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Acupuncture in reproductive health: Evaluating its potential as an adjunct therapy 针灸在生殖健康中的应用:评估其作为辅助疗法的潜力
Q4 Medicine Pub Date : 2024-04-01 DOI: 10.1016/j.acu.2024.100296
Eliane Pacheco Engler , Jorge Magalhães Rodrigues
Infertility, defined as the inability to achieve conception through natural means, represents a significant global health issue impacting individuals globally. Traditional Chinese Medicine, particularly acupuncture, has gained attention as a potential complementary therapy for infertility. This review examines the efficacy of acupuncture in treating both female and male infertility, analyzing current systematic evidence and underlying mechanisms.
For female infertility, acupuncture has shown promising results in conditions such as anovulatory infertility, polycystic ovary syndrome, endometriosis, and improving endometrial receptivity. Evidence suggests that acupuncture alone or in combination with conventional treatments can enhance pregnancy rates, ovulation rates, and endometrial thickness, although findings are sometimes inconclusive due to methodological limitations. Acupuncture appears to modulate reproductive hormones, improve ovarian function, and facilitate embryo implantation, offering a valuable therapeutic option for women.
In male infertility, acupuncture has demonstrated potential benefits in enhancing sperm quality, balancing hormones, and reducing testicular damage caused by abnormal hormone levels. Studies indicate that acupuncture may improve sperm motility, concentration, and overall semen quality by regulating endocrine functions and mitigating apoptosis in germ cells. Despite promising outcomes, the quality of existing studies varies, and further research with robust methodologies is necessary.
This review highlights the potential of acupuncture as a safe, non-invasive, and effective adjunctive therapy for infertility. Integrating Traditional Chinese Medicine principles with modern medical practices could lead to more personalized and comprehensive infertility treatments, enhancing patient well-being and reproductive outcomes. Future research should focus on addressing current study limitations and further elucidating acupuncture's mechanisms in infertility treatment.
不孕症是指无法通过自然途径受孕,是影响全球个人健康的重大全球性问题。传统中医,尤其是针灸,作为治疗不孕不育症的一种潜在辅助疗法,受到了广泛关注。对于女性不孕症,针灸在无排卵性不孕症、多囊卵巢综合症、子宫内膜异位症和改善子宫内膜接受能力等方面显示出良好的疗效。有证据表明,针灸单独使用或与常规治疗相结合可提高受孕率、排卵率和子宫内膜厚度,但由于方法的局限性,有时研究结果并不确定。针灸似乎可以调节生殖激素,改善卵巢功能,促进胚胎着床,为妇女提供了一种有价值的治疗选择。对于男性不育症,针灸在提高精子质量、平衡荷尔蒙、减少荷尔蒙水平异常对睾丸造成的损伤方面具有潜在的益处。研究表明,针灸可通过调节内分泌功能和减轻生殖细胞凋亡,提高精子活力、浓度和精液整体质量。本综述强调了针灸作为一种安全、无创、有效的不育症辅助疗法的潜力。将传统中医原理与现代医学实践相结合,可实现更个性化、更全面的不孕不育治疗,提高患者的幸福感和生殖效果。未来的研究应着重解决当前研究的局限性,并进一步阐明针灸治疗不孕症的机制。
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引用次数: 0
Acupuncture in acute COVID-19 treatment: A review of clinical evidence 针灸治疗急性 COVID-19:临床证据综述
Q4 Medicine Pub Date : 2024-04-01 DOI: 10.1016/j.acu.2024.100298
Patrícia Soares Bernardo , Jorge Magalhães Rodrigues

Introduction

By May 5 2023, WHO announced the end of the pandemic due to declining COVID-19 cases and deaths, coupled with high levels of immunity from vaccination and previous infections. However, the virus remains a global health threat with potential for new variants. Acupuncture, a traditional Chinese medicine technique, has shown promise in treating various conditions, including respiratory infections. This review investigates acupuncture's impact on acute COVID-19 infection and its potential as a complementary therapy.

Methodology

A comprehensive literature search was conducted using PubMed, Science Direct, Scielo, and CNKI, focusing on the impact of acupuncture on COVID-19 patients.

Results

The search yielded 35 studies, with five meeting the inclusion criteria. These included two randomized clinical trials and three case reports, all incorporating acupuncture alongside conventional treatments.
Case reports and clinical trials indicated that acupuncture improved symptoms such as shortness of breath, rapid heart rate, and cough in COVID-19 patients. Acupuncture was associated with elevated SpO2 levels, reduced heart rate, and an anti-inflammatory effect. Studies highlighted that acupuncture may activate neuro-immune pathways, leading to modulation of immune responses.
Common acupuncture points used included S 36 Zú sān lǐ, and LI 4 Hé gǔ. Techniques involved inserting needles at specific depths and angles to achieve the Deqi sensation, with treatments lasting 20–30 min per session.

Conclusion

Acupuncture appears to be a valuable complementary therapy for managing acute COVID-19 infection. It enhances clinical outcomes by alleviating symptoms and reducing recovery time. Further research is warranted to fully integrate acupuncture into standard COVID-19 treatment protocols.
导言:到 2023 年 5 月 5 日,由于 COVID-19 病例和死亡人数下降,加上疫苗接种和以往感染的高免疫水平,世卫组织宣布大流行结束。然而,该病毒仍对全球健康构成威胁,并有可能出现新的变种。针灸作为一种传统中医技术,在治疗包括呼吸道感染在内的各种疾病方面已显示出良好的前景。本综述探讨了针灸对 COVID-19 急性感染的影响及其作为辅助疗法的潜力。方法利用 PubMed、Science Direct、Scielo 和 CNKI 进行了全面的文献检索,重点关注针灸对 COVID-19 患者的影响。病例报告和临床试验表明,针灸可改善 COVID-19 患者的气短、心率加快和咳嗽等症状。针灸与 SpO2 水平升高、心率降低和抗炎作用相关。研究强调,针灸可激活神经免疫通路,从而调节免疫反应。常用的穴位包括三十六攒穴(S 36 Zú sān lǐ)和四渎穴(LI 4 Hé gǔ)。针灸的技术包括以特定深度和角度进针,以达到出气的感觉,每次治疗持续 20-30 分钟。针灸可减轻症状,缩短康复时间,从而提高临床疗效。要将针灸完全融入标准的 COVID-19 治疗方案中,还需要进一步的研究。
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引用次数: 0
Acupuncture and its potential in enhancing mental well-being for breast cancer survivors: An evidence-based insight 针灸及其在提高乳腺癌幸存者心理健康方面的潜力:基于证据的见解
Q4 Medicine Pub Date : 2024-04-01 DOI: 10.1016/j.acu.2024.100297
Gisela Cruz , Micaela Fonseca , Raquel Silva , Rodolfo Torres , Jorge Magalhães Rodrigues
Breast cancer survivors often face long-term physical and psychological challenges post-treatment, including anxiety, depression, sleep disturbances, and fatigue. Acupuncture, a traditional Chinese medicine technique, has shown promise in addressing these issues. This paper reviews several studies investigating the effects of acupuncture on the mental health of breast cancer survivors. A 15-year NADA auricular acupuncture service demonstrated improvements in mood, somatic symptoms, anxiety, and sleep problems, with benefits sustained at 4-week and 18-week follow-ups. Another study found auricular acupuncture to be superior to psychoeducation in improving sleep quality, stress, anxiety, and fatigue. Complementary acupuncture treatment significantly improved cancer-related fatigue, depression, and sleep quality. Additionally, electro-acupuncture outperformed gabapentin in improving sleep quality in breast cancer survivors with hot flashes. The reviewed studies employed various acupuncture techniques, including auricular and electro-acupuncture, with differences in treatment duration, frequency, and point selection. Mechanisms underlying acupuncture's effects on mental health remain complex and multifaceted, potentially involving modulation of neurotransmitter levels, neurotrophic factors, and pain pathways. However, the scarcity of high-quality randomized controlled trials and the lack of studies focusing specifically on mental health outcomes among breast cancer survivors highlight the need for further research in this area.
乳腺癌幸存者在治疗后往往面临长期的生理和心理挑战,包括焦虑、抑郁、睡眠障碍和疲劳。针灸作为一种传统的中医疗法,在解决这些问题方面显示出良好的前景。本文回顾了几项调查针灸对乳腺癌幸存者心理健康影响的研究。一项为期 15 年的 NADA 耳穴针灸服务显示,患者的情绪、躯体症状、焦虑和睡眠问题均有所改善,并且在 4 周和 18 周的随访中持续获益。另一项研究发现,在改善睡眠质量、压力、焦虑和疲劳方面,耳针疗法优于心理教育。辅助针灸治疗明显改善了与癌症有关的疲劳、抑郁和睡眠质量。此外,电针在改善患有潮热的乳腺癌幸存者的睡眠质量方面优于加巴喷丁。这些研究采用了不同的针灸技术,包括耳针和电针,在治疗时间、频率和穴位选择上存在差异。针灸对心理健康的影响机制仍然复杂而多面,可能涉及神经递质水平、神经营养因子和疼痛通路的调节。然而,高质量的随机对照试验很少,而且缺乏专门针对乳腺癌幸存者心理健康结果的研究,这凸显了在这一领域开展进一步研究的必要性。
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引用次数: 0
Evidencias de los efectos parasimpáticos y simpáticos de la acupuntura mediante la variabilidad de la frecuencia cardíaca: implicaciones multisistémicas 通过心率变异性证明针灸的副交感神经和交感神经效应:多系统影响
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.acu.2024.100288
Salvador Quiroz-González , Emma López-Espinosa , Zheng Liu , Ruben Fossion

Heart rate variability (HRV) indirectly reflects the activity of the autonomic nervous system (ANS) on cardiac function, which is modified by both internal and external stimuli, reflecting the body's self-regulatory capacity. In this article we describe some general aspects of HRV and its implications for health and disease. Likewise, we show experimental evidence emphasizing that acupuncture under certain conditions increases vagal tone, to cope with the wear and tear generated by stressors, and in other conditions activates the sympathetic response to mobilize resources. We expose HRV as a tool to evaluate the effects of acupuncture on the sympathetic and parasympathetic nervous system, and its implications in other body systems. We propose that a mechanism of action of acupuncture to modulate the digestive, immune, cardiovascular, respiratory, and gynecological systems, including conditions such as stress, fibromyalgia, chronic fatigue, and metabolism, corresponds to the activity it exerts on the sympathetic branch and parasympathetic of the ANS, which can be evidenced by HRV.

心率变异间接反映了自律神经系统(ANS)对心脏功能的影响,它受内部和外部刺激的影响,反映了人体的自我调节能力。在本文中,我们将介绍心率变异的一些一般方面及其对健康和疾病的影响。同样,我们还展示了实验证据,强调针灸在某些情况下会增加迷走神经张力,以应对压力产生的磨损,而在其他情况下则会激活交感神经反应,以调动资源。我们将心率变异作为一种工具,用于评估针灸对交感和副交感神经系统的影响及其对其他身体系统的影响。我们建议,针灸调节消化、免疫、心血管、呼吸和妇科系统(包括压力、纤维肌痛、慢性疲劳和新陈代谢等病症)的作用机制与针灸对 ANS 的交感神经分支和副交感神经的活动相对应,这可以通过心率变异得到证明。
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引用次数: 0
Mecanismos moduladores neuroinmunológicos de la acupuntura en el tratamiento de ortodoncia 针灸在正畸治疗中的神经免疫调节机制
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.acu.2024.100286
Daniel Cuauhtémoc Gómez-Jiménez , Samhara Gisell Escudero-Rodríguez , Ilka Berenice Boscó-Gárate , Mario Alberto Bautista-Hernández

The main objectives of the orthodontic treatment are to generate correct occlusion and adequate dental alignment, which is reflected in the health of the orofacial tissues. During this treatment, dental movements are required to correct bite arches. These movements result from remodeling the periodontal ligament and alveolar bone in response to a mechanical load that generates local inflammation. This local inflammation can generate side effects that promote treatment abandonment if not adequately modulated. On the other hand, acupuncture through psychoneuroimmunological control mechanisms modulates inflammatory responses. Therefore, this review aims to analyze the acupuncture mechanisms of modulation of the immune system, give an overview of the possible applications of this medical specialty as a complement to orthodontic treatment to improve its efficiency, and open new questions that promote the generation of new lines of research.

正畸治疗的主要目的是产生正确的咬合和适当的牙齿排列,这反映在口面部组织的健康上。在治疗过程中,牙齿需要移动以矫正咬合弓。这些移动是牙周韧带和牙槽骨在机械负荷下重塑的结果,而机械负荷会产生局部炎症。如果不对这种局部炎症进行适当的调节,就会产生副作用,导致放弃治疗。另一方面,针灸通过精神神经免疫控制机制调节炎症反应。因此,本综述旨在分析针灸调节免疫系统的机制,概述这一医学专科作为正畸治疗的补充可能的应用,以提高正畸治疗的效率,并提出新的问题,促进新的研究方向的产生。
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引用次数: 0
Auricle reflex system: A practical approach to diagnosis and treatment 耳廓反射系统:诊断和治疗的实用方法
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.acu.2024.100287
Jorge Magalhães Rodrigues , Kalina Simões , Olga Moreira , Gisela Cruz , Patrícia Bernardo Soares , Jorge Pereira Machado

Auriculotherapy and auricular acupuncture are techniques that involve stimulating specific points on the ear to treat a variety of physical and psychological conditions. This technique is based on the principle that the ear is a microsystem of the body, with each point corresponding to a specific organ or system. The history of conditions being treated through the auricle can be traced back to ancient civilizations, with evidence of its use found in Chinese, Egyptian, Greek, and Roman cultures. However, it was not until the 20th century that modern auriculotherapy was developed. Since then, auriculotherapy has been the subject of extensive research, and there is now a growing body of evidence to support its effectiveness. In this article, we discuss the historical context, possible mechanisms, clinical implications for treatment and diagnosis, and conclude by presenting a simple observation case.

The use of the auricle reflex system for treatment and diagnosis seems to be a promising complementary method with potential value for healthcare providers. It may provide a wider understanding of a patient's health and guide the selection of appropriate treatment options. It may also provide a cost-effective preventive diagnosis assessment tool that can be employed in areas without access to top-of-the-line healthcare technologies. More research is needed to fully understand the mechanisms of action of the auricle microsystem and to further validate its effectiveness.

耳穴疗法和耳针是通过刺激耳朵上的特定穴位来治疗各种生理和心理疾病的技术。这种技术的原理是,耳朵是人体的一个微系统,每个穴位对应一个特定的器官或系统。通过耳廓治疗疾病的历史可以追溯到古代文明,在中国、埃及、希腊和罗马文化中都有使用耳廓的证据。然而,直到 20 世纪,现代耳穴疗法才得以发展。从那时起,耳穴疗法一直是广泛研究的主题,现在有越来越多的证据支持其有效性。在本文中,我们将讨论耳廓反射疗法的历史背景、可能的机制、对治疗和诊断的临床意义,并以一个简单的观察病例作为总结。它可以更广泛地了解病人的健康状况,并指导选择适当的治疗方案。它还可以提供一种具有成本效益的预防诊断评估工具,适用于无法获得顶级医疗保健技术的地区。要充分了解耳廓微系统的作用机制并进一步验证其有效性,还需要进行更多的研究。
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引用次数: 0
Contralateral acupuncture, a technique to be explored. Considerations on its neurophysiological mechanism 对侧针灸,一种有待探索的技术。对其神经生理机制的思考
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.acu.2024.100285
Ana Cristina Campana , Jordi Tomas Aliberas , Leticia Alejandra Blanco , Martin Vargas Aragon , Maria Begonia Garcia Cenador

In this article, a selective and critical study of the contralateral acupuncture technique was conducted. Integrating essential information from a perspective of scientific evidence, which proposes an understanding of the neurophysiological mechanism of its action. Contralateral acupuncture proposes to puncture the side opposite to the diseased side of the patient.

In our review of the literature, the articles showed that the technique is able to stimulate brain regions involved in the pain process, such as the cingulate cortex and the cerebellum. Decrease the pattern of pain and provide an increase in the range of motion of the affected region.

In addition, an important observation is that there are no scientific studies that relate this technique to orofacial pain or to Temporomandibular Disorder (TMD), except for one dissertation work.

As a conclusion, it was possible to observe that this therapeutic tool has the capacity to act at a distance from the affected area, it is possible to puncture the healthy side of the individual and obtain therapeutic results on the affected side. Avoiding the spread of a possible infection and reassuring the patient that they do not have to endure being punctured in an already painful region. A useful technique that requires more dissemination and research.

本文对对侧针灸技术进行了选择性和批判性研究。从科学证据的角度整合基本信息,提出了对其作用的神经生理机制的理解。在我们的文献综述中,文章显示该技术能够刺激参与疼痛过程的大脑区域,如扣带回皮层和小脑。此外,一个重要的观察结果是,除了一篇论文之外,还没有任何科学研究将这种技术与口面部疼痛或颞下颌关节紊乱症(TMD)联系起来。作为结论,我们可以观察到,这种治疗工具能够在远离受影响区域的地方发挥作用,它可以穿刺个人健康的一侧,并在受影响的一侧获得治疗效果。这样既避免了可能的感染扩散,又能让患者放心,不必忍受在已经疼痛的部位进行穿刺。这项有用的技术需要更多的推广和研究。
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引用次数: 0
Eficacia de la auriculoterapia en el asma: reporte de un caso 耳廓治疗哮喘的疗效:一例报告
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100266
Yadira Quetzali Bueno García, Abel Cristian Patiño Coyuca, Daniel García Lara, Rebeca Alejandra Avendaño Espina, Dimitrio Naranjo Reynosa

Asthma is a chronic respiratory disease of the airways that presents clinical manifestations such as wheezing, respiratory distress, chest tightness and cough, while an asthmatic crisis is the variable limitation of expiratory airflow.

This pathology is increasing in the world and represents a global health problem with few studies on auriculotherapy. The World Health Organization estimates that 80% of deaths are from this cause. We present the case of a 33-year-old woman, with asthma detected at 6 years of age of six years, receiving basic treatment; oral salbutamol, aerosol 100–200 μg dose more than 8 times a day, presenting asthmatic attacks at least twice a month. After a treatment of auriculotherapy in the Shenmen, Lung, Bronchi, Asthma and Diaphragm points with 10 sessions, asthmatic symptoms and recurrence of asthmatic crises improved.

哮喘是一种慢性呼吸道疾病,临床表现为喘息、呼吸窘迫、胸闷、咳嗽等,而哮喘危象是呼气气流的变异性限制。这种病理在世界范围内不断增加,代表了一个全球性的健康问题,很少有研究的耳科治疗。世界卫生组织估计,80%的死亡是由这个原因造成的。我们报告一例33岁女性,6岁时发现哮喘 ,接受基本治疗;口服沙丁胺醇,气雾剂100-200 μg,每日8次以上,每月至少出现2次哮喘发作。经神门、肺、支气管、喘、膈穴听诊10次后,哮喘症状及哮喘危象复发均有改善。
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引用次数: 0
Complementary/combined treatment of depression in rats: Aloe Vera, fluoxetine, acupuncture. An experimental study 补充/联合治疗大鼠抑郁症:芦荟、氟西汀、针灸。实验研究
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100267
Noor Hadi Farhan , H.M. Abo Almaali , Marwah Ali Zghair

Background

Understanding the effects of natural remedies and alternative therapies on animal behavior is crucial for both scientific research and potential therapeutic applications. Aloe vera, a succulent plant known for its medicinal properties, has been widely studied for its potential benefits in various health conditions. Acupuncture, a traditional Chinese medicine practice, involves the stimulation of specific points on the body to promote healing and balance. By assessing the behavioral changes in rats exposed to Aloe vera and acupuncture, this study aims to shed light on the potential benefits and mechanisms underlying these interventions.

Aim of the study

This study aims to investigate the impact of Aloe vera and acupuncture on rat behavior using an experimental approach. The findings from this research may contribute to our understanding of alternative treatments and their potential applications in both human and veterinary medicine.

Method

In this experiment, rats were divided into eight groups: one control and seven treatment groups. The rats received drugs, Aloe vera extract, or acupuncture once daily orally for 2 weeks. Their behavior was evaluated using the Open Field Test and The Forced Swim Test on days 1, 7, and 14. Blood samples were collected from the rats' hearts and analyzed to assess kidney and liver function.

Result

The results of the study showed that Aloe Vera extract, particularly at a dose of 150 mg/kg, exhibited significant antidepressant effects. The combination of Aloe Vera extract, fluoxetine, and acupuncture therapy yielded the highest antidepressant effects compared to other groups. Additionally, the Aloe Vera extract showed positive effects on kidney and liver function.

Conclusion

the study suggests that Aloe Vera extract may have potential as an alternative or complementary treatment for depression. Its antidepressant effects were demonstrated, particularly at a dose of 150 mg/kg, and were further enhanced when combined with fluoxetine and acupuncture therapy. Further research is needed to determine the optimal dosage and understand the mechanisms behind these effects.

了解自然疗法和替代疗法对动物行为的影响对科学研究和潜在的治疗应用至关重要。芦荟是一种以其药用特性而闻名的多肉植物,因其对各种健康状况的潜在益处而被广泛研究。针灸是一种传统的中医实践,涉及刺激身体上的特定点,以促进愈合和平衡。通过评估暴露于芦荟和针灸的大鼠的行为变化,本研究旨在阐明这些干预措施的潜在益处和机制。本研究旨在通过实验研究芦荟和针刺对大鼠行为的影响。这项研究的发现可能有助于我们了解替代疗法及其在人类和兽医学中的潜在应用。方法将大鼠分为8组:1个对照组和7个治疗组。大鼠给予药物、芦荟提取物或针刺治疗,每日1次,口服2 周。在第1天、第7天和第14天,通过开放场地测试和强迫游泳测试来评估它们的行为。研究人员从大鼠的心脏采集血液样本,并对其进行分析,以评估肾脏和肝脏功能。结果芦荟提取物在150 mg/kg剂量下具有显著的抗抑郁作用。与其他组相比,芦荟提取物、氟西汀和针灸疗法的组合产生了最高的抗抑郁效果。此外,芦荟提取物对肾脏和肝脏功能有积极作用。结论芦荟提取物有可能作为抑郁症的替代或补充治疗。已证实其抗抑郁作用,特别是在150 mg/kg的剂量下,并在与氟西汀和针灸治疗联合使用时进一步增强。需要进一步的研究来确定最佳剂量并了解这些作用背后的机制。
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引用次数: 0
Acupuncture for erectile dysfunction: Insights and future research directions 针刺治疗勃起功能障碍:见解及未来研究方向
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.acu.2023.100269
Kalina Simões , Jorge Magalhães Rodrigues

Erectile dysfunction is a condition in which men have difficulty in obtaining or maintaining a satisfactory penile erection, affecting their sexual life and quality of life. It is a common condition and its prevalence is increasing due to lifestyle changes and psychosocial factors. There are various approaches to treat erectile dysfunction, however many patients are not satisfied with conventional treatments and seek alternatives. Acupuncture is a technique that involves the insertion of needles into specific points of the body to promote the regulation of several systems and improve well-being. Regarding erectile dysfunction, acupuncture seems to positively influence the regulation of the hypothalamus, hormonal function, and local nervous function. Acupuncture is a promising therapeutic option, especially when combined with conventional therapies and by directly addressing mental health. However, the scientific evidence on the effectiveness of acupuncture for erectile dysfunction is still limited.

勃起功能障碍是指男性难以获得或维持满意的阴茎勃起,影响其性生活和生活质量。这是一种常见病,由于生活方式的改变和社会心理因素,其患病率正在上升。治疗勃起功能障碍的方法多种多样,但许多患者对常规治疗不满意,转而寻求其他治疗方法。针灸是一种将针插入身体特定部位以促进几个系统的调节并改善健康的技术。对于勃起功能障碍,针灸似乎对下丘脑、激素功能和局部神经功能的调节有积极的影响。针灸是一种很有前途的治疗选择,特别是当与传统疗法结合使用时,并直接解决心理健康问题。然而,关于针灸治疗勃起功能障碍的有效性的科学证据仍然有限。
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引用次数: 0
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Revista Internacional de Acupuntura
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