World Journal of Acupuncture-Moxibustion最新文献

{"title":"Effects of acupuncture on iron metabolism in the hippocampus of the rats with cerebral ischemia-reperfusion injury based on the imbalance of iron homeostasis","authors":"Hong-Juan WANG (汪红娟), Hong TANG (唐红), Shan-Shan JIANG (江姗姗), Zhan-Fu LI (李展富), Hao-mei TIAN (田浩梅), Chu-Tao CHEN (陈楚淘)","doi":"10.1016/j.wjam.2024.09.003","DOIUrl":"10.1016/j.wjam.2024.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to observe the effects of acupuncture on iron metabolism in the hippocampus of rats with cerebral ischemia-reperfusion injury (CIRI) and to explore the mechanism of acupuncture on neural repair in CIRI rats.</div></div><div><h3>Methods</h3><div>After general feeding for 3 days, 16 of 48 healthy Sprague–Dawley rats were selected according to a random number table to form a sham-occlusion group, and the models were prepared in the remaining rats. After successful modeling, the rats were randomized into model and acupuncture groups, with 16 rats in each group. The CIRI models were prepared using the modified Zea Longa suture-occlusion method. In the acupuncture group, the rats were fixed and acupuncture was delivered at “Shuigou” (GV26), “Dazhui” (GV14), and “Baihui” (GV20), and the needles were manipulated once every 15 min. In the sham-occlusion and model groups, rats were fixed without acupuncture. The intervention was performed for 30 min in each group, once every 12 h, seven times. The degree of neurological impairment was assessed by using the modified Garcia score. Cerebral blood flow (CBF) was monitored using a laser speckle blood flow imaging system. The cerebral infarction area ratio was measured using triphenyltetrazolium chloride staining. Ferric ion aggregation in brain tissue was noted using Prussian blue staining. The ferric ion and glutathione (GSH) contents of the hippocampal tissue on the ischemic side were detected using ferric ion and GSH kits. The protein expression of transferrin receptor 1 (TFR1), iron regulatory protein 2 (IRP2), and ferroportin (FPN) was detected via western blotting.</div></div><div><h3>Results</h3><div>(1) Before intervention, compared with the sham-occlusion group, the Garcia neurological score was significantly reduced in the model and acupuncture groups (both <em>P <</em> 0.01). After the intervention, compared with the sham-occlusion group, the Garcia neurological score in the model group decreased significantly (<em>P <</em> 0.01), and the score in the acupuncture group was elevated compared with the model group (<em>P <</em> 0.05). Compared to before the intervention, the Garcia neurological score increased after the intervention in the acupuncture group (<em>P <</em> 0.05). (2) Compared with the sham-occlusion group, in the model group, CBF was reduced, the infarct area was significantly enlarged, ferric ion aggregation increased in the hippocampus, the content of ferric ion increased, and that of GSH decreased significantly (both <em>P <</em> 0.01), while the protein expression of TFR1 and IRP2 was upregulated and that of FPN was downregulated (both <em>P <</em> 0.05). When compared with the model group, in the acupuncture group, CBF was increased, the infarct area was reduced (<em>P <</em> 0.01), the ferric ion aggregation was reduced in the hippocampus, the content of ferric ion decreased, and that of GSH increased significantly (<","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 292-299"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professor Wei-bin GAO's experience in treatment of voiding dysfunction with electroacupuncture","authors":"Shao-peng LIU (刘少鹏) ,&nbsp;Ming-yuan HAN (韩名媛) ,&nbsp;Xin-yuan CAO (曹馨元) ,&nbsp;Ying-ying ZHU (祝莹莹) ,&nbsp;Jian-tao YIN (殷建涛) ,&nbsp;Zhong-ren SUN (孙忠人) ,&nbsp;Wei-bin GAO (高维滨) ,&nbsp;Hong-na YIN (尹洪娜)","doi":"10.1016/j.wjam.2024.09.009","DOIUrl":"10.1016/j.wjam.2024.09.009","url":null,"abstract":"<div><div>As a common clinical syndrome, voiding dysfunction is complicated in etiology, involved in a variety of diseases and associated with multi-disciplines of medicine. Either medication or surgery has not obtained the favorable effect on it. Integrated the theories of traditional Chinese medicine and Western medicine and based on the pathogenesis of the disease, the acupoint specificity and neuromodulatory effects, Professor Wei-bin GAO suggested “selecting the acupoints along the affected areas”. The acupoints located near to the lumbar, sacral and abdominal regions are dominated and stimulated with electroacupuncture at different electric waves. In treatment, electric stimulation with disperse and dense waves was adopted. The bone conduction theory of dense-wave electric field was proposed. The same neuromodulation is presented in different diseases such as neurogenic bladder, pediatric enuresis, senile nocturia, benign prostatic hyerplasia, and postpartum of postoperative urination disorders. Hence, the same therapeutic method is adoptable to different diseases with the basic acupoint composition modified.</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 325-331"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A global review of acupuncture and moxibustion recommendations in guidelines/expert consensus for chemotherapy- and/or radiotherapy-induced nausea and/or vomiting","authors":"Tian-yu MING (明恬妤),&nbsp;Wei-juan GANG (岗卫娟),&nbsp;Lan-jun SHI (施兰君),&nbsp;Zhen LUO (罗臻),&nbsp;Zi-yu TIAN (田紫煜),&nbsp;Xiao-yi HU (胡晓艺),&nbsp;Huan CHEN (陈欢),&nbsp;Rui-min JIAO (焦睿珉),&nbsp;Wen-cui XIU (修文萃),&nbsp;Xiang-yu HU (胡翔昱),&nbsp;Xiang-hong JING (景向红)","doi":"10.1016/j.wjam.2024.09.005","DOIUrl":"10.1016/j.wjam.2024.09.005","url":null,"abstract":"<div><h3>Objective</h3><div>To summarize and analyze the recommendations of acupuncture and moxibustion in the global guidelines/expert consensus of chemotherapy- and/or radiotherapy-induced nausea and/or vomiting, providing a basis for the development of clinical practice guidelines on acupuncture and moxibustion for chemotherapy- and/or radiotherapy-induced nausea and/or vomiting.</div></div><div><h3>Methods</h3><div>We systematically searched 7 comprehensive databases, 7 guideline libraries and 4 websites of societies/associations. The retrieval period was from the inception to April 1, 2023. Two researchers independently screened the literature, extracted data, and used the Scientific, Transparent, and Applicable Rankings (STAR) tool to evaluate the quality of guidelines/expert consensus that contained acupuncture and moxibustion recommendations, and analyzed acupuncture and moxibustion recommendations in guidelines/expert consensus and their evidence base.</div></div><div><h3>Results</h3><div>A total of 56 guidelines/expert consensus related to the prevention and treatment of chemotherapy- and/or radiotherapy-induced nausea and/or vomiting were included, and 22 guidelines/expert consensus contained acupuncture and moxibustion recommendations, with a total of 34 recommendations on acupuncture and moxibustion (27 supports, 4 neutrals, 3 objections). The STAR evaluation (excluding 1 patient version of guideline) showed that none of the guidelines/expert consensus was with high quality, 95.24% (20/21) with medium quality, and 4.76% (1/21) with low quality. Although there were many recommendations of acupuncture and moxibustion in the existing guidelines/expert consensus, there was great heterogeneity among the acupuncture and moxibustion treatment regimens. Moreover, most of the guidelines/expert consensus did not describe the details of acupuncture and moxibustion treatment regimens, such as acupuncture and moxibustion manipulation, acupoint selection, course and timing of treatment, which is difficult to guide the clinical practice of acupuncture and moxibustion.</div></div><div><h3>Conclusion</h3><div>Developing clinical practice guidelines of acupuncture and moxibustion for chemotherapy- and/or radiotherapy-induced nausea and/or vomiting according to the items of the STAR tool was urgent, so as to clarify the details of acupuncture and moxibustion regimens and provide standardized treatment regimens to guide the clinical practice of acupuncture and moxibustion.</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 259-269"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143158925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blinding effect of sham Fu's subcutaneous needling in a healthy population","authors":"Hui-yi HUANG (黄慧仪) ,&nbsp;Yan-yan CAI (蔡演演) ,&nbsp;Qing-song ZHANG (张清松) ,&nbsp;Yi-ping HUANG (黄毅平) ,&nbsp;Zhong-hua FU (符仲华)","doi":"10.1016/j.wjam.2024.09.010","DOIUrl":"10.1016/j.wjam.2024.09.010","url":null,"abstract":"<div><h3>Objective</h3><div><em>Fu's</em> subcutaneous needling (FSN) has been shown potential positive effectiveness in clinical practice. However, its specific effects are still not clear. This study aims to evaluate the blinding effect of a non-penetrating sham FSN needle, developed for the first time by the authors' research team in healthy participants. Furthermore, to provide a reliable control tool to assess the specific effects of FSN.</div></div><div><h3>Methods</h3><div>We conducted a randomized, sham-controlled trial in 60 healthy participants divided into FSN group and sham FSN group in a 1:1 ratio. The participants were assessed according to blinding index (BI), pain intensity, sensation type and acceptability of needling.</div></div><div><h3>Results</h3><div>The James' BI was (0.56, 95 %CI [0.45, 0.67]) for two groups. The Bang's BI was (0.50, 95 % CI [0.24, 0.76]) in the FSN group and (−0.36, 95 % CI [−0.67, −0.07]) in the sham FSN group. There was no significant difference between needling pain intensity (<em>P</em> &gt; 0.05) and type of needling sensation. A total of 96.6 % participants who received sham FSN and 86.6 % participants who received FSN considered the needling acceptable or better.</div></div><div><h3>Conclusion</h3><div>This study confirmed the effective blinding capability of the sham FSN needles in healthy participants, indicating that the novel non-penetrating sham FSN needle can be served as eligible control to evaluate the specific effects of FSN.</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 312-317"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143158926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moxibustion versus non-moxibustion for immune reconstitution inflammatory syndrome in patients with HIV: A 48-week prospective cohort study","authors":"Guo-jian GAO (高国建) ,&nbsp;Hui-jun GUO (郭会军) ,&nbsp;Xin LI (李鑫) ,&nbsp;Yao-kai CHEN (陈耀凯) ,&nbsp;Xing-hua TAN (谭行华) ,&nbsp;Yu-qi YANG (杨玉琪) ,&nbsp;Jian-ping MA (马建萍) ,&nbsp;Shui-qing LIU (刘水青) ,&nbsp;Quan-sheng FENG (冯全生) ,&nbsp;Wen ZOU (邹雯) ,&nbsp;Ji-peng DONG (董继鹏) ,&nbsp;Jian WANG (王健) ,&nbsp;Ying LIU (刘颖)","doi":"10.1016/j.wjam.2024.09.008","DOIUrl":"10.1016/j.wjam.2024.09.008","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the effects of moxibustion on immune reconstitution inflammatory syndrome (IRIS) in patients with acquired immune deficiency syndrome (AIDS) by tracking T-cell subsets over a 48-week prospective cohort study.</div></div><div><h3>Methods</h3><div>Patients with AIDS who had low viral loads and weakened immune systems were divided into a moxibustion group and a non-moxibustion group. The non-moxibustion group received standard western treatment, including 48 weeks of antiretroviral therapy (ART). The moxibustion group received ART combined with moxibusion therapy, administered three times weekly. Each treatment lasted 10 weeks, with four courses completed over 48 weeks, separated by 2-week breaks. At different time points, plasma levels of CD4⁺, CD8⁺, CD45RA⁺, CD45RO⁺, CD4⁺CD28⁺, CD8⁺CD38⁺, and CD4⁺CD38⁺ were compared between the two groups.</div></div><div><h3>Results</h3><div>A total of 200 eligible patients were included and divided into two groups, with 100 in the non-moxibustion group and 100 in the moxibustion group. At Week 24, the CD4⁺T cell count was (180.71 ± 79.62) cells/μL in the non-moxibustion group and (218.22 ± 82.02) cells/μL in the moxibustion group. By Week 36, the counts were (204.83 ± 96.78) cells/μL and (239.35±81.90) cells/μL, respectively. At Weeks 24 and 48, the CD8⁺ T cell and CD45RO⁺ counts were higher in the moxibustion group than in the non-moxibustion group (<em>P</em> &lt; 0.05). By Week 48, the CD45RA⁺ count was also higher in the moxibustion group (<em>P</em> &lt; 0.05). At Week 24, the CD4⁺CD25⁺ count was lower in the moxibustion group than in the non-moxibustion group (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Moxibustion enhances immune function in patients with AIDS and IRIS by regulating T-HIVcell subsets and increasing CD4⁺ and CD8⁺ T lymphocyte counts.</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 318-324"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"World Federation of Acupuncture–Moxibustion Societies (WFAS) Technical Benchmark of Acupuncture and Moxibustion: Moxibustion","authors":"Hao-ran CHU (储浩然) ,&nbsp;Wei-hong LIU (刘炜宏) ,&nbsp;Jun YANG (杨骏) ,&nbsp;Xiao-dong WU (武晓冬) ,&nbsp;Xiao-ming WANG (王晓明) ,&nbsp;Jing-ji WANG (王婧吉) ,&nbsp;Yun LIU (刘云) ,&nbsp;Jin HU (胡进)","doi":"10.1016/j.wjam.2024.07.001","DOIUrl":"10.1016/j.wjam.2024.07.001","url":null,"abstract":"<div><p><em>Technical Benchmark of Acupuncture and Moxibustion: Moxibustion</em> was organized by the World Federation of Acupuncture–Moxibustion Societies and the revision was led by Anhui University of Chinese Medicine. This document was first issued in 2013, known as <em>Moxibustion Manipulation</em>. The technical benchmark of moxibustion include scope, normative reference, terms and definitions, operation and requirement and safety. This article introduces the above contents, explains the difficulties in the revision and give the suggestions for the application and popularization of this standard.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 3","pages":"Pages 237-241"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525724000448/pdfft?md5=a0af299eb7a2672bad2f573b9517e6b6&pid=1-s2.0-S1003525724000448-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"World Federation of Acupuncture-Moxibustion Societies Clinical Practice Guideline on Acupuncture-Moxibustion: Non-Specific Low Back Pain recommendation summaries","authors":"Xiao-xu LIU (刘晓旭) ,&nbsp;Ying-ying GUO (郭盈颖) ,&nbsp;Yu-tong FEI (费宇彤) ,&nbsp;Man HUANG (黄漫) ,&nbsp;Yong-ming YE (叶永铭) ,&nbsp;Jin-na YU (于金娜) ,&nbsp;Hui-ze LIN (林蕙泽) ,&nbsp;Wen-xi YAN (闫文茜) ,&nbsp;Lan-ping LIU (柳兰萍) ,&nbsp;Ke-xin ZHU (朱可欣) ,&nbsp;Jun LIANG (梁军) ,&nbsp;Tao YANG (杨涛)","doi":"10.1016/j.wjam.2024.06.005","DOIUrl":"10.1016/j.wjam.2024.06.005","url":null,"abstract":"<div><p><em>Clinical Practice Guideline on Acupuncture and Moxibustion: Nonspecific low back pain</em> was revised and released by the Standards Working Committee of World Federation of Acupuncture-Moxibustion Societies (WFAS) on October 9, 2023. This is the first clinical practice guideline (CPG) on acupuncture and moxibustion for nonspecific low back pain approved by an international academic organization, which provides the evidence-based recommendations and practical therapeutic protocols for international acupuncture practitioners. This CPG was developed by following Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) methodology, and <em>the Principles of the World Health Organization Handbook for Guideline Development</em>. The guideline development group (GDG) from different countries, with different professions, played a critical role in the formulation of clinical questions, recommendations, and therapeutic protocols. Recommendations are the key content of a CPG and the direct answers to clinical questions. Hence, this article focuses on the recommendations of this CPG. The recommendations were formulated using the modified Delphi method and the GRADE grid rules, based on the updated systematic reviews of clinical evidence. A total of seven recommendations for ten clinical questions were formulated in this CPG, including one conditional recommendation for either the intervention or the comparison based on very low quality of evidence, and six conditional recommendations for the intervention based on very low quality of evidence.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 3","pages":"Pages 213-221"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525724000436/pdfft?md5=29330678370e6de411974b741c41cd4d&pid=1-s2.0-S1003525724000436-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141713056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"World Federation of Acupuncture-Moxibustion Societies (WFAS) Technical Benchmark of Acupuncture and Moxibustion: Scalp Acupuncture","authors":"Ying ZHOU (周影),&nbsp;Fu-chun WANG (王富春),&nbsp;Tie LI (李铁)","doi":"10.1016/j.wjam.2024.05.002","DOIUrl":"10.1016/j.wjam.2024.05.002","url":null,"abstract":"<div><p>World Federation of Acupuncture-Moxibustion Societies (WFAS) <em>Technical Benchmark of Acupuncture and Moxibustion: Scalp Acupuncture</em>, was approved by WFAS, issued on October 9, 2023, and officially implemented on December 31, 2023. This technical benchmark specifies terms and definitions, scope of application, operation steps and requirements, security requirements, etc. In the development process, the actual clinical conditions of acupuncture and moxibustion in various countries have been fully considered. This technical benchmark is applicable to global acupuncture medical institutions, conducive to the standardized use of scalp acupuncture in clinical practice, and can promote the international dissemination of scalp acupuncture in a certain degree.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 3","pages":"Pages 242-245"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525724000382/pdfft?md5=73e63ea95ed6b43128da7a0f538e9ae4&pid=1-s2.0-S1003525724000382-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Full process of recommendation formulation for clinical practice guidelines: Taking World Federation of Acupuncture-Moxibustion Societies Clinical Practice Guideline on Acupuncture and Moxibustion: Allergic Rhinitis as an example","authors":"Chao YANG (杨超) ,&nbsp;Guan-qun WANG (王冠群) ,&nbsp;Sheng CHEN (陈晟) ,&nbsp;Shuo DU (杜朔) ,&nbsp;Shan-ze WANG (王舢泽) ,&nbsp;Xiao-long XIE (解小龙) ,&nbsp;Bi-hui PENG (彭碧辉) ,&nbsp;Wei GUO (郭玮) ,&nbsp;Shi-hao DU (杜世豪) ,&nbsp;Ji-ping ZHAO (赵吉平)","doi":"10.1016/j.wjam.2024.07.003","DOIUrl":"10.1016/j.wjam.2024.07.003","url":null,"abstract":"<div><p>The formulation of recommendations is a crucial step in the development of clinical practice guidelines, which requires tools provided by the GRADE methodology. These tools include the evidence quality assessment tool, the evidence summary tool, and the evidence-to-decision (EtD) framework. Although there is a methodologically guided standard pathway for formulating recommendations in clinical practice guidelines, it remains unclear how to translate this theoretical pathway into the practical process for formulating recommendations and what the specific steps in this process entail. Therefore, this paper takes the World Federation of Acupuncture-Moxibustion Societies <em>Clinical Practice Guidelines on Acupuncture and Moxibustion: Allergic Rhinitis</em> as an example to detail the full process of formulating recommendations and summaries it into a three-step method. <strong>Step one</strong>: Collect original materials from different sources to create EtD table. <strong>Step two</strong>: Distribute and collect EtD table, and preliminarily gather the recommendation voting results. <strong>Step three</strong>: Organize “salami-slicing pattern” guideline development group consensus meeting to formulate recommendations. The three-step method for formulating recommendations in clinical practice guidelines fully utilizes the GRADE EtD table to provide guideline development group with decision-making foundation and reference from multiple dimensions, including the importance of clinical questions, balance of benefits and harms, quality of evidence, resource required, values and preferences, health equity, acceptability, and feasibility. This approach enhances the scientific and practical nature of guideline recommendations. This paper provides a standard operating procedure to formulate recommendations for the incoming clinical practice guidelines, which aims to establish a standard pathway for the formulation of acupuncture clinical practice guideline recommendations.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 3","pages":"Pages 252-257"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525724000461/pdfft?md5=2d15460d1d954b67b564b3e2ac9d704d&pid=1-s2.0-S1003525724000461-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"World Federation of Acupuncture-Moxibustion Societies (WFAS) Clinical Practice Guidelines on Acupuncture and Moxibustion: Female Urinary Incontinence recommendation summaries","authors":"Shi-hao DU (杜世豪) ,&nbsp;Shuo DU (杜朔) ,&nbsp;Sheng CHEN (陈晟) ,&nbsp;Shan-ze WANG (王舢泽) ,&nbsp;Guan-qun WANG (王冠群) ,&nbsp;Xiao-long XIE (解小龙) ,&nbsp;Bi-hui PENG (彭碧辉) ,&nbsp;Wei GUO (郭玮) ,&nbsp;Ji-ping ZHAO (赵吉平) ,&nbsp;Chao YANG (杨超)","doi":"10.1016/j.wjam.2024.06.004","DOIUrl":"10.1016/j.wjam.2024.06.004","url":null,"abstract":"<div><p>Urinary incontinence (UI) is common in women and affects the quality of life in female patients severely. But the clinical consideration and treatment are insufficient. Acupuncture and-moxibustion has been proposed as a potentially effective intervention for female UI. Hence, the World Federation of Acupuncture-moxibustion Societies (WFAS) have initiated a project to develop the clinical practice guideline (CPG) on acupuncture and moxibustion for female UI towards global acupuncture practitioners. The CPG was developed according to the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) methodology, referring to the principles of the <em>World Health Organization Handbook for Guideline Development</em>. During the development of the CPG, the guideline development group (GDG) played an important role, which is composed of multi-national and multi-disciplinary experts. The clinical questions, recommendations and therapeutic protocols were all formulated by GDG using the modified Delphi method and basing on the results of the latest systematic review. This article focuses on the recommendations in the CPG. The CPG contains ten recommendations for ten clinical questions, including nine conditional recommendations for the intervention, one conditional recommendations for either the intervention or the comparison. The CPG also provides one conventional filiform needle therapy protocol, two deep puncturing stimulation on lumbosacral acupoints therapy protocols, and four moxibustion therapy protocols, extracted from the included clinical evidence of this CPG.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 3","pages":"Pages 189-196"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525724000424/pdfft?md5=d3a901f918de6632bdf78ec41e070ad5&pid=1-s2.0-S1003525724000424-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}