Does Traditional Chinese Medicine Pattern Affect Acupoint Specific Effect?Analysis of Data from a Multicenter, Randomized, Controlled Trial for Primary Dysmenorrhea

Liu, Yuqi; Ma, Liang-Xiao; Xing, Jinchun; Cao, Huijuan; Wang, Yanxia; TANG, Ling; Li, Min; Wang, Ying; Liang, Yan; Pu, Ling-yun; Yu, Xiaomei; Guo, Lina; Jin, Ji-Ling; Wang, Zhe; Ju, Hongmei; Jiang, Yajun; Liu, Jingjun; Yuan, Hong-Wen; Li, Chunhua; Zhang, Peng; She, Yan-Fen; Liu, Jianping; Zhu, Jiang

doi:10.1089/acm.2011.0404

Cited by 29 publications

(26 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Each subsequent treatment session would allow for a confirmation or update on the TCM diagnosis and therefore point selection could vary from treatment to treatment. Multiple patterns of disharmony are common in dysmenorrhea[36] and this trial supported up to two concurrent patterns of disharmony, designated as root (primary) and secondary (branch) patterns. In all cases no more than seven acupuncture points were to be used.…”

Section: Methodsmentioning

confidence: 58%

The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial

et al. 2017

View full text Add to dashboard Cite

ObjectivesWe examined the effect of changing treatment timing and the use of manual, electro acupuncture on the symptoms of primary dysmenorrhea.MethodsA randomised controlled trial was performed with four arms, low frequency manual acupuncture (LF-MA), high frequency manual acupuncture (HF-MA), low frequency electro acupuncture (LF-EA) and high frequency electro acupuncture (HF-EA). A manualised trial protocol was used to allow differentiation and individualized treatment over three months. A total of 74 women were randomly assigned to one of the four groups (LF-MA n = 19, HF-MA n = 18, LF-EA n = 18, HF-EA n = 19). Twelve treatments were performed over three menstrual cycles, either once per week (LF groups) or three times in the week prior to menses (HF groups). All groups received a treatment in the first 48 hours of menses. The primary outcome was the reduction in peak menstrual pain at 12 months from trial entry.ResultsDuring the treatment period and nine month follow-up all groups showed statistically significant (p < .001) reductions in peak and average menstrual pain compared to baseline but there were no differences between groups (p > 0.05). Health related quality of life increased significantly in six domains in groups having high frequency of treatment compared to two domains in low frequency groups. Manual acupuncture groups required less analgesic medication than electro-acupuncture groups (p = 0.02). HF-MA was most effective in reducing secondary menstrual symptoms compared to both–EA groups (p<0.05).ConclusionAcupuncture treatment reduced menstrual pain intensity and duration after three months of treatment and this was sustained for up to one year after trial entry. The effect of changing mode of stimulation or frequency of treatment on menstrual pain was not significant. This may be due to a lack of power. The role of acupuncture stimulation on menstrual pain needs to be investigated in appropriately powered randomised controlled trials.

show abstract

Section: Methodsmentioning

confidence: 58%

The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial

et al. 2017

View full text Add to dashboard Cite

show abstract

“…A few trials reported up to four different rationales. Endorphin-mediated mechanisms were identified in 12 trials, 3,[19][20][21][22]26,[28][29][30]32,34,43 the gate-control theory was reported in eight trials, 19,20,22,34,36,37,42,43 TCM theory was described in six trials, 19,20,27,32,33,43 DNIC in two trials, 30,34 neuroendocrine effect in five trials, 29,32,[39][40][41] placebo effect based on endogenous opioid mechanism in one trial, 28 and long-term depression (LTD) effect in one trial. 28 Six RCTs offered no discernible physiologic rationale.…”

Section: Resultsmentioning

confidence: 99%

Physiological rationales of physical therapy interventions in the management of primary dysmenorrhea: a critical review

Kannan¹,

Claydon

2015

Physical Therapy Reviews

View full text Add to dashboard Cite

Background: The mechanisms underlying the physical therapy interventions for obtaining relief from primary dysmenorrhea (PD) symptoms are not fully understood. Objective: To provide an overview of the physiological rationales from randomized controlled trials (RCTs) on how physical therapy interventions in the management of PD might work. Methods: Databases CINAHL, PEDro, Embase, Web of Science, Ovid Medline, and AMED were searched from database inception to October 2014 using related terms for dysmenorrhea and physical therapy interventions. Trials were independently selected and data extracted by two reviewers. Results: The search yielded 287 citations; 26 RCTs met the inclusion criteria and were included for review. Among the 26 included trials, eight trials on acupressure, seven on acupuncture, and five on TENS, two on spinal manipulation, one on low-level light therapy (LLLT), one on heat, one on far-infrared ray, and one on yoga were identified. The predominant physiological rationales identified in the RCTs are endogenous opioid mechanisms (n512), gate-control theory (n58), and traditional Chinese medicine (TCM) theory (n56). A few trials reported up to four different rationales. Conclusions: The analgesic effect of acupuncture is primarily through the release of endogenous opioids and hormones. In addition, practitioners of TCM believe that acupuncture alleviates pain of PD by regulating the prostaglandin levels. Acupressure, heat, high frequency transcutaneous electrical nerve stimulation (TENS), and yoga are proposed to work by segmental inhibition of pain pathway.

show abstract

“…That is, 23 patients in SP6 acupuncture group, 26 in GB39 control group and 11 in Nonacupoint control group, respectively. The methodology is the same with the main study [14]. …”

Section: Methodsmentioning

confidence: 99%

Effect of acupuncture on Deqi traits and pain intensity in primary dysmenorrhea: analysis of data from a larger randomized controlled trial

Shi

Liu

et al. 2014

BMC Complement Altern Med

Self Cite

View full text Add to dashboard Cite

BackgroundDeqi is a central concept in traditional Chinese acupuncture. We performed a secondary analysis on data from a larger randomized controlled trial (RCT) in order to assess the effect of acupuncture on deqi traits and pain intensity in primary dysmenorrhea.MethodsA total of 60 primary dysmenorrhea patients were enrolled and randomly assigned to one of three treatment groups. Acupuncture was given at SP6, GB39 or nonacupoint. Subjective pain was measured by a 100-mm visual analogue scale (VAS) before and after acupuncture. The Massachusetts General Hospital acupuncture sensation scales (MASS) with minor modification was used to rate deqi sensations during acupuncture.ResultsThe results showed that VAS scores of pain after acupuncture were significantly decreased comparing to before acupuncture treatment in all three groups (P = 0.000). However, no significant differences were found among three groups at the beginning or end of acupuncture treatment (P = 0.928, P = 0.419).ConclusionsThere was no statistical difference among three groups in terms of intensity of deqi feeling. The types of sensation were similar across the groups with only minor differences among them.Trial registrationTrial registration number: Controlled-Trials.com ISRCTN24863192.

show abstract

Does Traditional Chinese Medicine Pattern Affect Acupoint Specific Effect?Analysis of Data from a Multicenter, Randomized, Controlled Trial for Primary Dysmenorrhea

Abstract: It suggested that TCM pattern might affect acupoint specific effect on the immediate pain relief obtained for participants with PD.

Cited by 29 publications

References 19 publications

The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial

The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial

Physiological rationales of physical therapy interventions in the management of primary dysmenorrhea: a critical review

Effect of acupuncture on Deqi traits and pain intensity in primary dysmenorrhea: analysis of data from a larger randomized controlled trial

Contact Info

Product

Resources

About