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Background: We performed a systematic review of the efficacy of various types of acupuncture in the treatment of asthma in children. Methods: We searched the MEDLINE, Embase, and Cochrane Library databases up to October 20, 2014. Randomized controlled trials (RCTs) of children and adolescents (<18 years of age) with asthma were included. Data extraction was applied, and methodologic quality was assessed. Results: A total of 32 articles were assessed for eligibility, and seven studies comprising 410 patients were included in the systematic review. Two RCTs showed significant improvement in peak expiratory flow (PEF) variability for acupuncture (traditional and laser) vs. control, with one showing significant improvement in asthma-specific anxiety level, but no significant differences in other lung function parameters or quality of life. Another RCT reported significant benefits of laser acupuncture on lung function parameters but did not describe or report statistical analyses. One crossover RCT showed significant improvements in response to both acupuncture and placebo acupuncture, with better improvements with acupuncture compared to placebo acupuncture (forced exhaled volume in 1 s [FEV1], PEF). Two additional crossover RCTs showed no significant differences between single sessions of laser acupuncture and placebo acupuncture on baseline, postacupuncture, and postinduced bronchoconstriction values (% predicted FEV1, maximum expiratory flow). A recent study showed a significant effect of acupuncture paired with acupressure on medication use and symptoms in preschool-age children. Methodologic and reporting variability remains an issue. However, the results suggest that acupuncture may have a beneficial effect on PEF or PEF variability in children with asthma. Conclusions: The efficacy of acupuncture on other outcome measures is unclear. Large-scale RCTs are needed to further assess the efficacy of acupuncture in the treatment of asthma in children. [ABSTRACT FROM AUTHOR]

The aim of this study was to compare effects of far-infrared (FIR) meridian heat pad therapy and health education in subjects at high risk of developing diabetes mellitus. A total of 103 participants with at least one high-risk factor for type 2 diabetes mellitus were enrolled in either an experimental group (n =50) receiving FIR meridian heat pad therapy or an untreated group (n = 53) receiving a diabetes mellitus-related health education program combining traditional and Western medicine (TMWM). The experimental group was treated with FIR heat pads covering an area consisting of six acupuncture points on the hand: Yangxi, Yanggu, Yangchi, Shenmen, Daling, and Taiyuan. Waist circumference, body mass index, fasting blood glucose, total serum cholesterol and blood pressure were measured at baseline and 10 weeks post-intervention. The Chinese version of the SF-36 Health Survey for quality of life was completed post-intervention. Significant changes in waist circumference were shown between baseline and post-intervention in the TMWM group (P=0.003) and FIR group (P=0.002), with greater mean reduction in the TMWM group than the FIR group. Mean fasting blood glucose levels increased significantly in the TMWM group after intervention (P<0.05) but showed no significant increase in the FIR group. General health scores significantly decreased after intervention (P=0.015), while physical functioning scores increased (P=0.027) in the TMWM group but not in the FIR group post-intervention. FIR meridian heat pad therapy may reduce chances of elevating fasting blood glucose levels and a diabetes mellitus-related TMWM health education program may modulate quality of life in patients at high risk of diabetes mellitus. [ABSTRACT FROM AUTHOR]

This meta-analysis aimed to evaluate the effectiveness of acupuncture or acupressure at the Sanyinjiao (SP6) acupoint in relieving pain associated with primary dysmenorrhea. We searched the scientific literature databases to identify randomized controlled trials. The primary outcome was visual analogue scale (VAS) pain score. Three acupuncture and four acupressure trials were included in the meta-analyses. For the acupuncture analysis, there was no difference in the mean VAS score reduction between the SP6 acupoint and control (GB39 acupoint) groups (-4.935; lower limit = -15.757, upper limit = 5.887; P = 0.371). For the acupressure analysis, there was a significant difference in the mean VAS score after intervention between the SP6 acupoint and control (rest/light touch at SP6/nonacupoint acupressure) groups, favoring the SP6 acupoint group (-1.011; lower limit = -1.622, upper limit = -0.400; P = 0.001). Sensitivity analyses demonstrated good reliability of the meta-analyses findings. These findings suggest that acupuncture at SP6 is not more effective than acupuncture at an unrelated acupoint in the relief from primary dysmenorrhea. Acupressure at SP6 may be effective in the relief from primary dysmenorrhea. High-quality randomized controlled trials are needed to confirm these findings. [ABSTRACT FROM AUTHOR]

Little is known about the effect of far-infrared rays (FIR) on serotonin and malondialdehyde levels in depressed patients with insomnia. The purpose of this study is to assess the effect of far-infrared rays on depressed people with insomnia. A randomized design was used to determine this effect. A total of 70 inpatients were recruited with the clinical diagnosis of depression with sleep disturbance. In the experimental group, FIR was applied to three chosen acupuncture points by a patch-like sticker for a period of 15 minutes twice a week. The three acupuncture points are Nei-Kuan (PC6), Shenmen (HT7) and Sanyinjiao (SP6). The total duration of experiment was four weeks. For both experimental and control groups, serum levels of serotonin (5HT) and malondialdehyde (MDA) were examined before and after the introduction of FIR. The experimental group revealed disparate changes over different dependent variables, in which serotonin increased but MDA decreased after the introduction of FIR. These observations indicate that the serotonin pathway is involved in the pathophysiological mechanism responsible for the damaging effects of MDA on depressed patients with insomnia. [ABSTRACT FROM AUTHOR]