Xia Meng, Pang Bo, Yi Shaowei, Shan Xinjue, Deng Shizhe, Qin Yinan, Jiang Tao, Lu Hai
Alberta College of Acupuncture & Traditional Chinese Medicine, Alberta, Canada.
Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Acupunct Herb Med. 2022 Sep;2(3):162-171. doi: 10.1097/HM9.0000000000000044. Epub 2022 Dec 8.
Moxibustion has been widely used in the prevention and treatment of COVID-19. However, there is no systematic review of current topics and clinical findings on moxibustion for COVID-19. We conducted this scoping review to systematically summarize and analyze the themes and findings of published articles, and to provide an overview of current knowledge and practice of moxibustion for COVID-19.
PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure, SinoMed, Wan Fang Data, and VIP databases were searched from inception until April 2022. The relevant data were presented through bar graphs, structured tables, and figures along with descriptive statistics and analysis. This scoping review was conducted based on the PRISMA-ScR Checklist.
A total of 76 articles were reviewed: 47 reviews, 19 clinical research studies, seven systematic reviews (all were protocols), and three guidelines. All the studies were conducted by Chinese researchers and published from January 1, 2020 to March 14, 2022. The feasibility of moxibustion in the prevention and treatment of mild or moderate COVID-19 is based on the consensus of therapeutic mechanisms and effectiveness. The most adopted approach was the suspended and gentle moxibustion, and the most frequently applied or recommended acupoints were found to be ST36, CV8, CV6, CV4, CV12, GV14, BL13, LI4, ST25, and LR3.
As a convenient and safe traditional Chinese medicine (TCM) therapy with its specific feature, moxibustion has been significantly effective at ameliorating mild or moderate symptoms among COVID-19 patients. Further large-scale, well-designed research and international cooperation are still warranted in clinical evaluations of moxibustion.
艾灸已广泛应用于新型冠状病毒肺炎(COVID-19)的预防和治疗。然而,目前尚无关于艾灸治疗COVID-19的主题和临床研究结果的系统评价。我们进行了这项范围综述,以系统地总结和分析已发表文章的主题和研究结果,并概述目前艾灸治疗COVID-19的知识和实践。
检索了PubMed、Embase、Cochrane图书馆、Web of Science、中国知网、中国生物医学文献数据库、万方数据和维普数据库,检索时间从建库至2022年4月。相关数据通过柱状图、结构化表格和图表呈现,并进行描述性统计和分析。本范围综述依据PRISMA-ScR清单进行。
共纳入76篇文章:47篇综述、19篇临床研究、7篇系统评价(均为方案)和3篇指南。所有研究均由中国研究人员开展,发表时间为2020年1月1日至2022年3月14日。艾灸在预防和治疗轻度或中度COVID-19方面的可行性基于治疗机制和有效性的共识。最常用的方法是悬温和艾灸,最常应用或推荐的穴位为足三里(ST36)、气海(CV8)、关元(CV6)、中脘(CV4)、膻中(CV12)、大椎(GV14)、肺俞(BL13)、合谷(LI4)、归来(ST25)和太冲(LR3)。
艾灸作为一种方便、安全且具有特色的中医治疗方法,在改善COVID-19患者的轻度或中度症状方面具有显著疗效。在艾灸的临床评估中,仍需要进一步开展大规模、设计良好的研究以及国际合作。