Discussion on Acupuncture and Massage treatment of chronic pain

針灸與按壓經絡穴位應用慢性疼痛之探討

10.6528/CAMS.2016.0008

劉泄嬉(Hsieh-Hsi Liu)；陳德發(Der-Fa Chen)；卓播英(Po-Ying Cho)；廖炎智(Yan-Chih Liao)

Acupuncture ； Massage ； Meridians ； Education ； Chronic pain ； The Journal of Chinese Medical Science (JCMS) ； 針灸 ； 按摩 ； 經絡 ； 教育 ； 慢性疼痛 ； 中國鍼炙學雜誌

中國鍼灸學雜誌

4卷1期（2016 / 12 / 11）

112 - 148

英文

Objective: Acupuncture is frequently used for pain relief but the evidence is not clear. Research aim was to assess the effectiveness of acupuncture as a treatment for Chronic pain within the context of the methodological quality of the studies. and to understand the prospects of current research trends of acupuncture clinical studies in Western countries and China. Methods: Systematic literature searches of controlled clinical trials published through relevant to chronic pain practice were conducted using the databases MEDLINE, EMBASE, EMCARE, Chronic pain Literature and the Cochrane Library, Scopus, and CAJ (Chinese Academic Journal) Full-text Database. Results: Traditional acupuncture can relieve pain intensity and improve the quality of daily life with a relative long-term clinical efficacy in patients with Chronic pain. Conclusion: Acupuncture effective for the treatment of chronic pain. Meridian Massage also used in Traditional Chinese medicine (TCM), is a gentle but firm pressing stimulation over meridian and acupoints. is a muscularrelaxing method for pain relief. The basic principle of Chinese massage for chronic pain cervical spondylosis is to promote the local blood circulation by removing stasis, and to improve the function of the related internal energy by regulating the cervical joints and correcting abnormal position. Acupuncture meridian massage in and self-care research and feasibility studies are important steps leading to enhanced utilisation of self-care education. However, as yet, higher education system no such department is present, Mmainly because, 1. Lack of economic resources for acupressure and meridian massage education. 2. Acupressure and meridian massage education is not part of Country study programmes. 3. Clear demand for acupuncture and meridian massage education (Theoretical and Practical). 4. The practical part of the course focused,technology and method demands continuity. How acupuncture meridian massage in school education will be indemnified is yet to be resolved. In order to integrate culture into global health advocacy and solutions, The use in acupuncture meridian massage education, and self-care education is highly feasible. a collaborative approach with flexibility in thinking and implementation must exist. therapeutic acupuncture, and self-care education can be positioned for the mutual benefit of both. It would be of to elucidate acupuncture education in acupressure and meridian massage education care in an international perspective.

目的：針灸是經常用於緩解疼痛但證據不明確。研究目的是評估針灸的有效性慢性疼痛研究的方法學質量的範疇內處理，並了解西方國家和中國的針灸臨床研究目前的研究趨勢和前景。方法：通過相關慢性疼痛的做法發表的臨床對照試驗系統的文獻檢索用的數據庫MEDLINE進行文摘，EMCARE，慢性疼痛文獻和Cochrane圖書館、SCOPUS和CAJ（中國學術期刊）全文數據庫。結果：傳統的針灸可以緩解疼痛強度，提高日常生活以相對長期的臨床療效與患者慢性疼痛的質量。結論：針灸有效用於治療慢性疼痛。經絡按摩也用在中國傳統醫學（中醫），是一個溫柔按壓刺激了經絡和穴位，是緩解疼痛肌肉鬆弛的方法。中國按摩對慢性疼痛頸椎病的基本原理是用化瘀，促進局部血液循環，並通過調節頸椎關節並糾正異常的位置，以改善相關的內部能量的作用。針灸經絡按摩和自我保健的研究和可行性研究使得自我保健教育加強利用的重要步驟。然而，迄今為止，高等教育體系中沒有這樣的科系，主要是由於：一、缺乏經濟來源的穴位和經絡按摩的教育。二、穴位和經絡按摩的教育不是國家研究計劃的一部分。三、針灸和經絡按摩教育明確的需求（理論與實踐）。四、課程的實踐部分重點、技術和方法需要連續性。針灸經絡按摩如何在學校教育中獲得彌償仍有待解決。為了培養融入全球健康宣傳和解決方案，針灸經絡按摩教育和自我保健教育用途是高度可行。在思考和實施的靈活性協作模式必須存在。針灸治療和自我保健教育可以定位為雙方的互惠互利。這將是闡明針灸教育的穴位和經絡按摩保健教育的國際視野。

1. (2010).Pitfalls in Cervical Spine Surgery: Avoidance and Management of Complications.Springer Berlin Heidelberg.
2. (1999).Acupuncture a Scientific Appraisal.Oxford:Butterworth-Heinmann.
3. Ammendolia, C.,Furlan, A. D.,Imamura, M.,Irvin, E.,van Tulder, M.(2008).Evidence-informed management of chronic low back pain with needle acupuncture.The Spine Journal,8(1),160-172.
4. Andersson, S. A.,Lundeberg, T.(1995).Acupuncture-from empiricism to science: Functional background to acupuncture effects in pain and disease pain and disease.Medical hypotheses,45(3),271-281.
5. Bache, F. (1826). Cases illustrative of the remedial effects of acuuncture. North Am Med Surg J, 1, 311-321.
6. Bishop, F. L.,Zaman, S.,Lewith, G. T.(2011).Acupuncture for low back pain: a survey of clinical practice in the UK.Complementary therapies in medicine,19(3),144-148.
7. Brooks, P. M.(2006).The burden of musculoskeletal disease- a global perspective.Clinical rheumatology,25(6),778-781.
8. Cady, R. K.,Farmer, K.(2015).Acupuncture in the Treatment of Headache: A Traditional Explanation of an Ancient Art.Headache: The Journal of Head and Face Pain,55(3),457-464.
9. Cai, Y.,Shen, J.,Zhong, D.,Li, Y.,Wu, T.(2012).Status quo, issues, and challenges for acupuncture research evidence: an overview of clinical and fundamental studies.Journal of Evidence‐Based Medicine,5(1),12-24.
10. Cha, R.,Yoon, D.,Kim, J.,Lee, M.,Lee, G. L.(2014).A study of Sa-Ahm's thoughts on the fourneedle acupuncture technique with the five-element theory.JAMS Journal of Acupuncture and Meridian Studies,7(5),265-273.
11. Chan, S. H. H.(1984).What is being stimulated in acupuncture: Evaluation of the existence of a specific substrate.Neuroscience & Biobehavioral Reviews,8(1),25-33.
12. Connor, J.,Bensky, D.(1981).Acupuncture: a comprehensive text.Editora Roca.
13. DerSimonian, R.,Laird, N.(1986).Meta-analysis in clinical trials.Controlled clinical trials,7(3),177-188.
14. Dorsher, P. T.(2011).Acupuncture for chronic pain.Techniques in Regional Anesthesia and Pain Management,15(2),55-63.
15. Egorova, N.,Gollub, R. L.,Kong, J.(2015).Repeated verum but not placebo acupuncture normalizes connectivity in brain regions dysregulated in chronic pain.NeuroImage: Clinical,9,430-435.
16. Ergil, K.(1996).China's traditional medicine. Fundamentals of complementary and alternative medicine.London:Churchill Livingstone.
17. Ezzo, J.,Berman, B.,Hadhazy, V. A.,Jadad, A. R.,Lao, L.,Singh, B. B.(2000).Is acupuncture effective for the treatment of chronic pain? A systematic review.Pain,86(3),217-225.
18. He, T.,Zhu, W.,Du, S. Q.,Yang, J. W.,Li, F.,Yang, B. F.,Liu, C. Z.(2015).Neural mechanisms of acupuncture as revealed by fMRI studies.Autonomic Neuroscience: Basic and Clinical,190,1-9.
19. Hsu, E.,Barrett, R. L.(2008).Traditional Asian medical systems.International Encyclopedia of Public Health,6,349-357.
20. Itoh, K.,Kitakoji, H.(2007).Acupuncture for chronic pain in Japan: a review.Evidence-based complementary and alternative medicine,4(4),431-438.
21. Kaptchuk, T. J.(2002).Acupuncture: Theory, efficacy, and practice.Annals of Internal Medicine,136(5),374-383.
22. Law, D.,McDonough, S.,Bleakley, C.,Baxter, G. D.,Tumilty, S.(2015).Laser acupuncture for treating musculoskeletal pain: a systematic review with meta-analysis.Journal of acupuncture and meridian studies,8(1),2-16.
23. Legge, D.(2014).Yin and Yang Surfaces: An Evolutionary Perspective.Journal of Acupuncture and Meridian Studies,7(6),281-290.
24. Li, F.,He, T.,Xu, Q.,Lin, L. T.,Li, H.,Liu, Y.,Liu, C. Z(2015).What is the Acupoint? A preliminary review of Acupoints.Pain Medicine
25. Li, F.,He, T.,Xu, Q.,Lin, L. T.,Li, H.,Liu, Y.,Liu, C. Z.(2015).What is the Acupoint? A preliminary review of Acupoints.Pain Medicine
26. Li, L.,Yau, T.,Yau, C. H.(2012).What is the origin of acupoint.Journal of Acupuncture and Tuina Science,10(2),125-127.
27. LIU, K.,LIU, N.(2010).Discussion of Yin-Yang Theory and Health in Chinese Medicine.Journal of Liaoning University of Traditional Chinese Medicine,6,040.
28. Longhurst, J. C.(2010).Defining Meridians: A Modern Basis of Understanding.Journal of Acupuncture and Meridian Studies,3(2),67-74.
29. Lundeberg, T.,Stener-Victorin, E.(2002).Is there a physiological basis for the use of acupuncture in pain?.International Congress Series,1238,3-10.
30. MacPherson, H.(2015).Acupuncture for chronic pain: Definitive results on treatment and placebo effects.European Journal of Integrative Medicine,7(4),436.
31. Manheimer, E.,White, A.,Berman, B.,Forys, K.,Ernst, E.(2005).Meta-analysis: acupuncture for low back pain.Annals of Internal Medicine,142(8),651-663.
32. Petrofsky, J.,Batt, J.,Brown, J.,Stacey, L.,Bartelink, T.,Le Moine, M.,Alyar, S.(2008).Improving the outcomes after back injury by a core muscle strengthening program.JOURNAL OF APPLIED RELIABILITY,8(1),62.
33. Pike, R..Pike, R. Traditional Chinese Medicine National Center for Complementary and Integrative Health (NCCIH)..
34. Pogatzki-Zahn, E. M.,Englbrecht, J. S.,Schug, S. A.(2009).Acute pain management in patients with fibromyalgia and other diffuse chronic pain syndromes.Current Opinion in Anesthesiology,22(5),627-633.
35. Pomeranz, B.(1995).Scientific basis of acupuncture.Springer.
36. Porkert, M.(1974).The Theoretical Foundations of Chinese Medicin: Systems of Correspondence (Vol. 3).MIT Press.
37. Price, D. D.,Rafii, A.,Watkins, L. R.,Buckingham, B(1984).A psychophysical analysis of acupuncture analgesia.Pain,19(1),27-42.
38. Shuai, P.,Zhou, X. H.,Lao, L.,Li, X.(2012).Issues of design and statistical analysis in controlled clinical acupuncture trials: an analysis of English‐language reports from Western journals.Statistics in medicine,31(7),606-618.
39. Shui, Y.(2004).The Biophysics Basis for Acupuncture and Health.Pasadena, Calif, USA:Dragon Eye Press.
40. Spoerel, W. E.(1976).Acupuncture in chronic pain.The American journal of Chinese medicine,4(03),267-279.
41. SUPER-PLACEBO, T. A.(2015).Acupuncture for chronic pain? Clinical wisdom undecided despite over 4000 years of practice.The American journal of medicine,128(4)
42. Tao, H.,Yu, M.-c.,Yang, H.-y.,Qu, R.-m.,Yang, C.,Zhou, X.,Yuan, L.(2011).Correlations Between Fasciology and Yin Yang Doctrine.Journal of Acupuncture and Meridian Studies,4(2),141-146.
43. Wang, J.,Zhao, J. P.(2008).A glance at the property of acupoints-nalysis on functions of acupoints in view of actions of Chinese materia medica.Zhen ci yan jiu,33(4),280-283.
44. White, A.(1998).Medical acupuncture: a western scientific approach.Elsevier Health Sciences.
45. White, A. R.(2001).The Web that has no Weaver: Understanding Chinese Medicine.Focus on Alternative and Complementary Therapies,6(1),45-45.
46. Woolf, A. D.,Pfleger, B.(2003).Burden of major musculoskeletal conditions.Bulletin of the World Health Organization,81(9),646-656.
47. Woolf, C. J.,Doubell, T. P.(1994).The pathophysiology of chronic Pain-increased sensitivity to low threshold Aβ-fibre inputs.Current opinion in neurobiology,4(4),525-534.
48. Wright, J. D.(Ed.)(2015).International Encyclopedia of the Social & Behavioral Sciences.Oxford:Elsevier.
49. Yuan, J.,Purepong, N.,Kerr, D. P.,Park, J.,Bradbury, I.,McDonough, S.(2008).Effectiveness of acupuncture for low back pain: a systematic review.Spine,33(23),E887-E900.
50. Zhang, X.(1986).Research on acupuncture, moxibustion, and acupuncture anesthesia.
51. Zhao, Z. Q.(2008).Neural mechanism underlying acupuncture analgesia.Progress in neurobiology,85(4),355-375.

1. (2024)。八週經絡調理對中年婦女經絡能量與自律神經影響之探討。中醫本草健康促進期刊，8(2)，11-30。