Analysis of Traditional Chinese Medicine Practice in Malaysia Knee Osteoarthritis Patients
Keywords:
Traditional Chinese Medicine Therapies, Malaysia, Knee Osteoarthritis, Questionnaire Survey, Clinical Practical AnalysisAbstract
Background: Malaysia has preserved and inherited the richness of Traditional Chinese Medicine (TCM). Knee Osteoarthritis (KOA) is common in Malaysia. Despite various TCM treatment methods in the region, research and reporting on TCM therapy for KOA are lacking. This study aims to compare TCM techniques used by practitioners in Malaysia and China for treating KOA through a questionnaire survey.
Methods: The survey questionnaire focusing on TCM treatments for KOA was distributed to TCM physicians and acupuncturists in both countries by E-mail, WhatsApp, WeChat, etc. Use Excel 2019 to organize data and analysis.
Result: 489 and 873 valid questionnaires from Malaysia and China were respectively gathered. Traditional acupuncture (TA) emerged as the predominant choice in both nations, with an 81.60% preference in Malaysia and 93.13% in China. Beyond TA, Malaysian TCM landscape favored Massage (78.53%), Cupping (76.28%), Moxibustion (64.21%), Bloodletting (54.60%), Electroacupuncture (EA) (48.26%), and Chinese herbs (41.31%). China leaned more toward EA (84.19%), Chinese Herbs (80.53%), Massage (72.51%), Moxibustion (68.84%), and Cupping (58.53%).
Conclusion: In this survey, significant differences in KOA TCM treatment methods were found between China and Malaysia. While both countries widely use TA, Malaysia tends to favor non-invasive techniques like massage and cupping, whereas China leans toward EA and invasive methods such as intra-articular injections. Cultural and regulatory factors influence these variations, resulting in diverse TCM approaches. However, Malaysia faces the challenge of lacking unified evaluation system and standardized procedures for TCM.
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References
Zhang, L., Li, J., Zhang, C. and Wang, Y., 2023. Observation on the efficacy of acupuncture combined with exercise therapy in the treatment of knee osteoarthritis[J]. Chinese Journal of Integrated Traditional and Western Medicine, 202343(08):984-987.
Chen, S., Yan, H., Gong, D., et al., 2022. Efficacy of acupuncture and arthroscopic surgery in the treatment of refractory pain in early to moderate knee osteoarthritis[J]. Chinese Journal of Gerontology, 42(20), pp. 4990-4994. DOI:10.3969/j.issn.1005-9202.2022.20.028.
Xie, Y., Ou, H., Chen, X., 2020. Floating needle combined with warm needle acupuncture for the treatment of knee osteoarthritis[J]. Journal of Aerospace Medicine, 31(08), pp. 985-987. DOI:10.3969/j.issn.2095-1434.2020.08.049.
Li, Y. and Zhao, W., 2022. Advancement of research on pathogenesy and influencing factor of knee osteoarthritis pain[J]. The Journal of Traditional Chinese Orthopedics and Traumatology, 34(09), pp. 52-56+66. DOI:10.3969/j.issn.1001-6015.2022.09.010.
Zhang, X., Zeng, H. and Meng, L., 2023. Research progress on the mechanism and treatment of pain in knee osteoarthritis[J]. Chinese Journal of Pain Medicine, 29(01), pp. 50-58. DOI:10.3969/j.issn.1006-9852.2023.01.010.
Cho, H. J., Morey, V., Kang, J. Y., et al., 2015. Prevalence and risk factors of spine, shoulder, hand, hip, and knee osteoarthritis in community-dwelling koreans older than age 65 years[J]. Clinical Orthopaedics and Related Research®, 473(10), pp. 3307-3314.
Nishimura, A., Hasegawa, M., Wakabayashi, H., et al., 2012. Prevalence and characteristics of unilateral
knee osteoarthritis in a community sample of elderly Japanese: Do fractures around the knee affect the
pathogenesis of unilateral knee osteoarthritis[J]. Journal of Orthopaedic Science, 17(5), pp. 556-561.
Jaiswal, A., Goswami, K., Haldar, P., et al., 2021. Prevalence of knee osteoarthritis, its determinants, and
impact on the quality of life in elderly persons in rural ballabgarh, Haryana[J]. Journal of Family Medicine
and Primary Care, 10(1), pp. 354.
Malaysia Health Technology Assessment Section (MaHTAS), 2010. Clinical practice guidelines on the management of osteoarthritis (2nd edition). Ministry of Health Malaysia.
Oriental Daily News., 2014. Whenever there is joint wear and tear [Online]. Available at:
https://www.orientaldaily.com.my/news/health/2014/07/06/4494 [Accessed 06 Oct. 2022].
Zakaria, Z. F., Bakar, A. A., Hasmoni, H. M., et al., 2009. Health-related quality of life in patients with
knee osteoarthritis attending two primary care clinics in Malaysia: A Cross-sectional study[J]. Asia Pacific
Family Medicine, 8(1), pp. 1-7.
Chen, J., 2017. Effects of treatment frequency of acupuncture with moxibustion on knee osteoarthritis.
Master dissertation, Anhui University of Chinese Medicine, China.
Wang, Y., Zhang, L., Zhang, M., et al., 2023. Research progress of acupuncture and moxibustion in the
treatment of chronic nonspecific low back pain of cold and dampness type[J]. Journal of Practical
Traditional Chinese Internal Medicine, 37(03), pp. 51-54. DOI: 10.13729/j.issn.1671-7813.Z20220138.
Sha, G., 2021. Evaluation of the clinical efficacy of acupuncture for knee osteoarthritis and its impact on
knee function score[J]. China Medicine and Pharmacy, 11(17), pp. 100-102+119. DOI:10.3969/j.issn.2095-
2021.17.025.
Sun, L., 2021. Analysis of curative effect of traditional Chinese medicine acupuncture and moxibustion
treatment on orthopedic patients[J]. Contemporary Medicine, 27(18), pp. 58-60. DOI:10.3969/j.issn.1009-
2021.18.021.
Li, J., Cao, Y., Yang, Y., et al., 2021. Effect of acupotomy intervention on TGF-β1 /smads signaling
pathway in ligament tissue of rabbits with kOA[J]. Journal of Clinical Acupuncture and Moxibustion,
(12), pp. 70-75. DOI: 10.19917/j.cnki.1005-0779.021248.
Xie, Z., Qin, W. and Yang, G., 2023. Research progress on the mechanism of electroacupuncture in the
treatment of knee osteoarthritis[J]. Journal of Liaoning University of Traditional Chinese Medicine, 25(01),
pp. 212-215. DOI: 10.13194/j.issn.1673-842x.2023.01.044.
Cao, Z., 2021. Effects of electroacupuncture combined with acupoint application for knee joint function,
hemorheology, and quality of life in senile knee osteoarthritis of qi-stagnation and blood-stasis[J]. Hebei
Journal of Traditional Chinese Medicine, 43(07), pp. 1183-1186. DOI:10.3969/j.issn.1002-
2021.07.029.
Bai, X., Li, S., Song, X., et al., 2015. Principle and clinical application of acupuncture therapeutic
instrument[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 30(02), pp. 488-491.
Ding, J., 2019. The clinical observation on treatment of knee osteoarthritis pain by electro-acupuncture
combined with Yijinjing. Master dissertation, Shanghai University of Traditional Chinese Medicine, China.
DOI: 10.27320/d.cnki.gszyu.2019.000284.
Peng, Y. and Zeng, H., 2022. Clinical observation of blood-letting puncture combined with knee triacupuncture in the treatment of knee osteoarthritis[J]. Journal of Guangzhou University of Traditional
Chinese Medicine, 39(11), pp. 2582-2586. DOI: 10.13359/j.cnki.gzxbtcm.2022.11.019.
Cong, X., Jin, Q. and Xie, F., 2007. Theoretical exploration of bloodletting along meridians in the treatment
of knee osteoarthritis[J]. Chinese Journal of Information on Traditional Chinese Medicine, 14(4), pp. 90-
DOI:10.3969/j.issn.1005-5304.2007.04.053.
Chen, Z., Chen, S., Chen, B., et al., 2023. Clinical application of bloodletting therapy[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 38(01), pp. 200-203.
Wang, Q., Yang, Y., Wu, S., et al., 2021. Clinical effect of short puncture combined with blood-letting puncture in the treatment of knee osteoarthritis[J]. China Medical Herald, 18(18), pp. 96-99.
Xu, M., Zhang, D. and Li, Y., 2021. Therapeutic effect of yaobi zhuyu zhitong decoction and blood-letting
therapy on lumbar disc herniation (Qi stagnation and blood stasis syndrome) and its effects on pain
mediators, fib and arbc[J]. Chinese Archives of Traditional Chinese Medicine, 39(11), pp. 59-62. DOI:
13193/j.issn.1673-7717.2021.11.015.
Liu, Z., 2017. Research on pathogenesis of knee joint osteoarthritis and study on curative effect of needle
knife therapy[J]. Chinese and Foreign Medical Treatment, 36(20), pp. 33-34+37. DOI:
16662/j.cnki.1674-0742.2017.20.033.
Fan, H., Su, N. and Liu, B., 2022. Discussion on the treatment ideas of needle-knife therapy for refractory
acne[J]. Inner Mongolia Journal of Traditional Chinese Medicine, 41(06), pp. 121-122. DOI:
16040/j.cnki.cn15-1101.2022.06.004.
Li, S., Guo, R., Chen, P., et al., 2021. Systematic review and meta-analysis of acupotomy combined with maneuver compared with non-steroidal anti-inflammatory drug in treatment of knee osteoarthritis[J]. Medical Recapitulate, 27(22), pp. 4553-4559. DOI:10.3969/j.issn.1006-2084.2021.22.033.
Liu, F., Jin, D. and Wu, X., 2012. Acupotomy versus acupuncture for knee osteoarthritis: A meta-analysis of randomized controlled trials[J]. Chinese Journal of Tissue Engineering Research, 16(44), pp. 8235-8239.
Wang, P., Zhang, C., Ruan, Z., et al., 2018. Study on the main effect mechanism and influential factors of acupotome treatment in experimental study of knee osteoarthritis[J]. Journal of Liaoning University of Traditional Chinese Medicine, 20(10), pp. 170-172. DOI: 10.13194/j.issn.1673-842x.2018.10.044.
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