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Clinical Study of ShenHa Dingchuan Capsule in Prevention and Treatment of Bronchial Asthma

Ping-Lu WU1,2, Rong-Fang LIU3

Abstract: 

Objective: To investigate the preventive and therapeutic effects of ShenHa Dingchuan capsule (SHDC)on bronchial asthma.
Methods: 280 patients with bronchial asthma were randomly assigned to treatment group (103 cases), control group (92 cases) and routine group(75 cases). Patients in the noral group, treatment group and control group were administered with Fluticasone Propionate/Salmeterol , Fluticasone Propionate/Salmeterol plus SHDC, and Fluticasone Propionate/Salmeterol plus montelukast sodium, respectively. All the medicines were taken by oral way for consecutive 6 months. The clinical control rate of asthma(CCA), pulmonary function changes(PFC) and the number of acute exacerbation of asthma(NAE) were recorded at the end of 3 months, 6 months and 1 year from the start of treatment.
Results: CCA and PFC in the treatment group (A) and control group (B) were higher than in routine group (C), with statistical significance(P<0.05). There was no statistically significant difference between group A and B in CCA and PFC(P> 0.05). The NAE in treatment group was lower than that in control group, with statistical significance(P<0.05).
Conclusion: SHDC capsule is effective for preventing and treating bronchial asthma, with similar effects to montelukast sodium, but less recurrence.

Brief Introduction of Professor Yuan-Sheng TAN’s Theory of “Deficiency, Stasis and Wind” in Treating Hypertension

Shun-Min WANG  a, b Lu-Jun TANG a Qian ZHOU a Duo-Mei LU a Wu-Lei DUAN a Cheng CHEN a Lu HUANGb Yuan-Sheng TAN a, b

Abstract: 

This paper introduces Professor Yuan-Sheng TAN’s view to treat hypertension symptoms of “deficiency, stasis and wind” from the aspects of theory, therapy, prescription and herbs. Before introducing the sub-theses of “deficiency, stasis and wind”, it briefly sorts out the discourses of physicians through the ages. protocol.

Review of Systematic Reveiws of Acupuncture and Chiropractic with an Emphasis on the Combination of the Two Modalities to Treat Chronic Low Back Pain as an Alternatie to NSAIDs

Adrian Isaza

Abstract: 

The author is unaware of case studies, cohort studies, randomized controlled trials, systematic reviews or meta-analysis documenting the combined effect of chiropractic and acupuncture for chronic low back pain. According to a recent official publication of the College of Family Physicians of Canada, Cyclooxygenase-2 (COX-2) inhibitors and traditional NSAIDs except
naproxen increase the risk of serious cardiovascular events and death.
OBJECTIVE: This study evaluated the individual efficacy of chiropractic and acupuncture for chronic low back pain in order to determine whether combining the two modalities can be an alternative to NSAIDS in patients who still have pain after a chiropractic and trunk exercise protocol.
METHODS A search of literature reviews for the treatment of chronic low back using chiropractic, acupuncture and NSAIDS (cox-2 inhibitors and traditional) was made using the Cochrane collaboration software program, review manager (RevMan)(RevMan 2008). A search of literature reviews, systematic reviews and meta-analysis using the PubMed and google scholar database was also performed. A potential pooled effect on pain of chiropractic and acupuncture at 1 and 3 months of treatment was compared to the effect on pain for NSAIDS (cox-2 and traditional) in patients with chronic low back pain. An inclusion and exclusion criteria was performed. Only reviews evaluating studies with low risk of bias was included for chiropractic efficacy in reducing pain at 1 and 3 months of treatment.
RESULTS: After 1 month of treatment, the potential pooled effect on pain for chiropractic (mean difference 2.76) and acupuncture (mean difference 5.88) has a similar effect on pain compared to NSAIDS (8.64/12.2). After 3 months of treatment, the pooled effect on pain for
chiropractic (mean difference 4.55) and acupuncture (mean difference  7.27) has the same effect on pain compared to NSAIDS (11.82/12.2)
CONCLUSION: Based on the individual effects on pain measured by the VAS scale for both chiropractic and acupuncture in patients with chronic low back pain it seems plausible that a combination between the two modalities can serve as an alternative for NSAIDS. Because of the safety burden surrounding NSAIDS, physicians may want to consider chiropractic and acupuncture for nonspecific low back pain in order to reduce pain in patients with chronic low back pain. Studies evaluating the combination of chiropractic adjustments and acupuncture for patients with chronic low back pain are warranted.

DOI: 10.1515/tcm-2016-0001

Acupuncture for Prophylaxis of Intrathecal Morphine Induced Itch in Elective Caesarean Delivery: A Randomized Controlled Double Blind Study

Karthik Ganesh Ramamoorthy FCARCSIa*, Mohammed Ibrahim MRCSb, Nasir Z. Ahmad  FRCS, MMScc, Kevin Bailey FFARCSIb, Paul O’ Connor. FFARCSIb

Abstract: 

Objective: The objective of this prospective randomised double blinded placebo controlled trial was to assess the efficacy of acupuncture for prophylaxis of intrathecal morphine induced pruritis in patients undergoing Elective Caesarean delivery.

Methods: After ethical approval and informed consent parturients scheduled for elective Caesarean section under spinal anaesthesia with intrathecal morphine, were randomised to receive acupuncture (Group 1) or sham acupuncture (Group 2). In Group 1 acupuncture was applied unilaterally at the Quchi acupoint for 30 minutes before initiation of spinal anaesthesia. In Group 2 sham acupuncture was applied at a non – acupoint 2 cm lateral to  Quchi for 30 minute before initiation of spinal anaesthesia. The primary outcome was the incidence of pruritis and the secondary outcomes were severity of pruritis, patient’s satisfaction with anti-pruritic prophylaxis and the need for rescue anti-pruritic medications.   

Results: The results showed statistically significant  differences between acupuncture and sham acupuncture, in favour of acupuncture.  There was significant difference in the incidence of pruritis ( 27 % vs 77%)  and VNRS consistantly at 1 h, 4h, 8h and 24h between the groups.

Conclusion: Acupuncture at Quchi (LI 11) significantly reduces the incidence and severity of pruritis after subarachnoid opioids as a part of prophylactic multimodal approach.

Analyses on Clinical Trials Literature: the Characteristics of Acu-moxa Manipulation for Hyperlipidemia

Mai-Lan LIUa, Shen XIEa, Si-An PANa, Mi LIUa, Xiao-Rong CHANGa*

Abstract: 

Objective: to sort out and analyze on acupuncture-moxibustion (AM) based clinical trials literature for hyperlipidemia(HLP) so that to find out the characteristics of AM, by which the more rational strategy of AM for HLP could be made.

Methods: we searched clinical trial paper on hyperlipidemia by AM in the main English and Chinese databases, included those met the eligibility, and employed the metrologic method to analyze and summarize the AM manipulation features.

Results: (1) A total of 124 articles were included with 128 times of AM methods in this study. (2) AM methods were broadly distributed: 29 articles on mild moxibustion, 24 on manual acupuncture, 21 on electro-acupuncture, 6 on magnetic needle, 6 on herbal pastry-insulated moxibustion (HPIM), 4 on warming needle moxibustion (WNM), 3 on acupoint injection, 2 on laser exposure, 1 on intradermal imbedding needle, and 1 on needle-knife. (3) characteristics of AM: manual acupuncture focuses on the manipulation of reinforcement or reduction by inserting/lifting or twisting in different directions, based on pathopattern differentiation (deficiency or repletion). Electro-acupuncture, which is supposed to have no difference on reinforcement/reduction, mostly choose dilatational wave at a frequency between 2~100Hz, with around 30minutes needle-retainment and 30 sessions for the whole treatment; mild moxibustion takes around 10 minutes for each session on each acupoint;  HPIM usually takes 3 to 5 cones for each session on each acupoint; WNM usually takes 30 minutes for each session, by being administered every day or every other day, for total 30 session.

Conclusion: Currently the major used AM methods for HLP are manual acupuncture, electro-acupuncture and mild moxibustion. By turns they pay more attention on reinforcement/reduction, wave form and frequency, and dosage of moxibustion, respectively.