Effectiveness and Safety of Moxibustion for Poststroke Insomnia

Tian, Lü; Ren, Jiajun; Tian, Huichuan; Wang, Yun-Fan; Xu, Qian

doi:10.4103/2311-8571.335136

Cited by 12 publications

(4 citation statements)

References 45 publications

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“…[13] By allowing drugs to be absorbed through the umbilical skin and combined with heat, object-separated moxibustion can absorb drugs into the human body through the skin and capillaries at a certain rate, thus giving full play to the role of warming meridians and dispelling cold and TCM. [14] This is consistent with our results of umbilical moxibustion and herbal cake-separated moxibustion. Therefore, in the clinical treatment of dysmenorrhea, treatment should be prioritized in the umbilical region for mild moxibustion.…”

Section: Discussionsupporting

confidence: 92%

Comparative efficacy and dysmenorrhea score of 6 object-separated moxibustions for the treatment of Chinese patients with dysmenorrhea

Cai

Huang

et al. 2021

Medicine

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Background: Primary dysmenorrhea (PD), one of the most common diseases in women, is known to be effective with object-separated moxibustion. However, because there is no large sample size for comparison, it is difficult to choose the best method for the clinical treatment of these different treatments. Therefore, our aim was to compare and rank different moxibustion methods to determine the most effective treatment method for PD. Materials and methods: A systematic search was carried out in PubMed, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, Wanfang Database, and Chinese Biomedical Literature, to identify the randomized controlled trials (RCTs) investigated the object-separated moxibustion is associated with dysmenorrhea, as well as we also manually checked the bibliographies of eligible studies and topic-related reviews, RCTs from their inception to May 1, 2020. Three investigators read the citations and excluded quasi-randomized trials and trials that were incomplete. We extracted data following a predefined hierarchy. We assessed the studies’ risk of bias in accordance with the Cochrane Handbook for Systematic Reviews of Interventions and certainty of evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework. The primary outcomes were efficacy (response rate) and dysmenorrhea scores. We estimated the summary odds ratio (OR) and mean difference (MD) using pairwise and network meta-analyses with random effects. STATA software version 16.0, ADDIS software version 1.16.5, and R software version 3.6.1 were used to statistically analyze all data. Results: Fifty-six RCTs with 5550 patients were included, comparing 6 object-separated moxibustion therapies with acupuncture or oral medicine. All moxibustions were more effective than ibuprofen, with OR ranging between 6.75 (95%CI: 3.58 to 13.22) for moxibustion at the navel. For relieving pain which uses dysmenorrhea score to evaluate, mild moxibustion (MD = −1.42, −4.24 to 0.85) was more effective than others. A total of 24 (42.8%) of 56 trials were rated as having a high risk of bias, 31(55.4%) as moderate, and 1(1.8%) as low, and the certainty of the evidence was moderate. Conclusions: Mild moxibustion cannot only effectively treat PD but also relieve pain in comparison with ibuprofen. Although GRADE evidence indicate low to moderate for most comparisons, mild moxibustion seems to be an advisable option for PD treatment to relieve symptoms.

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Section: Discussionsupporting

confidence: 92%

Comparative efficacy and dysmenorrhea score of 6 object-separated moxibustions for the treatment of Chinese patients with dysmenorrhea

Cai

Huang

et al. 2021

Medicine

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“…Applying the beans during ELA could promote urination at a cervical dilatation of 5–6 cm, reduce the postpartum catheterization rate, shorten the first postpartum urination time, and promote the first postpartum instance of urination. Suen et al [ 20 , 21 , 22 , 23 ] also showed that ear acupoint buried beans positively relieved maternal urinary retention. This may have been the result of the rich distribution of blood vessels in the auricle.…”

Section: Discussionmentioning

confidence: 99%

Auricular bean embedding improves urination in epidural labor analgesia: A single center randomized controlled study

Sheng

Jiang

Zheng

et al. 2023

THC

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BACKGROUND: Acupoint buried beans on the auricle is a feasible method to prevent and treat postpartum urinary retention. OBJECTIVE: This study investigated the effect of auricular acupoint buried beans on postpartum urination and maternal and fetal outcomes following epidural analgesia for labor. METHODS: Two hundred forty primiparas underwent vaginal trial labor analgesia from May 2020 to January 2021 and were randomly placed into the intervention and control groups. Both groups received epidural labor analgesia. Maternal urination during labor, 2 h postpartum, and the time for first postpartum urination were recorded as primary outcomes, with maternal and infant outcomes documented as secondary results. Statistical analysis was performed using the independent sample t-test, non-parametric rank-sum, or chi-square test using the SPSS Statistics 25.0 software. RESULTS: Two hundred eight study participants were subsequently included in the results, i.e., 105 patients in the intervention group and 103 in the control group. The intervention group comprised a significantly lower number of patients with excessive residual urine volume at cervical dilatation of 5–6 cm (P< 0.05). The total postpartum score of the intervention group was lower than in the control group (P< 0.01), and the time to first urination was shorter compared with the control group (P< 0.05). In the intervention group, the time of labor analgesia, the duration of the first stage of labor, and the total labor time were shorter compared with the control group (P< 0.01). CONCLUSION: Auricular acupoint embedded beans can improve the urination status at cervical dilatation of 5–6 cm and 2 h postpartum, as well as significantly shorten the duration of labor.

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“…18 Tian et al determined the average content of AL-I, AA-III, 7-hydroxy-aristolochic acid I and AA-I in Aristolochia debilis and found that the contents of AA-III and AA-I could reach 1.2 mg g −1 and 0.8 mg g −1 , respectively. 19 In contrast, the disparity of the content of AAs in Asarum and Aristolochia can be easily observed. Meanwhile it is clear that the contents of AAs in Asarum and Aristolochia are still relatively high and research into the detoxication of Asarum and Aristolochia is very important.…”

Section: Summary Of Aasmentioning

confidence: 99%

“…Nevertheless, the content of AA-I was still above 0.2 mg g −1 , which was the minimum toxic dose in the human body. 19 …”

Section: Detoxication Techniques Of Aa-containing Tcmsmentioning

confidence: 99%

Recent developments in detoxication techniques for aristolochic acid-containing traditional Chinese medicines

Yang

2020

RSC Adv.

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Effectiveness and Safety of Moxibustion for Poststroke Insomnia

Cited by 12 publications

References 45 publications

Comparative efficacy and dysmenorrhea score of 6 object-separated moxibustions for the treatment of Chinese patients with dysmenorrhea

Comparative efficacy and dysmenorrhea score of 6 object-separated moxibustions for the treatment of Chinese patients with dysmenorrhea

Auricular bean embedding improves urination in epidural labor analgesia: A single center randomized controlled study

Recent developments in detoxication techniques for aristolochic acid-containing traditional Chinese medicines

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