Insights & Discussion
Acupuncture demonstrates a positive therapeutic effect on inflammatory bowel disease (IBD) by effectively regulating associated inflammatory factors.
Eight electronic databases were utilized in a systematic search for studies that satisfied the pre-defined inclusion parameters. Two impartial reviewers evaluated the quality of the resultant studies and a meta-analysis was then performed to assess the efficacy of acupuncture on IBD and its related inflammatory factors which include TNF-α, IL-1, IL-8, and IL-10.
The analysis comprised of four randomized controlled trials that involved a total of 228 patients. The beneficial effects of acupuncture on IBD patients were thoroughly inspected, as well as its ability to regulate levels of specified inflammatory factors. The P values, which refer to the probability that any observed result occurred by chance, were critically assessed for every inflammatory factor - significance was found in the values of TNF-α, IL-8, and IL-10, but not for IL-1.
The conclusion drawn was that acupuncture has a positive therapeutic impact on individuals suffering from IBD, and quite importantly, can regulate inflammatory factors in these patients. As a result of these findings, it is suggested that TNF-α, IL-8, and IL-10 are the ideal inflammatory indicators for evaluating the anti-inflammatory response in this patient category.
Discover Related Insights
Acupuncture combined with moxibustion has shown significant benefits in the treatment of mild to moderate Crohn's disease.
2023 Journal of Pharmacopuncture The Effects of Acupuncture on Crohn’s Disease: a systematic review and meta-analysis Bae JH, Kang SY, You SE, Jeong HI, Jang S, Kim KH
Meta-Analysis Acupuncture Crohn's Disease
In this systematic review, the researchers conducted a comprehensive search of 12 databases for randomized controlled trials on the impact of acupuncture on Crohn's disease. Three independent reviewers assessed the risk of bias for each study. The level of evidence from meta-analyses was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation methodology.
The review included a total of 12 studies. Findings suggest that acupuncture combined with moxibustion, a traditional East Asian treatment involving burning a small bunch of herbs on particular points on the body, had an effect on the treatment outcomes for patients with mild to moderate Crohn's disease when compared to a group given sham acupuncture and sham moxibustion treatments. Notably, findings on the effectiveness of acupuncture treatment only, without the addition of moxibustion, were less clear. It is also important to emphasize that this review was firmly focused on the benefits of the treatment on patients with mild to moderate symptoms of Crohn's disease.
Acupuncture effectively induced and sustained remission in active Crohn's disease patients, linked to an increase in anti-inflammatory gut bacteria and improved intestinal barrier.
2022 EClinicalMedicine Acupuncture improves the symptoms, intestinal microbiota, and inflammation of patients with mild to moderate Crohn's disease: A randomized controlled trial Bao C, Wu L, Wang D, Chen L, Jin X, Shi Y, et al.
Randomised Controlled Trial Acupuncture Crohn's Disease
In a 48-week randomized, sham controlled, parallel-group clinical trial conducted at a Chinese tertiary outpatient clinic, 66 drug-resistant, mild to moderately active Crohn's disease patients were randomly assigned equally to a control or acupuncture plus moxibustion treatment group. Three treatment sessions were provided weekly for 12 weeks, followed by 36 weeks of follow-up.
The acupuncture treatment was significantly more effective than the sham treatment in terms of clinical remission and response rates by week 12, results which were maintained at week 48. The acupuncture group also displayed lower Crohn's disease activity indices and C-reactive protein levels and a decreased recurrence rate. Post-treatment, this group demonstrated an increase in the diversity and relative abundance of intestinal microbiota, particularly anti-inflammatory bacteria, as well as reduced plasma levels of diamine oxidase, lipopolysaccharide, and Th1/Th17 related cytokines.