The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
권호 표지
DOI QR코드

DOI QR Code

Chuna Manual Therapy for Benign Prostatic Hyperplasia: A Systematic Review

전립선비대증에 대한 추나요법의 효과: 체계적 문헌 고찰

  • Jeon, Cheon-Hoo (Department of Internal Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Park, Na-Ri (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Daegu Haany University) ;
  • Lee, Ye-Ji (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Cho, Chung-Sik (Department of Internal Korean Medicine, College of Korean Medicine, Dae-Jeon University)
  • 전천후 (대전대학교 한의과대학 신계내과학교실) ;
  • 박나리 (대구한의대학교 한의과대학 한방재활의학교실) ;
  • 이예지 (대전대학교 한의과대학 침구학교실) ;
  • 조충식 (대전대학교 한의과대학 신계내과학교실)
  • Received : 2020.05.15
  • Accepted : 2020.06.04
  • Published : 2020.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study aimed to evaluate the randomized controlled clinical trials (RCTs) analyzing the effectiveness of Chuna manual therapy (CMT) for benign prostatic hyperplasia (BPH). Methods : Among the literature published until May 2020, a literature search was carried out using 10 electronic databases using related keywords to identify all RCTs that applied CMT for the treatment of BPH. The Cochrane risk of bias tool was used to assess the methodological quality of each RCT. Results : Five RCTs met our inclusion criteria and were included in the analysis. These studies showed that CMT had no positive results compared to herbal medication. However, positive results were shown in terms of an increased efficacy rate, reduced international prostate symptom scores, and increased maximum flow rate when CMT was combined with acupuncture or herbal medication. Conclusions : Based on the analysis, this review has limited evidence of CMT being beneficial in the treatment of BPH. Therefore, further investigation is required using well-designed RCTs to support the effectiveness of CMT and to obtain higher evidence.

Keywords

References

  1. Park HK, Park HZ, Cho SY, Bae JB, Jeong SJ, Hong SK, Yoon CY, Byun SS, Lee SE, Kim KW. The prevalence of benign prostatic hyperplasia in elderly men in Korea: a community-based study. Korean J Urol. 2009;50(9):843-7. https://doi.org/10.4111/kju.2009.50.9.843
  2. AUA Practice Guidelines Committee. AUA guideline on management of benign prostatic hyperplasia (2003). Chapter 1: Diagnosis and treatment recommendations. J Urol. 2003;170(2):530-47. https://doi.org/10.1097/01.ju.0000078083.38675.79
  3. Brown CT, van der Meulen J, Mundy AR, O'Flynn E, Emberton M. Defining the components of a self-management programme for men with uncomplicated lower urinary tract symptoms: a consensus approach. Eur Urol. 2004;46(2):254-63. https://doi.org/10.1016/j.eururo.2004.02.008
  4. Liu CC, Huang SP, Chou YH, Wang CJ, Huang CH. Current indications for transurethral resection of the prostate and associated complications. Kaohsiung J Med Sci. 2003;19(2):49-53. https://doi.org/10.1016/S1607-551X(09)70448-6
  5. Ma CH, Lin WL, Lui SL, Cai XY, Wong VT, Ziea E, Zhang ZJ. Efficacy and safety of Chinese herbal medicine for benign prostatic hyperplasia: systematic review of randomized controlled trials. Asian J Androl. 2013;15(4):471-82. https://doi.org/10.1038/aja.2012.173
  6. Shin SJ, Lee KH, Chung KS, Cheon SY, An HJ. The traditional Korean herbal medicine Ga-Gam-Nai-Go-Hyan suppresses testosterone-induced benign prostatic hyperplasia by regulating inflammatory responses and apoptosis. Exp Ther Med. 2017;13(3):1025-31. https://doi.org/10.3892/etm.2017.4088
  7. Zhang W, Ma L, Bauer BA, Liu ZS, Lu Y. Acupuncture for benign prostatic hyperplasia: A systematic review and meta-analysis. PLoS One. 2017;12(4):e0174586. https://doi.org/10.1371/journal.pone.0174586
  8. Chuna Manual Medicine. 2nd Ed. Seoul: Korean Society of Chuna Manual medicine for Spine & Nerves. 2014:26-37.
  9. National Evidence-based Healthcare Collaborating Agency. NECA' s Guidance for Undertaking Systematic Reviews and Meta-Analysis for Intervention. Seoul: National Evidencebased Healthcare Collaborating Agency. 2011:65-72.
  10. Higgins JPT, Thomas J, Chandler J, Cumpston M, Li TJ, Page MJ, Welch VA. Cochrane Handbook for Systematic Reviews of Interventions. John Wiley & Sons; 2019.
  11. Sun XM. Clinical Research of Treating Benign Prostatic Hyperplasia Mainly with Tremble Manipulation with Finger [master's thesis]. [Shandong]: Shandong University of Traditional Chinese Medicine; 2013.
  12. Liu YG, Meng XQ, Chen TJ. Effect of massage intervention on residual urine volume in patients with benign prostate hyperplasia. Chinese J Inf Tradit Chinese Med. 2009;16(10):69. https://doi.org/10.3969/j.issn.1005-5304.2009.10.036
  13. Meng XQ, Li DD, Liu YG. Massage intervention for mild benign prostate hyperplasia. Chinese J Inf Tradit Chinese Med. 2008;15(4):88-9. https://doi.org/10.3969/j.issn.1005-5304.2008.04.044
  14. Jiang L, Zhang DW, Li CL, Qin Y, Liu MC. Clinical observation of acupuncture and massage therapy for benign prostate hyperplasia. Guangming J Tradit Chinese Med. 2018;33(14):2077-9.
  15. Fang JH, Lu ZJ. Effect of promoting kidney and promoting blood stasis and massage in 56 cases of prostate hyperplasia. Forum Tradit Chinese Med. 2001;16(4):19-20. https://doi.org/10.3969/j.issn.1002-1078.2001.04.017
  16. Gosling JA, Kung L, Dixon JS, Horan P, Whitebeck C, Levin RM. Correlation between the structure and function of the rabbit urinary bladder following partial outlet obstruction. J Urol. 2000;163(4):1349-56. https://doi.org/10.1016/S0022-5347(05)67776-2
  17. Healthcare Bigdata Hub. Health insurance review & assessment service. http://opendata.hira.or.kr/op/opc/olap3thDsInfo.do. Accessed March 20, 2020.
  18. Ingimarsson JP, Isaksson HJ, Sigbjarnarson HP, Gudmundsson J, Geirsson G. Increased population use of medications for male lower urinary tract symptoms/benign prostatic hyperplasia correlates with changes in indications for transurethral resection of the prostate. Scand J Urol. 2014;48(1):73-8. https://doi.org/10.3109/21681805.2013.825878