User:Carolineeeeee Yan/OLES2129/draft

Article Title:

Catgut Embedding Therapy for obesity

https://en.wikipedia.org/wiki/Catgut embedding therapy for obesity

Associated Wikiprojects:

The category that my article could be associated with is about medicine.

https://en.wikipedia.org/wiki/Wikipedia:WikiProject_Medicine

Description

Catgut embedding therapy, also known as acupoint catgut embedding(ACE) therapy or thread-embedding therapy combines concepts of traditional Chinese medicine with modern medical instruments. It has been famous as a body acupuncture and moxibustion therapy and applied under many conditions, such as perimenopausal syndrome, chronic urticaria, depressive neurosis, refractory insomnia, obesity, and sciatica. Especially has prominent function on assisting overweight people to tackle their healthy problem. This sort of acupoint stimulation therapy is an effective and safe approach to lose weight in a short term. However, there are still some potential risks cannot be found or defined yet, so this sort of treatment still requires plenty of investigations and experiments.

Titles of Sections

-mechanism

-process

-medical evidence

-complication (symptom, investigation, treatment, recovery)

-limitations ( gender and follow-up limitations)

Sources and Annotations:

source 1

Qin, W., Zhao, K., & Yang, H. (2016). Effect of acupoint catgut embedding therapy combined with Chinese medicine for nourishing the kidneys and promoting blood circulation and improving blood glucose and lipid levels as well as the pregnancy rate in obese PCOS patients with infertility. Experimental and therapeutic medicine, 12(5), 2909–2914. doi:10.3892/etm.2016.3715.

This article provides the explanation of the 'mechanism' about how this therapy work accurately and why it assists patients lose weight. In addition, it also mainly focused on one specific endocrine disease due to obesity-polycystic ovary syndrome(PCOS), which will be used as 'medical evidence' later to illustrate the usefulness of catgut embedding therapy by comparing with variable treatments, such as acuputure-drug and chinese medicine to show its advantages. There are also some numerical datas obtained from rigorous experiments implemented by medical experts and researcher, which shows patients' change on their cholesterol before and after the therapy. This enhances the reliability and would give people a more explicit and clear understanding of the function of catgut embedding therapy.

source 2

This article attaches great insight into the prominent achievement on addressing some simple and normal obesity problems, for example diabetes, this article also compares different treatment methods except catgut embedding therapy, such as electroacuputure, but in this experiment, it records the change on patients' physical body, such as the decreasing in waistline, hip circumference, and waist-to-hip ratio. Importantly, this experiment owns high accuracy and credibility because it was assigned by the Oxford Centre for Evidence Based Medicine 2011 levels of evidence.

source 3

Kuo, C., Wang, C., & Kuo, C. (2017). Innovative Design of an Automatic Acupoint Catgut-Embedding Instrument. Journal of Medical Devices (Transactions of the ASME), 11(1),. https://doi.org/10.1115/1.4035689

This source will be used in the 'process' section of the therapy to support and add more interpretation of the 'mechanism.' In this source, the whole process will be divided into five detailed steps which are catgut feeding, catgut cutting, catgut insertion, acupuncture needle insertion and catgut embedding respectively. This source can be regarded as the deeper extension of the first source because it even mentions the number of needles and the diameter of needles with their permitted deviations which emphasize the strict medical operation requirements and comprehensive preparation before the therapy. Apart from this, people's impression of the whole treatment process could be strengthened by looking some operation flow diagrams attached in this sources as well. All of these three authors are experts in the field of chinese medicine and it means that the content is accepted and agreed by the authority.

source 4

Chuang, Y.-T., Li, T.-S., Lin, T.-Y., & Hsu, C.-J. (2011). An Unusual Complication Related to Acupuncture Point Catgut Embedding Treatment of Obesity. Acupuncture in Medicine, 29(4), 307–308. https://doi.org/10.1136/acupmed.2011.010084

From this source, some critical analysis towards the potential risks of catgut embedding therapy would be discussed by referring to one undefined postoperative complication. So this source will be place in the section of 'complications.' The accident happened on a 27-year-old woman who did this therapy but the symptom occured unpredictably, which made her skin be itchy and some dark points appeared in a linear arrangement over the abdomen. This case information can provide people a sense of the current situation of this traditional medical therapy, even though it has long history for thousands of years, but the dangers cannot be eliminated completely. Moreover, this source can also improve the reliability by reporting this real case. The second part talked about medical experts' investigation and treatment methods which is complicated and time-consuming by doing variable experiments, it also underlines there are actually more side effects haven't been defined, thus it warns people who want to adopt this way to lose weight must consider the potential negative consequence.

source 5

Chen, I., Yeh, Y., & Hsu, C. (2018). Therapeutic Effect of Acupoint Catgut Embedding in Abdominally Obese Women: A Randomized, Double-Blind, Placebo-Controlled Study. Journal of Women’s Health, 27(6), 782–790. https://doi.org/10.1089/jwh.2017.6542

After revealing the potential danger of one complication on a particular person, this article will mainly focus on the 'limitations' of catgut embedding therapy for obesity. First barrier is gender limitation. Since a lot of studies only applied on female subjects because of the metabolic difference between men and women ( just like the polycystic ovary syndrome discussed in the 'medical evidence' section.) So even experts compare the effectiveness of variable treatment methods with catgut embedding therapy, the unbalance participator' number still limits the collection of comprehensive results and hence the research progress. The other limitation is follow-up limitation because under some conditions, the patients want to lose weight more quickly, so they take other treatments while they are on the process of catgut embedding therapy. Consequently, it will influence the final result. This article mainly criticized the external interference from the patients themselves instead of the shortage of this treatment. This is a peer-reviewed article written by chinese medical specialists who own qualification of chinese medicine therapy which increase the credibility greatly.