Journal of Integrative and Complementary Medicine最新文献

{"title":"Eye Movement Desensitization and Reprocessing for Chronic Pain: A Systematic Review.","authors":"Abhinav Singla, Pragyat Futela, Komal Arora, Loren Toussaint, Zaain Ahmad, Aleksandra Murawska Baptista, Christopher V Anstine, Ryan T Hurt, Lindsey M Philpot, Arya B Mohabbat","doi":"10.1177/27683605251362035","DOIUrl":"https://doi.org/10.1177/27683605251362035","url":null,"abstract":"<p><p><b><i>Background:</i></b> Nonpharmacologic interventions have known benefits for managing chronic pain, particularly for conditions such as fibromyalgia, and are included in clinical guidelines. However, eye movement desensitization and reprocessing (EMDR) has not been established as a routine clinical practice for pain management. <b><i>Objective:</i></b> To systematically review the efficacy of EMDR for managing chronic pain. <b><i>Methods:</i></b> A search was conducted to identify randomized clinical trials (RCTs) and observational studies by using the keywords \"EMDR\" and \"chronic pain.\" Information was collected on the study population, EMDR protocol, methods for pain assessment, and outcomes. Risk of bias was evaluated, and intervention effect sizes were determined by calculating Hedges <i>g</i> values for long-term follow-up data in RCTs. <b><i>Results:</i></b> A total of nine studies, including seven RCTs, were reviewed. The studies used various diverse pain measurement tools and EMDR protocols. All reported significant improvements in pain symptoms with EMDR. Most of the studies reported statistically significant improvements in associated mental health issues, notably in psychological distress (four out of four studies), anxiety (three out of three studies), and depression (three out of four studies). Effect sizes varied among the studies, with three RCTs reporting large effects, two RCTs reporting moderate effects, and one RCT reporting small or nonsignificant effects. <b><i>Conclusion:</i></b> EMDR shows promise for managing chronic pain and addressing associated mental health symptoms. Despite study differences and limitations, the findings of this systematic review support the potential use of EMDR for chronic pain management.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and Safety of Acupuncture for Obesity: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Liang Ding, Yan Xiao","doi":"10.1177/27683605251363181","DOIUrl":"https://doi.org/10.1177/27683605251363181","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;&lt;i&gt;Introduction:&lt;/i&gt;&lt;/b&gt; Obesity poses an important public health concern globally, requiring effective and safe interventions. Acupuncture, a traditional Chinese medicine therapy, is increasingly used to address various health conditions, including obesity. Previous systematic reviews have examined acupuncture for obesity, but none have comprehensively synthesized evidence from both English and non-English-language databases with rigorous methodological assessment. This review addresses this gap by providing an updated synthesis of randomized controlled trials (RCTs) evaluating acupuncture's effectiveness and safety for obesity management. &lt;b&gt;&lt;i&gt;Aim and Objectives:&lt;/i&gt;&lt;/b&gt; The primary goal of this research was to evaluate the effectiveness of various acupuncture treatments; it includes acupressure, auricular acupuncture, auricular acupressure, and more treatments for obesity. Specifically, we aimed to determine whether these acupuncture therapies are as effective as placebos or traditional treatments for weight loss. Additionally, we aimed to systematically assess the safety profile of acupuncture by examining the types and frequency of adverse events reported across trials. &lt;b&gt;&lt;i&gt;Method:&lt;/i&gt;&lt;/b&gt; We conducted a systematic review following Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) 2020 guidelines. We searched PubMed, Google Scholar, ISI Web of Science, China National Knowledge Infrastructure, Wanfang Database, and VIP Database from inception to September 2024 without language restrictions. Two independent reviewers screened titles, abstracts, and full texts. We included RCTs comparing acupuncture interventions (manual acupuncture, electroacupuncture, laser acupuncture, auricular acupuncture, or acupressure) with placebo, sham treatments, lifestyle interventions, or medications in adults with obesity (body mass index ≥30 or ≥25 kg/m&lt;sup&gt;2&lt;/sup&gt; for Asian populations). We excluded studies combining acupuncture with other therapies except diet, as diet modification is standard care for obesity. Study quality was assessed using the Cochrane Risk of Bias tool 2.0. Meta-analyses were conducted using random-effects models in RevMan 5.4. Heterogeneity was assessed using &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; statistics. The certainty of evidence was evaluated using Grading of Recommendations, Assessment, Development and Evaluations (GRADE) methodology. &lt;b&gt;&lt;i&gt;Results:&lt;/i&gt;&lt;/b&gt; Of 202 identified records, 20 RCTs (&lt;i&gt;n&lt;/i&gt; = 2261 participants) met inclusion criteria. Fifteen RCTs with complete data were included in meta-analyses. Compared with lifestyle interventions, acupuncture resulted in additional weight loss of 1.72 kg (95% confidence interval [CI]: 0.50-2.93, &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 20%, five studies, &lt;i&gt;n&lt;/i&gt; = 237). Compared with placebo/sham treatments, acupuncture achieved greater weight reduction of 1.56 kg (95% CI: 0.78-2.34, &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0%, eight studies, &lt;i&gt;n&lt;/i&gt; = 412). When compared with medications, acupun","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Collaborative Learning to Examine the Feasibility and Uptake of Whole Health Coaching for Rural-Residing Veterans with Multiple Chronic Conditions.","authors":"David B Coultas, Leslie Tadei, Kristen Saxton, Mystery Wells, Chelsea Jacobson, Christopher Larsen, Thomas Lindsley, Elizabeth Hulen","doi":"10.1177/27683605251361621","DOIUrl":"https://doi.org/10.1177/27683605251361621","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Among rural communities, there is a growing occurrence of persons with multiple chronic conditions (MCC) who have many unmet health care needs. Innovative interventions are needed to help address these needs. The purpose of this article is to describe the feasibility and uptake of a Whole Health System (WHS) health coaching support for rural-residing Veterans with MCC. <b><i>Methods:</i></b> This was a prospective qualitative case study of the development and early implementation of two types of health coaching support conducted at the VA Portland Health Care System. The two types of support offered were a health coach alone or a health coach plus remote patient monitoring-home telehealth (RPM-HT). Two clinical teams collaborated on the planning and implementation of the interventions using a collaborative learning process. The observations from this process were then used to conduct a formative evaluation using the Mobilizing Integrated Promoting Action on Research Implementation in Health Services (Mi-PARIHS) toolkit. <b><i>Results:</i></b> Of the 56 Veterans offered health coaching support, 6 (10.7%) engaged with the health coach. Among the 32 Veterans offered health coach plus RPM-HT support, 12 (37.5%) participated. Many factors contributed to the limited engagement of Veterans in the WHS coaching interventions including system-, clinician-, and patient-level concerns. <b><i>Discussion:</i></b> Our study examining the feasibility and uptake of providing WHS health coaching support highlights the complex care needs and numerous challenges of providing this type of support. Moreover, the formative evaluation using the Mi-PARIHS toolkit reinforced specific barriers that need to be addressed in future implementation efforts of providing person-centered care supported by health coaches. Finally, there is an urgent need for effective solutions given the health disparity gaps in rural communities, shortage of health care professionals, limited access to specialty care and closure of rural hospitals, and the estimated doubling prevalence of MCC over the next 25 years.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144715196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tai Chi Easy for Opioid Use Disorder: Pilot Feasibility Outcomes and Lessons Learned.","authors":"Zhanette Coffee, Terry A Badger, Ruth Taylor-Piliae, Todd W Vanderah, Chong Ho Yu, Judith S Gordon","doi":"10.1177/27683605251360930","DOIUrl":"https://doi.org/10.1177/27683605251360930","url":null,"abstract":"<p><p><b><i>Background:</i></b> Opioid use disorder (OUD) remains a global crisis, with chronic pain (CP), anxiety, and opioid cravings contributing to treatment discontinuation and return to opioid use. Despite the effectiveness of medications for OUD (MOUD) such as buprenorphine and methadone, they are underutilized, with nearly 50% of individuals discontinuing prematurely or returning to opioid use. Mind-body therapies (e.g., mindfulness, acupuncture, Tai Chi) have shown promise in reducing stress, drug cravings, and pain while improving well-being. However, Tai Chi has not been systematically tested for individuals with OUD and co-occurring CP and anxiety. The authors aimed to evaluate the feasibility of a virtual Tai Chi Easy (vTCE) intervention as an adjunct therapy for adults with OUD and co-occurring CP, and/or anxiety. <b><i>Methods:</i></b> A theory-driven, pre-post, single-group quasi-experimental design was used to evaluate intervention feasibility benchmarks and conduct baseline comparisons between inpatient and outpatient participants. The 8-week vTCE intervention consisted of gentle movements, breathing exercises, self-massage, and mindfulness practices, integrating these components into a holistic mind-body approach. <b><i>Results:</i></b> Of 32 screened individuals, 19 enrolled and 15 participated. Recruitment goals were partially met after expanding to outpatient settings (65% of the target). Retention was low, with only 3 participants (15.8%) completing the final assessment. Presurvey completion was high (95%), but postsurvey completion was limited (15.7%). Adherence was low, with only 20% attending more than one session. Acceptability and appropriateness averaged 3.5/5, and feasibility reached 4/5. No injuries were reported, supporting intervention safety. <b><i>Conclusion:</i></b> The vTCE intervention was not feasible in the inpatient setting. Outpatient settings showed greater feasibility, with notable differences in baseline characteristics, including self-reported opioid cravings. Lessons learned from this pilot study highlight the need to tailor recruitment, retention, and intervention strategies for future research testing vTCE as an adjunct therapy for individuals with OUD and co-occurring symptoms receiving outpatient MOUD. <b><i>Trial Registration:</i></b> ClinicalTrials.gov (Identifier: NCT05850533). Registered: 04/25/2023.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expanding the Role of Physiotherapists in Delivering Body-Mind Interventions for Mental Health in Low-Income Countries.","authors":"Davy Vancampfort, James Mugisha","doi":"10.1177/27683605251360928","DOIUrl":"https://doi.org/10.1177/27683605251360928","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dignity-Based Care: Lessons for Today from Two Turning Points in the Histories of Acupuncture.","authors":"Eana X Meng, Maria T Chao, Peter Wayne","doi":"10.1089/jicm.2025.0434","DOIUrl":"https://doi.org/10.1089/jicm.2025.0434","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of LIV-52 for the Treatment of Hepatic Disorders: A Systematic Review and Meta-Analysis.","authors":"Anshu Priya, Munmun Kumari, Anjani Kumar, Kusum Kumari, Amit Kumar, Jyoti Ranjan, Lakhan Majhee","doi":"10.1089/jicm.2024.0703","DOIUrl":"https://doi.org/10.1089/jicm.2024.0703","url":null,"abstract":"<p><p><b><i>Background:</i></b> Chronic liver diseases (CLDs) are major contributors to hepatic disorder-related morbidity and mortality worldwide. LIV-52, a herbo-mineral product, has demonstrated anti-inflammatory and immunomodulatory properties. <b><i>Objective:</i></b> Several randomized controlled trials (RCTs) have been conducted to verify its hepatoprotective effects across diverse patient groups with CLDs. This study aims to perform a meta-analysis to evaluate the therapeutic efficacy of LIV-52 in liver diseases. <b><i>Data Sources:</i></b> PubMed, the Cochrane Library, EMBASE, and Web of Science were searched to identify eligible RCTs published through March 10, 2025, where the efficacy of LIV-52 was compared with usual treatments for liver diseases. Meta-analysis was performed using RevMan and GRADEPro software. <b><i>Eligibility Criteria:</i></b> RCTs comparing LIV-52 with or without standard care in patients with CLDs. <b><i>Data Collection and Analysis:</i></b> Data were extracted independently by two reviewers. Meta-analysis was performed using a random-effects model. <b><i>Results:</i></b> From the 10 RCTs involving 758 patients, the hepatoprotective effects of LIV-52 treatment were examined. Benefits were noted in the areas of appetite loss (odds ratio = 0.25, confidence interval [CI] = 0.06 to 1.00, <i>p</i>-value = 0.05), renormalization of the liver enzyme serum-glutamic-pyruvic transaminase (SGPT; mean difference [MD] = -16.37, CI = -30.87 to -1.88, <i>p</i>-value <0.03), and improvement in fat metabolism in patients with liver cirrhosis (zinc sulfate [ZnS] turbidity [MD = 6.76, CI = 2.4 to 11.12, <i>p</i>-value <0.002] and fecal fat secretion [MD = -1.66, CI = -2.53 to -0.75, <i>p</i>-value <0.0001]). However, no significant effects of LIV-52 were observed for liver enzymes such as serum-glutamic-oxaloacetic transaminase, alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), bilirubin, and the hematological parameters. The overall quality of evidence (QoE) as assessed using GRADEPro ranged from very low to moderate, with the majority of comparisons supported by low or very low due to small sample sizes and high bias risks, while the findings for some outcomes, hemoglobin and prothrombin time outcomes, supported moderate-quality evidence. Adverse events (AEs) were assessed in three RCTs; no intervention-related AEs were reported. <b><i>Conclusion:</i></b> The findings of this meta-analysis suggest that LIV-52 offers certain hepatoprotective benefits, particularly in improving appetite, normalizing SGPT levels, and enhancing fat metabolism in patients with liver diseases. The broader efficacy of LIV-52 is limited, and the low QoE warrants cautious interpretation. Further high-quality, large-scale studies are needed to enhance the certainty of evidence and confirm the LIV-52 efficacy and safety across all outcomes.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"GPT Versus ERNIE for National Traditional Chinese Medicine Licensing Examination: Does Cultural Background Matter?","authors":"Erfan Ghanad, Christel Weiß, Hui Gao, Christoph Reißfelder, Kamal Hummedah, Lei Han, Leihui Tong, Chengpeng Li, Cui Yang","doi":"10.1089/jicm.2024.0902","DOIUrl":"https://doi.org/10.1089/jicm.2024.0902","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> This study evaluates the performance of large language models (LLMs) in the context of the Chinese National Traditional Chinese Medicine Licensing Examination (TCMLE). <b><i>Materials and Methods:</i></b> We compared the performances of different versions of Generative Pre-trained Transformer (GPT) and Enhanced Representation through Knowledge Integration (ERNIE) using historical TCMLE questions. <b><i>Results:</i></b> ERNIE-4.0 outperformed all other models with an accuracy of 81.7%, followed by ERNIE-3.5 (75.2%), GPT-4o (74.8%), and GPT-4 turbo (50.7%). For questions related to Western internal medicine, all models showed high accuracy above 86.7%. <b><i>Conclusion:</i></b> The study highlights the significance of cultural context in training data, influencing the performance of LLMs in specific medical examinations.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Tai Chi on Cardiometabolic Risk Factors: Systematic Review and Meta-Analysis.","authors":"Mingming Wang, Dong Wang, Yongchao Liao, Ruipeng Li, Yufei Zhong, Jiayuan Zhang","doi":"10.1089/jicm.2024.0759","DOIUrl":"10.1089/jicm.2024.0759","url":null,"abstract":"<p><p><b><i>Background and Aim:</i></b> Cardiovascular diseases (CVDs), the leading cause of sudden death, are primarily driven by metabolic dysfunction, a core mechanism underlying their onset and progression. Emerging research suggests that Tai Chi, an ancient martial art, positively impacts metabolic health. Accordingly, we sought to conduct a systematic review to examine clinical evidence regarding the effectiveness and safety of Tai Chi in managing cardiometabolic risk factors (CRFs). <b><i>Methods and Results:</i></b> A comprehensive literature search of eight electronic databases identified randomized controlled trials (RCTs) that met predefined inclusion criteria, focusing on adults with CRFs such as obesity, hyperlipidemia, hypertension, and glycemic dysregulation. Interventions involving Tai Chi were compared with nonexercise controls or other exercise modalities. Outcomes included lipid profiles, blood pressure, blood glucose, body composition, and adverse events. <b><i>Results:</i></b> Thirteen RCTs involving 1746 participants were included. Tai Chi significantly reduced triglycerides (TG) (mean difference [MD] = -0.20, <i>p</i> < 0.0001), fasting blood glucose (MD = -0.36, <i>p</i> = 0.025), DBP (MD = -4.49, <i>p</i> = 0.010), and waist circumference (MD = -3.34, <i>p</i> = 0.0001), while increasing high-density lipoprotein cholesterol (MD = 0.09, <i>p</i> < 0.0001) compared with nonexercise interventions. Compared with other exercises, Tai Chi reduced total cholesterol (MD = -0.33, <i>p</i> = 0.007) and TG (MD = -0.14, <i>p</i> = 0.0056). The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) assessment indicated the overall quality of evidence supporting these findings was moderate. No serious adverse events were reported. <b><i>Conclusion:</i></b> Tai Chi is an effective and safe exercise intervention for managing CRFs, especially for populations unable to engage in high-intensity exercise. While Tai Chi demonstrates modest efficacy compared with other exercises, its safety and accessibility make it a valuable option in clinical practice. Further high-quality studies are needed to confirm long-term effects and optimize intervention strategies.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"641-653"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional Collaboration in Integrative and Complementary Medicine.","authors":"Holger Cramer, Alina Schleinzer, Mirela-Ioana Bilc","doi":"10.1089/jicm.2025.0417","DOIUrl":"10.1089/jicm.2025.0417","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"589-590"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}