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Meta-Analysis Open Access March 03, 2025

Effectiveness and Safety of Acupuncture Combined with Bloodletting Cupping Therapy in the Treatment of Scapulohumeral Periarthritis: A Systematic Review and Meta-Analysis

Hai-Xia Ma 1, Sun Jinshuai 2, Xuan-Yue Zhang 1, Qian-Yi Wen 1, Bin Lin 3, Meng Bo 1, Zhi-Feng Xiao 1 and Juan-Xia Zheng 1,*
1
Department of Rehabilitation, Shenzhen Bao'an Traditional Chinese Medicine Hospital, Guangzhou University of Chinese Medicine, Shenzhen518000, China
2
Shenzhen Medical Academy of Research and Translation，Shenzhen518000, China
3
Department of Nutrition, Shenzhen Hospital of Southern Medical University, Shenzhen518000, China
Publihed in: Current Research in Public Health (Volume 5, Issue 1, 2025)
Page(s): 20-33
DOI: 10.31586/wjcmr.2025.6028
Received
January 09, 2025
Revised
February 16, 2025
Accepted
February 28, 2025
Published
March 03, 2025
Keywords
Scapulohumeral Periarthritis; Bloodletting Cupping; Acupuncture; Clinical Efficacy; Meta-Analysis; Evidence-Based Nursing
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright: Copyright © The Author(s), 2025. Published by Scientific Publications
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Cite This Article

APA Style
Ma, H. , Ma, H. Jinshuai, S. , Jinshuai, S. Zhang, X. , Zhang, X. Wen, Q. , Wen, Q. Lin, B. , Lin, B. Bo, M. , Bo, M. Xiao, Z. , & Xiao, Z. (2025). Effectiveness and Safety of Acupuncture Combined with Bloodletting Cupping Therapy in the Treatment of Scapulohumeral Periarthritis: A Systematic Review and Meta-Analysis. Current Research in Public Health, 5(1), 20-33. https://doi.org/10.31586/wjcmr.2025.6028
ACS Style
Ma, H. ; Ma, H. Jinshuai, S. ; Jinshuai, S. Zhang, X. ; Zhang, X. Wen, Q. ; Wen, Q. Lin, B. ; Lin, B. Bo, M. ; Bo, M. Xiao, Z. ; Xiao, Z. Effectiveness and Safety of Acupuncture Combined with Bloodletting Cupping Therapy in the Treatment of Scapulohumeral Periarthritis: A Systematic Review and Meta-Analysis. Current Research in Public Health 2025 5(1), 20-33. https://doi.org/10.31586/wjcmr.2025.6028
Chicago/Turabian Style
Ma, Hai-Xia, Hai-Xia Ma. Sun Jinshuai, Sun Jinshuai. Xuan-Yue Zhang, Xuan-Yue Zhang. Qian-Yi Wen, Qian-Yi Wen. Bin Lin, Bin Lin. Meng Bo, Meng Bo. Zhi-Feng Xiao, and Zhi-Feng Xiao. 2025. "Effectiveness and Safety of Acupuncture Combined with Bloodletting Cupping Therapy in the Treatment of Scapulohumeral Periarthritis: A Systematic Review and Meta-Analysis". Current Research in Public Health 5, no. 1: 20-33. https://doi.org/10.31586/wjcmr.2025.6028
AMA Style
Ma H, Ma HJinshuai S, Jinshuai SZhang X, Zhang XWen Q, Wen QLin B, Lin BBo M, Bo MXiao Z, Xiao Z. Effectiveness and Safety of Acupuncture Combined with Bloodletting Cupping Therapy in the Treatment of Scapulohumeral Periarthritis: A Systematic Review and Meta-Analysis. Current Research in Public Health. 2025; 5(1):20-33. https://doi.org/10.31586/wjcmr.2025.6028 
@Article{crph6028,
AUTHOR = {Ma, Hai-Xia and Jinshuai, Sun and Zhang, Xuan-Yue and Wen, Qian-Yi and Lin, Bin and Bo, Meng and Xiao, Zhi-Feng and Zheng, Juan-Xia},
TITLE = {Effectiveness and Safety of Acupuncture Combined with Bloodletting Cupping Therapy in the Treatment of Scapulohumeral Periarthritis: A Systematic Review and Meta-Analysis},
JOURNAL = {Current Research in Public Health},
VOLUME = {5},
YEAR = {2025},
NUMBER = {1},
PAGES = {20-33},
URL = {https://www.scipublications.com/journal/index.php/WJCMR/article/view/6028},
ISSN = {2831-5162},
DOI = {10.31586/wjcmr.2025.6028},
ABSTRACT = {Background: Scapulohumeral periarthritis commonly afflicts individuals in their middle age. Its etiology is multifaceted, and treatment presents a challenge with a high risk of recurrence. The main symptoms include shoulder pain and limited joint mobility, seriously affect the quality of life of the patients. Recent research indicate that acupuncture combined with bloodletting cupping can significantly improve the function of activity of shoulder joint and the pain in individuals with scapulohumeral periarthritis. However, these studies have typically been limited in scope, therefore additional research to substantiate the efficacy and safety of these intervention. Methods: To evaluate the efficacy of acupuncture combined with bloodletting cupping for treating patients with scapulohumeral periarthritis. We conducted an online search of databases in both Chinese and English, including PubMed, the Cochrane Library, Embase, Web of Science, CNKI, Wangfang Data, China Science and Technology Journal Database (VIP) and Chinese BioMedical Literature Database (CBM), to collect randomized controlled trials (RCTs) concerning the use of acupuncture combined with bloodletting cupping in scapulohumeral periarthritis patients. We also examined the references within the identified literature. Search utilised subject headings and free-text terms in both languages, without racial restrictions, for records up to April 3, 2024. Two researchers independently screened the literature, extracted data, and evaluated their qualities. RevMan 5.3 software was used for meta-analysis of the included studies. The protocol of this review was recorded in the International Platform of Registered Systematic Review and Meta-analysis Protocols (PROSPERO). Its registration number is CRD42023454614. Results: This review incorporated 22 RCTs involving a total of 1,774 patients. The results of meta-analysis showed that the clinical effective rate (RR=1.25, 95%CI [1.20, 1.30], P＜0.00001) of treating scapulohumeral periarthritis with acupuncture combined with bloodletting cupping was higher in the experimental group than in the control group. The all of Visual Analogue Scale (VAS) score (MD=-1.70, 95% CI [-2.17, -1.22], P＜0.00001). Melle score (SMD=-2.45, 95% CI [-2.55, -2.34], P=0.007]) and recurrence rate (RR=0.23, 95% CI [0.07, 0.77], P=0.02) were lower in the experimental group than in the control group with statistical significance (P<0.05). Conclusion: The acupuncture combined with bloodletting cupping for the treatment of shoulder impingement syndrome demonstrates definite efficacy and safety, with superior clinical effectiveness, pain relief, improvement in shoulder joint mobility, and reduction in recurrence compared to acupuncture alone. Therefore, it is worthy of being promoted and applied clinically.},
}
%0 Journal Article
%A Ma, Hai-Xia
%A Jinshuai, Sun
%A Zhang, Xuan-Yue
%A Wen, Qian-Yi
%A Lin, Bin
%A Bo, Meng
%A Xiao, Zhi-Feng
%A Zheng, Juan-Xia
%D 2025
%J Current Research in Public Health

%@ 2831-5162
%V 5
%N 1
%P 20-33

%T Effectiveness and Safety of Acupuncture Combined with Bloodletting Cupping Therapy in the Treatment of Scapulohumeral Periarthritis: A Systematic Review and Meta-Analysis
%M doi:10.31586/wjcmr.2025.6028
%U https://www.scipublications.com/journal/index.php/WJCMR/article/view/6028

TY  - JOUR
AU  - Ma, Hai-Xia
AU  - Jinshuai, Sun
AU  - Zhang, Xuan-Yue
AU  - Wen, Qian-Yi
AU  - Lin, Bin
AU  - Bo, Meng
AU  - Xiao, Zhi-Feng
AU  - Zheng, Juan-Xia
TI  - Effectiveness and Safety of Acupuncture Combined with Bloodletting Cupping Therapy in the Treatment of Scapulohumeral Periarthritis: A Systematic Review and Meta-Analysis
T2  - Current Research in Public Health
PY  - 2025
VL  - 5
IS  - 1
SN  - 2831-5162
SP  - 20
EP  - 33
UR  - https://www.scipublications.com/journal/index.php/WJCMR/article/view/6028
AB  - Background: Scapulohumeral periarthritis commonly afflicts individuals in their middle age. Its etiology is multifaceted, and treatment presents a challenge with a high risk of recurrence. The main symptoms include shoulder pain and limited joint mobility, seriously affect the quality of life of the patients. Recent research indicate that acupuncture combined with bloodletting cupping can significantly improve the function of activity of shoulder joint and the pain in individuals with scapulohumeral periarthritis. However, these studies have typically been limited in scope, therefore additional research to substantiate the efficacy and safety of these intervention. Methods: To evaluate the efficacy of acupuncture combined with bloodletting cupping for treating patients with scapulohumeral periarthritis. We conducted an online search of databases in both Chinese and English, including PubMed, the Cochrane Library, Embase, Web of Science, CNKI, Wangfang Data, China Science and Technology Journal Database (VIP) and Chinese BioMedical Literature Database (CBM), to collect randomized controlled trials (RCTs) concerning the use of acupuncture combined with bloodletting cupping in scapulohumeral periarthritis patients. We also examined the references within the identified literature. Search utilised subject headings and free-text terms in both languages, without racial restrictions, for records up to April 3, 2024. Two researchers independently screened the literature, extracted data, and evaluated their qualities. RevMan 5.3 software was used for meta-analysis of the included studies. The protocol of this review was recorded in the International Platform of Registered Systematic Review and Meta-analysis Protocols (PROSPERO). Its registration number is CRD42023454614. Results: This review incorporated 22 RCTs involving a total of 1,774 patients. The results of meta-analysis showed that the clinical effective rate (RR=1.25, 95%CI [1.20, 1.30], P＜0.00001) of treating scapulohumeral periarthritis with acupuncture combined with bloodletting cupping was higher in the experimental group than in the control group. The all of Visual Analogue Scale (VAS) score (MD=-1.70, 95% CI [-2.17, -1.22], P＜0.00001). Melle score (SMD=-2.45, 95% CI [-2.55, -2.34], P=0.007]) and recurrence rate (RR=0.23, 95% CI [0.07, 0.77], P=0.02) were lower in the experimental group than in the control group with statistical significance (P<0.05). Conclusion: The acupuncture combined with bloodletting cupping for the treatment of shoulder impingement syndrome demonstrates definite efficacy and safety, with superior clinical effectiveness, pain relief, improvement in shoulder joint mobility, and reduction in recurrence compared to acupuncture alone. Therefore, it is worthy of being promoted and applied clinically.
DO  - Effectiveness and Safety of Acupuncture Combined with Bloodletting Cupping Therapy in the Treatment of Scapulohumeral Periarthritis: A Systematic Review and Meta-Analysis
TI  - 10.31586/wjcmr.2025.6028
ER  -