Traditional Acupuncture Research Articles

Proteomic analysis of rat colonic mucosa following acupuncture treatment for irritable bowel syndrome with diarrhea

To investigate the molecular pathological mechanisms of irritable bowel syndrome with diarrhea (IBS-D) and elucidate the effects of acupuncture on IBS-D colonic mucosa protein abundance in rats, a label-free high-throughput liquid chromatography-tandem mass spectrometry (LC-MS)-based proteomics analysis was used to survey the global changes of colonic mucosa proteins between different groups. Sixteen Sprague-Dawley (SD) male rats were randomly divided into four groups: the control group (C); the IBS-D model group (M); the syndrome differentiation acupuncture group (SD) and the traditional acupuncture group (T). IBS-D model rats were obtained using the CAS (chronic acute combining stress model) method. Comparative bioinformatics analysis of the proteomic data was analyzed using MaxQuant software, Perseus software, online tools DAVID, VENNY and STRING. Functional enrichment and network analyses revealed a close relationship between IBS-D and several biological processes including energy metabolism, muscular excitation/contraction, and both traditional acupuncture and syndrome differentiation acupuncture can reverse the impairments of normal energy metabolism. Moreover, the syndrome differentiation acupuncture can regulate the protein cluster relating inflammation, wound repair and cell protection against oxidative stress which is associated with acupuncture analgesic effect. Differentially expressed proteins Atp5a1 and Bpnt1 were selected as representative proteins and subjected to western blotting. In conclusion, our study provides further insight into the pathological and molecular mechanisms of IBS-D and acupuncture treatments, and serves as an experimental basis for clinical applications.

Complementary and alternative medicine for treating epilepsy in China: A systematic review

There are about 10 million people with epilepsy (PWE) in China. In addition to therapies approved by the National Medical Products Administration, the use of complementary and alternative medicine (CAM) is prevalent in Chines PWE. These CAM therapies mainly comprise traditional Chinese medicine herbs (TCMHs), acupuncture, and music. A retrospective literature search was performed to summarize the updates of CAM in China in the past ten years, and sixty-two papers were finally included. In this following review, we listed the animal and clinical studies to summarize the antiepileptic mechanisms and clinical efficacy of CAM in Chines PWE. The main mechanisms of TCMHs and acupuncture included regulation of neurotransmitters and receptors, voltage-gated ion channels modulation, expression of apoptosis-related genes, antioxidant response, and anti-inflammation. Although there were enormous clinical studies on them, the current available clinical trials were small, short-term, heterogeneous, and had a high risk of bias. With regard to music, a few studies conducted by Chinese scholars suggested that it was beneficial for PWE as an add-on therapy, which was consistent with the results of foreign studies. Further randomized clinical trials in large populations are required to prove the effectiveness and safety of CAM.

Specification of interventions and selection of controls in randomized controlled trials of acupuncture: a cross-sectional survey.

Specification of interventions and selection of controls are two methodological determinants for a successful acupuncture trial. However, current practice with respect to these two determinants is not fully understood. Thus, we conducted a cross-sectional survey to examine the specification of interventions and selection of controls among published randomized controlled trials (RCTs) of acupuncture. We searched PubMed for acupuncture RCTs published in core clinical journals and complementary and alternative medicine (CAM) journals from January 2010 to December 2019 (10 years) and included RCTs that assessed treatment effects of acupuncture versus any type of control. We used network meta-analyses to explore whether there were differential treatment effects in patients with chronic pain when using sham acupuncture as a control versus using waiting list or no treatment. Most of the 319 eligible RCTs specified well the style of acupuncture (86.8%), traditional acupuncture point locations (96.2%), type of needle stimulation (90.3%) and needle retention time (85.6%). However, other acupuncture details were less-frequently specified, including response sought (65.5%), needle manipulation (50.5%), number of needle insertions (21.9%), angle and direction of insertion (31.3%), patient posture (32.3%) and co-interventions (22.9%). Sham acupuncture (41.4%) was the most frequently used control, followed by waiting list or no treatment (32.9%). There was no differential treatment effect when using sham acupuncture versus waiting list/no treatment as a control (standardized mean difference = -0.15, 95% confidence interval: -0.91 to 0.62). Over a decade of research practice, important gaps have remained in the specification of acupuncture interventions, including response sought, needle manipulation, and co-interventions. While sham acupuncture has been widely used, waiting list or no treatment may also be considered as an appropriate control.

An Initial Study on Automated Acupoint Positioning for Laser Acupuncture.

Acupuncture plays an important role in traditional Chinese medicine (TCM) and is one kind of an inexpensive and effective treatment. However, some people might be reluctant to receive acupuncture treatment due to fear of pain. Laser acupuncture, thanks to its painless and infection-free advantages, has recently become an alternative choice to traditional acupuncture. The accuracy of acupuncture point positioning has a decisive influence on the quality of laser acupuncture. In this study, built on top of our prior work, we proposed a low-cost automated acupoint positioning system for laser acupuncture. By integrating several machine learning algorithms and computer vision techniques, we design and implement a robot-assisted laser acupuncture system on top of a smartphone. Our contributions include the following: (a) development of an effective acupoint estimation algorithm with a localization error less than 5 mm; (b) implementation of a smartphone-controlled automated laser acupuncture system with lift-thrust function, as a point-of-care device, that can be used by patients to relieve their symptoms at home.

Correlation Between Ion Contents in Acupuncture Points and Propagated Sensation Along Channels

Background: Propagated sensation along channels occurs because of stimulations during acupuncture therapies and tends to transmit the stimulating signals along the meridians. From the Western medicine aspect, researchers consider the phenomena as neurotransmissions initiated by nerves, and various ions regulate the physiological functions of the nervous systems. Objective: This research investigates the critical characteristics of ions at acupoints and the mechanism of propagated sensation along channels, crossing meridians in traditional Chinese medicine (TCM). Methods: This research first conducts experiments by applying intense pulse light beams, which replace the traditional acupuncture treatments, on designated acupoints of studied human subjects, and employs a thermal infrared imager to monitor the temperature responses, which are induced by post sensation, in adjacent regions of the acupoints. Meanwhile, the research applies a synchrotron radiation technique on adult SD (Sprague Dawley) rats. The study analyzes the output responses with an X-ray Absorption Fine Spectroscopy (XAFS) to investigate the ion distributions in the relevant acupoints, which trigger the propagated sensation crossing meridians. Results: Experimental results demonstrate significant temperature increases simultaneously at the stimulated acupoints and specific other acupoints, whether in the same meridians. Moreover, XAFS experimental results indicate significantly high calcium, potassium, and sulfide ions at the stimulated acupoint regions. On the contrary, the measured chloride ions level at the regions is correspondingly lower. Conclusions: The thermal infrared imager monitoring shows significant temperature variations of crossing-meridian acupoints after implementing the intense pulse light beams on designated acupoints, and it implies the occurring of prolonged sensation along channels using acupuncture therapies. The X-ray absorption spectrum demonstrates significant differences in ion amounts and distributions between the acupoints and non-acupoints, and acupuncture therapies result in ion concentrations in the correlated regions inducing propagated sensation crossing meridians in TCM. Hence, the stimulated acupoints operate as ion reservoirs to provide high-concentration of specific ions to trigger the crossing-meridian post sensation.

Cerebral responses to different reinforcing-reducing acupuncture manipulations: Study protocol for a randomized crossover functional near-infrared spectroscopy (fNIRS) trial

The traditional reinforcing-reducing manipulation of acupuncture is key for acupuncture efficacy. However, the central mechanism of reinforcing-reducing manipulations of acupuncture has not been clearly elucidated. The changes in brain activity induced by traditional reinforcing-reducing manipulations of acupuncture in healthy participants will be investigated in this study. In this study, applying multiple-channels functional near-infrared spectroscopy, a randomized crossover trial including 35 healthy participants will be conducted. The study will investigate the cerebral-response modes induced by the lifting-thrusting reinforcing manipulation, the lifting-thrusting reducing manipulation, and the even reinforcing-reducing manipulation with lifting-thrusting. The cerebral response will be analyzed with the general linear model-based activation and the seed-based functional connectivity. This study aims to partly explain the scientific connotation of acupuncture manipulations and provide a new approach to modern research on traditional acupuncture manipulations. This trial protocol was registered at the Chinese Clinical Trial Registry on October 9th, 2021 (identifier: ChiCTR2100051893).

Effect of electroacupuncture on knee osteoarthritis and relevant inflammatory factors: A randomized clinical trial: 电针治疗膝骨关节炎以及对相关炎症因子水平的影响

ObjectiveTo explore the treatment effects of electroacupuncture (EA), acupuncture with filiform needle, and western medication for knee osteoarthritis (KOA). MethodsIt was a randomized, controlled trial with the blinding of outcome assessors and statistician. 90 outpatients were diagnosed as KOA in Department of Acupuncture and Moxibustion, the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine. Using the random number table, they were divided into a medication group, an acupuncture group and an EA group, 30 cases in each one. In the medication group, routine medication was provided with oral administration of celebrex for 21 days. Regular acupuncture was applied in the remaining groups, at Liángqiū (梁丘ST34), Xuèhăi (血海SP10), Dúbí (犊鼻ST35), Nèixīyăn (内膝眼EX-LE4), Yánglíngquán (阳陵泉GB34), Hèdĭng (鹤顶EX-LE2) and Sānyīnjiāo (三阴交SP6) and the needles were retained for 30 min. In the EA group, electric stimulation with low-frequency pulse current and dense wave was applied for 30 min on the basis of the treatment of the acupuncture group. The treatment was applied once daily at 1-day intervals after each 6-day treatment for a total of 21 days. Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and visual analogy scale (VAS) scores and levels of serum inflammatory factors (interleukin-1β [IL-1β] and tumor necrosis factor [TNF-α]) were used to assess the clinical therapeutic effect. ResultsFollowing treatment, there were significant differences in the WOMAC score in the medication, acupuncture, and EA groups after treatment (all P < 0.01). In the comparison among groups, after treatment, the WOMAC score in the EA group was lower than that in either the acupuncture or medication group (both P < 0.01). Compared to before treatment, VAS scores were significantly different in the medication group (3.95 ± 0.55 vs 5.75 ± 1.40), the acupuncture group (2.78 ± 0.38 vs 5.78 ± 1.44) and EA group (1.72 ± 0.38 vs 5.78 ± 1.39) separately after treatment (all P < 0.01). In the comparison among groups, after treatment, the VAS score in the EA group was lower than that in either the acupuncture or medication group (both P < 0.01). Compared to before treatment, IL-1β levels were significantly different in the medication group (31.53 ± 6.84 vs 63.33 ± 10.25), acupuncture group (31.70 ± 7.54 vs 63.90 ± 9.96) and the EA groups (23.43 ± 3.94 vs 63.10 ± 10.66) separately after treatment (all P < 0.01). IL-1β levels were significantly lower in the EA group than in the acupuncture and medication groups (both P < 0.01). Compared to before treatment, TNF-α levels were significantly different in the medication group (40.20 ± 6.09 vs 68.77 ± 11.13), the acupuncture group (39.60 ± 7.55 vs 68.33 ± 11.51) and the EA groups (22.17 ± 5.72 vs 68.97 ± 10.52) separately after treatment (all P < 0.01). TNF-α levels were significantly lower in the EA group than in the acupuncture and medication groups (both P < 0.01). After treatment, there were no significant differences in TNF-α and IL-1β levels between the acupuncture and medication groups (both P > 0.05). The total effective rates were 86.67% (26/30), 73.33% (22/30) and 70.00% (21/30) in the EA, acupuncture, and medication groups, respectively. The total effective rate was higher in the EA group than in either the acupuncture or medication group (both P < 0.05). In the whole process of trial, the adverse events occurred in three groups. In consideration of the potential association between these adverse events and acupuncture treatment, the acupuncture physiotherapists and experts classified the adverse events into the treatment relevance or non-treatment relevance within 24 h of occurrence. ConclusionAll three therapeutic methods alleviated clinical symptoms of KOA and reduced levels of relevant inflammatory factors in serum. EA with dense wave is more advantageous than the traditional acupuncture technique and routine medication and is therefore worthy of clinical application.

Study on the quantitative evaluation parameter system for basic acupuncture manipulations based on 3D motion tracking technology

To establish a quantitative evaluation parameter system for basic acupuncture manipulations based on 3D motion tracking technology, and to further analyze the characteristics of acupuncture manipulation. The motion tracking system Simi Motion Ver.8.5 was used to collect parameters of acupuncture manipulations, so as to establish a quantitative evaluation system mainly in spatial control parameters, time control parameters and stability parameters. Based on the evaluation parameter system, data of acupuncture manipulations (even reinforcing-reducing manipulation using lifting-thrusting technique and twirling technique) were collected from 19 teachers majored in acupuncture-moxibustion, of which the characteristics were analyzed and were compared with the results tested by traditional ATP-Ⅱ acupuncture manipulation parameter determination apparatus (ATP-Ⅱ). The evaluation parameter system could quantitatively analyze the basic acupuncture manipulations in 3 aspects, i.e. space, time and stability. Acupuncture manipulations were performed by shifting the needle body in a certain range along X, Y and Z axes. The amplitude and speed of thumb movement were greater than those of index finger. The time-history of lifting was similar to thrusting, while the time-history of twirling to left was similar to twirling to right in even reinforcing-reducing manipulation. The coordinate-time curve of finger movement of the evaluation system had consistent wave pattern compared with the voltage-time curve generated by ATP-Ⅱ. The quantitative evaluation parameter system based on 3D motion tracking technology can objectively evaluate basic acupuncture manipulations, and show the characteristics of different manipulations and the movement details of finger joints.

Effect of Acupuncture at Lumbar Huatuo Jiaji Point Combined with Exercise Rehabilitation on Sitting Ability of Children with Cerebral Palsy

Objective: To provide a new method for improving the sitting ability of children with cerebral palsy by using traditional acupuncture at the lumbar Huatuo Jiaji point combined with exercise rehabilitation. Methods: A total of 30 children with cerebral palsy aged 1-3 years old who were admitted to the Children's Rehabilitation Center of rehabilitation Medicine Department of Jingzhou First People's Hospital from June 2020 to February 2022 were selected as the research objects, and they were divided into observation group (n = 15) and control group (N = 15). GMF 88 gross motor Rating Scale and sitting ability (LSS) grading were performed in both groups. Observation group only routine exercise rehabilitation training. The control group was treated with acupuncture at lumbar Huatuo Jiaji point on the basis of exercise rehabilitation. 2 groups, once a day,10 times a course of treatment. The next course of treatment was continued at an interval of 1 week, and the treatment lasted for 3 courses. Before and after treatment, the sitting function area (B) and sitting ability (LSS) of GMFM88 gross motor function assessment were evaluated, and the differences were compared. Results: In the first course of treatment, there was no statistical significance in the total effective rate between the observation group and the control group (P&gt;0.05). After the second and third courses of treatment, the total effective rate in control group was higher than that in observation group, and the difference was statistically significant (P&lt;0.05). Conclusion: Acupuncture at lumbar Huatuo Jiaji point combined with exercise therapy can significantly improve the sitting ability of children with cerebral palsy.

Occupational Therapy and Prevention of Common Sports Injuries for Special Physical Training.

This paper provides an in-depth study of occupational therapy and the prevention of common sports injuries in special physical training. The issue of sports injuries and rehabilitation has always been a hot topic in special training. With the continuous development of sports, the increasing intensity of competition, and more stringent requirements for special techniques, the increase in difficulty and intensity of training has led to the increasing frequency of sports injuries, so how to prevent injuries in special physical training and rehabilitation and recovery of athletes after the injury is particularly important. Since the most common musculoskeletal injuries occur in the lower quadrant, this paper proposes a lower extremity functional test (LEFT) model as a means of identifying injury risk and guiding the implementation of training programs to prevent sports injuries. In this paper, a knee injury is used as an example, and an occupational therapy program of TCM physical therapy + aquatic rehabilitation is adopted for the already occurred sports injuries. Through interviews and clinical examinations of athletes, coaches, and medical personnel, this paper summarizes the sites, types, characteristics, and probability of occurrence of common sports injuries in special physical training. Experiments were conducted through clinical rehabilitation of common sports injuries with the addition of TCM manual massage. A series of effects of this modality on the rehabilitation of sports injuries were examined by monitoring physiological and biochemical indexes and by comparative analysis before and after testing physical function indexes using the Omega Wave system. Sports injuries are diverse. Traditional Chinese medicine physical therapy + water rehabilitation therapy is an effective physical therapy method. According to the relevant theories of traditional Chinese medicine treatment, diagnosis and treatment through meridians and related acupuncture points have significant curative effects. Traditional Chinese medicine, massage, and acupuncture have irreplaceable roles in the rehabilitation and treatment of sports injuries and can effectively improve and cure sports injuries.

The efficacy and safety of acupuncture combined with language training for motor aphasia after stroke: study protocol for a multicenter randomized sham-controlled trial

BackgroundMotor aphasia after stroke is a common and intractable complication of stroke. Acupuncture and language training may be an alternative and effective approach. However, the efficacy of acupuncture and language training for motor aphasia after stroke has not been confirmed. The main objectives of this trial are to evaluate the effectiveness and safety of acupuncture and low-intensity, low-dose language training in treating ischemic motor aphasia after stroke from 15 to 90 days.MethodsThis is a multicenter randomized sham-controlled clinical trial. We will allocate 252 subjects aged between 45 and 75 years diagnosed with motor aphasia after stroke with an onset time ranging from 15 to 90 days into two groups randomly in a 1:1 ratio. Patients in the experimental group will be treated with “Xing-Nao Kai-Qiao” acupuncture therapy plus language training, and those in the control group will be treated with sham-acupoint (1 cun next to the acupoints) acupuncture therapy plus language training. All the patients will be given acupuncture and language training for 6 weeks, with a follow-up evaluation 6 weeks after the end of the treatment and 6 months after the onset time. The patients will mainly be evaluated using the Western Aphasia Battery and Chinese Functional Communication Profile, and the incidence of treatment-related adverse events at the 2nd, 4th, and 6th weeks of treatment will be recorded. The baseline characteristics of the patients will be summarized by group, the chi-squared test will be used to compare categorical variables, and repeated measures of analysis of variance or a linear mixed model will be applied to analyze the changes measured at different time points.DiscussionThe present study is designed to investigate the effectiveness and safety of traditional acupuncture therapy and language training in ischemic motor aphasia after stroke and explore the correlation between the treatment time and clinical effect of acupuncture. We hope our results will help doctors understand and utilize acupuncture combined with language training.Trial registrationChiCTR ChiCTR1900026740. Registered on 20 October 2019

Saam Acupuncture for Treating Functional Dyspepsia: A Feasibility Randomized Controlled Trial.

Objective Functional dyspepsia (FD) is a common gastrointestinal disorder that significantly affects sufferers' quality of life and increases the economic burden on society. Saam acupuncture, a form of traditional Korean acupuncture, is frequently used to treat FD in Korean medicine clinical settings. This study aimed to evaluate the feasibility and preliminary effectiveness and safety of Saam acupuncture for treating FD. Methods We conducted a pilot, pragmatic, assessor-blinded randomized controlled trial. Patients with FD according to the ROME III criteria were randomly allocated to an acupuncture plus usual care group or a usual care group. Saam acupuncture based on individualized FD and systemic symptoms was conducted in the acupuncture group three times per week for 4 weeks. Study feasibility outcomes, including recruitment, completion, and acupuncture adherence rates, were calculated. In addition, preliminary evaluation of participant responses to the intervention was tested using the gastrointestinal symptom (GIS), FD-related quality of life (FD-QoL), visual analog scale (VAS), patient global assessment (PGA), and EuroQol-5 Dimensions (EQ-5D) scores. Results Twenty-four participants who met the eligibility criteria were included. The recruitment and completion rates of the clinical trials were 60% and 79.2%, and the acupuncture adherence rate was 83.3%. Although there was no significant difference between the two groups in the dyspepsia symptoms as measured by GIS, VAS, and PGA at Week 4, significant differences were found between the two groups at the follow-up assessments (Weeks 8 and 12). In particular, the early satiety subscore of GIS was significantly improved in the Saam acupuncture group compared with the usual care group at Week 4. The quality of life measured by FD-QoL and EQ-5D improved only in the Saam acupuncture group, although there were no significant differences between the two groups. No adverse events related to Saam acupuncture were reported. Conclusions Saam acupuncture can be a feasible, preliminarily effective, and safe treatment for FD. Further confirmatory trials with a larger sample size are needed to confirm its effectiveness and safety. The trail is registered with CRIS-KCT0000164, URL: https://cris.nih.go.kr/cris/search/detailSearch.do/2098.

Acupuncture at GV20 and ST36 Improves the Recovery of Behavioral Activity in Rats Subjected to Cerebral Ischemia/Reperfusion Injury.

Traditional acupuncture and electroacupuncture (EA) have been widely performed to treat ischemic stroke. To provide experimental support for the clinical application of acupuncture to ameliorate post-stroke sequelae, in this study, we investigated the therapeutic effect of acupuncture and EA on CIRI following middle cerebral artery occlusion (MCAO) in rats. The animals were randomly divided into five groups: sham-operated (S), model (M), traditional acupuncture (A) treatment, electroacupuncture (EA) treatment, and drug (D; edaravone) therapies. Neurological behavioral characteristics (neurological deficit score, forelimb muscle strength, sensorimotor function, body symmetry, sucrose consumption, and mood) were examined in all the groups on days 1, 3, 5, and 7 after reperfusion. Expressions of vascular endothelial growth factor (VEGF) and hypoxia-inducible factor-1α (HIF-1α) were detected by immunohistochemistry. Both acupuncture and EA significantly reduced neurological deficits and improved forelimb muscle strength, sensorimotor function, body symmetry recovery, and neurovascular regeneration in the rats after ischemia/reperfusion injury. The efficacies of both acupuncture and EA were comparable to that of edaravone, a commonly used medicine for stroke in the clinic. Thus, our data suggest that acupuncture and EA therapy at acupoints GV20 and ST36 might represent alternative or complementary treatments to the conventional management of ischemic stroke, providing additional support for the experimental evidence for acupuncture therapy in clinical settings. In summary, EA might provide alternative or complementary treatment strategies for treating patients with apoplexy in the clinic. However, potential mechanisms underlying the role of acupuncture require further investigation.

Clinical Effect of Traditional Chinese Medicine Acupuncture Combined with Rehabilitation Nursing in the Treatment of Peripheral Facial Paralysis in Acute Stage

Clinical Effect of Traditional Chinese Medicine Acupuncture Combined with Rehabilitation Nursing in the Treatment of Peripheral Facial Paralysis in Acute Stage

Care Experience of a Patient with Japanese Encephalitis Complicated with Physical Disability

&lt;p&gt;本文描述個案因日本腦炎導致身體活動出現異常,併發痰液清除功能不佳需長期照護而住入慢性病房,以及長期住院產生心理反應等相關問題。護理期間 2018/9/27-11/19 以 Gordon 進行十一項功能性評估,藉由觀察、身體評估、查閱病歷等收集資料,健康護理問題有呼吸道清除功能失效;身體活動功能障礙;焦 慮。護理措施 : 維持半坐臥式;背部叩擊;深呼吸及有效咳嗽技巧,強化咳痰能力;漸進式復健計劃合併中醫療法,提升肢體功能及自我照顧能力,讓個案拾獲自信心 參與復健;主動關懷讓個案表達更換管路感受,陪伴降低不適。藉由音樂、嗅覺 /冥想等減輕焦慮程度,正向因應疾病,建議未來住院的病人,在中醫醫療有針灸治 療健保給付,提供日後照護此類個案之經驗參考。&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;This article describes the care experience of a case of Japanese encephalitis complicated with physical disability from September 27, 2018 to November 19, 2018. The patient was admitted to a chronic ward due to poor sputum clearance, required long-term care and had psychological problems due to a long hospital stay. Gordon&amp;rsquo;s Functional Health Patterns were applied for health assessment. Data collection was completed through observation, physical assessment, and medical records review. Health problems were identified as ineffective airway clearance/thick sputum, impaired physical mobility/Japanese encephalitis infec- tion with neuromuscular injury, and anxiety/worry about disease prognosis. Nursing interventions included: maintaining semi-Fowler&amp;rsquo;s position; chest percus- sion; deep breathing and effective coughing techniques to strengthen sputum production; a progressive rehabilitation plan combined with acupuncture treat- ment of Chinese medicine to improve part of the physical function and self-care ability, so that the case could find self-confidence and participate in rehabilita- tion; active care and letting the case to express feelings about changing tubes, and accompanying reduction of discomfort; and relieving anxiety by listening to Taiwanese songs, practicing meditation, and responding positively to the illness. It is recommended that future hospitalized patients using traditional Chinese acupuncture therapy should be covered by health insurance. We hope the sharing of this nursing experience can be beneficial to the care of similar patients.&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;

Research Progress of Acupuncture and Moxibustion in the Treatment of Knee Osteoarthritis

Knee osteoarthritis (KOA) is also known as knee degenerative arthritis. Its core change is the degenerative change of articular cartilage. At the same time, it involves the articular cartilage of the knee, resulting in degenerative change, accompanied by the following symptoms: cartilage exfoliation, cartilage bone hyperplasia, synovial inflammation, gradually destroy the joint, make it deformed, and finally lead to joint dysfunction. It is an osteoarthropathy mostly occurring in the elderly[1]. Both men and women can get sick. According to the report of the World Health Organization, osteoarthritis will become the fourth major disability disease in the world by 2020[2]. According to relevant data[3]: up to 3% of the people in China are suffering from osteoarthritis, of which the incidence rate of knee osteoarthritis is relatively large. About 60% of the people over 55 years old are older than 65 years old, and the incidence rate is 85%. With the increasing trend of population aging in China, the incidence rate of KOA is increasing year by year, which affects the physical and mental health of patients. Objective: In recent years, the research on the treatment of knee osteoarthritis with Traditional Chinese Medicine has become white hot, and great progress has been made. The main treatment methods include oral administration of Traditional Chinese Medicine, external use of Traditional Chinese Medicine and acupuncture and massage. Moxibustion has the function of warming and dredging meridians, and has become one of the research hotspots nowadays. Methods: This paper briefly summarizes the current situation of Moxibustion in the treatment of KOA in recent years, and puts forward the existing problems and future development direction

Electroacupuncture for Carpal Tunnel Syndrome: A Review of Randomized Controlled Trials

This study aimed to examine the clinical efficacy of electroacupuncture treatment for carpal tunnel syndrome by reviewing published randomized controlled trials. Among the 186 studies retrieved from 7 online databases (PubMed, Cochrane library, CNKI, NDSL, RISS, OASIS, KMbase) on October 29, 2021, 4 studies were selected according to the inclusion, exclusion criteria, and were evaluated using risk of bias. Control groups for electroacupuncture were wearing a splint at night, traditional acupuncture, and medication. &amp;#x0004d;ethods such as total effective, functional status scale, symptom severity scale, electromyography, tip pinch strength, visual analogue scale, numeric rating scale, and ultrasound were used to evaluate the therapeutic effect. Electroacupuncture was reported to have significant treatment results compared with the control group in methods such as total effectiveness, electromyography, and tip pinch strength. However, the quality of the studies (using risk of bias) does not allow reliable conclusions to be made. Many high quality (low risk of bias) randomized controlled trials are needed to examine the efficacy of electroacupuncture treatment for carpal tunnel syndrome.

Traditional Korean Medicine for Treating Beçhet’s Disease Symptoms of the Upper Burner: A Case Report

Objective: This case report presents the effects of traditional Korean medical treatment for a patient with symptoms of the upper burner due to Beçhet’s disease.Methods: A 42-year-old male patient was treated with traditional Korean herbal medicine (herbal formulas and patent medicines), acupuncture, and cupping therapy. Neck, ocular, and right wrist pain and xerostomia were assessed daily with a numeric rating scale (NRS) and grading assessment tool for subjective symptoms.Results: For a total of 20 days over two hospitalizations, the patient’s neck pain was relieved from NRS 4 to 1, the ocular pain from NRS 5 to 1, the right wrist pain from NRS 7 to 1, and the xerostomia from grade 8 to 1.Conclusion: These results show that Beçhet’s disease symptoms of the upper burner can be relieved with traditional Korean medical treatment, although additional well-designed studies are required to confirm these findings.

Acupuncture Analgesia in Patients With Traumatic Rib Fractures: A Randomized-Controlled Trial.

Pain management for traumatic rib fracture is important to prevent complications and reduce associated comorbidities. This trial investigated the analgesic efficacy of acupuncture on traumatic rib fracture. Patients with traumatic rib fracture were randomly assigned to traditional acupuncture (TA), laser acupuncture (LA) or sham laser acupuncture (SLA) groups in a 1:1:1 ratio. The intervention was performed on days 1 to 3 after treatment allocation. The acupoints included bilateral LI4 (Hegu), SJ6 (Zhigou), ST36 (Zusanli) and GB34 (Yanglingquan). The primary outcome was Numeric Rating Scale (NRS) scores for pain after the intervention. Secondary outcomes included sustained maximal inspiration (SMI) lung volume, stress responses, the use of analgesics, and associated complications. Data were analyzed via one-way analysis of variance (ANOVA) with Scheffé’s post hoc testing or chi-squared testing. Of the 120 study participants, 109 completed all interventions and measurements. The primary outcomes, which indicated average pain intensity levels and pain while deep breathing, were both significantly lower in the TA and LA groups than in the SLA group after 2 treatments. No between-group differences were observed in SMI lung volume, stress response, analgesics use or associated complications. These findings suggest that TA and LA are safe and effective analgesic modalities for pain management for traumatic rib fracture.Clinical Trial Registration:[ClinicalTrials.gov], identifier [NCT03822273].

Effects of Functional Acupuncture on Upper Limb Spasticity After Ischemic Stroke: A Protocol for a Randomized Controlled Parallel Clinical Trial.

BackgroundUpper limb spasticity (ULS) is a common complication after stroke, which seriously affects the quality of life and rehabilitation of patients. There are different treatment methods for post-stroke spasticity (PSS). Our group found that functional acupuncture (FA) can effectively improve forearm spasticity and hand dysfunction after stroke, but the efficacy of ULS needs to be further verified. Therefore, this subject has mainly used clinical randomized controlled trials to evaluate the clinical efficacy of FA in the treatment of ULS after ischemic stroke.MethodThis is a parallel design and randomized controlled trial. We selected 108 patients who met the predefined criteria and randomized them into two groups, the experimental group and the control group. The experimental group receives FA and routine rehabilitation treatment. The control group received traditional acupuncture (TA) and routine rehabilitation treatment. All patients received 20 courses of treatment for 4 weeks, and the modified Ashworth score (MAS), clinical neurological deficit score (CSS), Fugl-Meyer upper extremity function assessment (FMA-UE), and the Modified Barthel Index (MBI) scores were evaluated before and after treatment.DiscussionThis trial is mainly to study the clinical efficacy of FA in the treatment of ULS after ischemic stroke. It will not only provide a new idea for the clinical treatment of upper limb post-stroke spasticity (ULPSS) but also will provide effective experimental support and a theoretical basis for the clinic.Trial registrationChina Clinical Trials Registry No. ChiCTR2100050440. Registered on 27 August 27 2021.