少々古い論文ですが､興味深い内容ですのでご紹介します｡

時々､ﾂﾎﾞに鍼をすれば何でも治るとか､最後の砦みたいに思っている方がいます｡
それは施術者も患者さんも｡

ﾂﾎﾞを外すと意味が無いとか｡

冷や水を浴びせるようですが､一読の価値はあるかと思います｡


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｢片頭痛の鍼治療､ﾂﾎﾞに打っても外しても効果は同じ？　ﾗﾝﾀﾞﾑ化比較試験結果｣

 

中国式ﾂﾎﾞでの片頭痛の鍼治療について､ﾗﾝﾀﾞﾑ化比較試験の結果が米国の医学雑誌
JAMA（The Journal of the American Medical Association）に掲載されている｡

それによれば､中国式ﾂﾎﾞに鍼を打っても､ﾂﾎﾞを外して鍼を打っても､その効果は同じとされている｡

 

片頭痛と診断された302人の患者を､
（1）中国式のﾂﾎﾞに鍼を打つｸﾞﾙｰﾌﾟ
（2）ﾂﾎﾞを外して鍼治療するｸﾞﾙｰﾌﾟ
（3）鍼治療を行わないｸﾞﾙｰﾌﾟ
の以上3つのｸﾞﾙｰﾌﾟにﾗﾝﾀﾞﾑに割り付け､12週間にわたって頭痛症状の改善状態を比較した｡

 

その結果､
治療を行わなかったｸﾞﾙｰﾌﾟと比較してはその効果が認められたが､
中国式のﾂﾎﾞに鍼を打った群と､ﾂﾎﾞを外した鍼治療の群では有意差が認められなかったという｡

同論文は､鍼治療の片頭痛に対する効果は認められるが､
それは中国式のﾂﾎﾞの効果ではなく､鍼による何らかの作用だろうと結論している｡

 

Linde K et al.
Acupuncture for patients with migraine: a randomized controlled trial.
JAMA. 2005 May 4;293(17):2118-25.

 

 

Acupuncture for patients with migraine: a randomized controlled trial.

Linde K, Streng A, Jürgens S, Hoppe A, Brinkhaus B, Witt C, Wagenpfeil S, Pfaffenrath V, Hammes MG, Weidenhammer W, Willich SN, Melchart D.

 

Abstract

[CONTEXT]

Acupuncture is widely used to prevent migraine attacks, but the available evidence of its benefit is scarce.

[OBJECTIVE]

To investigate the effectiveness of acupuncture compared with sham acupuncture and with no acupuncture in patients with migraine.

[DESIGN, SETTING, AND PATIENTS]

Three-group, randomized, controlled trial (April 2002-January 2003) involving 302 patients (88% women), mean (SD) age of 43 (11) years, with migraine headaches, based on International Headache Society criteria. Patients were treated at 18 outpatient centers in Germany.

[INTERVENTIONS]

Acupuncture, sham acupuncture, or waiting list control. Acupuncture and sham acupuncture were administered by specialized physicians and consisted of 12 sessions per patient over 8 weeks. Patients completed headache diaries from 4 weeks before to 12 weeks after randomization and from week 21 to 24 after randomization.

MAIN OUTCOME MEASURES:

Difference in headache days of moderate or severe intensity between the 4 weeks before and weeks 9 to 12 after randomization.

[RESULTS]

Between baseline and weeks 9 to 12, the mean (SD) number of days with headache of moderate or severe intensity decreased by 2.2 (2.7) days from a baseline of 5.2 (2.5) days in the acupuncture group compared with a decrease to 2.2 (2.7) days from a baseline of 5.0 (2.4) days in the sham acupuncture group, and by 0.8 (2.0) days from a baseline if 5.4 (3.0) days in the waiting list group.
No difference was detected between the acupuncture and the sham acupuncture groups (0.0 days, 95% confidence interval, -0.7 to 0.7 days; P = .96) while there was a difference between the acupuncture group compared with the waiting list group (1.4 days; 95% confidence interval; 0.8-2.1 days; P<.001). The proportion of responders (reduction in headache days by at least 50%) was 51% in the acupuncture group, 53% in the sham acupuncture group, and 15% in the waiting list group.

[CONCLUSION]

Acupuncture was no more effective than sham acupuncture in reducing migraine headaches although both interventions were more effective than a waiting list control.

[Comment in]

Acupuncture and migraine prophylaxis, probiotics and C. Difficile-associated diarrhea, preventive group counseling and postpartum depression, black cohosh and menopausal symptoms, deep needling electroacupuncture and trigeminal neuralgia. [Explore (NY). 2013]

PMID: 15870415 [PubMed - indexed for MEDLINE]

http://jama.jamanetwork.com/article.aspx?articleid=200822

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