Objective To evaluate the safety of thread embedding acupuncture therapy(TEAT)and discuss the prevention and treatment of some adverse events(AEs).Methods Review of databases,including China National Knowledge Infrast...Objective To evaluate the safety of thread embedding acupuncture therapy(TEAT)and discuss the prevention and treatment of some adverse events(AEs).Methods Review of databases,including China National Knowledge Infrastructure(CNKI),CBMdisc,Wanfang,VIP databases and English literature published in PubMed,MEDLINE,EMBASE and Web of Science,were searched from their inception to January 2020,randomized controlled trials(RCTs)and case reports in which AEs with TEAT were included.Cochrane Collaboration’s tool and RevMan V.5.3.3 software were used to evaluate the quality of the studies.Results A total of 61 studies(45 RCTs and 16 case reports)with 620 cases of AEs were included in this review.These studies were published in two countries:China and South Korea.Twenty eight kinds of AEs were summarized.The most common AEs were induration,bleeding and ecchymosis,redness and swelling,fever,and pain.They were accounted for 75.35%(425/564)in the review,and most of them were mild.The rarest AEs were epilepsy,irregular menstruation,skin ulcer,thread malabsorption,and fat liquefaction,with 1 case each.But not all of them had clear causal relationship with TEAT.Most of the AEs were local reactions[with incidence of 9.83%(480/4,882)]and systemic reactions accounted for only 1.27%(62/4,882).Although the included studies showed that AEs were very commonly encountered(11.09%),only 5 cases of severe AEs reported from 2013 to 2017(0.1%)by using catgut thread,which are rarely seen nowdays with the wide use of new absorbable surgical suture.All of the severe AEs were recovered after symptomatic treatment with no sequelae.Conclusions The evidence showed that TEAT is a relatively safe and convenient therapy especially since application of new absorbable surgical suture.Improving practitioner skills,regulating operations,and paying attention to the patients’conditions may reduce the incidence of AEs and improve safety of TEAT.展开更多
Objective To observe the clinical efficacy of threadembedding at the combined lower he-sea and front-mu points for functional constipation with intestinal excess heat.Methods A total of 80 patients with functional con...Objective To observe the clinical efficacy of threadembedding at the combined lower he-sea and front-mu points for functional constipation with intestinal excess heat.Methods A total of 80 patients with functional constipation of intestinal excess heat were randomly divided into a thread-embedding group(40 cases,2 cases dropped out)and a Chinese patent medication group(40 cases,1 case dropped out).Based on the theory of combined lower he-sea and front-mu points for diseases of fu organs,Zhongwan(CV12),Guanyuan(CV4)and bilateral Zusanli(ST36),Shangjuxu(ST37),Tianshu(ST25),Xiajuxu(ST39)were selected and threadembedding therapy was delivered in the thread-embedding group,once a week.Maren Runchang pll was given orally in the Chinese patent medication group,6-12 g each time,twice a day.Both groups were treated for 4 weeks.Before and after treatment,the scores of constipation assessment scale(CAS),Bristol stool form scale(BSFS),patient-assessment of constipation quality of life(PAC-QOL)and TCM syndrome were observed,and the clinical efficacy was evaluated after treatment in the two groups.Results After treatment,the CAS scores and the TCM syndrome scores were decreased compared with those before treatment(P<0.05),while the BSFS scores were increased compared with those before treatment(P<0.05)in the two groups;the total scores,as well as the physical discomfort and psychosocial discomfort scores of PAC-QOL were decreased compared with those before treatment(P<0.05)in the two groups,the worry and anxiety,and the satisfaction scores of PAC-QOL were decreased compared with those before treatment(P<0.05)in the thread-embedding group.After treatment,the CAS score,the total score and item-scores of PAC-QOL,as well as the TCM syndrome score in the thread-embedding groupwere lower than those in the Chinese patent medication group(P<0.05).The total effective rate was 78.9%(30/38)in the thread-embedding group,which was higher than 56.4%(22/39)in the Chinese patent medication group(P<0.05).Conclusion Thread-embedding at the combined lower he-sea and front-mu points can effectively treat functional constipation with intestinal excess heat and improve quality of life.展开更多
Objective: to compare the therapeutic effects of the acupuncture therapy with the acupuncture therapy in the treatment of shoulder and neck myofascial pain syndrome, aiming at improving the clinical pain and providing...Objective: to compare the therapeutic effects of the acupuncture therapy with the acupuncture therapy in the treatment of shoulder and neck myofascial pain syndrome, aiming at improving the clinical pain and providing a new strategy for the treatment. Methods: 60 patients with cervical and shoulder MPS admitted from May 2018 to May 2019 were randomly divided into catgut embedding group and conventional acupuncture group, with 30 patients in each group, and the patients were treated with point-of-excitation therapy in combination with the pain site. They were divided into catgut embedding group and acupuncture group. After two courses of treatment, the pain improvement of the patients was compared. Results: after treatment, the PRI of catgut embedding group was (1.98±0.98), the acupuncture group was (2.64±1.23), the PPI of catgut embedding group was (0.75±1.15), the acupuncture group was (0.93±1.43), the VAS of catgut embedding group was (2.11±1.67), and the acupuncture group was (3.89±1.21). It can be seen from the above indicators that the improvement of the two groups of patients was better in catgut embedding group, with significant difference. It has statistical significance. Conclusion: embedding method and acupuncture method have good therapeutic effect on neck and shoulder MPS, and there is no significant statistical difference in clinical therapeutic effect between the two methods. However, embedding method has fewer times of treatment and faster operation, which is worthy of clinical promotion.展开更多
[Objective]To retrospectively analyze the clinical efficacy and safety of acupoint catgut embedding therapy in treating overweight/obesity.[Methods]A total of 48 overweight/obese patients were treated with acupoint ca...[Objective]To retrospectively analyze the clinical efficacy and safety of acupoint catgut embedding therapy in treating overweight/obesity.[Methods]A total of 48 overweight/obese patients were treated with acupoint catgut embedding.Changes in body weight and body mass index(BMI)before and after treatment were observed,and intraoperative/postoperative adverse reactions were recorded.[Results]Both the effective rate and marked effectiveness of the acupoint catgut em-bedding therapy rate were favorable.[Conclusion]Acupoint catgut embedding therapy is safe and effective for treating overweight/obesity.展开更多
Objective:To observe the therapeutic efficacy of point catgut-embedding therapy combined with cupping therapy in treating simple obesity due to stomach heat and dampness obstruction,as well as its effects on Chinese m...Objective:To observe the therapeutic efficacy of point catgut-embedding therapy combined with cupping therapy in treating simple obesity due to stomach heat and dampness obstruction,as well as its effects on Chinese medicine symptoms,obesity indicators,and blood lipid parameters.Methods:A total of 135 cases with simple obesity due to stomach heat and dampness obstruction were allocated into an embedding group,a cupping group,and a combined group using the random number table method,with 45 cases in each group.The embedding group received point catgut-embedding therapy alone,the cupping group was treated with cupping therapy alone,while the combined group underwent both embedding therapy and cupping therapy.The same points were used in the three groups.The treatment was performed once daily,and consecutive 28-day treatment was taken as 1 treatment course.The therapeutic efficacy was evaluated,and the changes in the traditional Chinese medicine(TCM)symptom score,obesity indicators[body mass(BM),body mass index(BMI),body fat percentage(BFP),waist circumference,and waist-to-hip ratio],and blood lipid parameters[triglyceride(TG)and total cholesterol(TC)]were observed after 3 consecutive courses.Results:After 3-course treatment,the total effective rate in the combined group was 93.3%,higher than 82.2%in the embedding group and 73.3%in the cupping group(P<0.05),and the total effective rate of the embedding group was higher than that of the cupping group(P<0.05).Compared to those before treatment,the TCM symptom score,obesity indicators,and blood lipid parameters reduced significantly in the three groups(P<0.05 or P<0.01),and indicators in the combined group were lower than those in the other two groups(P<0.05).Conclusion:The synergistic application of point catgut-embedding therapy and cupping therapy can improve TCM symptoms,obesity-related indicators,and blood lipid parameters of patients with simple obesity due to stomach heat and dampness obstruction;compared to the use of either point catgut-embedding therapy or cupping therapy alone,the combined application of the two therapies shows a more significant therapeutic effect.展开更多
Objective:Observe the advantages and characteristics of Acupuncture therapy and Point Thread Embedding therapy in the treatment of simple obesity and to select the superior treatment schemes.Methods:on the basis of sy...Objective:Observe the advantages and characteristics of Acupuncture therapy and Point Thread Embedding therapy in the treatment of simple obesity and to select the superior treatment schemes.Methods:on the basis of syndrome differentiation,acupuncture and Point Thread Embedding therapy were adopted respectively for 3 courses of treatment.Observe the changes of body weight and abdomen/waist/hip circumference in different stages of treatment and evaluate the curative effect.Results:Both acupuncture and Point Thread Embedding could lessen the weight and the abdomen/waist/hip circumference of simple obesity.Acupuncture and Point Thread Embedding can not only reduce body weight,but also improve clinical symptoms of simple obesity.The effect rate of clinical symptoms is better than that of weight(P<0.05);The efficiency of Point Thread Embedding group is better than that of Acupuncture group(P<0.05).There was no significant weight loss from the second course of treatment especially in acupuncture group(P>0.05).Conclusion:Acupuncture and Point Thread Embedding in the treatment of simple obesity focus more on the adjustment of body shape and constitution of obese patients;Compare with acupuncture treatment,point thread embedding group had a slower onset time and a longer duration of curative effect while acupuncture group had a faster onset time but a shorter duration.When the body weight is reduced to 5kg,the plateau stage occurs.Point Thread Embedding therapy is easier to be popularized and applied in clinic Because of its convenient and stable therapeutic effect.展开更多
Objective： To observe the clinical effect of thread-embedding therapy in treating insomnia due to heart-spleen deficiency. Methods： Sixty patients were randomized into an acupuncture group and a thread-embedding gro...Objective： To observe the clinical effect of thread-embedding therapy in treating insomnia due to heart-spleen deficiency. Methods： Sixty patients were randomized into an acupuncture group and a thread-embedding group, 30 in each. The acupuncture group was managed by acupuncture therapy, and the thread-embedding group was treated by thread-embedding therapy. Pittsburgh Sleep Quality Index （PSQI） was adopted for evaluation before and after treatments. Results： The total effective rate was 86.7% in the acupuncture group versus 96.7% in the thread-embedding group. After treatment, the PSQI scores were significantly different from those before treatment in both groups （P〈0.01）; the scores in both two groups were mai＇kedly different from each other after treatment （P〈0.01）. Conclusion： Both acupuncture and thread-embedding therapies can effectively improve sleep quality of the patients, while thread-embedding therapy is comparatively less time-consuming, more convenient and with longer stimulation.展开更多
Rheumatoid arthritis(RA) is a chronic systemic autoimmune disease characterized by arthrosynovitis.The recurrent attacks of synovitis may lead to destruction of articular cartilages and bones,and dysfunction of joints...Rheumatoid arthritis(RA) is a chronic systemic autoimmune disease characterized by arthrosynovitis.The recurrent attacks of synovitis may lead to destruction of articular cartilages and bones,and dysfunction of joints.The symptoms are often symmetrical,affecting the small joints such as the interphalangeal joints,wrists,and the metatarsophalangeal joints.The large joints including elbow,shoulder,ankle,and knee may also be involved in severe cases.展开更多
Dysmenorrhea refers to periodic lower abdominal pain occurring during or around menstruation. It often happens before or during period, occasionally after period, and manifests lower abdominal pain, crampy or distendi...Dysmenorrhea refers to periodic lower abdominal pain occurring during or around menstruation. It often happens before or during period, occasionally after period, and manifests lower abdominal pain, crampy or distending, which may radiate to lumbosacral region, inner thigh and perianal region. Co-occurring symptoms may include pale complexion, nausea, vomiting, diarrhea, and aversion to cold in the whole body or concentrated in lower abdomen. Severe pain can cause prostration or even fainting. Menstrual pain commonly lasts for several hours or 1-2 d, and relieves when menstrual blood flows smoothly.展开更多
Instead of filiform needles, micro-invasive thread-embedding therapy treats diseases by burying biomaterials into acupoints to produce a long-time stimulation. It not only achieves a long- term acupoint stimulation, b...Instead of filiform needles, micro-invasive thread-embedding therapy treats diseases by burying biomaterials into acupoints to produce a long-time stimulation. It not only achieves a long- term acupoint stimulation, but also reduces the visiting frequencies and pain of patients^[1]. The method of micro-invasive thread-embedding therapy is now introduced as follows.展开更多
Thirty-four cases of hyperlipidemia were treated by embedding No.0 catgut in 2cm length into bilateral Zusanli(ST 36)and Jiaji(Ex-B 2)of the tenth thoracic vertebra and were compared with 30 cases treated by oral admi...Thirty-four cases of hyperlipidemia were treated by embedding No.0 catgut in 2cm length into bilateral Zusanli(ST 36)and Jiaji(Ex-B 2)of the tenth thoracic vertebra and were compared with 30 cases treated by oral administration of Pravastatin.After two months,the acupoint catgut-embedding method had the same effect as Pravastatin in reducing total serum cholesterol,and had a better effect in reducing triglyceride.展开更多
基金the National Natural Science Foundation of China(Nos.81574064 and 81473755)Shenzhen Science and Technology Planning Project(No.JCYJ20170306152650625)Shenzhen Bao'an Traditional Chinese Medicine Hospital Research Program(No.BAZYY20200609)。
文摘Objective To evaluate the safety of thread embedding acupuncture therapy(TEAT)and discuss the prevention and treatment of some adverse events(AEs).Methods Review of databases,including China National Knowledge Infrastructure(CNKI),CBMdisc,Wanfang,VIP databases and English literature published in PubMed,MEDLINE,EMBASE and Web of Science,were searched from their inception to January 2020,randomized controlled trials(RCTs)and case reports in which AEs with TEAT were included.Cochrane Collaboration’s tool and RevMan V.5.3.3 software were used to evaluate the quality of the studies.Results A total of 61 studies(45 RCTs and 16 case reports)with 620 cases of AEs were included in this review.These studies were published in two countries:China and South Korea.Twenty eight kinds of AEs were summarized.The most common AEs were induration,bleeding and ecchymosis,redness and swelling,fever,and pain.They were accounted for 75.35%(425/564)in the review,and most of them were mild.The rarest AEs were epilepsy,irregular menstruation,skin ulcer,thread malabsorption,and fat liquefaction,with 1 case each.But not all of them had clear causal relationship with TEAT.Most of the AEs were local reactions[with incidence of 9.83%(480/4,882)]and systemic reactions accounted for only 1.27%(62/4,882).Although the included studies showed that AEs were very commonly encountered(11.09%),only 5 cases of severe AEs reported from 2013 to 2017(0.1%)by using catgut thread,which are rarely seen nowdays with the wide use of new absorbable surgical suture.All of the severe AEs were recovered after symptomatic treatment with no sequelae.Conclusions The evidence showed that TEAT is a relatively safe and convenient therapy especially since application of new absorbable surgical suture.Improving practitioner skills,regulating operations,and paying attention to the patients’conditions may reduce the incidence of AEs and improve safety of TEAT.
文摘Objective To observe the clinical efficacy of threadembedding at the combined lower he-sea and front-mu points for functional constipation with intestinal excess heat.Methods A total of 80 patients with functional constipation of intestinal excess heat were randomly divided into a thread-embedding group(40 cases,2 cases dropped out)and a Chinese patent medication group(40 cases,1 case dropped out).Based on the theory of combined lower he-sea and front-mu points for diseases of fu organs,Zhongwan(CV12),Guanyuan(CV4)and bilateral Zusanli(ST36),Shangjuxu(ST37),Tianshu(ST25),Xiajuxu(ST39)were selected and threadembedding therapy was delivered in the thread-embedding group,once a week.Maren Runchang pll was given orally in the Chinese patent medication group,6-12 g each time,twice a day.Both groups were treated for 4 weeks.Before and after treatment,the scores of constipation assessment scale(CAS),Bristol stool form scale(BSFS),patient-assessment of constipation quality of life(PAC-QOL)and TCM syndrome were observed,and the clinical efficacy was evaluated after treatment in the two groups.Results After treatment,the CAS scores and the TCM syndrome scores were decreased compared with those before treatment(P<0.05),while the BSFS scores were increased compared with those before treatment(P<0.05)in the two groups;the total scores,as well as the physical discomfort and psychosocial discomfort scores of PAC-QOL were decreased compared with those before treatment(P<0.05)in the two groups,the worry and anxiety,and the satisfaction scores of PAC-QOL were decreased compared with those before treatment(P<0.05)in the thread-embedding group.After treatment,the CAS score,the total score and item-scores of PAC-QOL,as well as the TCM syndrome score in the thread-embedding groupwere lower than those in the Chinese patent medication group(P<0.05).The total effective rate was 78.9%(30/38)in the thread-embedding group,which was higher than 56.4%(22/39)in the Chinese patent medication group(P<0.05).Conclusion Thread-embedding at the combined lower he-sea and front-mu points can effectively treat functional constipation with intestinal excess heat and improve quality of life.
文摘Objective: to compare the therapeutic effects of the acupuncture therapy with the acupuncture therapy in the treatment of shoulder and neck myofascial pain syndrome, aiming at improving the clinical pain and providing a new strategy for the treatment. Methods: 60 patients with cervical and shoulder MPS admitted from May 2018 to May 2019 were randomly divided into catgut embedding group and conventional acupuncture group, with 30 patients in each group, and the patients were treated with point-of-excitation therapy in combination with the pain site. They were divided into catgut embedding group and acupuncture group. After two courses of treatment, the pain improvement of the patients was compared. Results: after treatment, the PRI of catgut embedding group was (1.98±0.98), the acupuncture group was (2.64±1.23), the PPI of catgut embedding group was (0.75±1.15), the acupuncture group was (0.93±1.43), the VAS of catgut embedding group was (2.11±1.67), and the acupuncture group was (3.89±1.21). It can be seen from the above indicators that the improvement of the two groups of patients was better in catgut embedding group, with significant difference. It has statistical significance. Conclusion: embedding method and acupuncture method have good therapeutic effect on neck and shoulder MPS, and there is no significant statistical difference in clinical therapeutic effect between the two methods. However, embedding method has fewer times of treatment and faster operation, which is worthy of clinical promotion.
文摘[Objective]To retrospectively analyze the clinical efficacy and safety of acupoint catgut embedding therapy in treating overweight/obesity.[Methods]A total of 48 overweight/obese patients were treated with acupoint catgut embedding.Changes in body weight and body mass index(BMI)before and after treatment were observed,and intraoperative/postoperative adverse reactions were recorded.[Results]Both the effective rate and marked effectiveness of the acupoint catgut em-bedding therapy rate were favorable.[Conclusion]Acupoint catgut embedding therapy is safe and effective for treating overweight/obesity.
文摘Objective:To observe the therapeutic efficacy of point catgut-embedding therapy combined with cupping therapy in treating simple obesity due to stomach heat and dampness obstruction,as well as its effects on Chinese medicine symptoms,obesity indicators,and blood lipid parameters.Methods:A total of 135 cases with simple obesity due to stomach heat and dampness obstruction were allocated into an embedding group,a cupping group,and a combined group using the random number table method,with 45 cases in each group.The embedding group received point catgut-embedding therapy alone,the cupping group was treated with cupping therapy alone,while the combined group underwent both embedding therapy and cupping therapy.The same points were used in the three groups.The treatment was performed once daily,and consecutive 28-day treatment was taken as 1 treatment course.The therapeutic efficacy was evaluated,and the changes in the traditional Chinese medicine(TCM)symptom score,obesity indicators[body mass(BM),body mass index(BMI),body fat percentage(BFP),waist circumference,and waist-to-hip ratio],and blood lipid parameters[triglyceride(TG)and total cholesterol(TC)]were observed after 3 consecutive courses.Results:After 3-course treatment,the total effective rate in the combined group was 93.3%,higher than 82.2%in the embedding group and 73.3%in the cupping group(P<0.05),and the total effective rate of the embedding group was higher than that of the cupping group(P<0.05).Compared to those before treatment,the TCM symptom score,obesity indicators,and blood lipid parameters reduced significantly in the three groups(P<0.05 or P<0.01),and indicators in the combined group were lower than those in the other two groups(P<0.05).Conclusion:The synergistic application of point catgut-embedding therapy and cupping therapy can improve TCM symptoms,obesity-related indicators,and blood lipid parameters of patients with simple obesity due to stomach heat and dampness obstruction;compared to the use of either point catgut-embedding therapy or cupping therapy alone,the combined application of the two therapies shows a more significant therapeutic effect.
基金The project was supported by the Scientific Research Project of Shanxi Administration of Traditional Chinese Medicine(NO.2016ZYYC07)。
文摘Objective:Observe the advantages and characteristics of Acupuncture therapy and Point Thread Embedding therapy in the treatment of simple obesity and to select the superior treatment schemes.Methods:on the basis of syndrome differentiation,acupuncture and Point Thread Embedding therapy were adopted respectively for 3 courses of treatment.Observe the changes of body weight and abdomen/waist/hip circumference in different stages of treatment and evaluate the curative effect.Results:Both acupuncture and Point Thread Embedding could lessen the weight and the abdomen/waist/hip circumference of simple obesity.Acupuncture and Point Thread Embedding can not only reduce body weight,but also improve clinical symptoms of simple obesity.The effect rate of clinical symptoms is better than that of weight(P<0.05);The efficiency of Point Thread Embedding group is better than that of Acupuncture group(P<0.05).There was no significant weight loss from the second course of treatment especially in acupuncture group(P>0.05).Conclusion:Acupuncture and Point Thread Embedding in the treatment of simple obesity focus more on the adjustment of body shape and constitution of obese patients;Compare with acupuncture treatment,point thread embedding group had a slower onset time and a longer duration of curative effect while acupuncture group had a faster onset time but a shorter duration.When the body weight is reduced to 5kg,the plateau stage occurs.Point Thread Embedding therapy is easier to be popularized and applied in clinic Because of its convenient and stable therapeutic effect.
文摘Objective： To observe the clinical effect of thread-embedding therapy in treating insomnia due to heart-spleen deficiency. Methods： Sixty patients were randomized into an acupuncture group and a thread-embedding group, 30 in each. The acupuncture group was managed by acupuncture therapy, and the thread-embedding group was treated by thread-embedding therapy. Pittsburgh Sleep Quality Index （PSQI） was adopted for evaluation before and after treatments. Results： The total effective rate was 86.7% in the acupuncture group versus 96.7% in the thread-embedding group. After treatment, the PSQI scores were significantly different from those before treatment in both groups （P〈0.01）; the scores in both two groups were mai＇kedly different from each other after treatment （P〈0.01）. Conclusion： Both acupuncture and thread-embedding therapies can effectively improve sleep quality of the patients, while thread-embedding therapy is comparatively less time-consuming, more convenient and with longer stimulation.
文摘Rheumatoid arthritis(RA) is a chronic systemic autoimmune disease characterized by arthrosynovitis.The recurrent attacks of synovitis may lead to destruction of articular cartilages and bones,and dysfunction of joints.The symptoms are often symmetrical,affecting the small joints such as the interphalangeal joints,wrists,and the metatarsophalangeal joints.The large joints including elbow,shoulder,ankle,and knee may also be involved in severe cases.
文摘Dysmenorrhea refers to periodic lower abdominal pain occurring during or around menstruation. It often happens before or during period, occasionally after period, and manifests lower abdominal pain, crampy or distending, which may radiate to lumbosacral region, inner thigh and perianal region. Co-occurring symptoms may include pale complexion, nausea, vomiting, diarrhea, and aversion to cold in the whole body or concentrated in lower abdomen. Severe pain can cause prostration or even fainting. Menstrual pain commonly lasts for several hours or 1-2 d, and relieves when menstrual blood flows smoothly.
文摘Instead of filiform needles, micro-invasive thread-embedding therapy treats diseases by burying biomaterials into acupoints to produce a long-time stimulation. It not only achieves a long- term acupoint stimulation, but also reduces the visiting frequencies and pain of patients^[1]. The method of micro-invasive thread-embedding therapy is now introduced as follows.
文摘Thirty-four cases of hyperlipidemia were treated by embedding No.0 catgut in 2cm length into bilateral Zusanli(ST 36)and Jiaji(Ex-B 2)of the tenth thoracic vertebra and were compared with 30 cases treated by oral administration of Pravastatin.After two months,the acupoint catgut-embedding method had the same effect as Pravastatin in reducing total serum cholesterol,and had a better effect in reducing triglyceride.
