Research Article | DOI: https://doi.org/10.31579/2834-5126/039
Effect of Traditional Moxibustion in Assisting the Rehabilitation of Stroke Patients
1 Hangzhou Normal University, 311121, Zhejiang, China.
2 Hangzhou Linping Fifth People's Hospital, 311100, Zhejiang, China.
3 Hangzhou Dishui Public Welfare Service Centre, 310000, Zhejiang, China.
4 Hangzhou Dishui Public Welfare Service Centre, 310000, Zhejiang, China.
5 Hangzhou Normal University, 311121, Zhejiang, China.
*Corresponding Author: Shiming Tang, Professor, Hangzhou Normal University, 311121, Zhejiang, China.
Citation: Shiming Tang, Wenjuan Mao, Xinyu Zhou, Zhongshun Chen, Qi Chen, (2023), Effect of Traditional Moxibustion in Assisting the Rehabilitation of Stroke Patients, Clinical Trials and Clinical Research. 2(5); DOI:10.31579/2834-5126/039
Copyright: © 2023, Shiming Tang. this is an open access article distributed under the creative commons’ attribution license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 12 August 2023 | Accepted: 26 August 2023 | Published: 08 September 2023
Keywords: moxibustion; rehabilitation of stroke; clinical effects
Abstract
China has the largest number of stroke patients worldwide, and traditional Chinese medicine technology has been widely applied in the field of stroke rehabilitation. Moxibustion therapy involves burning wormwood and applying it to specific acupoints or meridians to achieve the effect of regulating the human body. This therapy has the effects of warming and unblocking meridians, promoting blood circulation and resolving stasis, supplementing qi and nourishing blood. It can relieve physical fatigue, alleviate pain, and play a certain auxiliary therapeutic role in assisting the rehabilitation of stroke patients. Moxibustion achieves the goal of treating diseases and enhancing the body's immunity and resistance by improving the circulation of qi and blood, regulating the functions of the organs. Moxibustion and other intangible cultural heritage such as traditional Chinese medicine moxibustion will effectively empower stroke patients and many modern people to restore physical and mental balance and improve their quality of life in a natural, gentle, and effective way of healing.
1.Background:
China has the largest number of stroke patients worldwide, and traditional Chinese medicine technology has been widely applied in the field of stroke rehabilitation.
Stroke is a common and serious disease caused by cerebrovascular diseases, which is the main cause of death and disability in Chinese adults. Data shows that China has the highest number of stroke patients in the world, posing a serious threat to people's physical health. During rehabilitation, most patients are accompanied by various functional impairments, such as movement and excretion disorders, which can have an impact on their quality of life.
Moxibustion therapy originated in ancient times and has become a precious cultural heritage of the Chinese nation after thousands of years of inheritance. In recent years, traditional Chinese medicine technology has been widely applied in the field of stroke rehabilitation, among which moxibustion therapy has been proven to have good clinical effects and can help improve patients' physical condition and negative emotions. This article will explore and analyze the relevant research on moxibustion therapy for stroke patients, in order to provide reference for the rehabilitation practice of stroke patients.
2. Concept:
Moxibustion therapy is an external method of promoting disease recovery and physical health by placing ignited moxa wool on specific acupoints.
Moxibustion therapy originated from the fire usage customs of the grassland ethnic groups in northern China and has been widely used and passed down to this day. According to the Huangdi Neijing, the climate in the north is cold, and people are happy to live in the Gaoling area. However, this can also easily lead to the occurrence of visceral cold and fullness of diseases. Therefore, in the northern region, moxibustion therapy is widely adopted.
Moxibustion therapy is an external method of promoting disease recovery and physical health by placing lit moxa wool on specific acupoints. It includes two methods: direct moxibustion and indirect moxibustion. Direct moxibustion refers to the direct contact of ignited moxa wool with the skin, which can be divided into purulent moxibustion and non-purulent moxibustion. The difference between purulent moxibustion and non-purulent moxibustion lies in the specific method and purpose used. Indirect moxibustion involves placing appropriate Chinese medicinal herbs between moxa velvet and the skin, and selecting appropriate Chinese medicinal herbs based on symptoms. This method can achieve the effect of promoting physical health through the heat of moxibustion and the medicinal properties of traditional Chinese medicine.
At present, moxibustion therapy has achieved good application effects in various diseases. For example, it has good clinical effects in bronchial asthma, COVID-19, breast cancer, gastric cancer, cerebrovascular diseases, etc. Moxibustion therapy, as a traditional Chinese medicine therapy, has unique advantages and characteristics. It can not only achieve the goal of treating diseases by improving the circulation of qi and blood, regulating the functions of the organs, but also enhance the body's immunity and resistance. At the same time, moxibustion therapy has the characteristics of simple operation, safety, and no side effects, and is deeply loved by patients.
Of course, the amount of moxibustion is one of the key links in controlling the therapeutic effect of moxibustion therapy. The determination of moxibustion volume is influenced by various factors, such as age, disease differences, etc. Therefore, when applying moxibustion, it is necessary to pay attention to individual differences and ensure the appropriate amount of moxibustion. Further scientific research and rigorous exploration are still needed in the clinical application of moxibustion therapy.
3.Effect:
the function of the organs, and achieve the goal of treating diseases, but it can also enhance the body's immunity and resistance.
Moxibustion is a traditional Chinese medicine therapy that has the effect of warming meridians and unblocking collaterals. It can improve the state of ischemia and hypoxia in the body, alleviate muscle spasms, increase muscle strength, and thus enhance the flexibility of the patient's limbs. A study has found that patients with upper limb muscle spasms after stroke who receive moxibustion treatment 5 times a week for 8 consecutive weeks have improved upper limb motor function, muscle tone, and daily living activities.
In addition, about 20% of stroke patients have foot drop problems during the rehabilitation period, and the effectiveness of Western medicine treatment is limited. However, moxibustion therapy has shown good results in the rehabilitation process of foot drop after stroke. A study found that among 60 patients with foot drop in the recovery period of ischemic stroke, the effective rate of the experimental group receiving acupuncture and moxibustion combined with moxibustion intervention was 93.3%, which was higher than the control group receiving only acupuncture and moxibustion intervention (83.3%). This is consistent with other research results.
Clinical treatment has shown that by placing mugwort on specific parts of the body surface for burning, it can warm and unblock qi and blood, replenish qi and eliminate pathogens, and thus alleviate urinary incontinence symptoms. Compared with female stroke patients who only underwent pelvic floor muscle training, the combined use of moxibustion therapy has a higher treatment effectiveness rate, reaching 90.32%. This treatment is simple to operate, has significant effects, and research data shows that the differences are statistically significant.
Traditional Chinese medicine moxibustion is another common treatment that regulates physical health by stimulating specific acupoints. For the treatment of urinary incontinence, moxibustion can be focused on acupoints such as Shenque, Qihai, Guanyuan, and Zhongji. The stimulation of these acupoints can promote the body's self-healing ability and have a certain therapeutic effect on improving urinary incontinence symptoms. However, as an adjuvant therapy for urinary incontinence treatment, medical personnel should do a good job in health education and remind patients to receive treatment on time while respecting their autonomy, in order to achieve better treatment outcomes.
The study also found that traditional Chinese medicine technology has a certain help in alleviating constipation symptoms in stroke patients. For example, Hua Jingyi et al. conducted moxibustion treatment on 44 elderly patients with ischemic stroke constipation and found that the patient's constipation symptom score and stool trait score were significantly improved, indicating that moxibustion therapy is effective in treating constipation. In addition, studies have found that moxibustion can improve brain intestinal axis dysfunction and reduce the incidence of constipation after stroke.
For stroke patients, constipation is a common and troublesome symptom. Intestinal dysfunction and limited mobility both increase the risk of constipation. Therefore, traditional Chinese medicine technology, such as moxibustion, can be used as an auxiliary treatment method to help alleviate constipation problems in stroke patients. In short, traditional Chinese medicine technology has a certain effect in alleviating constipation symptoms in stroke patients, and can be used as an auxiliary treatment method to help patients improve defecation problems.
According to clinical reports, the proportion of sleep disorders occurring after stroke is as high as 50%, which has a negative impact on the neurological rehabilitation of patients. However, research shows that acupuncture and moxibustion combined with moxibustion has a positive effect on improving the sleep quality of stroke patients. Research has conducted moxibustion treatment on stroke patients and conducted a meta-analysis of the relevant data. The research results show that moxibustion intervention can significantly improve the sleep quality score of patients with sleep disorders after stroke, and this method has good safety, convenience, and acceptability. This indicates that moxibustion therapy can be an effective option to improve sleep problems after stroke.
Stroke patients may also experience functional impairments during their recovery period, which has a significant impact on their daily lives and also brings psychological pressure to patients, increasing the risk of negative emotions such as anxiety and depression. According to multiple research results, the incidence of anxiety and depression after stroke is as high as 50%, and stroke patients need psychological intervention work. A study on post-stroke hemiplegia patients showed that after using psychological interventions such as moxibustion combined with acupoint application and emotional care, the anxiety and depression scores of patients were significantly lower than those of the conventional psychological care group. This difference is statistically significant.
Moxibustion can improve the patient's physical activity ability, thereby effectively reducing their depression and anxiety. At the same time, moxibustion, as a new intervention method, helps stroke patients reduce psychological stress and improve their mental health status. The clinical manifestations of moxibustion in stroke patients have demonstrated its significant value in helping stroke patients recover their physical and mental health.
4. Outlook:
Traditional Chinese medicine moxibustion and other intangible cultural heritage will effectively help stroke patients restore physical and mental balance and improve their quality of life in a natural, gentle, and effective way of healing.
In modern life, people are facing various pressures and health problems, and physical and mental exhaustion has become a norm. Moxibustion therapy is a natural, gentle, and effective way of healing that can help people restore physical and mental balance and improve their quality of life.
In recent years, traditional cultural moxibustion therapy has gradually become a unique way of physical and mental healing, alleviating the dysfunction and negative emotions of stroke patients during the recovery period, and improving the quality of life of patients, their caregivers, and even their families, communities, and society. Traditional Chinese medicine has become a new force in the field of stroke. Moxibustion therapy combined with western medicine, rehabilitation training or acupuncture and moxibustion has made remarkable achievements.
Traditional moxibustion therapy also needs to keep up with the times and be innovative. In the context of the new era, traditional Chinese medicine can combine modern technology to develop and apply more convenient and efficient moxibustion products, making them more in line with the needs of modern people. At the same time, this intangible cultural heritage can also be combined with other healing methods, such as music therapy, massage therapy, etc., to integrate moxibustion therapy with other healing methods, forming a more comprehensive and effective healing method.
Traditional culture is the bone marrow of a nation and a spiritual bloodline. In the context of the new era, traditional Chinese medicine should preserve and inherit the essence of traditional culture, while also daring to innovate and develop. Through creative transformation and innovative development, traditional cultural moxibustion therapy will surely radiate vitality and vitality, bringing people a better life qualification.
Acknowledgment
This article is one of the achievements of the research project on
References
- Li Ruowei, Xia Yuan, Li Yongjie, et al (2023). The effect of transcranial direct current stimulation with different stimulation methods on upper limb motor function and activities of daily life in stroke patients: a reticular meta-analysis [J] Chinese Journal of Rehabilitation Medicine, 38 (3): 394-402.
View at Publisher | View at Google Scholar - Wang Longde, Peng Bin, Zhang Hongqi, et al. (2022). Summary of China Stroke Prevention and Treatment Report 2020 [J] Chinese Journal of Cerebrovascular Disease, 19 (2): 136-144.
View at Publisher | View at Google Scholar - Wang An'an, Li. (2022). Wenjuan Research progress in traditional Chinese medicine treatment of cognitive impairment after stroke [J] Journal of Integrated Traditional Chinese and Western Medicine in Cardiovascular and Cerebrovascular Diseases, 20 (14): 2565-2568.
View at Publisher | View at Google Scholar - Kong Xianyun, Chen Zukun, Wang Haitao. (2020). Clinical application of moxibustion in stroke rehabilitation nursing [J] Integrated Traditional Chinese and Western Medicine Nursing (Chinese and English), 6 (9): 79-82.
View at Publisher | View at Google Scholar - Jin Jie, Zhong Meimei, Yu Xiuting, et al. (2021). Research on the Construction and Application of Traditional Chinese Medicine Continuous Nursing Plan for Acute Ischemic Stroke Patients [J] Chinese Journal of Nursing, 56 (8): 1125-1132.
View at Publisher | View at Google Scholar - Zhang Jianbin, Wang Lingling, Wu Huangan, et al. (2012). Analysis of the Connotation of the Concept of Moxibustion, Warming, Ventilation, and Tonifying [J] China acupuncture and moxibustion, 32 (11): 1000-1003.
View at Publisher | View at Google Scholar - Project team of acupuncture and moxibustion Technical Operation Specifications Part 1: Moxibustion National Standard of the People's Republic of China (GB/T21709.1-2008) acupuncture and moxibustion Technical Operation Specifications Part 1: Moxibustion [J] China acupuncture and moxibustion, 2010, 30 (6): 501-504.
View at Publisher | View at Google Scholar - Shandong University of Traditional Chinese Medicine Explanation of the Yellow Emperor's Inner Canon (Volume 1) [M] Beijing: People's Health Publishing House, 2009.
View at Publisher | View at Google Scholar - Yuan Ting, Wang Zhenguo. (2015). A New Exploration of the Origin of Traditional Chinese Medicine
View at Publisher | View at Google Scholar - Zhu Yunyun, Guo Lujuan, Chen Le, et al Overview of the application of mugwort leaf in the pharmaceutical field [J] Modern Chinese Traditional Medicine: 1-15.
View at Publisher | View at Google Scholar - Wang Lei, Li Xuewu, Zhang Li. (2001). Research progress on the mechanism of moxibustion therapy at home and abroad [J] China acupuncture and moxibustion, (9): 56-59.
View at Publisher | View at Google Scholar - Gao Bing, Wang Gan, Ma Qiang, etc. (2022). On Moxibustion Strengthening and Moxibustion Effect [J] Chinese Journal of Traditional Chinese Medicine, 37 (5): 2440-2444.
View at Publisher | View at Google Scholar - Lin Run, Luo Jing, Xu Mingzhu, etc. (2023). Systematic evaluation of the efficacy of different acupuncture and moxibustion methods in the treatment of lower limb dysfunction in ischemic stroke [J] Chinese Journal of Rehabilitation Medicine, 38 (1): 87-94.
View at Publisher | View at Google Scholar - Ren Hui, Chen Bin, Leng Jun, etc. (2022). Myoelectric biofeedback combined with moxibustion for the treatment of upper limb muscle spasms after stroke [J] Chinese Journal of Practical Neurological Diseases, 25 (12): 1470-1474.
View at Publisher | View at Google Scholar - Zou Hui, Wang Lanxiang, Yin Xiaowei, et al. (2022). Research progress on traditional Chinese medicine rehabilitation treatment and psychological intervention for foot drop after stroke [J] Chinese Journal of Health Medicine, 24 (5): 436-438.
View at Publisher | View at Google Scholar - Kang Xia. (2018). Clinical Study on Acupuncture Combined with Moxibustion for Foot Dropping in the Recovery Period of Ischemic Stroke [D] Xinjiang Medical University.
View at Publisher | View at Google Scholar - Zhou Hongjuan, Weng Meihua, Hu Jingwen, et al. (2021). Progress in the application of traditional Chinese medicine nursing techniques in urinary incontinence after stroke [J] Hunan Journal of Traditional Chinese Medicine, 37 (10): 218-220.
View at Publisher | View at Google Scholar - Cai Yuehong, Chen Chunyan, Huang Cuiqin. (2023). Observation on the therapeutic effect of traditional Chinese medicine characteristic rehabilitation nursing combined with pelvic floor muscle training on female urinary incontinence after stroke [J] Research on Integrated Traditional Chinese and Western Medicine, 15 (2): 141-144.
View at Publisher | View at Google Scholar - Hu Jiahui, Wang Yanhua, Wang Meixin, et al. (2023). Meta analysis of the clinical effect of moxibustion on urinary incontinence after stroke [J] Chinese Journal of Gerontology, 43 (7): 1553-1559.
View at Publisher | View at Google Scholar - Wang Fang, Huang Chaoping, Ma Xin, et al. (2022). A retrospective study on the
View at Publisher | View at Google Scholar - Hua Jingyi, Chen He, Chen Shanshan, et al. (2022). The therapeutic effect of moxibustion on constipation in elderly patients with ischemic stroke guided by the theory of meridian flow Chinese Journal of Gerontology, 42 (4): 798-801.
View at Publisher | View at Google Scholar - Liu Qinyu, Huang Huirong, Liu Fang, et al. (2020). A systematic evaluation of the therapeutic effect of moxibustion on constipation after stroke [J] General Nursing,18 (22): 2798-2802+2806.
View at Publisher | View at Google Scholar - Fang Yan, Sun Xinyue, Yang Jingping, et al. (2022). Summary of evidence on non-pharmacological management of stroke related sleep disorders [J] China Nursing Management, 22 (10): 1534-1539.
View at Publisher | View at Google Scholar - Zhao Mengting, Mi Yong. (2023). Overview of progress in acupuncture and moxibustion treatment of insomnia after stroke [J] Xinjiang Traditional Chinese Medicine, 41 (2): 71-73.
View at Publisher | View at Google Scholar - Yu Li Qiang, Liu Fang, Shen Cuiling, et al. (2020). A systematic evaluation of the therapeutic effect of moxibustion on sleep disorders after stroke [J] Journal of Guizhou University of Traditional Chinese Medicine, 42 (1): 72-77.
View at Publisher | View at Google Scholar - Lu Juanjuan, Liu Xia, Xue Fen, et al. (2021). The effect of intensified cognitive intervention on cognitive function and negative emotions in stroke patients with depression and anxiety [J] Chinese Journal of Health Psychology, 29 (11): 1631-1636.
View at Publisher | View at Google Scholar - Wang Qiaomei, Xu Lu, Jiang Xiang. (2022). The application of acupoint application, moxibustion combined with emotional care in the care of hemiplegia after stroke [J] Contemporary Nurses (Second Edition), 29 (12): 82-86.
View at Publisher | View at Google Scholar - China News Network: Injecting inexhaustible spiritual power into the construction of a strong country and national rejuvenation, Xinhua News Agency, 2023-06-02 08:28:47.
View at Publisher | View at Google Scholar - Li Ming, Zhang Qiang, Zhang Xiaoyan. (2013). Clinical Observation on Moxibustion Therapy for Stroke [J] Journal of Henan University of Traditional Chinese Medicine, 28 (3): 54-56.
View at Publisher | View at Google Scholar - Roger, Li Li. (2015). Research progress in moxibustion treatment of stroke [D] Guangdong Institute of Traditional Chinese Medicine.
View at Publisher | View at Google Scholar - Chen Qi, Tang Shiming. (2023). Progress in the Application of Moxibustion Therapy in the Rehabilitation of Stroke Patients, [J], Smart Medicine, 11135-137.
View at Publisher | View at Google Scholar - Shiming Tang, Yeping Hong, Chengsheng Xu, Lei Ye, Xiaying Chen. (2023). Historic Review and Clinic Demonstration of Tea Therapy: The Non-Drug Physical and Mental Healing with Song Rhyme [J], Clinical Trials and Clinical Research, 2(4):1-4.
View at Publisher | View at Google Scholar
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