Influence of de qi on the immediate analgesic effect of SP6 acupuncture in patients with primary dysmenorrhoea and cold and dampness stagnation: a multicentre randomised controlled trial.

Abstract

OBJECTIVE:

The aim of this multicentre randomised controlled trial was to investigate the contribution of de qi to the immediate analgesic effect of acupuncture in patients with primary dysmenorrhoea and the specific traditional Chinese medicine diagnosis cold and dampness stagnation.

METHOD:

Eighty-eight patients with primary dysmenorrhoea and cold and dampness stagnation were randomly assigned to de qi (n=43) or no de qi (n=45) groups and underwent 30 min of SP6 acupuncture. The de qi group received deep needling at SP6 with manipulation using thick needles; the no de qi group received shallow needling with no manipulation using thin needles. In both groups the pain scores and actual de qi sensation were evaluated using a visual analogue scale for pain (VAS-P) and the acupuncture de qi clinical assessment scale (ADCAS), respectively.

RESULTS:

Both groups showed reductions in VAS-P, with no signficant differences between groups. ADCAS scores showed 43/43 and 25/45 patients in de qi and no de qi groups, respectively, actually experienced de qi sensation. Independent of original group allocation, VAS-P reductions associated with actual de qi (n=68) were greater than those without (28.4±18.19 mm vs 14.6±12.28 mm, p=0.008).

CONCLUSIONS:

This study showed no significant difference in VAS-P scores in patients with primary dysmenorrhoea and cold and dampness stagnation immediately after SP6 acupuncture designed to induce or avoid de qi sensation. Both treatments significantly reduced VAS-P relative to baseline. Irrespective of group allocation, patients experiencing actual de qi sensation demonstrated larger reductions in pain score relative to those without, suggesting greater analgesic effects.

TRIAL REGISTRATION NUMBER:

Chinese Clinical Trial Registry (ChiCTR-TRC-13003086); Results.

• Authors: Min-Yi Zhao, Peng Zhang, Jing Li, Lin-Peng Wang, Wei Zhou, Yan-Xia Wang, Yan-Fen She, Liang-Xiao Ma, Pei Wang, Ni-Juan Hu, Chi Lin, Shang-Qin Hu, Gui-Wen Wu, Ya-Feng Wang, Jun-Jun Sun, Si-Zhu Jiang, Jiang Zhu
• Journal: Acupuncture in medicine : journal of the British Medical Acupuncture Society (Acupunct Med) Vol. 35 Issue 5 Pg. 332-338 (Oct 2017) ISSN: 1759-9873 [Electronic] England
• PMID: 28698243 (Publication Type: Journal Article, Multicenter Study, Randomized Controlled Trial)
• Copyright: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Chemical References

• Analgesics

Topics

• Acupuncture Points
• Acupuncture Therapy
• Analgesics
• Dysmenorrhea (diagnosis, therapy)
• Female
• Humans
• Medicine, Chinese Traditional (methods)
• Needles
• Pain Management (methods)
• Pain Measurement
• Qi
• Young Adult