The Journal of Pediatrics of Korean Medicine (대한한방소아과학회지)

The Association of Korean Oriental Pediatrics (대한한방소아과학회)
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A Literature Review of Application of Sifeng Point (EX-UE 10) in Children

소아에서 사봉혈(四縫穴) 활용에 대한 문헌 조사

  • Lee, Boram (Department of Pediatrics of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Shin, Hye Jin (Department of Pediatrics of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Lee, Jihong (Department of Pediatrics of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Chang, Gyu Tae (Department of Pediatrics of Korean Medicine, Kyung Hee University Hospital at Gangdong)
  • 이보람 (강동경희대학교병원 한방소아과) ;
  • 신혜진 (강동경희대학교병원 한방소아과) ;
  • 이지홍 (강동경희대학교병원 한방소아과) ;
  • 장규태 (강동경희대학교병원 한방소아과)
  • Received : 2018.07.25
  • Accepted : 2018.08.08
  • Published : 2018.08.31
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Abstract

Objectives The objective of this study is to investigate the application of Sifeng point (EX-UE 10) in children and to make suggestions for domestic research and clinical application by reviewing relevant randomized controlled trials. Methods Eight electronic databases including English, Chinese, Korean databases were comprehensively searched for randomized controlled trials evaluating the effects of Sifeng point in children up to May 2, 2018. We extracted the year of publication, country, target diseases or symptoms, location of Sifeng, acupuncture method; such as acupuncture tool and depth of insertion, and frequency, number, and duration of the treatment. Results Fifty studies were included for analysis. All the included studies were conducted in China, and studies were published from 1962 to 2017. The most frequent target symptom was anorexia (46%). In addition, Sifeng point was used for digestive diseases or symptoms such as diarrhea, constipation, and mesenteric lymphadenitis, as well as respiratory diseases or symptoms such as cough, cold, acute bronchiolitis, recurrent respiratory tract infections, bronchopneumonia, and asthmatic bronchitis. Also, allergic diseases such as chronic urticaria, and other variety of symptoms such as malnutrition, fever, and iron-deficiency anemia were treated with the Sifeng point. The location of Sifeng points was inconsistent, and the most common location of the Sifeng point was the midpoint of transverse creases of the proximal interphalangeal joints of the index, middle, ring and little fingers (84.2%). The most commonly used acupuncture tool was three-edged needle (40.9%). All included studies have the method of squeezing out blood or mucus from the Sifeng points. The treatment was mostly conducted once per week (35.4%), mostly repeated for 4 times (32.6%). The most common treatment duration was 4 weeks (18.6%). Conclusions We could identify acupuncture method and various indications for the Sifeng points treatment. Based on this study, there is a need for the clinical application and related researches on the Sifeng points in children in Korea. In addition, the treatment location of Sifeng point should be standardized.

Keywords

References

  1. Dong S. Gihyoyangbang. Beijing: China Press of Traditional Chinese Medicine. 1995.
  2. Wang Y. The research of ancient and modern clinical application of Sifeng (EX-UE 10). Thesis for Master's Degree in Guangzhou University of Chinese Medicine. 2017.
  3. Kim KB, Kim DG, Kim YH, Kim JH, Min SY, Park EJ, Baek JH, Sung HK, Yu SA, Lee SY, Lee JY, Chang GT, Jeong MJ, Chai JW, Cheon JH, Han YJ, Han JK. Hanbangsoacheongsonyeonuihak (sang). Seoul: Ui Sung Dang Publishing Co. 2015:291, 418, 446.
  4. Kim KB, Kim DG, Kim YH, Kim JH, Min SY, Park EJ, Baek JH, Sung HK, Yu SA, Lee SY, Lee JY, Chang GT, Jeong MJ, Chai JW, Cheon JH, Han YJ, Han JK. Hanbangsoacheongsonyeonuihak (ha). Seoul: Ui Sung Dang Publishing Co. 2015:475.
  5. Jeon E. Soayakjeungjikgyeol. Seoul: Yeogang Publishing Co. 2002:35-6, 68-70.
  6. Wan M. Yukyeonggabi [internet]. Available from: http://www.zysj.com.cn/lilunshuji/yuyingjiami/index.html.
  7. Department of Pediatrics of Guangzhou No.2 People's Hospital. Clinical observation and mechanism of acupuncture at Sifeng in treating infantile malnutrition. J Tradit Chin Med. 1962;(1):22-5.
  8. Zhang ZK. Preliminary observation of acupuncture at Sifeng points for the treatment of infantile malnutrition. Shanghai J Acupunct Moxibustion. 1986;(3):13.
  9. Du YJ, Sun YH. Treatment of 66 cases of infantile diarrhea by picking Sifeng points. Chin J Clin. 1987; (6):13-4.
  10. Nong Y. Puncturing at Sifeng points to treat 60 cases of children's fever. Chin Acupunct Moxibustion. 1994; (1):120.
  11. Hu H, Zhang YQ, Shi YM, Wang YH, Shen YJ, Yu J, Fu MD. Curative effect observation of acupuncture at Sifeng in the treatment of infantile anorexia. Liaoning J Tradit Chin Med. 1999;26(10):468-9.
  12. Gao SJ, Yu P. Treatment of 67 cases of infantile anorexia by acupuncture at Sifeng points and oral administration of Chinese herbs. Chin J Integr Tradit Western Med Dig. 2001;9(1):51-2.
  13. Huang L, Luo XW. Clinical observation of acupuncture at Sifeng points in the treatment of 134 cases of infantile anorexia. Heilongjiang J Tradit Chin Med. 2003;(5):50.
  14. Jiang GD, Wang HL. Efficacy observation of treating infantile malnutrition by puncturing Sifeng points. J Clin Acupunct Moxibustion. 2005;21(1):54-5.
  15. Wang N, Xiao CY, Deng W, Li R. Thinking on the clinical observation of infantile anorexia treated by prick- ing at Sifeng points. Conference Proceedings of the 2005 International Symposium on Acupuncture Techniques and Clinical Applications. 2005:133-5.
  16. Liang FR, Xia XH, Peng XH, Yuan XL, Xu LB, Liu XF. Multicentral randomized controlled study on acupuncture at Sifeng (EX-UE 10) for treatment of infantile malnutrition. Chin Acupunct Moxibustion. 2006;26(1): 3-7.
  17. Li LQ, Ma HF, Wang JY, Wang N, Sun XB. Clinical efficacy evaluation of puncturing Sifeng points in treatment of infantile anorexia. Chin J Misdiagn. 2007;7(22): 5244-5.
  18. Zou WK, Fan H, Xu JX, Zhou SW. Effect of acupuncture at Sifeng (EX-UE 10) on serum leptin in the child of anorexia. Chin Acupunct Moxibustion. 2007;27(11): 801-3.
  19. Chen BZ. Efficacy observation of acupuncture at Sifeng points in treating acute bronchiolitis in infants and children. Hebei J Tradit Chin Med. 2008;30(10):1074-5.
  20. Fan H, Zou WK, Zhou SW. The effect of acupuncture at Sifeng points on urinary galactose tolerance test and serum leptin level in children with anorexia. J Pediatr Tradit Chin Med. 2008;4(3):40-2.
  21. Ma HF, Li CP, Li LQ, Sun YP, Peng Y, Wang N, Ma WZ, Lin CX, Cao CJ. Multicentral randomized controlled study on acupuncture at Sifeng (EX-UE 10) for treatment of child anorexia. Conference Proceedings of the Symposium on the Standardization of Acupuncture and Moxibustion. 2008.
  22. Huang ZD. Analysis on the efficacy of acupuncture at Sifeng points combined with Shenqibaishu powder in treating infantile malnutrition. Guide China Med. 2009;7(9):132-3.
  23. Guo YH, Ye RC, Kong GH. Clinical study of acupuncture treatment on chronic urticaria. Jiangxi J Tradit Chin Med. 2010;41(8):56.
  24. Li H. Clinical observation on infantile anorexia treated by fortifying the spleen and alleviating accumulation method combined with acupuncture at Sifeng points. Hebei Med J. 2010;32(24):3573-5.
  25. Deng XY. Clinical efficacy observation of Sifeng point acupuncture combined with herbs in the treatment of 48 cases of infantile malnutrition. J Pediatr Tradit Chin Med. 2011;7(5):41-2.
  26. Yuan JJ, Yu XW. Efficacy observation of regulating spleen mixture combined with acupuncture at Sifeng on infantile anorexia with spleen failing in transportation. Jilin J Tradit Chin Med. 2011;31(10):977-8.
  27. Zou WK, Fan H. Efficacy observation of acupuncture at Sifeng points on 60 cases of infantile anorexia (spleen deficiency type). Chin Pediatr Integr Tradit West Med. 2011;3(4):326-7.
  28. Fu MM. Clinical research on the treatment of children with constipation (gastrointestinal hot type) by tuina and the barbed four seam. Thesis for Master's Degree in Shandong University of Traditional Chinese Medicine. 2012.
  29. Liu X. Efficacy observation of acupuncture at Sifeng points combined with placenta oral liquid on 46 cases of infantile malnutrition. China Health Care Nutr. 2012;(2):212.
  30. Zhang SD. Clinical observation on pricking at Sifeng (EX-UE 10) combined with Chinese herbs for infantile malnutrition. World J Acupunct moxibustion. 2012; 22(1):39-42. https://doi.org/10.1016/S1003-5257(12)60009-9
  31. Fu MY, Hu GH, Zhou XF, He BX, He LX, Huang BL, Gao SH. Impacts on the appetite regulating factors of infantile anorexia treated with acupuncture at Sifeng (EX-UE 10). Chin Acupunct Moxibustion. 2013;33(2): 117-20.
  32. Jiang WQ, Lou WS, Zhang YJ, Zhu FJ, Chen YB. Acupoints application combined with acupuncture of Sifeng acupoint treat recurrent respiratory tract infection children for winter disease treated in summer. J Zhejiang Chin Med Univ. 2013;37(4):460-1.
  33. Li ZX. Clinical research on treating damp heat diarrhea in children with manipulation combined with barbed four-seam. Thesis for Master's Degree in Shandong University of Traditional Chinese Medicine. 2013.
  34. Ma SH, Pan YM. Clinical observation on treating infant diarrhea by pricking Sifeng. Clin J Chin Med. 2013; 5(22):43-4.
  35. Zhou SY. Effect of pricking Sifeng in the adjuvant treatment of infantile diarrhea. China Mod Dr. 2013;51(9): 109-10.
  36. Li JX. Clinical research on treating mesenteric lymphadenitis of heat remaining in the stomach and intestines type by massage combined with Sifeng bloodletting. Thesis for Master's Degree in Shandong University of Traditional Chinese Medicine. 2014.
  37. Li H. Clinical research on effect of traditional Chinese medicine and acupuncture Sifeng points in treating infantile anorexia. The 5th Higher Education Summit Forum of the National Pediatric Education Research Association of the Chinese Higher Education Society and the 2014 National Pediatrics Teaching and Academic Exchange Conference. 2014.
  38. Liu YY, Ai Z, Zhang QR, Wang XL. Clinical observation of acupoint application plus pricking Sifeng (EX-UE 10) for infantile chronic cough. Shanghai J Acupunct Moxibustion. 2014;(10):920-1.
  39. Wang LQ, Liu PF. Efficacy observation of 80 cases of infantile anorexia treated by acupuncture at Sifeng points. Med Forum. 2014;18(23):3124-5.
  40. Yang RX, Ai Z. Control study on pricking Sifeng (EX-UE 10) plus spine pinching for infantile dyspepsia. Shanghai J Acupunct Moxibustion. 2014;33(12):1110-3.
  41. Zhang RF. Efficacy observation of infantile malnutrition treated by spine pinching combined with acupuncture at Sifeng. Chin Manip Rehabil Med. 2014;5(12):56-7.
  42. Fan QY. Effect of acupuncture and moxibustion in combination with tuina therapy on infantile anorexia. Gansu Sci Technol. 2015;31(23):111-2, 140.
  43. Feng H, Zhang YL, Chen HY, Lu Y, Zhang XM. Acupuncture at Sifeng points for treatment of 30 cases of pediatric asthmatic bronchitis. Zhejiang J Tradit Chin Med. 2015;50(1):64.
  44. Tan YR, Zhan QW, Zeng JQ. Comparison of curative effect on pricking Sifeng plus spine pinching for treatment of infantile malnutrition. China Prac Med. 2015; 10(16):268-9.
  45. Peng WC. Massage combined with acupuncture at four crevices treatment of infantile anorexia of curative effect observation. Pop Sci Technol. 2016;18(11):57-8.
  46. Qi LQ. Effects of acupuncture at Szufeng (extra) points on serum trace element and immunologic function of anorexia children. Chin J Tradit Med Sci Technol. 2016; 23(6):654-5.
  47. Shen YP. Efficacy observation of acupuncture at Sifeng points in children with bronchial pneumonia. Today Nurse. 2016;(1):75-6.
  48. Wang YT. Clinical observation of pricking Sifeng (EX-UE 10) plus Chinese medication for anorexia in kids. Shanghai J Acupunct Moxibustion. 2016;35(6):694-6.
  49. Wu M. Clinical efficacy observation of acupuncture at Sifeng points on 48 cases of infantile anorexia. Jiankang Qianyan. 2016;(9):98.
  50. Xi Y, Qian HL, Shi JM, Qin ZF, Che XY. Treatment of infantile anorexia by pricking Sifeng points and it's effects on trace elements. Shandong J Tradit Chin Med. 2016;35(11):969-71.
  51. Zhan JH, Hong JX. Treatment of 40 cases of children with phlegm-dampness and spleen deficiency type cough with acupuncture at Sifeng combined with traditional Chinese medicine. Zhejiang J Tradit Chin Med. 2016; 51(3):216.
  52. Dong L, Xiao QK, Yang L, Zheng S, He SR, Cao X. Effect of acupuncture at four acupuncture points on serum leptin level in children with anorexia due to spleen and stomach qi deficiency. Chin Manip Rehabil Med. 2017;8(18):35-7.
  53. He SH, Wu XG. Acupuncture at Sifeng points combined with pediatric Chiqiaoqingre granules in treating 28 cases of pediatric wind-heat common cold complicated by stagnation. Chin J Ethnomed Ethnopharmacy. 2017;26(19):116-7.
  54. Li H. Clinical study on treatment of children with spleen and stomach deficiency type anorexia by acupuncture combined with four seam and nutrition intervention. Thesis for Master's Degree in Nanjing University of Chinese Medicine. 2017.
  55. Li Z, Ni JX. Randomized controlled clinical study with large sample on Dong's acupuncture and medicine in treating infantile anorexia. Shanghai J Tradit Chin Med. 2017;51(1):66-9.
  56. Xiong MY, Xiao Y, Zhou K, Yang WH. The clinical observation of 30 cases of infantile iron-deficiency anemia treated with the combined therapy of Tiaopisan and spot pricking Sifeng (EX-UE 10). J Pediatr Tradit Chin Med. 2017;13(2):77-9.
  57. Rossi E. Pediatrics in Chinese medicine, 1st edition. Milano: Donica Publishing Co. 2011.
  58. Scott J. Acupuncture in the treatment of children. Seattle: Eastland Press. 1986.
  59. Flaws B. A handbook of TCM pediatrics, 2nd edition. Boulder, Colorado: Blue Poppy Press. 2006.
  60. Bohlayer R. Chinesische medizin fur Kinder und jugendliche: mit psychosomatischen aspekten. Stuttgart: Hippokrates. 2008.
  61. Deadman P, Al-Khafaji M, Baker K. A manual of acupuncture. Hove: Journal of Chinese Medicine Publications. 2006.
  62. Lian L, Chen C, Hammes M, Kolster B. Seirins stora akupunkturatlas: en beskrivning av akupunkturpunkterna. Koln: Konemann. 2008.
  63. State Administration of Traditional Chinese Medicine. National standard of the People's Republic of China: location of points (GB 12346-90). Beijing: Standards Press of China. 1990:23.
  64. World Health Organization Western Pacific Region. WHO standard acupuncture point locations in the Western pacific region. Seoul: Elsevier Korea. 2009.
  65. Hammes M, Kuschick N, Christoph KH. Handbook of acupuncture. Seoul: Hansol Publishing Co. 2011:304.
  66. Korean Medicine Convergence Research Information Center. KMCRIC standard acupuncture point DB [Internet]. Available from: https://www.kmcric.com/database/acupoint/EX/EX-UE10.
  67. Liu H. Treatment introduction of Liuguanjun needle pricking therapy. Guangming J Chin Med. 2007;22(3): 19-20.
  68. Hong J, Wang FC, Wang WP. Acupuncture therapy for infantile anorexia. Matern Child Health Care China. 1988;3(4):20-8.
  69. Zhang CM, Yang C, Xu X. Clinical observation on acupuncture treatment of 65 cases of infantile diarrhea. J Clin Acupunct Moxibustion. 2001;17(8):17.
  70. Wang JL, Zhou ZY, Li CY, Gu CY, Li JY. Treatment of 18 cases of rheumatoid arthritis with combination of traditional Chinese medicine and Western medicine. Chin Med Mod Distance Educ China. 2010;8(14):50-1.
  71. Jiming C, Xinming S, Junqi C. Essentials of traditional Chinese pediatrics. Beijing: Foreign Languages Press. 1990.
  72. The British Psychological Society. Evidence-based guidelines for the management of invasive and/or distressing procedures with children. 2010.
  73. Fan H, Zhou SW, Gao TX, Gao L. Effects of acupuncture at "Sifeng" (EX-UE 10) on serum zinc and gastric emptying rate in the rat of experimental spleen deficiency. Chin Acupunct Moxibustion. 2007;27(8):595-7.
  74. Adams D, Cheng F, Jou H, Aung S, Yasui Y, Vohra S. The safety of pediatric acupuncture: a systematic review. Pediatrics. 2011;128(6):e1575-87. https://doi.org/10.1542/peds.2011-1091