Warm needling moxibustion versus electroacupuncture for simple obesity due to yang deficiency of the spleen and kidney: a controlled clinical trial

Zhou, Liyan; He, Tingting; Chu, Xiaoyan; Song, Yin-hua; Bing, Xing-hong; Jin-lei, Ding; Duan, Xiaojiang; Luo, Yong-bao; Shi, Yin; Shan-ping, Tao

doi:10.1007/s11726-019-1125-8

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…Following rigorous assessment, 31 articles were deemed eligible for inclusion. [16–45] The literature screening process and outcomes are visually presented in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

Network meta-analysis of 7 acupuncture therapies for knee osteoarthritis

Ma,

Zhang,

Huang

et al. 2023

Medicine

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Objective: With the progression of society aging demographic, the prevalence of knee osteoarthritis (KOA) continues to rise steadily, exerting a significant impact on individuals’ quality of life. Acupuncture therapy has garnered extensive utilization in the management of osteoarthritis; however, a comprehensive systematic review integrating acupuncture with traditional Chinese medicine remains absent. This study compared the clinical efficacy of 7 acupuncture methods (electroacupuncture, conventional acupuncture, warm needle, floating needle, fire needle, needle knife, and silver needle) for the treatment of KOA through a network meta-analysis. Methods: This study examined the databases—PubMed, EMbase, The Cochrane Library, the China Biology Medicine, Chinese Journal Full-text Database, Wanfang Database, and VIP Database—for randomized controlled trials of the 7 methods for KOA treatment. The search time spanned from the database establishment to March 5, 2022. The primary outcome indicator was the total effective rate, and the secondary outcome indicator was the visual analog scale. After the layer-by-layer screening, the quality of the literature was assessed using the Cochrane systematic reviewer manual 5.1.0 bias risk assessment tool for randomized controlled trials. After data extraction, the R4.0.1 software was used for network meta-analysis. Results: Based on the network meta-analysis, the ranking of interventions based on the surface under the cumulative ranking curve for the total effective rate is as follows: silver needle (0.99) > floating needle (0.97) > needle knife (0.66) > fire needle (0.56) > warm needle (0.44) > conventional acupuncture (0.35) > electroacupuncture (0.13). Regarding the improvement in visual analog scale scores, the surface under the cumulative ranking curve ranking is as follows: silver needle (0.97) > conventional acupuncture (0.67) > needle knife (0.64) > floating needle (0.51) > warm needle (0.44) > fire needle (0.14) > electroacupuncture (0.09). Conclusion: Based on the network meta-analysis, silver needle therapy emerged as the most efficacious and analgesic intervention for KOA. Nevertheless, given the notable variations in the quality and quantity of studies encompassing diverse treatment modalities, the findings of this research necessitate further substantiation through forthcoming high-quality multicenter, large-sample, randomized double-blind trials.

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“…Following rigorous assessment, 31 articles were deemed eligible for inclusion. [16–45] The literature screening process and outcomes are visually presented in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

Network meta-analysis of 7 acupuncture therapies for knee osteoarthritis

Ma,

Zhang,

Huang

et al. 2023

Medicine

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“…The treatment of KOA with fire needle knee puncture can improve the behavior of rats, relieve local tenderness, reduce swelling, improve joint range of motion and gait, improve cartilage arrangement to a great extent, improve cartilage surface smoothness, relieve pain, so as to achieve the purpose of treatment. However, the contents of MMP-3, TGF-β1, and TNF-α were significantly decreased and LOXL2 was significantly increased after fire needle treatment compared with those at modeling, which, combined with the clinical significance of each index, may be related to the protection of cartilage histiocytes and the re-restoration of collagen cell fiber activity by fire needle by inhibiting the periarthritis knee response in KOA rats [11] . Li Tao et al found through studies that after the establishment of the KOA model, chondrocytes were disorganized, the cartilage surface was rough, and the behavioral manifestations were pain, joint swelling, and limited mobility under electron microscope.…”

Section: Fire Needlementioning

confidence: 89%

“…In addition, some people believe that fire needle can improve the local nail fold microcirculation so that the blood flow rate is accelerated and the situation is improved [10] . Studies have shown that fireneedle therapy can significantly reduce the levels of TNF-α and IL-1 inflammatory cytokines in the synovial fluid of patients with KOA, and may achieve the effect of adjusting the balance of articular cartilage synthesis and decomposition by regulating the contents of IL-1 and IL-1R inflammatory cytokines and IL-1R ratio in the IL-1 signal transduction pathway [11] . Li Tao et al found through studies that after the establishment of the KOA model, chondrocytes were disorganized, the cartilage surface was rough, and the behavioral manifestations were pain, joint swelling, and limited mobility under electron microscope.…”

Section: Fire Needlementioning

confidence: 99%

Research Progress of Acupuncture and Moxibustion on Knee Osteoarthritis

2022

FMSR

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Knee osteoarthritis (KOA) is a chronic inflammatory disease characterized by cartilage degeneration, osteophyte formation and joint inflammation, which is mainly good in middle-aged and elderly people. The main manifestations are knee pain or dull pain, swelling, joint clicking, and even knee stiffness, limited mobility, muscle spasm around and muscle atrophy, which seriously affect the quality of life. Acupuncture and moxibustion, as a characteristic treatment for KOA in Traditional Chinese medicine (TCM), has accumulated rich clinical experience in the treatment of KOA, and there are numerous therapies, including conventional acupuncture, fire needle, warm needle, silver needle, electroacupuncture, small needle knife, internal heat needle, moxibustion and combined therapy. All of them have the characteristics of easy operation, low cost, significant effect, safety and reliability.

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“…WNA is regarded as an upgraded acupuncture treatment modality that combines technical advantages of both acupuncture and moxibustion therapy. Some clinical studies suggest that WNA is effective in obesity treatment, and has no signi cant adverse effects [27][28][29]. The recent study has revealed that WNA could increase the levels of blood adrenaline and norepinephrine, activate cell membrane adrenaline cyclase, increase intracellular cyclic adenosine phosphate, thus generate a lipolysis effect [35].…”

Section: Discussionmentioning

confidence: 99%

“…Warm-needling acupuncture (WNA) is a specialized form of acupuncture therapy, that is, an ignited moxa will be placed on the handle of the needle after insertion, so that the thermal effect can be transmitted into the acupoints through the needle [27]. WNA combines the characteristics of both acupuncture and moxibustion therapy, and its therapeutic effect on obesity may be better than other acupuncture schemes [28]. The recent studies have shown that WNA could obviously down-regulate the levels of TC and LDL-C in obesity model animal,which mainly activate the ABCA1-LXRα signaling pathway, and to inhibit the expression of IL-1β and TNF-α, thus promoting the process of reverse cholesterol transport [24,29].…”

Section: Introductionmentioning

confidence: 99%

Effect of Warm-Needling Acupuncture in Overweight and Obese Adults: Protocol for a Systematic Review and Meta-Analysis

Yao¹,

Chen²,

Zheng³

et al. 2020

Preprint

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Background: Overweight and obesity are chronic metabolic diseases characterized by abnormal or excessive fat accumulation that presents a risk to health. Warm-needling acupuncture (WNA), which combines the characteristics of acupuncture and moxibustion, has been commonly used to manage obesity with reasonable weight control in recent years. Therefore, our objective is to systematically appraise the efficacy and safety of WNA for overweight and obesity.Methods: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (via PubMed), Excerpt Medica Database (EMBASE), ALT HealthWatch, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Allied and Complementary Medicine Database (AMED), the Chinese Biomedical Literature Database (CBM), Wanfang Data, and grey literature (trial registries, conference proceedings and academic degree dissertations) will be searched for the identification of articles. All randomized controlled trials (RCTs) involving WNA independently or as an adjunct to other active therapies, compared with the same therapies alone, will be included. The principal outcome will be the difference in BMI from baseline to the end of studies. Secondary outcomes include the change of weight, waist circumference, percentage of body fat, serum lipid before and after treatment. The severity and incidence of adverse events will be measured as the safety assessment. Study selection, data extraction, and assessment of risk of bias will be performed independently by two reviewers. A third reviewer will resolve and determine disagreements. The Review Manager software (V.5.3.5) and Stata software (V.14.0) will be used for data synthesis. Furthermore, the quality of the evidence for the results will be described according to the Grading of Recommendations Assessment, Development and Evaluation system (GRADE) with GRADEprofiler software (V.3.6.1).Discussion: This is the first systematic review to evaluate the effect of WNA in the management of obesity. This program will provide a high-quality synthesis of the current evidence to identify whether WNA is an effective therapeutic approach for overweight and obesity.Systematic review registration: PROSPERO CRD42019146380.

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Warm needling moxibustion versus electroacupuncture for simple obesity due to yang deficiency of the spleen and kidney: a controlled clinical trial

Cited by 4 publications

References 9 publications

Network meta-analysis of 7 acupuncture therapies for knee osteoarthritis

Network meta-analysis of 7 acupuncture therapies for knee osteoarthritis

Research Progress of Acupuncture and Moxibustion on Knee Osteoarthritis

Effect of Warm-Needling Acupuncture in Overweight and Obese Adults: Protocol for a Systematic Review and Meta-Analysis

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