developing-guideline-recommendations-treatment-regimens-for

Developing Guideline Recommendations and Treatment Regimens for Acupuncture: An Example from the Clinical Practice Guideline

Acupuncture is a widely practised modality in complementary and alternative medicine, with demonstrated efficacy in managing nonspecific low back pain. ...

China Academy Of Chinese Medical Sciences

Patients with moderate and severe persistent allergic rhinitis (AR) have long-term physical and mental stress, leading to dysfunction of the hypothalamus-pituitary-adrenal (HPA) axis, which results in recurrence of AR. Previous research has proved acupuncture can regulate the function of the neuron-endocrine-immune system and contribute to improving the quality of life of patients with AR. This research aims to investigate the mechanism of acupuncture on the HPA axis in patients with moderate or severe persistent AR.

Impact of acupuncture for allergic rhinitis on the activity of the hypothalamus-pituitary-adrenal axis: study protocol for a randomized controlled trial.

With reference to international guidelines for the development of tools-Grading of Recommendations Assessment, Development and Evaluation (GRADE) system approach and reasoning, this practice guideline has been drafted reflecting the characteristics of acupuncture to improve effectiveness and safety of acupuncture treatment for allergic rhinitis. This guideline includes outlining the acupuncture diagnosis and treatment principles for allergic rhinitis, suggesting recommendations and related evidence for the acupuncture treatment of allergic rhinitis, and defining operating methods and precautions for the acupuncture treatment of allergic rhinitis.

Clinical Practice Guideline for Allergic Rhinitis Treatment with Acupuncture.

At present, the situation of global fight against COVID-19 is serious. WHO (World Health Organization)-China Joint Mission fully confirms the success of "China's model" against COVID-19 in the report. In fact, one particular power in "China's model" is acupuncture and moxibustion of traditional Chinese medicine. To better apply "non-pharmaceutic measures"-the external technique of traditional Chinese medicine, in the article, the main content of  (Second edition) issued by China Association of Acupuncture-Moxibution is introduced and the discussion is stressed on the selection of moxibustion device and the duration of its exertion.

Understanding of  (Second edition) issued by CAAM.

There are some common problems in the systematic review and meta-analysis on acupuncture-moxibustion, e.g. indistinct definition and errors in methodology. In order to further improve the quality of relevant literature, in association with the characteristics of acupuncture-moxibustion, based on the framework of PICOS (P: population, I: interventions, C: comparisons, O: outcomes, S: study designs), the paper explores how to construct specific research questions. In methodology, the paper analyzes the common problems from five aspects, including literature retrieval, bias assessment, analysis and interpretation of results, selection of other types of meta-analysis and the update of methodology. Based on the analysis above, the paper discusses the corresponding countermeasures.

[Systematic review and meta-analysis of acupuncture and moxibustion: existing problems and countermeasures].

This paper introduced the research ideas and methods for the development of the national standard, "Pure moxa stick". According to the orientation of product standard and related documents, on the basis of extensive investigation and in consultation with manufacturers and experts, the problems encountered in this standard development were solved. The general technical requirements were specified in association with the basic experimental data. The technical requirements should not only conform to the current technological status of moxa sticks production, but also present a certain of innovation. The innovation of this standard lies in the concepts of the ratio of leaves to floss, the ratio of whole plant to floss, density, etc. Besides, the main technical requirements of "Pure moxa stick" have been specified, i.e. material, shape and structure, combustion characteristics, physical and chemical characteristics. The development of national standard "Pure moxa stick" contributes to the favorable exploration and practice of the standardization of traditional Chinese medicine and provides the effective reference for the further stan-dardization of acupuncture and moxibustion.

[Specification and solution of the normative elements in the development of the national standard: "Pure moxa stick"].

Filiform needle acupuncture (FNA), the most classical and widely applied acupuncture method based on traditional Chinese medicine theory, has shown a promising effect in the treatment of allergic rhinitis (AR).

Article	Year
Impact of acupuncture for allergic rhinitis on the activity of the hypothalamus-pituitary-adrenal axis: study protocol for a randomized controlled trial. Trials\| PubMed ID: 31221225	2019
Clinical Practice Guideline for Allergic Rhinitis Treatment with Acupuncture. Chinese journal of integrative medicine\| PubMed ID: 32170521	2021
Understanding of (Second edition) issued by CAAM. World journal of acupuncture-moxibustion\| PubMed ID: 32292259	2020
[Systematic review and meta-analysis of acupuncture and moxibustion: existing problems and countermeasures]. Zhongguo zhen jiu = Chinese acupuncture & moxibustion\| PubMed ID: 34936280	2021
[Specification and solution of the normative elements in the development of the national standard: "Pure moxa stick"]. Zhen ci yan jiu = Acupuncture research\| PubMed ID: 35764524	2022
Filiform needle acupuncture for allergic rhinitis: A systematic review and meta-analysis. Journal of integrative medicine\| PubMed ID: 36068161	2022

Sheng-nan Guo

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