Review Article

Efficacy of Moxibustion for Primary Osteoporosis: A Trial Sequential Meta-Analysis of Randomized Controlled Trials

Table 1

Main characteristics of included RCTs.

StudyCountrySample sizeAllocation ratioType of POAge (Year)Gender (M: F)Course of the disease (Month)(A)(B)Acupoints selectionDuration of treatmentFollow-upEfficacy criteria
Treatment GroupControl Group I

Tao et al. [32]China821 : 1SOPA: 65.3 ± 1.5
B: 64.5 ± 1.3
A: 19: 22
B: 21: 20
A: 24–48
B: 24–60
Mox + CMCM (calcium supplementation)Dazhu (BL11), Shenshu (BL23), Pishu (BL20), Zusanli (ST36), Zhongwan (CV12), Guanyuan (CV4)90 d1. Response rate
2. BMD
3. VAS

Lin et al. [33]China601 : 1PMOPA: 59.50 ± 5.92
B: 60.75 ± 5.09
All femaleMox + CMCM (calcium supplementation)Du Meridian, from Dazhui (GV14) to Yaoshu (GV2)90 d1. VAS

Tian [34]China601 : 1POA: 64.21 ± 6.50
B: 63.59 ± 6.95
A: 28: 0
B: 26: 1
A: 22.81 ± 12.30
B: 21.89 ± 11.89
Mox + CMCM (calcium supplementation)Lumbosacral portion from L2 to S1, Pishu (BL20), Shenshu (BL23), Yaoyangguan (GV3), Mingmen (GV4)28 d30 d1. VAS
2. ODI

Tao [35]China761 : 1POA: 69.42 ± 6.27
B: 70.38 ± 6.46
A: 22: 16
B: 23: 15
MoxCM (calcium supplementation)Dazhu (BL11), Shenzhu (GV12), Mingmen (GV4), Shenshu (BL23), Pishu (BL20), Zhongwan (CV12), Shenque (CV8), Zusanli (ST36), Guanyuan (CV4), Xuanzhong (GB39), Sanyinjiao (SP6), Yinlingquan (SP9), Taixi (KI3)84 d1. Response rate
2. BMD

Gu [36]China601 : 1PMOA: 60.12 ± 3.67
B: 59.65 ± 3.84
AllfemaleA: 54.26 ± 3.58
B: 52.78 ± 4.05
MoxCM (calcium supplementation)Shenshu (BL23)140 d1.BMD

Xu et al. [37]China6332 : 31PMOA: 65.16 ± 6.82
B: 63.90 ± 7.59
AllfemaleA: 11.31 ± 4.03
B: 11.32 ± 4.06
Mox + CMCM (calcium supplementation)Pishu (BL20), Shenshu (BL23), Yaoyangguan (GV3), Mingmen (GV4)28 d30 d1. VAS

Wu [38]China601 : 1PMO45–65Allfemale>12MoxCM (calcium supplementation)Pishu (BL20), Shenshu (BL23)90 d1. BMD
2. VAS

Yang et al. [39]China601 : 1POA: 45–80
B: 46–78
A: 11: 19
B: 12: 18
A: 24–84
B: 30–78
Mox + CMCM (calcium supplementation)Du Meridian, from Dazhui (GV14) to Yaoshu (GV2)84 d1. Response rate
2. BMD
3. VAS

Lin et al. [40]China701 : 1PMO45–75AllfemaleMox + CMCM (calcium supplementation)Du Meridian, from Dazhui (GV14) to Yaoshu (GV2)90 d1. VAS
2. ODI

Ouyang and Xu [41]China601 : 1PMO62.45 ± 7.68AllfemaleMox + CMCM (calcium supplementation)Pishu (BL20), Weishu (BL21), Shenshu (BL23), Mingmen (GV4), Yaoyangguan (GV3), Zhiyang (GV9)90 d1. Response rate

Ouyang [42]China601 : 1PMOA: 62.29 ± 7.18
B: 61.14 ± 7.68
Allfemale60Mox + CMCM (calcium supplementation)Dazhu (BL11), Geshu (BL17), Ganshu (BL18), Shenshu (BL23), Pishu (BL20), Mingmen (GV4), Zusanli (ST36), Yanglingquan (GB34), Taixi (KI3), Guanyuanshu (BL26)90 d1. Response rate
2. BMD
3. VAS

Ouyang et al. [43]China601 : 1POA: 63.25 ± 10.14
B: 60.11 ± 11.35
A: 12: 18
B: 13: 17
Mox + CMCM (calcium supplementation)Dazhu (BL11), Geshu (BL17), Ganshu (BL18), Shenshu (BL23), Pishu (BL20), Mingmen (GV4), Zusanli (ST36), Yanglingquan (GB34), Taixi (KI3), Guanyuanshu (BL26)90 d1. VAS

Li et al. [44]China601 : 1PO40–70A: 12: 18
B: 10: 20
A: 58.92 ± 36.24
B: 60.72 ± 30.12
MoxCM (calcium supplementation)Mingmen (GV4), Shenshu (BL23), Zusanli (ST36), Pishu (BL20)117 d1. Response rate
2. BMD

Xu and Jin [45]China6736 : 31PO50–82A: 8: 23
B: 9: 27
A: 87.96 ± 44.04
B: 83.64 ± 33.48
MoxCM (calcium supplementation)Shenque (CV8), Guanyuan (CV4), Qihai (CV6), Mingmen (GV4), Shenshu (BL23), Pishu (BL20)90 d1. Response rate
2. VAS

Note: SO: senile osteoporosis; PMO: postmenopausal osteoporosis; PO: primary osteoporosis; Mox: moxibustion; CM: conventional medicine; d: day; VAS: visual analogue scale; BMD: bone mineral density; ODI: Oswestry disability index.