HYBRID EVENT: You can participate in person at Tokyo, Japan or Virtually from your home or work.

5th Edition of International Conference on

Traditional Medicine, Ethnomedicine and Natural Therapies

May 22-23, 2023 | Tokyo, Japan

Traditional Medicine 2023

Dieu Thuong Thi Trinh

Speaker at Traditional Medicine, Ethnomedicine and Natural Therapies 2023 - Dieu Thuong Thi Trinh
Faculty of Traditional Medicine, Vietnam
Title : Thread Embedding Acupuncture - a potential method in the treatment of GERD

Abstract:

Introduction: Gastroesophageal Reflux Disease (GERD) is now one of the very common diseases, increasing and greatly affecting the quality of life. The treatment of GERD today remains a challenge. According to previous reports, after 4 weeks of Proton Pump Inhibitor (PPI) treatment, up to 50% of patients who received empiric therapy were still symptomatic. Meanwhile, Traditional Medicine (TM) has many methods to treat in which method Thread Embedding Acupuncture (TEA) is applied similar to acupuncture but the effects last longer. Therefore we performed this study to evaluate the efficacy and safety of TEA in the treatment of GERD.

Methods: A single-blind RCT study was conducted in 66 GERD patients having GerdQ≥8 with a frequency of heartburn and/or regurgitation from 2 days/week, randomized into 2 groups including control and intervention group (33 participants per group). It has been designed according to the Consolidated Standards of Reporting Trials (CONSORT 2010) guidelines as well as the Standards for Reporting Interventions in Controlled Trials of Acupuncture (STRICTA). Both groups received standard treatment including PPI (pantoprazole 40mg once a day), antacid (use as needed), and lifestyle changes. The intervention group was added to method TEA every 2 weeks, using a chromic catgut thread embedded in 13 acupoints including Xiawan (CV-10), Zhongwan (CV-12), Shangwan (CV-13), and Zusanli (ST-36), Neiguan (PC-6), Geshu (BL-17), Ganshu (BL-18), Pishu (BL-20) in both sides of the body. All the treatment was given for 4 weeks. GERD questionnaire score (GerdQ), Frequency Scale for the Symptoms of GERD (FSSG), and TEA adverse effects were monitored for 4 weeks.

Results: After 4 weeks of treatment, the median GerdQ score from 11 (25th-75th quartile [IQR], 10-12) on the day of randomization in both groups decreased to 8 (IQR, 8-10) in the control group and 6 (IQR, 6-7) in the intervention group (p<0.0001). The intervention group resolved heartburn symptoms better with 78.8% (26/33) of patients no longer having heartburn, and 39.4% (13/33) for the control group (p=0.001). Similarly, the intervention group resolved 58.1% (18/31) regurgitation, 12.9% (7/33) for the control group (p=0.003). FSSG symptom score decreased sharply from mean (SD) 23.0 (5.9) to 2.2 (2.0), and the control group had a smaller decrease from 23.5 (6.1) to 11.5 (4.0) (p<0.0001). Side effects of concern accounted for 9.1% (3/33) including pain, local hematoma, local swelling, local itching, and local induration. Serious side effects 0%, most do not need treatment and leave no sequelae.

Conclusion: Thread embedding acupuncture combined with standard treatment brings high efficiency and safety to GERD patients. Intervention studies based on clinical pattern classification should be conducted.

 

Biography:

Dr. Dieu-Thuong Thi Trinh studied Traditional Medicine at University of Medicine and Pharmacy at Ho Chi Minh City (UMP) and graduated as MD in 2005. She received her PhD degree in 2013 and obtained the position of an Associate Professor in 2018. At the present, she is the Dean of Faculty of Traditional Medicine, UMP and is also the Head of University Medical Center at ho Chi Minh City – Branch 3. She has published about 10 textbooks in Traditional Medicine and Acupuncture, about 10 research articles in SCI(E) journals, and more than 80 research articles in Vietnamese scientific journals

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