skin disease which affects around 2–3% of the global population. Current pharmacotherapy is effective, however medication with safe and long-lasting therapeutic effects is needed. Acupuncture for psoriasis is widely used in China as well as other Asian countries, and is gradually becoming accepted globally. To determine the characteristics and advantages of acupuncture treatment for psoriasis, and to improve the clinical outcomes of this disease in the future, this review summarizes literature on acupuncture treatment for psoriasis published between 2009 and 2014. Databases search was conducted with the China National Knowledge Infrastructure (CNKI), MEDLINE, and PubMed databases over a time period ranging from January 2009 to December 2014. The condition term was “psoriasis” and the key intervention terms were “needling”, “moxibustion”, “auriculotherapy”, “cupping and bloodletting therapy”, “catgut embedding therapy”, “point-injection therapy”, “traditional Chinese medicine fumigation therapy”, “fire needling therapy”, and “vesiculation moxibustion”. Languages were limited to English and Chinese. Therapeutic mechanisms, therapy, therapeutic characteristics, advantages and limits of acupuncture for psoriasis are discussed. The conclusion is that acupuncture therapies for psoriasis are simple, convenient, and effective, with long-lasting therapeutic effects as well as minimal side effects and toxicity.

위축성 질염의 좌훈 치료 연구에 관한 체계적 문헌 고찰

위축성 질염의 좌훈 치료 연구에 관한 체계적 문헌 고찰

Domestic and overseas research progress on acupuncture and moxibustion therapy to psoriasis

To carry out a comprehensive analysis to the acupuncture and moxibustion therapy to psoriasis by domestic and overseas experts in recent years, which includes needle, moxibustion, earacupuncture, point-injection, fumigation, bloodletting, cupping and combined therapy and so on. In addition,summarize the mechanism, character, problems and research aspect of treating psoriasis on acupuncture. Key words: Psoriasis; Acupuncture and moxibustion therapy; Comprehensive analysis; Progress

Clinical investigation of CT-guided ozone-blowing and fumigation therapy for the chronic refractory cutaneous sinus and ulcer

The purpose of this article is to investigate the clinical effect of CT-guided ozone-blowing and fumigation in the treatment of chronic refractory cutaneous sinus and ulcer. Twenty-six cases of chronic refractory sinuses and ulcers caused by different diseases were retrospectively analyzed in our study. After sterilization, all patients were scanned by computed tomography and the sinuses and ulcers prelocated by CT were treated by O3-blowing and fumigation. Twenty-one patients treated with traditional surgery were randomly assigned into control group. A total number of 15 patients were completely cured in 45 days after receiving CT-guided ozone-blowing fumigation treatment. Four patients exhibited markedly therapeutic effects and three cases showed improvement. The effective ratio was 85%. In control group, seven patients were completely cured in 45 days after being treated by traditional surgery. Four patients exhibited markedly therapeutic effects and five cases showed improvement. An obvious statistical difference exists between two groups. Application of CT-guided O3-blowing and fumigation therapy is an effective approach in the treatment of chronic refractory cutaneous ulcer and sinus with shorter therapeutic duration, less suffering, better curative effect and less adverse effect.