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The Application of Auriculotherapy to the Treatment of Chronic Spontaneous Urticaria: A Systematic Review and Meta-analysis

  • Zhu, Libing (Department of Medicine, Xiamen University) ;
  • Kim, Yunjin (School of Medicine, Xiamen University Malaysia) ;
  • Yang, Zongbao (Department of Medicine, Xiamen University)
  • Received : 2018.05.08
  • Accepted : 2018.08.30
  • Published : 2018.12.31

Abstract

Auriculotherapy has been extensively used for chronic spontaneous urticaria in China. However, the evidence of its effectiveness and safety for the treatment of chronic spontaneous urticaria is insufficient. Hence, we conducted this study to compare auriculotherapy or auriculotherapy joint treatment with Western medicine for the cure of chronic spontaneous urticaria. This meta-analysis of seven randomized controlled trials showed that auriculotherapy or auriculotherapy joint treatment was significantly superior to Western medicine in curing clinical signs and symptoms of chronic spontaneous urticaria [odds ration (OR), 2.61; 95% confidence interval (CI), 1.54-4.43; p = 0.0004) and also better in total effect rate (OR, 3.81; 95% CI, 2.07-7.01; p<0.0001). But, auriculotherapy or auriculotherapy joint treatment was similar to Western medicine in improving clinical signs and symptoms of chronic spontaneous urticaria (OR, 0.74; 95% CI, 0.35-1.56; p = 0.42). Auriculotherapy or auriculotherapy joint treatment was safer than Western medicine for curing chronic spontaneous urticaria (OR, 0.26; 95% CI, 0.09-0.80; p = 0.02). Auriculotherapy alone or auriculotherapy joint treatment appears to be more effective and safer than Western medicine that contains antihistamines in the treatment of chronic spontaneous urticaria. However, these findings should be interpreted with caution due to the unclear risk bias of methodological quality, and further studies with large-scale, better, and more rigorously designed protocol are necessary to prove these findings.

Keywords

References

  1. Zuberbier T. Chronic spontaneous urticaria. Curr Allergy Asthma Rep 2012;12(4):267-72. https://doi.org/10.1007/s11882-012-0270-7
  2. Zuberbier T, Aberer W, Asero R, et al. The EAACI/GA2LEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update. Eur J Allergy Clin Immun 2014;69(7):e1-29. https://doi.org/10.1111/all.12370
  3. Maurer M, Weller K, Bindslev-Jensen C. Unmet clinical needs in chronic spontaneous urticaria. A $GA^2LEN$ task force report. Allergy 2011;66:317-30. https://doi.org/10.1111/j.1398-9995.2010.02496.x
  4. Biardini I, Bousquet PJ, Brzoza Z, et al. Recommendations for assessing patient-reported outcomes and health-related quality of life in clinical trials on allergy: a $GA^2LEN$ taskforce position paper. Allergy 2010;65:290-5. https://doi.org/10.1111/j.1398-9995.2009.02263.x
  5. Sharma M, Bennett C, Carter B, et al. H1-antihistamines for chronic spontaneous urticaria: an abridged cochrane systematic review. J Am Acad Dermatol 2015;73(4). 710-716.e4. https://doi.org/10.1016/j.jaad.2015.06.048
  6. Yang PY, Sun XH. Effect of BCG-Polysaccharide nuceic acid combined with antihistamines for chronic spontaneous urticaria and its impact on serum IL-4 and sVCAM-1. Hennan Med Res 2015;24(5):77-8.
  7. Frank B, Beate S. Ear acupuncture a precise pocket atlas based on the works of Nogier/Bahr. Beijing: People's military medical press; 2014.
  8. Zhang GT. The Zhang auricular acupuncture for distress diseases. Beijing: Chinese medical science and technology press; 2013.
  9. Alimi D, Geissmann A, Gardeur D. Auricular acupuncture stimulation measured on functional magnetic resonance imaging. Med Acupunct 2002;13:18-21.
  10. Yang ZM, Dong Q, Zhou JZ. Erzhen liaofa zhi baibing. Beijing: Jindun press; 2011.
  11. Melchart D, Weidenhammer W, Streng A, et al. Prospective investigation of adverse effects of acupuncture in 97733 patients. Arch Intern Med 2004;164:104-5. https://doi.org/10.1001/archinte.164.1.104
  12. White A, Hayhoe S, Hart A, et al. Adverse events following acupuncture: prospective survey of 32000 consultations with doctors and physiotherapists. BMJ 2001;323:485-6. https://doi.org/10.1136/bmj.323.7311.485
  13. MacPherson H, Thomas K, Walters S, et al. The York acupuncture safety study: prospective survey of 34000 treatments by traditional acupuncturists. BMJ 2001;323:486-7. https://doi.org/10.1136/bmj.323.7311.486
  14. Cherkin DC, Sherman KJ, Deyo RA, et al. A review of the evidence for the effectiveness, safety, and cost of acupuncture, massage therapy, and spinal manipulation for back pain. Ann Intern Med 2003;138:898-906. https://doi.org/10.7326/0003-4819-138-11-200306030-00011
  15. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions. 2005. version 5.1.0, www.cochranehandbook.org. [Accessed July 2015].
  16. Yang QY, Qiu ZF. Clinical observation on triple therapy for chronic spontaneous urticaria. Med Her 2002;21(supplement):35.
  17. Cao H, Ding BL. Clinical observation on taping Liu Shen Wan on the auricular points and acupoints for urticaria. NingXia Med J 2003;25(3):173.
  18. Chen XH, Chen ZH, Sui DS. Acupuncture combined with auricular tapping for 32 participants with chronic spontaneous urticaria. Tradit Chin Med Res 2000;13(5):38-9.
  19. Cheng LJ. Abdominal acupuncture combined with auricular acupuncture for 68 participants with chronic spontaneous urticaria. Med Inf 2014;27(12):398.
  20. Meng Y, Yang T. Clinical observation on auricular points injection for 174 participants with urticaria. China Pract Med 2015;10(13):197-8.
  21. Ni YH, Zhou Y. Modified Taohongsiwu decoction combined with tapping small Seed-shape herb on the auricular points for 45 participants with chronic spontaneous urticaria. J Zhejiang Univ Chin Med 2010;34(2):208-9.
  22. Bai DY, Mu D, Guan KX, et al. Clinical observation on auricular tapping for chronic spontaneous urticaria. J New Chin Med 2009;41(8):96-7.
  23. State administration of Traditional Chinese Medicine. Standards for diagnosis and curative effect of Chinese medical symptom. Nanjing: Nanjing University Publishing House; 1994. p. 147.
  24. Liu JW, Hao Y, Zhen CM. The clinical observation of using both ear acupuncture and the mizolastine to treat the cholinergic urticaria. Chin J Dermato Venereol 2007;21(8):4-5.
  25. Zhou HX. Cinnamon Twig decoction combined auricular therapy in the treatment of urticaria clinical observation. China Health Ind 2012;36:36.
  26. Macpherson H, White A, Cummings M, et al. Standards for reporting interventions in controlled trials of acupuncture: the STRICTA recommendations. Acupunct Med 2002;20:22-5. https://doi.org/10.1136/aim.20.1.22
  27. Boutron I, Moher D, Altman DG, et al. The CONSORT statement. URL: http://www.consort-statement.org/[accessed on July 2015].

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