Revista Internacional de Acupuntura最新文献

Gouty arthritis is a disease caused by the deposit of monosodium urate crystals in joints, generating intense single-joint pain; moxibustion and infrared light have proven effective in reducing pain. The goal was to evaluate the therapeutic effects of the BL 23 Shenshu and SP 6 Sanyinjiao points with moxibustion, accompanied by with infrared light, on pain in gouty arthritis. Prospective, cross-sectional and analytical study; BL 23 Shenshu and SP 6 Sanyinjiao moxibustion was performed bilaterally with the application of infrared light for 8 sessions 2 times a week. A stretcher, moxa cone, lighter, infrared lamp, measuring tape and watch were used. Comparing the PainDetect scale for the analysis of pain behavior, a score of 1/38 was obtained at the end of the treatment, taking 11/38 as a reference at the beginning of the treatment. We confirm that integral treatment with moxibustion and infrared light is useful to reduce pain.

Objective

To characterize the satisfaction of general practitioners with the preparation of natural and traditional medicine (NTM) received in undergraduate studies at the Facultad de Ciencias Médicas «Dr. José Assef Yara» from Ciego de Ávila.

Design

Descriptive and cross-sectional study during the period from May 2018 to April 2019.

Location

Facultad de Ciencias Médicas «Dr. José Assef Yara» from Ciego de Ávila.

Participants

A total of 43 residents of the specialty of Comprehensive General Medicine were selected, by means of an intentional non-probabilistic sampling, because they were first- and second-year residents of the specialty and had completed their intrahospital rotation time in Gynecology and Obstetrics, Pediatrics and Internal Medicine Services.

Method

It was applied a questionnaire that allowed to characterize the state of satisfaction of the residents with the preparation of NTM received in undergraduate, as well as the indicators that influenced it.

Results

An analysis of the results obtained was carried out, which generally recognized a low percentage of satisfaction, influencing the active participation in practical activities, the accessibility of the bibliography, the use of teaching aids and the amount of time dedicated to the NTM activities.

Conclusions

The characterization of the current state of satisfaction of general practitioners with the approach of the contents of the NTM exposed the higher percentage of satisfaction for the discipline of comprehensive general medicine. The greatest dissatisfactions corresponded to Morphophysiology, the disciplines of General Training, Pediatrics and Obstetrics and Gynecology.

Multiple sclerosis is a neurodegenerative disease characterised by demyelination, axonal loss and inflammation of the central nervous system; it presents with different symptoms in different people. There is currently no cure. A flare, also called a relapse or exacerbation, is a clinical concept that has been defined as the appearance of new symptoms or signs of neurological dysfunction, lasting more than 24 h.

Objective

To analyse the effectiveness of an intervention using acupuncture and auriculotherapy for the clinical reduction of symptoms of stress and anxiety in healthcare personnel during the COVID-19 pandemic.

Design

Prospective study comparing 2 cohorts.

Setting

Emergency Room of the Hospital de Palamós, Girona.

Participants

Health workers from the emergency service. A total of 22 professionals participated, 11 in each group.

Interventions

The short version of the Depression, Anxiety and Stress Scale (DASS-21) was performed on all participants, the intervention group (IG) also received 6 sessions of acupuncture and auriculotherapy. Subsequently, the DASS-21 scale was repeated.

Measurements

The variables were group, sex, age, professional category, years of experience in the emergency room, DASS-21 scale with its subscales for stress, anxiety and depression.

Results

Of the professionals, 45.4% suffered stress, 40.9% anxiety and 27.2% depression. There is a reduction of stress by 90.9% in the IG vs 18.2% in the control group (CG), this being statistically significant. There is an anxiety reduction in 81.8% of the IG vs 63.6% of the CG: p = .065; odds ratio: 2.57 (95% confidence interval, .36–18.33). The mean anxiety of the IG is statistically lower in the post-intervention value than in the pre-intervention value (1.36 vs 3.90; p = .003), while in the CG (3.09 vs 2.45; p = .208). There is a reduction in the level of depression in 81.8% of the IG vs 45.5% of the CG (p = .183).

Conclusions

Acupuncture is a treatment that improves stress and anxiety levels in healthcare professionals dealing with COVID-19.

There are various interpretations of deqi in Traditional Chinese Medicine, which has generated debate on how deqi should be explained. Based on the study of classical texts and recent experimental evidence, this contribution proposes a holistic interpretation of deqi, as the sum of the psychoneurophysiological responses triggered during the acupuncture intervention that can be perceived by the patient and the acupuncturist. Such responses have an anatomical, functional, and emergent basis, integrated in a biocircuit consisting of receptors, afferent pathways, processing centres, efferent pathways, and effectors, and reflect feedback between the patient and the acupuncturist.

Spondylolisthesis is an anterior and posterior lateral displacement of a vertebral segment in relation to the adjacent segment, its signs and symptoms are often confused with a herniated disc. Acupuncture and neuromuscular bandage are techniques that have shown favourable effects on pain reduction, both applied independently. In the present case, both techniques were applied to a 51-year-old female patient to treat mechanopostural low back pain caused by spondylolisthesis grade 1, according to the Mayerding scale, vertebral body L5 over S1. Using the PainDetect scales and Oswestry's disability index demonstrates efficacy in reducing pain, improvement in disability and increased mobility arcs.

One of the most important terms of Traditional Chinese Medicine (TCM) is 正气 Zheng qi, its translation into Western languages takes on different nuances and throughout history, since its appearance in the Neijing, it has been explained in various ways. The most prominent TCM theorists have expressed their points of view that allow us to understand Zheng qi as a macro-functional complex that on the one hand, is the result of the power and interaction of the blood and energy of the organs and viscera and on the other, is the balancer of all functional activity. It is the key element to avoid diseases of both internal and external origin, which is why it is also translated as “antipathogenic energy”, its fundamental basis is the essential Jing energy, often used as a synonym. Studied in the current context, in addition to being key to maintaining homeostasis, it is also considered an essential part of allostasis. Points such as Zusanli (ST 36), Shenshu (BL 23), Sanyinjiao (SP 6), medicinal products such as astragalus, ginseng, formulas such as the Tonifying Centre and Replenishing Qi Formula (补中益气 汤 bu zhong yi qi tang), can strengthen this macro-function. Understanding this concept helps more complete practice, medical activity based on a root treatment and not just a symptomatic treatment.

Introduction

Migraine is a common disorder that affects a large part of the world's population. Therefore, various treatments and therapies to combat it have been sought, including acupuncture as an alternative or complement to pharmacological treatment.

Objective

To evaluate the efficacy and safety of acupuncture in the management of migraine.

Material and methods

A search of the current medical literature was carried out, only clinical trials and cohort studies were included, through PubMed. Simultaneously, 18 databases of the World Health Organization were searched for records of future clinical trials evaluating acupuncture in the management of migraine.

Results

This search included documents (n = 21); retrospective cohort studies (n = 2) and clinical trials (n = 19), all written in English. Additionally, eleven clinical trials registered in: Chinese Clinical Trial Registry (n = 7), U.S. National Library of Medicine (n = 3) and Iranian Registry of Clinical Trials (n = 1).

Conclusion

Acupuncture is an effective and safe technique as reported in all the clinical trials and observational studies included in this search. However, more studies with a greater time of observation and a higher population of patients are required, to generate greater validity than the current evidence.

Objective

To evaluate moxibustion therapy in the treatment of dyslipidaemia through a review of the literature.

Design

Systematic integrative review based on PRISMA.

Data sources

The search was undertaken in the following databases: PubMed, Springer, Europe PMC, and Elsevier using as keywords’dyslipidaemia’,’moxibustion’,’hyperlipidaemia’,’hypercholesterolaemia’, and a combination of these. We searched for studies in murine models and human clinical trials, published between 2005 and 2020.

Selection of studies

We selected 40 publications written in English and Chinese. Publications without a unique and permanent registration number for electronic publications (DOI), and literature reviews, dissertations, theses, and clinical guidelines were eliminated. Twelve publications were included, eight were clinical trials, and four were studies in murine models.

Results

Analysis of the studies indicated that moxibustion has positive effects in this disorder. This was demonstrated by significant changes in biochemical parameters after treatment. Total cholesterol decreased in all studies in murine models and in 75% of human trials, LDL-C decreased by 75% and 62.5%, and triglycerides by 50% and 62.5%, in murine models and human trials, respectively. The most used sites were Fenglong (E 40), Zusanli (E 36), Shenque (RM 8) and Tianshu (E 25). Therapies were applied for between 10 and 30 minutes for 2 to 12 weeks, modulation of parameters was detected from week 2.

Conclusions

Moxibustion benefits patients with dyslipidaemia by decreasing total cholesterol, triglycerides, and LDL-C, and increasing HDL-C.

Background and objectives

Temporomandibular disorders have a multifactorial etiology and involve the masticatory muscles, temporomandibular joint and associated structures. Therefore, different treatments are proposed and used. The aim of this paper is the use of acupuncture to treat temporomandibular disorders and associated symptoms.

This article presents a clinical case study of a 39-year-old patient who presented temporomandibular disorders and headache of muscular origin.

Results

After 10 acupuncture sessions, the results were highly satisfactory, with complete relief of headache pain and absence of joint disorders. These results suggest the efficacy of acupuncture in the symptomatic relief of temporomandibular disorders.

Conclusions

It is concluded that acupuncture is an alternative method to conventional stomatognathic treatment for individuals with craniomandibular disorders of muscular origin.