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Clinical regularities in acupuncture-moxibustion treatment of cancer pain in recent 30 years

Journal of Acupuncture and Tuina Science 2019年第2期17卷 89-98页

作者： Huang Qin-feng Xie Chen Tang Chun-ling Jin Zhu Shanghai Research Institute of Acupuncture and Meridian Shanghai 200030 China Rong Xuan Biotechnology Co. Ltd. Shanghai 201802 China Shanghai University of Traditional Chinese Medicine Affiliated Seventh People's Hospital Shanghai 200137 China

Objective: To explore the clinical regularities in acupuncture-moxibustion treatment of cancer pain by reviewing the re leva nt studies published betwee n 1985 and 2017. Methods: Based on the Chinese Medicine Acupuncture-moxibustion Information Database, quantitative analysis, correlation an alysis and Chi-square test were applied to an a lyze the comm only used acupoi nts, meridia n affiliatio ns and body regi on distributi ons, comm only used methods and acupoi nt correlati ons, treatme nt method correlati ons, the efficacy of acupuncture- moxibusti on plus the three-step an algesic ladder for can cer pain, and in dicators. Results: Zusanli (ST 36), Ashi point and Sanyinjiao (SP 6) ranked the top on the list of frequency;points from Bladder Meridian of Foot Taiyang and Stomach Meridian of Foot Yangming were often used;points from the lower limbs and back had high frequencies. The most commonly used treatment method was acupuncture-moxibustion plus medication. Acupuncture-moxibusti on plus the three-step an algesic ladder showed certai n adva ntage compared with the two methods used separately, and among the integrated methods, acupoint application plus the three-step analgesic ladder produced the most significant efficacy. It took (44.77±55.54) min for the analgesic effect to act and the effect lasted for (12.81±14.59) h. Numerical rati ng scale (NRS), visual an alog scale (VAS) and Kar nofsky performa nee status (KPS) scores all showed sign ifica nt changes after interventions (all P0.05). Conclusion: Zusa nli (ST 36), Ashi point and Sanyin jiao (SP 6) are comm only selected in acup un cture-moxibusti on treatment of cancer pain;acupuncture and acupoint application are often used;acupuncture-moxibustion plus the three-step an algesic ladder can boost the treatme nt efficacy.

关键词： Acupuncture therapy moxibusiton therapy Acupuncture-moxibustion therapy Cancer Pain Databases (Traditional Chinese Medicine) Pain Measurement Karnofsky Performanee Status (KPS) Bibliometrics

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Therapeutic observation of thin-cotton moxibustion plus surround needling for herpes zoster

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Journal of Acupuncture and Tuina Science 2016年第3期14卷 197-201页

作者：宋海云洪珏(译) Taihe Hospital of Shiyan City Affiliated to Hubei University of Medicine Hubei ProvinceShiyan 442000China 不详

Objective： To compare the clinical efficacies between thin-cotton moxibustion plus surround needling and Western medication in treating herpes zoster （HZ）. Methods： Eighty-three HZ patients were divided into two groups according to their admission sequence, 41 cases in the thin-cotton moxibustion group and 42 cases in the Western medication group. The thin-cotton moxibustion group received thin-cotton moxibustion on the surface of lesions plus surround needling around the lesions, once a day. The Western medication group was intervened by Acyclovir intravenous injection, 0.25 g per dose, once a day, along with external application of Acyclovir cream 3-5 times a day. After 10-day treatment, the blister-healing time, crusting time, pain-reducing time, onset time of action, lesion-healed time, and occurrence of post-herpetic neuralgia （PHN） were compared. Results： During the study, a case dropped out in the thin-cotton moxibustion group, and 2 cases dropped out in the Western medication group. The recovery and markedly-effective rate was 92.5% and total effective rate was 97.5% in the thin-cotton moxibustion group, versus 72.5% and 87.5% in the Western medication group, and the between-group differences were statistically significant （P^0.05）. The blister-healing time, crusting time, pain-reducing time, onset time of action and lesion-healed time in the thin-cotton moxibustion group were significantly shorter than those in the Western medication group （P〈0.05）. The occurrence rate of PHN was 2.07% in the thin-cotton moxibustion group, significantly lower than 9.19% in the Western medication group （P〈0.01）. Conclusion： Thin-cotton moxibustion plus surround needling can produce a more significant efficacy than Acyclovir in treating HZ, and it can markedly reduce the occurrence of PHN.

关键词： Acupuncture therapy moxibusiton therapy Acupuncture-moxibustion therapy Surround Needling Herpes Zoster Acyclovir

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