AJACM

Abstracts 2009 Volume 4 Issue 2

Quality of Reporting in Shang Han Lun Educational Research: A Systematic Review (Li, Yang, Guo, Zhang, Xue and Wang)

Clinical Observation of Chinese Medicine Treatment on Secondary Dysmenorrhoea Associated with Endometriosis (Lim, Luo, Zhan and Wong)

Treatment of Male Infertility due to Obstructive Azoospermia with Acupuncture and Moxibustion: A Case Report (Kremer)

Li XL, Yang AWH, Guo DH, Zhang AN, Xue CCL, Wang QG. Quality of Reporting in Shang Han Lun Educational Research: A Systematic Review. Aust J Acupunct Chin Med 2009;4(2):3-11.
Objective: To evaluate the reporting quality of original studies in Shang Han Lun education. Methods: Eight English databases relating to medicine and medical education and three Chinese databases were searched using Shang Han Lun, Chinese medicine classic literature, education, teaching and learning and their synonyms as keywords. Research reports of educational interventions in Shang Han Lun teaching and learning in Chinese medicine programs were included (English and Chinese). Information on reporting structure was extracted and reporting quality was assessed by two independent authors using a pre-defined checklist. Results: 163 papers were identified. Eleven papers in Chinese were included in the data analysis. Their structures were varied and generally unclear. Research reporting was also insufficient, in numerous cases, since essential elements, such as research question, rationale, research design, intervention, evaluation and results, were not provided. Conclusion: Reporting quality of Shang Han Lun educational research was generally very poor. Reporting standards should be established and a checklist of reporting criteria is recommended for future study.
KEYWORDS: reporting quality, Chinese medicine, Shang Han Lun, education, teaching and learning.

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Lim CED, Luo XP, Zhan XL and Wong FWS. Clinical Observation of Chinese Medicine Treatment on Secondary Dysmenorrhoea Associated with Endometriosis. Aust J Acupunct Chin Med 2009;4(2):12-17.
Background: Secondary dysmenorrhoea associated with endometriosis affects many women and is the leading cause of work and school absenteeism, with considerable impact on quality of life. This study evaluates the possible role of Chinese medicinal herbs in relieving the menstrual pain associated with endometriosis. Methods: A prospective clinical observational pilot study involving twenty-five patients with endometriosis with Chinese medical diagnosis of stagnation of qi and blood who were recruited at the Guangdong Women's and Children's Hospital during the period of January 2004 to December 2006 to participate in a three-month Chinese medicinal herbs study. Results: Sixteen patients reported nil dysmenorrhoea during the treatment period. The mean CA125 at the study entry was 59.67 ±28.32 u/ml, compared to 34.83 ±16.34 u/ml post-treatment. The positive EMAb before the commencement of treatment was noted in 22 of 25 cases (88%), while 5 of 25 cases (20%) remained positive after treatment. Conclusion: Short-term administration of Chinese medicinal herbs may be effective in alleviating secondary dysmenorrhoea associated with endometriosis in qi and blood stagnation pattern. It may provide an alternative treatment option for the management of pelvic pain associated with endometriosis and further research in the area is required.
KEYWORDS: endometriosis, Chinese medicine, Chinese medicinal herbs, dysmenorrhoea, pelvic pain, treatment.

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Kremer JZ. Treatment of Male Infertility due to Obstructive Azoospermia with Acupuncture and Moxibustion: A Case Report. Aust J Acupunct Chin Med 2009;4(2):18-23.
Infertility affects up to one in five couples and male infertility is a contributing factor in half of these cases. Obstructive azoospermia is an intractable form of male infertility that is difficult to treat, whether by biomedicine or traditional Chinese medicine (TCM). In recent years, assisted reproduction technology (ART) has improved the reproductive potential for patients with obstructive azoospermia, but the specific procedure remains controversial and involves a number of inherent risks. This case report documents a short course of acupuncture treatments for a 33-year-old male presenting with a ten-year history of obstructive azoospermia. The primary intervention of acupuncture utilised conventional treatment protocols, in combination with the innovative application of an eight extraordinary vessel point selection. After just three treatments, the patient and his wife conceived naturally, without further medical assistance. This outcome suggests that TCM and acupuncture in particular may be more effective treatment for azoospermia than previously thought.
KEYWORDS: andrology, male infertility, obstructive azoospermia, acupuncture, moxibustion.

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