Tag Archives: IBS

Irritable Bowel Syndrome (IBS) – Condition Resources

Important to know: Chronic health conditions should be addressed under direct medical supervision of your GP or consultant, and acupuncture would be an adjunct or complement to usual care – we advise that you let you doctor know when you use this approach.

About the research: It is worth noting that in research, randomised controlled studies (RCT) are the most reliable in terms of quality of evidence, with a systematic review or meta analysis of numerous studies being the best way of seeing the overall picture of the state of the evidence. Below we have a selection of the available research, which does include some larger RCTs, and reviews of the literature alongside smaller studies. The n= figure tells you how many people were participants in the study.

The British Acupuncture Council has a Research digest where they examined some recent studies on IBS, such as MacPherson et al (2017; n=116) in a follow up two years after their RCT acupuncture for IBS, finding a favourable result 24 months on.  Another RCT for diarrhoea type IBS (Zheng et al, 2016; n=448) found the acupuncture group found a level of improvement in line with that of the group assigned pharmacological (Loperamide) intervention in terms of reducing stool frequency.

Zhu et al (2018a) conducted a network meta-analysis of diarrhoea type IBS, with 29 studies (n=9369) entailed in it, finding that acupuncture may improve symptoms, but that further high quality research was needed to corroborate the overall results.  A meta analysis of diarrhoea predominant IBS (Deng et al, 2017) looked at 17 trials (n=1333), finding improvement in clinical symptoms in the acupuncture groups. Similar trends have been seen in the trials for acupuncture in constipation predominant IBS, in a network meta-analysis, in which the quality of the trials was predominantly of high quality (40 trials n=11032; Zhu et al, 2018b). 

Resources:

British Acupuncture Council evidence based factsheet about IBS including specific research, trials and mechanisms of action for acupuncture in this condition.

British Acupuncture Council Research Digest – Irritable Bowel Syndrome (IBS) (approx halfway down the document)

References:

Deng, D., Guo, K., Tan, J., Huang, G., Li, S., Jiang, Q., Xie, J., Xie, H., Zhang, Z., Chen, Y. and Peng, L., 2017. Acupuncture for diarrhea-predominant irritable bowel syndrome: a meta-analysis. Zhongguo zhen jiu= Chinese acupuncture & moxibustion37(8), pp.907-912.

MacPherson, H., Tilbrook, H., Agbedjro, D., Buckley, H., Hewitt, C. and Frost, C., 2017. Acupuncture for irritable bowel syndrome: 2-year follow-up of a randomised controlled trial. Acupuncture in Medicine35(1), pp.17-23.

Zheng, H., Li, Y., Zhang, W., Zeng, F., Zhou, S.Y., Zheng, H.B., Zhu, W.Z., Jing, X.H., Rong, P.J., Tang, C.Z. and Wang, F.C., 2016. Electroacupuncture for patients with diarrhea-predominant irritable bowel syndrome or functional diarrhea: a randomized controlled trial. Medicine95(24).

Zhu, L., Ma, Y., Ye, S. and Shu, Z., 2018a. Acupuncture for diarrhoea-predominant irritable bowel syndrome: a network meta-analysis. Evidence-Based Complementary and Alternative Medicine2018.

Zhu, L., Ma, Y. and Deng, X., 2018b. Comparison of acupuncture and other drugs for chronic constipation: A network meta-analysis. PloS one13(4), p.e0196128.

Helen
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