ABSTRACT
OBJECTIVE: To evaluate the clinical effect of acupuncture combined with Chinese medicine in the treatment of oligozoospermia/asthenozoospermia. METHODS: Randomized controlled trials (RCTs) of acupuncture combined with traditional Chinese medicine (TCM) in the treatment of oligozoospermia/asthenozoospermia published up to February 15, 2019 were searched from databases of CNKI, CBM, Wanfang Data, VIP, PubMed, Embase, and The Cochrane Library. Two reviewers independently performed quality assessment and data extraction of the studies, and RevMan5.3 was used to perform the meta-analysis. RESULTS: A total of 13 articles with 12 RCTs were included, with a total of 1 183 patients. The meta-analysis showed that acupuncture combined with TCM achieved a significantly higher pregnancy rate than TCM alone in the treatment of oligozoospermia/asthenozoospermia(risk ratio [RR] ＝1.46, 95% confidence interval [CI]: 1.13－1.90，P＝0.004). The patients treated with acupuncture combined with TCM had a significantly higher effective rate than those treated with TCM alone (RR＝1.17, 95% CI：1.10－1.24, P<0.000 01). Compared with TCM alone, acupuncture combined with TCM achieved significantly better improvements in sperm survival rate (mean difference [MD]＝8.28, 95% CI: 6.48－10.08, P<0.000 01), sperm motility (MD＝17.01, 95%CI：11.06－22.96, P<0.000 01), sperm concentration (MD＝8.71, 95%CI：5.92－11.50, P<0.000 01), and number of grade A sperms (MD＝6.39, 95%CI：5.27－7.50, P<0.000 01). CONCLUSION: Acupuncture combined with TCM has a better clinical effect than TCM alone in the treatment of oligozoospermia/asthenozoospermia. Due to the low methodological quality of the studies included in this analysis, acupuncture combined with TCM in the treatment of oligozoospermia/asthenozoospermia should be used based on patients' conditions in clinical practice.
ABSTRACT
Objective To observe the effects of acupuncture combined with modified Guizhi-Gegen decoction on scores of TCM syndrome and Neck pain questionnaire on the patients with cervical spondylosis of cold locking the collaterals syndrome. Methods A total of 96 patients with cervical spondylosis of cold locking the collaterals syndrome, who were treated in our hospital from February 2013 to December 2015, randomly divided into two groups. The control group was given modified Guizhi-Gegen decoction, and the observation group was given modified Guizhi-Gegen decoction and electro-acupuncture. The scores of traditional Chinese medicine syndrome and Neck pain questionnaire were observed. Results The effective rate of observation group was 95.83% (46/48) was significantly higher than the control group 81.25% (39/48,χ2=5.031, P<0.05). After the treatment, the dizziness and headache scores (0.62 ± 0.41 vs. 1.56 ± 0.68, t=8.202), the neck pain scores (0.63 ± 0.53 vs. 1.53 ± 0.62, t=7.645), the nausea and vomiting scores (0.39 ± 0.23 vs. 0.71 ± 0.32, t=5.626), tinnitus scores (0.36 ± 0.09 vs. 1.15 ± 0.43, t=3.908) of the treatment group were significantly lower than the control group (P<0.05). The Neck Pain Questionnaire of observation group (15.23 ± 10.96 vs. 24.46 ± 12.15, t=3.908) was higher than the control group (P<0.05). The vertebral artery diameter of observation group(3.45 ± 0.73 mm vs. 2.91 ± 0.59 mm, t=3.619) was significantly lower than the control group (P<0.05). The blood ratio of observation group(0.72 ± 0.16 m/s vs.0.58 ± 0.19 m/s, t=3.905) was higher than the control group (P<0.05). Conclusion Acupuncture combined with modified Guizhi-Gegen decoction can relieve clinical symptoms, cervical pain, and improve their cervical function on the patients with cervical spondylosis of cold locking the collateral syndrome.
ABSTRACT
This study was aimed to observe the clinical curative effect of Qing-Re Li-Shi Hua-Y u (QRLSHY) decoction combined with acupuncture in the treatment of chronic pelvic inflammatory disease (PID) with syndrome of damp-heat and blood-stasis. A total of 120 cases were randomly divided into the acupuncture combined with traditional Chinese medicine (TCM) group, TCM group, and acupuncture group, with 40 cases in each group. The TCM group was given oral administration with QRLSHY decoction. The acupuncture group was given acupuncture on SP6-Sanyinj iao and RN6-Qihai . The acupuncture combined with TCM group was given oral administration with QRLSHY decoction and acupuncture treatment. The treatment course of each group was 2 months. The ob-servation was made on clinical efficacy, clinical symptoms, body signs, changes of laboratory indexes, and relapse rate of three groups. The results showed that compared with pretreatment, the total effective rate of the acupunc-ture combined with TCM group, TCM group and the acupuncture group was obviously increased after treatment (P< 0 . 05 ) . Compared with pretreatment , the clinical symptoms and body signs such as abdominal pain , abdominal bulge, backache, leucorrhea increased, dysmenorrhea, menstrual disorders, lassitude, appendix thickening, pelvic tenderness, and pelvic mass were significantly improved in all three groups (P < 0.05). After treatment, clinical symptoms and body signs of the acupuncture treatment with TCM group had more obvious advantages than the TCM group and the acupuncture group ( P < 0 . 05 ) . Compared with pretreatment , the cervical or vaginal mucus pu-rulent secretion, vaginal wet film mirror of white blood cells, white blood cell count, absolute neutrophil count of all three groups were significantly improved ( P < 0 . 05 ) . After treatment , the acupuncture combined with TCM group had more obvious advantages than the TCM group and acupuncture group ( P < 0 . 05 ) . The relapse rate of the acupuncture combined with TCM group was obviously lower than the TCM group and the acupuncture group 6 months, 9 months, and 12 months after treatment (P < 0.05). It was concluded that QRLSHY decoction combined with acupuncture had obvious clinical curative effect in the treatment of chronic PID with syndrome of damp-heat and blood-stasis. The effect was better than only use TCM or acupuncture. It is worth of promoting in the clini-cal practice .