Acupuncture Research,2019,Vol 44,No. 07
【Abstract】 The quantity of mild moxibustion stimulation is an important factor affecting clinical therapeutic effect.In the present study, we collected related literature by using key word “moxibustion stimulation quantity” from CNKI Database and make a summary about its concept.The quantity of mild moxibustion stimulation has two common characters, namely thermal intensity and cumulative stimulating quantity, and contains 6 components (parameters), including thermal energy, thermal stimulus, heated area of the skin, and stimulating duration, intensity and frequency.According to the facts mentioned above, we hold that the mild moxibustion quantity actually has 3 dimensions, i.e., the duration of stimulation, the stimulating quantity of one treatment session, and the total stimulating quantity of multiple treatment sessions. Accurately grasping and rationally using the basic term of the quantity of mild moxibustion is not only conductive to control clinical moxibustion operation, but also conforms to the basic requirements for quantitative control of intervention measures in experimental researches.
Impacts of mild moxibustion on immune indices and nailfold microcirculation in the sub-healthy group
Chinese Acupuncture & Moxibustion,2017,Vol 37,No. 02
【Abstract】 Objective To compare the difference in the clinical therapeutic effects of the regulation of sub-health between the mild moxibustion on alternative days and Chinese herbal medicine. Methods Seventy-two sub-healthy patients were assigned into mild moxibustion group (36 cases) and medication group (36 cases) according to random number table. In the mild moxibustion group, the intervention of mild moxibustion with moxa stick was applied to Guanyuan (CV 4), Zusanli (ST 36) and Sanyinjiao (SP 6), once every other day. In the medication group, Yupingfeng Granules were prescribed for oral administration, three times a day. The treatment was continued for 2 months. Before and after treatment, the levels of IgA, IgM and IgG, SOD (superoxide dismutase), the total score of fatigue scale 14 (FS-14) and the score of nailfold microcirculation were observed separately. Results Compared with the results before treatment, the immune indices, the total score of FS-14 and the scores of nailfold microcirculation were all improved after treatment in the two groups, indicating the significant difference (P < 0.05, P < 0.01). In comparison between the two groups after treatment, the levels of immune globulin, e.g., IgM, IgG and SOD in the mild moxibustion group were higher in tendency than those in the medication group, but without significant differences (all P > 0.05). The total score of FS-14 after treatment in the mild moxibustion group was lower than that in the medication group (P < 0.05). After treatment, in the mild moxibustion group, for the nailfold microcirculation, the flow state score, the periloop score and the total score were all reduced more apparently as compared with those in the medication group (P < 0.01, P < 0.05). Conclusion Mild moxibustion with moxa stick on alternative days apparently relieved fatigue state, immune dysfunction and microcirculatory impairment in the sub-healthy group. The results were apparently superior to the treatment with Yupingfeng Granules.
A Randomized Controlled Clinical Trial for Treatment of Shoulder-back Myofascial Pain Syndrome with Mild Moxibustion at Trigger Points
Acupuncture Research,2016,Vol 41,No. 04
【Abstract】 Objective To compare the efficacy difference between the mild moxibustion and acupuncture stimulation at trigger points in the treatment of shoulder and back myofascial pain syndrome (MPS), so as to provide a reference for clinical treatment of MPS. Methods A total of 60 patients with shoulder and back MPS were equally and randomly divided into mild moxibustion group and acupuncture group. The myofascial trigger points in the shoulder and back regions were stimulated with mild moxibustion for 20-100 min every time or punctured with filiform needles by retaining the needles for 30 min after twirling for a while. The treatment was conducted once daily for 10 days. The short-form McGill pain questionnaire (SF-MPQ) including the pain rating index [PRI consisting of 15 descriptors (11 sensory, 4 affective) which are rated on an intensity scale as 0=none, 1=mild, 2=moderate and 3=severe], present pain intensity (PPI) index of the standard MPQ and a visual analogue scale (VAS) was used to assess the patient's pain severity before and after the treatment. Results Following the treatment, among the 30 cases of MPS patients in the acupuncture and mild moxibustion groups, 1 and 7 were cured, 11 and 17 experienced marked improvement, 14 and 5 were effective, 4 and 1 were invalid, with the effective rates being 86.7% (26/30) and 96.7% (29/30), respectively. The cured plus markedly effective rate of the mild moxibustion group was significantly better than that of the acupuncture group (P<0.001). Self-comparison of the two groups showed that the scores of PRI, VAS and PPI after the treatment were apparently reduced in both groups compared with pre-treatment (P<0.001), but without significant differences between the two groups in the PRI, VAS and PPI scores after the treatment (P>0.05). Conclusion Mild moxibustion stimulation of myofascial trigger point is effective in relieving shoulder-back MPS, being comparable to that of acupuncture therapy.
Chinese Acupuncture & Moxibustion,2014,Vol 34,No. 01
【Abstract】 Objective To explore effects and action mechanism of warm moxibustion on regulation of blood lipids and anti-atherosclerosis. Methods Forty-one male Japanese big-ear white rabbits were randomly divided into four groups as follows: blank group (10 rabbits), model group (10 rabbits), moxibustion group (10 rabbits) and medication group (11 rabbits). Normal diet was applied in the blank group while high-cholesterol diet combined with injection of bovine serum albumin were applied in the other groups to establish a rabbit model of atherosclerosis. After establishment, the model group was not intervened and warm moxibustion was applied in the moxibustion group at “Zusanli” (ST 36) and “Shenque” (CV 8), 10 min per acupoint per day for 4 consecutive weeks. The medication group was treated with intragastric administration of lovastatin capsule (3.6 mg·kg -1) for 4 consecutive weeks. The level of blood lipids, such as total cholesterol (TC), triglyceride (TG) and content of CD40 ligand (CD40L), soluble CD40 ligand (s CD40L) and expression of nuclear factor NF-κB were tested after 4 weeks. Results Compared with the model group, the moxibustion group and medication group showed significantly reduced content of TC and low-density lipoprotein (all P < 0.05), lower level of s CD40L [(8.310 ± 1.221) ng·m L -1 in the model group, (7.097 ± 0.846) ng·m L -1 in the moxibustion group and (7.354 ± 0.631) ng·m L -1 in the medication group], and mitigated expression of CD40L [(0.235 ± 0.179) mm2 in the model group, (0.072 ± 0.079) mm2 in the moxibustion group and (0.039 ± 0.015) mm2 in the medication group] and NF-κB [(0.145 ± 0.052) mm2 in the model group, (0.052 ± 0.012) mm2 in the moxibustion group and (0.036 ± 0.013) mm2 in the medication group], indicating the significant differences (P < 0.05, P < 0.001). There was no statistical difference between the moxibustion group and medication group (all P > 0.05). Conclusion The warm moxibustion has great effects on regulation of blood lipids and anti-atherosclerosis, lowering expression of CD40–CD40L could be one of anti-atherosclerosis possible mechanisms.