The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Moxibustion Treatment for Cardiac Arrhythmia : A Systematic Review

부정맥의 뜸 치료 효과에 대한 체계적 문헌고찰

  • Lee, Bora (Dept. of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Hwang, Juyeong (Dept. of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Kwon, Jungnam (Dept. of Korean Medicine, School of Korean Medicine, Pusan National University)
  • 이보라 (부산대학교 한의학전문대학원 한의학과) ;
  • 황주영 (부산대학교 한의학전문대학원 한의학과) ;
  • 권정남 (부산대학교 한의학전문대학원 한의학과)
  • Received : 2019.04.13
  • Accepted : 2019.07.10
  • Published : 2019.09.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study was to assess the effects of moxibustion treatment for Cardiac arrhythmia through a systematic review. Methods: Electronic database including Cochrane library, Pubmed, China National Knowledge Infrastructure, Embase, DBpia, and Korean studies Information Service System were searched by combining the keywords such as "arrhythmias", "cardiac arrhythmias", "心律失常", "moxibustion" and "艾灸". Through the searching, 5 randomized controlled trials(RCTs) were included except animal testing and cellular experiment etc. The quality of each RCTs was assessed using the Cochrane risk of bias tool. Results: We included 5RCTs involving 468 participants. Two RCTs compared moxibustion versus conventional treatment, another RCT compared moxibustion plus acupuncture versus conventional treatment, another RCT compared moxibustion plus herbal medicine verus conventional treatment, the other RCT compared moxibustion plus herbal medicine and ointment versus conventional treatment. These studies were evaluated by the efficacy rate of treatments. Studies measured outcomes in efficacy, heart rate, electrocardiogram and symptoms. Each of 5 trials statistically showed a significant differences in efficacy rate. One study reported about side effects and another study reported about complications. The overall risk of bias was unclear in 5 studies. Conclusions: The evidence suggests that moxibustion treatment may help to reduce cardiac arrhythmia, however, it is limited, low-certainty and we cannot rule out benefits or risks with this treatment. High-quality studies that report adverse effects are needed.

Keywords

References

  1. Cho JG. Recent Advancement in the Management of the Cardiac Arrhythmia. J Korean Med Assoc. 2010 ; 53(3):190-195. https://doi.org/10.5124/jkma.2010.53.3.190
  2. Jang HJ, Lim JS. Detection of Arrhythmia Using Heart rate Variability and A Fuzzy Neural Network. Korean society for internet information. 2009 ; 10(5):107-116.
  3. Kwon SS, Lim KM, Shim EB. The three dimensional analysis for the arrhythmia of the atrium. The korean society of mechanical engineers. 2008 ; 11:1669-1673.
  4. Association of korean medicine professors for cardiovascular and neurological medicine. Cardiovascular and Neurological Medicine in korean medicine. revision. Seoul : Woori medical books. 2018 : 192-228.
  5. Chan EW, Lau WCY, Siu CW, et al. Effect of suboptimal anticoagulation treatment with antiplatelet therapy and warfarin on clinical outcomes in patients with nonvalvular atrial fibrillation: a population-wide cohort study. Heart Rhythm. 2016 ; 13(8):1581-1588. https://doi.org/10.1016/j.hrthm.2016.03.049
  6. Textbook Compilation Committee of The jounal of korean acupuncture & moxibustion society. Acupuncture medicine. 4 edition. Seoul: hanmi medicine publishing company. 2016 : 105.
  7. Li C. Original introduction to medicine. Seoul : Daesung Publishing Company. 1990 : 529.
  8. Liu Y, Park JE, Kim AR, Jung HJ, Choi SM. Review of moxibustion treatment for hypertension in clinical trials. The jounal of korean acupuncture & moxibustion society. 2011 ; 28(5):87-96.
  9. Xiao YC, Fang L. The Moxibustion Sensations and the Therapeutic Effects. China Journal of Traditional Chinese Medicine. 2005 ; 25(2): 95-96.
  10. Liu SW, Liu T. Clinical Observation of Moxibustion on Beiyu Point for Arrhythmia. Occupation and Health. 2010 ; 26(14):1656-1656.
  11. Yu LZ. Clinical Efficacy of Moxibustion with Salt in Bamboo Circle for Treatment of Bradyarrhythmia of Heart Yang Deficiency. Fujian university of traditional chinese medicine. 2013.
  12. Zou M. Clinical observation on therapeutic effect of combination of acupuncture and ginger-partition moxibustion. Chinese Acupuncture & Moxibustion. 2009 ; 29(11):876-878.
  13. Qu F, zhang YP, Liu jie. Therapeutic Observation of Salt-partitioned Moxibustion plus Oral Administration of You Gui Wan for Bradycardiac Arrhythmias. Shanghai J Acu-mox. 2018 ; 37(3):286-288.
  14. Feng HW. Treatment of 86 cases of senile chronic arrhythmia with internal and external combination. China's naturopathy. 2013 ; 21(10):42.
  15. Rhee KS. The Role of Antiarrhythmics in Atrial Fibrillation. Journal of The Korean Association of Internal Medicine. 2016 ; 90(3):198-205.
  16. Kirchhof P, Franz MR, Bardai A, Wilde AM. Giant TU. Waves precede torsades de pointes in long QT syndrome: a systematic electrocardiographic analysis in patients with acquired and congenital QT prolongation. J Am Coll Cardiol. 2009 ; 54:143-149. https://doi.org/10.1016/j.jacc.2009.03.043
  17. Connolly SJ, Camm AJ, Halperin JL, et al. Dronedarone in high-risk permanent atrial fibrillation. N Engl J Med. 2011 ; 365: 2268-2276. https://doi.org/10.1056/NEJMoa1109867
  18. Kober L, Torp-Pedersen C, McMurray JJ, et al. Increased mortality after dronedarone therapy for severe heart failure. N Engl J Med. 2008 ; 358:2678-2687. https://doi.org/10.1056/NEJMoa0800456
  19. Oh SI. Catheter ablation for treatment of tachyarrhythmia. Journal of Korean Medical Association. 2016 ; 59(5):374-378. https://doi.org/10.5124/jkma.2016.59.5.374
  20. Kim JY. Drug therapy for arrhythmia. The Korean Journal of Medicine. 2006 ; 71(5): 589-592.
  21. Oh YS. Indications for pacemaker therapy in bradycardia. The Official Journal of Korean Heart Rhythm Society. 2014 ; 15(3):31-34.
  22. Kim KM, Jeong GS, Kim YG, Kwon JN. A Investigation into Arrhythmia between East and West medicine. Korean J. Orient. Int. Med. 2000 ; 21(05):747-763.
  23. Liu J, Li SN, Liu L, Zhou K, Li Y, Cui XY, et al. Conventional Acupuncture for Cardiac Arrhythmia: A Systematic Review of Randomized Controlled Trials. Chin J Integr Med. 2018 ; 24(3):218-226. https://doi.org/10.1007/s11655-017-2753-9
  24. Fei Y, Fei R, Zhang J, Sun Y, Yu Q. Systematic Evaluation of Efficacy and Safety of Acupuncture Treatment for Patients with Atrial Fibrillation. Open Access Maced J Med Sci. 2019 ; 7(3):461-466. https://doi.org/10.3889/oamjms.2019.036
  25. Wen WX, Li XS, Guo XF, Zhou L, Lv WH. Effectiveness and safety of acupuncture for supraventricular tachycardia: a systematic review and meta-analysis. Chinese acupuncture and moxibustion. 2014 ; 34(11):1146-50.
  26. He M, Lv Z, Yang ZW, Huang JL, Liu F. Efficacy and safety of Chinese herbal medicine Wenxin Keli for ventricular premature beats: A systematic review. Complementary Therapies in Medicine. 2016 ; 29:181-189. https://doi.org/10.1016/j.ctim.2016.10.007
  27. Tian CH, zang JQ. Chinese moxibustion method collection. Shenyang : Liaoning Science and Technology Publishing Company. 1987 : 21-28.
  28. Yuan YS, hao XJ. Moxibustion Health. Shenyang : Liaoning Science and Technology Press. 1996 : 9-200.
  29. Hwang MS. Study on the Treatment Mechanism of Back-Shu Points for Organ Dysfunction. Korean Journal of Acupuncture. 2016 ; 33(3):95-101. https://doi.org/10.14406/acu.2016.019
  30. Lee BG. great achievement of acupuncture and moxibustion. Seoul : Acupuncture korea. 2005 : 616.
  31. Choi HJ. Yellow emperor's inner canon. Seoul : Jayou Publishing Company. 2004 : 40.
  32. Qing Y. Pharmacological action and clinical research of Xinbao Pill. China Prescription Drug. 2004 ; 10:69-70.
  33. Yu XX, Zhou XS, Wu YH, Ou AH, DING BH. Systematic Evaluation of Xinbao Pills in Treating Chronic Heart Failure. Journal of Guangzhou University of Traditional Chinese Medicine. 2019 ; 36(2):153-169.