ABSTRACT
Objective:To explore the clinical regularities in acupuncture-moxibustion treatment of cancer pain by reviewing the relevant studies published between 1985 and 2017.Methods:Based on the Chinese Medicine Acupuncture-moxibustion Information Database,quantitative analysis,correlation analysis and Chi-square test were applied to analyze the commonly used acupoints,meridian affiliations and body region distributions,commonly used methods and acupoint correlations,treatment method correlations,the efficacy of acupuncture-moxibustion plus the three-step analgesic ladder for cancer pain,and indicators.Results:Zusanli (ST 36),Ashi point and Sanyinjiao (SP 6) ranked the top on the list of frequency;points from Bladder Meridian of Foot Taiyang and Stomach Meridian of Foot Yangming were often used;points from the lower limbs and back had high frequencies.The most commonly used treatment method was acupuncture-moxibustion plus medication.Acupuncture-moxibustion plus the three-step analgesic ladder showed certain advantage compared with the two methods used separately,and among the integrated methods,acupoint application plus the three-step analgesic ladder produced the most significant efficacy.It took (44.77±55.54) min for the analgesic effect to act and the effect lasted for (12.81±14.59) h.Numerical rating scale (NRS),visual analog scale (VAS) and Karnofsky performance status (KPS) scores all showed significant changes after interventions (all P＜0.01);there was no significant change in the score of quality of life (QOL) after interventions (P＞0.05).Conclusion:Zusanli (ST 36),Ashi point and Sanyinjiao (SP 6) are commonly selected in acupuncture-moxibustion treatment of cancer pain;acupuncture and acupoint application are often used;acupuncture-moxibustion plus the three-step analgesic ladder can boost the treatment efficacy.
ABSTRACT
Objective:To compare the clinical efficacies between thin-cotton moxibustion plus surround needling and Western medication in treating herpes zoster (HZ). Methods:Eighty-three HZ patients were divided into two groups according to their admission sequence, 41 cases in the thin-cotton moxibustion group and 42 cases in the Western medication group. The thin-cotton moxibustion group received thin-cotton moxibustion on the surface of lesions plus surround needling around the lesions, once a day. The Western medication group was intervened by Acyclovir intravenous injection, 0.25 g per dose, once a day, along with external application of Acyclovir cream 3-5 times a day. After 10-day treatment, the blister-healing time, crusting time, pain-reducing time, onset time of action, lesion-healed time, and occurrence of post-herpetic neuralgia (PHN) were compared. Results:During the study, a case dropped out in the thin-cotton moxibustion group, and 2 cases dropped out in the Western medication group. The recovery and markedly-effective rate was 92.5% and total effective rate was 97.5% in the thin-cotton moxibustion group, versus 72.5% and 87.5% in the Western medication group, and the between-group differences were statistically significant (P Conclusion:Thin-cotton moxibustion plus surround needling can produce a more significant efficacy than Acyclovir in treating HZ, and it can markedly reduce the occurrence of PHN.
ABSTRACT
We carried out a 2 nd questionnaire survey to complement the results of the initial questionnaire survey in 2003. The results of the symposium, “Acupuncture treatment on the local area versus the distal area” from the 53rd JSAM (Japan Society of Acupuncture and Moxibustion) 2003 annual meeting and the first questionnaire helped us refer our continuing discussion. In the last survey we had selected subjects at random from members of JSAM who had been since more than 12 years ago. But in this survey we selected subjects whom we expected as leaders of schools or groups. All answers had to be described. We sent questionnaires to 87 members, and 41 sent back replies.<BR>Items of investigation were the method of treatment (at modern acupuncture and moxibustion schools, traditional acupuncture and moxibustion schools, traditional Chinese medicine schools, etc), the conditions under which local treatment and/or distal treatment are effective or ineffective, and syndromes for which local treatment and distal treatment are effective, and under those circumstances the theory of acupoint selection, the depth of insertion and resulting sensation. Eventually, opinions about both treatments were requested. The results were analyzed by simple and cross tabulation.<BR>The subjects were leaders of schools or groups. This questionnaire was based on the results of the past two symposiums and the initial questionnaire. As a result this survey of opinions and ideas were collecting articulated and approached the achievement of our purpose.