74 News News News Journal of Chinese Medicine • Number 92 • February 2010
from The Journal of Chinese Medicine
news Compiled and abstracted by Lisa Sherman
NEWS from The Journal of Chinese Medicine summarises recent research in acupuncture and Chinese medicine, as well as diet,
lifestyle, exercise, relaxation and meditation and other miscellaneous subjects. Much of this information will help practitioners
to accurately inform patients of the benefits or risks of lifestyle choices and give informed answers to patients’ questions, aid
in the practice of preventive medicine and help practitioners take care of their own health.
Acupuncture for menopausal hot flushes days. If breech presentation persisted after be treated with moxibustion to achieve
treatment, external cephalic version (ECV) one breech version was calculated to be
A multicentre randomised clinical study was carried out. After moxibustion 40.8% five. No significant safety differences
of menopausal women has concluded of breech presentations spontaneously were found between moxibustion and
that acupuncture carried out in addition turned and a further 43.4% of breech other techniques. The authors conclude
to usual care is associated with marked presentations were turned by ECV. that moxibustion at Zhiyin BL‑67,
clinical improvement in hot flushes and Women who involved other people in whether used alone or in combination
other menopause‑related symptoms. the administration of moxibustion were with acupuncture or postural measures,
One hundred and seventy five Korean found to be twice as likely to successfully produces a positive effect on the correction
women were randomised to receive 12 achieve breech version. Multiparous of nonvertex presentation compared with
sessions of acupuncture over four weeks women were also 16% more likely observation or postural methods alone.
in addition to usual care, or to usual care than primiparous women to achieve (Correction of nonvertex presentation
alone. The mean change in the average spontaneous version with moxibustion. with moxibustion: a systematic review
24 hour hot flush score was ‑16.57 in the Of the women who were successful in and metaanalysis. Am J Obstet Gynecol.
treatment group compared with ‑6.93 in turning their babies using moxibustion, 2009 Sep;201(3):241‑59).
the control group, a significant difference. 88% went on to have a normal birth and
Scores for psychological, somatic and 12% had a caesarean section. The authors Acupressure decreases pain and duration
urogenital symptoms of menopause also conclude that moxibustion treatment of labour
showed significant improvement in the should be offered to all women with a
acupuncture group compared with the breech presentation. (Factors affecting Iranian clinicians have found that
control group. (Effects of acupuncture the success of moxibustion in the acupressure at Sanyinjiao SP‑6 can
on hot flashes in perimenopausal and management of a breech presentation decrease the duration and severity
postmenopausal women ‑ a multicenter as a preliminary treatment to external of pain in the active phase of labour,
randomised clinical trial. Menopause. cephalic version. Midwifery. 2009 lower the requirement for oxytocin and
2009 Nov 10. [Epub ahead of print]). Dec;25(6):774‑80). reduce the need for caesarean section.
One hundred and twenty nulliparous
Moxibustion effective for breech Spanish authors have carried out a women at the beginning of the active
presentation systematic review of the evidence phase of labour were randomised to
for moxibustion to correct nonvertex receive either acupressure at Sanyinjiao
UK researchers exploring the effects presentation of the foetus. Six studies SP‑6 for 30 minutes during contractions,
of moxibustion on breech presentation with 1087 subjects and a high degree of or light touch at this point. In the absence
have concluded that it creates a better heterogeneity compared moxibustion of forceful contractions two hours later,
chance of achieving vaginal delivery. with observation or postural methods. oxytocin infusion was initiated. The
In a prospective multicentre study, 76 Meta‑analysis showed a rate of cephalic mean duration of the active phase was
pregnant women were taught how to version for moxibustion of 72.5% significantly shorter in the treatment group
apply moxibustion and instructed to versus 53.2% in the control group; the (252.37 minutes versus 441.38 minutes).
continue it at home, twice a day, for seven number of women who would have to 10% of patients in the acupressure group
Journal of Chinese Medicine • Number 92 • February 2010 News News News 75
and 41.7% of the control group delivered and improved mental well‑being in the displacement areas of their centres of
via cesarean section. Pain severity in the majority of participants. (J Sex Med. 2009 gravity compared with the control group.
acupressure group was less than