Moxibustion for alleviating side effects of chemotherapy or radiotherapy in people with cancer. The issue. Moxibustion is used in traditional. If it's been determined that cancer cannot be cured, chemotherapy It's only in recent years that that alleviation of symptoms has become an. Chemotherapy side effects are a common concern among people with cancer. Although chemotherapy aims to wipe out cancer cells and stop.
CHEMO SYMPTOMS CANCER AND ALLEVIATES
High-quality studies are needed, which should include reporting of adverse effects. Limited, low-certainty evidence suggests that moxibustion treatment may help to reduce the haematological and gastrointestinal toxicities of chemotherapy or radiotherapy, improving QoL in people with cancer; however, the evidence is not conclusive, and we cannot rule out benefits or risks with this treatment.
High-quality studies that report adverse effects are needed. Moxibustion, a common treatment in traditional Chinese medicine, involves burning herbal preparations containing Artemisia vulgaris on or above the skin at acupuncture points.
Its intended effect is to enhance body function, and it could reduce the side effects of chemotherapy or radiotherapy and improve quality of life QoL in people with cancer. To assess the effects of moxibustion for alleviating side effects associated with chemotherapy, radiotherapy or both in people with cancer.
Registries for clinical trials and other resources were also searched. We included randomised controlled trials RCTs comparing moxibustion treatment, including moxa cone and moxa stick, versus sham, no treatment or conventional treatment. Two review authors HWZ and FC independently extracted data on study design, participants, treatment and control intervention , and outcome measures, and they also assessed risk of bias in the included studies. We included 29 RCTs involving participants. Five RCTs compared moxibustion versus no treatment, 15 compared moxibustion plus conventional treatment versus conventional treatment, one compared moxibustion versus sham moxibustion, and eight compared moxibustion versus conventional medicine.
The overall risk of bias was high in 18 studies and unclear in 11 studies. Studies measured outcomes in various ways, and we could rarely pool data. Moxibustion versus no treatment: There was no evidence of an effect on leukopenia RR 0. Moxibustion versus sham moxibustion: Moxibustion versus conventional medicines: Low-certainty evidence from two studies participants suggested moxibustion improved serum haemoglobin concentrations compared with conventional medicines MD Joint pain is a common side effect of aromatase inhibitors.
These are a type of hormone treatment for breast cancer. In and , researchers looked at trials using acupuncture for cancer pain. They found that it was not possible to tell if acupuncture had helped.
This was because of problems with the trial designs. A recent systematic review in looked at the use of complementary therapies. This means that a group of experts gather all the evidence about a particular subject. They then go through it to work out whether there is any evidence to support it.
The review was in people with breast cancer. It showed that acupuncture had a small benefit in treating pain. Several studies looked at how acupuncture could help with nausea and vomiting when it was due to chemotherapy. In the studies, many people wore acupressure wrist bands acubands.
The wrist bands apply pressure to acupuncture points on the wrist. Most of these studies showed that acupressure might help with nausea and vomiting.
A systematic review in looked at acupuncture in people with breast cancer. It showed that doctors could use acupuncture with other anti-sickness medication. Several small studies have looked at using acupuncture to reduce symptoms of peripheral neuropathy. This is for people who have breast cancer or myeloma and who have had chemotherapy. Hot flushes and sweats are a common side effect of treatment. This is in people having treatment for breast, prostate or womb cancers.
A review of acupuncture trials with people found that there is not enough evidence to say that it can help with hot flushes. It concluded that we need more research. The AcCliMaT study in was with people with breast cancer.
They had hot flushes. It found that people who had acupuncture, had fewer symptoms. A review study in said that acupuncture had a small effect on improving hot flushes.
This study was also in people with breast cancer. Lymphoedema is swelling caused by a build-up of lymph fluid. It can be a side effect of surgery or radiotherapy treatment. During surgery the surgeon may remove the lymph nodes which usually drain the fluid.
Radiotherapy can cause scarring to the lymph nodes. Lymphoedema can cause discomfort, pain and difficulty moving. There is no cure for lymphoedema, but treatments can relieve symptoms.
Moxibustion uses a dried herb called mugwort. It is rolled into a stick. The practitioner holds the glowing end of the lit stick over acupuncture points to warm them. The researchers found that acupuncture and moxibustion was safe for people with lymphoedema. This was especially when there are no needles near the area of lymphoedema. The people taking part reported some improvement in their symptoms.
The team suggested that we need more research. Korean researchers did a systematic review in The review looked at the benefits of acupuncture in traditional Korean medicine for people with lymphoedema. People in all the studies had breast cancer. They found that they need more research to see if acupuncture works. Another recent study also looked at using acupuncture in people with lymphoedema.
They also had breast cancer. The researchers found that acupuncture was not better than the usual treatment for lymphoedema. Tiredness fatigue after chemotherapy is hard to manage and can have a big effect on your life. It sometimes lasts for years. It looked at acupuncture for tiredness after chemotherapy treatment for breast cancer. It is not clear whether this benefit continues in the longer term. This is because the women were only followed up for 18 weeks. The researchers said that we need more research.
A review of acupuncture trials in had similar findings. It also concluded that we need more research. Researchers did another review study in It was looking at people with breast cancer. The study found that acupuncture might have a small effect on tiredness. Acupuncture is used for a dry mouth xerostomia. This is in people having radiotherapy for head and neck cancers. Some people have it for pain and dry mouth after neck surgery or a dry mouth in advanced cancer. A review study in said that acupuncture was a safe treatment.
It suggested that doctors could use it as a complementary therapy in palliative care. Palliative care means having treatment that helps to relieve symptoms and improve quality of life. A systematic review study in looked at how well acupuncture worked for a dry mouth caused by different conditions.
It included a dry mouth caused by radiotherapy treatment for cancer. The researchers found that there is not enough evidence to say that acupuncture is a treatment for a dry mouth backed up by research. Several small studies have looked into acupuncture or acupressure for cancer related breathlessness. A review found some evidence that acupuncture might help relieve breathlessness.
This was when it was due to advanced cancer or its treatment. Other studies show no benefit. A review said that we need bigger, good quality trials before we can know for sure.
They found that acupuncture, morphine and the combination helped to relieve breathlessness. Acupuncture also relieved anxiety. They suggested that it was a good alternative to morphine. Several studies have looked at how acupuncture can help to reduce anxiety or mood changes. A review of studies in found no evidence that it can help. It suggested that we need better-designed studies to find out.
Several studies have looked at whether acupuncture can help people with cancer sleep better. A review of studies in found that at the moment there is not enough evidence. It suggested that we need more research.
Some people think that acupuncture works because of a placebo effect. The placebo effect means that people feel the treatment helps. This is because they believe that it will work. The benefits might just be due to having the therapist's full attention. Or it could be from the chance to lie down and relax and knowing that the therapist is listening. Some studies have compared true acupuncture with sham acupuncture to look into this.
Sham acupuncture uses a special needle that does not penetrate the skin. Some studies showed that the real acupuncture works better than the sham acupuncture.
This was for some symptoms. Others showed no difference. Most people who have acupuncture have to pay for it themselves.
But, acupuncture is being used more and more within the NHS. Make sure that the person who treats you has had proper training. They should have experience in using acupuncture for people with cancer. Do not to go for treatment at shops on the high street. The practitioners there might not be familiar with treating cancer. Many traditional Chinese acupuncturists use herbs alongside acupuncture. Some of the herbs can interact with cancer treatments and stop them from working so well.
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