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Li H, Xie D, Chen R. CHEN Rixin's clinical experience of heat-sensitive moxibustion for Wenyang Yangshen in treatment of insomnia of yang deficiency. Zhongguo Zhen Jiu 2024; 44:323-326. [PMID: 38467508 DOI: 10.13703/j.0255-2930.20230906-k0005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/13/2024]
Abstract
The paper introduces CHEN Rixin's experience and ideas of heat-sensitive moxibustion for Wenyang Yangshen (warming-up yang and nourishing the spirit) in treatment of insomnia of yang deficiency. This type of insomnia is caused by yang insufficiency of the body and malnutrition of the spirit. The treatment focuses on Wenyang Yangshen. Replenishing yang (Shenque [CV 8], Qihai [CV 6] and Guanyuan [CV 4]) is combined with promoting yang circulation (Taiyang [EX-HN 5]). The acupoint combination is optimized through identifying the heat sensitivity. Sparrow-pecking moxibustion and mild moxibustion are used to control the appropriate moxibustion temperature, efficiently stimulate deqi and individually saturate the dose of moxibustion so as to target the principle of treatment and improve the sleep quality.
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Affiliation(s)
- Haiyan Li
- School of Clinical Medicine of Jiangxi University of CM, Nanchang 330006, China.
| | - Dingyi Xie
- Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of CM, Nanchang 330025
| | - Rixin Chen
- Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of CM, Nanchang 330025.
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Gao W, Sun Z, Chen X, Li P, Zhang X, Chen J, Geng L, Zhang C. Heat-sensitive moxibustion combined with Xiangwu powder for erectile dysfunction with kidney deficiency and blood stasis: a randomized controlled trial. Zhongguo Zhen Jiu 2024; 44:144-148. [PMID: 38373758 DOI: 10.13703/j.0255-2930.20230409-0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/21/2024]
Abstract
OBJECTIVES To observe the clinical efficacy of heat-sensitive moxibustion combined with Xiangwu powder in treating erectile dysfunction with kidney deficiency and blood stasis. METHODS A total of 80 patients with erectile dysfunction of kidney deficiency and blood stasis were randomly divided into a comprehensive group (40 cases, 1 case dropped out) and a Chinese herb group (40 cases, 2 cases dropped out). In the Chinese herb group, Xiangwu powder was applied orally, one dose per day. On the basis of the Chinese herb group, heat-sensitive moxibustion was applied after detecting the heat-sensitive points in the areas of Guanyuan (CV 4), Zhongji (CV 3), Qihai (CV 6) and bilateral Xuehai (SP 10), Sanyinjiao (SP 6) in the comprehensive group, once a day, 5 times a week. Both groups were treated for 4 weeks. The international index of erectile function-5 (IIEF-5) score, erectile hardness score (EHS), nocturnal penile tumescence and rigidity (NPTR) indexes (nocturnal penile erection frequency, total duration of penile erection, duration of penile head hardness ≥60%, duration of penile root hardness ≥60%, percentage change in penile head circumference, percentage change in penile root circumference), TCM syndrome score, and penile vascular function indexes (peak systolic velocity [PSV], end diastolic velocity [EDV], and resistance index [RI] of penile cavernosal artery) were compared in the patients of the two groups before and after treatment, and the clinical efficacy was evaluated. RESULTS After treatment, the IIEF-5 scores, EHS, PSV, RI, and NPTR indexes were increased compared with those before treatment (P<0.01), while the TCM syndrome scores and EDV were decreased compared with those before treatment (P<0.01) in the two groups.The IIEF-5 score, EHS, PSV, RI, and NPTR indexes in the comprehensive group were ascended compared with those in the Chinese herb group (P<0.01), while the TCM syndrome score and EDV in the comprehensive group were lower than those in the traditional Chinese herb group (P<0.01). The total effective rate of the comprehensive group was 94.9% (37/39), which was higher than 78.9% (30/38, P<0.05) of the Chinese herb group. CONCLUSIONS The combination of heat-sensitive moxibustion and Xiangwu powder can effectively treat erectile dysfunction of kidney deficiency and blood stasis, improve patients' erectile function, enhance their erection hardness, and improve their penile vascular function and clinical symptoms.
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Affiliation(s)
- Wuzhi Gao
- Department of Reproductive Medicine, Henan Provincial Hospital of TCM, Second Affiliated Hospital of Henan University of CM, Zhengzhou 450002, China
| | - Zixue Sun
- Department of Reproductive Medicine, Henan Provincial Hospital of TCM, Second Affiliated Hospital of Henan University of CM, Zhengzhou 450002, China.
| | - Xiang Chen
- Department of Reproductive Medicine, Henan Provincial Hospital of TCM, Second Affiliated Hospital of Henan University of CM, Zhengzhou 450002, China
| | - Pengchao Li
- Department of Reproductive Medicine, Henan Provincial Hospital of TCM, Second Affiliated Hospital of Henan University of CM, Zhengzhou 450002, China
| | - Xinghua Zhang
- Department of Reproductive Medicine, Henan Provincial Hospital of TCM, Second Affiliated Hospital of Henan University of CM, Zhengzhou 450002, China
| | - Jianshe Chen
- Department of Reproductive Medicine, Henan Provincial Hospital of TCM, Second Affiliated Hospital of Henan University of CM, Zhengzhou 450002, China
| | - Liyan Geng
- Department of Reproductive Medicine, Henan Provincial Hospital of TCM, Second Affiliated Hospital of Henan University of CM, Zhengzhou 450002, China
| | - Chenming Zhang
- Department of Reproductive Medicine, Henan Provincial Hospital of TCM, Second Affiliated Hospital of Henan University of CM, Zhengzhou 450002, China
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Zhang XT, Wang Z, Wang HX, Wang YL, Wu X, Wang K, Cui S, Zhou MQ, Luo H, Sun CG, Wu SB. Development and characteristics of auricular fumigation moxibustion combined with heat-sensitive moxibustion device. Zhongguo Zhen Jiu 2023; 43:1333-1337. [PMID: 37986259 DOI: 10.13703/j.0255-2930.20230515-k0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Abstract
A moxibustion device with the functions of auricular fumigation moxibustion and heat-sensitive moxibustion is designed. The smoke of the ignited moxa stick is used for the fumigation moxibustion at the external auditory canal, while the heat generated works on Dazhui (GV 14) for heat-sensitive moxibustion. The device consists of five parts, i.e. combustion chamber, smoke pipe, smoke processing chamber, power module and connector. It solves the limitations such as unpleasant experience in treatment, unfavorable temperature control, easy scalding and excessive manual dependence induced by usual fumigation moxibustion and during heat-sensitive moxibustion. This moxibustion device may improve the safety and convenience when delivering the treatment with fumigation moxibustion and heat-sensitive moxibustion, as well as the work efficiency of medical staff.
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Affiliation(s)
- Xue-Tao Zhang
- College of Acupuncture-Moxibustion and Tuina, Anhui University of CM, Hefei 230012, China.
| | - Zhen Wang
- College of Acupuncture-Moxibustion and Tuina, Anhui University of CM, Hefei 230012, China
| | - Han-Xiao Wang
- College of Acupuncture-Moxibustion and Tuina, Anhui University of CM, Hefei 230012, China
| | - Ya-Lu Wang
- College of Acupuncture-Moxibustion and Tuina, Anhui University of CM, Hefei 230012, China
| | - Xin Wu
- College of Acupuncture-Moxibustion and Tuina, Anhui University of CM, Hefei 230012, China
| | - Kun Wang
- College of Acupuncture-Moxibustion and Tuina, Anhui University of CM, Hefei 230012, China
| | - Shuai Cui
- College of Acupuncture-Moxibustion and Tuina, Anhui University of CM, Hefei 230012, China
- Acupuncture and Meridian Research Institute of Anhui Academy of CM, Hefei 230038
| | - Mei-Qi Zhou
- Acupuncture and Meridian Research Institute of Anhui Academy of CM, Hefei 230038
| | - Hui Luo
- Research Center of TCM Rehabilitation, Acupuncture-Moxibustion and Tuina Intelligent Equipment Engineering Technology, Anhui University of CM, Hefei 230012
| | - Can-Guang Sun
- Research Center of TCM Rehabilitation, Acupuncture-Moxibustion and Tuina Intelligent Equipment Engineering Technology, Anhui University of CM, Hefei 230012
| | - Sheng-Bing Wu
- College of Acupuncture-Moxibustion and Tuina, Anhui University of CM, Hefei 230012, China.
- Acupuncture and Meridian Research Institute of Anhui Academy of CM, Hefei 230038.
- Research Center of TCM Rehabilitation, Acupuncture-Moxibustion and Tuina Intelligent Equipment Engineering Technology, Anhui University of CM, Hefei 230012.
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Feng WX, Tang C, Zhang JP, Li XY, Zhang H. [ Heat-sensitive moxibustion for migraine without aura: a randomized controlled trial]. Zhongguo Zhen Jiu 2023; 43:921-4. [PMID: 37577889 DOI: 10.13703/j.0255-2930.20220910-0002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 08/15/2023]
Abstract
OBJECTIVE To compare the clinical effect between heat-sensitive moxibustion and mild moxibustion for migraine without aura. METHODS A total of 54 patients with migraine without aura were randomized into an observation group (27 cases, 2 cases dropped off) and a control group (27 cases, 2 cases dropped off). The basic western medication treatment was adopted in the two groups. In the control group, mild moxibustion was applied at Shuaigu (GB 8), Fengchi (GB 20) and Yanglingquan (GB 34) on the affected side. In the observation group, the frequent acupoint areas of the affected side i.e. Shuaigu (GB 8), Fengchi (GB 20), Taiyang (EX-HN 5), Taichong (LR 3), Yanglingquan (GB 34) were determined, 3 acupoints with strong heat-sensitive sensation were selected each time and mild moxibustion was adopted. The treatment was given once a day, 5 times of treatment was as one course and 2 courses were required in the two groups. Before and after treatment, the scores of migraine symptom, visual analogue scale (VAS), migraine specific quality of life questionnaire (MSQ) were observed, and the clinical efficacy was evaluated after treatment in the two groups. RESULTS After treatment, the scores of migraine symptom and VAS were decreased compared with those before treatment (P<0.01), while the MSQ scores were increased compared with those before treatment (P<0.01) in the two groups. After treatment, the scores of migraine symptom and VAS in the observation group were lower than those in the control group (P<0.05), while the MSQ score in the observation group was higher than that in the control group (P<0.01). The total effective rate was 92.0% (23/25) in the observation group, which was superior to 72.0% (18/25) in the control group (P<0.05). CONCLUSION Both heat-sensitive moxibustion and mild moxibustion can effectively alleviate the clinical symptoms, improve the headache degree and life quality in patients with migraine without aura, the clinical efficacy of heat-sensitive moxibustion is superior to that of mild moxibustion.
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Affiliation(s)
- Wei-Xing Feng
- Department of Encephalopathy, Affiliated Hospital of Shaanxi University of CM, Xianyang 712000, China
| | - Chen Tang
- College of Acupuncture-Moxibustion, Shaanxi University of CM
| | - Jin-Pei Zhang
- Department of Encephalopathy, Affiliated Hospital of Shaanxi University of CM, Xianyang 712000, China
| | - Xin-Yan Li
- College of Acupuncture-Moxibustion, Shaanxi University of CM
| | - Hui Zhang
- Department of Encephalopathy, Affiliated Hospital of Shaanxi University of CM, Xianyang 712000, China
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Li N, Zhao DL, Chen HY. [Design and development of a multifunctional moxibustion treatment machine based on heat-sensitive moxibustion therapy]. Zhongguo Zhen Jiu 2023; 43:721-6. [PMID: 37313569 DOI: 10.13703/j.0255-2930.20220516-k0003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
A multifunctional moxibustion treatment machine is designed and developed to assist the heat-sensitive moxibustion therapy. Through the motion control of the stepping motor by programmable logic controller (PLC), the automatic control is obtained for the acupoint detection of heat-sensitive moxibustion therapy and the manual operation of moxibustion. The skin temperature is monitored in real-time, using infrared non-contact temperature measurement technology. Based on the deviation of the temperature set value and the monitoring one, the distance between the moxibustion device and the exerted region is adjusted automatically by PLC so that the temperature is controlled practically. The multifunctional moxibustion treatment machine based on the heat-sensitive moxibustion therapy is capable of the operation control of mild moxibustion, circling moxibustion, sparrow-pecking moxibustion and along-meridian moxibustion techniques, as well as real-time monitoring of skin temperature. The temperature change curve of this machine is coincident with that obtained by the manual operation of heat-sensitive moxibustion. This multifunctional moxibustion treatment machine assists the delivery of heat-sensitive moxibustion therapy and it is satisfactory in temperature control and precise in operation.
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Affiliation(s)
- Na Li
- Department of Biomedical Engineering, Luoyang Orthopedic- Traumatological Hospital of Henan Province, Henan Provincial Orthopedic Hospital, Luoyang 471000, China
| | - Dong-Liang Zhao
- Department of Biomedical Engineering, Luoyang Orthopedic- Traumatological Hospital of Henan Province, Henan Provincial Orthopedic Hospital, Luoyang 471000, China
| | - Hao-Yu Chen
- Department of Biomedical Engineering, Luoyang Orthopedic- Traumatological Hospital of Henan Province, Henan Provincial Orthopedic Hospital, Luoyang 471000, China
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Zhang XT, Wang HX, Wang Z, Wang YL, Cui S, Zhou MQ, Luo H, Sun CG, Hao M, Hong W, Wu SB. [Development and characteristics of automatic ash-removal heat-sensitive moxibustion device]. Zhongguo Zhen Jiu 2023; 43:597-9. [PMID: 37161815 DOI: doi:10.13703/j.0255-2930.20220408-k0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
An automatic ash-removal heat-sensitive moxibustion device was developed, which could keep relatively constant temperature of heat-sensitive moxibustion, and realize the automatic ignition and automatic ash removal of moxa sticks during heat-sensitive moxibustion. The automatic ash-removal heat-sensitive moxibustion device comprises a bracket and a moxibustion box fixed on the top of the bracket; the bracket is composed of a base and a movable telescopic arm. This device can solve the problems of temperature instability, moxa ash blocking heat transfer and moxa ash falling during heat-sensitive moxibustion, avoiding the scalding caused by moxa ash falling, and reduce the workload of medical staff.
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Affiliation(s)
- Xue-Tao Zhang
- College of Acupuncture-Moxibustion and Tuina, Anhui University of TCM, Hefei 230012, China
| | - Han-Xiao Wang
- College of Acupuncture-Moxibustion and Tuina, Anhui University of TCM, Hefei 230012, China
| | - Zhen Wang
- College of Acupuncture-Moxibustion and Tuina, Anhui University of TCM, Hefei 230012, China
| | - Ya-Lu Wang
- College of Acupuncture-Moxibustion and Tuina, Anhui University of TCM, Hefei 230012, China
| | - Shuai Cui
- College of Acupuncture-Moxibustion and Tuina, Anhui University of TCM, Hefei 230012, China; Institute of Acupuncture-Moxibustion and Meridians, Anhui Academy of TCM, Hefei 230038
| | - Mei-Qi Zhou
- Institute of Acupuncture-Moxibustion and Meridians, Anhui Academy of TCM, Hefei 230038
| | - Hui Luo
- Research Center of Intelligent Equipment Engineering Technology of Traditional Chinese Medicine Rehabilitation and Acupuncture-Moxibustion and Tuina, Anhui University of TCM
| | - Can-Guang Sun
- Research Center of Intelligent Equipment Engineering Technology of Traditional Chinese Medicine Rehabilitation and Acupuncture-Moxibustion and Tuina, Anhui University of TCM
| | - Ming Hao
- Research Center of Intelligent Equipment Engineering Technology of Traditional Chinese Medicine Rehabilitation and Acupuncture-Moxibustion and Tuina, Anhui University of TCM
| | - Wen Hong
- Research Center of Intelligent Equipment Engineering Technology of Traditional Chinese Medicine Rehabilitation and Acupuncture-Moxibustion and Tuina, Anhui University of TCM
| | - Sheng-Bing Wu
- College of Acupuncture-Moxibustion and Tuina, Anhui University of TCM, Hefei 230012, China; Institute of Acupuncture-Moxibustion and Meridians, Anhui Academy of TCM, Hefei 230038
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Chen RX. [ Heat-sensitive moxibustion: inheritance, innovation and development of moxibustion of traditional Chinese medicine]. Zhongguo Zhen Jiu 2023; 43:483-8. [PMID: 37068828 DOI: 10.13703/j.0255-2930.20220625-k0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
Abstract
The paper reviews the inheritance, innovation and development of heat-sensitive moxibustion; and explores the path for the clinical development of moxibustion of traditional Chinese medicine moxibustion (TCM). Practice has shown that the laws of clinical research on TCM moxibustion refer to phenomenon discovery, exploration of rules, technological innovation, verification of curative effects, theory sublimation, returning to clinical practice, discipline construction, and experimental research. It is deeply realized that TCM research should be based on clinical practice, originated from classics, focused on theoretical innovation and in serve of clinical practice.
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Affiliation(s)
- Ri-Xin Chen
- School of Acupuncture-Moxibustion and Tuina, Jiangxi University of CM, Nanchang 330004, China
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Jun Y, Jun X, Shaozhong XU, Hongwu X, Jie X. Effect and cerebral mechanism of moxibustion at heat-sensitized Yaoyangguan (GV3) in patients with lumbar disc herniation and myofascial pain syndrome by resting-state functionality magnetic resonance imaging: protocol for an observational study. J TRADIT CHIN MED 2023; 43:175-180. [PMID: 36640010 PMCID: PMC9924786 DOI: 10.19852/j.cnki.jtcm.20221006.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
We want to explore the analgesic brain effect of the moxibustion at heat-sensitized Yaoyangguan (GV3) in patients with lumbar disc herniation (LDH) and myofascial pain syndrome (MPS). In an assessor-blinded observational study, we will include 15 LDH and 15 MPS. They will accept same treatment of heat-sensitive moxibustion at Yaoyangguan (GV3). The resting-state functionality magnetic resonance imaging image data of brain activities before and after treatment will be analyzed by mean fractional amplitude of low-frequency fluctuation, regional homogeneity analysis and brain functional connection. We select seed of first sensory cortex, second sensory cortex, insula cortex, periaqueductal gray and anterior cingulate cortex as the regions of interest to analyse the relationship between brain functional connectivity of pain-related networks and clinical data. Our study could disclose key brain targets and central response characteristics of the analgesic brain effect and the brain functional connection of heat-sensitive moxibustion.
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Affiliation(s)
- Yang Jun
- Jiangxi University of Chinese Medicine, Nanchang 330004, China
| | - Xiong Jun
- Jiangxi University of Chinese Medicine, Nanchang 330004, China.,2 Department of acupuncture and moxibustion, the Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang 330006, China
| | - X U Shaozhong
- Department of Radiology, the Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang 330006, China
| | - Xie Hongwu
- Department of Radiology, the Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang 330006, China
| | - Xiang Jie
- Jiangxi University of Chinese Medicine, Nanchang 330004, China
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Zhou X, Li L, Wen ZH, Liu JP, Gu YH, Guo XF, Liao X, Zhu WF, Li SQ, Sun X. [Technical recommendations for pragmatic randomized controlled trials of heat-sensitive moxibustion in community (Ⅱ): organization, implementation and follow-up visits]. Zhongguo Zhen Jiu 2022; 42:696-700. [PMID: 35712958 DOI: 10.13703/j.0255-2930.20210512-k0005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Based on the community research experience of heat-sensitive moxibustion, this study explained technical recommendations for pragmatic randomized controlled trials (pRCTs) of heat-sensitive moxibustion in community from 7 aspects: selection of community research sites, ethical approval and registration, patient recruitment, training of standard operating procedures, ensuring patient compliance, quality control of follow-up visits and patient safety, which aimed to reduce the difficulty of research execution and improve the quality of pRCTs implementation and follow-up visits of heat-sensitive moxibustion.
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Affiliation(s)
- Xu Zhou
- Evidence-based Medicine Research Centre, Jiangxi University of CM, Nanchang 330004, China
| | - Ling Li
- China Evidence-based Medicine Centre, West China Hospital of Sichuan University, Chengdu 610041
| | - Ze-Huai Wen
- Key Unit of Methodology in Clinical Research, Guangdong Hospital of TCM
| | - Jian-Ping Liu
- Center for Evidence-based Medicine, Beijing University of CM
| | - Yi-Huang Gu
- Acupuncture-Moxibustion and Tuina College, Nanjing University of Chinese Medicine
| | - Xin-Feng Guo
- Second Affiliated Hospital of Guangzhou University of CM
| | - Xing Liao
- Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences
| | - Wei-Feng Zhu
- Evidence-based Medicine Research Centre, Jiangxi University of CM, Nanchang 330004, China
| | - Shu-Qing Li
- Evidence-based Medicine Research Centre, Jiangxi University of CM, Nanchang 330004, China
| | - Xin Sun
- China Evidence-based Medicine Centre, West China Hospital of Sichuan University, Chengdu 610041
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Chen RX, Huang XB, Xie DY, Li HY. [Discussion of novel mode of acupuncture and moxibustion based on identifying the acupoint sensitization]. Zhongguo Zhen Jiu 2022; 42:665-668. [PMID: 35712951 DOI: 10.13703/j.0255-2930.20220121-k0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
On the base of the paradigms of clinical studies on modern moxibustion by identifying the acupoint sensitization, the records of ancient literature in successive dynasties were collected on "identifying the sensitization" of acupoints in acupuncture. In association with acupoint detection of acupuncture recorded in current textbooks, a novel concept, "exerting acupuncture by identifying the acupoint sensitization" is proposed. Acupoint sensitization is the common initial link of effect achieved by both acupuncture and moxibustion. Hence, on the basis of the routine acupoint selection by differentiating syndrome, the state of acupoint must be considerably emphasized in either acupuncture or moxibustion. The clinical curative effect may be improved by selecting the sensitized points and identifying sensitization. This novel mode of diagnosis and treatment focuses on identifying acupoint sensitization by unifying acupuncture with moxibustion and in coincidence with the modern clinical characteristics of either acupuncture or moxibustion.
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Affiliation(s)
- Ri-Xin Chen
- School of Acupuncture-Moxibustion and Tuina, Jiangxi University of CM, Nanchang 330004, China
| | - Xian-Bao Huang
- School of Acupuncture-Moxibustion and Tuina, Jiangxi University of CM, Nanchang 330004, China
| | - Ding-Yi Xie
- School of Acupuncture-Moxibustion and Tuina, Jiangxi University of CM, Nanchang 330004, China
| | - Hai-Yan Li
- School of Acupuncture-Moxibustion and Tuina, Jiangxi University of CM, Nanchang 330004, China
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Zhou X, Wen ZH, Li L, Liu JP, Gu YH, Guo XF, Liao X, Zhu WF, Li SQ, Sun X. [Technical recommendation for pragmatic randomized controlled trial of heat-sensitive moxibustion in community (Ⅰ): randomization with consideration of patient preference]. Zhongguo Zhen Jiu 2022; 42:85-90. [PMID: 35025163 DOI: 10.13703/j.0255-2930.20210512-k0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Heat-sensitive moxibustion is the appropriate technique of the external treatment in traditional Chinese medicine and it is widely used in community because of its "easy learning, simple operation and clear curative effect". Pragmatic randomized controlled trial is a main intervention design in the real world study, which provides a high-level evidence for the effectiveness assessment of heat-sensitive moxibustion in community management. Focusing on the key links of randomization, e.g. block randomization, stratified randomization, cluster randomization, sample size allocation, allocation concealment and blinding, the paper elaborates the advantages, disadvantages and technical details of two-stage randomization with consideration of patient preference in pragmatic randomized controlled trials of heat-sensitive moxibustion in community. It facilitates improving the quality of evidence, reproducibility and methodological homogeneity among different trials.
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Affiliation(s)
- Xu Zhou
- Evidence-Based Medicine Research Centre, Jiangxi University of CM, Nanchang 330004, China
| | - Ze-Huai Wen
- Key Unit of Methodology in Clinical Research, Guangdong Provincial Hospital of TCM
| | - Ling Li
- Chinese Evidence-Based Medicine Centre, West China Hospital, Sichuan University, Chengdu 610041
| | - Jian-Ping Liu
- Centre for Evidence-Based Medicine, Beijing University of CM
| | - Yi-Huang Gu
- Acupuncture-Moxibustion and Tuina College, Nanjing University of Chinese Medicine
| | - Xin-Feng Guo
- Second Affiliated Hospital of Guangzhou University of CM
| | - Xing Liao
- Office of Evidence-based Medicine, Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences
| | - Wei-Feng Zhu
- Evidence-Based Medicine Research Centre, Jiangxi University of CM, Nanchang 330004, China
| | - Shu-Qing Li
- Evidence-Based Medicine Research Centre, Jiangxi University of CM, Nanchang 330004, China
| | - Xin Sun
- Chinese Evidence-Based Medicine Centre, West China Hospital, Sichuan University, Chengdu 610041
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Liu JW, Tian N, Peng YY, Ye YY. [ Heat-sensitive moxibustion of different suspension moxibustion methods and imitation moxibustion apparatus on moxibustion sensation and clinical efficacy in knee osteoarthritis]. Zhongguo Zhen Jiu 2021; 41:1063-8. [PMID: 34628735 DOI: 10.13703/j.0255-2930.20200925-k0005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To observe the moxibustion sensation and the clinical therapeutic effect of heat-sensitive moxibustion of two different suspension moxibustion methods and imitation moxibustion apparatus on mild to moderate knee osteoarthritis (KOA), and compare the therapeutic effect of different moxibustion methods. METHODS A total of 90 patients with mild to moderate KOA were randomized into a hand-held group (30 cases, 1 case dropped off), an imitation moxibustion apparatus group (30 cases) and a moxibustion shelf group (30 cases, 1 case dropped off). Ashi point, Dubi (ST 35), Neixiyan (EX-LE 4), Yanglingquan (GB 34), Yinlingquan (SP 9), Liangqiu (ST 34) and Xuehai (SP 10) were selected as the frequent acupoint areas to explore and determine the heat-sensitive acupoints, after that, hand-held suspension moxibustion, suspension moxibustion with imitation moxibustion apparatus and suspension moxibustion with moxibustion shelf were adopted in the 3 groups respectively. The treatment was given once every 2 days, and totally 10-time treatment was required in the 3 groups. The moxibustion sensation (composition of moxibustion sensation, number of moxibustion sensation types in individuals and moxibustion sensation intensity) after each treatment, the visual analogue scale (VAS) score, the Lysholms knee function score and the depth of effusion and thickness of synovial hyperplasia of affected knee joint before and after treatment were observed, and the clinical therapeutic efficacy was compared in the 3 groups. RESULTS The compositions of moxibustion sensation and numbers of moxibustion sensation types in individuals in the hand-held group and the moxibustion shelf group were richer, the moxibustion sensation intensity was higher than that in the imitation moxibustion apparatus group (P<0.01, P<0.05). After treatment, the VAS scores were decreased, the Lysholms knee function scores were increased compared before treatment in the 3 groups (P<0.01); the VAS score in the hand-held group was lower than the imitation moxibustion apparatus group (P<0.05), the Lysholms knee function scores in the hand-held group and the moxibustion shelf group were higher than the imitation moxibustion apparatus group (P<0.05). After treatment, the depth of effusion and thickness of synovial hyperplasia of affected knee joint were decreased compared before treatment in the 3 groups (P<0.01), and those in the hand-held group and the moxibustion shelf group were lower than the imitation moxibustion apparatus group (P<0.05). The cured and markedly effective rate in the hand-held group was 79.3% (23/29), which was better than 36.7% (11/30) in the imitation moxibuation apparatus group and 58.6% (17/29) in the moxibustion shelf group (P<0.01, P<0.05). CONCLUSION Heat-sensitive moxibustion can effectively treat knee osteoarthritis, while the different suspension moxibustion methods have an influence on clinical therapeutic effect, hand-held suspension moxibustion has the best efficacy.
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Affiliation(s)
- Jing-Wen Liu
- Department of Preventive Treatment, Guangdong Provincial Traditional Chinese and Western Medicine Hospital, Foshan 528000, China
| | - Ning Tian
- Department of Preventive Treatment, Guangdong Provincial Traditional Chinese and Western Medicine Hospital, Foshan 528000, China
| | - Yu-Ying Peng
- Department of Preventive Treatment, Guangdong Provincial Traditional Chinese and Western Medicine Hospital, Foshan 528000, China
| | - Yan-Ying Ye
- Department of Preventive Treatment, Guangdong Provincial Traditional Chinese and Western Medicine Hospital, Foshan 528000, China
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Ji JF, Ge XX, Xu CM, Jiang Y, Gu JH, Wei GH, Gu JS, Shi YJ, Ni XJ. [Intradermal needling combined with heat-sensitive moxibustion for moderate to severe cancer pain]. Zhongguo Zhen Jiu 2021; 41:725-9. [PMID: 34259402 DOI: 10.13703/j.0255-2930.20200615-k0002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To observe the effect of intradermal needling combined with heat-sensitive moxibustion for moderate to severe cancer pain. METHODS A total of 60 patients with moderate to severe cancer pain were randomly divided into an observation group and a control group,30 cases in each one. In the control group,opioids were taken to relief pain according to the three-step analgesic method of World Health Organization. On the base of the treatment as the control group, intradermal needling combined with heat-sensitive moxibustion were applied at Neiguan (PC 6), Hegu (LI 4), Zusanli (ST 36), Taichong (LR 3), etc. in the observation group, 14 days of treatment were required. The equivalent morphine consumption at the first day and whole course, the scores of cancer quality of life questionnaire-C30 (QLQ-C30) and Hamilton anxiety scale before and after treatment, and the adverse reaction rate were compared in the two groups. The total analgesic effective rate was evaluated. RESULTS The total analgesic effective rate was 93.3% (28/30) in the observation group, higher than 73.3% (22/30) in the control group (P<0.05). The total equivalent morphine consumption in the observation group was less than the control group (P<0.05). After treatment, the QLQ-C30 scores were increased (P<0.001) and the HAMA scores were decreased (P<0.001) in the both groups, and those in the observation group were superior to the control group (P<0.001). The adverse reaction rates of fatigue, dizziness, nausea and vomiting, constipation in the observation group were lower than the control group (P<0.05). CONCLUSION Intradermal needling combined with heat-sensitive moxibustion can reduce the dose of opioids, improve the quality of life, relief the anxiety in patients with moderate to severe cancer pain, and reduce the incidence of common adverse reaction of opioids.
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Affiliation(s)
- Jin-Feng Ji
- Department of Oncology of Integrated Chinese and Western Medicine, Jiangsu Tumor Hospital Affiliated to Nantong University, Nantong 226001, China
| | - Xiao-Xia Ge
- Department of Oncology, Jiangsu Tumor Hospital Affiliated to Nantong University, Nantong 226001, China
| | - Chun-Ming Xu
- Department of Oncology of Integrated Chinese and Western Medicine, Jiangsu Tumor Hospital Affiliated to Nantong University, Nantong 226001, China
| | - Yang Jiang
- Department of Acupuncture and Moxibustion, Jiangsu Tumor Hospital Affiliated to Nantong University, Nantong 226001, China
| | - Jun-Hong Gu
- Department of Oncology, Jiangsu Tumor Hospital Affiliated to Nantong University, Nantong 226001, China
| | - Guo-Hua Wei
- Department of Oncology of Integrated Chinese and Western Medicine, Jiangsu Tumor Hospital Affiliated to Nantong University, Nantong 226001, China
| | - Ji-Shu Gu
- Department of Oncology of Integrated Chinese and Western Medicine, Jiangsu Tumor Hospital Affiliated to Nantong University, Nantong 226001, China
| | - Yong-Jie Shi
- Department of Oncology of Integrated Chinese and Western Medicine, Jiangsu Tumor Hospital Affiliated to Nantong University, Nantong 226001, China
| | - Xue-Jiao Ni
- Department of Oncology of Integrated Chinese and Western Medicine, Jiangsu Tumor Hospital Affiliated to Nantong University, Nantong 226001, China
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Lin Q, Ren Y, Chen K, Duan H, Chen M, Liu C. Efficacy and safety of heat-sensitive moxibustion in the treatment of neurogenic bladder after spinal cord injury: A protocol for systematic review and meta-analysis. Medicine (Baltimore) 2021; 100:e26424. [PMID: 34128907 PMCID: PMC8213285 DOI: 10.1097/md.0000000000026424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 06/03/2021] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Spinal cord injury (SCI) is one of the most disabling and destructive neurological diseases. Neurogenic bladder dysfunction (NBD) is one of the serious complications after SCI, 80% of patients after SCI will have neurogenic bladder symptoms. NBD after SCI may lead to urinary retention, urinary incontinence, and urinary tract infection. In severe cases, it can lead to renal failure or even death. NBD after SCI not only seriously affects the patient's quality of life but also physical and mental health. NBD after SCI is a social and medical problem. In recent years, more and more clinical studies prove that heat-sensitive can improve the clinical symptoms of NBD after SCI. Therefore, this article conducts a systematic evaluation and meta-analysis on the efficacy and safety of heat-sensitive moxibustion in treating NBD after SCI. METHODS Search 8 electronic databases including PubMed, Embase, Web of Science, The Cochrane Library, Clinical Trials, China National Knowledge Infrastructure, China Science and Technology Journal Database, Wanfang Database, and China Biomedical Literature Database. We will search above electronic databases from the inception to May 2021, without any language restriction. Clinical randomized controlled trials containing heat-sensitive moxibustion for NBD after SCI and eligible interventions(s) and outcome(s) were included, with no limitation of language and publication status. Two researchers will independently conduct literature search, screening, information extraction, quality assessment, and data analysis. Review Manager 5.3 software will be used for statistical analysis. RESULTS The findings will be submitted to a peer-reviewed publication. CONCLUSION This systematic review and meta-analysis will provide a standard clinical decision-making guideline for heat-sensitive moxibustion treatment of NBD after SCI. INPLASY REGISTRATION NUMBER INPLASY202150071.
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Affiliation(s)
| | - Yafeng Ren
- The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, China
| | | | | | - Meng Chen
- Henan University of Chinese Medicine
| | - Chengmei Liu
- The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, China
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Xie XJ, Jiang WQ, Chen RX, Zheng S, Li SD, Chen LH, Ye LJ. [ Heat-sensitive moxibustion combined with western medication for low back pain of osteoporosis with kidney- yang deficiency: a randomized controlled trial]. Zhongguo Zhen Jiu 2021; 41:145-8. [PMID: 33788461 DOI: 10.13703/j.0255-2930.20200211-0004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To compare the clinical therapeutic effect between heat-sensitive moxibustion combined with western medication and simple western medication for low back pain of osteoporosis with kidney-yang deficiency. METHODS A total of 60 patients with osteoporosis were randomized into an observation group (32 cases, 2 cases dropped off) and a control group (32 cases, 3 cases dropped off). In the control group, alendronate sodium tablet and calcium carbonate and vitamin D3 tablet were taken orally. On the basis of the control group, heat-sensitive moxibustion was applied at Mingmen (GV 4), Yaoyangguan (GV 3), Guanyuan (CV 4), Shenshu (BL 23), Zusanli (ST 36) in the observation group, once a day, 5 times a week for 8 weeks. Before and after treatment,the visual analogue scale (VAS) score, Oswestry disability index (ODI) score, bone mineral density (BMD) and TCM clinical symptom score were compared in the two groups. RESULTS The VAS scores, ODI scores and TCM clinical symptom scores after treatment were reduced in the two groups (P<0.05, P<0.01), and those in the observation group were lower than the control group (P<0.05, P<0.01). The BMD after treatment was increased in the two groups (P<0.01), and that in the observation group was higher than the control group (P<0.05). CONCLUSION Heat-sensitive moxibustion combined with western medication could relieve low back pain, improve BMD in patients of osteoporosis with kidney-yang deficiency, and its clinical effect is superior to simple western medication.
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Affiliation(s)
- Xiu-Jun Xie
- Department of Acupuncture-Moxibustion and Tuina, Taizhou Hospital of TCM, Taizhou 318000, Zhejiang Province, China
| | - Wei-Qiang Jiang
- Department of Acupuncture-Moxibustion and Tuina, Taizhou Hospital of TCM, Taizhou 318000, Zhejiang Province, China
| | - Ri-Xin Chen
- Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM
| | - Song Zheng
- Department of Acupuncture-Moxibustion and Tuina, Taizhou Hospital of TCM, Taizhou 318000, Zhejiang Province, China
| | - Shun-Dong Li
- Department of Acupuncture-Moxibustion and Tuina, Taizhou Hospital of TCM, Taizhou 318000, Zhejiang Province, China
| | - Li-Hong Chen
- Department of Acupuncture-Moxibustion and Tuina, Taizhou Hospital of TCM, Taizhou 318000, Zhejiang Province, China
| | - Ling-Jie Ye
- Department of Acupuncture-Moxibustion and Tuina, Taizhou Hospital of TCM, Taizhou 318000, Zhejiang Province, China
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Wang J, Zhang Q, Deng Y, Deng G, Huang F, Zhou Y, Jia M, Yi H. Efficacy and safety of heat-sensitive moxibustion in the treatment of ulcerative colitis: A protocol for a systematic review and meta-analysis. Medicine (Baltimore) 2021; 100:e24078. [PMID: 33530201 PMCID: PMC7850641 DOI: 10.1097/md.0000000000024078] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 12/07/2020] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Ulcerative colitis (UC) is a chronic nonspecific intestinal inflammatory disease with unclear etiology occurring in the colonic mucosa. Its clinical manifestations are characterized by recurrent abdominal pain, diarrhea, mucous pus, and blood stool. The severity of the disease varies, and itis characterized by a high recurrence rate. Because of its long course of disease, easy to relapse, protracted and difficult to recover, seriously affect the quality of life, increase the economic burden of patients and society, and even the risk of developing cancer, it has become one of the hot issues of general concern in the medical field. Heat-sensitive moxibustion therapy has shown strong advantages in the treatment of UC, and the curative effect is accurate. therefore, this paper will carry out a systematic evaluation and meta analysis of the efficacy and safety of heat-sensitive moxibustion in the treatment of UC. METHODS We will be searching 8 electronic databases, including PubMed, Embase, Web of Science, Cochrane Library, the China National Knowledge Infrastructure, Chinese Science and Technology Periodical Database, Wanfang Database, and Chinese Biomedical Literature Database. We will search above electronic databases from the beginning to December 2020, without any language restriction. Clinical efficacy, including total effective rate or cure rate, clinical symptom integral (abdominal pain, diarrhea, purulent stool), and recurrence rate will be accepted as the primary outcomes. The changes of cytokine Hs-CRP, IL-6, TNF-αlevels in serum, and improvement of colorectal mucosa will be used as secondary outcomes. RevMan 5.3 software will be used for statistical analysis. The result about the curative effect and safety of heat-sensitive moxibustion for UC will be presented as risk ratio for dichotomous data and mean differences with a 95% confidence interval for continuous data. RESULTS When this research program is completed, the relevant results can be obtained. CONCLUSIONS The results of this study will provide reliable evidence for the efficacy and safety of heat-sensitive moxibustion in the treatment of UC. INPLASY REGISTRATION NUMBER INPLASY20201101034.
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Affiliation(s)
- Jinlong Wang
- College of clinical medicine, Jiangxi University of Traditional Chinese Medicine
| | - Quanhui Zhang
- Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang, China
| | - Yongwen Deng
- College of clinical medicine, Jiangxi University of Traditional Chinese Medicine
| | - Gen Deng
- College of clinical medicine, Jiangxi University of Traditional Chinese Medicine
| | - Feihong Huang
- College of clinical medicine, Jiangxi University of Traditional Chinese Medicine
| | - Yiduo Zhou
- College of clinical medicine, Jiangxi University of Traditional Chinese Medicine
| | - Mingyan Jia
- College of clinical medicine, Jiangxi University of Traditional Chinese Medicine
| | - Haoran Yi
- College of clinical medicine, Jiangxi University of Traditional Chinese Medicine
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Zhou X, Wu Q, Zhang G, Wang Y, Li S, Wang B, Chen Z, Zhu W, Wang F, Gan C. Heat-sensitive moxibustion self-administration in patients in the community with primary hypertension: A protocol for a multi-center, pragmatic, non-randomized trial. Medicine (Baltimore) 2020; 99:e22230. [PMID: 32957364 PMCID: PMC7505380 DOI: 10.1097/md.0000000000022230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Accepted: 08/19/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Although the efficacy of antihypertensive drugs has been well established for primary hypertension, their effectiveness is always limited by side effects and poor compliance. Heat-sensitive moxibustion is an innovative acupoint stimulation therapy that is promising as a community health care intervention for hypertension. AIMS This study aims to evaluate the pragmatic effectiveness and safety of heat-sensitive moxibustion self-administration by patients in the community with primary hypertension. METHODS This study will adopt a multi-center, pragmatic, nonrandomized design. Six hundred patients with primary hypertension will be recruited from 4 communities. Each patient will choose to either receive heat-sensitive moxibustion self-administration + original antihypertensive drugs or maintain their original antihypertensive drugs without heat-sensitive moxibustion for 1 year. EXPECTED OUTCOMES The primary outcome will be changes in systolic and diastolic blood pressures and the percentage changes in the doses of antihypertensive drugs. The secondary outcomes will be changes in quality of life assessed by a validated patient-reported outcome scale and the levels of fasting blood glucose, glycated hemoglobin, total cholesterol, triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, urinary albumin, and serum creatinine. The proportion of patients with poor compliance with the heat-sensitive moxibustion regimen will also be evaluated as a secondary outcome. The safety of heat-sensitive moxibustion will be considered by analyzing the incidence of all and serious adverse events and their correlation with heat-sensitive moxibustion. DISCUSSION The findings of this study will provide pragmatic evidence for heat-sensitive moxibustion self-administration in patients in the community with primary hypertension and may also establish an ethical basis for further randomized controlled trials. TRIAL REGISTRATION The protocol of this trial was registered in ClinicalTrials.gov at May 11, 2020 (No. NCT04381520).
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Affiliation(s)
- Xu Zhou
- Evidence-based Medicine Research Center, Jiangxi University of Traditional Chinese Medicine
| | - Qingni Wu
- Evidence-based Medicine Research Center, Jiangxi University of Traditional Chinese Medicine
| | - Gaochuan Zhang
- Evidence-based Medicine Research Center, Jiangxi University of Traditional Chinese Medicine
| | - Yanping Wang
- Evidence-based Medicine Research Center, Jiangxi University of Traditional Chinese Medicine
| | - Shuqing Li
- Evidence-based Medicine Research Center, Jiangxi University of Traditional Chinese Medicine
| | - Baiyang Wang
- Honggutan Branch, Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine
| | - Zhihua Chen
- The Second Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Jiangxi, China
| | - Weifeng Zhu
- Evidence-based Medicine Research Center, Jiangxi University of Traditional Chinese Medicine
| | - Fei Wang
- Evidence-based Medicine Research Center, Jiangxi University of Traditional Chinese Medicine
| | - Chun Gan
- The Second Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Jiangxi, China
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Zhang HF, Luo SY, Zhang Y, Hu B, Li LH, Zhang B, Ge LA, Kang MF, Fu Y, Xiong J. [Effect of heat-sensitive moxibustion at "Zhongwan" (CV 12) on serum GH and PG in chronic atrophic gastritis rats]. Zhongguo Zhen Jiu 2020; 40:279-84. [PMID: 32270641 DOI: 10.13703/j.0255-2930.20190224-k0002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To observe the effect of heat-sensitive moxibustion at "Zhongwan" (CV 12) on serum growth hormone (GH) and pepsinogen (PG) in chronic atrophic gastritis (CAG) rats, and to explore the potential mechanism of heat-sensitive moxibustion for CAG. METHODS A total of 66 male SD rats were randomized into a blank group (12 rats) and a model establishment group (54 rats). No intervention was given in the blank group. Rats in the model establishment group were intervented with compound pathogeny method for 12 weeks to establish CAG model, which were further divided into a model group (11 rats), a vitacoenzyme group (11 rats) and a moxibustion group (22 rats). In the moxibustion group, suspending moxibustion was applied at "Zhongwan" (CV 12) for 40 min. After the intervention of moxibustion, 0.9% sodium chloride solution was given by gavage (2 mL·kg-1·d-1). According to the changes of tail temperature, rats in the moxibustion group were divided into a heat-sensitive moxibustion group (11 rats) and a non-heat-sensitive moxibustion group (8 rats). The vitacoenzyme group was given vitacoenzyme as the same dose by gavage. The intervention was adopted once a day for 28 days. Changes of body weight were observed among the groups. Expressions of serum GH, PGⅠand PGⅡwere detected by ELISA, and the ratio of PGⅠand PGⅡ (PGR) was calculated. The morphological changes of gastric mucosa were observed by macroscopy and light microscope. RESULTS ①After modeling, the body weight of rats in the model establishment group was lower than the blank group (P<0.01). Compared with the model group, the body weight of rats in the vitacoenzyme group, the heat-sensitive moxibustion group and the non-heat-sensitive moxibustion group was increased after intervention (P<0.05), and there were no significant differences among the intervention groups (P>0.05). ②Under macroscopy and light microscope, gastric tissue of rats after modeling showed dark red and pale gastric mucosa, lower plica and mucosal congestion. The glands of lamina propria were atrophied or disappeared with sparse and disordered arrangement, in which, lymphoid follicles and inflammatory cells could be observed. After intervention, morphology of gastric mucosa was improved in the vitacoenzyme group, the heat-sensitive moxibustion group and the non-heat-sensitive moxibustion group. ③Compared with the blank group, the serum levels of GH, PGⅠ, PGⅡ and PGR were decreased in the model group (P<0.05, P<0.01). Compared with the model group, the serum levels of GH, PGⅠand PGⅡwere increased in the vitacoenzyme group, the heat-sensitive moxibustion group and the non-heat-sensitive moxibustion group (P<0.05, P<0.01), the levels of PGR were increased without statistical difference (P>0.05). Compared with the vitacoenzyme group and the non-heat-sensitive moxibustion group, the serum levels of GH and PGⅠwere increased in the heat-sensitive moxibustion group (P<0.05). CONCLUSION Heat-sensitive moxibustion at "Zhongwan" (CV 12) can improve the morphology of gastric mucosa in chronic atrophic gastritis rats, its mechanism may be related to the up-regulation of serum GH and PGⅠ.
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Affiliation(s)
- Hai-Feng Zhang
- Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Shu-Yu Luo
- Graduate School of Jiangxi University of TCM
| | - Yao Zhang
- Graduate School of Jiangxi University of TCM
| | - Bing Hu
- Graduate School of Jiangxi University of TCM
| | - Lin-Hui Li
- Graduate School of Jiangxi University of TCM
| | - Bo Zhang
- Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Lai-An Ge
- Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Ming-Fei Kang
- Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Yong Fu
- Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Jun Xiong
- Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
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Huang XB, Xie DY, Qiu Q, Shen Y, Jiao L, Li QL, Chen RX. [Clinical observation of heat-sensitive moxibustion treatment for coronavirus disease 2019]. Zhongguo Zhen Jiu 2020; 40:576-80. [PMID: 32538004 DOI: 10.13703/j.0255-2930.20200312-k0003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To observe clinical effect of heat-sensitive moxibustion on coronavirus disease 2019 (COVID-19) and to discusses the effective moxibustion treatment program. METHODS A total of 42 patients with COVID-19 (general type) were treated with heat-sensitive moxibustion at the acupoint area of Shenque (CV 8) and Tianshu (ST 25). The treatment was conducted under the standards of heat-sensitive moxibustion manipulation, which were "locating acupoint by feeling, moxibustion by differentiate sensation, dosage varies individually, ending after sufficient dosage". The incidence of deqi after first heat-sensitive moxibustion, the reduction of negative emotions, the improvement of chest distress and impaired appetite, and the active acceptance rate of moxibustion before and after treatment were observed. RESULTS ① The deqi rate of heat-sensitive moxibustion for 20 min、40 min、1 h were respectively 52.4% (22/42), 90.5% (38/42), 100.0% (42/42). ② The incidences of feeling relaxed and comfortable immediately after the first, second, and third heat-sensitive moxibustion were 61.9% (26/42), 73.8% (31/42), and 92.9% (39/42), which were higher than 42.9% (18/42) before heat-sensitive moxibustion treatment (P<0.05). ③ The incidences of chest distress after the first, second, and third heat-sensitive moxibustion were 23.8% (10/42), 16.7% (7/42), and 9.5% (4/42), which were lower than 50.0% (21/42) before heat-sensitive moxibustion treatment (P<0.05); the incidences of impaired appetite after the first, second, and third heat-sensitive moxibustion were 26.2% (11/42), 19.0% (8/42), 9.5% (4/42), which were lower than 57.1% (24/42) before heat-sensitive moxibustion treatment (P<0.05). ④ After the first treatment, the active acceptance rate of patients for heat-sensitive moxibustion was 100.0% (42/42), which was higher than 11.9% (5/42) before heat-sensitive moxibustion (P<0.05). CONCLUSION The heat-sensitive moxibustion can effectively reduce the negative emotions and improve the symptoms of chest distress and impaired appetite with COVID-19. It is generally accepted by patients, and worthy of popularization and application in clinical treatment.
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Affiliation(s)
- Xian-Bao Huang
- Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Ding-Yi Xie
- Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Qi Qiu
- Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Yang Shen
- Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Lin Jiao
- Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Qiao-Lin Li
- Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Ri-Xin Chen
- Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
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Jiao L, Chen YQ, Chi ZH, Chen RX. [Professor CHEN Ri-xin's academic idea of "pain in joint and disorder in tendon region of meridian" and its clinical application for knee arthralgia]. Zhongguo Zhen Jiu 2020; 40:419-422. [PMID: 32275373 DOI: 10.13703/j.0255-2930.20191030-k0007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Professor CHEN Ri-xin's academic idea of "pain in joint and disorder in tendon region of meridian" was explored in this paper. According to the particular characteristics of the occurrence and development of the disease, knee arthralgia is divided into 4 stages, named tendon spasm, tendon blockage, tendon contraction and tendon atrophy. It is proposed that "tendon disorder results in bone disorder", implying the relationship between the disorders of tendon and bone. It is pointed that yang qi insufficiency occurs throughout knee arthralgia. "The tendon disorder should be treated at the first-line procedure for the bone disorder, and the tendon softening benefits the recovery of knee joints". The treatment principle includes "removing obstruction from meridian, eliminating pathogen, warming up yang and softening tendon". In clinical application, the heat-sensitive moxibustion is predominated. The various regimens are developed align with the pathogenesis characteristics of the disease at different stages.
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Affiliation(s)
- Lin Jiao
- Third Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Yan-Qi Chen
- School of Acupuncture- Moxibustion and Tuina, Jiangxi University of TCM
| | - Zhen-Hai Chi
- Third Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Ri-Xin Chen
- Third Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
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Xiong J, Chen YQ, Chen RX. [Professor CHEN Ri- xin's academic thought and clinical application of "no allergy without any deficiency"]. Zhongguo Zhen Jiu 2020; 40:199-202. [PMID: 32100508 DOI: 10.13703/j.0255-2930.20190720-k00024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The academic thought of professor CHEN Ri-xin on "no allergy without any deficiency" was explored. Theory and the clinical application were elaborated on allergic diseases treated with heat-sensitive moxibustion. It is believed that the critical pathogenesis of allergic diseases is deficiency, particularly the deficiency of the lung, the spleen and the kidney. The invasion of exogenous factors or the disturbance of the retained pathogens in the body may induce allergy. Regarding the therapeutic method, the warming method is applicable for the deficiency and the heat-sensitization counteracts allergy. The sensitized points are detected in accordance with the two-step location method and they are stimulated with the suspended moxibustion. The feeling of heat-sensitive moxibustion is a sign of activation of endogenous regulatory function in the human body. It is a kind of external therapy for the internal disorders, directly acting on the pathogenesis, strengthening the antipathogenic qi and removing the allergic factors. This therapy is a new endogenous anti-allergic approach.
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Affiliation(s)
- Jun Xiong
- Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Yan-Qi Chen
- School of Acupuncture-Moxibustion and Tuina, Jiangxi University of TCM
| | - Ri-Xin Chen
- Department of Acupuncture and Moxibustion, Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
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Huang XB, Chen YQ, Xie DY, Chen RX. [Application of professor CHEN Ri-xin's academic thought " yang is often insufficient, but yin is often surplus" in heat-sensitive moxibustion for tumor rehabilitation]. Zhongguo Zhen Jiu 2020; 40:79-83. [PMID: 31930904 DOI: 10.13703/j.0255-2930.20190701-k0003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Professor CHEN Ri-xin has explored the causes of the characteristics of TCM syndromes in modern disease spectrum and pointed out that the TCM syndromes are generally characterized by "yang is often insufficient, but yin is often surplus". Based on the clinical experience and the understanding of TCM classics and ancient literature on tumor, professor CHEN has proposed that TCM syndromes of patients with advanced tumor are also generally characterized by "yang is often insufficient, but yin is often surplus". The heat-sensitive moxibustion has the functions of warming and nourishing yang-qi, eliminating dampness, warming meridians and dispersing cold, activating blood circulation and clearing collaterals, therefore tumor patients with deficiency syndrome (yang-deficiency, qi-deficiency), cold syndrome, dampness syndrome, phlegm syndrome and blood-stasis syndrome belonging to the indications of heat-sensitive moxibustion. The heat-sensitive moxibustion has unique advantages in treating spleen-stomach dysfunction after chemotherapy and radiotherapy, bone marrow suppression after chemotherapy and radiotherapy, cancerous deficiency, cancerous pain, pleural effusion, ascites, constipation, which has important clinical value in improving the quality of life and prolonging the life time for patients with advanced tumors.
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Affiliation(s)
- Xian-Bao Huang
- Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Yan-Qi Chen
- College of Acupuncture-Moxibustion and Tuina, Jiangxi University of TCM
| | - Ding-Yi Xie
- Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Ri-Xin Chen
- Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
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Jiao L, Chi ZH, Chen RX. [Discussion on the enlightenment of heat-sensitive moxibustion technology to acupuncture clinic: dynamically grasping the state of acupoints, on-demand treatment are the key to achieving clinical efficacy]. Zhongguo Zhen Jiu 2019; 39:54-58. [PMID: 30672257 DOI: 10.13703/j.0255-2930.2019.01.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The enlightenment of heat-sensitive moxibustion technology on acupuncture clinical practice was discussed from the perspective of heat-sensitive moxibustion technology on the requirements of moxibustion acupuncture points, exploration and stimulation, and strict matching of acupoint sensitization types.The heat-sensitive moxibustion technology pays attention to the selection of acupoint status, and accurately locates the heat-sensitive acupoints by moxibustion. According to the needs of the body, the heat-sensitive acupoints are stimulated by heat, so the curative effect is remarkable. From the above discussion, it is known that the dynamic grasp of the state of the acupoints and the treatment according to the objectiveneeds of the body are the key to achieving clinical efficacy.
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Affiliation(s)
- Lin Jiao
- the Affiliated Hospital of Jiangxi University of TCM, Nanchang 330004, China
| | - Zhen-Hai Chi
- the Affiliated Hospital of Jiangxi University of TCM, Nanchang 330004, China
| | - Ri-Xin Chen
- the Affiliated Hospital of Jiangxi University of TCM, Nanchang 330004, China
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Zhang H, Xie F, Gong H, Huang H, Chen S, Kang M, Fu Y. [Effects of heat-sensitive moxibustion on HPA axis in rats with irritable bowel syndrome]. Zhongguo Zhen Jiu 2017; 37:1315-21. [PMID: 29354998 DOI: 10.13703/j.0255-2930.2017.12.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To observe the effects of heat-sensitive moxibustion on corticotropin releasing hormone (CRH), adrenocorticotrophic hormone (ACTH) and corticosterone (CORT) in rats with irritable bowel syndrome (IBS), and to explore the possible mechanism of heat-sensitive moxibustion on IBS. METHODS According to random number table, 56 SD male rats were randomly divided into a blank group (n=8), a model group (n=8), a moxibustion group (n=32), and a mifepristone group (RU-486 group, n=8). The rats in the blank group were treated with normal feeding; the rats in the model group, RU-486 group and moxibustion group were treated with chronic non-predictable stimulation for 21 days to establish IBS model. After model establishment, the rats in the moxibustion group were treated with moxibustion at "Mingmen" (GV 4) for 40 min, once a day for 14 days; the tail temperature was recorded every 5 min; according to the change of tail temperature, the rats were divided into a heat-sensitive moxibustion group and a non-heat-sensitive moxibustion group, and 8 rats were randomly selected in the two groups. The rats in the RU-486 group were treated with gastric administration of RU-486 for 14 days, while the rats in the blank group, model group and moxibustion groups were treated with identical volume of 0.9% NaCl. The rat general condition, body mass, behavioristics, intestinal propulsive rate and visceral sensitivity were observed in each group; ELISA method was used to detect serum CRH, ACTH and CORT; optical microscope was applied to observe the morphological changes of colon. RESULTS (1) After model establishment, rats were in rest state, fatigued, with withered hair and dim ear; the stool was dry or watery; the body mass were slowly increased; the number of crossed grid and standing frequency were significantly reduced; visceral sensitivity was increased and intestinal propulsion rate was decreased; no obvious inflammatory cell infiltration was observed under microscope. (2) After intervention, compared with the blank group, the body mass and visceral sensitivity in the RU-486 group were not significantly different (both P>0.05), but the intestinal propulsion rate was decreased significantly (P<0.01). Compared with the blank group, the body mass of heat-sensitive moxibustion group and non-heat-sensitive moxibustion group was lower (both P<0.01), but the visceral sensitivity and intestinal propulsion rate were similar (both P>0.05). Compared with the model group, the body mass and visceral sensitivity were improved in the RU-486 group (P<0.05, P<0.01), but the intestinal propulsion rate was similar (P>0.05). The body mass, visceral sensitivity and intestinal propulsion rate of the heat-sensitive moxibustion group and the non-heat-sensitive moxibustion group were superior to those of the model group (P<0.05, P<0.01), and the body mass and intestinal propulsion rate of heat-sensitive moxibustion group were superior to those of non-heat-sensitive moxibustion group (both P<0.05). (3) After intervention, compared with the blank group, the contents of CRH, ACTH and CORT in the model group were significantly increased (P<0.05, P<0.01). Compared with the model group, the contents of CRH, ACTH and CORT of the heat-sensitive moxibustion group were statistically reduced (P<0.05, P<0.01), and the contents of CRH and ACTH in the non-heat-sensitive moxibustion group were statistically reduced (P<0.05, P<0.01); the content of CRH in the RU-486 group was reduced (P<0.05), but the contents of ACTH and CORT were increased (P<0.05, P<0.01). Compared with the non-heat-sensitive moxibustion group, the heat-sensitive moxibustion group was better in the improvement of CRH (P<0.05), but there was no significant difference of ACTH and CORT between the two groups (both P>0.05). CONCLUSION Heat-sensitive moxibustion could reduce the contents of CRH, ACTH and CORT through the HPA axis, and improve the function of gastrointestinal motility to treat IBS.
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Affiliation(s)
- Haifeng Zhang
- Department of Acupuncture and Moxibustion, the Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Fangshen Xie
- Department of Acupuncture and Moxibustion, Xingguo County Hospital of TCM
| | - Hongbin Gong
- Department of Acupuncture and Moxibustion, the Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Hui Huang
- Graduate School of Jiangxi University of TCM
| | - Shutao Chen
- Graduate School of Jiangxi University of TCM
| | - Mingfei Kang
- Department of Acupuncture and Moxibustion, the Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
| | - Yong Fu
- Department of Acupuncture and Moxibustion, the Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, China
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Xiao A, Chen R, Kang M, Tan S. Heat-sensitive moxibustion attenuates the inflammation after focal cerebral ischemia/ reperfusion injury. Neural Regen Res 2014; 7:2600-6. [PMID: 25368636 PMCID: PMC4200727 DOI: 10.3969/j.issn.1673-5374.2012.33.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2012] [Accepted: 10/07/2012] [Indexed: 12/22/2022] Open
Abstract
Heat-sensitive moxibustion has neuroprotective effects against focal cerebral ischemia/reperfusion injury, however its mechanism of action remains unclear. In this study, rat models of focal cerebral ischemia/reperfusion injury were treated with suspended moxibustion at acupoint Dazhui (DU14) for 35 minutes. Results showed that suspended moxibustion decreased infarct volume, reduced cortical myeloperoxidase activity, and suppressed serum levels of proinflammatory cytokines in rats with focal cerebral ischemia/reperfusion injury. Our experimental findings indicated that heat-sensitive moxibustion can attenuate inflammation and promote repair after focal cerebral ischemia/reperfusion injury.
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Affiliation(s)
- Aijiao Xiao
- Basal Medical College of Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, Jiangxi Province, China
| | - Rixin Chen
- Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang 330006, Jiangxi Province, China
| | - Mingfei Kang
- Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang 330006, Jiangxi Province, China
| | - Shenghai Tan
- Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, Jiangxi Province, China
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