Current status of acupuncture and moxibustion in China

Lim, Min Yee; Huang, Jian; Zhao, Baixiao; Ha, Lue

doi:10.1186/s13020-015-0041-1

Cited by 21 publications

(17 citation statements)

References 17 publications

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“…Many acupuncturists only learn the traditional basic theory of traditional Chinese medicine and meridian acupoints, ignoring the relationship between medical anatomy and meridian correspondence. In this case, multiple soft tissue injuries due to improper acupuncture are likely [3].…”

Section: Discussionmentioning

confidence: 98%

“…Acupuncture therapy is widely used and has good therapeutic effect on various diseases. In the treatment of stroke, acupuncture therapy is listed as a A recommendation in stroke treatment guidelines [1].However, whether coagulation dysfunction is a contraindication of acupuncture has always been different, but there is not enough evidence to show who is correct [2][3][4]. Therefore, it is not surprising that all complications have not been recorded.…”

Section: Introductionmentioning

confidence: 99%

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Improper acupuncture causing severe multiple soft tissue damage:a case report

Peng²,

Zhou

et al. 2020

Preprint

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Background Acupuncture therapy is well known. But there is no report that acupuncture in patients with coagulation dysfunction in stroke may lead to severe soft tissue injury. we report a case of acupuncture leading to severe soft tissue injury.Methods A 63-year-old female patient was hospitalized for stroke rehabilitation. After 2 years of discharge, severe subcutaneous hematoma caused by acupuncture was readmitted to hospital. She received medication and physical rehabilitation. we monitored the international standardized ratio (INR) in plasma and observed the degree of dissipation of subcutaneous hematoma. the changes of patients during treatment were explored by data analysis.Findings Subcutaneous hematoma (area 20×20 cm) disappeared completely after 3 weeks of physical factor therapy. Small range (area ≤3×3 cm) subcutaneous hematoma can heal itself within 2 weeks. Improper acupuncture is only one of the causes of soft tissue injury. Stroke with coagulation dysfunction is not a contraindication of acupuncture treatment.Interpretation Our report suggests that previously unanticipated acupuncture treatment for stroke patients with coagulation dysfunction may lead to severe multiple soft tissue injuries. Although coagulation dysfunction is not a contraindication of acupuncture treatment, acupuncture treatment for stroke patients with coagulation dysfunction should be vigilant, strengthen the level of acupuncture operation, and fundamentally eliminate the problem. These cases are validation and supplement of adverse clinical reactions caused by improper acupuncture.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Improper acupuncture causing severe multiple soft tissue damage:a case report

Peng²,

Zhou

et al. 2020

Preprint

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“…Acupuncture is readily accessible in China, where short, daily treatment is inexpensive ($1‐$5 in US dollars). It is readily accessible in community practice settings, where many individuals are seated in recliners in a large room and are treated simultaneously . In contrast, acupuncture in the United States is primarily a private practice model, treating an individual patient in a single room for 40 to 60 minutes and at a much higher cost.…”

Section: Featured Reviewsmentioning

confidence: 99%

Current Resources for Evidence‐Based Practice, January/February 2019

Barger¹

2018

J Midwife Womens Health

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Maternal mortality claims the lives of more than 300,000 woman each year, 99% of whom reside in low-resource countries. 1 The loss of life not only means the loss of a woman, a mother, a wife, a sister, but in many low-resourced countries also frequently means her newborn will face a 48-timesincreased risk of dying. 2 Postpartum hemorrhage remains the leading cause of maternal mortality worldwide. 3 Women residing in lower-resourced countries are at increased risk of severe morbidity and mortality from postpartum hemorrhage due to undernutrition and a high prevalence of anemia. The use of uterotonics, especially oxytocin, is essential for postpartum hemorrhage prevention-according to recommendations of the World Health Organization (WHO) for active management of the third stage of labor-and for postpartum hemorrhage treatment. 4 Unfortunately, maintaining the quality of oxytocin is difficult in the very same countries in most need of this valuable drug for labor induction and for prevention and treatment of postpartum hemorrhage. To maintain its effectiveness, oxytocin must be continuously stored at 2°C to 8°C (35.6°F-42.8°F) from manufacture to its administration. Additionally, as with all drugs, strict standards are needed during its manufacture to maintain sterility, potency, and freedom from contaminants. Problems with the quality of oxytocin supplies in middle-and low-income countries are well documented. A systematic review of these studies found that a mean of 45.6% of samples failed testing, with one-third containing less than 90% of the oxytocin concentration labelled. 5 A WHO study of drug quality at central storage sites in such countries found that 64% of the oxytocin samples failed testing. 6 A recent qualitative study in 3 lower-resourced countries about the stability of oxytocin found low knowledge that oxytocin was heat sensitive, as well as difficulties maintaining required storage temperatures because of electricity and refrigeration issues. 7 Therefore, the release of the results of the CHAMPION trial, a double-blind large multicenter trial, which compared the heat-stable uterotonic, carbetocin, with oxytocin, is exciting because of its potential impact on so many women's lives. 8 This noninferiority trial was designed to demonstrate that carbetocin was not worse than oxytocin in preventing postpartum hemorrhage. The trial took place at 29 sites in 10 lowand middle-income countries and enrolled 29,645 women. This study compared oxytocin 10 units with carbetocin 100 mcg, both given intramuscularly. Although carbetocin does not need to be refrigerated, its ampules were refrigerated to maintain blinding as to whether oxytocin (requiring refrigeration) or carbetocin was being administered. Women with sin-gleton pregnancies and who were less than 6 cm dilated were eligible for the study. There were 2 primary outcomes: 1) blood loss of at least 500 mL or need for a second uterotonic within one hour and 2) blood loss greater than 1000 mL. Blood loss was measured using a blood collection drape pl...

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“…Moxibustion therapy has lasted for thousands of years. Moxa velvet or other herbs is ignited, which directly or indirectly stimulates acupoints or specific parts of the body surface through burning, fumigation, and ironing, and with the help of the mild heat produced by burning moxibustion materials and the medicinal effect of moxa smoke occurs transmission of meridian acupoints, warming and ventilating blood circulation, activating collaterals, and removing arthralgia, so as to achieve disease prevention, treatment, rehabilitation, and health care [14][15][16][17]. It is a traditional method of external treatment for the purpose of health care.…”

Section: Introductionmentioning

confidence: 99%

Effect of Moxibustion on Hyperhomocysteinemia and Oxidative Stress Induced by High‐Methionine Diet

Wang

Hui

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Objective. The aim of this study was to assess the effects of moxibustion on the animal model of oxidative stress and cardiovascular injury induced by high-methionine diet (2% methionine and 3.5% fat on the basis of ordinary maintenance feed) during 12 weeks. Methods. 53 mice were divided into four groups: mice in the Control group (n = 8), mice in the Met group (n = 15), mice in the Met + Moxibustion group (n = 15), and mice in the Met + Smoke group (n = 15). After 12 weeks of intervention, homocysteine (Hcy), S-adenosine homocysteine (SAH), superoxide dismutase (SOD), oxygenized low-density lipoprotein (ox-LDL), endothelial nitric oxide synthase (eNOS), and heme oxygenase-1 (HO-1) were determined in the serum and aortic homogenate. Results. Compared with the Met group, our results indicated that through moxibustion intervention, the content of serum Hcy and its intermediate metabolite SAH can be reduced to a certain extent, and SOD, HO-1, and ox-LDL can be increased. Conclusion. This study showed moxibustion’s ability to enhance the body’s antioxidation and protect vascular endothelial function, thus playing an early role in the prevention and treatment of atherosclerosis.

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Current status of acupuncture and moxibustion in China

Cited by 21 publications

References 17 publications

Improper acupuncture causing severe multiple soft tissue damage:a case report

Improper acupuncture causing severe multiple soft tissue damage:a case report

Current Resources for Evidence‐Based Practice, January/February 2019

Effect of Moxibustion on Hyperhomocysteinemia and Oxidative Stress Induced by High‐Methionine Diet

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