针刺和拔罐对甲状腺功能减退患者降低甲状腺素剂量和改善甲状腺功能的作用:一个病例系列。

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Acupuncture and Meridian Studies Pub Date : 2021-10-31 DOI:10.51507/j.jams.2021.14.5.200
Pradeep M K Nair, Naga Jyothi
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引用次数: 0

摘要

甲状腺功能减退症是最常见的内分泌失调之一,与肥胖症和癌症等各种全身性疾病有关。目前的治疗方法是不够的,因为有报告显示,症状持续存在,依从性差,使得上述疾病的治疗具有挑战性。针灸和其他中医疗法已被证明可以缓解内分泌功能障碍。然而,针灸和拔火罐治疗甲状腺功能减退的报道非常少。本文报告5例甲状腺功能减退患者,年龄在38-44岁之间,采用针灸和拔火罐治疗,疗程3个月。在基线时,患者表现为虚弱,钢丝或真空脉冲,代表脾气不足。此外,他们还表现出促甲状腺激素(TSH)水平升高和身体质量指数(BMI)升高。双侧针刺ST36、LI4、SP6、BL20,单侧针刺CV4、LR3、LR4、SP9、ST40、SP10、GV4、KI3、ST12、SI17。三个月后,患者的TSH水平恢复正常,BMI下降,并成功减少了用药剂量。除此之外,患者还报告了治疗后其他症状的显著改善,如疲劳、脱发和脚冷。即使在干预后的三个月随访期间,效果也是一致的。结果提示针灸和拔火罐治疗甲状腺功能减退。然而,有必要进行大规模的研究来加强这一建议。
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Role of Acupuncture and Fire Cupping in Reducing the Thyroxine Dose and Improving the Thyroid Function in Hypothyroidism Patients: A Case Series.

Hypothyroidism is one of the most common endocrine disorders linked to various systemic diseases ranging from obesity to cancers. The present line of management is insufficient as reports suggest that there is persistence of symptoms and poor adherence that makes the management of said disease challenging. Acupuncture and other Traditional Chinese Medicine (TCM) therapies are proven to alleviate endocrine dysfunctions. However, reports on acupuncture and cupping therapy on hypothyroidism are very scarce. Here, we report 5 cases of hypothyroid patients aged between 38-44 yrs who were treated with acupuncture and fire cupping for a period of three months. At the baseline, the patients presented with either a weak, wiry or vacuum pulse which represents spleen Qi deficiency. Further, they presented with elevated levels of Thyroid Stimulating Hormone (TSH), and higher Body Mass Index (BMI). Acupuncture treatment at ST36, LI4, SP6, and BL20 was given bilaterally whilst CV4, LR3, LR4, SP9, ST40, SP10, GV4, KI3, ST12, and SI17 were punctured unilaterally. At the end of the time period of three months, patients progressed to normal levels of TSH, reduction in BMI and had succeeded in tapering their medication doses. Supplementing this, the patients reported marked improvement in other symptoms like fatigue, hair loss, and cold feet post-treatment. The effects were consistent even during the three month follow-up period post-interventions. The results encourage the utilization of acupuncture and fire cupping in the management of hypothyroidism. However, large scale studies are warranted to strengthen this recommendation.

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来源期刊
Journal of Acupuncture and Meridian Studies
Journal of Acupuncture and Meridian Studies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.50
自引率
10.00%
发文量
35
审稿时长
12 weeks
期刊介绍: The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine. Manuscripts should fall into one of the categories: topical review, original research paper, brief ... click here for full Aims & Scope The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine.
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