KDW Health Management LLC, 10335 Gulf Beach Hwy Unit 1008, Pensacola, FL, USA.
Curr Pain Headache Rep. 2024 Aug;28(8):835-841. doi: 10.1007/s11916-024-01261-3. Epub 2024 May 2.
Migraine brings hours or even days of disability, affecting 15% of the US population and one billion people worldwide. Migraine treatments have improved over the years and there is now a range of non-pharmacologic therapies that can be administered as monotherapy, combined with pharmacologic therapy or combined with other non-pharmacologic therapies to give greater options for those who do not tolerate, do not respond to, or who wish to reduce or avoid pharmacologic treatments.
We conducted a review of the literature on auricular therapy as acute or preventive treatment for migraine, searching the databases of MEDLINE and ClinicalTrials.gov from 2013 to 2023. A total of 43 articles contained at least one search term, with three studies specific to acute or prevention of migraine (one for acute only, one for prevention only and one for both acute and prevention). The population was limited to, adults with migraine ages 18 or older, with the administration of auricular therapy as the intervention. While there have been studies on the use of auricular therapy for pain on two specific standardized auricular therapies, Battlefield Acupuncture (BFA) and National Acupuncture Detoxification Association (NADA), neither of these protocols were utilized in any of the studies specific to migraine management. Each of the three studies used different techniques, with one using acupuncture needles and five specific points and two using semi-permanent needles (remained in for a few days) that were placed in areas that showed high activity. Each of these studies showed auricular therapy to have benefit for the management of migraine. However, the authors of each of the studies recommended further studies. Auricular therapy may be a helpful adjunctive treatment to abort a current migraine attack or aid in reducing the frequency or severity of migraine attacks.
偏头痛可导致数小时甚至数天的残疾，影响美国 15%的人口和全球 10 亿人。多年来，偏头痛的治疗方法已有改善，现在有一系列非药物治疗方法，可作为单一疗法、与药物疗法联合或与其他非药物疗法联合使用，为那些不能耐受、无反应或希望减少或避免药物治疗的人提供更多选择。
我们对耳穴疗法作为偏头痛急性或预防性治疗的文献进行了综述，从 2013 年到 2023 年，在 MEDLINE 和 ClinicalTrials.gov 数据库中进行了搜索。共有 43 篇文章包含至少一个检索词，其中 3 项研究专门针对偏头痛的急性或预防（1 项仅针对急性，1 项仅针对预防，1 项同时针对急性和预防）。该人群仅限于年龄在 18 岁或以上、接受耳穴疗法干预的偏头痛成人。虽然有关于两种特定标准化耳穴疗法（战场针灸（BFA）和国家针灸戒毒协会（NADA））用于疼痛的研究，但在任何专门针对偏头痛管理的研究中都没有使用这些方案中的任何一种。这三项研究中的每一项都使用了不同的技术，其中一项使用针灸针和五个特定穴位，两项使用半永久性针（保留数天），放置在显示高活动度的区域。这些研究中的每一项都表明耳穴疗法对偏头痛的管理有好处。然而，每项研究的作者都建议进行进一步的研究。耳穴疗法可能是一种有助于终止当前偏头痛发作或减少偏头痛发作频率或严重程度的辅助治疗方法。
