Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 2.193
Filtrar
1.
Rev Med Suisse ; 16(700): 1358-1362, 2020 Jul 15.
Artigo em Francês | MEDLINE | ID: mdl-32672014

RESUMO

Different international clinical guidelines from expert committees recommend acupuncture on equal terms with conventional pharmacological or interventional techniques for the management of chronic pain. Thus, this traditional Chinese medicine technique has won its place in a primary care chronic pain management plan. It should not be reserved as a last resort, when all other techniques have failed. Inspired by the concept of integrative medicine, this article proposes an overview of currently validated indications, and offers some tools for the primary care physician who wishes to orient a patient towards an acupuncture treatment.


Assuntos
Terapia por Acupuntura , Acupuntura , Dor Crônica , Médicos de Atenção Primária , Dor Crônica/terapia , Humanos , Medicina Tradicional Chinesa
2.
Medicine (Baltimore) ; 99(21): e20343, 2020 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-32481324

RESUMO

INTRODUCTION: The glucagon-like peptide-1 receptor agonists (GLP-1 RAs) class agent has grown rapidly in the last decade due to its effects on lowering HbA1c and weight and the low possibility of hypoglycemia. However, GLP-1 RAs are not devoid of adverse effects among which nausea and vomiting rank first, which reduce adherence to treatment. Accumulated evidences proved that acupuncture can properly treat nausea and vomiting caused by various reasons. The study aims at assessing the safety and effectiveness exhibited by acupuncture treatment for patients with nausea and vomiting induced by GLP-1 RAs. METHODS AND ANALYSIS: Articles that have been identified via electronically searching databases of MEDLINE, Nature, PubMed, the Cochrane Library, WorldSciNet, EMbase, Science Online, AMED, China National Knowledge Infrastructure, the Wanfang Databse and China Biology Medicine Disc and the Chongqing VIP Chinese Science and Technology Periodical Database from their inception of to December 31, 2019 will be incorporated into the systematic review. The review only adopts Chinese and English. It will also pay attention to searching resources of qualified studies, relevant conference proceedings, potential reference list, as well as related system reviews. Two researchers will take charge of completing the selection of research, the extraction of data as well as the assessment of research quality independently. A random- or fixed-effects model will be employed to synthesize data combining the heterogeneity test. The primary outcomes will be nausea and vomiting, seen from the objective and self-reported assessment. Data analysis will be performed via the RevMan 5 software, and GRADE will help to assess the evidence level. The heterogeneity level will determine whether the random-effects model or the fixed-effects model will be used. The 2 categories will adopt risk ratio (RR) or odds ratio (OR) and 95% confidence interval (CI). Continuous variables will adopt the weighted mean difference or standardized mean difference and 95% CI. Meta-analysis will not be conducted if no assessment, like subgroup analysis, is able to explain existing meaningful heterogeneity. The subgroup analysis shall carefully consider each subgroup in certain case. ETHICS AND DISSEMINATION: The systematic review does not involve the evaluation of patients' individual information or patients' right; thus, there is no need to gain the approval from ethical institution. The article will be published in journals reviewed by peers and present at related conference.Registration: Open Science Framework (OSF) Preregistration. 2020, April 8. osf.io/3fgu8.


Assuntos
Acupuntura/métodos , Receptor do Peptídeo Semelhante ao Glucagon 1/agonistas , Hipoglicemiantes/efeitos adversos , Náusea/terapia , Vômito/terapia , Humanos , Náusea/induzido quimicamente , Vômito/induzido quimicamente
3.
Zhongguo Zhen Jiu ; 40(4): 429-33, 2020 Apr 12.
Artigo em Chinês | MEDLINE | ID: mdl-32275375

RESUMO

College education is the main mode of modern acupuncture-moxibustion talent training in China. In this paper, the acupuncture-moxibstion education modes in the early years after the founding of the Peoples' Republic of China, dominated as the Chinese medicine advanced school and the training course of Chinese medicine for the western medicine physicians, were collected as well as the transformation into normalized institution education ones. As a result, the formation and the improvement process of modern acupuncture-moxibustion education mode are reflected and their significance on the discipline development is explored.


Assuntos
Terapia por Acupuntura , Acupuntura/educação , Moxibustão , China , Universidades
4.
Zhongguo Zhen Jiu ; 40(4): 439-42, 2020 Apr 12.
Artigo em Chinês | MEDLINE | ID: mdl-32275377

RESUMO

The advantages of western medical research were analyzed and the differences between skin nerve stimulation in western medicine and acupuncture-moxibustion in TCM were compared, so as to inspire the scientific researches of acupuncture and moxibustion in China. The related literature was searched and the research basis, content and achievements of the American stimulating peripheral activity to relief condition (SPARC) program were systematically summarized. From the perspectives of theoretical system, stimulation site, stimulation method and mechanism of action, the similarities and differences between skin nerve stimulation in western medicine and acupuncture-moxibustion in TCM were compared. Through comparative analysis, it is found that the systematic construction of SPARC "high-resolution neural circuit map" is essentially the upgraded version of the traditional distribution map of meridians and acupoints in China, which is similar to the research on origin of nervous system and stimulation site of acupuncture-moxibustion of TCM. Under the impact of "localization of traditional Chinese medicine" in other countries, learning from the international advanced research technology, gathering top-level talents, and encouraging openness and innovation will be the necessary pathway to improve the quality of acupuncture-moxibustion research and master the power of knowledge initiative.


Assuntos
Terapia por Acupuntura , Acupuntura/educação , Meridianos , Moxibustão , Pontos de Acupuntura , China , Medicina Tradicional Chinesa
5.
Zhongguo Zhen Jiu ; 40(4): 445-9, 2020 Apr 12.
Artigo em Chinês | MEDLINE | ID: mdl-32275378

RESUMO

Through collecting the literature data of the needling technique with filiform needle in 20 acupuncture-moxibustion teaching materials in the Republic of China, the manipulation techniques with filiform needle were analyzed, such as the technique of needle insertion, the technique of reinforcing and reducing, and the management of acupuncture abnormal conditions, as well as manual techniques and analgesics methods. It is found that the era of the Republic of China was the transition period of traditional acupuncture techniques to the modern ones in acupuncture-moxibustion teaching materials, in which, the twirling technique was predominated in the technique of needle insertion. In that period, the insertion technique of tube needle had been introduced and simplified, the theory and method of the new-style technique of reinforcing and reducing were emerged and the types of acupuncture abnormal conditions recorded in the teaching materials were different from those at present. Additionally, the applicable manipulation had not been specified nationally. There were the highly influential teaching materials, i.e. Advanced Acupuncture and Moxibustion Teaching Materials: Science of Acupuncture and Science of Moxibustion, Chinese Acupuncture and Moxibustion Teaching Materials and New Acupuncture and Moxibustion. The acupuncture-moxibustion teaching materials in the Republic of China has been influenced by the transition of acupuncture-moxibustion education modes, the introduction of Chinese-translation version of Japanese acupuncture-moxibustion books, the academic thoughts of acupuncture masters and the manufacturing process of needle devices.


Assuntos
Terapia por Acupuntura/métodos , Acupuntura/educação , Moxibustão , Taiwan , Materiais de Ensino
6.
Zhongguo Zhen Jiu ; 40(3): 307-14, 2020 Mar 12.
Artigo em Chinês | MEDLINE | ID: mdl-32270647

RESUMO

By analyzing Fu 's subcutaneous needling phenomenon, the attribute of Fu 's subcutaneous needling therapy in traditional acupuncture, the innovation and the role in the development of traditional acupuncture were demonstrated. The authors believe that the de-meridian in Fu 's subcutaneous needling therapy is similar to the connotation of meridian before the Han dynasty, the de-acupoint phenomenon in Fu 's subcutaneous needling therapy reproduces the acupoint evolution, and the sites of needle insertion of this therapy are partially overlapped with the location of traditional acupoints. In manipulation, the technique of Fu 's subcutaneous needling therapy is derived from the traditional acupuncture technique and it is also in reference to the theory and the method of modern medicine, such as muscle energy technology and fasciology. The needle device and the sweeping technique are the most essential innovation of Fu 's subcutaneous needling therapy. Fu 's subcutaneous needling therapy has the distinct attribute of traditional acupuncture.


Assuntos
Terapia por Acupuntura/métodos , Acupuntura , Meridianos , Moxibustão , Pontos de Acupuntura , Humanos , Medicina Tradicional Chinesa
7.
Zhongguo Zhen Jiu ; 40(3): 319-21, 2020 Mar 12.
Artigo em Chinês | MEDLINE | ID: mdl-32270649

RESUMO

This article focuses on the Bu-yi (the disease has not been cured after treatment) recorded in the Inner Canon of Yellow Emperor and discusses four aspects, including acupuncture feasibility, acupuncture treatment transformation, acupuncture point selection and acupuncture treatment principles. We hope to explain the virtual acupuncture in the Inner Canon of Yellow Emperor from a deeper level and provide new ideas for clinical acupuncture treatment.


Assuntos
Terapia por Acupuntura , Acupuntura , Pontos de Acupuntura , China , Humanos , Medicina Tradicional Chinesa
8.
Zhongguo Zhen Jiu ; 40(3): 327-30, 2020 Mar 12.
Artigo em Chinês | MEDLINE | ID: mdl-32270651

RESUMO

In order to guarantee and improve the quality of acupuncture service, the developments of the control of acupuncture service quality in the World Health Organization (WHO) and various countries were summarized. A number of normative documents that could improve acupuncture service security and effectiveness have been developed in WHO and many countries, in which, acupuncture training, safety manipulation and the guidelines for clinical practice of disease have been included. There are great differences in the qualification authentication and management of acupuncture practitioners among different countries. In China and South Korea, the official government departments are in charge of the management, but, in most of the countries, the qualification attestation examination of acupuncture is conduced mainly by the national/local industry organizations authorized by the state and operated by the commissioned experts. The medical service quality evaluation system is complicated. Because of the specific characteristics of acupuncture discipline itself, it is necessary to develop the service quality assessment system and the standard which is especially adaptable in acupuncture discipline.


Assuntos
Acupuntura/normas , Controle de Qualidade , China , Humanos
9.
PLoS One ; 15(3): e0230408, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32210442

RESUMO

BACKGROUND: Opioid overdose mortality continues to increase in the United States despite significant investments to reverse the epidemic. The national response to-date has focused primarily on reducing opioid prescribing, yet reductions in prescribing have been associated with patients reporting uncontrolled pain, psychological distress, and transition to illicit substances. The aim of this study is to qualitatively explore chronic pain management experiences among PLWH with a history of illicit substance use after long-term opioid therapy reductions or discontinuations. METHODS: We analyzed 18 interviews, stopping upon reaching thematic saturation, with HIV-positive participants with a history of substance use who were enrolled in a longitudinal cohort study to assess the impact of prescribing changes among patients with chronic pain. Participants in this nested qualitative study had been reduced/discontinued from opioid pain relievers (OPRs) within the 12 months prior to interview. Interviews were audio-recorded and transcribed verbatim. Two analysts coded all interviews, interrater reliability was measured, and coding discrepancies discussed. The study took place in San Francisco, California in 2018. RESULTS: Eleven participants were male with a mean age of 55; 8 were African American and 8 were White. All participants were HIV-positive, actively engaged in primary care, and had a lifetime history of illicit substance use. Twelve reported using illicit substances within the past year, including non-prescription opioids/heroin (10), and stimulant use (10). After being reduced/discontinued from their long-term opioid therapy, patients reported developing complex multimodal pain management systems that often included both nonpharmacological approaches and illicit substance use. Participants encountered a range of barriers to nonpharmacological therapies including issues related to accessibility and availability. Participants often reported attempts to replicate their prior OPR prescription by seeking out the same medication and dose from illicit sources and reported transitioning to heroin after exhausting other options. CONCLUSION: After being reduced/discontinued from OPRs, HIV-positive patients with a history of substance use reported experimenting with a range of pain management modalities including nonpharmacological therapies and illicit substance use to manage symptoms of opioid withdrawal and pain. Providers should consider that any change to a patients' long-term opioid therapy may result in experimentation with pain management outside of the medical setting and may want to employ patient-centered, holistic approaches when managing patients' opioid prescriptions and chronic pain.


Assuntos
Analgésicos Opioides/uso terapêutico , Infecções por HIV/tratamento farmacológico , Transtornos Relacionados ao Uso de Opioides/tratamento farmacológico , Dor/tratamento farmacológico , Acupuntura , Analgésicos Opioides/efeitos adversos , Prescrições de Medicamentos , Feminino , Infecções por HIV/patologia , Infecções por HIV/virologia , Heroína/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Relacionados ao Uso de Opioides/patologia , Transtornos Relacionados ao Uso de Opioides/virologia , Dor/patologia , Dor/virologia , Manejo da Dor , São Francisco/epidemiologia , Pessoas Transgênero
10.
Br Dent J ; 228(6): 396, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32221419
11.
Zhongguo Zhen Jiu ; 40(2): 203-5, 2020 Feb 12.
Artigo em Chinês | MEDLINE | ID: mdl-32100509

RESUMO

Through collecting the 30-year medical experience of professor WANG Fu-chun, the methods of acupuncture manipulation practice were summarized so as to provide the reference for the medical staffs in acupuncture teaching and clinical work. Professor WANG proposes four key elements of acupuncture manipulation practice, i.e. the style of needling practice, the consciousness of needling practice, the strength of needling practice and qi of needling practice. Acupuncture manipulation is a highly operational clinical skill. The knowledge learning from the experience of the instructors is the important way to improve acupuncture techniques. Besides, beginners need to improve their techniques through learning the theories, a large amount of exercises as well as the self-perception.


Assuntos
Terapia por Acupuntura , Acupuntura/educação , Pontos de Acupuntura , Competência Clínica , Humanos , Medicina Tradicional Chinesa , Qi
12.
Zhongguo Zhen Jiu ; 40(2): 221-5, 2020 Feb 12.
Artigo em Chinês | MEDLINE | ID: mdl-32100513

RESUMO

In order to explore the culture factors of the construction of acupuncture theory of DOU Han-qing, the medical master of the Jin and Yuan Dynasty, the authors studied the relationship between DOU Han-qing and Taoist by collecting DOU 's life material. With manual retrieval, some ancient historical literature was obtained. Additionally, Yijing Huiyuan: Zhenjiu Yuanshu: Dou Taishi Michuan Mihua Zhenjing Qiongyao Baojian, written by WU Jia-yan in the Ming Dynasty, collected in Japan, was analyzed. It was found that DOU Han-qing's acupuncture and moxibustion was influenced by Suwen Wangpian: Cifalun, the Taoism medicine of the early stage of the Song Dynasty, as well as by Jiaojing Baxue, passed on by SONG Zi-hua, the hermit. DOU Han-qing had been in contact with FAN Zhi-ying of the Taoist, but there was no clear record relevant with medicine. Dou Taishi Michuan Mihua Zhenjing Qiongyao Baojian may be the compilation by Taoism medical master, on the base DOU 's acupuncture and moxibustion. There is a kind of mutual influence and mutual promotion relationship between DOU Han-qing and Taoist.


Assuntos
Terapia por Acupuntura , Acupuntura/história , Moxibustão , China , História Medieval , Humanos , Medicina Tradicional Chinesa
13.
Lancet Gastroenterol Hepatol ; 5(3): 316-328, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31859185

RESUMO

This Review summarises recent pharmacological and upcoming alternative interventions for children with functional abdominal pain disorders (FAPDs). Pharmacological targets include prokinetics and drugs affecting gastric accommodation to treat postprandial distress and nausea. Similarly, anti-inflammatory agents, junctional protein regulators, analgesics, secretagogues, and serotonin antagonists have a therapeutic role for irritable bowel syndrome. Non-pharmacological treatments include peripheral electrical nerve field stimulation to the external ear, gastric electrical stimulation, dietary interventions such as low fructose and fibre based diets, and nutraceuticals, which include probiotics, prebiotics, and synbiotics. Newer psychological advances such as exposure-based cognitive behavioural therapy, acceptance and commitment therapy, and mindfulness meditation are being investigated for paediatric functional pain. Lastly, alternative therapies such as acupuncture, moxibustion, yoga, and spinal manipulation are also gaining popularity in the treatment of FAPDs.


Assuntos
Dor Abdominal/tratamento farmacológico , Síndrome do Intestino Irritável/tratamento farmacológico , Náusea/tratamento farmacológico , Período Pós-Prandial/efeitos dos fármacos , Dor Abdominal/fisiopatologia , Dor Abdominal/terapia , Terapia de Aceitação e Compromisso/métodos , Acupuntura/métodos , Adolescente , Analgésicos/uso terapêutico , Anti-Inflamatórios/uso terapêutico , Criança , Pré-Escolar , Terapia Cognitivo-Comportamental/métodos , Dietoterapia/métodos , Suplementos Nutricionais/estatística & dados numéricos , Estimulação Elétrica/métodos , Feminino , Humanos , Masculino , Manipulação da Coluna/métodos , Atenção Plena/métodos , Moxibustão/métodos , Prebióticos/estatística & dados numéricos , Probióticos/uso terapêutico , Angústia Psicológica , Secretagogos/uso terapêutico , Antagonistas da Serotonina/uso terapêutico , Simbióticos/administração & dosagem , Resultado do Tratamento , Ioga , Adulto Jovem
14.
Brasília; Ministério da Saúde; 2020. 14 p. (Informe sobre evidências clínicas das Práticas Integrativas e Complementares em Saúde, 2020, 01).
Monografia em Português | LILACS, MOSAICO - Saúde integrativa | ID: biblio-1103488

RESUMO

As Práticas Integrativas e Complementares em Saúde (PICS), denominadas como Medicinas Tradicionais, Complementares e Integrativas (MTCI) pela Organização Mundial de Saúde (OMS), foram instituídas por meio da Política Nacional de Práticas Integrativas e Complementares no SUS (PNPIC), em maio de 2006. Estas práticas são transversais em suas ações no Sistema Único de Saúde (SUS) e estão presentes em todos os pontos da Rede de Atenção à Saúde (RAS), prioritariamente na Atenção Primária à Saúde (APS), com grande potencial de atuação em rede. As PICS são ferramentas terapêuticas potentes quando aliadas ao tratamento complementar de diversas condições crônicas. Além disso, são abordagens que ampliam o olhar dos profissionais sobre o processo saúde e doença e sobre as ofertas terapêuticas de cuidado à população. Nesse contexto, as PICS são importantes aliadas, contribuindo para a promoção, prevenção e reabilitação da saúde e manejo clínico das doenças crônicas, potencializando o projeto terapêutico singular por meio de seus benefícios. Considerando a necessidade de ampliar a resolutividade do cuidado a partir de práticas seguras, eficazes e socialmente sustentáveis, este documento tem por objetivo divulgar as evidências científicas no campo das PICS de forma a apoiar os gestores na tomada de decisão, para as condições de obesidade e diabetes mellitus. Neste contexto, evidências científicas de alto grau metodológico apontam que as PICS possuem eficácia no tratamento de indivíduos com DM. A prática do yoga auxilia na melhora dos resultados glicêmicos e de outros fatores de risco da DM. A meditação tem efeito indireto sobre a redução da hemoglobina glicada (HbA1c), além de melhorar os efeitos psicológicos que perpassam as várias condições crônicas de saúde, incluindo a DM.


Assuntos
Humanos , Terapias Complementares , Terapias Mente-Corpo , Diabetes Mellitus/prevenção & controle , Obesidade/prevenção & controle , Obesidade/terapia , Ioga , Meditação , Tai Ji , Acupuntura , Diabetes Mellitus/terapia , Manejo da Obesidade , Medicina Tradicional Chinesa
15.
Brasília; Fiocruz Brasília Instituto de Saúde; maio 2020. 62-62 p. ilus.
Não convencional em Português | Sec. Est. Saúde SP, SESSP-ISPROD, Sec. Est. Saúde SP, SESSP-ISACERVO | ID: biblio-1102626

RESUMO

Resumo Executivo Tecnologia A acupuntura se caracteriza pela estimulação de pontos cutâneos específicos por meio do uso de agulhas. A auriculoterapia consiste na estimulação mecânica de pontos específicos do pavilhão auricular com esferas de aço, ouro, prata, plástico, agulhas ou sementes de mostarda. Indicação A acupuntura é recomendada para promoção, manutenção e recuperação da saúde, bem como prevenção de agravos e doenças. Além disso, parece propiciar a liberação de neurotransmissores e outras substâncias responsáveis pela promoção da analgesia. A auriculoterapia promove a regulação psíquico-orgânica do indivíduo. Ambas as práticas foram incorporadas no SUS mediante Portaria no 971, de 03 de maio de 2006. Pergunta Qual a eficácia/efetividade e a segurança da acupuntura e da auriculoterapia para o tratamento da hipertensão arterial sistêmica (HAS) em adultos e/ou idosos? Métodos As buscas foram realizadas em cinco base de dados sem restrição de ano de publicação. Foram incluídas revisões sistemáticas em inglês, português e espanhol que avaliaram os efeitos de ambas tecnologias no tratamento da HAS na população adulta e idosa. A avaliação da qualidade metodológica foi realizada por meio do AMSTAR 2, feita por uma profissional e revisada por outra. Nesta revisão rápida, produzida em dez dias, foram utilizados atalhos metodológicos, de maneira que apenas o processo de seleção foi realizado em duplicidade e de forma independente e a avaliação foi realizada por uma pesquisadora e revisada por outra. Resultados Dos 279 relatos encontrados nas bases, foram incluídas onze revisões sistemáticas que atenderam aos critérios de elegibilidade, sendo nove com metanálise. A avaliação da qualidade indica que uma revisão é de alta qualidade metodológica, sete de baixa qualidade e três de qualidade criticamente baixa. Todas as revisões apresentaram resultados sobre o uso de acupuntura no tratamento de hipertensão, mas houve poucos resultados sobre auriculoterapia. O uso da acupuntura, da eletroacupuntura e da associação de acupuntura com anti-hipertensivos ou com mudanças no estilo de vida mostraram efeito na redução e controle das pressões arteriais sistólica e diastólica em pacientes hipertensos. Uma revisão abordou o uso da auriculoterapia, observando resultados benéficos na redução e controle das pressões arteriais sistólica e diastólica. Foram encontrados eventos adversos leves e graves com a prática de acupuntura. Conclusão A acupuntura foi a tecnologia avaliada em todas as revisões selecionadas e mostrou resultados favoráveis na redução da pressão arterial, particularmente sistólica. No entanto, há divergências entre alguns estudos e a heterogeneidade entre eles é elevada, comprometendo dos resultados da maioria das meta-análises apresentadas. Além disso, estas evidências devem ser vistas com cautela, uma vez que a confiança nos resultados da maioria das revisões foi considerada baixa ou criticamente baixa na avaliação da qualidade metodológica. Embora, poucos estudos tenham relatado eventos adversos, houve casos de eventos graves que precisam ser considerados.


Assuntos
Idoso , Acupuntura , Auriculoterapia , Hipertensão
16.
Brasília; Fiocruz Brasília Instituto de Saúde; maio 2020. 73-73 p. ilus.
Não convencional em Português | Sec. Est. Saúde SP, SESSP-ISPROD, Sec. Est. Saúde SP, SESSP-ISACERVO | ID: biblio-1102625

RESUMO

Resumo Executivo Tecnologia A acupuntura se caracteriza pela estimulação de pontos cutâneos específicos por meio do uso de agulhas. A auriculoterapia consiste na estimulação mecânica de pontos específicos do pavilhão auricular com esferas de aço, ouro, prata, plástico, agulhas ou sementes de mostarda. Indicação A acupuntura é recomendada para promoção, manutenção e recuperação da saúde, bem como prevenção de agravos e doenças. Além disso, parece propiciar a liberação de neurotransmissores e outras substâncias responsáveis pela promoção da analgesia. A auriculoterapia promove a regulação psíquico-orgânica do indivíduo. Ambas as práticas foram incorporadas no SUS mediante Portaria no 971, de 03 de maio de 2006. Pergunta Qual a eficácia/efetividade e a segurança da acupuntura e da auriculoterapia para o tratamento da obesidade em adultos e/ou idosos? Métodos As buscas foram realizadas em sete bases de dados, sem restrição de ano de publicação. Foram incluídas revisões sistemáticas em inglês, português e espanhol que avaliaram os efeitos de ambas as tecnologias no tratamento da obesidade na população adulta e idosa. A avaliação da qualidade metodológica foi realizada por meio do AMSTAR 2. Nesta revisão rápida, produzida em nove dias, foram utilizados atalhos metodológicos, de maneira que apenas o processo de seleção dos artigos foi realizado em duplicidade e de forma independente. Resultados Dos 179 relatos identificados nas bases, foram incluídas 12 revisões sistemáticas, sendo apenas uma sem metanálise. A avaliação da qualidade indica que quatro revisões foram de baixa confiança e oito revisões de confiança criticamente baixa. Os relatos destas revisões apresentaram resultados positivos dessas tecnologias na redução de gordura corporal, de circunferências de cintura e de quadril, e da diminuição da relação cintura-quadril, melhora da obesidade, remissão da obesidade e redução da gravidade da obesidade. Contudo, os resultados são conflitantes quanto aos efeitos de acupuntura e auriculoterapia, combinadas ou não com outras intervenções, no controle de peso corporal e redução de IMC (Índice de Massa Corporal). Foram informados eventos adversos leves com as terapias de acupuntura. O foco desta revisão rápida foi a obesidade, no entanto algumas revisões apresentaram metanálises agrupando resultados para obesidade e sobrepeso. Conclusão A acupuntura, a auriculoterapia e a acupressão foram consideradas benéficas no tratamento da obesidade e sobrepeso, principalmente em reduzir gordura corporal e circunferências de cintura e quadril. Porém os achados devem ser vistos com cautela, em razão da confiança nos resultados das revisões sistemáticas terem sido avaliadas como baixas ou criticamente baixas.


Assuntos
Idoso , Acupressão , Acupuntura , Auriculoterapia , Obesidade
18.
J Acupunct Meridian Stud ; 13(1): 25-32, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31877377

RESUMO

This study investigates whether visual deprivation influences participants' accuracy in differentiating between real and sham acupuncture needles. It also evaluates the relative contributions of tactile, visual, and auditory cues that participants use in their decision-making processes. In addition, a simple sensory decision-making model for research using acupuncture sham devices as comparative controls is proposed. Forty healthy individuals underwent two conditions (blindfolded and sighted) in random sequence. Four sham and four real needles were randomly applied to the participants' lower limb acupoints (ST32 to ST39). Participants responded which needle type was applied. Participants then verbally answered a questionnaire on which sensory cues influenced their decision-making. The proportion of correct judgments, P(C), was calculated to indicate the participants' accuracy in distinguishing between the needle types. Visual deprivation did not significantly influence the participants' discrimination accuracy. Tactile cues were the dominant sensory modality used in decision-making, followed by visual and auditory cues. Sharp and blunt sensations were associated with the real and sham needles, respectively, for both conditions. This study confirmed that tactile cues were the main sensory modalities used in participant decision-making during acupuncture administration. Also, short-term blindfolding of participants during procedures will unlikely influence blinding effectiveness. CLINICAL TRIAL REGISTRATION NUMBER: Not applicable. This study does not fall under the definition of a clinical trial under the ICMJE guidelines.


Assuntos
Terapia por Acupuntura/métodos , Acupuntura , Pontos de Acupuntura , Terapia por Acupuntura/instrumentação , Adulto , Feminino , Humanos , Masculino , Agulhas , Adulto Jovem
19.
PLoS One ; 14(12): e0226304, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31826009

RESUMO

BACKGROUND: Recently, porous acupuncture (PA), which is anodized to increase its surface area for higher stimulation intensity, was developed and showed significantly improved therapeutic effects with more comfort as compared with original acupuncture (OA) in vivo. However, the impact of PA on the change of local blood flow as well as its efficacy and acceptability has not yet been confirmed in a clinical trial. In a randomized, controlled crossover clinical trial, we investigated the effects of PA on the change in local blood flow using laser Doppler perfusion imaging and considered the sensation of pain intensity and discomfort severity using a visual analogue scale (VAS) to explore its physiological impact and the possibility of PA in clinical use. METHODS: Twenty-one healthy participants were randomly treated with PA or OA on one side of Zusanli (ST36) and each participant served as his or her own control. Baseline local blood flow and galvanic skin response (GSR) were obtained for 5 min and acupuncture interventions were subsequently performed. Next, local blood flow and GSR were subsequently obtained for 10 min after insertion, 10 min after manipulation, and 5 min after the withdrawal of acupuncture. At the end of the experiment, participants were asked to indicate the sensation of pain intensity at each session of insertion, retention, manipulation, and withdrawal as well as the overall pain intensity and discomfort severity. RESULTS: PA significantly increased the local blood flow as compared with OA and there was no significant difference in GSR between patients treated with PA versus OA in each phase of insertion and manipulation. No significant difference in pain intensity or discomfort severity was found during manipulation, retention, or withdrawal of acupuncture. CONCLUSIONS: These results indicate that PA increases local blood flow, which can be closely related to the observed enhanced performance, without any associated discomfort or pain, suggesting its applicability in clinical practice.


Assuntos
Acupuntura/métodos , Nanoporos , Pele/diagnóstico por imagem , Adolescente , Adulto , Feminino , Resposta Galvânica da Pele , Voluntários Saudáveis , Humanos , Masculino , Pessoa de Meia-Idade , Dor/patologia , Medição da Dor , Imagem de Perfusão/métodos , Fluxo Sanguíneo Regional , Índice de Gravidade de Doença , Pele/irrigação sanguínea , Adulto Jovem
20.
Zhongguo Zhen Jiu ; 39(11): 1217-21, 2019 Nov 12.
Artigo em Chinês | MEDLINE | ID: mdl-31724360

RESUMO

The clinical experience of professor ZUO Chang-bo in treatment of dysmenorrhea with "three-regulation and one-harmonization" therapy of acupuncture was introduced. Professor ZUO Chang-bo invented a needling technique for "three-regulation and one-harmonization", meaning qi regulation, blood regulation and regulation of meridian tendon region as well as the spirit (shen) harmonization. In qi regulation, the extreme fine needles are used to regulate qi movement of the whole function with the coordination of respiration and the corresponding acupoint prescriptions. In blood regulation, the special small bleeding device is selected and the bloodletting theory is improved for bloodletting at the specific stagnant site. In the regulation of meridian tendon region, a special sterile injection needle is chosen to release the cord-like mass. The spirit harmonization is exerted in combination with qi regulation. During acupuncture, the spirit of both the clinical practitioner and the patient should be in a harmonized spirit condition, coordinated with respiration regulation. In the treatment with acupuncture therapy of "three-regulation and one-harmonization" for dysmenorrhea, bloodletting therapy is used firstly to remove stasis, secondly, the "releasing cord-like mass" technique is followed to regulate meridian tendon region, finally, the fine needling technique is adopted to regulate qi and harmonize spirit. The clinical effect is definite in clinical practice.


Assuntos
Terapia por Acupuntura , Acupuntura , Meridianos , Pontos de Acupuntura , Dismenorreia/terapia , Feminino , Humanos , Resultado do Tratamento
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA