Efficacy of a Persian-Based Method of Needling on Clinical Symptoms of Patients with COVID-19: A Pilot Randomized Controlled Clinical Trial
Abstract
COVID-19 is a pandemic viral infection that has become a challenge for health systems worldwide having no definite antiviral treatment yet. The aim of this study is to evaluate the effect of a Persian-based method of needling (Ghamz with needle) on the clinical symptoms of COVID-19 patients as a pilot study. We conducted a single-blind randomized controlled clinical trial involving hospitalized adult patients with confirmed SARS-CoV-2 infection (COVID-19) by rRT-PCR method using a nasal swab. Nineteen patients who met the inclusion criteria were randomly allocated to receive Ghamz with needle in the intervention group and sham treatment group. The procedure was performed in six points (three bilateral), based on traditional Persian medicine (TPM) texts, compatible with LU5, LU7, and SP6 Chinese points with a duration of 20 minutes, every day, till the patients were discharged from the hospital. The clinical symptoms, laboratory data, and radiological findings were evaluated before and after the interventions in both groups. The results revealed that after comparing the values of the change in the study parameters, despite the significant improvement in the dyspnea (p=0.037) and O2 saturation (p=0.044) of the Ghamz group, no statistically significant difference was observed between Ghamz and sham groups using a visual analog scale (dyspnea: MD: -3.66, 95% CI: -6.49 to 0.84 vs MD: -2.20, 95% CI: -4.60 to 0.20, p= 0.217; O2 saturation: (MD: 2.61, 95% CI: -1.97 to 14.02 vs MD:4.50, 95% CI: -0.49 to 9.49, p=0.163). The radiological findings showed a better improvement in the intervention group than in the sham treatment group. In conclusion, Ghamz with needle in the mentioned points was not effective significantly in relieve the symptoms of the patients with COVID-19. However, further studies with larger samples are recommended.
Zhou F, Yu T, Du R, Fan G, Liu Y, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395:1054-1062.
Tan W, Zhao X, Ma X, Wang W, Niu P, et al. A novel coronavirus genome identified in a cluster of pneumonia cases—Wuhan, China 2019 - 2020. China CDC Weekly 2020;2:61-62.
Livingston E, Bucher K. Coronavirus disease 2019 (COVID-19) in Italy. Jama 2020;323:1335.
Izzetti R, Nisi M, Gabriele M, Graziani F. COVID-19 transmission in dental practice: brief review of preventive measures in Italy. J Dent Res 2020:0022034520920580.
Sadati AK, Parvizi MM, Forouhari S, Hosseini SA, Jahromi MHB, et al. A qualitative study on stigmatization associated with COVID-19. Prim Care Companion CNS Disord 2022;24:40320.
Kwaghe AV, Kwaghe VG, Habib ZG, Kwaghe GV, Ilesanmi OS, et al. Stigmatization and psychological impact of COVID-19 pandemic on frontline healthcare Workers in Nigeria: a qualitative study. BMC psychiatry 2021;21:1-17.
Mishra NP, Das SS, Yadav S, Khan W, Afzal M, et al. Global impacts of pre-and post-COVID-19 pandemic: Focus on socio-economic consequences. Sens Int 2020;1:100042.
Chakraborty I, Maity P. COVID-19 outbreak: Migration, effects on society, global environment and prevention. Sci Total Environ 2020;728:138882.
Chen N, Zhou M, Dong X, Qu J, Gong F, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020;395:507-513.
Wang D, Hu B, Hu C, Zhu F, Liu X, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama 2020;323:1061-1069.
Lai C-C, Shih T-P, Ko W-C, Tang H-J, Hsueh P-R. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and corona virus disease-2019 (COVID-19): the epidemic and the challenges. Int J Antimicrob Agents 2020:105924.
Yazdi N, Kardooni M, Namjuyan F, Vardanjani HM, Tafazoli V, et al. Efficacy of sweet violet (viola odorata) flower oil on the symptoms of adults with allergic rhinitis: a double-blind randomized placebo-controlled clinical trial. Complement Ther Med 2020:102408.
Atarzadeh F, Kamalinejad M, Amin G, Salehi A, Dastgheib L, et al. Topical application of Cassia fistula L. fruit gel in management of cutaneous lesions of pemphigus vulgaris: A double-blind, placebo-controlled clinical trial. Avicenna J Phytomed 2018;8:543.
Parvizi MM, Fatehi N, Jaladat AM, Gholampour Z, Shahriarirad R, et al. Epidemiological factors in patients with dermatologic conditions referring to the clinic of traditional persian medicine: a cross‐sectional study. Int J Clin Pract 2021;75:e14788.
Hajimonfarednejad M, Ostovar M, Hasheminasab FS, Shariati MA, Thiruvengadam M, et al. Medicinal plants for viral respiratory diseases: a systematic review on persian medicine. Evid Based Complement Altern Med 2023;2023:1928310.
Parvizi MM, Forouhari S, Shahriarirad R, Shahriarirad S, Bradley RD, et al. Prevalence and associated factors of complementary and integrative medicine use in patients afflicted with COVID-19. BMC Complement Med Ther 2022;22:1-9.
Mosavat SH, Heydari M, Hashempur MH, Dehghani SM. Use of complementary and alternative medicine among paediatric patients with hepatogastrointestinal diseases. East Mediterr Health J 2018;24:1018.
Ibn Sina H. Al-Qanun fi al-Teb (The Canon of Medicine). Dar Iḥyāʾ at-Turāṯal-Arabi. Beirut 2005.
Nazem Jahan. Eksir-e-Azam. Institute for Islamic and Complementary Medicine. Tehran 2009.
Arzani A. Teb-e-akbari. Jalaledin Publication. Qom 2008.
Jaladat AM, Vaghasloo MA, Atarzadeh F, Ayati MH, Kazemi AH, et al. Similarities and differences between kaiy in Persian medicine and moxibustion in Chinese medicine. J Integr Med 2023;21:354-360.
Jaladat A, Atarzadeh F, Homayouni K. Ghamz therapy in persian medicine and its comparison with reflexo zone therapy. J Islam Iran Trad Med 2013;3:395-406.
Nikhat S, Fazil M. Principles and practice of faşd (venesection) in unani/greco-arabian medicine. Imam J Appl Sci 2018;3:33.
Liu W-h, Guo S-n, Wang F, Hao Y. Understanding of Guidance for acupuncture and moxibustion interventions on COVID-19 issued by China Association of Acupuncture-Moxibustion. World J Acupunct-Mox 2020;30:1-4.
Long C, Xu H, Shen Q, Zhang X, Fan B, et al. Diagnosis of the Coronavirus disease (COVID-19): rRT-PCR or CT? Eur J Radiol 2020;126:108961.
Wang Z, Wang M, Wen S, Yu L, Xu X. Types and applications of cough-related questionnaires. J thoracic disease. 2019;11:4379-4388.
Bernheim A, Mei X, Huang M, Yang Y, Fayad ZA, et al. Chest CT findings in coronavirus disease-19 (COVID-19): relationship to duration of infection. Radiology 2020;295:463.
Wu HS, Wu SC, Lin JG, Lin LC. Effectiveness of acupressure in improving dyspnoea in chronic obstructive pulmonary disease. J Adv Nurs 2004;45:252-259.
Alsac SY, Polat S. Effects of acupressure and massage therapy in relieving respiratory problems in children with respiratory distress. Int J Caring Sci 2019;12:1537.
Maa S-H, Sun M-F, Hsu K-H, Hung T-J, Chen H-C, et al. Effect of acupuncture or acupressure on quality of life of patients with chronic obstructive asthma: a pilot study. J Altern Complement Med 2003;9:659-670.
Liao H-H, Yeh C-C, Lin C-C, Chen B-C, Yeh M-H, et al. Prescription patterns of Chinese herbal products for patients with fractures in Taiwan: a nationwide population-based study. J Ethnopharmacol 2015;173:11-19.
Chu K-A, Wu Y-C, Ting Y-M, Wang H-C, Lu J-Y. Acupuncture therapy results in immediate bronchodilating effect in asthma patients. J Chin Med Assoc 2007;70:265-268.
Biernacki W, Peake M. Acupuncture in treatment of stable asthma. Respir Med 1998;92:1143-1145.
Wei Y, Dong M, Zhang H, Lv Y, Liu J, et al. Acupuncture attenuated inflammation and inhibited Th17 and Treg activity in experimental asthma. Evid Based Complement Altern Med 2015;2015:340126.
Zijlstra FJ, van den Berg-de Lange I, Huygen FJ, Klein J. Anti-inflammatory actions of acupuncture. Mediators Inflamm 2003;12:59-69.
Jaladat AM, Atarzadeh F, Homayouni K. Ghamz therapy in Persian Medicine and its comparison with Reflexo Zone therapy. J Islam Iran Trad Med 2013;3:395-406.
Files | ||
Issue | Vol 9, No 2, 2024 | |
Section | Research Article(s) | |
DOI | https://doi.org/10.18502/tim.v9i2.15868 | |
Keywords | ||
Coronavirus COVID-19 Needling Traditional Persian medicine Ghamz Kaiy |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |