Review Article

Acupuncture for Functional Dyspepsia: What Strength Does It Have? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Table 1

Characteristics of included studies

StudyDiagnosis criteriaSample size (I/C)Characteristics of participants (genders, ages, courses of disease); I/CIntervention (main acupuncture points)Frequency and treatment courseControl Duration of one sessionMain outcomes

Chen 2013 [40]Rome III30/3012M/18F

14M/16F

MA (CV12; ST36, PC6, LR3 of both sides; CV17)Once daily, 5/w for 4 wItopride hydrochloride tablets (50 mg taken orally three times a day, 30 min before each meal)30 minSymptom scores; SF-36; ineffective rate

Hu 2012 [41]Rome III34/3612M/22F

16M/20F

EA (CV12; ST25, PC6, ST36 of both sides)Once daily, 5/w for 4 wItopride hydrochloride tablets (50 mg taken orally three times a day, 30 min before each meal)30 minNDI (NDLQI); symptom scores; SF-36; ineffective rate

Jin 2011 [42]Rome III28/2811M/17F

10M/18F

MA (ST36, KI3 of both sides)Every other day, 3~4/w for 4 wSham MA (nonacupoints, different area of innervation with the main acupoints of MA group)No retention. If no “de-qi,” retain for 20–60 minSymptom scores; SF-36

Li 2014 [43]Rome III35/3612M/23F

13M/23F

EA (ST36, PC6 of one side; switch the sides each time)Once daily, 5/w for 4 wSham EA (nonacupoints, three points in upper limbs and one near ST36)30 minNDI (NDSI, NDLQI)

Liu 2015 [44]Rome III34/3419M/15F

18M/16F

MA (CV12; PC6, LR14, ST25, ST36, LR3, LR2 of both sides)Once daily, 7/w for 2 wDomperidone (10 mg taken orally three times a day, 30 min before each meal)30 minSymptom scores; ineffective rate

Ma et al. 2014 [45]Rome III32/2917M/15F

13M/16F

EA (CV12; ST25, ST36 of both sides)Once daily, 6/w for 2 wSham (nonacupoints, near the main acupoints of EA group)30 minNDI (NDSI, NDLQI); symptom scores; SF-36; ineffective rate

Park et al. 2009 [46]Rome II34/348M/26F
6M/28F
MA (LI4, LR3, ST36, PC6, SP4 of both sides; CV12)Once daily, 3/w for 2 wSham EA (nonacupoints, 1 cm away from the classical acupoints of MA group)15 minNDI (NDSI, NDLQI)

Shiu et al. 2014 [47]Rome III40/4022M/18F
42
6 m–10.5 y
19M/21F
41
7.5 m–12 y
MA (SP6, SP9, SJ6 of both sides)Once daily, 7/w for 3 wMosapride citrate dispersible tablets (5 mg taken orally three times a day)30 minSymptom scores; ineffective rate

Tang et al. 2006 [48]Rome II32/3015M/17F

3 m–10 y
14M/16F

3 m–9 y
MA (ST36, ST44, LR3, PC6, BL20, BL21, BL18 of both sides; CV12)Once daily for 3 courses; 10 d/courseDomperidone (10 mg taken orally three times a day, 30 min before each meal)30 minSymptom scores; ineffective rate

Wang et al. 2015 [49]Rome III36/4114M/22F

12M/29F

EA (ST42, ST40, ST36, ST34 of both sides)Once daily, 5/w for 4 wSham EA (nonacupoints, three in upper limbs and one near ST36)30 minSymptom scores; SF-36

Wang et al. 2012 [50]Rome III34/3410M/24F
41.8 years old
5.48 years
8M/26F
44.6 years old
8.29 years
MA (ST36, PC6 of both sides)Once daily, 5/w for 4 wSham EA (nonacupoints, near the main acupoints of MA group)30 minNDI (NDSI, NDLQI); ineffective rate

Xu et al. 2015 [51]National 47/4621M/25F

20M/27F

MA (PC6, ST36, ST25 of both sides; CV6, CV10, CV12, CV13, EX-HN3, DU24, DU20)Once daily, 5/w for 4 wDomperidone (10 mg taken orally three times a day, 15 min before each meal)30 minNDI (NDLQI); symptom scores; ineffective rate

Yang 2009 [52]Rome III40/4018M/22F

 m
21M/19F

EA (ST42, ST40, ST36, ST34 of both sides)Once daily, 5/w for 4 wItopride hydrochloride tablets (50 mg taken orally three times a day, 30 min before each meal)30 minSymptom scores; ineffective rate

Yu 2010 [53]Rome III116/119/11933M/82F

48 m
34M/83F

37 m
36M/81F

47 m
EA (ST42, ST40, ST36, ST34 of both sides)Once daily, 5/w for 4 wSham EA (nonacupoints, three in upper limbs and one near ST36)
Itopride hydrochloride tablets (50 mg taken orally three times a day, 30 min before each meal)
30 minNDI; symptom scores; ineffective rate

Zhang 2009 [54]Rome III24/2413M/11F

14M/10F

EA (CV12; BL21 of both sides; ST36 of one side)Once daily, 5/w for 4 wItopride hydrochloride tablets (50 mg taken orally three times a day, 30 min before each meal)30 minSymptom scores; SF-36; ineffective rate

Zhao et al. 2015 [55]Rome III60/6028M/32F

8 y
25M/35F

 y
EA (LR3, ST36, ST25, BL21, SP9 of both sides at specific time according to “midnight-noon ebb-flow” theory)Once daily, 3/w for 2 wItopride hydrochloride tablets (5 mg taken orally three times a day)30 minIneffective rate

MA, manual acupuncture; EA, electroacupuncture; NDI, Nepean Dyspepsia Index; NDSI, Nepean Dyspepsia Symptom Index; NDLQI, Nepean Dyspepsia Life Quality Index; SF-36, the MOS 36-Item Short-Form Health Survey.
Guideline: Guidelines for the diagnosis and treatment of dyspepsia in China (Dalian, 2007) [56].