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Studien zum Thema Gynäkologie

“Deqi” leads to greater period pain reduction

Dysmenorrhoea patients that experience a ‘deqi’ needling sensation demonstrate larger reductions in pain relative to those who do not, according to a Chinese study. Eighty-eight patients with primary dysmenorrhoea were randomly assigned to either deqi or no deqi groups, and received acupuncture at Sanyinjiao SP-6 for 30 minutes. The deqi group received deep needling with manipulation, using thick needles, while the no deqi group received shallow needling with no manipulation, using thin needles. After the treatment, both groups showed reductions in pain scores, with no significant differences between the groups. In the deqi group, 43 out of 43 patients reported...
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A Literature Review on the Efficacy of Acu-Point PC6 for the Treatment of Nausea and Vomiting in Pregnancy

Abstract Nausea and Vomiting in Pregnancy (NVP), or morning sickness is a common clinical condition affecting at least 50% of women in the first trimester of pregnancy. The acupuncture point Pericardium 6 (PC6) is located on the palmar side of the wrist and is one of the principle points in terms of Chinese medicine for treating all forms of vomiting and nausea. Six studies were thoroughly examined in the form of a systematic review to investigate the efficacy of PC6 by applying acupuncture and acupressure to treat NVP. Following the research, PC6 appears to be effective in reducing the symptoms...
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Acupressure at SP-6 can help cervical ripening

Acupressure at Sanyinjiao SP-6 can help with cervical ripening in labour, according to a study from Iran. In a randomised trial, 150 primigravid women with term pregnancies were randomised to one of three interventions: acupressure at Sanyinjiao SP-6 performed by a researcher, self-applied acupressure at Sanyinjiao SP-6, and routine care only. For both active intervention groups acupressure was applied at Sanyinjiao SP-6 for 20 minutes, once a day for five days. At 48 hours after beginning treatment, cervical ripening scores were found to be significantly better in the researcher-performed acupressure group and self-performed acupressure group, in comparison with the control...
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ACUPUNCTURE & MORNING SICKNESS

A study of 593 women at the Women’s and Children’s Hospital, Adelaide, Australia, who were less than 14 weeks pregnant and suffered from symptoms of nausea or vomiting, compared traditional acupuncture, simple acupuncture at Neiguan P-6 only, sham acupuncture and no acupuncture. The acupuncture patients received two 20-minute sessions of acupuncture in the first week followed by one weekly treatment for four weeks. Traditional acupuncture consisted of the insertion of a maximum of 6 needles at a mixture of abdominal points and points selected according to pattern differentiation. Abdominal points were Burong ST-19, Chengman ST-20, Liangmen ST-21, Youmen KID-21, Futonggu...
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ACUPUNCTURE & VULVAR VESTIBULITIS

Vulvar vestibulitis is a disease of unknown aetiology involving inflammation of the skin and the mucous secreting glands found in the skin of the vulvar vestibule. It can occur in women of all ages, whether sexually active or not, can persist for years, and gives rise to symptoms such as severe pain on pressure (for example cycling, exercise or tight fitting clothes), intercourse or insertion of tampons, burning, stinging and irritation, redness and the urge to urinate frequently or suddenly. Possible implicating factors include human papilloma virus, chronic yeast infections, chronic bacterial infections, chronic changes of the acid-base balance in...
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Acupuncture And Herbs for Endometriosis

Researchers from Nanjing Traditional Chinese Medicine University and Haian Traditional Chinese Medicine Hospital find acupuncture combined with herbs effective for the alleviation of endometriosis. Two patient groups were compared in a six month clinical trial. One group received Traditional Chinese Medicine (acupuncture and herbs) and the other group received mifepristone (RU-486®, a synthetic steroid that inhibits progesterone action, used for the treatment endometriosis or as an abortifacient). Ultrasonography for detection of endometriomas and growths in addition to blood tests (cancer antigen 125, anti-endometrial antibody) were used to determine treatment efficacy. The bloodwork was equivalent and ultrasonography finds both TCM and...
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Acupuncture as breastfeeding support

ABSTRACT Objectives This article investigates the efficacy of acupuncture for the maintenance of breastfeeding during the first 3 months of a newborn’s life. Subjects and interventions After written informed consent was obtained, 90 women were randomly divided into two groups: acupuncture treatment or observation. Acupuncture sessions were performed twice weekly for 3 weeks (total six sessions). The control group made weekly visits to the clinic and the midwife observed their breastfeeding, giving routine care. In both groups, a semistructured clinical assessment of breastfeeding quality was carried out by the midwife at enrollment and after 3 weeks. Moreover, in both groups...
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Acupuncture better than Drugs For Endometriosis Pain Relief

Researchers find acupuncture more effective than hormone drug therapy for the treatment of endometriosis. Acupuncture relieves menstrual pain due to endometriosis, reduces the size of pelvic masses, lowers CA125 levels, and reduces the recurrence rate of endometriosis. CA125 a is biomarker for several types of cancer and benign conditions including endometriosis and menstrual disorders. Researchers at Tongji University hospital compared acupuncture with standard drug therapy. Patients receiving acupuncture achieved a 92.0% total effective rate. Patients receiving mifepristone achieved a 52.0% total effective rate. Mifepristone, also known by its trademarked name RU-486, is a synthetic steroid that inhibits progesterone action and...
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Acupuncture decreases duration of labour

Researchers from Iran have found that acupuncture is significantly associated with decreased duration of labour. They randomised 63 nulliparous women to receive either verum acupuncture at Sanyinjiao SP-6 and Hegu L.I.-4, or sham acupuncture at the same points. No significant variations in pain scores or serum cortisol levels were observed between the two groups. However, the duration of labour was found to be significantly lower in the group receiving real acupuncture. Effects of LI-4 and SP-6 Acupuncture on Labor Pain, Cortisol Level and Duration of Labor. J Acupunct Meridian Stud. 2015 Oct;8(5):249-54 Quelle: www.jcm.co.uk

ACUPUNCTURE DECREASES POST-CAESARIAN PAIN

A Chinese study has shown that acupuncture at Sanyinjiao SP-6 can decrease the amount of analgesia required in the first 24 hours after caesarian section. Sixty women who had spinal anesthesia during caesarian section were randomly assigned to receive either acupuncture or electro-acupuncture at bilateral Sanyinjiao SP-6, or to a control group. Women in the acupuncture and electro-acupuncture groups delayed the time of requesting morphine up to 11 minutes later than the control group. The total dose of patient-controlled analgesia (PCA) used within the first 24 hours was 30%-35% less in the acupuncture groups compared with the control group, which...
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Acupuncture effective alternative for pregnancy depression

Acupuncture is an effective treatment for depression during pregnancy, according to a new American study. A hundred and fifty pregnant women with a diagnosis of major depression were randomised to receive 12 sessions of acupuncture consisting of a standardised point prescription specific for depression, or one of two active controls – control acupuncture or massage – over eight weeks. Women who received specific acupuncture experienced a greater rate of decrease in symptom severity compared with the combined controls or control acupuncture alone. They also showed a significantly greater response rate (63.0%) than the combined controls (44.3%) and control acupuncture alone...
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ACUPUNCTURE EFFECTIVE FOR BREECH CORRECTION

A systematic review from Holland has concluded that acupuncture-type interventions (moxibustion, acupuncture, or electro-acupuncture) on Zhiyin BL 67 are effective in correcting breech presentation, compared with expectant management. Of 65 citations retrieved from various databases, six RCTs and three cohort studies fulfilled the reviewers’ inclusion criteria. In the RCTs the pooled proportion of breech presentations was 34% following treatment versus 66% in the control group. The pooled proportion in the cohort studies was 15% versus 36%. Including all studies, the proportion of breech presentations was 28% following treatment versus 56% for the control group. (Effectiveness of acupuncture-type interventions versus expectant...
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ACUPUNCTURE EFFECTIVE FOR PELVIC PAIN IN PREGNANCY

One in three women suffer potentially severe and disabling pelvic girdle pain during pregnancy. Now a Swedish study has demonstrated that acupuncture is more effective than either standard or specialised exercises in relieving the pain. 386 pregnant women were assigned to a six-week treatment programme involving either standard home exercise, standard exercise plus acupuncture or specialised exercises designed to improve mobility and strength. Pain levels were assessed morning and evening. The women receiving the acupuncture showed the greatest relief in pain, which, achieved without the use of medication, is of particular benefit to pregnant women. Acupuncture treatment focused on the...
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Acupuncture for cervical ripening and induction of labor at term – a randomized controlled trial

ABSTRACT OBJECTIVE The aim of this study was to evaluate whether acupuncture at term can influence cervical ripening, induce labor and thus reduce the need for postdates induction. METHODS On the estimated date of confinement (EDC) women were prospectively randomized to an acupuncture group (AG) or a control group (CG). Data of 45 women were evaluated (AG, n = 25; CG, n = 20). Inclusion criteria were as follows: confirmed EDC, uncomplicated course of pregnancy, singleton pregnancy in cephalic presentation. Exclusion criteria were as follows: cervical dilation > 3 cm, active labor, premature rupture of membranes, previous cesarean section, pathologies...
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Acupuncture for dyspepsia in pregnancy: a prospective, randomised, controlled study

ABSTRACT Objectives This study was undertaken to describe under real-life conditions the effects of acupuncture on symptomatic dyspepsia during pregnancy and to compare this with a group of patients undergoing conventional treatment alone. Methods A total of 42 conventionally treated pregnant women were allocated by chance into two groups to be treated, or not, by acupuncture. They reported the severity of symptoms and the disability these were causing in daily aspects of life such as sleeping and eating, using a numerical rating scale. The study also observed the use of medications. Results Six women dropped out (one in the acupuncture...
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ACUPUNCTURE FOR LABOUR INDUCTION

Fifty-six primigravid women at 39 weeks or greater with a singleton gestation and Bishop score (a system for predicting whether induction of labour will be required) of less than seven were randomised to usual medical care or usual care plus three acupuncture treatments. Each treatment consisted of eight needles applied bilaterally to Hegu L.I.-4, Sanyinjiao SP-6, Shangliao BL-31 and Ciliao BL-32. Mean time from randomisation to delivery occurred 21 hours sooner in the acupuncture group, but this difference did not reach statistical significance. Compared with controls, women in the acupuncture group tended to be more likely to labour spontaneously and...
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Acupuncture for ovulation induction in polycystic ovary syndrome: a randomized controlled trial

ABSTRACT Acupuncture has been demonstrated to improve menstrual frequency and to decrease circulating testosterone in women with polycystic ovary syndrome (PCOS). Our aim was to investigate whether acupuncture affects ovulation frequency and to understand the underlying mechanisms of any such effect by analyzing LH and sex steroid secretion in women with PCOS. This prospective, randomized, controlled clinical trial was conducted between June 2009 and September 2010. Thirty-two women with PCOS were randomized to receive either acupuncture with manual and low-frequency electrical stimulation or to meetings with a physical therapist twice a week for 10–13 wk. Main outcome measures were changes...
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Acupuncture for the Treatment of Vulvodynia: A Randomized Wait-List Controlled Pilot Study

ABSTRACT Introduction The incidence of vulvodynia in American women has been reported to be between 8.3% and 16%. However, there is no consistently effective standardized treatment for vulvodynia. Aim To determine the feasibility and potential effects of using a standardized acupuncture protocol for the treatment of women with vulvodynia. Main Outcome Measures The primary outcome was vulvar pain, and sexual function was the secondary outcome. Pain was assessed by the Short-Form McGill Pain Questionnaire, and function was measured by the Female Sexual Function Index (FSFI). Methods Thirty-six women with vulvodynia met inclusion criteria. The women were randomly assigned either to...
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Acupuncture Found Effective For chronic pelvic inflammatory disease

Acupuncture, tuina, and Chinese herbal medicine are found effective for the resolution of chronic pelvic inflammatory disease (PID). Zhuji No. 3 People’s Hospital researchers confirm that a Traditional Chinese Medicine (TCM) modality combining acupuncture, tuina, and acupuncture herbal plasters outperforms the drug combination of 0.9% sodium chloride, penicillin, and metronidazole for the treatment of chronic PID. Additionally, investigators confirm that acupuncture increases the effectiveness of herbs for patients with chronic PID. Acute PID is often a medical emergency requiring hospitalization and the administration of antibiotics. However, long-term chronic PID patients are often insufficiently responsive to surgery and drug therapy. Traditional...
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Acupuncture has long-lasting effects on period pain

Investigators from Australia and New Zealand report that acupuncture treatment can reduce menstrual pain intensity, and that its effects can still be felt one year later. A randomised controlled trial was performed with 74 women randomly assigned to one of four treatment arms: low frequency manual acupuncture (LF-MA), high frequency manual acupuncture (HF-MA), low frequency electro-acupuncture (LF-EA) and high frequency electro-acupuncture (HF-EA). A clinical manual-based protocol was used to allow individualised treatment, with a maximum of seven points used per treatment and a total of 12 treatments performed over three menstrual cycles, either once per week (LF groups) or three...
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Acupuncture helpful for perimenopausal insomnia

Chinese investigators have found that acupuncture can contribute to a clinically relevant improvement in perimenopausal insomnia (PMI), both subjectively and objectively. Seventy-six perimenopausal women with insomnia received ten sessions of acupuncture at bilateral Shenshu BL-23 and Ganshu BL-18 with unilateral Qimen LIV-14 and Jingmen GB-25, or placebo needling at the same acupoints, over a three week period. After treatment, the decrease from baseline in sleep quality and insomnia severity scores was significantly greater in the acupuncture group compared with the placebo group. Acupuncture treatment also significantly improved sleep efficiency and total sleep time, and was associated with less waking after...
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Acupuncture improves low desire in women

Acupuncture can improve sexual function in women with hypoactive sexual desire disorder (HSDD), a small American study suggests. Fifteen premenopausal women with HSDD were included in a single-arm pilot study and underwent twice-weekly acupuncture sessions for five weeks. Point prescriptions were individualised to each patient’s TCM pattern presentation (including Kidney yang deficiency, Liver qi stagnation, Blood deficiency, Spleen yang deficiency and Heart fire). Five weeks of acupuncture was found to be associated with significant improvements from baseline in overall sexual function, particularly in the specific domains of desire, arousal, lubrication and orgasm, while distress due to symptoms and anxiety levels...
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Acupuncture Increases Breast Milk Production

Acupuncture restores normal breast milk production to lactating mothers with low milk secretion levels. Research conducted at the Hanzhong Shanxi Hospital demonstrates that the application of a specific set of acupuncture points significantly boosts lactation quantities. In a controlled investigation of 116 women with deficient secretion of milk (hypogalactia, hypogalactorrhea), acupuncture successfully increased breast milk secretion from an average of 49.63 ml to 115.21 ml. In addition, lactating mothers receiving acupuncture had a concomitant improvement in prolactin (a hormone that stimulates milk production) levels. Postpartum hypogalactia is often caused by weakness after delivery. Other causes include congenital dysplasia, dietary issues,...
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Acupuncture may be beneficial for PCOS

Acupuncture may help improve the symptoms of polycystic ovarian syndrome, but the current quality of evidence is poor, concludes a systematic review from Korea. Looking at data from 2093 participants enrolled in 27 studies, a low level of evidence was identified that acupuncture can improve ovulation and menstruation rates, along with statistically significant pooled benefits of acupuncture as an adjunct to medication for normalising luteinising hormone (LH), LH/follicular stimulating hormone (FSH) ratio, testosterone, fasting insulin and pregnancy rates. Acupuncture for polycystic ovarian syndrome: A systematic review and meta-analysis. Medicine (Baltimore). 2017 Jun;96(23):e7066. Quelle: www.jcm.co.uk

Acupuncture or acupressure for induction of labour

ABSTRACT Background This is one of a series of reviews of methods of cervical ripening and labour induction. The use of complementary therapies is increasing. Women may look to complementary therapies during pregnancy and childbirth to be used alongside conventional medical practice. Acupuncture involves the insertion of very fine needles into specific points of the body. Acupressure is using the thumbs or fingers to apply pressure to specific points. The limited observational studies to date suggest acupuncture for induction of labour has no known adverse effects to the fetus, and may be effective. However, the evidence regarding the clinical effectiveness...
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Acupuncture Pain Relief After C-section

Researchers find acupuncture more effective than intravenous sufentanil citrate for the relief of post-C-section pain. Nanyang Wolong District Maternity and Child Health Care Hospital researchers investigated the effects of electroacupuncture (EA) on patients with post-C-section pain in a randomized controlled study. The control group received sufentanil citrate (a potent synthetic opioid analgesic). Sufentanil is stronger than fentanyl and 500 times more potent than morphine. The acupuncture treatment group achieved a total effective rate of 86.7%. The drug control group achieved a 60.0% total effective rate. The total effective rate was based upon a combination of symptomatic relief scores and endogenous...
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Acupuncture Perimenopause Relief

Acupuncture is safe and effective for the treatment of perimenopause. Researchers from Heilongjiang University of Chinese Medicine and Henan University of Chinese Medicine investigated the effects of acupuncture on perimenopausal syndrome as it relates to metabolism, reproductive endocrinology, and the immune system. Clinical and laboratory findings reveal important biochemical benefits induced by acupuncture and electroacupuncture. Onset of perimenopause may occur years prior to menopause. It may occur in the 40s, 30s, or earlier and is related to a decrease in estrogen production by the ovaries. Perimenopause typically lasts approximately four years. Indications of perimenopause include hot flashes, fatigue, increased premenstrual syndrome...
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Acupuncture Plus Herbal Medicine PCOS Finding

Acupuncture plus herbal medicine increase the clinical effective rate of drug therapy for the treatment of polycystic ovary syndrome (PCOS). In research conducted at the Hubei Maternal and Child Care Service Center, drug therapy using cyproterone acetate/ethinylestradiol and letrozole produced an 72.5% total effective rate. Using both drugs and herbal medicine produced an 85.0% total effective rate, and the rate increased to 95.0% when acupuncture was added to the treatment regimen. Cyproterone acetate/ethinylestradiol is a commonly used medicine for the treatment of PCOS. Letrozole is an aromatase inhibitor used to stimulate ovulation in women with PCOS. The following parameters were...
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Acupuncture reduces androgen levels in PCOS

Low-frequency electro-acupuncture (EA) can improve hyperandrogenism and menstrual frequency in women with polycystic ovary syndrome (PCOS), according to a study carried out in Sweden. Eighty-four women with PCOS were randomised to 16 weeks of low-frequency EA, physical exercise, or no intervention. After 16 weeks of treatment, levels of circulating androgens were found to have decreased significantly in the EA group (testosterone -25%, androsterone glucuronide -30%, and androstane-3?, 17?-diol-3glucuronide -28%). In addition, menstrual frequency increased to 0.69 per month from 0.28 at baseline in the EA group.  After 16-weeks of follow-up, acne scores had decreased by 32% in the EA group....
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Acupuncture reduces epidural use

A trial carried out in Sweden has found that women who received manual acupuncture (MA) or electro-acupuncture (EA) during labour used less epidural analgesia than women who received standard care. The longitudinal randomised controlled trial recruited 303 nulliparous women with normal pregnancies who were randomised to receive 40 minutes of either manual acupuncture (MA) or electro-acupuncture (EA), or standard care without acupuncture (SC). Subjective visual analogue pain scores did not differ between the three groups, however fewer women in the EA group used epidural analgesia (46%) compared with those in the MA group (61%) and SC group (70%). (Acupuncture with...
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Acupuncture reduces menopause symptoms

A meta-analysis from Taiwanese authors confirms that acupuncture can improve symptoms in women experiencing menopause. Twelve studies (869 participants) met the authors’ inclusion criteria. The results of the analysis showed that acupuncture significantly reduced the frequency and severity of hot flushes. In addition, acupuncture was shown to significantly improve psychological, somatic, urogenital symptoms and vasomotor symptoms. Acupuncture’s beneficial effects on hot flush frequency and severity were found to persist for up three months. (Effects of acupuncture on menopause-related symptoms and quality of life in women on natural menopause: a meta-analysis of randomized controlled trials. Menopause. 2014 Jul 7. Quelle: ncbi.nlm.nih.gov/pubmed/25003620...
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Acupuncture Reduces Menopause-related Vasomotor Symptoms

NEW YORK (Reuters Health) – Acupuncture can be useful for reducing vasomotor symptoms (VMS) in perimenopausal and postmenopausal women, according to results of a systematic review and meta-analysis. “I was impressed with the notable improvements in VMS frequency, severity, and several quality-of-life measurements with acupuncture compared with no acupuncture,” Dr. Deanna Befus from Wake Forest School of Medicine’s Center for Integrative Medicine, Winston-Salem, North Carolina, told Reuters Health by email. “While follow-up time of included studies varied, some demonstrated reductions in hot flash frequency that were maintained for 12 months after baseline. This presents real promise for patients wrestling with...
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Acupuncture Regulates Hormones, Boosts Fertility

Acupuncture is effective for the treatment of polycystic ovarian syndrome. Researchers find acupuncture effective for normalizing hormone levels and improving the overall health of patients with polycystic ovarian syndrome. Scientific data demonstrates that acupuncture produces significant improvements in menstrual regularity, restores ovulation pattern regularity, increases pregnancy rates, regulates hormonal secretions, normalizes basal body temperature patterns, and increases embryo survival rates. Fertility enhancements provided by acupuncture apply to both natural conception and IVF (in vitro fertilization) patients. Research published in the Shanghai Journal of Acupuncture and Moxibustion entitled Advances In Clinical Research On Acupuncture Moxibustion Treatment For Polycystic Ovarian Syndrome cites several clinical studies. Let’s...
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Akupunktur erhöht die Eisprunghäufigkeit bei PCO-Syndrom

Eine Serie von Akupunkturbehandlungen kann die Häufigkeit von Eisprüngen bei Frauen mit Polyzystischem Ovarsyndrom (PCO) erhöhen, sagt eine schwedische Studie. In einer prospektiven klinischen Studie wurden 32 Frauen mit PCO-Syndrom randomisiert um entweder Akupunktur in Kombination mit manueller und niedrigfrequenter Elektrostimulation zu erhalten, oder eine Behandlung durch einen Physiotherapeuten 2x pro Woche (das war quasi die Placebogruppe), beides über 10-13 Wochen. Die Eisprunghäufigkeit während des Therapiezeitraumes war höher in der Akupunkturgruppe. Nach den 10-13 Behandlungswochen waren eine Vielzahl von relevanten Hormonen (inklusive Östrogen, Östradiol, DHEA und Testosteron) in der Akupunkturgruppe deutlich signifikanter gesunken als in der Kontrollgruppe. Originaltext: (Acupuncture for...
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Changes in HbA1c and circulating and adipose tissue androgen levels in overweight-obese women with polycystic ovary syndrome in response to electroacupuncture.

ABSTRACT AIM Insulin sensitivity is ~40% lower in women with polycystic ovary syndrome (PCOS) than in controls. We tested the hypothesis that 5 weeks of electroacupuncture treatment improves glucose regulation and androgen levels in overweight/obese women with PCOS. MATERIAL AND METHODS Seventeen women with PCOS, aged 18 to 38 years, with a body mass index (BMI) ≥25 kg/m2 and diagnosed with PCOS were included in this experimental and feasibility study and subjected to five weeks of electroacupuncture treatments three times/week. The primary outcome was changes in whole-body glucose homeostasis measured by euglycemic hyperinsulinemic clamp before and after the intervention. Secondary outcome were changes in...
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CHINESE HERBS COMPARABLE TO HORMONES FOR ENDOMETRIOSIS

UK authors have carried out a systematic review of the use of Chinese herbal medicine (CHM) for endometriosis-related pain and infertility. Database searches revealed 100 relevant studies, but only two Chinese RCTs were deemed of high enough quality for analysis. Meta-analysis of the pooled results involving a total of 158 women concluded that administration of CHM after laparoscopic surgery for endometriosis has effects comparable to those achieved with the drug gestrinone (a synthetic progesterone that suppresses the secretion of oestrogen by the ovaries), but with fewer side effects. In addition they concluded that oral CHM may have a better overall...
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Chinese medicine prevents recurrence and improves fertility after endometriosis surgery

A Chinese research group has shown that treatment with Chinese herbal medicines (CHMs) can prevent the recurrence of endometriosis and improve the conception rate in women who have undergone surgery for endometriosis. Two hundred and four patients were randomly divided into two groups. Patients in the CHM group were treated using one of three types of CHMs, based on individual syndrome differentiation. Patients in the Western medicine (WM) group were treated using gonadotropin releasing hormone agonist (GnRH-a) or gestrinone. Patients with stage I and II endometriosis were treated for three months, while the patients with stage III and IV disease...
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Dang Gui Decoction effective for menopausal symptoms

A phase II clinical trial of a Chinese herbal decoction, Dang Gui Bu Xue Tang (DBT, Dang Gui Decoction to Tonify the Blood), has shown that it can significantly improve physical and psychological scores and significantly reduce vasomotor symptoms for post-menopausal women. A randomised, double-blind, multiple-dose escalation trial was performed in 60 post-menopausal women who were experiencing severe hot flushes and night sweats. Participants were randomised to receive DBT preparations at 1.5, 3.0, or 6.0 g/day for 12 weeks. Significant between-group differences were noted in psychological/psychosocial and somatic/physical domains of menopause scales, with the greatest improvement in the 6.0 g/day...
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Die Nachgeburtsperiode unter Akupunkturtherapie des Punktes Ni 16 Huangshu

Die Autoren haben Unterschiede im Verlauf der Nachgeburtsperiode nach postpartaler Akupunktur des Foramens inductorium viscerum, R16 (huangshu) (AT) im Vergleich zur prophylaktischen Oxytocingabe untersucht. Dazu wurde bei 262 Gebärenden unmittelbar nach der Geburt der Akupunkt R16 genadelt, eine Vergleichsgruppe von 270 Frauen erhielt unmittelbar nach der Geburt intravenös 3 I.E. Syntocinon und bei einer Kontrollgruppe mit 265 Frauen, bei denen keine Zeichen einer verstärkten postpartalen Blutung aufgetreten waren, wurde auf jegliche Massnahmen verzichtet. Nach AT konnte die mittlere Plazentalösungszeit (12,2 +/- 7,3 min) gegenüber der Syntocinongruppe (14,3 +/- 8,6 min) und der nichtbehandelten Gruppe (14,6 +/- 8,8 min) schwach signifikant...
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Does acupuncture have a role in the treatment of threatened miscarriage? Findings from a feasibility randomised trial and semi-structured participant interviews

ABSTRACT Background Threatened miscarriage is a common complication of early pregnancy increasing the risk of miscarriage or premature labour. Currently there is limited evidence to recommend any biomedical pharmacological or self-care management, resulting in a ‘watchful waiting’ approach. The objective of this study was to examine the feasibility of offering acupuncture as a therapeutic treatment for women presenting with threatened miscarriage. Methods A mixed methods study involving a randomised controlled trial and semi structured interviews. A pragmatic acupuncture protocol including medical self-care advice was compared to an active control receiving touch intervention and medical self-care advice. Descriptive statistics were used...
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Effective Use of Battlefield Acupuncture in Managing Labor Pain

ABSTRACT Background Labor pain is multifactorial, complex, and intense due to various physiologic and psychosocial changes. Pharmacologic interventions are the most effective analgesia but have significant side-effects. Acupuncture offers benefits in labor analgesia with relatively low side-effects. Battlefield acupuncture (BFA), a subset of acupuncture, has shown effectiveness in rapid pain relief. This article reports the case of a primigravid patient who received BFA for pain relief during labor. Case This is a case study of a 32-year-old patient whose labor was induced with a Foley-bulb and Pitocin® and received BFA for pain relief. She was treated at Evans Army Community...
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Effectiveness of acupuncture versus spinal-epidural anesthesia on labor pain: a randomized controlled trial

ABSTRACT OBJECTIVE To evaluate the effectiveness of acupuncture analgesia (AA) compared with combined spinal-epidural anesthesia (CSEA) for labor pain reliefandlaboroutcomes. METHODS We evaluated 131 primiparous women who received respiratory guidance during maternal uterine contractions and received either AA (n = 43), CSEA (n = 45), or no additional treatment (control, n = 43). The groups were compared regarding visual analog scale (VAS) scores for abdominal and backpain,andlaboroutcomes. RESULTS The abdominal VAS scores of the AA and CSEA groups were significantly lower than that of the control group. In addition, theVAS scores of the CSEA group were significantly lower than that...
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Effects of acupuncture for the treatment of endometriosis-related pain: A systematic review and meta-analysis

ABSTRACT Background Endometriosis is a multifactorial, oestrogen-dependent, inflammatory, gynaecological condition that can result in long-lasting visceral pelvic pain and infertility. Acupuncture could be an effective treatment for endometriosis and may relieve pain. Our aim in the present study was to determine the effectiveness of acupuncture as a treatment for endometriosis-related pain. Methods In December 2016, six databases were searched for randomised controlled trials that determined the effectiveness of acupuncture in the treatment of endometriosis-related pain. Ultimately, 10 studies involving 589 patients were included. The main outcomes assessed were variation in pain level, variation in peripheral blood CA-125 level, and clinical...
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Efficacy of Acupuncture in the Management of Primary Dysmenorrhea: A Randomized Controlled Trial

ABSTRACT Introduction Dysmenorrhea constitutes one of the most frequent disorders in women of a fertile age. The present study was conducted to evaluate the efficacy of acupuncture in the management of primary dysmenorrhea. Materials and methods Sixty females aged 17–23 years were randomly assigned to either a study group or a control group. The study group received acupuncture for the duration of 20 minutes/day, for 15 days/month, for the period of 90 days. The control group did not receive acupuncture for the same period. Baseline, during, and post assessments of both the groups were taken on day 1; day 30...
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Einfluss von antenataler Akupunktur auf Doppler-sonographische und psychometrische Parameter

Zusammenfassung Fragestellung Akupunktur als nicht evidenzbasierte Therapieform findet weit verbreitet Anwendung. Bisher haben nur wenige Studien die Auswirkung dieser Methode auf klassische geburtshilfliche Überwachungsparameter untersucht. Ziel der vorliegenden Untersuchung war, an definierten Akupunkturpunkten die Wirkung dieser Methode auf die Doppler-Sonographie und deren psychologische Wirkung zu überprüfen. Material und Methodik An der Frauenklinik der MH Hannover wurden 61 Low-risk-Einlingsschwangere zwischen der 30 + 0 und 39 + 6 SSW durch denselben Untersucher am Punkt LG 20 und Magen 36 beidseits akupunktiert. Vor und nach der Akupunktur erfolgte die Doppler-sonographische Darstellung der A. umbilicalis sowie anschließend die Einschätzung der Akupunkturwirkung. Überprüfte Outcomeparameter...
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Electroacupuncture at Sanyinjiao Sp-6 helps with labour pain

A Chinese study has concluded that electroacupuncture (EA) at Sanyinjiao SP-6 is an effective way of decreasing labour pain. A total of 350 women in labour were randomised to either electroacupuncture at Sanyinjiao SP-6, sham electroacupuncture at Sanyinjiao SP-6 or a control group. Self-rated labour pain scores from women in the verum electroacupuncture group were significantly less than in the control group after 30 minutes of needle retention and at two and four hours after needle withdrawal. Other evaluated outcomes did not show significant differences among the three groups. (Effects of Sanyinjiao (SP6) with electroacupuncture on labour pain in women...
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GINGER STOPS NAUSEA AND VOMITING IN PREGNANCY

Ginger (Sheng Jiang) is an effective remedy for nausea and vomiting during pregnancy. A single blind clinical trial carried out in Iran randomly assigned 67 pregnant women to receive either 1000 mg ginger in capsules or placebo capsules for four days. Ginger users demonstrated a higher rate of nausea improvement than placebo users (85% versus 56%). The decrease in vomiting among ginger users was also significantly greater than among women who received the placebo (50% vs. 9%). (Effects of ginger capsules on pregnancy, nausea and vomiting. J Altern Complement Med. 2009 Mar;15(3):243-6) Quelle: www.jcm.co.uk

Herbal formula treats PCOS effectively

A Chinese study has found that a Chinese herbal formula compares favourably with drug therapy for polycystic ovary syndrome (PCOS). The formula, Tian Gui Capsule (TGC), was composed of Shu Di Huang (Radix Rehmanniae), Zhi Mu (Rhizoma Anemarrhenae), Yin Yang Huo (Herba Epimedii brevicornus), Huang Jing (Rhizoma Polygonati Sibirici), Dang Gui (Radix Angelicae sinensis), Tao Ren (Semen Persicae), Shi Chang Pu (Rhizoma Acori tatarinowii), Gui Jia (Carapax et Plastrum testudinis), Bu Gu Zhi (Fructus Psoraleae), Hu Zhang Gen (Radix Polygoni cuspidati) and Ma Bian Cao (Herba Verbenae officinalis). A total of 47 PCOS outpatients were randomly divided into three groups....
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HERBAL MEDICINES FOR DYSMENORRHOEA

In a Japanese study, two herbal medicine prescriptions administered alternately within the menstrual cycle were found to have powerful antidysmenorrhoeic effects. The two prescriptions were Shakuyaku-kanzo-to (Shao Yao Gan Cao Tang/Peony & Licorice Decoction) and Toki-shakuyaku-san (Dang Gui Shao Yao San/Tangkuei and Peony powder). All 17 dysmenorrhea patients in the study, including recurrent endometriotic and adenomyotic patients obtained complete relief within three months. Nine of 12 patients treated with the herbal therapy ovulated and all three secondary ammenorrhoea patients with moderate levels of serum estradiol, but none of the three secondary amenorrhoea patients with little serum estradiol, also ovulated. One...
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Is acupuncture in addition to conventional medicine effective as pain treatment for endometriosis?

A randomised controlled cross-over trial ABSTRACT Objective The aim of the study was to examine whether acupuncture is an effective additional pain treatment for endometriosis. Study design One hundred and one women aged 20–40 years participated and were randomised into two groups, each receiving two units of 10 acupuncture treatments, twice a week over a period of five weeks. Group 1 (n = 47) received verum-acupuncture during the first series, and group 2 (n = 54) received non-specific acupuncture. After the first unit of 10 treatments, an observation period of at least two menstruation cycles was set, followed by a second unit, according to...
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Keine verbotenen Akupunkturpunkte in der Schwangerschaft

Nach der Auswertung von 6.000 Behandlungsfällen in der Schwangerschaft gab es mit tonisierender Nadelungstechnik keinen Hinweis auf Komplikationen durch sogenannte „verbotene Punkte“. Hier findet sich das Abstract der Untersuchung: Verbotene Akupunkturpunkte in der Schwangerschaft — Überholte Tradition oder beachtenswerter Existenzbeleg? Römer, M. Weigel, W. Zieger, F. Melchert, Universitätsfrauenklinik Mannheim In der traditionellen chinesischen Literatur und der gegenwärtigen Akupunkturfachliteratur werden verbotene Akupunkturpunkte für die Anwendung in der Schwangerschaft angegeben. Die Angaben zu den Punkten, Techniken und den als verboten angegebenen Anwendungszeiträumen jedoch differieren erheblich. Für die Anwendung der Akupunktur in der Schwangerschaft in der täglichen Praxis ist der Beleg für die...
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Moxa for breech saves money

Moxibustion at acupuncture point Zhiyin BL-67 can correct non-vertex presentation, reduce the number of caesarean sections performed and achieve cost savings for the healthcare system, compared with conventional treatment. Analysis by Spanish researchers showed that moxibustion prevents 8.92% of deliveries with non-vertex presentation compared with conventional treatment, resulting in an average cost saving of €107.11 per delivery (mainly due to the costs saved by avoiding the need for caesarean section). Analysis also showed an incremental cost per delivery ranging from €68 for moxibustion versus €640 for conventional treatment. Cost effectiveness of using moxibustion to correct non-vertex presentation. Acupunct Med. 2015...
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Moxibustion as effective as drugs for period pain

A Chinese study suggests that moxibustion may be as effective as drugs for alleviating menstrual pain. In a pragmatic randomised trial, 152 participants received either moxibustion or ibuprofen over a three month period. Moxibustion was carried out at Guanyuan REN-4, Shenque REN-8 and Sanyinjiao SP-6, once a day for seven days leading up to the beginning of the period for three menstrual cycles. The results showed that menstrual pain intensity in both the experimental and control groups was significantly reduced after treatment. Pain reduction was not significantly different between the two groups. Three months after the end of treatment, the...
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MOXIBUSTION AT ZHIYIN BL-67

An Italian obstetrician has carried out a study into the application of moxibustion at Zhiyin BL-67 for the treatment of breech presentation in pregnancy. Francesco Cardini and Huang Weixin divided 130 women (in the 33rd week of their first pregnancy) in two Chinese hospitals into two groups. Those treated with moxibustion (for 7 consecutive daily treatments with seven more if needed) experienced greater foetal movement and had significantly more normal (cephalic) births than women left untreated  (The Journal of the American Medical Association 1998;280). Quelle: www.jcm.co.uk

PREBIRTH ACUPUNCTURE

A study of prebirth acupuncture given in the practices of 14 New Zealand midwives over a four-month period found a 35% reduction in induction rates (43% for primigravidae), 31% reduction in epidurals, 32% reduction in emergency caesarean sections and 9% increase in normal vaginal birth compared to the general population. The most commonly used points were Sanyinjiao SP-6, Zusanli ST-36, Yanglingquan GB-34, Kunlun BL?60 and Hegu L.I.-4. (Acupuncture for prebirth treatment: an observational study of its use in midwifery practice. Medical Acupuncture. 2006; 17:3). Quelle: www.jcm.co.uk

Signifikante Ergebnisse durch geburtsvorbereitende Akupunktur sowie durch Akupunktur zur Wehenanregung bei vorzeitigem Blasensprun

A) Monozentrische Studie über den Einfluss der geburtsvorbereitenden Akkupunktur auf die Geburtsdauer und den Geburtsverlauf: Folgende Fragestellungen wurden untersucht: a) Welchen Einfluss hat die geburtsvorbereitende Akupunktur auf die Geburtsdauer, den Geburtsmodus und den Verbrauch an Wehen- und Schmerzmitteln? b) Gibt es Unterschiede des Muttermundsbefundes zwischen akupunktierten und nicht-akupunktierten Frauen? In der Akupunkturgruppe wurden retrospektiv die Daten von 131 Frauen, die in der Akupunkturambulanz des Vivantes Urban-Klinikums eine geburtsvorbereitende Akupunktur nach dem Mannheimer Schema erhalten und die ihre Kinder zwischen dem 01.01.2000 und dem 31.12.2000 geboren hatten, ausgewertet. In die Kontrollgruppe wurden 135 Frauen gleicher Parität aufgenommen. Der Anteil deutscher Frauen...
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SP-6 has immediate effects on menstrual pain

Chinese researchers have found that electroacupuncture (EA) at Sanyinjiao SP-6 has a specific and immediate beneficial effect on dysmenorrhoea, compared with Xuanzhong GB-39 and an adjacent non-meridian point. Fifty-two women with primary dysmenorrhoea were assigned to one of four treatments: EA at Sanyinjiao SP-6, EA at Xuanzhong GB-39, EA at an adjacent non-meridian point or no acupuncture (waiting list group). They received ten minutes of treatment at a time when their menstrual pain scored ?40 on a 100 mm visual analog scale (VAS), and 30 minutes of treatment on the following two days. The SP6 group showed a highly significant...
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The therapeutic effects of acupuncture in 30 cases of postpartum hypogalactia

The therapeutic effects of acupuncture in 30 cases of postpartum hypogalactia by Zhao Yan et al. In this report the effects of acupuncture were observed in thirty cases of postpartum hypogalactia. Twenty-five of the women in the group were primiparae and five were multiparae, 27 had scanty milk secretion and three had no milk secretion at all, the age range was from 31 to 36 years and the duration of illness was from two to 30 days. All women received the main points as follows: Shanzhong REN-17, threaded downwards and then manipulated towards the left and right breasts, Shaoze SI-1...
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Traditional acupuncture for menopausal hot flashes: A systematic review and meta-analysis of randomized controlled trials

Introduction This study was conducted to evaluate the efficacy of traditional acupuncture (TA) for treatment of hot flashes (HFs) in peri-menopausal and post-menopausal women based on a systematic review of randomized controlled trials (RCTs). Methods The following international electronic databases: PubMed, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), China National Knowledge Infrastructure (CNKI), and four Korean medical databases were searched for randomized controlled trials (KISS; Korean-studies Information Service System, Korean Traditional Knowledge Portal, NDSL; National Discovery for Science Leaders, KiSTi; Korean Institute of Science and Technology Information, OASIS; Oriental Medicine Advanced Searching Integrated System). The Cochrane Collaboration’s riskof...
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Treating Pain in Pregnancy with Acupuncture: Observational Study Results from a Free Clinic in New Zealand

ABSTRACT INTRODUCTION Clinic-based acupuncturists, midwives, and physiotherapists have reported using acupuncture to treat lumbopelvic pain in pregnancy, a common condition that may affect functioning and quality of life. To contribute to the emerging evidence on treatment outcomes, we collected patient-reported pain reduction data from women treated during pregnancy in a no-pay, hospital-based acupuncture service in New Zealand. METHODS Observational study of patient-reported symptom reduction.The main outcome measure was the MYMOP (Measure Your Medical Outcome Profile), a brief, validated self-report instrument. Open-ended questions on treatment experiences and adverse events were included. RESULTS Of the 81 women on whom we had complete treatment data, the majority (N = 72,...
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Unterstützende Akupunkturbehandlung der Uterusrückbildung im Wochenbett

Die Autorin dieser Studie hat seit 1993 bei über 2800 Wöchnerinnen mit verzögerter Uterusrückbildung die Akupunktur erfolgreich zur Uterusrückbildung eingesetzt. Dazu wurden die Frauen am 2. und 4.Tag nach der Geburt je 30 Minuten lang beidseitig auf dem Foramen inductorium viscerum, R16 (huangshu) genadelt. Ohne Kontraktiva erhalten zu haben, berichteten 82% der Frauen von Uteruskontraktionen. Auch nach Kaiserschnitt hat die Autorin mit ihrer Therapiemethode gute Ergebnisse erzielt. Autor: Flechsig, U., Richter, P. Journal: Römer et al.: Akupunkturtherapie in Geburtshilfe und Frauenheilkunde, Stuttgart, 1998, S.131-132, deutsch Quelle: http://www.literatur.tcm.ch/articles/870

Veränderung der Cervixreife und der Geburtsdauer nach geburtsvorbereitender Akupunkturtherapie nach dem Mannheimer Schema

Akupunkturtherapie ist in Europa unter der Geburt vorwiegend als Analgesiemethode bekannt. In der einschlägigen Literatur werden zu Geburtsvorbereitung vorwiegende Akupunkturpunkte mit psychisch ausgleichender Wirkung angegeben. Ziel der vorliegenden Studie war die Untersuchung von morphologisch nachweisbaren Veränderungen wie Cervixlänge, des Bishop-Score und der Geburtsdauer nach Akupunkturtherapie mit in der Literatur als geburtserleichternd beschriebenen, spezifischen Akupunkturpunkten. Das Untersuchungsergebnis stellt eine nachweisbare Veränderung hinsichtlich Geburtsdauer, Cervixbefund und Cervixlänge im Vergleich zu einer nicht behandelten Vergleichsgruppe und einer mit einer als psychisch ausgleichend geltenden Akupunkturpunkten behandelten Kontrollgruppe dar. Prospektiv randomisiert wurden dazu ab der 36. SSW in wöchentlichem Behandlungsintervall bis zur Geburt, bei n=329...
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Verbotene Akupunkturpunkte in der Schwangerschaft – überholte Tradition oder beachtenswerter Existenznachweis? Ergebnisse der retrospektiven Studie der Universitätsfrauenklinik Mannheim

Zusammenfassung Die Autoren kommen zu dem Schluss, dass die Ergebnisse dieser retrospektiven Untersuchung mittels Auswertung der Behandlungsakten belegen, dass es für die Existenz von Verbotenen Punkten in der Schwangerschaft keinen Nachweis gibt. Die Existenz von Verbotenen Punkten konnte bei der praktischen Anwendung aller Punkte, in allen Phasen des Schwangerschaftsverlaufs und den untersuchten Anwendungsindikationen nicht belegt werden. Die hohe Zahl der in die Studie eingeschlossenen Patientinnen (n = 5.885) sowie die Ergebnisse lassen den zweifelsfreien Schluss zu, dass der traditionellen Lehrmeinung der Verbotenen Punkte in der Schwangerschaft der Existenzbeleg fehlt. Autoren: A.Römer, W.Zieger, F.Melchert, erschienen in Dt. Ztschr. f. Akupunktur 56, 3/2013 Quelle: https://www.sciencedirect.com/science/article/pii/S0415641213007285

Weniger Wechseljahresbeschwerden und mehr Lebensqualität mit Gua Sha Therapie

Die chinesische Schabetherapie reduzierte in einer randomisierten Studie die perimenopausalen Symptome von Frauen in Ergänzung zu einer Heilkräuterbehandlung deutlicher als diese alleine. Die Perimenopause, auch Wechseljahre genannt, ist der Übergang in die unfruchtbare Lebensphase der Frau und tritt meistens im Alter zwischen 40 und 60 Jahren ein. Dieser Zeitraum der hormonellen Umstellung dauert ungefähr 3 bis 10 Jahre und führt bei vielen Frauen zu verschiedenartigen unangenehmen Symptomen. Menstruationsbeschwerden, Hitzeschübe, Schlafstörungen, Stimmungsschwankungen, Scheidentrockenheit, Schmerzen beim Geschlechtsverkehr und andere Symptome können bei rund 40 % der Frauen so massiv sein, dass ihre Lebensqualität stark eingeschränkt ist und sie medizinische Hilfe suchen. Die...
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Women’s experiences of having depression during pregnancy and receiving acupuncture treatment – A qualitative study

ABSTRACT BACKGROUND Research indicates some women experiencing depression during pregnancy are dissatisfied with conventional depression treatments due to incomplete effectiveness, dislike of side effects, unsatisfactory experiences with providers and concerns regarding in-utero and breastfeeding safety. Consequently, many explore alternative options including acupuncture. To further understand women’s views, preferences and motivations in this regard, as well as their experiences of receiving acupuncture as part of a three-armed pragmatic randomised controlled trial evaluating acupuncture for antenatal depression in Sydney, Australia, in-depth interviews were conducted with a group of acupuncture recipients. METHODS Eight participants who had completed the eight-treatment intervention were interviewed. Data was analysed using thematic analysis. RESULTS The...
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