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Observation of the Analgesic Effect of Wrist and Ankle by Meridian Exploration
           Method in Patients with Lung Cancer Bone Metastasis


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           D. Li,  Y. Yang,  M. Xu,  Y. Qin,  and X. Zheng 1
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           School of Nursing, Hunan University of Chinese Medicine, China
           Background: Limited research has explored the effectiveness of meridian-based exploration of wrist
           and ankle acupuncture on pain.


           Objective: To investigate the impact of meridian-based exploration of wrist and ankle acupuncture
           on pain and quality of life in patients suffering from pain due to lung cancer bone metastasis.


           Methods: Eighty patients were selected and randomly divided into an observation group and a
           control group, each comprising 40 cases. The observation group explored acupuncture points
           along the 12 meridians of the human body to target the most painful areas, while the control group
           received conventional wrist and ankle acupuncture targeting fixed acupuncture points. After a 2-week
           intervention period, both groups were assessed for pain intensity using the numerical rating scale
                                                                                                                      Oral Presentation Abstracts
           (NRS), onset and duration of analgesia, quality of life (including physical, cognitive, pain, emotional,
           and overall quality of life), the occurrence of adverse reactions, and overall effectiveness.


           Results: The observation group exhibited a significantly higher total effective rate (90.0%) compared
           to the control group (75.0%) (P<0.05). Furthermore, the observation group showed greater reductions
           in NRS scores post-intervention compared to the control group (P<0.05). Additionally, the onset of
           analgesia was shorter and the duration of analgesia was longer in the observation group compared
           to the control group (P<0.01). The quality of life scores in the observation group were significantly better
           than those in the control group (P<0.01). Although the incidence rate of adverse reactions was slightly
           lower in the observation group (5.0%) compared to the control group (7.5%), the difference was not
           statistically significant (P>0.05).


           Conclusion: Meridian-based exploration of wrist and ankle acupuncture, targeting the most painful
           points, demonstrated superior efficacy in alleviating pain and improving the quality of life in patients
           with lung cancer bone metastasis pain compared to conventional fixed-point acupuncture. This
           innovative approach represents a promising advancement in acupuncture therapy and warrants
           further promotion.


           Keywords: wrist-ankle acupuncture, pain, quality of life, lung cancer


           _____________________________________________________________________________________________________
           Correspondence: Dongya Li, School of Nursing, Hunan University of Chinese Medicine, China
           E-mail: 2461273091@qq.com







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