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Journal of Integrative Medicine ›› 2014, Vol. 12 ›› Issue (3): 131-134.doi: 10.1016/S2095-4964(14)60024-8

• Review •     Next Articles

Can moxibustion, an ancient treatment modality, be evaluated in a double-blind randomized controlled trial? — A narrative review

Bai-xiao Zhaoa, Hai-Yong Chenb, Xue-yong Shenc, Lixing Laoa,b,d   

  1. School of Acupuncture, Beijing University of Chinese Medicine, Beijing 100029, China
    School of Chinese Medicine, The University of Hong Kong, Hong Kong, China
    College of Acupuncture-Moxibustion and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
    Center for Integrative Medicine, School of Medicine, University of Maryland, Baltimore, Maryland 21201, USA
  • Received:2014-04-04 Accepted:2014-04-15 Online:2014-05-10 Published:2014-05-15

For thousands of years, moxibustion has been used for various diseases in China and other Asian countries. Despite the recent surge in Chinese herbal studies, few randomized controlled trials have been conducted on this modality, possibly due to the lacking of suitable double blinding methodology. This is a review of extant sham moxa devices and an introduction to a recently developed device that needs further validation.

Key words: Moxibustion, Direct moxibustion, Indirect moxibustion, Randomized controlled trial, Reviews

Figure 1

Real and sham moxa devices by Zhao et al[13]The sham device has a thermal-insulating plate."

"

Figure 2

Zhao’s modified moxa device and proposed sham moxa device(A) The new moxa device developed by Professor Zhao. (B) The proposed sham moxa device with smaller air-pores to lower therapeutic temperature."

[1] Wu JN. Ling shu or the spiritual pivot[M]. Honolulu: University of Hawaii Press, 1993: 234-237
[2] Lao L . Acupuncture techniques and devices[J]. J Altern Complement Med, 1996,2(1):23-25
doi: 10.1089/acm.1996.2.23
[3] Cheng CW, Fu SF, Zhou QH, Wu TX, Shang HC, Tang XD, Liu ZS, Liu J, Lin ZX, Lao L, Lü AP, Zhang BL, Liu BY, Bian ZX . Extending the CONSORT Statement to moxibustion[J]. J Integr Med, 2013,11(1):54-63
doi: 10.3736/jintegrmed2013009
[4] Cheng X. Chinese acupuncture and moxibustion.3rd ed[M]. Beijing: Foreign Languages Press, 2010: 361-370
[5] Cardini F, Weixin H . Moxibustion for correction of breech presentation: a randomized controlled trial[J]. JAMA, 1998,280(18):1580-1584
doi: 10.1001/jama.280.18.1580
[6] Guittier MJ, Pichon M, Dong H, Irion O, Boulvain M . Moxibustion for breech version: a randomized controlled trial[J]. Obstet Gynecol, 2009,114(5):1034-1440
doi: 10.1097/AOG.0b013e3181bc707a
[7] Do CK, Smith CA, Dahlen H, Bisits A, Schmied V . Moxibustion for cephalic version: a feasibility randomised controlled trial[J]. BMC Complement Altern Med, 2011,11:81
doi: 10.1186/1472-6882-11-81
[8] Vas J, Aranda-Regules JM, Modesto M, Ramos-Monserrat M, Barón M, Aguilar I, Benítez-Parejo N, Ramírez-Carmona C, Rivas-Ruiz F . Using moxibustion in primary healthcare to correct non-vertex presentation: a multicentre randomised controlled trial[J]. Acupunct Med, 2013,31(1):31-38
doi: 10.1136/acupmed-2012-010261
[9] Park JE, Lee MS, Jung S, Kim A, Kang K, Choi J, Park J, Choi SM . Moxibustion for treating menopausal hot flashes: a randomized clinical trial[J]. Menopause, 2009,16(4):660-665
doi: 10.1097/gme.0b013e318198cdf7
[10] Park JE, Sul JU, Kang K, Shin BC, Hong KE, Choi SM . The effectiveness of moxibustion for the treatment of functional constipation: a randomized, sham-controlled, patient blinded, pilot clinical trial[J]. BMC Complement Altern Med, 2011,11:124
doi: 10.1186/1472-6882-11-124
[11] Kim HG, Yoo SR, Park HJ, Son CG . Indirect moxibustion(CV4 and CV8) ameliorates chronic fatigue: a randomized, double-blind, controlled study[J]. J Altern Complement Med, 2013,19(2):134-140
doi: 10.1089/acm.2011.0503
[12] Chen M, Chen R, Xiong J, Chi Z, Sun J, Su T, Zhou M, Yi F, Zhang B . Evaluation of different moxibustion doses for lumbar disc herniation: multicentre randomised controlled trial of heat-sensitive moxibustion therapy[J]. Acupunct Med, 2012,30(4):266-272
doi: 10.1136/acupmed-2012-010142
[13] Zhao B, Wang X, Lin Z, Liu R, Lao L . A novel sham moxibustion device: a randomized, placebo-controlled trial[J]. Complement Ther Med, 2006,14(1):53-60
doi: 10.1016/j.ctim.2005.06.003
[14] Ren XM, Cao JJ, Shen XY, Wang LZ, Zhao L, Wu F, Zhang HM . Preliminary clinical randomized controlled trial on knee osteoarthritis treated with moxibustion[J]. World J Acupunct Moxib, 2012,22(2):28-33
doi: 10.1016/S1003-5257(12)60024-5
[15] Kim SY, Yi SH, Cho JH, Yin CS, Lee H, Park HJ. Heat stimulation on the skin for medical treatment: can it be controlled? JTHER].Kim SY, Yi SH, Cho JH, Yin CS, Lee H, Park HJ. Heat stimulation on the skin for medical treatment: can it be controlled?[J] Altern Complement Med. 2011; 17(6):497-504.
doi: 10.1089/acm.2010.0072
[16] Wang T, Zhang Q, Xue X, Yeung A . A systematic review of acupuncture and moxibustion treatment for chronic fatigue syndrome in China[J]. Am J Chin Med, 2008,36(1):1-24
doi: 10.1142/S0192415X08005540
[17] Guo J . Chronic fatigue syndrome treated by acupuncture and moxibustion in combination with psychological approaches in 310 cases[J]. J Tradit Chin Med, 2007,27(2):92-95
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