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E-raamat: Evidence-based Clinical Chinese Medicine - Volume 23: Episodic Migraine

Editor-in-chief (Guangdong Provincial Hospital Of Chinese Medicine, China), (Rmit Univ, Australia), Editor-in-chief (Rmit Univ, Australia), (Guangdong Provincial Hospital Of Chinese Medicine, China)
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This 23rd volume of the Evidence-based Clinical Chinese Medicine series aims to provide a multi-faceted 'whole evidence' analysis of the management of Episodic Migraine in integrative Chinese medicine.Beginning with overviews of how Episodic Migraine is conceptualized and managed in both conventional medicine and contemporary Chinese medicine, the authors then provide detailed analyses of how Episodic Migraine were treated with herbal medicine and acupuncture in past eras.In the subsequent chapters, the authors comprehensively review the current state of the clinical trial evidence for Chinese herbal medicines (Chapter 5), acupuncture and other Chinese medicine therapies (Chapter 7), and combination Chinese medicine therapies (Chapter 8) in the management of Episodic Migraine, as well as analyse and evaluate the results of these studies from an evidence-based medicine perspective. In Chapter 6, the authors review and summarize experimental evidence for the bioactivity of commonly used Chinese herbs in Chapter 6. The outcomes of these analyses are summarised and Chapter 1 Introduction to Migraine.This book can inform clinicians and students in the fields of integrative medicine and Chinese medicine regarding contemporary practice and the current evidence base for a range of Chinese medicine therapies used in the management of Episodic Migraine, including herbal formulas and acupuncture treatments, in order to assist clinicians in making evidence-based decisions in patient care.
Disclaimer v
Foreword vii
Purpose of the Book xi
Authors and Contributors xv
Members of Advisory Committee and Panel xvii
Distinguished Professor Charlie Changli Xue xix
Professor Chuanjian Lu xxi
Acknowledgements xxiii
List of Figures
xxxv
List of Tables
xxxvii
1 Introduction to Migraine
1(32)
Definition of Migraine
1(1)
Clinical Presentation of Migraine
2(2)
Epidemiology
4(1)
Burden
5(1)
Triggers in Episodic Migraine
6(1)
Dietary
6(1)
Menstrual Changes
7(1)
Weather
8(1)
Sensory Stimuli
8(1)
Stress and Sleep
8(1)
Pathological Processes of Migraine
9(1)
Migraine Aura
9(1)
Migraine Headache
10(1)
Diagnosis of Migraine
11(1)
Migraine without Aura
12(1)
Migraine with Aura
12(2)
Management of Migraine
14(1)
Patient Perspective
14(1)
Pharmacologic Treatments
15(1)
Treatment for Patients with Acute Migraine
15(1)
Non-steroidal Anti-inflammatory Drugs
15(1)
Paracetamol
15(1)
Antiemetics
16(1)
Triptans
16(1)
Combined Therapies
16(1)
Pharmacological Prevention of Episodic Migraine
16(1)
Beta Blockers
17(1)
Topiramate
17(1)
Tricyclic Antidepressants
18(1)
Candesartan
18(1)
Sodium Valproate
18(1)
Calcium Channel Blockers
19(1)
Pizotifen
19(1)
Triptans
19(1)
Non-pharmacological Devices for Migraine Therapies
19(1)
Other Management for Migraine
20(1)
Avoiding Lifestyle Triggers
20(1)
Mind/Body Practices
21(1)
Complementary and Alternative Medicine Therapies
21(1)
Prognosis of Migraine
22(1)
References
23(10)
2 Migraine in Chinese Medicine
33(20)
Introduction
33(2)
Aetiology and Pathogenesis
35(1)
Chinese Medicine Treatments Based on Syndrome Differentiation
36(2)
Chinese Herbal Medicine
38(1)
Oral Chinese Herbal Medicine Based on Syndrome Differentiation
38(1)
Liver Yang Uprising
38(1)
Phlegm Stagnation in the Orifices
39(1)
Blood Stasis in Orifices
40(1)
Qi and Blood Deficiency
40(1)
Liver and Kidney Yin Deficiency
41(1)
Cold Stagnated in the Liver Meridian
41(1)
Commonly Used Chinese Herbal Medicine Commercial Products
42(1)
Tong Tian Kou Fu Ye
42(1)
Quan Tian Ma Jiao Nang
42(1)
Zheng Tian Wan
43(1)
Fu Fang Yang Jiao Pianor Fu Fang Yang Jiao Ke Li
43(1)
Xue Fu Zhu Yu Kou Fu Yeor Xue Fu Zhu Yu Jiao Nang
43(1)
Yang Xue Qing Nao Ke Li
44(1)
Tian Ma Tou Tong Pian
44(1)
Chinese Herbal Medicine Sniffing
44(1)
Chinese Herbal Medicine External Application
44(1)
Chinese Herbal Medicine Fumigation and Steaming Therapy
45(1)
Acupuncture Therapy
45(1)
Body Acupuncture (Electroacupuncture)
45(1)
Acute Stage
45(1)
Remission Stage
46(1)
Scalp Acupuncture
46(1)
Ear Acupuncture and Ear Acupressure
47(1)
Moxibustion
47(1)
Tuina Therapy
48(1)
Lifestyle Adjustment and Avoiding Triggers
49(1)
Prognosis
49(2)
References
51(2)
3 Classical Chinese Medicine Literature
53(38)
Introduction
53(1)
Search Terms
54(1)
Procedures for Searches, Data Coding and Data Analysis
54(4)
Search Results
58(1)
Citations Related to Migraine
58(2)
Definitions of the Condition and Aetiology
60(1)
Chinese Medicine Syndromes
61(1)
Chinese Herbal Medicine
62(1)
Frequency of Treatment Citations by Dynasty
62(1)
Treatment with Chinese Herbal Medicine
63(1)
Most Frequent Formulas in `Possible' Migraine Citations
63(5)
Most Frequent Herbs in `Possible' Migraine Citations
68(3)
Most Frequent Formulas in `Most Likely' Migraine Citations
71(2)
Most Frequent Herbs in `Most Likely' Migraine Citations
73(4)
Chinese Herbal Medicine Used Both Orally and Topically (in the `Most Likely' Pool)
77(1)
Representative Citations
77(2)
Discussion of Chinese Herbal Medicine for Migraine
79(2)
Acupuncture and Related Therapies
81(1)
Frequency of Treatment Citations by Dynasty
81(1)
Treatment with Acupuncture and Related Therapies
82(1)
Most Frequent Acupuncture Points and Meridians in `Possible' Migraine Citations
83(2)
Most Frequent Acupuncture Points in `Mostly Likely' Migraine Citations
85(1)
Discussion of Acupuncture for Migraine
85(1)
Other Therapies
86(1)
Classical Literature in Perspective
86(2)
References
88(3)
4 Methods for Evaluating Clinical Evidence
91(20)
Introduction
91(1)
Search Strategy
92(1)
Inclusion Criteria
93(2)
Exclusion Criteria
95(1)
Outcomes
96(1)
Outcomes for Acute Migraine Treatment
96(1)
Primary Outcome Measures
97(1)
Secondary Outcome Measures
97(1)
Intensity of Headache
97(1)
Pain Severity: Visual Analogue Scale
97(1)
Numeric Rating Scale
98(1)
Migraine-associated Symptoms
98(1)
Outcomes for Prevention Treatment of Episodic Migraine
98(1)
Primary Outcome Measures
99(1)
Secondary Outcome Measures
99(1)
Health Care Outcomes/Quality of Life
100(1)
Migraine Disability Assessment Test
100(2)
Headache Impact Test-6
102(1)
Migraine Specific Quality of Life Questionnaire
103(1)
Adverse Event
103(1)
Risk of Bias Assessment
103(2)
Statistical Analyses
105(1)
Assessment Using Grading of Recommendations Assessment, Development and Evaluation
106(2)
References
108(3)
5 Clinical Evidence for Chinese Herbal Medicine
111(36)
Introduction
111(1)
Previous Systematic Reviews
112(3)
Identification of Clinical Studies
115(2)
Oral Chinese Herbal Medicine for Migraine Prevention
117(1)
Randomised Controlled Trials of Oral Chinese Herbal Medicine
117(3)
Risk of Bias Assessment
120(1)
Outcomes
121(1)
Oral Chinese Herbal Medicine versus Placebo
122(1)
Oral Chinese Herbal Medicine versus Pharmacotherapy
123(1)
Oral Chinese Herbal Medicine plus Pharmacotherapy versus Pharmacotherapy Alone
124(1)
Assessment Using Grading of Recommendations Assessment, Development and Evaluation
124(1)
Randomised Controlled Trial Evidence for Individual Formulas
125(5)
Zheng Tian Wan or Zheng Tian Jiao Nang
130(1)
Chuan Xiong Cha Tiao San
130(1)
Jia Wei San Pian Tang
131(1)
Frequently Reported Herbs in Meta-analyses Showing Favourable Effect
131(4)
Controlled Clinical Trials (Non-randomised) of Oral Chinese Herbal Medicine
135(1)
Non-controlled Clinical Studies of Oral Chinese Herbal Medicine
136(1)
Oral Chinese Herbal Medicine for Acute Migraine Management
136(1)
Safety of Oral Chinese Herbal Medicine
136(1)
Evidence for Oral Chinese Herbal Medicine Treatments Commonly Used in Clinical Practice
137(1)
Zheng Tian Wan and Yang Xue Qing Nao Ke Li
138(1)
Tong Qiao Huo Xue Tang
138(1)
Quan Tian Ma Jiao Nang
138(1)
Summary of Oral Chinese Herbal Medicine Clinical Evidence
139(2)
References
141(1)
References to Included Studies
142(5)
6 Pharmacological Actions of Frequently Used Herbs
147(28)
Introduction
147(1)
Methods
148(1)
Experimental Studies on Chuan Xiong
149(1)
Anti-migraine Actions
149(2)
Anti-neuroinflammatory Actions
151(1)
Sedative Actions
151(1)
Experimental Studies on Bai Zhi
152(1)
Anti-migraine Actions
152(1)
Anti-neuroinflammatory Actions
152(1)
Sedative Actions
153(1)
Experimental Studies on Bai Shao
153(1)
Anti-migraine Actions
154(1)
Analgesic Actions
154(1)
Anti-neuroinflammatory Actions
154(1)
Sedative Actions
155(1)
Experimental Studies on Dang Cui S!i3
155(1)
Analgesic Actions
156(1)
Anti-neuroinflammatory Actions
156(1)
Sedative Actions
156(1)
Experimental Studies on Tian Ma
157(1)
Anti-migraine Actions
157(1)
Anti-neuroinflammatory Actions
157(1)
Sedative Actions
158(1)
Experimental Studies on Xi Xin
159(1)
Analgesic Actions
159(1)
Anti-neuroinflammatory Actions
160(1)
Experimental Studies on Quan Xie
160(1)
Analgesic Actions
160(1)
Experimental Studies on Tao Ren
161(1)
Analgesic Actions
162(1)
Anti-neuroinflammatory Actions
162(1)
Experimental Studies on Gan Cao
162(1)
Analgesic Actions
163(1)
Anti-neuroinflammatory Actions
163(1)
Sedative Actions
164(1)
Experimental Studies on Chai Hu
164(1)
Analgesic Actions
165(1)
Anti-neuroinflammatory Actions
165(1)
Sedative Actions
165(1)
Summary of Pharmacological Actions of the Common Herbs
166(1)
References
167(8)
7 Clinical Evidence for Acupuncture and Other Chinese Medicine Therapy
175(34)
Introduction
175(1)
Previous Systematic Reviews
176(3)
Identification of Clinical Studies
179(2)
Acupuncture for Migraine Prevention: Randomised Controlled Trials
181(1)
Risk of Bias Assessment
182(2)
Outcomes
184(1)
Acupuncture versus No Treatment (Waiting List) (n = 2)
185(1)
Verum Acupuncture versus Sham Acupuncture (n = 10)
185(2)
Acupuncture versus Pharmacotherapy (n = 17)
187(1)
Acupuncture plus Pharmacotherapy versus Pharmacotherapy Alone (n = 10)
188(1)
Verum Acupuncture plus Placebo Drug versus Sham Acupuncture plus Real Drug (n = 1)
189(1)
Ear Acupuncture plus Drug versus Drug Alone (n = 1)
189(1)
Assessment Using Grading of Recommendations Assessment, Development and Evaluation
190(4)
Frequently Reported Acupuncture Points in Meta-analyses Showing Favourable Effect
194(2)
Acupuncture for Acute Migraine Management
196(1)
Risk of Bias
196(1)
Outcomes
197(1)
Verum Acupuncture versus Sham Acupuncture (n = 4)
198(1)
Acupuncture versus Pharmacotherapy (n = 6)
198(1)
Heat Stimulation plus Pharmacotherapy versus Pharmacotherapy Alone (n = 1)
199(1)
Assessment Using Grading of Recommendations Assessment, Development and Evaluation
199(1)
Frequently Reported Acupuncture Points in Meta-analyses Showing Favourable Effect
200(1)
Safety of Acupuncture
201(1)
Evidence for Acupuncture Therapy Commonly Used in Clinical Practice
202(1)
Summary of Acupuncture and Other Therapies Clinical Evidence
203(2)
References
205(1)
References to Included Studies
206(3)
8 Clinical Evidence for Chinese Medicine Combination Therapies
209(10)
Introduction
209(1)
Identification of Clinical Studies
209(4)
Risk of Bias
213(1)
Chinese Herbal Medicine plus Acupuncture for Migraine Prevention
213(1)
Randomised Controlled Trials of Chinese Herbal Medicine plus Acupuncture
213(1)
Acupuncture plus Mobile Cupping for Migraine Prevention
214(1)
Acupuncture plus Tuina Therapy
215(1)
Acupressure plus Tuina Therapy
215(1)
Safety of Chinese Medicine Combination Therapies
216(1)
Evidence for Chinese Medicine Combination Therapies Commonly Used in Clinical Practice
216(1)
Summary of Chinese Medicine Combination Therapies Clinical Evidence
217(1)
References to Included Studies
217(2)
9 Summary of Evidence
219(24)
Introduction
219(2)
Chinese Medicine Syndrome Differentiation
221(1)
Chinese Herbal Medicine
222(1)
Oral Chinese Herbal Medicine
223(2)
Chinese Herbal Medicine Formulas in Key Clinical Guidelines and Textbooks, Classical Literature and Clinical Studies
225(4)
Topical Chinese Herbal Medicine
229(1)
Acupuncture-related and Other Chinese Medicine Therapies
229(6)
Limitations of the Evidence
235(2)
Implications for Practice
237(2)
Implications for Research
239(1)
General Trial Design
239(1)
Intervention and Control
239(1)
Outcome Measures
240(1)
Reporting
241(1)
References
241(2)
Glossary 243(8)
Index 251