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Published on: May 16, 2025
Moxibustion for ulcerative colitis: a systematic review and meta-analysis
Dong-Hyo Lee1, Jong-In Kim, Myeong Soo Lee
1Division of Standard Research, Korea Institute of Oriental Medicine, Daejeon, Korea.
Moxibustion shows potential benefits for ulcerative colitis (UC) treatment, but current evidence is limited. More high-quality studies are needed to confirm its effectiveness for inflammatory bowel disease (IBD).
Area of Science:
- Gastroenterology
- Integrative Medicine
- Evidence-Based Medicine
Background:
- Complementary and alternative medicine (CAM) use is rising for inflammatory bowel disease (IBD).
- Acupuncture-type treatments, including moxibustion, are popular CAM options for IBD.
- Previous studies suggest moxibustion may be effective for ulcerative colitis (UC).
Purpose of the Study:
- To systematically review and assess the clinical evidence for moxibustion in treating ulcerative colitis (UC).
- To evaluate the efficacy and safety of moxibustion as a therapeutic option for UC patients.
Main Methods:
- Conducted a comprehensive literature search across 18 databases up to February 10, 2010.
- Included randomized clinical trials (RCTs) comparing moxibustion to placebo, drug therapy, or no treatment in UC patients.
- Assessed the methodological quality of included RCTs using the Cochrane risk of bias tool.
Main Results:
- Five low-quality RCTs were identified, comparing moxibustion with conventional drug therapies (sulfasalazine-based).
- Meta-analysis of these five RCTs (n=407) indicated a favorable effect of moxibustion on response rates compared to conventional therapy (RR=1.24, 95% CI: 1.11-1.38).
- Significant heterogeneity was not observed (I2=16%), but all included trials had a high risk of bias.
Conclusions:
- The current evidence is insufficient to establish moxibustion as an effective treatment for ulcerative colitis (UC).
- The majority of included studies suffered from a high risk of bias, limiting the reliability of the findings.
- Further rigorous, high-quality randomized clinical trials are necessary to definitively determine the efficacy of moxibustion for UC.
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