World Journal of Acupuncture-Moxibustion最新文献

{"title":"Fu's subcutaneous needling in treatment of acute Bell's palsy observed by laser speckle contrast imaging: A case report","authors":"Wen-jia Fang (方文佳) ,&nbsp;Jian Sun (孙健) ,&nbsp;Xiao-lin Yang (杨小林) ,&nbsp;Wei Yi (易玮)","doi":"10.1016/j.wjam.2023.05.003","DOIUrl":"10.1016/j.wjam.2023.05.003","url":null,"abstract":"<div><p>One case of acute Bell's palsy was reported and treated with Fu's subcutaneous needling(FSN). Present symptoms: facial muscle stiffness on the right side, ptosis of labial angle, failure to frown the right eyebrow, the eyeball exposed about 2 mm when gently closing the eyes, air leaking when bulging the cheeks, drooling when brushing the teeth and gargling, and food retained in the cheek when eating. Western medicine diagnosis: peripheral facial palsy. Traditional Chinese medicine diagnosis: facial paralysis. The subcutaneous swaying movement and reperfusion action of FSN were adopted on the affected muscles and achieved the remarkably effects on incomplete closure of eyes and drooping of the mouth. The patient was recovered quickly. Before and after treatment, the laser speckle contrast imaging was used to observe the improvement of blood flow on the face, which provides the idea for the research and clinical practice of Fu's subcutaneous needling in treatment of Bell's palsy.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 67-71"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000296/pdfft?md5=962a9fd8e6e54730d796be6e296cf6aa&pid=1-s2.0-S1003525723000296-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44487579","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":"Acupoint selection rules in treatment of cancer with moxibustion☆灸法用于癌症治疗的选穴规律分析","authors":"Ru-fang PAN(潘茹芳),&nbsp;Shu-ya MA(马舒雅),&nbsp;Tian-yu GAO(高田宇),&nbsp;Fei-cheng ZHANG(张飞程),&nbsp;Tian-yu LI(李天玉),&nbsp;Chun-sheng JIA(贾春生),&nbsp;Li-jia PAN(潘丽佳)","doi":"10.1016/j.wjam.2023.12.005","DOIUrl":"10.1016/j.wjam.2023.12.005","url":null,"abstract":"<div><h3>Objective</h3><p>To summarize the rules of acupoint selection in treatment of cancer with moxibustion by analyzing the articles of relevant clinical trials in recent years in China, so as to provide the references for acupoint selection of moxibustion for cancer.</p></div><div><h3>Methods</h3><p>The articles of clinical trials for treatment of cancer with moxibustion were retrieved from China National knowledge Infrastructure (CNKI), VIP Chinese Journal Service Platform (VIP) and Wanfang Data Knowledge Service Platform (Wanfang) from 1st January 2015 to 30th June 2021. Using EpiData software, the data were extracted and exported in Excel. The analysis was performed with IBM SPSS Statistics 23 software.</p></div><div><h3>Results</h3><p>A total of 516 articles were collected, including 533 prescriptions with 164 acupoints involved. The high-frequency acupoints were similar among 7 types of cancers and these acupoints mostly acted on supporting the antipathogenic <em>qi</em>, replenishing <em>qi</em> and regulating the spleen and stomach. Regarding meridian tropism, the acupoints from the conception vessel, the governor vessel and bladder meridian were dominant in treatment of cancer with moxibustion. In terms of location distribution, the selected acupoints were generally distributed on the chest, abdomen, lumbar region and the upper back of the body. Based on cancer related symtomes in different systems, the use frequency of Zusanli (ST36) was the highest for the symptoms of the immune, digestive, circulatory and motor systems; that of Feishu (BL13) was the highest for the respiratory system symptoms and that of Guanyuan (CV4) was the highest for the urinary system symptoms. The cluster analysis of high-frequency acupoints showed that the acupoints of moxibustion for cancer generally work on cultivating yang, supporting the antipathogenic <em>qi</em>, strengthening the spleen and harmonizing the stomach, and were selected in association with the clinical symptoms of different cancers.</p></div><div><h3>Conclusion</h3><p>In treatment of cancer with moxibustion, the acupoints of the conception vessel and the governor vessel, as well as the back-<em>shu</em> points of the bladder meridian were dominated. All of these acupoints acted on supporting the antipathogenic <em>qi</em>, replenishing <em>qi</em> and regulating the spleen and stomach. It emphasized the etiology of “the deficiency in the root” of cancer, and the characteristics of acupoint selection based on syndrome differentiation in treatment with moxibustion.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 54-62"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000843/pdfft?md5=d8fcbca047d0cfad08aa838da1f03453&pid=1-s2.0-S1003525723000843-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139188926","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 Jian-qiao FANG's experience in postherpetic neuralgia treated with acupuncture and moxibustion","authors":"Chen-ye WANG (王晨烨) ,&nbsp;Zhi-yuan BIAN (边致远) ,&nbsp;Xiao-yu LI (李晓宇) ,&nbsp;Ruo-han SUN (孙若晗) ,&nbsp;Wei-ji CHEN (陈炜吉) ,&nbsp;Yi LIANG (梁宜) ,&nbsp;Jian-qiao FANG (方剑乔)","doi":"10.1016/j.wjam.2023.04.001","DOIUrl":"10.1016/j.wjam.2023.04.001","url":null,"abstract":"<div><p>This article introduces the clinical experience of Professor Jian-qiao FANG in treatment of postherpetic neuralgia (PHN) with acupuncture and moxibustion. Jian-qiao FANG believes that PHN is characterized by “stagnation” and “deficiency” in pathogenesis and it is treated by “resolving stasis” and “replenishing for deficiency”. Electroacupuncture is predominated in treatment and the combined regimen of various techniques of acupuncture and moxibustion is adopted in therapeutic strategy. According to the pain characteristics of patients, the acupuncture and moxibustion prescription is drafted for resolving stasis and masses, replenishing for deficiency and regulating the mind. The acupoints include <em>Ashi</em> points, Jiaji (EX-B2), Hegu (LI4), Waiguan (TE5), Zusanli (ST36), Sanyinjiao (SP6), Shenting (GV24), Baihui (GV20) and Sishencong (EX-HN1). In treatment with electroacupuncture, the stimulation parameters are selected flexibly according to different pain characteristics. The frequency of 2/100 Hz is the first option, 100 Hz is used for the acute seizure and 2 Hz is for mild pain. After electric stimulation, the treatment with roller type of dermal needle and moxibustion can be applied to ensure clinical efficacy.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 63-66"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000247/pdfft?md5=6bad3376cc77a41690b340d8ae738fb4&pid=1-s2.0-S1003525723000247-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44990838","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":"Mechanistic investigation of acupuncture treatment in patients with migraine: Evidence from brain imaging study (I)","authors":"Guo-yun LIU (刘国韵),&nbsp;Yi-chao CHEN (陈懿超),&nbsp;Zi-min CAO (曹子敏),&nbsp;An-qi SHI (石安琪),&nbsp;Lu-fan XU (许璐凡),&nbsp;Zhi-jun LI (李芷君),&nbsp;Ze-qiu YANG (杨泽秋),&nbsp;Chao-qun YAN (闫超群),&nbsp;Jun WANG (王军)","doi":"10.1016/j.wjam.2023.07.002","DOIUrl":"10.1016/j.wjam.2023.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>Magnetic resonance imaging (MRI) studies have demonstrated anatomical and functional alterations of brain regions in patients with migraine, and the efficacy of acupuncture for migraine could regulate these abnormal alterations. However, its pathogenesis remains ambiguous, and inconsistent results have been reported. The purpose of this study was to explore abnormal structural and functional alterations in patients with migraine using voxel-based morphometry (VBM) analysis and a seed-based functional connectivity (FC) approach and to provide a basis for future research.</p></div><div><h3>Methods</h3><p>The study recruited 34 patients with migraine and 38 healthy controls who underwent structural and resting-state functional magnetic resonance imaging (fMRI). VBM was evaluated across the whole brain, and group differences in the gray matter (GM) were compared. The significantly altered GM volumes considered as the seeding area were further calculated for the FC of the whole brain. The correlation between structural or functional changes of the brain and clinical features was also evaluated.</p></div><div><h3>Results</h3><p>Patients with migraine manifested higher GM volumes in the left occipital lobe than healthy controls. Seed-based analyses demonstrated reduced FC between the left occipital lobe and right inferior frontal gyrus, extending to the anterior cingulate cortex (ACC) and right insula. Decreased FC in the left ACC was positively correlated with visual analog scale (VAS) and self-rating anxiety scale (SAS).</p></div><div><h3>Conclusions</h3><p>This study indicated that patients with migraine exhibited abnormal changes in brain regions, which could facilitate a better understanding of how brain structure and function impact the symptoms of migraine and provide the basis for elucidating the potential mechanisms of acupuncture for migraine.</p></div><div><h3>Trial registration</h3><p>Chinese Clinical Trial Registry, Chi CTR2000033995. Registered on 20 June 2020.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 16-23"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000557/pdfft?md5=1c8f876fe775f5f7f25228b5db245846&pid=1-s2.0-S1003525723000557-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47244908","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":"Diseases for which acupuncture proves superior: Headache","authors":"Fang YUAN (袁芳),&nbsp;Lin-peng WANG (王麟鹏),&nbsp;Shao-song WANG (王少松)","doi":"10.1016/j.wjam.2023.12.001","DOIUrl":"10.1016/j.wjam.2023.12.001","url":null,"abstract":"","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 72-73"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000806/pdfft?md5=305cbeda38250cbcdf8e65fd55ca0411&pid=1-s2.0-S1003525723000806-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191754","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":"The necessity of inheritance and innovation of classical acupuncture from the rising of dry needling从干针崛起看古典针灸传承与创新的必要性","authors":"Guan-Yuan JIN(金观源) ,&nbsp;Louis Lei JIN(金雷) ,&nbsp;Belinda Jie HE(何洁) ,&nbsp;Bonnie Xia JIN(金霞)","doi":"10.1016/j.wjam.2023.05.005","DOIUrl":"10.1016/j.wjam.2023.05.005","url":null,"abstract":"<div><p>By reviewing the historical background and the current state of dry needling (DN), including the \"Anti-DN Independence\" movement by the acupuncture profession in the west, this paper emphasizes that DN is acupuncture, or more precisely, a \"de-meridian\" style of acupuncture. Clinical applications of DN and its modern studies have seen a tremendous growth spurt during the past two decades, which suggests that the meridian theory of traditional Chinese medicine (TCM) may not be the exclusive theory to guide acupuncture. Even certain high-quality DN trials may serve as good examples for acupuncture research, such as refining the stimulation targets in acupoints, recognizing the reflex properties of acupoints known as acu-reflex points (ARPs), or establishing standardized indicators of stimulus amount while objectively assessing the needling efficacy. Like any other therapies, DN has its shares of drawbacks or limitations, which reminds that while innovating classical acupuncture, it is still necessary to inherit the valuable experience of classic acupuncture and the rational core of meridian theory. This is crucial for enhancing the efficacy of clinical acupuncture intervention including DN to broaden the treatment scope and indications of acupuncture.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 1-8"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000314/pdfft?md5=f372ab80b46ee0b577bf97c7fea1ec54&pid=1-s2.0-S1003525723000314-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46716569","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":"Dose-effect relationship between electroacupuncture with different parameters and the regulation of endogenous opioid peptide system","authors":"Ping CHEN (陈平) ,&nbsp;Hong XU (徐红) ,&nbsp;Ren ZHANG (张仁) ,&nbsp;Xue-song TIAN (田雪松)","doi":"10.1016/j.wjam.2023.06.003","DOIUrl":"10.1016/j.wjam.2023.06.003","url":null,"abstract":"<div><p>Endogenous opioid peptides (EOP) are the neurochemical basis of the anesthetic and analgesic effects of acupuncture, and the quantity of acupuncture stimulus can be controlled accurately by using electroacupuncture (EA). The present study explores the dose-effect relationship between EA with different parameters and the regulation of EOP system. In this paper, the intervention effects of EA on EOP system were specially discussed in terms of the single factor and the different combinations of the frequency, waveform and current intensity. This study shows that EOP system presents a frequency-response specificity. The low frequency of EA promotes the release of enkephalin, β-endorphin and endomorphin, the high one activates the dynorphin system selectively, and the intermediate frequency works on promoting the release of enkephalin and β-endorphin, as well as dynorphin. Sparse-dense wave of EA may induce the release of enkephalin, β-endorphin, endomorphin and dynorphin, presenting a synergistic effect. However, the waveform of EA should be selected flexibly in clinical practice. Sometimes the better therapeutic effect can also be obtained with the continuous wave of EA. EOP system is involved in mediating appropriate intensity of EA, while the acupuncture effect generated by an extra strong EA stimulation refers to a kind of stress response of non-opioid mechanism. The different combinations of EA parameters result in various effects. The combination of EA parameters should be optimized in accordance with different diseases, which is valuable for guiding clinical practice and the development of EA therapy.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 9-15"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000430/pdfft?md5=16de5dcd788e7810db6265abd243ca2a&pid=1-s2.0-S1003525723000430-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43515529","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":"Effects of acupuncture on RT-BM1 and maternal-fetal immune tolerance in rats with ovarian hyperstimulation","authors":"Jin-min ZHANG (张金民) ,&nbsp;Meng-hao XU (徐梦浩) ,&nbsp;Xiao-hu XU (许啸虎),&nbsp;Cui-hong ZHENG (郑翠红)","doi":"10.1016/j.wjam.2023.12.002","DOIUrl":"10.1016/j.wjam.2023.12.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;This study aimed to evaluate the effects of acupuncture on embryo implantation and maternal–fetal immune tolerance in rats with ovarian hyperstimulation, identify the mechanisms of acupuncture treatment, and promote application of acupuncture in the field of assisted reproduction.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;Eighty female Wistar rats were randomized into normal (N), model (M), acupuncture treatment (A), and progesterone treatment (P) groups, with 20 rats in each group. An ovarian hyperstimulation model was established in groups M, A, and P by the peritoneal injection of pregnant mare serum gonadotropin (PMSG) combined with human chorionic gonadotropin (HCG). Bilateral “Sanyinjiao (SP6)”, “Zusanli (ST36)” and “Taichong (LR3)” as acupoints were needled in rats in group A. Rats in group P received an intramuscular injection of progesterone (4 mg/kg). All pregnant rats were treated for seven days. On the 8th day, the pregnant rats were sacrificed for testing. The expression levels of estrogen (E&lt;sub&gt;2&lt;/sub&gt;) and progesterone (P&lt;sub&gt;4&lt;/sub&gt;) in serum and their receptors in the endometrium, Th1 and Th2 cytokines in serum and endometrium, RT-BM1 (the counterpart of HLA-G in rats) mRNA, Ly49 activating receptors (Ly49s3, Ly49s5) and inhibitory receptors (Ly49i3, Ly49i4, Ly49i5) on immunocytes in the maternal–fetal interface were detected using ELISA, Western blot, and real-time polymerase chain reaction (PCR).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Compared with group N, the pregnancy rate and the number of implanted embryos were significantly decreased in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05); E&lt;sub&gt;2&lt;/sub&gt; and P&lt;sub&gt;4&lt;/sub&gt; levels in serum, and the protein levels of ER-α and Progesterone Receptor (PGR) in the implantation site of endometrial tissue were significantly reduced in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05); the expression of INF-γ and IL-2 in serum and endometrium were significantly increased, while the expression of IL-4, IL-6, and IL-10 in serum and endometrium were significantly decreased in group M(&lt;em&gt;P&lt;/em&gt; &lt; 0.05). The mRNA levels of RT-BM1, Ly49i3, and Ly49i4 receptors in group M were significantly higher than those in group N, whereas the mRNA levels of Ly49i5 and Ly49s5 receptors in group M were significantly lower than those in group N at the maternal–fetal interface (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). The pregnancy rate and number of implanted embryos were significantly higher in group A than in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). Serum E&lt;sub&gt;2&lt;/sub&gt; and P&lt;sub&gt;4&lt;/sub&gt; levels were significantly higher in groups A and P than in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). The expression of ER-α and PGR in the implantation site of endometrial tissue in group A were significantly higher than those in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). The serum levels of INF-γ and IL-2 in group A and group P were significantly lower than those in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). The serum expression of IL-4, IL-6, IL-10 in group A and group P were significantly higher th","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 24-30"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000818/pdfft?md5=475388c869f9327aea6a37c570f55775&pid=1-s2.0-S1003525723000818-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139189113","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":"Acupuncture for cancer pain: from clinical evidence to scientific research","authors":"Yi-han HE (何怡瀚) ,&nbsp;Hai-bo ZHANG（张海波） ,&nbsp;Ming-gang BI（毕明刚）","doi":"10.1016/j.wjam.2023.12.003","DOIUrl":"10.1016/j.wjam.2023.12.003","url":null,"abstract":"","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 74-75"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S100352572300082X/pdfft?md5=faa023cc71bb65afe261674910b37f59&pid=1-s2.0-S100352572300082X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194597","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":"Acupuncture for fibromyalgia: An evidence map 针灸治疗纤维肌痛:证据图","authors":"Lan-jun SHI (施兰君),&nbsp;Xiao-yi HU (胡晓艺),&nbsp;Zi-yu TIAN (田紫煜),&nbsp;Wen-cui XIU (修文萃),&nbsp;Rui-min JIAO (焦睿珉),&nbsp;Xiang-yu HU (胡翔昱),&nbsp;Wei-juan GANG (岗卫娟),&nbsp;Xiang-hong JING (景向红)","doi":"10.1016/j.wjam.2023.07.001","DOIUrl":"10.1016/j.wjam.2023.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>The body of research on acupuncture as a treatment strategy for fibromyalgia (FM) is steadily growing. This evidence map identifies, describes, and summarizes the current status of studies conducted to evaluate the efficacy of acupuncture for FM, identify research gaps, and provide information that could guide the design of future studies.</p></div><div><h3>Methods</h3><p>Seven electronic databases–Cochrane Library, PubMed, Embase, China Biomedical Literature Database, VIP, Wanfang Database, and Chinese National Knowledge Infrastructure–were searched for relevant articles on acupuncture for FM. The search period was from the dates of inception of the databases to December 19, 2022. Original clinical studies and systematic reviews on the use of acupuncture-related modalities for the treatment of FM were included. The basic information, quality assessments, and evidence maps of the included studies are presented as charts and bubble plots. The quality assessment tools used for evaluating the different types of studies included in the present study were Cochrane Collaboration's tool, Canadian Institute of Health Economics quality appraisal tool, and A MeaSurement Tool to Assess systematic Reviews 2.</p></div><div><h3>Results</h3><p>Fifty studies were included in this study. Of these, 39 (78.00%) were randomized controlled trials (RCTs), 6 (12.0%) were case series, and 5 (10.0%) were systematic reviews. The included studies focused on manual acupuncture and conventional treatment in the treatment and control groups, respectively. The outcomes analyzed in the RCTs included pain (94.9%), sleep quality (46.2%), depression (46.2%), physical function (46.2%), stiffness (35.9%), well-being (35.9%), work status (35.9%), anxiety (33.3%), fatigue (33.3%), quality of life (17.9%), and overall effective rate (10.3%). The methodological quality of most of the studies was low or critically low regardless of the study design. In most studies, the therapeutic effect of acupuncture was significantly superior to that of the comparator.</p></div><div><h3>Conclusion</h3><p>This evidence map suggests that acupuncture-related modalities may be promising options for FM management. However, various studies on this topic have a high risk of bias or are of low quality. Further evidence-based research should be conducted to rigorously examine the efficacy of acupuncture for FM and promote generalizability of the findings.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 31-39"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000545/pdfft?md5=692c0d4fbc8cd8294fca5239a99d3f3e&pid=1-s2.0-S1003525723000545-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48026234","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}