<meta charset="utf8"></head><body>Terapia de pontos auditivos da medicina tradicional chinesa para chiado em pacientes com DPOC

<ol>
	<li>Bagdonas, E., Raudoniute, J., Bruzauskaite, I., Aldonyte, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Novel+aspects+of+pathogenesis+and+regeneration+mechanisms+in+COPD.">Novel aspects of pathogenesis and regeneration mechanisms in COPD.</a> Int J Chron Obstruct Pulmon Dis. 10, 995-1013 (2015).</li><li>Chai, X., Chen, Y., Li, Y., Chi, J., Guo, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Lower+geriatric+nutritional+risk+index+is+associated+with+a+higher+risk+of+all-cause+mortality+in+patients+with+chronic+obstructive+pulmonary+disease:+a+cohort+study+from+the+National+Health+and+Nutrition+Examination+Survey+2013-2018.">Lower geriatric nutritional risk index is associated with a higher risk of all-cause mortality in patients with chronic obstructive pulmonary disease: a cohort study from the National Health and Nutrition Examination Survey 2013-2018.</a> BMJ Open Respir Res. 10 (1), e001518 (2023).</li><li>. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=GBD+Chronic+Respiratory+Disease+Collaborator.+Prevalence+and+attributable+health+burden+of+chronic+respiratory+diseases,+1990-2017:+a+systematic+analysis+for+the+Global+Burden+of+Disease+Study+2017.">GBD Chronic Respiratory Disease Collaborator. 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A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease: the GOLD science committee report 2022. , 22-31 (2022).</li><li>Jianshen, L., Suyun, L., Xueqing, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Guidelines+for+the+treatment+of+chronic+obstructive+pulmonary+disease+in+Chinese+medicine.">Guidelines for the treatment of chronic obstructive pulmonary disease in Chinese medicine.</a> J Tradl Chinese Med. 53 (1), 80-84 (2012).</li><li>Standardization Administration of China. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Standardization+Administration+of+China.+Nomenclature+and+location+of+auricular+points.">Standardization Administration of China. 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R., Wedzicha, J. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Update+on+clinical+aspects+of+chronic+obstructive+pulmonary+disease.">Update on clinical aspects of chronic obstructive pulmonary disease.</a> N Engl J Med. 381 (13), 1257-1266 (2019).</li><li>Xiang, G. L., Mei, H., Changfeng, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Clinical+study+of+auricular+pressure+bean+combined+with+acupressure+to+assist+in+the+treatment+of+chronic+obstructive+pulmonary+disease.">Clinical study of auricular pressure bean combined with acupressure to assist in the treatment of chronic obstructive pulmonary disease.</a> Guangming J Chinese Med. 34 (8), 1224-1226 (2019).</li><li>Xichen, W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Application+effect+of+auricular+pressure+bean+care+combined+with+acupoint+patch+on+sputum+symptoms+in+patients+with+acute+exacerbation+of+chronic+obstructive+pulmonary+disease.">Application effect of auricular pressure bean care combined with acupoint patch on sputum symptoms in patients with acute exacerbation of chronic obstructive pulmonary disease.</a> Jilin Med J. 43 (10), 2852-2854 (2022).</li><li>Meiying, C., Limei, C., Weirong, C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+effect+of+auricular+pressure+bean+combined+with+acupoint+patch+on+treatment+adherence+and+lung+function+in+elderly+COPD+patients.">The effect of auricular pressure bean combined with acupoint patch on treatment adherence and lung function in elderly COPD patients.</a> Mod Nurse. 30 (2), 129-131 (2023).</li><li>Qiubo, D., Keming, Z. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+probe+into+the+etiology+and+pathogenesis+of+wheezing+disease-asthmatic+syndrome-lung+distension.">A probe into the etiology and pathogenesis of wheezing disease-asthmatic syndrome-lung distension.</a> J Pract Tradl Chinese Int Med. , 1-5 (2023).</li><li>Biying, L., Haina, L., Jinrong, Z., Jieming, Y., Xiaoxia, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Investigation+on+the+improvement+effect+of+auricular+points+plaster+therapy+conditioning+nursing+intervention+on+the+symptoms+of+patients+with+asthma+syndrome+from+the+holistic+view+of+traditional+Chinese+medicine.">Investigation on the improvement effect of auricular points plaster therapy conditioning nursing intervention on the symptoms of patients with asthma syndrome from the holistic view of traditional Chinese medicine.</a> China Med Pharm. 11 (9), 113-116 (2021).</li><li>Lijuan, C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+clinical+effect+of+ear+pressure+beans+therapy+of+elderly+patients+with+AECOPD.">The clinical effect of ear pressure beans therapy of elderly patients with AECOPD.</a> J Zhejiang Chinese Med Uni. 46 (7), 757-760 (2022).</li><li>Yan, L., Lei, C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effectiveness+of+auricular+point+pressure+bean+combined+with+acupressure+in+patients+with+chronic+obstructive+pulmonary+disease.">Effectiveness of auricular point pressure bean combined with acupressure in patients with chronic obstructive pulmonary disease.</a> Modern Nurse. 25 (8), 87-90 (2018).</li><li>Lin, L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Factors+influencing+compliance+with+auricular+acupressure+therapy+in+patients+with+cancer-related+fatigue.">Factors influencing compliance with auricular acupressure therapy in patients with cancer-related fatigue.</a> Patient Prefer Adherence. 14, 1275-1281 (2020).</li><li>Lijuan, C., et al. <a target="_blank" 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<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>Auricular acupressure patch template</td>
			<td>Hengshui Runhuang Trading Co., Ltd</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Cotton balls with 75% ethanol</td>
			<td>Qingdao Hainuo Biological Engineering Co., Ltd</td>
			<td>20172640783</td>
			<td></td>
		</tr>
		<tr>
			<td>Medical blades</td>
			<td>Suzhou Kaiyuan Medical Equipment Co., Ltd</td>
			<td>20192020831</td>
			<td></td>
		</tr>
		<tr>
			<td>Medical tape</td>
			<td>Zhende Medical Supplies Co., Ltd</td>
			<td>20170090</td>
			<td></td>
		</tr>
		<tr>
			<td>Sterile forceps</td>
			<td>Yangzhou Zhixiang Medical Technology Co., Ltd</td>
			<td>20210081</td>
			<td></td>
		</tr>
		<tr>
			<td>The seeds of Vaccaria segetalis</td>
			<td>Anhui Kang Yunuo Biotechnology Co., Ltd</td>
			<td>SC10334161107893</td>
			<td></td>
		</tr>
	</tbody>
</table>

auricular acupressure as an adjuvant treatment for wheezing in stable chronic obstructive pulmonary disease 

Chronic obstructive pulmonary disease (COPD) is a common, preventable, and treatable chronic respiratory disease. The disease is characterized by persistent respiratory symptoms and airflow limitation, usually associated with airway and/or alveolar abnormalities caused by significant exposure to harmful particles or gases1. In 2016, more than 3 million people died from COPD, accounting for 6% of all deaths worldwide2. Healthcare costs for COPD are an increasing burden on the world3. COPD is now a major public health problem with high rates of death, morbidity, disability, and disease burden4.
The main symptoms of COPD are chronic cough, sputum, dyspnea, wheezing, and chest tightness. Depending on the symptoms and lung function, it can be divided into an acute exacerbation phase and a stable phase5. Aggressive treatment during the stable phase can effectively reduce the number of acute exacerbations and delay the deterioration of lung function. Currently, treatment in the stable phase relies largely on pharmacological treatments such as bronchodilators, glucocorticoids, and expectorants. Non-pharmacological treatment modalities still have limitations6. The experiment here provides a special traditional Chinese medicine therapy, auricular acupressure, to expand the treatment modality.
For in-ear acupressure, small round granular objects are applied to the surface of the ear points. Moderate kneading, pressing, pinching, and squeezing are used to produce stimulation sensations such as soreness, numbness, swelling, and pain. As the main ingredient in auricular pressure, the seeds of Vaccaria segetalis can stimulate acupuncture points for the treatment of disease7. It is a non-drug external treatment method for the treatment of diseases8. The therapy is easy to use, inexpensive, safe, has no side effects, and is less prone to infection. It has certain advantages, like improving clinical symptoms, quality of life, and reducing acute exacerbations. It is suitable for adjuvant treatment of patients with stable COPD9.
As for the mechanism of auricular acupressure for wheezing, Chinese medicine believes that pressing certain acupuncture points on the auricle can communicate with qi, blood, meridians, and internal and external organs and harmonize the internal and external organs. In this way, acupuncture can play a role in regulating qi and relieving wheezing10. Modern medicine has shown that auricular acupressure stimulates blood vessels, nerves, and lymphatic vessels in the ear11. It regulates the immune system and suppresses the inflammatory response by activating the cholinergic anti-inflammatory signaling pathway, which in turn relieves bronchial inflammation and alleviates wheezing symptoms. The theory of holographic biology states that the auricle is allometric to the body&#39;s information. According to the correspondence, there could be a connection between auricular acupressure and wheezing symptoms12.
According to related studies, lung and kidney qi deficiency account for 23.20% of COPD in the stable stage13. The patients have frequent chronic coughs with wheezing, which means deficiency in the lungs; simultaneously, cold intolerance, weakness in the waist and knees, and self-perspiration show a deficiency in the kidney14. In this experiment, we implemented auricular acupressure for COPD patients with lung and kidney qi deficiency. In identifying wheezes of the lung and kidney qi deficiency, reference was made to the 2020 edition of the Committee on Auricular Acupuncture Diagnosis and Treatment of the Chinese Society of Acupuncture and Moxibustion8. The ear points formulated for this experiment were Lung (CO14), Spleen (CO13), Kidney (CO10), Shen Men (TF4), and Ping Chuan (AT1.2.4i).
The aim of this study is to provide a non-pharmacological treatment modality for stable COPD patients with wheezing and lung and kidney qi deficiency using auricular acupressure. Auricular acupressure was introduced after screening patients for a stable phase of COPD. The treatment protocol is clinically simple, safe, and cost-effective.
CASE PRESENTATION: 
The patient is a 64-year-old male from Sichuan, China. He has been experiencing repeated cough and sputum for the past 5 years, along with worsening chest tightness over the last month. The patient has had diabetes for 5 years and has been taking metformin to manage his blood sugar levels, although he does not regularly monitor them. Additionally, he has a history of hypertension for 7 years and takes amlodipine besylate orally to control his blood pressure, which is also not regularly monitored. The patient denies any surgical history, trauma history, or blood transfusions. He smoked an average of 2 packs per day for 30 years but quit smoking 10 years ago. Furthermore, the patient denies any family genetic history.
Diagnosis, Assessment, and Plan: 
After the doctor&#39;s specialized examination of the patient, he found a barrel chest and widened rib space. Chest CT showed chronic bronchitis, emphysema, and coronary artery calcification. Pulmonary function showed that the patient had moderate obstructive ventilation dysfunction, slightly obstructed airflow in the large airways, and increased total airway resistance. Combined with the patient&#39;s symptoms and signs, auxiliary examinations, and past medical history, a diagnosis of chronic obstructive pulmonary disease, hypertension, and diabetes mellitus was made. For treatment, Budesonide, Glycopyrronium Bromide, and Formoterol Fumarate Inhalation were performed twice daily in the morning and in the evening15. Additionally, hydroxypropyl theophylline intravenous drip (2 mL: 0.25 g, dilute 1 vial with 5% of 250 mL sugar water) was administered 1x day16. Auricular acupressure was given to relieve wheezing.

<meta charset="utf8"></head><body>Autor em destaque: Eficácia da terapia com feijão de pressão auricular na redução dos sintomas de chiado no peito

Acupressão auricular como tratamento adjuvante para sibilância na doença pulmonar obstrutiva crônica estável 

This protocol investigated the effectiveness of auricular pressure bean therapy on wheezing symptoms in patients with stable chronic obstructive pulmonary disease. This technique is cost-effective and straightforward to operate. Moreover, it boasts a high safety profile, significantly reducing the likelihood of infection.This protocol presents a novel adjuvant therapy for patients diagnosed with chronic obstructive pulmonary disease, which has been successfully implemented at our hospital.

Read this Scientific Article Protocol about Auricular Acupressure as an Adjuvant Treatment for Wheezing in Stable Chronic Obstructive Pulmonary Disease at JoVE.com

Chronic obstructive pulmonary disease (COPD) is a major public health problem. Due to the restriction of expiratory airflow, it is characterized by ...

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Auricular Acupressure as an Adjuvant Treatment for Wheezing in Stable Chronic Obstructive Pulmonary Disease 

543 visualizações.  University of Traditional Chinese Medicine. Este protocolo investigou a eficácia da terapia com feijão auricular sobre os sintomas de sibilância em pacientes com doença pulmonar obstrutiva crônica estável. Esta técnica é econômica e simples de operar. Além disso, possui um alto perfil de segurança, reduzindo significativamente a probabilidade de infecção.Este protocolo apresenta uma nova terapia adjuvante para pacientes diagnosticados com doença pulmonar obstrutiva crônica, que fo...