Advances in integrative medicine最新文献

{"title":"Reflexology evidence map","authors":"Erika Cardozo Pereira ,&nbsp;Caio Fabio Schlechta Portella ,&nbsp;Ricardo Ghelman ,&nbsp;Carmen Verônica Mendes Abdala ,&nbsp;Ana Cláudia Moraes Barros Leite-Mor ,&nbsp;Arthur Schveitzer Ferreira ,&nbsp;Pamela Gissi Lima ,&nbsp;Mariana Cabral Schveitzer","doi":"10.1016/j.aimed.2024.08.009","DOIUrl":"10.1016/j.aimed.2024.08.009","url":null,"abstract":"<div><h3>Background</h3><div>This evidence map describes Reflexology intervention research reporting health outcomes. Reflexology is a complementary therapy that performs the manipulation of points or areas under the skin known as reflex points, found in specific areas of the body, such as ears, hands and feet.</div></div><div><h3>Methods</h3><div>This evidence map is based on the 3iE evidence gap map methodology. We searched three electronic databases from inception to April 2024 and included systematic reviews only. Systematic reviews were analyzed based on AMSTAR 2. We used tableau to graphically display confidence level, number of reviews, outcomes and a broad estimate of effectiveness.</div></div><div><h3>Results</h3><div>This map is based on 34 systematic reviews. Most of the reviews were published in the last ten years. The foot reflexology was the most researched intervention. Reflexology was evaluated as an intervention in several health outcomes, resulting in the following confidence levels: 4 high, 4 moderate, 3 low and 23 critically low. Every outcome effect was classified: 2 as negative; 33 as no effect; 24 as mixed; 1 as potential positive and 55 as positive. The outcomes were divided into three major groups: physical and metabolic effects; vitality, well-being and quality of life; and mental health, physical and metabolically effects were the most common outcomes.</div></div><div><h3>Conclusions</h3><div>Reflexology has been applied in different areas and this Evidence Map provides an easy visualization of valuable information for patients, health practitioners and managers, to promote evidence-based complementary therapies.</div></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":"11 4","pages":"Pages 191-197"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bazhen Decoction, mainly containing ginseng and rehmannia for treatment of patients with type 2 diabetes: A systematic review and meta-analysis","authors":"Yunyi Yang ,&nbsp;Wenjun Sha ,&nbsp;Shufa Tan ,&nbsp;Junyi Yang ,&nbsp;Xiaoxiao Qu ,&nbsp;Yanming He ,&nbsp;Hongjie Yang","doi":"10.1016/j.aimed.2024.08.010","DOIUrl":"10.1016/j.aimed.2024.08.010","url":null,"abstract":"<div><h3>Introduction</h3><div>BZD is a classic Chinese herbal formula consisting of eight herbs, including <em>Panax ginseng C.A. Mey.</em> (Rén shēn), <em>Rehmannia glutinosa (Gaertn.) DC.</em> (Dì (Huáng), <em>Atractylodes macrocephala Koidz.</em> (Bái zhú), <em>Smilax glabra Roxb.</em> (Fúlíng), <em>Angelica sinensis</em> (Oliv.) <em>Diels</em> (Dāngguī), <em>Conioselinum anthriscoides 'Chuanxiong'</em> (Chuānxiōng)<em>, Paeonia lactiflora Pall.</em> (Sháoyào), <em>Glycyrrhiza glabra L.</em> (Gāncǎo<em>)</em>. Pharmacological studies have demonstrated that the active ingredients in BZD have some hypoglycemic effect. This study aims to systematically evaluate the effectiveness and safety of BZD on T2DM.</div></div><div><h3>Methods</h3><div>PubMed, Cochrane Library, Embase, Web of Science, China Knowledge Infrastructure (CNKI), China Biomedical CD-ROM (Sino Med), Wanfang database, and Vipshop (VIP) were searched from its inception to August 2023. The quality of the included literature was assessed by including randomized controlled trials (RCTs) involving BZD for T2DM with no language restrictions, using the Cochrane recommended risk of bias assessment tool, and applying RevMan 5.4 software for data analysis.</div></div><div><h3>Results</h3><div>The final analysis covered 12 publications, showing that the combination of BZD with conventional treatment was more effective than conventional treatment alone in the levels of fasting blood glucose (WMD = −1.18; 95 % CI [-1.55, −0.82], p &lt; 0.00001), two-hour postprandial glucose (WMD = −1.3; 95 % CI [-1.98, −0.61]; p &lt; 0.00001), glycosylated haemoglobin ( WMD = −0.66; 95 % CI [-0.93, −0.39]; p &lt; 0.00001), total cholesterol (WMD = −1.11; 95 % CI [-1.94, −0.28]; p &lt; 0.00001), triglycerides (WMD = −0.55; 95 % CI [-0.63, −0.48]; p = 0.36), and total effective rate (RR = 1.21; 95 % CI [1.14, 1.28]; p &lt; 0.00001).</div></div><div><h3>Conclusion</h3><div>BZD has a potential to enhance glucose and lipid metabolism among the patients with T2DM and improve clinical outcomes. However, more high-quality RCTs are required to validate these findings.</div></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":"11 4","pages":"Pages 198-208"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uses and recommendations of Traditional, Complementary and Integrative Medicine in Brazil","authors":"Jefferson Alves Santana ,&nbsp;João Luis Almeida da Silva ,&nbsp;Icaro J.S. Ribeiro","doi":"10.1016/j.aimed.2024.08.019","DOIUrl":"10.1016/j.aimed.2024.08.019","url":null,"abstract":"<div><h3>Background and purpose</h3><div>The growing interest in preventive health practices, either as a complement or substitute for conventional treatments, is currently notable. Particularly noteworthy are Traditional, Complementary and Integrative Medicine (TCIM) therapies, with a prevalence of usage varying globally. Therefore, this study aimed to analyze the factors associated with the prevalence of usage and recommendation of TCIM therapies in Brazil.</div></div><div><h3>Material and methods</h3><div>It is a cross-sectional study using secondary data from the National Health Survey. A total of 279,141 participants were evaluated, predominantly females, individuals of mixed race, single, and with a high school or higher education. To describe the data, absolute and relative frequencies were used and prevalence ratios and their respective confidence intervals (95 %CI) calculated.</div></div><div><h3>Results</h3><div>The prevalence of TCIM therapies was 4.74 %. The usage of these practices was more common among females, individuals over 60 years old, and white individuals, while it was less prevalent among those without a partner. The Southern and Northern regions of Brazil showed a higher prevalence of TCIM. Medicinal plants were the most used TCIM, followed by acupuncture. In the prescription by healthcare professionals, work-related musculoskeletal disorders were the most common indication.</div></div><div><h3>Conclusion</h3><div>This article provides insights into the usage and prescription profile of TCIM in Brazil, essential for guiding health policies and integrating these practices into the healthcare system.</div></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":"11 4","pages":"Pages 291-294"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complementary medicine in patients with head and neck cancer","authors":"Benjamin Prokein,&nbsp;Michael Dau,&nbsp;Bernhard Frerich","doi":"10.1016/j.aimed.2024.06.002","DOIUrl":"10.1016/j.aimed.2024.06.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Literature shows that up to 40 % of cancer patients use complementary medicine treatments. Most patients do not communicate the usage with their practitioner. There are no studies investigating the prevalence and extent of complementary medicine in head and neck cancer in Germany.</div></div><div><h3>Material and methods</h3><div>Patients undergoing tumor aftercare in our department answered a questionnaire, that investigates subsets of demographic data, health behavior, cancerogenesis and complementary medicine. Data was evaluated in total and relative numbers. Also, Chi-squared test and Phi coefficient were performed to evaluate significant correlations.</div></div><div><h3>Results</h3><div>A total of 102 patients could be included in this study. In the analyzed collective 30 % of patients were interested in complementary medicine. Of those, 71 % have experienced complementary medicine treatments. There was a wide variety of modalities being used. None of the patients has talked with the doctors at tumor aftercare about this usage. Correlation of data showed that gender influenced i.a. health behavior and the usage of complementary medicine before cancer.</div></div><div><h3>Conclusion</h3><div>Investigation revealed that a relevant number of head and neck cancer patients used complementary treatments, but no one talked about it during tumor aftercare. As a “blind spot” in anamnesis and diagnostic, evaluation of complementary medicine before tumor treatment and in aftercare are necessary to improve therapeutic outcome and to prevent potential negative influences like medication interactions.</div></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":"11 4","pages":"Pages 254-259"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Mindfulness-Based Stress Reduction on sleep-related parameters in a community sample","authors":"Françoise Jermann ,&nbsp;Paolo Cordera ,&nbsp;Christophe Carlei ,&nbsp;Béatrice Weber ,&nbsp;Stéphanie Baggio ,&nbsp;Guido Bondolfi ,&nbsp;Katerina Cervena","doi":"10.1016/j.aimed.2024.08.005","DOIUrl":"10.1016/j.aimed.2024.08.005","url":null,"abstract":"<div><h3>Objectives</h3><div>Mindfulness has been increasingly highlighted as a potentially useful ingredient for the management of sleep difficulties such as insomnia. This study examined the impact of Mindfulness-Based Stress Reduction (MBSR) on sleep quality and other subjective and objective sleep-related measures in a community sample.</div></div><div><h3>Setting/Intervention</h3><div>Fifty-four adults complaining about falling or staying asleep and/or non-restorative sleep were included. Of those, 22 completed a two-month MBSR program (intervention group) and 23 formed the control group.</div></div><div><h3>Main outcome measures</h3><div>Subjective sleep quality, dysfunctional attitudes toward sleep, fatigue, and sleepiness were assessed using questionnaires. Pre-sleep arousal, sleep onset latency, wake duration after sleep onset, and sleep efficacy were measured with a sleep diary and objective sleep parameters with an actigraphic device. Intervention group participants also completed a meditation practice diary during the two-month group period.</div></div><div><h3>Results</h3><div>The main findings indicated increased subjective sleep quality in participants in the intervention group compared to control participants. Moreover, analyses showed decreased pre-sleep cognitive arousal in the intervention group participants compared to controls and there was a significant correlation between cognitive pre-to-post pre-sleep arousal decrease and the duration of formal mindfulness practice. No pre-to-post changes were observed neither on attitudes toward sleep, fatigue, or sleepiness nor on sleep onset latency, wake duration after sleep onset, and sleep efficacy either when measured with a sleep diary or actimetry.</div></div><div><h3>Conclusions</h3><div>The results suggest that participating in MBSR enhances sleep quality and practicing mindfulness may contribute to reducing cognitive arousal which is a central perpetuating factor of insomnia. Randomized controlled studies focusing on MBSR and pre-sleep arousal are needed.</div></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":"11 4","pages":"Pages 273-279"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study on the ethnomedical knowledge of the Malappandaram Tribe in Pathanamthitta and Kollam districts of Kerala, India","authors":"E. Marimuthu ,&nbsp;K. Muthuchelian","doi":"10.1016/j.aimed.2024.08.014","DOIUrl":"10.1016/j.aimed.2024.08.014","url":null,"abstract":"<div><h3>Introduction</h3><div>The Malapandaram, also known as the Hill Pandaram, belongs to a scheduled tribe of people who live in the forested mountains of Pathanamthitta and Kollam districts Kerala, India. The aim of the current study is to assess the quantitative knowledge on various uses of the medicinal growing in their surroundings.</div></div><div><h3>Methodology</h3><div>As part of the study contacts were established to various heads of tribal settlements by deploying trained siddha healers. After gaining their confidence, slowly obtained consent and collected information on their knowledge on medicinal plants naturally occurring and around the settlement by a series of non-formal discussions. These data were analyzed including the Informant Consensus Factor (Fic), Informant Agreement Ratio (IAR), Cultural Importance Index (CII) and Fidelity Level (FL) etc.</div></div><div><h3>Results</h3><div>The study documented ethnomedical applications of 203 plant species, belonging to 136 genera and 65 families used in 460 formulations for the treatment of 18 different disease categories. A large percentage of usage reports (UR) were for gastrointestinal (38 %), dermatological (30 %) and febrifuges (22 %). High Fic levels were found for respiratory illnesses and TB. The following plants had a lot of applications in each groups with a high FL: <em>Psychotria hoffmannseggiana</em>(tuberculosis), <em>Syzygium malaccense</em> (dermatological), <em>Ficus exasperate</em> (reproductive), <em>Ardisia sonchifolia</em> (blood ailments), <em>Euodia simplicifolia</em>(febrifuges) and <em>Syzygium tranvacorium</em> (diabetes).</div></div><div><h3>Conclusion</h3><div>The present investigations demonstrated the potential of these plants as a source of strong antimicrobial medications for the treatment of fungus and bacterial illnesses. Future research using GCMS may be able to identify the active chemicals in these extracts, which might then be utilised as lead molecules to develop novel antimicrobial medications. It is further suggested that plants classified as endemic, rare, or endangered be collected for germplasm which can he used for cultivation and propagation efforts using contemporary agronomic methods.</div></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":"11 4","pages":"Pages 209-229"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An integrated approach of yoga therapy and naturopathy for the treatment of hypothyroidism – An experimental single case report","authors":"Savithri Nilkantham ,&nbsp;Harini K N ,&nbsp;Amit Singh","doi":"10.1016/j.aimed.2024.09.006","DOIUrl":"10.1016/j.aimed.2024.09.006","url":null,"abstract":"<div><div>A 37-year-old male patient diagnosed with hypothyroidism in October 2018 had persistent complaints of excessive weight gain, muscle weakness, knee pain, indigestion, skin dryness, depression, and sleep issues. He was administered an Integrated Approach of Yoga Therapy (IAYT) module using suitable yogic practices along with Naturopathy treatment applying the principles of nature cure at the Arogyadhama Holistic Research Health Home, a residential integrative medical hospital in Bengaluru for a week-long residential program in April 2021. The data was collected at 3-time points (TP), i.e., pre-treatment, post-treatment, and follow-up after 3 months. The results showed a significant reduction in all the parameters post-treatment and at follow-up which included {pulse rate-TP1(87); TP2(74); TP3(72) beats/min}, {blood pressure- TP1(108/70); TP2(108/70); TP3(100/70) mmHg}, {respiratory rate- TP1(17); TP2(12); TP3(8) breaths/minute}, {bhramri time-TP1(23); TP2(24); TP3(25) seconds}, {body weight- TP1(86.9); TP2(83.4); TP3(79.0) kgs}, {body mass index (BMI)- TP1(30.1); TP2(28.9); TP3(27.3) kg/m²}, {thyroid stimulating hormones (TSH)- TP1(150); TP2(68.3); TP3(12.4) µIU/ml}, {medication score- TP1(150); TP2(100); TP3(50) mcg}, and {symptom score- TP1(5); TP2(3); TP3(0) numbers}. At the time of follow-up, apart from physical parameter assessments, the patient also filled out the SF36 questionnaire (a self-reported health-related Quality-of-life scale) along with a semi-structured interview confirming adherence and regularity in IAYT practices and Naturopathy diet. The present case report suggests that IAYT along with Naturopathy treatment effectively manages hypothyroidism with its varied symptoms and prevents disease progression.</div></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":"11 4","pages":"Pages 247-253"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of back massage applied by spouses on sleep quality, menopausal complaints and marital adjustment in climacteric women","authors":"Didem Kaya ,&nbsp;Muruvvet Baser","doi":"10.1016/j.aimed.2024.08.003","DOIUrl":"10.1016/j.aimed.2024.08.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Menopause brings many physical and psychosocial problems. These problems negatively affect women, their spouses, and marital relations. Therefore, complementary and integrative methods could be an alternative approach to manage menopause-related problems.</div></div><div><h3>Objective</h3><div>This study aimed to examine the effect of back massages applied by spouses on sleep quality, menopausal complaints and the marital adjustment of women in the climacteric period.</div></div><div><h3>Methods</h3><div>The study was designed as a randomized controlled trial with a pretest and a posttest. A total of 63 couples was randomized to the intervention group (n= 33) or control group (n= 30). Back massages were taught to the spouses of the women in the intervention group. The massage was applied 15 minutes before bedtime, twice a week for four weeks. Data were collected by using the Pittsburgh Sleep Quality Index (PSQI), the Menopause Symptoms Rating Scale (MSRS) and the Marital Adjustment Scale (MAS). Data were analyzed before (the first follow-up) and after the intervention (the final follow-up).</div></div><div><h3>Results</h3><div>This study revealed that menopausal complaints were significantly reduced in women and sleep quality was improved in the intervention group (<em>p</em>&lt;0.001). In addition, the marital adjustment of the couples significantly increased in the intervention group (<em>p</em>&lt;0.001).</div></div><div><h3>Conclusions</h3><div>The findings showed that back massages applied by the spouse helped to reduce menopausal complaints in women, and improved sleep quality and increased the marital adjustment of the couples. These results are promising for using back massage as an easy, safe and cost-effective method to manage menopause-related problems.</div></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":"11 4","pages":"Pages 265-272"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified yoga program for Chronic Kidney Disease (CKD) patients undergoing hemodialysis: Study protocol for a randomized controlled trial","authors":"V. Raghunandan,&nbsp;Apar Avinash Saoji","doi":"10.1016/j.aimed.2024.08.013","DOIUrl":"10.1016/j.aimed.2024.08.013","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Hemodialysis is a life-saving treatment for end-stage renal disease (ESRD). Dialysis patients have a variety of physical and psychological side effects that significantly lower their quality of life. Yoga demonstrated to significantly improve Chronic Kidney Disease (CKD) patients' physical and psychological symptoms. The current study evaluates the impact of Yoga on the renal, cardiac, and psychological health of hemodialysis-dependent individuals with CKD.</div></div><div><h3>Methods and analysis</h3><div>Eighty ESRD patients with CKD stage-5 undergoing dialysis will be recruited for the study. 40 people in each group will be randomly assigned to the yoga and wait-list control groups. A modified sixty-minute yoga program will be given to the yoga group as an intervention in addition to the standard treatments (medication and hemodialysis). The wait-list control group's standard treatments will continue. Data will be collected at baseline, the end of the first month, the third month, and six months. The estimated Glomerular Filtration Rate (eGFR) is the primary variable. Secondary variables include renal function tests, hemoglobin, C-reactive protein, and subjective variables obtained through questionnaires (pain, depression, anxiety, fatigue, symptom score, sleep quality, and Quality of Life). Data will be analyzed with appropriate statistical tests after normality checks. The current study results could underscore the need for a patient-centered, holistic approach in hospital care that takes into account individual health dimensions.</div></div><div><h3>Ethics and dissemination</h3><div>The study is approved by the Institutional Ethics Committee of S-VYASA Deemed to be University. Voluntary participation and a written consent form will be obtained prior to the inclusion of participants. The findings of the study will be disseminated through research articles and conferences.</div></div><div><h3>Trial registration number</h3><div>CTRI/2021/11/038244 at Clinical Trial Registry of India.</div></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":"11 4","pages":"Pages 285-290"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of neuropsychiatric symptoms in Alzheimer’s disease with traditional Chinese medicine: An integrative medicine case report","authors":"Renée Hahn","doi":"10.1016/j.aimed.2024.08.008","DOIUrl":"10.1016/j.aimed.2024.08.008","url":null,"abstract":"<div><h3>Background</h3><div>Research on Chinese herbal medicine (CHM) and acupuncture, fundamental modalities of the comprehensive medical system of healthcare known as Traditional Chinese Medicine (TCM), suggest that they are effective for treating neuropsychiatric symptoms (NPS). Use of these treatments is currently limited for patients with Alzheimer’s disease (AD) and other types of dementia. This study reports the successful treatment of an elderly female patient with agitation, insomnia, depression, apathy, and anxiety relating to AD.</div></div><div><h3>Patient Presentation</h3><div>An 86-year-old woman living in a nursing home who had severe agitation, aggressive behaviors, insomnia, and anxiety along with AD was treated with CHM and acupuncture for the remaining nearly 3 years of her life. Data was gathered from the nurses’ log notes and charts created to evaluate treatment efficacy.</div><div>In the 90 days before CHM was administered, she had a total of 30 documented episodes of agitation not responsive to pharmaceutical medications given a total of 45 times. The episodes included physical aggression, insomnia, shouting, and bouts of crying. In the 90 days after starting CHM, she had a documented 7 episodes of agitation and was given pharmaceuticals a total of 6 times.</div></div><div><h3>Conclusion</h3><div>CHM and acupuncture may alleviate agitation and other NPS such as insomnia, depression, agitation, apathy, and anxiety, and improve the quality of life in patients with AD.</div></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":"11 4","pages":"Pages 240-246"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}