Acupuncture Therapy Results in Immediate Bronchodilating Effect in Asthma Patients

Chu, Kuo-An; Wu, Yi-Chin; Ting, Yao-Min; Wang, Hong-Chung; Lu, Jau-Yeong

doi:10.1016/s1726-4901(07)70002-3

Cited by 31 publications

(19 citation statements)

References 8 publications

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“…Needling at distant non-acupoints with superficial insertion is another commonly applied sham acupuncture procedure [12][13][14][15][16][17][18] . Two trials on acupuncture for intractable epilepsy provided examples of this kind of sham control [19,20] .…”

Section: Needling At Distant Non-acupointsmentioning

confidence: 99%

Assessments of different kinds of sham acupuncture applied in randomized controlled trials

Jiang

Yin

Wang

et al. 2011

J. Acupunct. Tuina. Sci.

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【Abstract】Objective: Different kinds of sham acupuncture are widely applied in randomized controlled trials (RCTs) to explore whether acupuncture has intrinsic therapeutic effects beyond the placebo effects for certain indication. To make conclusions of trials more comparable and convincing, it is of great necessity to unify the sham acupuncture procedure. Methods: RCTs of acupuncture with high quality in the recent 14 years were reviewed, and the appropriateness of the sham acupuncture procedures was assessed. Results: The sham acupuncture procedures were mainly classified into five kinds according to their administered sites, penetrating, and intervention apparatus. Conclusion: Among the sham acupuncture procedures, needling near the selected acupoints, needling at a distant non-acupoints, and non-penetrating sham acupuncture are most commonly used. Sham acupuncture performed at distant site belongs to non-meridian and non-acupoint may be an ideal control for the study of the intrinsic therapeutic effects of acupuncture. Besides, the selection of controls must focus on the design and aim of RCTs, such as non-inferiority, equivalence and superiority trials. 【Key Words】Acupuncture Therapy; Placebo Effect; Randomized Controlled Trial 【摘要】目的：在随机对照试验(Randomized Controlled Trials，RCTs)研究中，不同的假针刺方法广泛地用于评价针刺对某种病症除安慰效应外是否具有内在的治疗作用。为使试验结果可信和更有可比性，有必要对假针刺方法做个统一的规范。方法：回顾了最近 14 年高质量的针刺RCT研究，评价其中的各种假针刺方法的恰当与否。结果：根据进针部位、破皮方式、所用仪器的不同，这些假针刺方法主要可以分为 5 类。结论：最常用的假针刺方法有穴位旁开针刺、远部非穴部位针刺和不破皮假针刺 3 种，其中远部非经非穴部位针刺可能是比较理想的假针刺对照。另外，对照的设立应结合考虑RCT研究的目的和设计，如非劣效性、等效性、优效性试验。【关键词】针刺疗法；安慰治疗效应；随机对照试验【中图分类号】R245-3 【文献标志码】A

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Section: Needling At Distant Non-acupointsmentioning

confidence: 99%

Assessments of different kinds of sham acupuncture applied in randomized controlled trials

Jiang

Yin

Wang

et al. 2011

J. Acupunct. Tuina. Sci.

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“…The herbal mixture applied on the acupoints could regulate ‘Qi' and improve pulmonary function [30,31]. Some studies showed that acupuncture also had beneficial effects on the pulmonary function of patients with asthma [32,33]. Carneiro et al [34 ]reported that the stimulation provided by acupuncture (Fei Shu ‘BL 13') could lead to the improvement of lung inflammation and cellular inflammatory processes.…”

Section: Discussionmentioning

confidence: 99%

Acupoint Application for Asthma Therapy in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Meng²,

Chen³

et al. 2016

Complement Med Res

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Background: To evaluate the evidence available on the effects of acupuncture point (acupoint) application for asthma therapy in adults. Methods: Six electronic databases were searched up to May 2014 to identify relevant studies. Randomized controlled trials, which assessed the effects of acupoint application for asthma treatment in adults, were included in our review. The methodological quality of eligible studies was assessed by the Cochrane Collaboration's tool. The standardized mean difference (SMD) and 95% confidence intervals (CI) of a random-effects model were calculated. The heterogeneity was assessed using I²statistics. Results: Eight studies were included in our review. The aggregated results indicated that acupoint application improved forced expiratory volume in 1 second (FEV1) (SMD, 0.32; 95% CI 0.04-0.60; p = 0.03), FEV1/forced vital capacity (SMD, 0.89; 95% CI 0.70-1.09; p < 0.00001), interleukin (SMD, -0.26; 95% CI -0.50 to -0.01; p = 0.04) and immunoglobulin E (SMD, -0.49; 95% CI -0.83 to -0.16; p = 0.004) in patients with asthma, but not eosinophilic cation protein (SMD, -0.58; 95% CI -1.42 to 0.26; p = 0.18). There was no sufficient evidence for the follow-up effects of acupoint application for asthma therapy in adults. Conclusions: Acupoint application may be a valid complementary and alternative therapy for asthma in adults. It contributes especially to improving pulmonary function and reducing the levels of interleukin and immunoglobulin E. However, more studies with longer follow-ups are warranted to confirm the current findings.

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“…Chu et al reported 3 cases of immediate bronchodilation following acupuncture. 11 It could be argued that the response was the result of nonspecific psychologic factors, but psychologic factors causing wheezing are rare in children. Such quick responses are useful in the acute stage, but, to…”

Section: Discussionmentioning

confidence: 99%

“…All the treatment steps described are according to Chinese Medicine principles. In the acute phase, when a patient is seen while wheezing, acupuncture alone has been effective for relieving wheezing in the majority of cases as shown by Chu et al 11 The success of treatment will depend on the correct selection of points, especially in chronic cases, based on the underlying Disharmony pattern. Combination patterns are common.…”

Section: Sudhakaranmentioning

confidence: 99%

Preschool Wheezing: An Acupuncture Approach

SudhakaranPoovadan¹

2015

Medical Acupuncture

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Background: While asthma is one of the causes for wheezing in children, it is not the most common cause. Acupuncture treatment is effective for relieving symptoms in the acute phase and for reducing the frequency and severity of asthma episodes in the chronic phase. In many cases, acupuncture might eradicate the problem totally. Objective: The aim of this article is to describe the use of acupuncture for treating wheezing in preschool children.Methods: Acupuncture treatment for wheezing in the acute phase of asthma for symptomatic relief and in the chronic phase to address the underlying Disharmony patterns are discussed, using three illustrative cases.Conclusions: Good quality studies proving the efficacy of acupuncture for addressing asthma in its acute and chronic phases are lacking at present and are needed.

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Acupuncture Therapy Results in Immediate Bronchodilating Effect in Asthma Patients

Abstract: In asthma patients, acupuncture treatment may result in immediate improvement of FEV1, but the degree of improvement is less than that from inhalation bronchodilator.

Cited by 31 publications

References 8 publications

Assessments of different kinds of sham acupuncture applied in randomized controlled trials

Assessments of different kinds of sham acupuncture applied in randomized controlled trials

Acupoint Application for Asthma Therapy in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Preschool Wheezing: An Acupuncture Approach

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