Review Article

The Influence of Acupuncture Parameters on Efficacy and the Possible Use of Acupuncture in Combination with or as a Substitute for Drug Therapy in Patients with Ulcerative Colitis

Table 1

The main characteristics of the included studies.

Author, Year, CountryDiagnostic criteriaExperimental groupControl groupOutcomes
Sample size (in each group)Gender (M/F)Age (years)Course of diseaseInterventionTreatment durationSample sizeGender (M/F)Age (years)Course of diseaseInterventionTreatment duration
MeanMeanMain acupointsDuration of acupunctureAcupuncture frequencyMedication frequencyTotal periodMeanMeanMedication frequencyTotal period

Cao 2019, ChinaDiagnosis of chronic UC4925/2428–75NRMARN12, RN4, DU1, ST25, BL2520 minQ.dNR2 w4926/2330–75NRMetronidazole + SASPMetronidazole: 0.2 g p.o. T.i.d; SASP: 0.2 g p.o. T.i.d2 wER, AR
41.4 ± 12.8NR40.6 ± 13.2NR

Ge 2012, ChinaClinical diagnosis and treatment guide3031/29 (tot)19–58 (tot)2 m–7 y (tot)EA + SASPST25, RN6, RN4, ST37, SP6, LR3; BL18, BL20, BL25, BL23, BL32 (alternate)60 minQ.dThe first month: 0.5 g p.o. Q.i.d; the next month: 1.5 g/d2 m3031/29 (tot)19–58 (tot)2 m–7 y (tot)SASPThe first month: 0.5 g p.o. Q.i.d; the next month: 1.5 g/d2 mAR
31.7 ± 4.5 (tot)(3.8 ± 2.1) y (tot)31.7 ± 4.5 (tot)(3.8 ± 2.1) y (tot)

Ge 2014, ChinaClinical diagnosis and treatment guide3116/1526–714 m–7 yEA + SASPBL18, BL20, BL25, BL23, BL32, ST25, RN6, RN4, ST37, SP6, LR3 (alternate)60 minQ.dThe first month: 1 g p.o. Q.i.d; the next month: 2 g/d2 m3117/1425–735 m–8 ySASPThe first month: 1 g p.o. Q.i.d; the next month: 2 g/d2mER, AR, ACTH
35.6 ± 7.5(3.7 ± 2.8) y38.4 ± 7.8(4.0 ± 2.5) y

Ge 2015, ChinaClinical diagnosis and treatment guide2527/23 (tot)27–71 (tot)5 m–8 y (tot)EA + SASPBL18, BL23, BL20, BL25, BL32, ST25, ST37, RN4, RN6, LR3, SP6 (alternate)60 minQ.dThe first month: 1 g p.o. Q.i.d; the next month: 2 g/d2 m2527/23 (tot)27–71 (tot)5 m–8 y (tot)SASPThe first month: 1 g p.o. Q.i.d; the next month: 2 g/d2mER, AR
38.5 ± 6.5 (tot)(4.1 ± 2.7) y (tot)38.5 ± 6.5 (tot)(4.1 ± 2.7) y (tot)

Lin 2020, ChinaDiagnosis of chronic UC308/2221–773 m–13 yEARN12, ST36, ST37, LI11, BL23, BL2540 minQ.o.dNR30 d3011/1920–733 m–15 yDiphenoxylate Co. + norfloxacin + berberine CoDiphenoxylate Co.: 2#p.o. T.i.d, norfloxacin: 0.2 g 2#p.o. T.i.d,; berberine: 3#p.o. T.i.d30 dER, SE
NRNRNRNR

Liu 2016, ChinaDiagnosis of chronic UC6229/3323–76(9–19) mMARN4, RN6, ST25, BL25, DU110–30 minQ.o.dNRNR6230/3224–74(9–20) mMetronidazole + SASPMetronidazole: 2#-3#,T.i.d p.o. SASP: 2-3 g/d T.i.d p.o.NRER, AR
50.67 ± 6.82(13.63 ± 5.16) m51.14 ± 5.46(14.10 ± 5.22) m

Luan 2016, ChinaDiagnosis of chronic UC2513/1226–42NRMASP4, KI3, ST36, RN4, ST25,BL16, BL20, BL21, BL22, BL25; DU2, DU630 minQ.dNR8 w2514/1123–43NRMesalazine1 g p.o. Q.i.d8 wER, AR
34 ± 5.75NR31.28 ± 6.13NR

Luan 2020, ChinaDiagnosis of chronic UC7540/3524–76(9–17) mMAST25, RN4, RN6, BL2530 minQ.dNRNR7545/3025–75(9–18) mMetronidazole + SASPMetronidazole: 0.2 g p.o. T.i.d,; SASP: 2.0 g p.o. T.i.dNRER
NRNRNRNR

Pang 2019, ChinaConsensus opinions on the diagnosis and treatment of inflammatory bowel disease3016/1420–67(4–68) mMA + mesalazineBL31, BL32, BL33, BL3430 minQ.o.d1.0 g p.o. Q.i.d1 m3019/1120–64(4–66) mMesalazine1.0 g p.o. Q.i.d1 mER, baron score; serum TNF-α, IL-6, IL-8, IL-10
41.63 ± 12.86(36.90 ± 20.94) m43.33 ± 15.51(38.03 ± 18.42) m
Sun 2015, ChinaConsensus opinions on the diagnosis and treatment of inflammatory bowel disease3216/1628–60≤8 yMA + mesalazineRN3, RN4, RN6; ST25, SP15; BL25; ST36, ST37, SP6; LR330 minNR1 g p.o. Q.i.d2 m3218/1424–57≤7 yMesalazine1 g p.o. Q.i.d2 mER, T cell subsets
Wang 2017, ChinaWorld gastroenterology organization practice guidelines for the diagnosis and management of IBD in 201035NRNRNRMARN12, ST25, RN6, ST36, SP630 minQ.dNR4 w35NRNRNRSASP500 mg p.o. Q.i.d4 wER, serum IL-6, IL-8, AR

Wang 2020, ChinaDiagnosis of chronic UC3922/1744–54NRMA + aminosalicylic acidSibian, ST25, RN4, RN615–20 minNR1-2#p.o. T.i.dNR3925/1445–61NRAminosalicylic acid1-2#p.o. T.i.dNRMayo score, AR
49.27 ± 5.17NR53.13 ± 8.23NR

Wang 2021, ChinaConsensus opinions on the diagnosis and treatment of inflammatory bowel disease9846/52NRMA + mesalazine + flupentixton melitoxinGuiyan (LU11, SP1)20 minNRMesalazine, 500 g p.o. T.i.d; flupentixton melitoxin (0.5 mg/10 mg), 1#p.o. Q.d1 m9844/54NRNRMesalazine + flupentixton melitoxinMesalazine: 500 g p.o. T.i.d; flupentixton melitoxin (0. 5 mg/10 mg): 1#p.o. q.d.1 mER, baron score, HADS scale, serum MMP –9, TMAO
37.32 ± 8.16(13.14 ± 5.46) m38.16 ± 9.52(13.62 ± 6.58) m

Yan 2019, ChinaDiagnosis of chronic UC4125/1624–61NRMAST25, LR13, LI4, BL20, ST3730 minQ.dNR30 d4127/1425–63NRMesalazine1 g p.o. Q.i.d30 dER
42.5 ± 4.4NR44.3 ± 4.6NR

Zhang 2018, ChinaDiagnosis of chronic UC5026/2435–6910 d–3 yMARN4, RN6, ST25, DU1, BL2510–30 minQ.o.dNR30 d5030/2034–709 d–2 yMetronidazole0.2 g p.o. T.i.d30 dER, AR
45.6 ± 0.01(2.1 ± 0.01) y46.5 ± 0.5(1.2 ± 0.01) y
Zhao 2020, ChinaDiagnosis of chronic UC7535/40NRNRMAST36, ST37, ST25, DU1, ST36, SP6, ST25NRQ.dNR10 d7542/33NRNRMesalazinep.o. T.i.d10 dER, AR, SF-36