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Acupuncture and Moxibustion have Different Effects on Fatigue by Regulating the Autonomic Nervous System: A Pilot Controlled Clinical Trial.
Sci Rep. 2016 11 25; 6:37846.SR

Abstract

In order to investigate the different effects of acupuncture and moxibustion on chronic fatigue syndrome (CFS) and alterations in the autonomic nervous system by measuring heart rate variability (HRV). Forty-five participants were recruited and randomly divided into 3 groups using a randomization schedule. The control group (CG, n = 15) and the acupuncture group (AG, n = 15) were treated by manipulation acupuncture, and the moxibustion group (MG, n = 15) was treated by indirect moxibustion. Primary outcomes were the scores of the Fatigue Assessment Instrument (FAI). Secondary outcomes were the HRV parameters which can reflect activity of the autonomic nervous system. This trial considered both instantaneous changes and long-term effectiveness. FAI scores decreased after the 4th and 10th treatments in the 3 groups. The decrease in FAI in the MG was greater than that in the AG. Acupuncture was more effective in instantaneous changes of HRV and moxibustion in long-term aspects. Both acupuncture and moxibustion improved fatigue in CFS patients, but moxibustion was more effective. The possible mechanism of the intervention may be through activation of the vagus nerve. Moxibustion was more effective than acupuncture in long-term treatment of CFS.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Shu Q
Acupuncture &Moxibustion Institute, Hubei University of Chinese Medicine, Wuhan (430061), China. Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture &Moxibustion, Wuhan (430061), China.
Wang H
Acupuncture &Moxibustion Institute, Hubei University of Chinese Medicine, Wuhan (430061), China. Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture &Moxibustion, Wuhan (430061), China.
Litscher D
TCM Research Center Graz, Research Unit for Complementary and Integrative Laser Medicine, Research Unit of Biomedical Engineering in Anesthesia and Intensive Care Medicine, Medical University of Graz, Graz (8036), Austria.
Wu S
Acupuncture &Moxibustion Institute, Hubei University of Chinese Medicine, Wuhan (430061), China. Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture &Moxibustion, Wuhan (430061), China.
Chen L
Acupuncture &Moxibustion Institute, Hubei University of Chinese Medicine, Wuhan (430061), China. Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture &Moxibustion, Wuhan (430061), China.
Gaischek I
TCM Research Center Graz, Research Unit for Complementary and Integrative Laser Medicine, Research Unit of Biomedical Engineering in Anesthesia and Intensive Care Medicine, Medical University of Graz, Graz (8036), Austria.
Wang L
TCM Research Center Graz, Research Unit for Complementary and Integrative Laser Medicine, Research Unit of Biomedical Engineering in Anesthesia and Intensive Care Medicine, Medical University of Graz, Graz (8036), Austria.
He W
Acupuncture &Moxibustion Institute, Hubei University of Chinese Medicine, Wuhan (430061), China. Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture &Moxibustion, Wuhan (430061), China.
Zhou H
Acupuncture &Moxibustion Institute, Hubei University of Chinese Medicine, Wuhan (430061), China. Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture &Moxibustion, Wuhan (430061), China.
Litscher G
Acupuncture &Moxibustion Institute, Hubei University of Chinese Medicine, Wuhan (430061), China. Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture &Moxibustion, Wuhan (430061), China. TCM Research Center Graz, Research Unit for Complementary and Integrative Laser Medicine, Research Unit of Biomedical Engineering in Anesthesia and Intensive Care Medicine, Medical University of Graz, Graz (8036), Austria.
Liang F
Acupuncture &Moxibustion Institute, Hubei University of Chinese Medicine, Wuhan (430061), China. Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture &Moxibustion, Wuhan (430061), China.

MeSH

Acupuncture PointsAcupuncture TherapyAdultAutonomic Nervous SystemFatigue Syndrome, ChronicFemaleHeart RateHumansMaleMiddle AgedMoxibustionPilot ProjectsTreatment OutcomeYoung Adult

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27886247

Clinical Trial Links

The Efficacy of Two Types of Acupuncture on Autonomic Nervous Activity and Quality of Life in Women With Dysmenorrhea.

Citation

Shu, Qing, et al. "Acupuncture and Moxibustion Have Different Effects On Fatigue By Regulating the Autonomic Nervous System: a Pilot Controlled Clinical Trial." Scientific Reports, vol. 6, 2016, p. 37846.
Shu Q, Wang H, Litscher D, et al. Acupuncture and Moxibustion have Different Effects on Fatigue by Regulating the Autonomic Nervous System: A Pilot Controlled Clinical Trial. Sci Rep. 2016;6:37846.
Shu, Q., Wang, H., Litscher, D., Wu, S., Chen, L., Gaischek, I., Wang, L., He, W., Zhou, H., Litscher, G., & Liang, F. (2016). Acupuncture and Moxibustion have Different Effects on Fatigue by Regulating the Autonomic Nervous System: A Pilot Controlled Clinical Trial. Scientific Reports, 6, 37846. https://doi.org/10.1038/srep37846
Shu Q, et al. Acupuncture and Moxibustion Have Different Effects On Fatigue By Regulating the Autonomic Nervous System: a Pilot Controlled Clinical Trial. Sci Rep. 2016 11 25;6:37846. PubMed PMID: 27886247.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acupuncture and Moxibustion have Different Effects on Fatigue by Regulating the Autonomic Nervous System: A Pilot Controlled Clinical Trial. AU - Shu,Qing, AU - Wang,Hua, AU - Litscher,Daniela, AU - Wu,Song, AU - Chen,Li, AU - Gaischek,Ingrid, AU - Wang,Lu, AU - He,Wenjuan, AU - Zhou,Huanjiao, AU - Litscher,Gerhard, AU - Liang,Fengxia, Y1 - 2016/11/25/ PY - 2016/07/26/received PY - 2016/10/31/accepted PY - 2016/11/26/entrez PY - 2016/11/26/pubmed PY - 2018/6/2/medline SP - 37846 EP - 37846 JF - Scientific reports JO - Sci Rep VL - 6 N2 - In order to investigate the different effects of acupuncture and moxibustion on chronic fatigue syndrome (CFS) and alterations in the autonomic nervous system by measuring heart rate variability (HRV). Forty-five participants were recruited and randomly divided into 3 groups using a randomization schedule. The control group (CG, n = 15) and the acupuncture group (AG, n = 15) were treated by manipulation acupuncture, and the moxibustion group (MG, n = 15) was treated by indirect moxibustion. Primary outcomes were the scores of the Fatigue Assessment Instrument (FAI). Secondary outcomes were the HRV parameters which can reflect activity of the autonomic nervous system. This trial considered both instantaneous changes and long-term effectiveness. FAI scores decreased after the 4th and 10th treatments in the 3 groups. The decrease in FAI in the MG was greater than that in the AG. Acupuncture was more effective in instantaneous changes of HRV and moxibustion in long-term aspects. Both acupuncture and moxibustion improved fatigue in CFS patients, but moxibustion was more effective. The possible mechanism of the intervention may be through activation of the vagus nerve. Moxibustion was more effective than acupuncture in long-term treatment of CFS. SN - 2045-2322 UR - https://www.unboundmedicine.com/medline/citation/27886247/Acupuncture_and_Moxibustion_have_Different_Effects_on_Fatigue_by_Regulating_the_Autonomic_Nervous_System:_A_Pilot_Controlled_Clinical_Trial_ DB - PRIME DP - Unbound Medicine ER -