The efficacy and safety of warming acupuncture and moxibustion on rheumatoid arthritis

Shang, Jingwen; Fan, Wei; Dou, Zhongqing; Wu, Linlin; Lu, Bibo; Qian, Jun-Hui

doi:10.1097/md.0000000000021857

Cited by 8 publications

(10 citation statements)

References 6 publications

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“…These results are consistent with Gong's study findings and are worthy of attention ( 36 ). There were also significant differences in the QoL of patients with RA in different subgroups of age, disease duration, and comorbidities, which is consistent with Zeng's et al's study ( 35 ).…”

Section: Discussionsupporting

confidence: 90%

“…SEM allows the simultaneous assessment of the effects of personal and environmental characteristics on potential variables in the model. Our study and previous studies show that patients with RA often experience chronic pain and functional disabilities, including a high incidence of depression, body image disorders, fatigue, and sleep disorders with a decline in patients' QoL ( 35 ).…”

Section: Discussionsupporting

confidence: 69%

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A Structural Equation Model of Health-Related Quality of Life in Chinese Patients With Rheumatoid Arthritis

Shen

Chen

Yang³

et al. 2021

Front. Psychiatry

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Background: The aim of this study was to examine how body image, Disease Activity Score in 28 joints, the feeling of being anxious, depression, fatigue, quality of sleep, and pain influence the quality of life (QoL) in patients with rheumatoid arthritis (RA).Methods: A multicenter cross-sectional survey with convenience sampling was conducted from March 2019 and December 2019, 603 patients with RA from five hospitals were evaluated using the Body Image Disturbance Questionnaire, Disease Activity Score in 28 joints, Hospital Anxiety and Depression Scale, Fatigue Severity Scale, Pittsburgh Sleep Quality Index, Short Form 36 Health Survey, and Global Pain Scale. The relationship between quality of life and other variables was evaluated by using the structural equation model (SEM).Results: A total of 580 patients were recruited. SEM fitted the data very well with a root mean square error of approximation (RMSEA) of 0.072. Comparative fit index of 0.966, and Tucker-Lewis index of 0.936. The symptoms and the normalized factor load of six variables showed that the normalized factor load of pain was 0.99.Conclusions: The QoL model was used to fit an SEM to systematically verify and analyze the population disease data, biological factors, and the direct and indirect effects of the symptom group on the QoL, and the interactions between the symptoms. Therefore, the diagnosis, treatment and rehabilitation of RA is a long-term, dynamic, and complex practical process. Patients' personal symptoms, needs, and experiences also vary greatly. Comprehensive assessment of patients' symptoms, needs, and experiences, as well as the role of social support cannot be ignored, which can help to meet patients' nursing needs, improve their mood and pain-based symptom management, and ultimately improve patients' QoL.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 69%

A Structural Equation Model of Health-Related Quality of Life in Chinese Patients With Rheumatoid Arthritis

Shen

Chen

Yang³

et al. 2021

Front. Psychiatry

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“…China Biomedical Literature Database, CNKI, Weipu, Wanfang. Use “enuresis,” “enuresis,” “leathering,” “urinary discharge,” “drowning,” “bedwetting,” “nocturia,” “drowning,” “moxibustion,” “moxibustion,” and “moxibustion” as search terms, take (enuresis + enuresis + wetting + urination + addiction + bedwetting), (moxibustion + moxibustion + moxibustion) as the search formula [ 11 ].…”

Section: Methodsmentioning

confidence: 99%

Exploring the Clinical Point Selection Rules of Acupuncture and Moxibustion in the Treatment of Infantile Enuresis Based on Data Mining Technology

Zhang

2022

Scanning

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In order to explore the clinical point selection rules of acupuncture and moxibustion in the treatment of infantile enuresis based on data mining technology, first, it introduces the principle of data mining technology, the global optimization strategy of information extraction + genetic search. In China Biomedical Literature Database, CNKI, Weipu, Wanfang. Use “enuresis,” “enuresis,” “leathering,” “urinary discharge,” “drowning,” “bedwetting,” “nocturia,” “drowning,” “moxibustion,” “moxibustion,” and “moxibustion” as search terms, take (enuresis + enuresis + urination + urination + addiction + bedwetting), (moxibustion + moxibustion + moxibustion)” as the retrieval style. The analysis of the use of moxibustion, the law of acupoint selection by different moxibustion methods, and the frequency analysis of meridian use show that most of the moxibustion methods are used (62 articles, of which 3 articles use 2 moxibustion methods), including non-suppurative moxibustion, ginger moxibustion, medicinal cake moxibustion, salt moxibustion, mild moxibustion, warm acupuncture moxibustion, bird pecking moxibustion, circling moxibustion, and warm moxibustion; among them, mild moxibustion has the highest frequency of use 24 and non-suppurative moxibustion and salt-separated moxibustion have the lowest frequency of use1; there are 4 non-moxibustion methods, which are medicated thread moxibustion methods. Different moxibustion methods for acupoint selection have their own emphasis. The 63 included literatures included 63 prescriptions for moxibustion, 11 prescriptions for acupoints. Analyzing the frequency of acupoint selection, a total of 18 ear acupoints are involved, and the total frequency of auricular acupoints is 54 times; 44 points are involved (including 1 odd point outside the meridian), the total frequency of acupoints is 300 times, and the total frequency of meridian points is 298, and the total frequency of Jingwaiqi acupoints (Sishencong) is 2. The results can provide great help for the clinical selection of acupuncture points for the treatment of infantile enuresis.

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“…The homemade Xitong Waixi lotion of our hospital originated from the “Prescriptions for emergencies,” which is an ancient representative for the treatment of wind-cold-damp paralysis caused by deficiency of liver and kidney and deficiency of qi and blood [ 8 ]. In addition, warm needle acupuncture activates qi and blood, warms the meridians, dispels dampness, and relieves pain, which is effective in the treatment of knee osteoarthritis [ 9 ]. In the present study, 80 patients with knee osteoarthritis admitted to our hospital from October 2019 to June 2021 were recruited to evaluate the effect of warm needle acupuncture plus Xitong Waixi lotion on the levels of IL-1, TNF- α , and MMP-3 in patients with knee osteoarthritis.…”

Section: Introductionmentioning

confidence: 99%

Effects of Warm Needle Acupuncture plus Xitong Waixi Lotion in Patients with Knee Osteoarthritis: A Randomized Controlled Trial

Sheng

Yang

Peng

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To evaluate the effect of warm needle acupuncture plus Xitong Waixi lotion on the levels of IL-1, TNF-α, and MMP-3 in patients with knee osteoarthritis. Methods. Eighty patients with knee osteoarthritis admitted to our hospital from October 2019 to June 2021 were recruited and assigned via the random number table method at a ratio of 1 : 1 to receive either Xitong Waixi lotion (conventional group) or warm needle acupuncture plus Xitong Waixi lotion (combined group). Outcome measures included clinical efficacy, inflammatory cytokine level, Western Ontario and McMaster Universities Arthritis Index (WOMAC) score, visual analogue scale (VAS) score, Hospital for Special Surgery (HSS) knee score, and adverse reactions. Results. Warm needle acupuncture plus Xitong Waixi lotion was associated with a significantly higher clinical efficacy versus Xitong Waixi lotion alone ( P = 0.006 ). Patients in the combined group had significantly lower levels of interleukin (IL)-1, tumor necrosis factor-α (TNF-α), and matrix metalloproteinase-3 (MMP-3) than those in the conventional group ( P = 0.020 ). Warm needle acupuncture plus Xitong Waixi lotion resulted in significantly lower WOMAC scores and VAS scores and higher HSS scores for the patients versus Xitong Waixi lotion ( P = 0.012 ). The two groups had a similar incidence of adverse events ( P = 0.068 ). Conclusion. Warm needle acupuncture plus Xitong Waixi lotion effectively alleviates the inflammatory response and knee pain in patients with knee osteoarthritis, with significant clinical effects and a high safety profile.

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The efficacy and safety of warming acupuncture and moxibustion on rheumatoid arthritis

Cited by 8 publications

References 6 publications

A Structural Equation Model of Health-Related Quality of Life in Chinese Patients With Rheumatoid Arthritis

A Structural Equation Model of Health-Related Quality of Life in Chinese Patients With Rheumatoid Arthritis

Exploring the Clinical Point Selection Rules of Acupuncture and Moxibustion in the Treatment of Infantile Enuresis Based on Data Mining Technology

Effects of Warm Needle Acupuncture plus Xitong Waixi Lotion in Patients with Knee Osteoarthritis: A Randomized Controlled Trial

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