Effect of moxibustion on meridian in a warm needling model: A protocol for a prospective observational study

ISRCTN ISRCTN82061181
DOI https://doi.org/10.1186/ISRCTN82061181
ClinicalTrials.gov number NCT05249010
Submission date
30/05/2022
Registration date
02/06/2022
Last edited
08/08/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Warm needling is a kind of traditional Chinese medicine (TCM) which uses burned moxa to generate warmth and exerts a therapeutic effect on human skin. It could improve deficiency-cold syndrome in TCM theory. Research has found that warm needling has effects on the immune system, endocrine (hormone) system, nervous system, lower urinary tract symptoms, and analgesic (pain relieving) effects. However, the mechanism of warm needling on the meridians has not been identified. In modern studies, the electric characteristic of the meridians has been discovered and the combination of semiconductor and TCM theory could explain the meridian phenomena through physics. However, there was no research exploring the relationship between the thermal effect and electric properties on the meridians. This study aims to explore the thermal effect on the electric characteristics of meridians in a warm needling model and provide a scientific explanation of TCM through the aspect of physics.

Who can participate?
Healthy volunteers over 20 years old

What does the study involve?
The participants receive acupuncture and then pain and electrical characteristics are measured. The investigators add the burned moxa to the acupuncture as a method of warm needling. After the moxa burned out, the investigators measure pain and electrical characteristics again.

What are the possible benefits and risks of participating?
Acupuncture, electric acupuncture, and warm needling are general practices. The chances of adverse side effects are less than 1%, which include minor bleeding or pain at needle insertion sites, nausea, sweating, and dizziness. Electric acupuncture is a complementary treatment that applies electricity to acupuncture and stimulates the meridians in the human body. Acupuncture will be done by qualified doctors. The device for electric acupuncture will apply voltage and current that are safe for the human body.

Where is the study run from?
1. Kaohsiung Chang Gung Memorial Hospital (Taiwan)
2. National Sun Yat-sen University (Taiwan)

When is the study starting and how long is it expected to run for?
August 2021 to December 2022

Who is funding the study?
Chang Gung Medical Research Fund (CMRPG8L1481)

Who is the main contact?
Chien Hung Lin
b9505027@cgmh.org.tw

Contact information

Dr Chien Hung Lin
Principal Investigator

No. 123, Dapi Rd., Niaosng Dist
Kaohsiung
83342
Taiwan

Phone +886 (0)7 7317123
Email b9505027@cgmh.org.tw

Study information

Study designProspective observational study
Primary study designObservational
Secondary study designCase series
Study setting(s)Other
Study typeOther
Participant information sheet 41849_PIS_V3.pdf
Scientific titleEffect of moxibustion on meridian in a warm needling model: A protocol for a prospective observational study
Study hypothesisCurrent study hypothesis as of 20/09/2022:
The change in the physical properties of the acupuncture needle could produce different electric characteristics in the meridians and the phenomena could be explained by physics. However, there is no study investigating the relationship between temperature and electric characteristics in the meridians. The purpose of this study is to combine the theory of traditional Chinese medicine (TCM) and physics to explore the thermal effect on the electric characteristics of meridians in a warm needling model.

Previous study hypothesis:
Moxibustion has effects on analgesia and inflammation according to previous research. However, the mechanism of moxibustion and the way in which it affects meridians are not clear. In this study, it is hypothesized that moxibustion could produce an effect by changing electricity on the meridians.
Ethics approval(s)Approved 14/01/2022, Human Ethics Committee of Chang Gung Medical Foundation Institutional Review Board (199, Tung Hwa North Road, Taipei, Taiwan, 10507, Republic of China; +886 (0)3 3196200, ext. 3713; ccyi@cgmh.org.tw), ref: 202101924A3
ConditionThe effect of warm needling on the meridian
InterventionCurrent interventions as of 20/09/2022:
All participants receive acupuncture and warm needling. First, participants receive acupuncture and then measure the visual analog scale (VAS) and electric characteristics with the semiconductor analyzer Agilent B1500A. The investigators add the burned moxa onto the acupuncture as a method for warm needling and then measure the VAS and electric characteristics again.

Previous interventions:
All participants receive acupuncture and moxibustion. First, participants receive acupuncture and then measure the visual analog scale (VAS) and electric characteristics with the semiconductor analyzer Agilent B1500A. The investigators add the burned moxa onto the acupuncture as a method for moxibustion and then measure the VAS and electric characteristics again.
Intervention typeProcedure/Surgery
Primary outcome measureCurrent primary outcome measures as of 20/09/2022:
1. Electric current measured using the Agilent B1500A device after the intervention of acupuncture (baseline data) and warm needling (post warm needling data)
2. Voltage measured using the Agilent B1500A device after the intervention of acupuncture (baseline data) and warm needling (post warm needling data)

Previous primary outcome measures:
1. Pain measured using the visual analog scale (VAS) immediately after the intervention of acupuncture (baseline data) and moxibustion (post moxibustion data)
2. Electric current measured using the Agilent B1500A device after the intervention of acupuncture (baseline data) and moxibustion (post moxibustion data)
3. Voltage measured using the Agilent B1500A device after the intervention of acupuncture (baseline data) and moxibustion (post moxibustion data)
Secondary outcome measuresAdded 20/09/2022:
Pain measured using the visual analog scale (VAS) immediately after the intervention of acupuncture (baseline data) and warm needling (post warm needling data)
Overall study start date01/08/2021
Overall study end date31/12/2022

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
SexBoth
Target number of participants30
Participant inclusion criteria1. At least 20 years old
2. Agree to the informed consent
Participant exclusion criteria1. Under 20 years old
2. Pregnant or breastfeeding women
3. Those with an empty stomach before the study
4. A tendency toward bleeding with thrombocytopenia or history of platelets <20000 or a user of an anti-platelet drugs
Recruitment start date29/03/2022
Recruitment end date31/12/2022

Locations

Countries of recruitment

  • Taiwan

Study participating centre

Chang Gung Memorial Hospital
No. 123, Dapi Rd., Niaosng Dist
Kaohsiung
83342
Taiwan

Sponsor information

Kaohsiung Chang Gung Memorial Hospital
Hospital/treatment centre

No. 123, Dapi Rd., Niaosng Dist
Kaohsiung
83342
Taiwan

Phone +886 (0)7 7317123
Email ccyi@cgmh.org.tw
Website https://www.cgmh.org.tw/eng2002/intr_shk.htm
ROR logo "ROR" https://ror.org/00k194y12

Funders

Funder type

Research organisation

Chang Gung Medical Research Fund

No information available

Results and Publications

Intention to publish date30/06/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact factor peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Chien-Hung Lin (b9505027@cgmh.org.tw).

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet version 3 31/05/2022 No Yes
Protocol article 25/11/2022 08/08/2024 Yes No

Additional files

41849_PIS_V3.pdf

Editorial Notes

08/08/2024: Publication reference added.
30/09/2022: The following changes were made to the trial record:
1. The public title was changed from 'Effect of moxibustion on the meridian in a warm needling model' to 'Effect of moxibustion on meridian in a warm needling model: A protocol for a prospective observational study'.
2. The scientific title was changed from 'Effect of moxibustion on meridian in a warm needling model: a prospective observational study' to 'Effect of moxibustion on meridian in a warm needling model: A protocol for a prospective observational study'.
20/09/2022: The following changes were made to the trial record:
1. The public title was changed from 'The effect of moxibustion on humans' to 'Effect of moxibustion on the meridian in a warm needling model'.
2. The scientific title was changed from 'The effect of moxibustion on the meridian: a prospective, crossover designed, observational study' to 'Effect of moxibustion on meridian in a warm needling model: a prospective observational study'.
3. The study hypothesis, interventions, primary and secondary outcome measures were updated.
4. The condition was changed from 'The effect of moxibustion on the meridian' to 'The effect of warm needling on the meridian'.
5. The plain English summary was updated accordingly.
6. The study design was changed from 'Prospective crossover observational study' to 'Prospective observational study'.
31/05/2022: Trial's existence confirmed by the ethics committees of Chang Gung Memorial Hospital.