Effectiveness of Balance Acupuncture for the Pain in. Neck-Shoulder-Low back-legs: A Meta-Analysis
|
|
- Meredith Lawrence
- 6 years ago
- Views:
Transcription
1 Hou-Lian WANG et al./journal of Acupuncture and Herbs 1 (201)9-1 9 Effectiveness of Balance Acupuncture for the Pain in Neck-Shoulder-Low back-legs: A Meta-Analysis Hou-Lian WANG a, An-Lin GUO a, Jun-Yun GE b, Mai-Lan LIU b, Xiao-Rong CHANG b* a. Graduate School, Hunan University of Traditional Chinese Medicine, Changsha, , China b. School of Acupuncture-Moxibustion and Tuina Massage, Hunan University of Traditional Chinese Medicine, Changsha, , China Received: July 12, 201 Accepted: July1, 201 DOI: 10.11/tcm Abstract Objective: To systematically review the effectiveness of Balance Acupuncture for the Pain in Neck, Shoulder, Low-back and Legs (PNSLL). Methods: Web-based search on databases such as PubMed( ~ ) Web of Science( ~ ) Wan Fang Data( ~ ) CNKI( ~ )to collect literature of randomized controlled trials (RCT) on Balance Acupuncture for PNSLL. Literature selection, data extraction and methodological quality assessment of the included studies were conducted by two reviewers independently. The meta-analysis was performed by using Rev Man.2 software. Results: A total of 6 studies involving 816 participants were included. Meta-analysis showed that Balance Acupuncture treatment of the PNSLL is superior to traditional Acupuncture, with significant differences (OR=0.12, 9%CI=[0.08,0.1], Z=.83, P< ). Conclusion: Balance Acupuncture is an effective and safe way for treating PNSLL, though it may need further demonstration by more large-scale and well-designed RCT due to the limited quantity and quality of the included studies. Keywords: Balance Acupuncture; PNSLL; Meta-analysis; Systematic Review Pain in neck, shoulder, low-back and legs (PNSLL) is a very common symptom groups clinically. It includes cervical spondylosis, cervical herniated disc, frozen shoulder, lumbar disc herniation, lumbar muscle strain, lumbar degenerative disc disease, the third lumbar transverse process syndrome, piriformis syndrome and osteoarthritis in the elderly, and so on. Major symptom is pain in local area, accompanying with joint activity restriction. The symptom can be refractory and recurrent. Epidemiologic studies have *Corresponding author. Professor. Dean of the State Key Lab. for Acupoint-organ Relationships. Research fields: relationships between meridians and organs; clinical and experimental studies on the substance of moxibustion. address:xrchang196@163.com shown that PNSLL has the highest incidence rate among occupational diseases worldwide. It severely impact people s daily work and life quality. There are many therapeutic methods for PNSLL, however, the effects of conventional operation or medications may face the difficulty of stable and lasting in a long-term view 1. The major principle of balance acupuncture is, signal from acupuncturist delivered by the fastest speed to the central nervous system based on a neural stem stimulation 2, so the receiver can produce a benign signal inside to adjust the body. Also this benign signal can motivate the central neurotransmitters so to release large amounts of chemical substances, thus a quick analgesic effect can be achieved. In recent years, the balance acupuncture has been broadly used clinically 3. PNSLL: Pain in Neck, Shoulder, Low-back and Legs; RCT: randomized controlled trial; CCT: controlled clinical trial
2 10 Hou-Lian WANG et al./journal of Acupuncture and Herbs 1 (201)9-1 However, its effectiveness and safety need further review. Mata-analysis is one of the most reliable ways to demonstrate the clinical technic based on literature review, thus we employed this way to evaluate the effectiveness and safety of balance acupuncture for PNSLL, so that to provide evidence for future application. 1 Objects and methods 1.1 Research objects Clinical trials published regarding balance acupuncture for PNSLL. 1.2 Search method Web search in English and Chinese databases such as PubMed ( ~ ) Web of Science ( ~ ) WanFang Data( ~ ) CNKI( ~ ), as well as manually search related journals, to sort out articles on balance acupuncture for PNSLL. The search key words in English include Acupuncture, The pain in the neck, shoulder, lower back and legs. 1.3 Literature filtration Research type The original article must be randomized controlled trial (RCT) or controlled clinical trial (CCT). Whether or not the blinding and allocation concealment adopted was not in the consideration Research subjects Inclusion criteria 1 In the acute onset, the local muscles have cords or junction nodes, with obvious tenderness; 2long-term working or injury history. The symptoms get worse while getting up in the morning, or being in a cold weather. Warmth can relieve the symptoms. 3No skin feeling disorders or nerve compression symptoms; 4 routine laboratory tests and X-ray examination usually have normal results Exclusion criteria 1 concomitant diseases with other related symptoms, such as frozen shoulder; 2 the affected area has been treated by steroids such as corticosteroids before acupuncture treatment; 3 the local skin for acupuncture has infection; 4 lumbar disc herniation and post-operation cervical disease; accompanying with severe cardiovascular/urinary diseases or any other serious diseases in an acute phase; 6 pregnant or lactating women involved in the study Intervention strategy Patients in the experimental group were treated with balance acupuncture. The principle of point selection was crossing points plus local tender points, being reached by one-step method. Patients in the control group were treated with traditional acupuncture. There was no difference for manipulation and treatment course in two groups Outcomes 1 cured: the pain disappeared completely after treatment. Joint function returned to normal and was freedom of movement. The daily life was as normal person. 2 markedly effective: the pain virtually disappeared after the treatment. Joint function almost returned to normal and was freedom to do basic movements. The patient can engage in not so heavy work in certain extent; 3 effective: pain eased after treatment. Joint function approximately returned to normal but was slight obstacle for basic movements; 4 ineffective: no changes in pain symptoms and joint function 6. The patient can not engage in normal work. The overall effective rate was equal to cure rate + markedly effective rate+ effective rate. 1.4 Document screening, data extraction and quality assessment Two researchers independently read the acquired literature, including title and abstract, and judged if it was qualified for the research based on double crossing check by the inclusion and exclusion criteria. Any discrepancy should be settled by re-discussion or consulted with the third party. The extracted contents include: 1 General information: author, title, published date and literature source; 2 general features of the study design, such as: inclusion criteria, exclusion criteria, interventions, etc; 3 outcome measurement: cured, markedly effective, effective, ineffective, the total effective rate. And then the two reviewers made evaluation of methodological quality of included studies by using the risk of bias assessment tools in the Cochrane review's Manual
3 Hou-Lian WANG et al./journalofacupunctureandherbs1 (201) Quality evaluation The methodological quality of the included studies was evaluated by a modified Jadad rating scale 8, which includes four parts: (1) random sequence generation. appropriate (I): random numbers were generated by computer, or similar methods (2 points) ; not clear(ii): a the randomized assignment was not in the literature (1 point); inappropriate (III): some alternate distribution methods were used, such as odd and even numbers (0 points). (2) allocation concealment. Appropriate (I): the allocation strategy was controlled by the control center or pharmacy, concealed in containers with consistent sequence number, or computer program, or lightproof envelopes or other ways that clinicians and subjects could not identify(2 points). Unclear(II): the authors only that the use of a random number table or other random allocation scheme but no description of allocation concealment (1 point). Inappropriate(III): alternate assignment, allocated by case number, or date, or open random number table, or series coding envelopes or any other ways that could not prevent the predictability of grouping (0 points). No allocation concealment (IV, 0 points) (3) Blinding. Appropriate (I): complete identical placebo or similar were used (2 points). Unclear(II): just stated that the trial was blinded, but no concrete description of blinding (1 point). Inappropriate(III): No double-blind or blind approach was not appropriate, such as blinding tablets with injections (0 points ). (4) withdrawal or dropout. Have the number and reason of withdrawal or dropout(1 point). Have not the number and reason of withdrawal or dropout (0 points). The total score between 1-3 points was considered as low quality research, 4-7 points as high quality ones. 1.6 Statistics The meta-analysis was performed by RevMan.2 software provided by Cochrane Collaboration Network. Measurement data were expressed by standardized mean difference (SMD) and 9% confidence interval(ci). Count data were expressed by relative risk (RR) and 9%CI. The heterogeneity was tested by chi-squared (χ 2 ) test. If P 0.1 and I2 0%, it shows heterogeneity existing among the study results included, so we will analyze the source and reason of heterogeneity. If no clinical significance, we make a combined analysis based on random effects model. If P> 0.1 and I2 <0%, it shows no or very small heterogeneity among the results of the included studies, so the fixed effects model will be employed. Subgroup analysis was made according to the type of acupuncture treatments. If the heterogeneity was apparently induced by the methodeological quality of the included studies, sensitivity analysis will be used for evaluating the stability of research results, and inverted funnel plot is used for analysis of the potential publication bias. 2 Results 2.1 Search results and basic characteristics of included studies First a total of 72 articles were sorted out, after screening, finally 6 RCTs 9-14 were included, which includes 816 subjects. The research time and areas were very different. The publication years were from 2008 through Subject ages were between 21 and 76. The baselines between trial groups and control groups were comparable. The literature screening process and results were shown in Fig.1. Basic characteristics of included studies were shown in Table Methodological quality of included studies See table 2.
4 12 Hou-Lian WANG et al./journal of Acupuncture and Herbs 1 (201)9-1 Table 1 Basic characteristics of included studies Researcher n(t/c) Sex Intervention Treatment Age (male/female) T C Course Outcome Yong-Fu LI 9 110/ /83 47~76 BA TA 20days 1234 Hong-Wei CUI 10 90/90 94/86 22~68 BA TA 6months 234 Bi-Fang QI 11 46/46 49/43 24~64 BA TM 2weeks 1234 Jun-Dong LU 12 0/0 60/40 2~6 BA TA 3weeks 1234 Yi-Feng LI 13 0/0 63/37 21~63 BA TA 3weeks 1234 Tong-Ye CHEN 14 62/62 83/41 40~4 BA TA 20days 1234 e: BA=balance acupuncture, TA=traditional acupuncture, TM=traditional moxibustion, Acquiring literature by database search(n=112): CNKI(n=11) WanfangData(n=78) PubMed(n=0)Web of Science(n=23) Acquiring literature through other sources(n=0) Literature after excluding repeat(n=72) First screening by reading titles and abstracts(n=72) Excluding systemic review, comments, non-balance acupuncture research, non-pnsll, study on medications, study non focusing on therapeutic effects and irrelevant literature(n=16) Second screening by reading the full text(n=14) Excluding literature not fulfill the inclusion criteria(n=8) Qualitative Synthesis Documents (n=6) Quantitative Synthesis Documents(n=6) Fig.1 Literature screening and results
5 Hou-Lian WANG et al./journalofacupunctureandherbs1 (201) Table 2 Included studies and Jadad Scale Included study Randomized method Allocation concealment Patient and doctor Blinding Outcome Surveyor Outcome data integrity Withdrawal /dropout Jadad scale Yong-Fu LI 9 RCT Unclear N/A Single-blind Yes 3 Hong-Wei CUI 10 CCT Medical record number N/A Single-blind Yes 1 Bi-Fang QI 11 RCT RCT N/A Single-blind Yes Jun-Dong LU 12 RCT Unclear N/A Single-blind Yes 3 Yi-Feng LI 13 RCT RCT N/A Single-blind Yes Tong-Ye CHEN 14 RCT RCT N/A Single-blind Yes Table 3 Basic data of included studies(trail group/control group) Publishing year The first author Trail group Control group Effective Total Effective Total 2014 Yong-Fu LI Hong-Wei CUI Bi-Fang QI Jun-Dong LU Yi-Feng LI Tong-Ye CHEN Results analysis 2.3.1Overall effective rate The overall effective rate was regarded the outcome index for the included studies. By analyzing the 6 studies, we got test results of heterogeneity thatχ 2 =0.26,P=1.00,I 2 = 0%<0%, which shows that the statistics of multiple studies having good homogeneity, therefore the fixed effect model was employed for further analysis. As shown in Fig.1, the pooled odds ratio (OR)=0.12, with 9%CI[0.08,0.1]. Z-value=,83, P< This result showed that compared with control group, the trial group was more effective (with statistical significance). The effect of balance acupuncture is better than traditional acupuncture on treating PNSLL.
6 14 Hou-Lian WANG et al./journal of Acupuncture and Herbs 1 (201)9-1 Fig.2 Meta analysis forest plot of balance acupuncture for PNSLL Evaluation on publication bias As shown in Fig.3, the funnel plot has a good symmetry, so in general the publication bias in the study is small, but some potential publication bias is unavoidable. Fig.3 Funnel plot for the included studies 3 Discussion To the theory of traditional Chinese medicine, obstruction or malnutrition can lead to pain. PNSLL is usually induced by stagnation of Qi or blood, or obstruction of meridians. Balance acupuncture can activate the blood flow, harmonize Qi and blood and dredge meridians, so it has good effects for pain diseases. Modern research showed that balance acupuncture can deliver a benign signal to the body, by stimulating the nerves and exciting the cerebral cortex, the energy can be re-allocated and pain
7 Hou-Lian WANG et al./journalofacupunctureandherbs1 (201)9-1 1 threshold can be regulated to a new level. The body can achieve analgesic effect by itself. Our clinical experience has demonstrated that balance acupuncture has even better effects than traditional acupuncture on PNSLL, as shown in the meta-analysis results, so it is worthwhile for further promotion and popularization 1. In a word, balance acupuncture has big potential for PNSLL as a recommended treatment, but due to the quality and quantity of studies included, we may need more big-sample, high-quality clinical trial to further test this inference. Competing interests The authors declare that they have no competing interests. Acknowledgements This research was supported by the Hunan provincial level funding project- key subject development of Acupuncture and Moxibustion. References 7 Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions. version.1.0. The Cochrane Collaboration available at 8 JadadAR,MooreRA,CarrollD,et al.assessing the quality of reports of randomized clinical trials:is blinding necessary. Control Clinical Trials 1996,17(1): Yong-Fu LI. Clinical analysis on the effects of balance acupuncture for pain in neck, shouder, low-back and legs in middle aged people or elderlies. Health for publics 2014,8(6): Hong-Wei CUI. Therapeutic effects of balance acupuncture for pain in neck, shoulder, low-back and legs. Guide of China Medicine 2013,11(32): Bi-Fang QI. Analysis on therapeutic effects of balance acupuncture for pain in neck, shoulder, low-back and legs. Asia-Pacific Traditional Medicine 2012,8(3): Jun-Dong LU. Clinical observation of balance acupuncture for pain in neck, shoulder, low-back and legs. Clinical Journal of Chinese Medicine.2013,(6): Yi-Feng LI. Clinical observation of balance acupuncture for pain in neck, shoulder, low-back and legs. Clinical Journal of Chinese Medicine 2014,6(11): Dong CHEN, Jian ZHONG, Da-Dian CHEN, et al. Clinical utilization of CHEN S Tiao Zhen treatment and its mechanism. World Journal of Traditional Chinese Medicine 2012;7(2): Yu-Hua SONG, Ai-Yun SONG. Clinical investigation on balance acupuncture for pain diseases. Journal of Clinical Acupuncture and Moxibustion 200,21:27. 3 Wen-Yuan WANG, Xiao-Jun MAO, Li-Fang ZHANG, et al. 14 Tong-Ye CHEN. Clinical observation of balance acupuncture for pain in neck, shoulder, low-back and legs. Health Required 2013,12(9):9. 1 Dan-Ni XU, Hong YUAN, Xiao-Xuan REN, et al. Clinical research progress of balance acupuncture for pain in neck, shoulder, low-back and legs. Annual meeting of Chinese Acupuncture Association :1. Clinical observation of balance acupuncture for pain in neck, shoulder, low-back and legs. Chinese Archives of Traditional Chinese Medicine 2009; 06: Ya-Hui HOU. Clinical utilization of warmth acupuncture on tender points. Clinical Journal of Acupuncture 2007,23(8):3-4. Yong-Xin LIU, Zhuo-Min LIU, Huan WEI, et al. Clinical utilization of modified warmth acupuncture treatment. Modern Journal of Integrated Traditional Chinese and Western Medicine 2013,22(7):68. 6 Jun-Dong LU. Clinical observation of balance acupuncture for pain in neck, shoulder, low-back and legs. Clinical Journal of Chinese Medicine 2013,(6):42.
This Sense, other Interventions that Focus on the Strengthening of. the Co-Parenting Relationship are Recommended
ISSN: 2576-4772 This Sense, other Interventions that Focus on the Strengthening of the Co-Parenting Relationship are Recommended Liping Ma, Haiyong Chen, YanboZhang and WeiMeng* Hong Kong Branch of zhu
More informationMeta Analysis. David R Urbach MD MSc Outcomes Research Course December 4, 2014
Meta Analysis David R Urbach MD MSc Outcomes Research Course December 4, 2014 Overview Definitions Identifying studies Appraising studies Quantitative synthesis Presentation of results Examining heterogeneity
More informationExploration on Clinical Effect of Traditional Chinese Medicine Rehabilitation to Treat Cervicalspondylotic Radiculopathy
2017 3rd International Conference on Social Science, Management and Economics (SSME 2017) ISBN: 978-1-60595-462-2 Exploration on Clinical Effect of Traditional Chinese Medicine Rehabilitation to Treat
More informationResearch Article A Meta-Analysis of Randomized Controlled Trials on Acupuncture for Amblyopia
Evidence-Based Complementary and Alternative Medicine Volume 2013, Article ID 648054, 6 pages http://dx.doi.org/10.1155/2013/648054 Research Article A Meta-Analysis of Randomized Controlled Trials on Acupuncture
More informationGenome-wide association study of esophageal squamous cell carcinoma in Chinese subjects identifies susceptibility loci at PLCE1 and C20orf54
CORRECTION NOTICE Nat. Genet. 42, 759 763 (2010); published online 22 August 2010; corrected online 27 August 2014 Genome-wide association study of esophageal squamous cell carcinoma in Chinese subjects
More informationEMPEROR'S COLLEGE MTOM COURSE SYLLABUS HERB FORMULAE II
COURSE DESCRIPTION The second of three courses in the Herb Formulae series. Categories covered in Formulae II include the Tonify Qi and Blood, Regulate Qi, Invigorate the Blood, Stop Bleeding, Stabilize
More informationAnalysis on the Features of Acupuncture Recipes for. Dysmenorrhea
16 Si-An PAN et al./journal of Acupuncture and Herbs 1 (2015)16-21 Analysis on the Features of Acupuncture Recipes for Dysmenorrhea Si-An PAN a, Dao ZHAO b, Xiang-Jun LU b, Cheng-Wen LI b, Mai-Lan LIU
More informationMeta-Analysis of Randomized Controlled Trial in Treating Primary Liver Cancer by Fufang Kushen Injection Combined with TACE
4th International Conference on Sustainable Energy and Environmental Engineering (ICSEEE 2015) Meta-Analysis of Randomized Controlled Trial in Treating Primary Liver Cancer by Fufang Kushen Injection Combined
More informationLiu Jing and Liu Jing Diagnosis System in Classical TCM Discussions of Six Divisions or Six Confirmations Diagnosis System in Classical TCM Texts
Liu Jing and Liu Jing Diagnosis System in Classical TCM Discussions of Six Divisions or Six Confirmations Diagnosis System in Classical TCM Texts Liu Jing Bian Zheng system had developed about 1800 years
More informationEMPEROR'S COLLEGE MTOM COURSE SYLLABUS HERB FORMULAE I
COURSE DESCRIPTION The first of three courses in the Herb Formulae series. These courses can be taken in any order. The Herb Formulae series analyzes the functions, ingredients, and properties of approximately
More informationAcupuncture and moxibustion for lateral elbow pain: a systematic review of randomized controlled trials
Gadau et al. BMC Complementary and Alternative Medicine 2014, 14:136 RESEARCH ARTICLE Open Access Acupuncture and moxibustion for lateral elbow pain: a systematic review of randomized controlled trials
More informationOriginal Article Randomized and controlled trials of Sanren Decoction s treatment on upper respiratory infections: a meta-analysis
Int J Clin Exp Med 2016;9(7):12954-12958 www.ijcem.com /ISSN:1940-5901/IJCEM0021100 Original Article Randomized and controlled trials of Sanren Decoction s treatment on upper respiratory infections: a
More informationSUMMARY REPORT OF ACUPUNCTURE SESSION
SUMMARY REPORT OF ACUPUNCTURE SESSION 1 Presenter: Jaung-Geng Lin 2 Introduction to acupuncture session In this session, we had 26 posters and 12 posters were selected for presentation and discussion.
More informationAcupuncture and Herbs Eliminate Meniere s Disease
Acupuncture and Herbs Eliminate Meniere s Disease Published by HealthCMi on June 2018 Acupuncture has been proven clinically effective for the treatment of Meniere s disease, a disorder characterized by
More informationCORRELATION BETWEEN SURVIVIN OVEREXPRESSION AND CLINICO-PATHOLOGICAL FEATURES OF INVASIVE CERVICAL CANCER: A META-ANALYSIS
Acta Medica Mediterranea, 2018, 34: 1091 CORRELATION BETWEEN SURVIVIN OVEREXPRESSION AND CLINICO-PATHOLOGICAL FEATURES OF INVASIVE CERVICAL CANCER: A META-ANALYSIS HUI-RONG LI 1, JI-LI BAI 2*, RUI XU 2,
More informationAcupuncture therapy for angina pectoris: a systematic review
Online Submissions: http://www.journaltcm.com J Tradit Chin Med 2012 December 15; 32(4): 494-501 info@journaltcm.com ISSN 0255-2922 2012 JTCM. All rights reserved. EVIDENCE-BASED STUDY Acupuncture therapy
More informationPost-Stroke Depression Relief With Acupuncture
Post-Stroke Depression Relief With Acupuncture Published by HealthCMi on August 2017 Acupuncture is more effective than the antidepressant paroxetine for the treatment of depression following a stroke.
More informationReview Article Acupotomy Therapy for Chronic Nonspecific Neck Pain: A Systematic Review and Meta-Analysis
Hindawi Evidence-Based Complementary and Alternative Medicine Volume 2017, Article ID 6197308, 12 pages https://doi.org/10.1155/2017/6197308 Review Article Acupotomy Therapy for Chronic Nonspecific Neck
More informationAcupuncture for Depression?: A Systematic Review of Systematic Reviews
Acupuncture for Depression?: A Systematic Review of Systematic Reviews Evaluation & the Health Professions 34(4) 403-412 ª The Author(s) 2011 Reprints and permission: sagepub.com/journalspermissions.nav
More informationSystematic Review Effectiveness of co-treatment with traditional Chinese medicine and letrozole for polycystic ovary syndrome: a meta-analysis
Journal homepage: www.jcimjournal.com/jim www.elsevier.com/locate/issn/20954964 Available also online at www.sciencedirect.com. Copyright 2017, Editorial Office. E-edition published by Elsevier (Singapore)
More informationCochrane Pregnancy and Childbirth Group Methodological Guidelines
Cochrane Pregnancy and Childbirth Group Methodological Guidelines [Prepared by Simon Gates: July 2009, updated July 2012] These guidelines are intended to aid quality and consistency across the reviews
More informationReview Article The Effectiveness and Safety of Acupuncture for Patients with Chronic Urticaria: A Systematic Review
BioMed Research International Volume 2016, Article ID 5191729, 7 pages http://dx.doi.org/10.1155/2016/5191729 Review Article The Effectiveness and Safety of Acupuncture for Patients with Chronic Urticaria:
More informationAcupuncture Heals Erectile Dysfunction Finding
Acupuncture Heals Erectile Dysfunction Finding Published by HealthCMI on 02 May 2018. erectile dysfunction. Acupuncture and herbs are effective for the treatment of erectile dysfunction. In research conducted
More informationYi-Long Yang 1, Guo-Yuan Sui 1, Guang-Cong Liu 2, De-Sheng Huang 3, Si-Meng Wang 4 and Lie Wang 1*
Yang et al. BMC Cancer 2014, 14:956 RESEARCH ARTICLE Open Access The effects of psychological interventions on depression and anxiety among Chinese adults with cancer: a meta-analysis of randomized controlled
More informationSystematic review of long-term Xingnao Kaiqiao needling efficacy in ischemic stroke treatment
NEURAL REGENERATION RESEARCH April 2015,Volume 10,Issue 4 www.nrronline.org Systematic review of long-term Xingnao Kaiqiao needling efficacy in ischemic stroke treatment Zhi-xin Yang 1, *, Jia-hong Xie
More informationAcupuncture And Herbs Proven Effective For PID Treatment
Acupuncture And Herbs Proven Effective For PID Treatment Published by HealthCMi on 29 May 2018 Researchers find acupuncture combined with herbal medicine effective for the treatment of chronic pelvic inflammatory
More informationmain/1103_new 01/11/06
Search date May 2006 Allan Binder QUESTIONS What are the effects of treatments for people with uncomplicated neck pain without severe neurological deficit?...3 What are the effects of treatments for acute
More informationPROSPERO International prospective register of systematic reviews
PROSPERO International prospective register of systematic reviews Closed reduction methods for acute anterior shoulder dislocation [Cochrane Protocol] Kanthan Theivendran, Raj Thakrar, Subodh Deshmukh,
More informationReview Article Acupuncture for Essential Hypertension: A Meta-Analysis of Randomized Sham-Controlled Clinical Trials
Hindawi Publishing Corporation Evidence-Based Complementary and Alternative Medicine Volume 2014, Article ID 279478, 7 pages http://dx.doi.org/10.1155/2014/279478 Review Article Acupuncture for Essential
More informationResearch Article Systematic Review of Chinese Herbal Medicines for Preventing in-stent Coronary Restenosis after Percutaneous Coronary Intervention
Evidence-Based Complementary and Alternative Medicine Volume 2012, Article ID 253409, 19 pages doi:10.1155/2012/253409 Research Article Systematic Review of Chinese Herbal Medicines for Preventing in-stent
More informationAcupuncture Boosts Breast Milk Production
Acupuncture Boosts Breast Milk Production Published by HealthCMi on July 2017 Acupuncture restores normal breast milk production to lactating mothers with low milk secretion levels. Research conducted
More informationAcupuncture for the syndrome of prolapsed lumbar Intervertebral disc --Case studies and clinical experiences
Acupuncture for the syndrome of prolapsed lumbar Intervertebral disc --Case studies and clinical experiences By Dr. Yin Hongchun Email: h.yin1@btopenworld.com Tel: 02086722088 Main point of diagnosis (1)
More informationRapid Detection of Milk Protein based on Proteolysis Catalyzed by Trypsinase
Rapid Detection of Milk Protein based on Proteolysis Catalyzed by Trypsinase Yafeng Chen Institute of Food Quality and Safety, University of Shanghai for Science and Technology Shanghai 93, China Email:cyfxy498@6.com
More informationDepartment of Cardiology, Guang anmen Hospital, China Academy of Chinese Medical Sciences, Beixiange No. 5, Xicheng District, Beijing , China
Evidence-Based Complementary and Alternative Medicine, Article ID 976713, 9 pages http://dx.doi.org/10.1155/2014/976713 Review Article Shen Song Yang Xin Capsule Combined with Antiarrhythmic Drugs, a New
More informationCourse: Acupuncture Treatment of Disease 3 Date: May 11, 2009 Class #: 5 Carpal Tunnel Syndrome (CTS) Sciatica and Tennis Elbow
Course: Acupuncture Treatment of Disease 3 Date: May 11, 2009 Class #: 5 Carpal Tunnel Syndrome (CTS) Sciatica and Tennis Elbow Characterized by pain and numbness on palmar side median nerve is compressed
More informationLack of association between IL-6-174G>C polymorphism and lung cancer: a metaanalysis
Lack of association between IL-6-174G>C polymorphism and lung cancer: a metaanalysis Y. Liu, X.L. Song, G.L. Zhang, A.M. Peng, P.F. Fu, P. Li, M. Tan, X. Li, M. Li and C.H. Wang Department of Respiratory
More informationEffectiveness of reinforcing kidney and activating blood therapy for premature ovarian failure: a systematic review and meta-analysis.
Biomedical Research 2018; 29 (21): 3888-3895 ISSN 0970-938X www.biomedres.info Effectiveness of reinforcing kidney and activating blood therapy for premature ovarian failure: a systematic review and meta-analysis.
More informationReview Article The Immediate Analgesic Effect of Acupuncture for Pain: A Systematic Review and Meta-Analysis
Hindawi Evidence-Based Complementary and Alternative Medicine Volume 2017, Article ID 3837194, 13 pages https://doi.org/10.1155/2017/3837194 Review Article The Immediate Analgesic Effect of Acupuncture
More informationAmerican Journal of Internal Medicine
American Journal of Internal Medicine 2016; 4(3): 49-59 http://www.sciencepublishinggroup.com/j/ajim doi: 10.11648/j.ajim.20160403.12 ISSN: 2330-4316 (Print); ISSN: 2330-4324 (Online) The Effect of Dose-Reduced
More informationThe Clinical Efficacy, Evaluation and Central Mechanism Study on Acupuncture for Treating Functional Dyspepsia
Section 2 08 Physical Methods The Clinical Efficacy, Evaluation and Central Mechanism Study on Acupuncture for Treating Functional Dyspepsia China Fanrong Liang, Ying Li, Fang Zeng, Tingting Ma, Lei Lan,
More informationReview Article Acupuncture for Low Back Pain: An Overview of Systematic Reviews
Hindawi Publishing Corporation Evidence-Based Complementary and Alternative Medicine Volume 2015, Article ID 328196, 18 pages http://dx.doi.org/10.1155/2015/328196 Review Article Acupuncture for Low Back
More informationIntroduction. Original Article. Abstract. Download free from
Download free from www.wjtcm.net Original Article Kangfuxin (Periplaneta americana) Lotion for Adjunctive Treatment of Ulcerative Colitis: A Systematic Review and Meta Analysis of Randomized Controlled
More informationRoot & Branch Bulk Formula List
An asterisk * indicates the inclusion of 1 or more granule versions of an herb because of limited availability on the American herbal market. These products are usually animal in nature like E Jiao, Shui
More informationCell Physiol Biochem 2016;39: DOI: / Huang et al.: Clinical Effects of Aspirin in Combination with FDD
Original Paper 2016 The Author(s). 2016 Published The Author(s) by S. Karger AG, Basel Published online: October 24, 24, 2016 2016 Published by S. Karger AG, Basel 1955 Accepted: August 17, 2016 This article
More informationReliability of Echocardiography Measurement of Patent Ductus Arteriosus Minimum Diameter: A Meta-analysis
International Journal of Cardiovascular and Cerebrovascular Disease 4(): 15-19, 016 DOI: 10.13189/ijccd.016.04001 http://www.hrpub.org Reliability of Echocardiography Measurement of Patent Ductus Arteriosus
More informationPhase IV clinical trial of Shufeng Jiedu Capsule in the treatment of cases of acute upper espiratory infection of wind-heat syndrome
tp tp Phase IV clinical trial of Shufeng Jiedu Capsule in the treatment of 2 031 cases of acute upper espiratory infection of wind-heat syndrome XU Yan-ling 1, ZHANG Hui-hong 2, XUE Yun-li 2, YANG Jing-sheng
More information788 Biomed Environ Sci, 2015; 28(11):
788 Biomed Environ Sci, 2015; 28(11): 788-798 Original Article Effect of NaFeEDTA-Fortified Soy Sauce on Anemia Prevalence in China: A Systematic Review and Meta-analysis of Randomized Controlled Trials
More informationSystematic reviews and meta-analyses of observational studies (MOOSE): Checklist.
Systematic reviews and meta-analyses of observational studies (MOOSE): Checklist. MOOSE Checklist Infliximab reduces hospitalizations and surgery interventions in patients with inflammatory bowel disease:
More informationAcupuncture combined with herbal medicine versus herbal medicine alone for plaque psoriasis: a systematic review protocol
Study Protocol Page 1 of 6 Acupuncture combined with herbal medicine versus herbal medicine alone for plaque psoriasis: a systematic review protocol Shiju Xiao 1,2, Bo Li 3, Shuo Feng 3, Cunzhi Liu 4,
More informationRandomized controlled trials on acupuncture for migraine: research problems and coping strategies
Study Protocol Page 1 of 5 Randomized controlled trials on acupuncture for migraine: research problems and coping strategies Heqing Chen #, Xiaoyu Zhang #, Xiaoyi Tang, Xinyi Li, Yeyin Hu, Guihua Tian
More informationEast Meets West: Treating Pain with Acupuncture
East Meets West: Treating Pain with Acupuncture Lixing Lao, Ph.D., L.Ac. Professor and Director TCM Research Program, Center for Integrative Medicine University of Maryland School of Medicine Center for
More informationFeng-Yi Lai, RN, MSN, Instructor Department of Nursing, Shu-Zen College of Medicine and Management, Asphodel Yang, RN, PhD, Associate Professor
Feng-Yi Lai, RN, MSN, Instructor Department of Nursing, Shu-Zen College of Medicine and Management, Asphodel Yang, RN, PhD, Associate Professor Department of Nursing, Central Taiwan University of Science
More informationMeta-analyses: analyses:
Meta-analyses: analyses: how do they help, and when can they not? Lee Hooper Senior Lecturer in research synthesis & nutrition l.hooper@uea.ac.uk 01603 591268 Aims Systematic Reviews Discuss the scientific
More informationReview Article Moxibustion for Chemotherapy-Induced Nausea and Vomiting: A Systematic Review and Meta-Analysis
Hindawi Evidence-Based Complementary and Alternative Medicine Volume 2017, Article ID 9854893, 11 pages https://doi.org/10.1155/2017/9854893 Review Article Moxibustion for Chemotherapy-Induced Nausea and
More informationJournal of Chinese Medicine. Vol.20, No.1, Vol.20, No.3,
163 Journal of Chinese Medicine Vol.20, No.1,2 1-96 Vol.20, No.3,4 97-162 ~ - 145 45-135 21 117 79-19 137-135 ~ - 137 65 87-65 - 145-65 - 153-79 - 153-87 47-137 - 65-87 - 47-145 - 145-47 - 19 164 153 HT7
More information5-ASA for the treatment of Crohn s disease DR. STEPHEN HANAUER FEINBERG SCHOOL OF MEDICINE, NORTHWESTERN UNIVERSITY, CHICAGO, IL, USA
5-ASA for the treatment of Crohn s disease DR. STEPHEN HANAUER FEINBERG SCHOOL OF MEDICINE, NORTHWESTERN UNIVERSITY, CHICAGO, IL, USA Background RCTs investigating the efficacy of aminosalicylates for
More informationAn Interview with Zhiyun Bo, inventor of Abdominal Acupuncture (Fu Zhen)
1 An Interview with Zhiyun Bo, inventor of Abdominal Acupuncture (Fu Zhen) By Attilio D'Alberto and Eunkyung Kim Q. So firstly Dr Bo, what is abdominal acupuncture? A. Well, abdominal acupuncture is a
More informationSingle Herbs II / Quiz II
1. What herb is good to treat cholesterol? A. Shan Zha C. Shen Qu B. Mai Ya D. Gu Ya 2. What herb can inhibit lactation? A. Shan Zha C. Shen Qu B. Mai Ya D. Lai Fu Zi 3. What herb can dissolve stones?
More informationCritical appraisal: Systematic Review & Meta-analysis
Critical appraisal: Systematic Review & Meta-analysis Atiporn Ingsathit MD.PhD. Section for Clinical Epidemiology and biostatistics Faculty of Medicine Ramathibodi Hospital Mahidol University What is a
More informationControlled Trials. Spyros Kitsiou, PhD
Assessing Risk of Bias in Randomized Controlled Trials Spyros Kitsiou, PhD Assistant Professor Department of Biomedical and Health Information Sciences College of Applied Health Sciences University of
More informationResults. NeuRA Herbal medicines August 2016
Introduction have been suggested as a potential alternative treatment which may positively contribute to the treatment of schizophrenia. Herbal therapies can include traditional Chinese medicines and Indian
More informationData extraction. Specific interventions included in the review Dressings and topical agents in relation to wound healing.
Systematic reviews of wound care management: (2) dressings and topical agents used in the healing of chronic wounds Bradley M, Cullum N, Nelson E A, Petticrew M, Sheldon T, Torgerson D Authors' objectives
More informationTypes of Data. Systematic Reviews: Data Synthesis Professor Jodie Dodd 4/12/2014. Acknowledgements: Emily Bain Australasian Cochrane Centre
Early Nutrition Workshop, December 2014 Systematic Reviews: Data Synthesis Professor Jodie Dodd 1 Types of Data Acknowledgements: Emily Bain Australasian Cochrane Centre 2 1 What are dichotomous outcomes?
More informationReview Article An Overview of Systematic Reviews of Danhong Injection for Ischemic Stroke
Evidence-Based Complementary and Alternative Medicine Volume 2016, Article ID 8949835, 7 pages http://dx.doi.org/10.1155/2016/8949835 Review Article An Overview of Systematic Reviews of Danhong Injection
More informationIntegrating the Best of Traditional Chinese Medicine with Conventional Healthcare
Integrating the Best of Traditional Chinese Medicine with Conventional Healthcare Justin Wu Director, Hong Kong Institute of Integrative Medicine Associate Dean (Clinical), Faculty of Medicine The Chinese
More informationPROSPERO International prospective register of systematic reviews
PROSPERO International prospective register of systematic reviews High-dose chemotherapy followed by autologous haematopoietic cell transplantation for children, adolescents and young adults with first
More informationEvaluation of Clinical Efficacy on Acute Pancreatitis Treated with Combination of Traditional Chinese and Western Medicine: A Meta-Analysis
International Journal of Clinical Medicine, 2018, 9, 249-259 http://www.scirp.org/journal/ijcm ISSN Online: 2158-2882 ISSN Print: 2158-284X Evaluation of Clinical Efficacy on Acute Pancreatitis Treated
More informationAcupuncture Resolution of Pediatric Mouth Ulcers
Acupuncture Resolution of Pediatric Mouth Ulcers Published by HealthCMi on September 2017 Acupuncture relieves herpangina-related symptoms, speeds fever recovery time, accelerates the healing of herpangina
More informationWorkshop: Cochrane Rehabilitation 05th May Trusted evidence. Informed decisions. Better health.
Workshop: Cochrane Rehabilitation 05th May 2018 Trusted evidence. Informed decisions. Better health. Disclosure I have no conflicts of interest with anything in this presentation How to read a systematic
More informationMeta-analysis of the clinical value of oxymatrine on sustained virological response in chronic hepatitis B
482 He M, et al., 2016; 15 (4): 482-491 ORIGINAL ARTICLE July-August, Vol. 15 No. 4, 2016: 482-491 The Official Journal of the Mexican Association of Hepatology, the Latin-American Association for Study
More informationOther potential bias. Isabelle Boutron French Cochrane Centre Bias Method Group University Paris Descartes
Other potential bias Isabelle Boutron French Cochrane Centre Bias Method Group University Paris Descartes 1 Outlines RoB tool for specific design Cross over trial Cluster randomized controlled trials Mono
More informationReview Article Wrist-Ankle Acupuncture for the Treatment of Pain Symptoms: A Systematic Review and Meta-Analysis
Hindawi Publishing Corporation Evidence-Based Complementary and Alternative Medicine Volume 2014, Article ID 261709, 9 pages http://dx.doi.org/10.1155/2014/261709 Review Article Wrist-Ankle Acupuncture
More informationAppropriate Quality regarde as
A systematic review of antibiotic prescription associated with upper respiratory tract infections in China (Jing Li, MS 1 ) Supplemental Digital Content-Table 1. Quality assessment of included studies
More informationSingle Herbs III / Quiz II
Single Herbs III / Quiz II 1. What herb can nourish St Yin and brightens the eyes? A. Mai Dong C. Sha Shen B. Shi Hu D. Tian Dong 2. What herb can be used for an exterior invasion with Yin Xu? A. Sha Shen
More informationDiagnostic Accuracy of Intracellular Mycobacterium. tuberculosis Detection for Tuberculous Meningitis
Diagnostic Accuracy of Intracellular Mycobacterium tuberculosis Detection for Tuberculous Meningitis Running title: Laboratory diagnosis of tuberculous Guo-Dong Feng (MD PhD);Ming Shi(MD PhD); Lei Ma(MD
More informationChronic Fatigue Recovery With Acupuncture
Chronic Fatigue Recovery With Acupuncture Published by HealthCMi on August 2017 Shenzhen Hospital of Chinese Medicine researchers determined that acupuncture is safe and effective for the alleviation of
More informationEfficacy and safety of Traditional Chinese Medicine for the treatment of acquired immunodeficiency syndrome: a systematic review
Online Submissions: http://www.journaltcm.com J Tradit Chin Med 2014 February 15; 34(1): 1-9 info@journaltcm.com ISSN 0255-2922 2014 JTCM. All rights reserved. SYSTEMATIC REVIEW Efficacy and safety of
More informationTraditional Chinese Herbal Medicine for Perimenopausal Depression of Chinese Women: A Meta analysis
Download free from www.wjtcm.net Review Article Traditional Chinese Herbal Medicine for Perimenopausal Depression of Chinese Women: A Meta analysis Ying Zhang a, Lin-Jie Xu b, Yu Zheng c, Feng-Quan Xu
More informationAcupuncture Found Effective For IBS-D
Acupuncture Found Effective For IBS-D Published by HealthCMI on 26 February 2018. Investigators find acupuncture effective for the treatment of IBS (irritable bowel syndrome). In a controlled study, Yiwu
More informationGRADE. Grading of Recommendations Assessment, Development and Evaluation. British Association of Dermatologists April 2014
GRADE Grading of Recommendations Assessment, Development and Evaluation British Association of Dermatologists April 2014 Previous grading system Level of evidence Strength of recommendation Level of evidence
More informationReview Article The Effect of Hormone Replacement Therapy on Dry Eye Syndrome Evaluated with Schirmer Test and Break-Up Time
Hindawi Publishing Corporation Journal of Ophthalmology Volume 215, Article ID 4232, 9 pages http://dx.doi.org/1.1155/215/4232 Review Article The Effect of Hormone Replacement Therapy on Dry Eye Syndrome
More informationTitle: Treatment adherence among sputum smear-positive pulmonary tuberculosis patients in mountainous areas in China
Author's response to reviews Title: Treatment adherence among sputum smear-positive pulmonary tuberculosis patients in mountainous areas in China Authors: Song Yao (ys506506@yahoo.com.cn) Wen-Hui Huang
More information4-1 Dyspnea (Chuan, 喘 )
4-1 Dyspnea (Chuan, 喘 ) Concept Breathing with difficulty (open wide mouth, raise shoulders) Etiology and pathogenesis Climatic factors Phlegm fluid Emotion Chronic diseases Exertion Over sex Diagnosis
More informationDeterminants of quality: Factors that lower or increase the quality of evidence
Determinants of quality: Factors that lower or increase the quality of evidence GRADE Workshop CBO, NHG and Dutch Cochrane Centre CBO, April 17th, 2013 Outline The GRADE approach: step by step Factors
More informationAcupuncture Found Effective for Chronic Fatigue Syndrome
Acupuncture Found Effective for Chronic Fatigue Syndrome Published by HealthCMi on 07 June 2018 Acupuncture is effective for the treatment of chronic fatigue syndrome (CFS). Researchers at the Beijing
More informationinstrument. When 13C-UBT positive value is greater than or equal to / - 0.4, the the subject can be 1. Data and methods details are as follows:
Application of 13 C-urea breath test in screening helicobacter pylori infection during health examination in Chengdu, Sichuan YANG Yan-hua. LIU Yu-ping. CHENG You-fu, SHUAI Ping. LU Qiao. ZHENG Xiao-xia,
More informationGlobal situation and implementation of WHO TM strategy Dr Zhang Qi Traditional and Complementary Medicine Service Delivery and Safety
Global situation and implementation of WHO TM strategy 2014-2023 Dr Zhang Qi Traditional and Complementary Medicine Service Delivery and Safety Overview of my presentation Global situation in T&CM WHO
More informationLiu et al., Afr J Tradit Complement Altern Med. (2013) 10(4):78-82
78 A COMPARATIVE STUDY OF ANTI-GASTRIC CANCER ACTIVITY BETWEEN AQUEOUS EXTRACT AND ETHANOL EXTRACT OF FOLIUM CORDYLINES FRUTICOSAE Shaojun Liu 1, Dongbo Cao 2, Zhiming Xiao 1, Fen Liu 1, Xiaoyan Wang 1,
More informationComparative literature study between investigations in foreign Science Citation Index journals and Chinese core domestic journals in
Online Submissions: http://www.journaltcm.com J Tradit Chin Med 04 June 5; 34(3): 373-380 info@journaltcm.com ISSN 055-9 04 JTCM. All rights reserved. LITERATURE STUDY TOPIC Comparative literature study
More informationCURRICULUM VITAE. Professional Employment and Teaching Experience:
CURRICULUM VITAE Name: Current Address: Hong Chen American Academy of Acupuncture and Oriental Medicine 1925 West County Road B2 Roseville, MN 55113 Tel: (651) 631-0204 Fax: (651) 631-0361 E-mail: hongyu1229@hotmail.com
More informationikoo & Traditional Chinese Medicine Stimulates Meridians & Energy Points
ikoo & Traditional Chinese Medicine Stimulates Meridians & Energy Points index 01 ikoo and traditional chinese medicine 02 the unique potential of the ikoo brush 03 health benefits of ikoo 04 the function
More informationZheng-tao Lv, 1 Wen-xiu Jiang, 2 Jun-ming Huang, 1 Jin-ming Zhang, 1 and An-min Chen Introduction
Evidence-Based Complementary and Alternative Medicine Volume 2016, Article ID 8792167, pages http://dx.doi.org/.1155/2016/8792167 Research Article The Clinical Effect of Acupuncture in the Treatment of
More informationAssociation of mir-21 with esophageal cancer prognosis: a meta-analysis
Association of mir-21 with esophageal cancer prognosis: a meta-analysis S.-W. Wen 1, Y.-F. Zhang 1, Y. Li 1, Z.-X. Liu 2, H.-L. Lv 1, Z.-H. Li 1, Y.-Z. Xu 1, Y.-G. Zhu 1 and Z.-Q. Tian 1 1 Department of
More informationFOUNDATIONS, ACUPUNCTURE, CHINESE HERBAL MEDICINE, BIO-MEDICINE. Stage Four Review
ICAOM LEARNING PROFICIENCY EXAMINATION FOUNDATIONS, ACUPUNCTURE, CHINESE HERBAL MEDICINE, BIO-MEDICINE Review and know the following: Stage Four Review 1. Familiar with the disease or symptom of the following
More informationTCM Ideology and Methodology
Journal of Traditional Chinese Medicine, June 2011; 31(2): 147-151 147 TCM Ideology and Methodology The TCM Pattern of the Six-Zang and Six-Fu Organs Can Be Simplified into the Pattern of Five-Zang and
More information1. Introduction. Correspondence should be addressed to Zhong-Yue Gu; and Yi-Guo Chen;
Evidence-Based Complementary and Alternative Medicine Volume 213, Article ID 198451, 4 pages http://dx.doi.org/1.1155/213/198451 Research Article Different Surface Electromyography of Propagated Sensation
More informationAcupuncture and Herbs Force Expulsion of Kidney Stones
Acupuncture and Herbs Force Expulsion of Kidney Stones Published by HealthCMi on December 2017 Acupuncture combined with herbal medicine and medications assists in the elimination of kidney stones that
More informationOriginal Article Prophylactic treatment of the recurrence of febrile convulsion by different drugs: a meta-analysis
Int J Clin Exp Med 2017;10(4):6453-6460 www.ijcem.com /ISSN:1940-5901/IJCEM0045956 Original Article Prophylactic treatment of the recurrence of febrile convulsion by different drugs: a meta-analysis Xiaoqiao
More informationTitle: Efficacy and Safety of Prophylactic Vaccines against Cervical HPV Infection and Diseases among Women: A Systematic Review & Meta-Analysis
Author's response to reviews Title: Efficacy and Safety of Prophylactic Vaccines against Cervical HPV Infection and Diseases among Women: A Systematic Review & Meta-Analysis Authors: Beibei Lu (beibei.lu@moffitt.org)
More informationDatabase of Abstracts of Reviews of Effects (DARE) Produced by the Centre for Reviews and Dissemination Copyright 2017 University of York.
A comparison of the cost-effectiveness of five strategies for the prevention of non-steroidal anti-inflammatory drug-induced gastrointestinal toxicity: a systematic review with economic modelling Brown
More information