Evidence map›Paper›PMID 41561473›Full record

Trial reportFrontiers in pain research (Lausanne, Switzerland)2025

A randomized controlled trial of acupoint application for postherpetic neuralgia.

Shizhuang Zhu, Chengzhang Wu, Bingyu Pu, Jingke Nie, Hongyan Song, Xiuzhen Su, Jianxin Zhang, Jian Wang, Dianhui Yang

Abstract readClinical Trial
In one paragraph

Trial report in Frontiers in pain research (Lausanne, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Shizhuang ZhuSchool of Acupuncture and Massage, Shandong University of Traditional Chinese Medicine, Jinan, China.
Chengzhang WuAcupuncture and Massage Department, Stockton University, Galloway, NJ, United States.
Bingyu PuSchool of Acupuncture and Massage, Shandong University of Traditional Chinese Medicine, Jinan, China.
Jingke NieAcupuncture and Massage Department, Shandong Institute of Traditional Chinese Medicine Hospital, Jinan, China.
Hongyan SongAcupuncture and Massage Department, Beijing University of Traditional Chinese Medicine Zaozhuang Hospital, Zaozhuang, China.
Xiuzhen SuAcupuncture and Massage Department, Weifang Hospital of Traditional Chinese Medicine, Weifang, China.
Jianxin ZhangAcupuncture and Massage Department, Shandong University Second Hospital, Jinan, China.
Jian WangSchool of Acupuncture and Massage, Shandong University of Traditional Chinese Medicine, Jinan, China.
Dianhui YangSchool of Acupuncture and Massage, Shandong University of Traditional Chinese Medicine, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess the clinical efficacy of acupressure application in treating postherpetic neuralgia (PHN) of the qi (vital energy) stagnation and blood stasis type, as well as its impact on blood inflammatory factors, T-cell subpopulations, and neurotransmitter levels. Methods: A total of 134 patients diagnosed with PHN characterized by qi stagnation and blood stasis were randomly assigned to either the treatment group (67 patients, including 10 dropouts) or the control group (67 patients, including 7 dropouts). In addition to standard health education, the treatment group received treatment with anti-swelling and analgesic patches in combination with Chinese medicine fine powder acupoint patches. The control group, on the other hand, received placebo anti-swelling and analgesic patches along with placebo Chinese medicine fine powder acupoint patches. Both groups underwent treatment at specific acupoints including bilateral Sanyinjiao, Shenque, and Ashi points. The Sanyinjiao acupoint was stimulated for 30 min per session, once every 7 days. The Shenque and Ashi acupoints were stimulated for 6-8 h daily for a single session. Patients in both groups were assessed before and after treatment using the Visual Analog Scale (VAS) score, Traditional Chinese Medicine (TCM) syndrome score, Pittsburgh Sleep Quality Index (PSQI) score, 36-item Short Form Health Survey (SF-36) score, inflammatory factors including monocyte chemotactic protein-1 (MCP-1), interleukin 6 (IL-6), tumor necrosis factor alpha (TNF-α), T-cell subpopulations cluster of differentiation 3 (CD3+), cluster of differentiation 4 (CD4+), cluster of Differentiation d (CD8+), as well as neurotransmitters 5-hydroxytryptamine (5-HT), substance P (SP), and β-endorphin (β-EP). Changes in content were observed, and any adverse reactions were monitored. Clinical efficacy was evaluated after a 4-week treatment period. Results: After 4 weeks of treatment, the VAS score, TCM syndrome score, PSQI score, levels of MCP-1, IL-6, TNF-α, CD8+, 5-HT, and SP in both groups significantly decreased compared to pre-treatment levels ( Conclusion: Acupuncture point paste therapy for PHN of the qi stagnation and blood stasis type has been shown to decrease levels of MCP-1, IL-6, TNF-α, CD8+, 5-HT, and SP in the blood. Simultaneously, it increases levels of CD3+, CD4+, and β-EP. This treatment leads to amelioration of pain symptoms and TCM symptoms and enhancement of sleep quality and overall quality of life. The therapeutic outcomes are both safe and dependable. Clinical Trial Registration: CONSORT ChiCTR2200056614.

Indexed as

acupressureinflammatory factorsneurotransmittersPHNrandomized controlled trialT-cell subpopulations

Identifiers

PMID41561473
PMCPMC12813113

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.