Pharmacopuncture in Korea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Background. Pharmacopuncture is a new form of acupuncture combining acupuncture with herbal medicine, and it has been used under various conditions in Korea. The aim of this study is to establish clinical evidence for the safety and efficacy of pharmacopuncture in Korea. Methods. We searched 9 datab...

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Main Authors: Jimin Park, Hyangsook Lee, Byung-Cheul Shin, Myeong Soo Lee, Boryang Kim, Jong-In Kim
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Evidence-Based Complementary and Alternative Medicine
Online Access:http://dx.doi.org/10.1155/2016/4683121
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spelling doaj-5a3e98a721f7479cba94b35bad75b10b2020-11-24T21:01:42ZengHindawi LimitedEvidence-Based Complementary and Alternative Medicine1741-427X1741-42882016-01-01201610.1155/2016/46831214683121Pharmacopuncture in Korea: A Systematic Review and Meta-Analysis of Randomized Controlled TrialsJimin Park0Hyangsook Lee1Byung-Cheul Shin2Myeong Soo Lee3Boryang Kim4Jong-In Kim5Department of Acupuncture and Moxibustion, College of Korean Medicine, Kyung Hee University, Seoul 02447, Republic of KoreaAcupuncture and Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul 02447, Republic of KoreaDepartment of Rehabilitation Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of KoreaClinical Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of KoreaDepartment of Acupuncture and Moxibustion, College of Korean Medicine, Kyung Hee University, Seoul 02447, Republic of KoreaDepartment of Acupuncture and Moxibustion, College of Korean Medicine, Kyung Hee University, Seoul 02447, Republic of KoreaBackground. Pharmacopuncture is a new form of acupuncture combining acupuncture with herbal medicine, and it has been used under various conditions in Korea. The aim of this study is to establish clinical evidence for the safety and efficacy of pharmacopuncture in Korea. Methods. We searched 9 databases and two relevant journals up to December 2014 using keywords, such as pharmacopuncture. All randomized, controlled trials evaluating pharmacopuncture under any conditions in Korea were considered. Results. Twenty-nine studies involving 1,211 participants were included. A meta-analysis of two studies on obesity showed that 5 to 8 weeks of pharmacopuncture reduced weight, waist circumference, and body mass index (BMI) more than normal saline injections. In the 5 studies of musculoskeletal conditions, 7 to 30 days of pharmacopuncture had additional effects on the reduction of pain intensity, and this benefit was maintained by limiting analyses to studies with a low risk of bias for randomization and/or allocation concealment. Conclusions. This systematic review suggests the potential of pharmacopuncture for obesity and musculoskeletal diseases. However, it is difficult to recommend pharmacopuncture as an evidence-based treatment because of methodological flaws and small sample sizes of the included studies. Further well-designed trials are needed to draw a definitive conclusion.http://dx.doi.org/10.1155/2016/4683121
collection DOAJ
language English
format Article
sources DOAJ
author Jimin Park
Hyangsook Lee
Byung-Cheul Shin
Myeong Soo Lee
Boryang Kim
Jong-In Kim
spellingShingle Jimin Park
Hyangsook Lee
Byung-Cheul Shin
Myeong Soo Lee
Boryang Kim
Jong-In Kim
Pharmacopuncture in Korea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Evidence-Based Complementary and Alternative Medicine
author_facet Jimin Park
Hyangsook Lee
Byung-Cheul Shin
Myeong Soo Lee
Boryang Kim
Jong-In Kim
author_sort Jimin Park
title Pharmacopuncture in Korea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_short Pharmacopuncture in Korea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_full Pharmacopuncture in Korea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_fullStr Pharmacopuncture in Korea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_full_unstemmed Pharmacopuncture in Korea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_sort pharmacopuncture in korea: a systematic review and meta-analysis of randomized controlled trials
publisher Hindawi Limited
series Evidence-Based Complementary and Alternative Medicine
issn 1741-427X
1741-4288
publishDate 2016-01-01
description Background. Pharmacopuncture is a new form of acupuncture combining acupuncture with herbal medicine, and it has been used under various conditions in Korea. The aim of this study is to establish clinical evidence for the safety and efficacy of pharmacopuncture in Korea. Methods. We searched 9 databases and two relevant journals up to December 2014 using keywords, such as pharmacopuncture. All randomized, controlled trials evaluating pharmacopuncture under any conditions in Korea were considered. Results. Twenty-nine studies involving 1,211 participants were included. A meta-analysis of two studies on obesity showed that 5 to 8 weeks of pharmacopuncture reduced weight, waist circumference, and body mass index (BMI) more than normal saline injections. In the 5 studies of musculoskeletal conditions, 7 to 30 days of pharmacopuncture had additional effects on the reduction of pain intensity, and this benefit was maintained by limiting analyses to studies with a low risk of bias for randomization and/or allocation concealment. Conclusions. This systematic review suggests the potential of pharmacopuncture for obesity and musculoskeletal diseases. However, it is difficult to recommend pharmacopuncture as an evidence-based treatment because of methodological flaws and small sample sizes of the included studies. Further well-designed trials are needed to draw a definitive conclusion.
url http://dx.doi.org/10.1155/2016/4683121
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