Cupping therapy for patients with chronic urticaria: A systematic review and meta-analysis

Xiao, Xianjun; Zhang, Leixiao; Shi, Yunzhou; Yao, Junpeng; Cao, Wei; Liu, Ying; Zou, Zihao; Zhou, Siyuan; Chen, Ming-ling; Li, Chunxiao; Zheng, Qianhua; Li, Ying

doi:10.1016/j.joim.2020.05.004

Cited by 14 publications

(26 citation statements)

References 24 publications

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“…The researchers believed that Fasd and Hijama were cost-effective methods that could control headaches by reducing blood or deviating Nature [ 58 ]. Indeed, bloodletting and cupping have been widely used around the world for centuries to treat diseases outside the context of PM [ 43 , 60 , 61 ]. A systematic review and meta-analysis conducted by Xiao et al exaimed the effects of cupping therapy on urticaria and the possible mechanisms which underlie its therapeutic efficacy.…”

Section: Discussionmentioning

confidence: 99%

The Role of Bloodletting and Cupping in Severe Acute Urticaria and Angioedema as Skin Emergencies in Persian Medicine

2022

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Objectives Some dermatological diseases can be life-threatening. Urticaria and angioedema are common reasons for patients to seek treatment at an emergency department. Severe, generalized urticaria and angioedema can endanger patients’ lives by involving the airways and causing anaphylactic shock. The humor-based Persian Medicine (PM) concepts of Shara and Mashara , referring to two kinds of skin lesions, have similarities to urticaria and angioedema, respectively. This article aims to provide scientific evidence regarding the application of PM as an early intervention strategy in the emergency management of urticaria and angioedema. Methods This was a narrative review of PM studies identified by searching medical databases using search terms related to these diseases, as well as risk-associated keywords such as “fatal”, “death”, “life-threatening”, “emergency”, “cupping”, and “bloodletting”. Data were then compared, interpreted, and analyzed. Results PM scholars consider the human body as a unified whole and believe in an inner power (Nature) which stems from the body. When the presence of excessive hot substances cause an imbalance of bodily humors, Nature directs their heated vapors sharply toward the skin, thus causing Shara and Mashara . If there is a high risk of inflammation spreading to vital organs under severe conditions, urgent manual interventions are crucial. Conclusion In serious conditions of urticaria and angioedema, Fasd or bloodletting and Hijama can be effective in speeding up the control of lesions and reducing morbidity and mortality. Consequently, the development of integrated Persian and conventional medicines may provide new therapeutic pathways for skin emergencies.

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Section: Discussionmentioning

confidence: 99%

The Role of Bloodletting and Cupping in Severe Acute Urticaria and Angioedema as Skin Emergencies in Persian Medicine

2022

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“…A review of 12 randomized controlled studies involving 842 patients with urticia reported that wet cupping might be capable of enhancing the efficacy of antihistaminic therapy. However, that review also reported that the need for attention in the results of studies regarding cupping since they might be poor quality [19]. A meta-analysis of studies involving the application of cupping in patients with psoriasis concluded that it was not effective in treating the [20].…”

Section: Discussionmentioning

confidence: 99%

An Investigation Into the Frequency of Use of Traditional and Complementary Medicine in Patients Presenting to the Dermatology Clinic: A Survey Study

Karagün¹

2020

jtad

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Background: Although interest in traditional and complementary medicine (TCM) methods has grown, patients are still reluctant to inform physicians that they employ these. Reasons for the increase in the frequency of TCM methods include interventional procedures being performed less or not at all, and the perception that topical treatment is harmless. The great majority of people who use TCM methods acquire the relevant information from the internet and those around them. Physicians therefore need to be aware of such trends and to protect patients against incorrect use by informing them accordingly. The purpose of this study was to investigate the frequency of the use of TCM methods among patients presenting to the dermatology clinic. Materials and Methods: Patients presenting to the dermatology clinic between June 2018-April 2019, aged over 15, and with symptoms persisting for longer than six weeks was included in the study. Disoriented or uncooperative patients were excluded. Patients agreeing to participate read and signed informed consent forms, after which a question and answer type questionnaire was administered to collect data about TCM applications. Results: Six hundred fifty-one patients, 56.9% of whom were women, took part, and 13.3% had used TCM. Herbal remedies were the most frequently employed method at 67.8%, followed by cupping at 16%, leeches at 13.7%, and moxibustion at 2.2%. Frequency of use was 48.2% among women and 51.8% among men, while in terms of age the frequency was highest in the 45-55 age range, and in terms of education use was highest among university graduates. Conclusion: Patients attending for examination should be given information to protect against misuse of TCM methods by inquiring into their attitudes toward them, especially those failing to benefit from the treatment administered or with recurring symptoms. Physicians must be aware of such tendencies on the part of patients and must inform patients about these methods when necessary.

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“…The disagreement between the reviewers (XX and LZ) is still unsolvable by discussion and is determined by a third party'S arbitration (YC). [ 41 ] The research flow chart is shown in Figure 1 .…”

Section: Methods and Analysismentioning

confidence: 99%

“…Acupuncture is an important part of complementary and alternative medicine, Studies have demonstrated its effectiveness and safety in treating CU. [ 39 – 41 ] Acupoint injection is 1 of the treatments of acupuncture which emerged in China during the 1950 s, and it is a modified acupuncture technique. [ 42 ] it originated from intra-muscular injection in western medicine and was gradually integrated into traditional Chinese medicine.…”

Section: Introductionmentioning

confidence: 99%

Acupoint injection of Bacillus Calmette–Guerin polysaccharide nucleic acid for patients with chronic urticaria

et al. 2020

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Background: To investigate the efficacy and safety of acupoint injection of Bacillus Calmette–Guerin polysaccharide nucleic acid (BCG-PSN) in the treatment of chronic urticaria (CU). Methods: The following databases will be searched from their inception: Medline, Embase, Pubmed, Web of Science, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure Database, China Biomedical Literature Database, China Science Journal Database, and Wanfang Database. All databases will be searched from the date of creation until October 2019. In addition, we will manually search the list of medical journals as a supplement. The scope of the search included randomized controlled clinical studies related to acupoint injection of BCG-PSN for CU. The primary outcome is the disease activity control. Secondary outcomes include response rate, adverse events, and recurrence rates. The Cochrane RevMan V5.3 Deviation Assessment Tool will be used to assess bias assessment risk, data integration risk, meta-analysis risk, and subgroup analysis risk (if conditions are met). The average difference, standard mean difference and binary data will be used to represent continuous results. Results: This study will comprehensively review the existing evidence on the treatment of CU by acupoint injection of BCG-PSN. Conclusion: This systematic review will provide a judgment basis for the effectiveness and safety of acupoint injection of BCG-PSN in the treatment of CU. Systematic review registration: PROSPERO, CRD42019139885.

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Cupping therapy for patients with chronic urticaria: A systematic review and meta-analysis

Cited by 14 publications

References 24 publications

The Role of Bloodletting and Cupping in Severe Acute Urticaria and Angioedema as Skin Emergencies in Persian Medicine

The Role of Bloodletting and Cupping in Severe Acute Urticaria and Angioedema as Skin Emergencies in Persian Medicine

An Investigation Into the Frequency of Use of Traditional and Complementary Medicine in Patients Presenting to the Dermatology Clinic: A Survey Study

Acupoint injection of Bacillus Calmette–Guerin polysaccharide nucleic acid for patients with chronic urticaria

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