ABSTRACT
OBJECTIVE: To evaluate the effect of acupuncture on the quality of life in patients with depression by clinical randomized single-blind placebo-controlledstudy.
METHODS: one hundred and sixty-three cases of depression according with the inclusion criteria were randomly divided into a group of acupuncture dredging liver and regulating flow of theosophy (group 1), a group of acupoint shallow stab (group 2) and a group of non-acupoint shallow stab (group 3) at 1∶1∶1 ratio, and treated with acu puncture, moxibustion, and intradermal embedding of needle, twice a week, for a total of 12 weeks. Scale of Quality of Life (SF-36) was used to measure the scores at four different time points and evaluate the effect of acupuncture on the quality of life ofthepatientswithdepression.
RESULTS: At each time point after treatment, in scores of the 8 items, physical function, physical role, bodily pain, general physical condition, energy, social function, emotional function and mental health there were statistically significant differencesamongthe3groups(P<0.0125).
CONCLUSION: Acupuncture can effectively improvethequalityoflifeofpatientswithdepression
Treatments The acupuncture points were located in reference to the Color Atlas of Acupuncture Points edited by Traditional Chinese Medicine Press in 2002.5 All the treatments were carried by acupuncturists with clinical physician certificates and more than three years work experience, at room temperature of 28℃.
Group1: for acupuncture treatment, 0.35mm×25mm filiform needles were used. After disinfection, acupuncture was given at Hegu (LI 4) and Taichong (LR 3) into a depth of 10-12 mm, with a lifting-thrusting and twisting method to get needing sensation (De Qi). Then the needle was inserted into Baihui (GV 20) at a 30- degree angle with the scalp to a depth of 4-5 mm, andforneedlingYintang(EX-HN3)theneedlewasinserted into a depth of 4-5 mm at a 30-degree angle with the forehead. The needles were retained for 30min and the patients took a deep breath with the nose. The treatment was given more than 2 times a week with an interval > 48 h between treatments, for a total of 12 weeks. After acupuncture treatment, moxabustion with a conical moxa cone of 1 cm in diameter and 1 cm in highness was given on the selected points applied flower oil, Geshu (BL 17), Danshu (BL 19). When the moxa cone was burned out 2/3 and the patient had warm or mild burning sensation, it was removed, five cones for each acupoint, twice a week with an interval > 48 h between treatments, for a total of 12 weeks. Then, intradermal embedding of needle was applied to Xinshu (BL 15), Ganshu (BL 18), with the needle body embedded into 5 mm, twice a week with an interval>48 h between treatments, for a tota lof 12 weeks.
Group 2: acupuncture was applied to Hegu (LI 4), Taichong (LR 3), Baihui (GV 20), Yintang (EX-HN3) with the same method as the group 1, but the depth of the needle inserting into Hegu (LI 4), Taichong (LR 3), Yintang (EX-HN 3) were 2-3 mm, with no twisting-lifting and thrusting. Then, moxibustion was given on Geshu (BL 17), Danshu (BL 19) with the same method as the group 1, but moxa cone was burn nearly 1/3 and when the patient did not have warm feeling, the moxa cone was removed. Finally, intradermal embedding of needle was applied to Xinshu (BL 15), Ganshu (BL 18), with the same methods as the group 1, but the needle body only was inserted into a deep of 1-2 mm. Group 3: acupuncture was given at radial side 10 mm of Hegu (LI 4) and 10 mm lateral to Taichong (LR 3) on both sides, left 10 mm from Baihui (GV 20), left 10mmfromYintang(EX-HN3),with the same operation method as the group 2.Then,moxibustionwasapplied on 10 mm lateral to Geshu (BL 17) and 10 mm lateral to Danshu (BL 19) on both sides, with the same operation method as the group 2. Finally, the intradermal needle was embedded into 10 mm lateral to Xinshu(BL15) and 10mm lateral to Geshu(BL17) on both sides with the same operation method as the group 2.
Studienautoren: Fan Ling, FuWenbin, Chen Zhao, Xu Nenggui, Liu Jianhua, LǚAiping, Li Ziping, Su Shengyong,WuTaixiang, Ou Aihua
Quelle: JTraditChinMed2016April15;36(2):151-159 info@journaltcm.com ISSN0255-2922