Timis Teodora Larisa, Florian Ioan Alexandru, Mitrea Daniela Rodica, Orasan Remus
Department of Physiology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Department of Neurosciences, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Medicina (Kaunas). 2021 Apr 23;57(5):410. doi: 10.3390/medicina57050410.
Conventional therapeutic methods for psoriasis include topical and systemic drugs, phototherapy, and biologic agents. Despite the fact that these treatment methods, and especially biologic agents, are met with a considerable reduction in disease activity, they can sometimes be costly and are nonetheless accompanied by high risks of adverse events, ranging from mild to debilitating. Therefore, complementary and alternative medicine (CAM), especially mind-and-body interventions, such as acupuncture, psychotherapy, climatotherapy, and cupping may provide a cheaper and potentially beneficial outcome for these patients.
We performed a systematic review of articles pertaining to acupuncture, cupping, psychotherapy and meditation, as well climatotherapy and balneotherapy in the management of psoriasis, by using the PubMED, Medline and Google Academic research databases and reference cross-checking.
12 articles on acupuncture, 9 on dry or wet cupping, 27 concerning meditation, hypnosis or psychotherapy, and 34 regarding climate therapy or balneotherapy were found.
Currently, there is a lack of evidence in the English literature to support acupuncture as an effective alternative therapy for psoriasis, whereas cupping has been described in the majority of instances to result in Koebner phenomenon and clinical worsening. Stress management therapies such as psychotherapy, hypnosis, and meditation have shown promising results as complementary treatment methods. Climatotherapy and balneotherapy have already been proven as effective means of achieving clinical improvement in psoriasis. Further research is still needed to verify the usefulness of the lesser studied treatment methods.
银屑病的传统治疗方法包括局部和全身用药、光疗以及生物制剂。尽管这些治疗方法，尤其是生物制剂，能使疾病活动度显著降低，但有时费用高昂，且伴有从轻微到严重的高不良事件风险。因此，补充和替代医学（CAM），尤其是身心干预，如针灸、心理治疗、气候疗法和拔罐，可能为这些患者提供更便宜且潜在有益的结果。
我们通过使用PubMed、Medline和谷歌学术研究数据库并进行参考文献交叉核对，对有关针灸、拔罐、心理治疗和冥想以及气候疗法和温泉疗法在银屑病管理中的文章进行了系统综述。
发现了12篇关于针灸的文章、9篇关于干拔罐或湿拔罐的文章、27篇关于冥想、催眠或心理治疗的文章以及34篇关于气候疗法或温泉疗法的文章。
目前，英文文献中缺乏证据支持针灸作为银屑病的有效替代疗法，而在大多数情况下，拔罐会导致同形反应和临床病情恶化。心理治疗、催眠和冥想等压力管理疗法作为补充治疗方法已显示出有前景的结果。气候疗法和温泉疗法已被证明是实现银屑病临床改善的有效手段。仍需要进一步研究来验证较少研究的治疗方法的有效性。
