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Sacred suffering and stigma: Cultural pathways to mental health in Ethiopia 神圣的痛苦和耻辱:埃塞俄比亚通往精神健康的文化途径。
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-11-13 DOI: 10.1016/j.explore.2025.103289
Girum Melkamu Tadesse
Mental health in Ethiopia is still highly misunderstood and culturally embedded issue that is often unpacked at the spiritual level and addressed outside the formal healthcare regimes. This qualitative study examines how people with mental health conditions, their families and community members conceive mental illness in a world of religious worldviews, poverty and stigma. Interview and group discussions were carried out within urban and rural community contexts to explore local perspectives and lived experiences. Participants tended to consider the mental distress as a non-medical issue, a spiritual or a moral disruption that was often associated with phenomena, such as spirit intrusion, curses or divine punishment. Such beliefs influenced care-seeking behavior in a great way as patients resorted to Orthodox Christian healing rituals, holy water practices, and native spiritual mediators prior to the idea of seeking clinical services. The economic hardship, distance to facilities and perception of public health facilities as unwelcoming/insufficient further limited the access to biomedical care. Stigma arose as a frequent theme that expressed itself in labeling, marginalizing, and hiding the condition of affected persons – especially women, who are subject to further criticism based on the social norms of morality and family roles. In spite of these setbacks, meaningful psychosocial support and inclusive practices were observed in some community actors such as the faith-based organizations and local initiatives. There was also a hybrid model of healing in the cities wherein some of the participants engaged in both spiritual and psychiatric interventions while moving back and forth between the two to create culturally palatable routes to recovery. The findings highlight the pitfalls of bringing in canned mental health models without regard to local knowledge systems and social reality. Any mental health plan in Ethiopia has to be multi-dimensional, accepting the traditional beliefs, addressing the gendered and economic disparity, and partnering with the religious institutions. This research highlights the importance of designing community-based, culturally resonant interventions that reflect Ethiopia’s unique moral landscapes and collective values.
在埃塞俄比亚,心理健康仍然是一个被高度误解和植根于文化的问题,往往在精神层面上得到解决,并在正式的保健制度之外得到解决。这项定性研究考察了有精神健康问题的人、他们的家人和社区成员是如何在一个宗教世界观、贫困和耻辱的世界里构思精神疾病的。访谈和小组讨论在城市和农村社区背景下进行,以探索当地的观点和生活经验。参与者倾向于将精神痛苦视为非医学问题,一种精神或道德上的破坏,通常与精神入侵、诅咒或神的惩罚等现象有关。这种信念在很大程度上影响了求医行为,因为患者在寻求临床服务之前,会求助于东正教的治疗仪式、圣水实践和当地的精神调解人。经济困难、设施距离遥远以及认为公共卫生设施不受欢迎/不够充分,进一步限制了获得生物医学护理的机会。污名化是一个经常出现的主题,表现在给受影响的人贴上标签、边缘化和隐瞒其状况,特别是妇女,她们受到基于道德和家庭角色的社会规范的进一步批评。尽管有这些挫折,但在一些社区行为者,如信仰组织和地方倡议中,仍观察到有意义的社会心理支持和包容性做法。在城市中也有一种混合的治疗模式,其中一些参与者既参与精神干预,也参与精神干预,同时在两者之间来回移动,以创造文化上令人满意的康复途径。这些发现强调了在不考虑当地知识体系和社会现实的情况下引入罐装心理健康模型的缺陷。埃塞俄比亚的任何心理健康计划都必须是多方面的,接受传统信仰,解决性别和经济差异,并与宗教机构合作。这项研究强调了设计以社区为基础的、文化共鸣的干预措施的重要性,这些干预措施反映了埃塞俄比亚独特的道德景观和集体价值观。
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引用次数: 0
New methodological directions for involving children in past life memories research 儿童前世记忆研究的新方法方向。
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-11-10 DOI: 10.1016/j.explore.2025.103283
Donna M. Thomas , Elaine Rycroft , Kirsty Allan , Saima Sharif
Past life memories in children have been studied extensively through standard qualitative and quantitative methodologies. Research to date has produced valuable data to support how we understand children’s past life memories. Children are the primary source for data collection in past life research, as the producers/facilitators of memories. Despite this, children tend to be researched on rather than with, through adult-centric approaches. In this article, we include a case study example of spontaneous past life and in-utero memories of a 6-year old child. The case study example is taken from a parent study, ‘Investigating Extra Sensory Experiences of Children from Various Cultural Backgrounds’. Through the article, we demonstrate how using creative research methods and sensory ethnography can generate important knowledge from children about their own past life memories. We include results from the parent study that show past life memory data from children, parents and professionals. We propose involving children as active agents in past life memory research and argue for new directions in the field of PLM through creative and child-friendly research.
通过标准的定性和定量方法对儿童的前世记忆进行了广泛的研究。迄今为止的研究已经产生了有价值的数据来支持我们如何理解儿童的前世记忆。在前世研究中,儿童是数据收集的主要来源,是记忆的生产者/促进者。尽管如此,通过以成人为中心的方法,儿童往往是研究对象,而不是研究对象。在这篇文章中,我们包括一个6岁儿童的自发前世和子宫内记忆的案例研究。案例研究的例子取自一项家长研究,“调查不同文化背景下儿童的额外感官体验”。通过这篇文章,我们展示了如何使用创造性的研究方法和感官民族志可以从孩子们那里获得关于他们自己过去生活记忆的重要知识。我们包括来自父母研究的结果,显示了来自孩子、父母和专业人士的过去生活记忆数据。我们建议将儿童作为前世生活记忆研究的积极主体,并通过创造性和儿童友好型研究为PLM领域开辟新的方向。
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引用次数: 0
Effects of traditional Chinese medicine decoctions on coagulation and deep vein thrombosis after total hip arthroplasty: Network meta-analysis 中药煎剂对全髋关节置换术后凝血及深静脉血栓形成的影响:网络荟萃分析
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-11-07 DOI: 10.1016/j.explore.2025.103278
Hang Shi , Yichen Zhao , Xiaoyu Shi , Yimin Hao , Dongxu Ren , Yitong Liu , Gang Zhao

Background

Deep vein thrombosis (DVT) is a common and severe complication following total hip arthroplasty (THA). It significantly impacts patient recovery and quality of life. In recent years, certain traditional Chinese medicine (TCM) decoctions have shown potential in the prevention and treatment of DVT. However, a systematic evaluation of their efficacy and safety remains limited. This study aims to comprehensively assess the clinical effects and safety profile of TCM decoctions in managing DVT after THA via a network meta-analysis (NMA).

Methods

The China Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), Wanfang Data, VIP Database, PubMed, Embase, Cochrane Library, and Web of Science were searched to identify randomized controlled trials (RCTs) evaluating the efficacy of TCM decoctions for treating post-THA DVT from 2020 to July 17, 2024. The Cochrane risk-of-bias tool was employed to assess the methodological quality of the included studies. Data were analyzed through NMA with Stata 17 and R 4.3.2. A Bayesian random-effects model was employed for the analysis, and the surface under the cumulative ranking curve (SUCRA) values for each intervention were calculated across different outcome measures. Publication bias was assessed through funnel plots.

Results

64 studies involving 5,603 patients were included. The results demonstrated that Huoxue Tongmai Decoction (SUCRA = 74.95%, RR = 0.178, 95% credible interval (95% CrI) = 0.043, 0.521) was the most effective intervention for reducing DVT incidence rate (IR). Huoxue Xiaoshuan Decoction (SUCRA = 94.18%, weighted mean difference (WMD) = -6.42, 95% CrI: -13.7 to 0.941) was the most effective in lowering activated partial thromboplastin time (APTT), while Tongmai Decoction (SUCRA = 98.84%, WMD = -2.74, 95% CrI: -4.71 to -0.733) showed the greatest efficacy in lowering d-dimer (D-D) levels. Qingyu Decoction (SUCRA = 85.34%, WMD = -1.41, 95% CrI: -2.49 to -0.330) was the most effective intervention for fibrinogen (FIB) reduction. Huoxue Xiaoshuan Decoction (SUCRA = 80.53%, WMD = -1.93, 95% CrI: -7.32 to 3.49) was the most effective in prolonging prothrombin time (PT). Additionally, Huoxue Shujin Decoction (SUCRA = 76.38%, WMD = -2.49, 95% CrI: -14.0 to 9.07) demonstrated the highest efficacy in prolonging thrombin time (TT). In terms of DVT IR, d-D, and FIB, TCM decoctions exhibited superior efficacy in comparison to conventional treatment.

Conclusion

This study presents evidence that TCM decoctions can improve coagulation parameters to varying degrees and significantly reduce the incidence of DVT following THA. Among the interventions analyzed, Huoxue Tongmai Decoction exhibited the most pronounced effect in reducing DVT incidence.
背景:深静脉血栓形成(DVT)是全髋关节置换术(THA)后常见且严重的并发症。它显著影响患者的康复和生活质量。近年来,某些中药煎剂在预防和治疗深静脉血栓方面显示出潜力。然而,对其有效性和安全性的系统评价仍然有限。本研究旨在通过网络荟萃分析(NMA)综合评价中药煎剂治疗THA术后DVT的临床效果和安全性。方法检索中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据库、维普数据库、PubMed、Embase、Cochrane图书馆、Web of Science,检索2020年至2024年7月17日评价中药煎剂治疗tha后DVT疗效的随机对照试验(rct)。采用Cochrane风险偏倚工具评估纳入研究的方法学质量。数据采用NMA分析,软件为Stata 17和r4.3.2。采用贝叶斯随机效应模型进行分析,计算各干预措施在不同结局测量值下的累积排序曲线下曲面(SUCRA)值。通过漏斗图评估发表偏倚。结果纳入64项研究,5603例患者。结果显示活血通脉汤(SUCRA = 74.95%, RR = 0.178, 95%可信区间(95% CrI) = 0.043, 0.521)是降低DVT发生率(IR)最有效的干预措施。活血消栓汤(SUCRA = 94.18%,加权平均差(WMD) = -6.42, 95% CrI: -13.7 ~ 0.941)降低活化部分凝血活素时间(APTT)效果最好;通脉汤(SUCRA = 98.84%, WMD = -2.74, 95% CrI: -4.71 ~ -0.733)降低d-二聚体(D-D)水平效果最好。清郁汤(SUCRA = 85.34%, WMD = -1.41, 95% CrI: -2.49 ~ -0.330)是降低纤维蛋白原(FIB)最有效的干预措施。活血消栓汤(SUCRA = 80.53%, WMD = -1.93, 95% CrI: -7.32 ~ 3.49)对凝血酶原时间(PT)的延长效果最好。活血舒金汤(SUCRA = 76.38%, WMD = -2.49, 95% CrI: -14.0 ~ 9.07)在延长凝血酶时间(TT)方面效果最好。在DVT IR、d-D、FIB方面,中药煎剂均优于常规治疗。结论中药煎剂可不同程度改善THA术后凝血参数,显著降低THA术后DVT的发生率。在所分析的干预措施中,活血通脉汤降低DVT发生率的效果最为显著。
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引用次数: 0
Effects of the Rebozo technique on labor outcomes in primiparous women: A randomized controlled trial Rebozo技术对初产妇分娩结局的影响:一项随机对照试验
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-11-01 DOI: 10.1016/j.explore.2025.103282
Zeynep Tuncay , Gulsen Cayir , Halime Sule Selman , Aysu Yldz Karaahmet

Aim

This study was conducted as a randomized controlled trial to examine the effect of the rebozo technique on labor duration, pain, and satisfaction in primiparous women.

Methods

The study was conducted between November 2022 and June 2023 in primiparous pregnant women who applied to a public hospital in Ankara for vaginal delivery. Pregnant women in the active phase were randomized, and 146 pregnant women, 73 in the Rebozo and 73 in the control group were included. Mother-infants were evaluated during labor and the postpartum period. Data were collected using the Descriptive Information Form, State Anxiety Scale, Birth Follow-up Form, Visual Analog Scale, and Birth Satisfaction Scale. Pregnant women in the rebozo group underwent rebozo techniques for an average of 10-15 minutes from the active phase to delivery with a rebozo shawl during contraction, according to the pregnant woman's preference.

Results

In the rebozo group, the second stage of labor and placenta expulsion time was significantly shorter; episiotomy, laceration, the need to change pads in the first 2 hours postpartum, and the decrease in blood HTC value were found to be less. In the Rebozo group, Postpartum Maternal State Anxiety Scale and Visual Analog Scale Pain measurements were significantly lower, birth satisfaction was higher, and they preferred vaginal delivery in their subsequent births.

Conclusions

The use of Rebozo techniques in the labor process had many benefits for the labor and postpartum period and had no negative effects on maternal, fetal, and neonatal health.
目的本研究是一项随机对照试验,旨在探讨rebozo技术对初产妇产程、疼痛和满意度的影响。方法研究于2022年11月至2023年6月在安卡拉一家公立医院申请阴道分娩的初产妇。随机选取活动期孕妇146例,其中73例为Rebozo组,73例为对照组。在分娩和产后对母婴进行评估。采用描述性信息表、状态焦虑量表、分娩随访表、视觉模拟量表和分娩满意度量表收集数据。根据孕妇的喜好,rebozo组的孕妇从活跃期到在宫缩期间使用rebozo披肩分娩,平均需要10-15分钟。结果中药组第二产程及胎盘排出时间明显缩短;外阴切开术、撕裂伤、产后前2小时需要更换垫、血HTC值下降较少。在Rebozo组,产后产妇状态焦虑量表和视觉模拟量表疼痛测量明显较低,分娩满意度较高,她们在随后的分娩中更倾向于阴道分娩。结论在分娩过程中使用Rebozo技术对产程和产后有许多好处,对产妇、胎儿和新生儿的健康没有负面影响。
{"title":"Effects of the Rebozo technique on labor outcomes in primiparous women: A randomized controlled trial","authors":"Zeynep Tuncay ,&nbsp;Gulsen Cayir ,&nbsp;Halime Sule Selman ,&nbsp;Aysu Yldz Karaahmet","doi":"10.1016/j.explore.2025.103282","DOIUrl":"10.1016/j.explore.2025.103282","url":null,"abstract":"<div><h3>Aim</h3><div>This study was conducted as a randomized controlled trial to examine the effect of the rebozo technique on labor duration, pain, and satisfaction in primiparous women.</div></div><div><h3>Methods</h3><div>The study was conducted between November 2022 and June 2023 in primiparous pregnant women who applied to a public hospital in Ankara for vaginal delivery. Pregnant women in the active phase were randomized, and 146 pregnant women, 73 in the Rebozo and 73 in the control group were included. Mother-infants were evaluated during labor and the postpartum period. Data were collected using the Descriptive Information Form, State Anxiety Scale, Birth Follow-up Form, Visual Analog Scale, and Birth Satisfaction Scale. Pregnant women in the rebozo group underwent rebozo techniques for an average of 10-15 minutes from the active phase to delivery with a rebozo shawl during contraction, according to the pregnant woman's preference.</div></div><div><h3>Results</h3><div>In the rebozo group, the second stage of labor and placenta expulsion time was significantly shorter; episiotomy, laceration, the need to change pads in the first 2 hours postpartum, and the decrease in blood HTC value were found to be less. In the Rebozo group, Postpartum Maternal State Anxiety Scale and Visual Analog Scale Pain measurements were significantly lower, birth satisfaction was higher, and they preferred vaginal delivery in their subsequent births.</div></div><div><h3>Conclusions</h3><div>The use of Rebozo techniques in the labor process had many benefits for the labor and postpartum period and had no negative effects on maternal, fetal, and neonatal health.</div></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"21 6","pages":"Article 103282"},"PeriodicalIF":2.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Limb-saving integrative Chinese-western therapy for necrotizing fasciitis: A case report and literature review 中西医结合保肢疗法治疗坏死性筋膜炎1例并文献复习
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-11-01 DOI: 10.1016/j.explore.2025.103275
Xu Sun , Jielin Song , Xuelian Zhao , Zhaohui Zhang , Junchao Sun

Background

Necrotizing fasciitis (NF) of the lower leg is a severe, potentially fatal aggressive infection. Untimely treatment frequently leads to amputation or even life-threatening outcomes.

Case Presentation

This case report presents a limb-salvage and life-saving strategy integrating Traditional Chinese Medicine (TCM) and Western medicine in a 93-year-old male patient with lower extremity necrotizing fasciitis who refused amputation. The integrated treatment plan included: early surgical incision with debridement, nose ring drainage, broad-spectrum antibiotics, and symptomatic supportive therapy. Local wound irrigation was performed with rhubarb-licorice decoction, supplemented by topical galla chinensis paste application and oral administration of Si-Miao-Yong-An Decoction and Siwu Decoction. During the intermediate phase, limited additional debridement was performed, followed by local chymotrypsin and lithospermum gauze application. After optimal wound bed preparation, split-thickness stamp skin grafting was performed. Postoperatively, Vaseline gauze and lithospermum gauze were applied alternately with intermittent closed drainage. The oral TCM regimen was subsequently adjusted to Buzhong Yiqi Decoction.

Conclusion

This integrative approach effectively addressed infection control, systemic inflammation, and tissue regeneration, demonstrating its potential as a limb-preserving alternative for NF patients when standard surgery is contraindicated or declined. Further studies are warranted to validate these findings.
背景:下肢坏死性筋膜炎(NF)是一种严重的、具有潜在致命性的侵袭性感染。不及时的治疗常常导致截肢,甚至危及生命。本病例报告介绍了一名拒绝截肢的93岁男性下肢坏死性筋膜炎患者的中西医结合保肢救命策略。综合治疗方案包括:早期手术切口清创、鼻环引流、广谱抗生素、对症支持治疗。用大黄甘草煎液局部创面冲洗,辅以五倍子膏外敷,口服四苗永安汤、四物汤。在中间阶段,进行有限的额外清创,然后局部应用凝乳胰蛋白酶和紫砂纱布。在最佳的创面准备后,进行分厚度的邮票皮移植。术后交替涂抹凡士林纱布和紫砂纱布,间歇闭式引流。随后将中药口服方案调整为补中益气汤。结论:这种综合方法有效地解决了感染控制、全身性炎症和组织再生问题,在标准手术禁忌或拒绝的情况下,证明了其作为NF患者肢体保留替代方案的潜力。需要进一步的研究来证实这些发现。
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引用次数: 0
Management of the seasonal mood-sleep-fatigue symptom cluster in Parkinson's disease: Methodological insights from a cassia oil aromatherapy trial 帕金森病季节性情绪-睡眠-疲劳症状群的管理:决明子油芳香疗法试验的方法学见解
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-11-01 DOI: 10.1016/j.explore.2025.103276
Fei-Yi Zhao , Yan-Mei Wang , Qiang-Qiang Fu , Jia-Yi Zhu , Jie Qian
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引用次数: 0
Rethinking communication and consciousness: Lessons from the telepathy tapes podcast 重新思考沟通和意识:来自心灵感应磁带播客的教训。
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-11-01 DOI: 10.1016/j.explore.2025.103271
Marina Weiler , Marjorie Woollacott
In late 2024, The Telepathy Tapes podcast ignited global debate by spotlighting nonspeaking autistic individuals who appeared to convey knowledge beyond ordinary sensory channels. For some, the series offered overdue recognition of nonspeakers’ intelligence and agency; for others, it represented a revival of the discredited practice of Facilitated Communication. This controversy reflects deeper cultural and scientific assumptions: nonspeakers have long been misclassified as profoundly intellectually disabled, with their lack of speech equated with a lack of thought. Yet emerging evidence increasingly challenges this deficit model, with recent empirical findings supporting authorship and intentionality. At the same time, anecdotal reports of anomalous—potentially telepathic—communication, though contentious, warrant consideration in light of prior parapsychological research. We contend that The Telepathy Tapes marks a cultural turning point, compelling a reassessment of entrenched scientific frameworks and ethical stances toward nonspeakers. We advocate that the podcast should be considered a filmmaker’s curious exploration of the phenomenon, which will engender the curiosity of scientists to move forward with carefully controlled experiments. Moving forward, a less stigmatized and more open-minded approach is needed—one that recognizes carefully documented anecdotes as valuable starting points for rigorous empirical inquiry.
2024年末,《心灵感应磁带》(The Telepathy Tapes)播客通过关注不会说话的自闭症患者,引发了全球辩论,这些自闭症患者似乎能传递超越普通感官渠道的知识。对一些人来说,这一系列节目对不会说话的人的智力和能动性给予了迟来的认可;对另一些人来说,它代表了名誉扫地的“促进沟通”的复兴。这场争论反映了更深层次的文化和科学假设:不会说话的人长期以来被错误地归类为严重的智力残疾,他们不会说话就等同于缺乏思考。然而,新出现的证据越来越多地挑战这一缺陷模型,最近的实证研究结果支持作者和意向性。与此同时,关于异常——潜在的心灵感应——交流的轶事报道,尽管有争议,但根据先前的超心理学研究,值得考虑。我们认为,《心灵感应磁带》标志着一个文化转折点,迫使人们重新评估根深蒂固的科学框架和对非语言者的伦理立场。我们主张,播客应该被视为电影制作人对这一现象的好奇探索,这将激发科学家的好奇心,推动他们进行精心控制的实验。展望未来,我们需要一种不那么污名化、更开放的方法——一种将精心记录的轶事视为严谨实证调查的宝贵起点的方法。
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引用次数: 0
Masthead page 报头页面
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-11-01 DOI: 10.1016/S1550-8307(25)00187-9
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引用次数: 0
Effect of self-acupressure on fatigue and sleep quality in patients with multiple sclerosis: A randomized controlled trial 自我穴位按压对多发性硬化症患者疲劳和睡眠质量的影响:一项随机对照试验
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-11-01 DOI: 10.1016/j.explore.2025.103266
Gülden Atan

Objective

This study aimed to assess the efficacy of self-acupressure in alleviating fatigue and enhancing sleep quality among individuals diagnosed with multiple sclerosis.

Methods

In our randomized controlled study, participants in the intervention group were instructed to administer self-acupressure on two specific sites. Patients were directed to administer the therapy to the specified two sites biweekly in the morning, at least one hour after breakfast, for a duration of 4 weeks, culminating in a total of 8 sessions. No intervention occurred in the control group during this study. Data were gathered utilizing the Patient Introductory Information Form, the Fatigue Severity Scale (FSS), and the Richards-Campbell Sleep Questionnaire (RCSQ).

Results

The study comprised twenty-four individuals with multiple sclerosis in each group, comprising fourteen women in the intervention group and thirteen women in the control group. Subsequent to the intervention, the intervention group demonstrated a statistically significant decrease in total FSS scores compared to the control group (p < 0.001; d = 1.68), although total RCSQ scores revealed a substantial gain (p < 0.001; d = 1.65).

Conclusion

Self-acupressure was proven to reduce fatigue levels and improve sleep quality in adults with multiple sclerosis. In conclusion, self-acupressure is an accessible, cost-effective, and efficacious technique for alleviating fatigue and enhancing sleep quality in patients with multiple sclerosis.
目的探讨自我穴位按压对多发性硬化症患者缓解疲劳、提高睡眠质量的作用。方法在随机对照研究中,干预组受试者被指示在两个特定部位进行自我穴位按压。指导患者每两周在早餐后至少一小时的早晨对指定的两个部位进行治疗,持续4周,总共8次。在本研究中,对照组未进行干预。使用患者介绍信息表、疲劳严重程度量表(FSS)和Richards-Campbell睡眠问卷(RCSQ)收集数据。结果每组24例多发性硬化症患者,干预组14例,对照组13例。干预后,干预组的FSS总分与对照组相比有统计学意义上的显著下降(p < 0.001; d = 1.68),尽管RCSQ总分有显著提高(p < 0.001; d = 1.65)。结论自我穴位按摩可减轻成人多发性硬化症患者的疲劳程度,改善睡眠质量。综上所述,自我穴位按压对于缓解多发性硬化症患者的疲劳和提高睡眠质量是一种方便、经济、有效的技术。
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引用次数: 0
Clinical efficacy of Guishao Shengxue decoction in the treatment of pediatric immune thrombocytopenia: A randomized controlled trial 桂芍生血汤治疗小儿免疫性血小板减少症的临床疗效:随机对照试验。
IF 2.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2025-11-01 DOI: 10.1016/j.explore.2025.103277
Wei Wang , Xiaofei Xie , Shengtao Cui , Lin Xue

Background

Current treatments for pediatric immune thrombocytopenia (ITP) are effective but often associated with significant side effects, highlighting the need for safer and more sustainable alternatives. The objective of this study is to evaluate the clinical efficacy and safety of Guishao Shengxue Decoction (GSD) as a complementary therapy for ITP, aiming to provide a safer and more sustainable alternative to conventional treatments.

Methods

In this randomized, double-blind study, 42 children with persistent or chronic ITP were enrolled and allocated equally to treatment or control groups. The treatment group received GSD combined with conventional therapy, while the control group received a placebo combined with conventional therapy for six months. Efficacy outcomes included platelet parameters, immune and hematological markers, and safety evaluations.

Results

The treatment group demonstrated higher complete response (33.33% vs. 14.29%), overall response rate (95.24% vs. 71.43%), and durable response (95.24% vs. 80.95%) compared to the control group. Platelet indices and hematological parameters improved significantly in the treatment group, along with reduced platelet-associated immunoglobulins and better immune modulation.

Conclusions

GSD enhances clinical outcomes, supports platelet recovery, and modulates immune function in pediatric ITP, offering a safe and effective adjunct to conventional therapy.
背景:目前儿童免疫性血小板减少症(ITP)的治疗是有效的,但往往伴有显著的副作用,这突出了对更安全、更可持续的替代方案的需求。本研究旨在评价桂芍生血汤(GSD)作为ITP补充治疗的临床疗效和安全性,以期提供一种更安全、更可持续的替代常规治疗方法。方法:在这项随机双盲研究中,42名患有持续性或慢性ITP的儿童被纳入研究,并被平均分配到治疗组和对照组。治疗组采用GSD联合常规治疗,对照组采用安慰剂联合常规治疗,疗程6个月。疗效指标包括血小板参数、免疫和血液学指标以及安全性评价。结果:治疗组完全缓解率(33.33% vs. 14.29%)、总缓解率(95.24% vs. 71.43%)、持续缓解率(95.24% vs. 80.95%)均高于对照组。治疗组血小板指数和血液学参数明显改善,血小板相关免疫球蛋白降低,免疫调节改善。结论:GSD可改善儿童ITP的临床结果,支持血小板恢复,调节免疫功能,为常规治疗提供安全有效的辅助。
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引用次数: 0
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Explore-The Journal of Science and Healing
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