Comparison of Electroacupuncture and Mild-Warm Moxibustion on Brain-Gut Function in Patients with Constipation-Predominant Irritable Bowel Syndrome: A Randomized Controlled Trial

Ji meng Zhao, Jin hua Lu, Xiao jun Yin, Lu yi Wu, Chun hui Bao, Xing kui Chen, Yue hua Chen, Wei jun Tang, Xiaoming Jin, Huan gan Wu, Yin Shi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: To compare the effects of electroacupuncture (EA) and mild-warm moxibustion (Mox) therapies for constipation-predominant irritable bowel syndrome (C-IBS) patients. Methods: Sixty C-IBS patients were assigned to 2 groups by simple randomized method, i.e. EA group (30 cases) and Mox group (30 cases). Both EA and Mox treatments were performed on bilateral Tianshu (ST 25) and Shangjuxu (ST 37) for 30 min each time, 6 times per week, for 4 consecutive weeks. The gastrointestinal symptoms and psychological symptoms of the two groups were scored before and after treatment. The effects on the corresponding functional brain areas, namely the anterior cingulate cortex (ACC), insular cortex (IC) and prefrontal cortex (PFC) were observed by functional magnetic resonance imaging (fMRI) before and after treatment. Results: Compared with the Mox group, greater improvements in abdominal distension, defecation frequency, diffificulty in defecation and stool features were observed in the EA group (all P<0.01), both Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale scores were signifificantly decreased in the EA group (all P<0.01). Finally, decreased activated voxel values were observed in the ACC, right IC and PFC brain regions of EA group with 150 mL colorectal distension stimulation (P<0.05 or P<0.01). Conclusions: Both EA and Mox could signifificantly improve some of the most intrusive symptoms of C-IBS patients, and EA was more effective than Mox. The therapeutic effect of these two therapies might through modulating of the brain-gut axis function. (Registration No. ChiCTRTRC-11001349).

Original languageEnglish (US)
Pages (from-to)328-335
Number of pages8
JournalChinese Journal of Integrative Medicine
Volume24
Issue number5
DOIs
StatePublished - May 1 2018

Fingerprint

Moxibustion
Electroacupuncture
Irritable Bowel Syndrome
Constipation
Randomized Controlled Trials
Brain
Defecation
Gyrus Cinguli
Prefrontal Cortex
Cerebral Cortex
Therapeutics
Therapeutic Uses
Anxiety
Magnetic Resonance Imaging
Depression
Psychology

Keywords

  • constipation
  • electroacupuncture
  • irritable bowel syndrome
  • moxibustion
  • randomized controlled trial

ASJC Scopus subject areas

  • Complementary and alternative medicine
  • Pharmacology (medical)

Cite this

Comparison of Electroacupuncture and Mild-Warm Moxibustion on Brain-Gut Function in Patients with Constipation-Predominant Irritable Bowel Syndrome : A Randomized Controlled Trial. / Zhao, Ji meng; Lu, Jin hua; Yin, Xiao jun; Wu, Lu yi; Bao, Chun hui; Chen, Xing kui; Chen, Yue hua; Tang, Wei jun; Jin, Xiaoming; Wu, Huan gan; Shi, Yin.

In: Chinese Journal of Integrative Medicine, Vol. 24, No. 5, 01.05.2018, p. 328-335.

Research output: Contribution to journalArticle

Zhao, Ji meng ; Lu, Jin hua ; Yin, Xiao jun ; Wu, Lu yi ; Bao, Chun hui ; Chen, Xing kui ; Chen, Yue hua ; Tang, Wei jun ; Jin, Xiaoming ; Wu, Huan gan ; Shi, Yin. / Comparison of Electroacupuncture and Mild-Warm Moxibustion on Brain-Gut Function in Patients with Constipation-Predominant Irritable Bowel Syndrome : A Randomized Controlled Trial. In: Chinese Journal of Integrative Medicine. 2018 ; Vol. 24, No. 5. pp. 328-335.
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abstract = "Objective: To compare the effects of electroacupuncture (EA) and mild-warm moxibustion (Mox) therapies for constipation-predominant irritable bowel syndrome (C-IBS) patients. Methods: Sixty C-IBS patients were assigned to 2 groups by simple randomized method, i.e. EA group (30 cases) and Mox group (30 cases). Both EA and Mox treatments were performed on bilateral Tianshu (ST 25) and Shangjuxu (ST 37) for 30 min each time, 6 times per week, for 4 consecutive weeks. The gastrointestinal symptoms and psychological symptoms of the two groups were scored before and after treatment. The effects on the corresponding functional brain areas, namely the anterior cingulate cortex (ACC), insular cortex (IC) and prefrontal cortex (PFC) were observed by functional magnetic resonance imaging (fMRI) before and after treatment. Results: Compared with the Mox group, greater improvements in abdominal distension, defecation frequency, diffificulty in defecation and stool features were observed in the EA group (all P<0.01), both Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale scores were signifificantly decreased in the EA group (all P<0.01). Finally, decreased activated voxel values were observed in the ACC, right IC and PFC brain regions of EA group with 150 mL colorectal distension stimulation (P<0.05 or P<0.01). Conclusions: Both EA and Mox could signifificantly improve some of the most intrusive symptoms of C-IBS patients, and EA was more effective than Mox. The therapeutic effect of these two therapies might through modulating of the brain-gut axis function. (Registration No. ChiCTRTRC-11001349).",
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T2 - A Randomized Controlled Trial

AU - Zhao, Ji meng

AU - Lu, Jin hua

AU - Yin, Xiao jun

AU - Wu, Lu yi

AU - Bao, Chun hui

AU - Chen, Xing kui

AU - Chen, Yue hua

AU - Tang, Wei jun

AU - Jin, Xiaoming

AU - Wu, Huan gan

AU - Shi, Yin

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