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Douleur, médecine chinoise et médecine factuelle : les grands essais récents

Chinese medicine for pain: An evidence-based update

Résumé

La douleur est une indication majeure en médecine traditionnelle chinoise, en acupuncture notamment. Dans plusieurs essais contrôlés récents, un traitement complémentaire par acupuncture est efficace en prévention des douleurs postopératoires et des douleurs de l’arthrose du genou. L’efficacité souvent n’apparaît pas statistiquement différente des procédures acupuncture-placebo. Les autres prises en charge par médecine traditionnelle chinoise (massage, qi gong…) sont moins étudiées, du moins en médecine conventionnelle: la fibromyalgie et les cervicalgies chroniques semblent être améliorées par le qi gong.

Abstract

Pain prevention and treatment is a major indication for traditional Chinese medicine. A lot of recent controlled trials were conducted with acupuncture for the treatment of postoperative pain and knee osteoarthritis. In these trials, acupuncture, when used as complementary of usual management is efficacious, but usually not statistically different to sham-acupuncture. The other procedures of Chinese medicine are less evaluated. Regular qi-gong sessions seem to procure substantial benefits to patients with fibromyalgia and chronic neck pain.

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Correspondence to D. Benhamou.

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Benhamou, D., Volf, N. & Ferdman, L. Douleur, médecine chinoise et médecine factuelle : les grands essais récents. Douleur analg 28, 74–80 (2015). https://doi.org/10.1007/s11724-015-0424-1

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Mots clés

  • Médecine traditionnelle chinoise
  • Médecine alternative et complémentaire
  • Acupuncture
  • Qi gong
  • Plantes médicinales
  • Massage
  • Médecine factuelle
  • Essais cliniques
  • Douleur postopératoire
  • Arthrose du genou
  • Fibromyalgie
  • Cervicalgie

Keywords

  • Traditional Chinese medicine
  • Alternative and complementary medicine
  • Acupuncture
  • Qi gong
  • Herbal medicine
  • Massage therapy
  • Tui na
  • Evidence-based medicine
  • Clinical trials
  • Postoperative pain
  • Knee osteoarthritis
  • Fibromyalgia
  • Chronic neck pain