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DEVELOPMENT OF A STANDARDIZED ACUPUNCTURE FOR FATIGUE IN WESTERN PATIENTS WITH MULTIPLE SCLEROSIS
Author(s): 
Pages: 273
Year: Issue:  3
Journal: Journal of Chinese Integrative Medicine

Keyword:  acupuncturestandardizedretentionconsciousstainlessmanipulationfatiguediscussionsthinkingtwelve;
Abstract: Background: Fatigue is the most common clinical symptom of patients with multiple sclerosis(MS) and strongly influences their quality of life.In Tianjin, China, Xingnao Kaiqiao(XNKQ)acupuncture is widely used to treat MS.It is a standard acupuncture therapy developed by Shi Xuemin with a strict set of points and standard quantitative manipulations.Needle retention time is about 15 min for each session, which is usually applied five times a week over at least four weeks.XNKQ acupuncture aims to alert the spirit, refresh and regulate the mind.The "mind" here not only refers to mental, conscious and thinking activities, but also manifests the function of zang-fu organs and extremities.Objective: Our aim was to improve that the intervention could be applied as a standardized acupuncture in a randomized controlled trial in the West(ClinicalTrials.gov: NCT01864707,trial performed in Germany).The trial compared usual care plus acupuncture with usual care only for fatigue in Western MS patients in an outpatient setting.Methods: A consensus was achieved involving Chinese acupuncture experts, Western MS experts, and research methodologists in an onsite group of discussions and email discussions.Results: A XNKQ-based prescription for fatigue is based on the following assumption: regulate and harmonize zang-fu organs, reinforce the function of liver and kidney, and improve the motor function.It is applied twice a week over twelve weeks and consists of 19 points and 34 needles(0.25 mm × 40 mm stainless steel disposable).For each point a standardized manual manipulation which reflects the manipulation also used in China is applied.Needle retention time is 15 min per session.Conclusion: A standardized acupuncture for fatigue in MS patients who are suitable for a clinical trial in the West can be developed.
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