Bibliothèque des systèmes de santé de l'OMS
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Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials
(87 pages)

Table des matières
Afficher le documentAcknowledgements
ouvrir ce répertoire et afficher son contenuIntroduction
ouvrir ce répertoire et afficher son contenu1. General considerations
fermer ce répertoire2. Review of clinical trial reports
ouvrir ce répertoire et afficher son contenu2.1. Pain
Afficher le document2.2. Infections
Afficher le document2.3. Neurological disorders
Afficher le document2.4. Respiratory disorders
Afficher le document2.5. Digestive disorders
Afficher le document2.6. Blood disorders
Afficher le document2.7. Urogenital disorders
Afficher le document2.8. Gynaecological and obstetric disorders
Afficher le document2.9. Cardiovascular disorders
Afficher le document2.10. Psychiatric disorders and mental disturbances
Afficher le document2.11. Paediatric disorders
Afficher le document2.12. Disorders of the sense organs
Afficher le document2.13. Skin diseases
Afficher le document2.14. Cancers
Afficher le document2.15. Other reports
Afficher le document3. Diseases and disorders that can be treated with acupuncture
Afficher le document4. Summary table of controlled clinical trials
Afficher le documentReferences

2.5. Digestive disorders

Epigastric pain is a common symptom in diseases of the stomach, including peptic ulcer, acute and chronic gastritis, and gastric spasm. Acupuncture provides satisfactory relief of epigastric pain-significantly better than injections of anisodamine or morphine plus atropine, as shown in randomized controlled trials (128, 129). For gastrointestinal spasm, acupuncture is also superior to injections of atropine (130), and for gastrokinetic disturbances, the effectiveness of acupuncture is comparable with that of conventional medicine (domperidone) (131).

Another common symptom of digestive disorders is nausea and vomiting. This can be due to a disordered function of the stomach, but it is more often a symptom or sign of generalized disorders. Morning sickness, postoperative vomiting, and nausea and vomiting related to chemotherapy are frequently encountered clinically. In all these conditions, acupuncture at point nèigu?n (PC6) seems to have a specific antiemetic effect. A recent systematic review of trials using acupuncture for antiemesis showed that 11 of 12 randomized placebo-controlled trials, involving nearly 2000 patients, supported this effect. The reviewed papers showed consistent results across different investigators, different groups of patients, and different forms of acupuncture stimulation (132).

Irritable colon syndrome and chronic ulcerative colitis are often difficult to treat with conventional medication. For these diseases, acupuncture may serve as a complementary or alternative therapeutic measure (133, 134).

Because of its analgesic effect, acupuncture can be used in endoscopic examinations, e.g. in colonoscopy. It has been reported that the effect of acupuncture to relieve pain and discomfort during the examination is comparable with that of scopolamine or pethidine with fewer side-effects (135, 136).

There has been extensive research on the effect of acupuncture on the digestive system, with extensive data showing its influence on the physiology of the gastrointestinal tract, including acid secretion, motility, neurohormonal changes and changes in sensory thresholds. Many of the neuroanatomic pathways of these effects have been identified in animal models (137).

Acupuncture shows good analgesic and antispasmodic effects on the biliary tract and, as indicated previously, can be recommended for treatment of biliary colic (62-64). It also has a cholagogic action, which has been demonstrated in experimental studies. In the treatment of biliary colic due to gallstones, acupuncture is not only effective for relieving the colicky pain, but is also useful for expelling the stones. Satisfactory results were reported when electric acupuncture was used in combination with oral administration of magnesium sulfate (138). Acupuncture treatment is also worth trying for chronic cholecystitis, even if there is acute exacerbation (139).

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Dernière mise à jour: le 4 mai 2012