Acupuncture Therapy ; adverse effects ; Humans

Acupuncture ; Acupuncture Therapy/adverse effects* ; Bee Venoms/adverse effects* ; Humans

OBJECTIVETo assess the therapeutic effect of acupuncture on depression.

METHODSA systematic evaluation of all relevant randomized controlled trials (RCT) about acupuncture and moxibustion treatment of depression was carried out by the study methods of evidence-based medicine. The data were statistically analyzed with a special analysis software RevMan 4.2.

RESULTSFourteen papers of RCT met the enrolled criteria. Four of the trials used double-blind method. Meta-analysis indicated that the effective rate was no significant difference between the acupuncture treatment and medication, and acupuncture treatment is better than Amitriptyline in improvement of HAMD scores, but no significant differences as compared with other drugs.

CONCLUSIONBoth acupuncture and medication possibly are effective for depression with good safety. However, because of lower methodological quality of the trials, this conclusion needs further be confirmed.

The Medline database system and the CNKI literature database were used to evaluate the publications in acupuncture in recent years, using the key words: "acupuncture" "adverse reaction" and "risk". A number of 155 publications in Chinese were collected, including 698 cases; a number of 59 abstracts publications in English were selected, including 64 cases. The analysis of the publications shows that various causes lead to adverse reactions to acupuncture. The defective security system of acupuncture is one of the major causes. It demands to promote the safety guidelines issued by WHO or to establish a new Chinese security system of acupuncture.
Acupuncture Therapy ; adverse effects ; standards ; Humans ; MEDLINE

Acupuncture safety is an unavoidable problem in acupuncture clinical. is the earliest ancient literature on acupuncture taboo, which has a far-reaching influence on the clinical acupuncture safety regulation. of - absorbs the essence of , retaining most of the contents of the theory and rearranging it. This paper tries to explore the discussions about , compared with , from the point of "anatomy" and "spirit", to describe the early understanding of acupuncture taboo, to emphasize the importance of acupuncture safety from three aspects, as human anatomy, needle and operation, and mental and functional status. It is suggested that a relatively preliminary acupuncture safety regulation was being formed at the time, in order to bring inspiration to the contemporary acupuncture clinical .
Acupuncture Therapy ; adverse effects ; China ; Moxibustion ; Needles

Four cases of rejection reactions after acupoint embedding with chromic catgut as well as the diagnosis and treatment course were reported to reveal the importance of rejection reaction and its generality. Besides, the cause and mechanism were discussed. By combining the treatment experience, it was recommended to replace the catgut with third-generation absorbable medical suture, which could prompt execution of standardized manipulation of acupoint embedding.
Acupuncture Points ; Acupuncture Therapy ; adverse effects ; instrumentation ; Adult ; Catgut ; adverse effects ; Female ; Humans ; Obesity ; therapy

Humans ; Cardiac Tamponade/therapy* ; Acupuncture Therapy/adverse effects* ; Punctures/adverse effects* ; Heart

OBJECTIVE: To explore the current domestic situation of the adverse event in acupotomy so as to promote the standardization of acupotomy and improve the clinical effect and safety of acupotomy therapy. METHODS: The method of retrospective journal researching was used. The case report about the adverse event in acupotomy from CNKI, WANFANG and VIP databases was retrieved and the types, the features, the causes, the numbers of the papers and the cases were analyzed. RESULTS: Fifty-eight papers were included, with total 343 cases. It was indicated that the adverse events in acupotomy were mainly postoperative local pain, hematoma, swelling, nerve damage, tendon rupture, adhesion, injury, infection, syncope, anesthesia accident, undeserved hormone use, etc. The lower level of standardization of acupotomy in the clinical use may lead to adverse events. CONCLUSION Safe acupotomy treatment for some complicated diseases and dangerous parts remains to be improved, and the standardization of the acupotomy is an important approach to improve its safety. The related work needs to be carried out.
Acupuncture Therapy ; adverse effects ; Humans ; Pain, Postoperative ; Research ; Retrospective Studies

OBJECTIVE: To evaluate the safety of thread embedding acupuncture therapy (TEAT) and discuss the prevention and treatment of some adverse events (AEs). METHODS: Review of databases, including China National Knowledge Infrastructure (CNKI), CBMdisc, Wanfang, VIP databases and English literature published in PubMed, MEDLINE, EMBASE and Web of Science, were searched from their inception to January 2020, randomized controlled trials (RCTs) and case reports in which AEs with TEAT were included. Cochrane Collaboration's tool and RevMan V.5.3.3 software were used to evaluate the quality of the studies. RESULTS: A total of 61 studies (45 RCTs and 16 case reports) with 620 cases of AEs were included in this review. These studies were published in two countries: China and South Korea. Twenty eight kinds of AEs were summarized. The most common AEs were induration, bleeding and ecchymosis, redness and swelling, fever, and pain. They were accounted for 75.35% (425/564) in the review, and most of them were mild. The rarest AEs were epilepsy, irregular menstruation, skin ulcer, thread malabsorption, and fat liquefaction, with 1 case each. But not all of them had clear causal relationship with TEAT. Most of the AEs were local reactions [with incidence of 9.83% (480/4,882)] and systemic reactions accounted for only 1.27% (62/4,882). Although the included studies showed that AEs were very commonly encountered (11.09%), only 5 cases of severe AEs reported from 2013 to 2017 (0.1%) by using catgut thread, which are rarely seen nowdays with the wide use of new absorbable surgical suture. All of the severe AEs were recovered after symptomatic treatment with no sequelae. CONCLUSIONS The evidence showed that TEAT is a relatively safe and convenient therapy especially since application of new absorbable surgical suture. Improving practitioner skills, regulating operations, and paying attention to the patients' conditions may reduce the incidence of AEs and improve safety of TEAT.
Acupuncture Therapy/adverse effects* ; Catgut ; China ; Female ; Humans ; Pain ; Software

Acupuncture Points ; Acupuncture Therapy ; adverse effects ; instrumentation ; methods ; Adult ; Catgut ; adverse effects ; Female ; Humans ; Middle Aged ; Obesity ; therapy