1
|
Zhao MY, Zhang P, Li J, Wang LP, Zhou W, Wang YX, She YF, Ma LX, Wang P, Hu NJ, Lin C, Hu SQ, Wu GW, Wang YF, Sun JJ, Jiang SZ, Zhu J. Influence of de qi on the immediate analgesic effect of SP6 acupuncture in patients with primary dysmenorrhoea and cold and dampness stagnation: a multicentre randomised controlled trial. Acupunct Med 2017; 35:332-338. [PMID: 28698243 DOI: 10.1136/acupmed-2016-011228] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Revised: 05/08/2017] [Accepted: 05/09/2017] [Indexed: 11/03/2022]
Abstract
OBJECTIVE The aim of this multicentre randomised controlled trial was to investigate the contribution of de qi to the immediate analgesic effect of acupuncture in patients with primary dysmenorrhoea and the specific traditional Chinese medicine diagnosis cold and dampness stagnation. METHOD Eighty-eight patients with primary dysmenorrhoea and cold and dampness stagnation were randomly assigned to de qi (n=43) or no de qi (n=45) groups and underwent 30 min of SP6 acupuncture. The de qi group received deep needling at SP6 with manipulation using thick needles; the no de qi group received shallow needling with no manipulation using thin needles. In both groups the pain scores and actual de qi sensation were evaluated using a visual analogue scale for pain (VAS-P) and the acupuncture de qi clinical assessment scale (ADCAS), respectively. RESULTS Both groups showed reductions in VAS-P, with no signficant differences between groups. ADCAS scores showed 43/43 and 25/45 patients in de qi and no de qi groups, respectively, actually experienced de qi sensation. Independent of original group allocation, VAS-P reductions associated with actual de qi (n=68) were greater than those without (28.4±18.19 mm vs 14.6±12.28 mm, p=0.008). CONCLUSIONS This study showed no significant difference in VAS-P scores in patients with primary dysmenorrhoea and cold and dampness stagnation immediately after SP6 acupuncture designed to induce or avoid de qi sensation. Both treatments significantly reduced VAS-P relative to baseline. Irrespective of group allocation, patients experiencing actual de qi sensation demonstrated larger reductions in pain score relative to those without, suggesting greater analgesic effects. TRIAL REGISTRATION NUMBER Chinese Clinical Trial Registry (ChiCTR-TRC-13003086); Results.
Collapse
Affiliation(s)
- Min-Yi Zhao
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Peng Zhang
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.,Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing, China
| | - Jing Li
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Lin-Peng Wang
- Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing, China
| | - Wei Zhou
- Huguosi Hospital of Traditional Chinese Medicine Affiliated to Beijing University of Chinese Medicine, Beijing, China
| | - Yan-Xia Wang
- Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China
| | - Yan-Fen She
- Hebei University of Traditional Chinese Medicine, Shijiazhuang, China
| | - Liang-Xiao Ma
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.,The Key Unit of State Administration of Traditional Chinese Medicine, Evaluation of Characteristic Acupuncture Therapy, Beijing, China
| | - Pei Wang
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Ni-Juan Hu
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Chi Lin
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.,School of Acupuncture, Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Shang-Qin Hu
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Gui-Wen Wu
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Ya-Feng Wang
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Jun-Jun Sun
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Si-Zhu Jiang
- Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China
| | - Jiang Zhu
- School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.,The Key Unit of State Administration of Traditional Chinese Medicine, Evaluation of Characteristic Acupuncture Therapy, Beijing, China
| |
Collapse
|