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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 of the whole context

Catgut Embedding Therapy, also known as Acupoint Catgut Embedding(ACE) or Thread-embedding Therapy combines concepts of traditional Chinese medicine with modern and advanced medicine procedures. 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 problems. This sort of acupoint stimulation therapy is an effective and safe approach to lose weight with external medical assistance. 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 properly and why it can assist 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 data obtained from rigorous experiments implemented by medical experts and researchers, which shows patients' change on their cholesterol before and after the treatment. This enhanced the reliability and gave people a more explicit and clear understanding of the function of catgut embedding therapy.

Source 2：

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' section. In this source, the whole process is divided into five detailed steps to help people comprehend each of them clearly, 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 deviation 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 source as well. the authors are experts in the field of Chinese medicine which means the content is accepted and agreed by authority agencies.

Source 3:

Huang, C.-Y., Choong, M.-Y., & Li, T.-S. (2012). Treatment of Obesity by Catgut Embedding: An Evidence-Based Systematic Analysis. Acupuncture in Medicine, 30(3), 233–234. https://doi.org/10.1136/acupmed-2012-010176

This article attaches great insight into the prominent achievement on addressing some normal obesity problems, such as diabetes, it also compares different treatment methods not only catgut embedding therapy, for example electroacupture. The records of change on patients' physical bodies, such as the decreasing in waistline, hip circumstance and waist-to-hip ratio show the preciseness of this operation. Moreover, the derived result proves the embedding therapy possesses an apparent advantage compared with other methods. This part is supposed to be included in the 'medical evidence' section.

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 was discussed by referring to one undefined postoperative complication. So this source will be place in the section of 'complication.' 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 circles appeared in a linear arrangement over the abdomen. This case information can provide people a sense of the present 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 talks about medical experts' investigation and treatment methods which is complicated and time-consuming by doing massive experiments, it also underlines there are actually more side effects haven't been defined, thus it warns people who want to adopt this approach to lose weight must consider the potential negative consequences.

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 source mainly focused 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 compared the effectiveness of variable treatment methods with catgut embedding therapy, the unbalanced participators' 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 on the process of catgut embedding therapy. Consequently, it will influence the accuracy of the final result. This article criticizes 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 increases the source credibility greatly.