Fire needling for herpes zoster: A systematic review and meta-analysis of randomized clinical trials

Zhao, Nan-qi; Lai, Lily; Wang, Xiao; Jia, Ling; Li, Xun; Lai, Bao-Yong; R, Hu; Shi, Na; Qin, Yi-wen; Han, Min−Koo; Liu, Zhaolan; Liu, Jianping

doi:10.1016/j.aimed.2019.03.439

Cited by 1 publication

(4 citation statements)

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“…Thirteen articles (13,15,18,19,21-23,25-31) used the bias risk assessment tool recommended by Cochrane. Sixteen articles (13-22, 24-26) described two evaluators for data extraction and analysis. The basic characteristics of the included studies are shown in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…In the included SRs/MAs, 3 (13,24,25) were rated as medium quality, and 16 (14-23,26-31) were rated as low quality. Only item 1 was evaluated in 19 studies, and item 10 was evaluated in 19 studies; item 16 was unevaluated in 18 studies.…”

Section: Resultsmentioning

confidence: 99%

“…Referring to “Guiding Principles for Clinical Study of New Chinese Medicines”, efficacy rate was defined as partial regression of skin lesions, improvement in clinical symptoms, and 70% > syndrome score reduction ≥50%. Twelve systematic reviews (13-14, 16, 19, 21, 23, 26) evaluated the efficacy rate. The curative effect of the experimental group was better than the control group, and the results are shown in Table 3.…”

Section: Resultsmentioning

confidence: 99%

“…Eight systematic reviews (14-16, 17, 22, 24-26) evaluated VAS scores. The VAS score in the experimental group was lower than that in the control group (14, 25, 26); the electroacupuncture score was mostly lower than that medicine group (15), and the difference in VAS score between Jiaji acupoint treatment and carbamazepine, acyclovir and routine acupuncture control groups was statistically significant (16). The differences in VAS score in the acupuncture group was higher than that in medicine group (17).…”

Section: Resultsmentioning

confidence: 99%

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Evaluating the Evidence Quality Supporting the Role of Acupuncture for Herpes Zoster Pain: An Umbrella Review of Systematic Reviews and Meta-analyses

Chen

2022

Preprint

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Objective: Acupuncture is one of the most effective means to treat herpes zoster, especially during the acute stage. It can shorten the duration of pain, with a low incidence of residual neuralgia. The aim of this review was to assess the methodological and evidence quality of systematic reviews and meta-analyses on acupuncture for herpes zoster pain. Methods: Eight databases were searched from their inception to Feb 2022. Methodological and evidence quality was evaluated by using the Assessment of Multiple Systematic Reviews 2, and the Grading of Recommendations Assessment Development and Evaluation. Results: Nineteen SRs/MAs were included according to the inclusion criteria. Assessment of Multiple Systematic Reviews 2 results showed that the methodological quality was low for 16 studies and very low for 3 studies. According to the Grading of Recommendations Assessment Development and Evaluation, 43 outcome indicators were evaluated, the evidence quality was high in three, medium in twelve, low in twenty-three, and very low in five. Compared with drugs for herpes zoster, acupuncture can reduce pain and the incidence of postherpetic neuralgia. Acupuncture at Huatuo Jiaji points (EX-B2) was generally one of the most effective methods. Conclusions: Our study showed that acupuncture therapies including fire needles, acupuncture at Huatuo Jiaji points (EX-B2), pricking collaterals, and bloodletting may be beneficial for the clinical practice of herpes zoster pain. However, the quality of methodological report and evidence of the included studies was low, this conclusion must be interpreted with caution. More rigorous designs and comprehensive investigations by systematic reviews and meta-analyses are needed.

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