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[Acupoint selection for cancer pain: based on current evidence and Delphi method]
Yi-Han He1, Neng-Gui Xu2, Hai-Bo Zhang3
1Second Affiliated Hospital of Guangzhou University of CM/Guangdong Hospital of TCM, Guangzhou 510120, China; Second Clinical Medical College of Guangzhou University of CM, Guangzhou 510120, Guangdong Province; Royal Melbourne Institute of Technology University, Melbourne 3083, Australia.
This study identified key acupoints for cancer pain management through expert consensus and literature review. Key points include Zusanli (ST 36) and Hegu (LI 4) for effective acupuncture treatment.
Area of Science:
- Integrative Oncology
- Pain Management
- Traditional Chinese Medicine
Background:
- Cancer pain significantly impacts patient quality of life.
- Evidence-based guidelines for acupuncture in cancer pain management are needed.
- Current acupoint selection lacks standardization.
Purpose of the Study:
- To identify and summarize important acupoints for cancer pain treatment.
- To provide an evidence basis for a clinical practice guide.
- To achieve expert consensus on acupoint selection for cancer pain.
Main Methods:
- Systematic literature search of Chinese and English databases.
- Delphi expert consensus method with 30 international experts.
- Analysis of 28 clinical studies on acupuncture for cancer pain.
Main Results:
- Individualized acupoint selection is recommended for cancer pain.
- Key acupoints identified: Zusanli (ST 36), Hegu (LI 4), Taichong (LR 3), Sanyinjiao (SP 6), Yanglingquan (GB 34), and ashi points.
- Consensus reached on important acupoints based on evidence and expert opinion.
Conclusions:
- Important acupoints for cancer pain acupuncture have been identified.
- Clinical acupoint selection requires further research and refinement.
- The findings support the development of clinical practice guidelines.
