Plain English Summary
Background and study aims
Post-herpetic neuralgia (PHN) is a condition in which a feeling of pain arises as a consequence of the herpes zoster (HZ) virus infection and it damages the corresponding neurological system. Unfortunately, existing treatments often do not work against PHN. Traditional Chinese acupuncture offers some advantages: it is simple to perform, has little systemic effect and few side effects. There is no published evidence on the effects of acupuncture on the central nervous system and this study is about the therapeutic effects of acupuncture on PHN patients.
Who can participate?
Patients admitted to the Department of Acupuncture, Massage and Traumatology of Shanghai Sixth People's Hospital (China) and diagnosed with post-herpetic neuralgia diagnoses.
What does the study involve?
Participants are randomly allocated to one of two groups: Group A (acupuncture group) receives acupuncture (Ashi point) for 3 weeks; Group B (sham acupuncture group, also called the control group) receives acupuncture (non-Ashi point) for 3 weeks. Patients and investigators do not know which treatment they receive (this is called blinding). Follow up continues for 14 days after treatment.
Oxycodone 5-30mg/day or more orally to be used as 'rescue medication' (to relieve symptoms immediately) for pain control.
What are the possible benefits and risks of participating?
There are no known risks to participants. All participants, including controls, will receive all the tests which may improve their treatment of PHN.
Where is the study run from?
The study takes place at Department of Acupuncture Massage and Traumatology at the Shanghai Sixth People's Hospital (China).
When is the study starting and how long is it expected to run for?
The study will start recruiting participants between December 2011 and July 2012. Follow-up examinations will continue until October 2012.
Who is funding the study?
Chinese Traditional Medical and Drug Administration Bureau (China)
Who is the main contact?
Dr Mi Yiqun
Dr Mi Yiqun
Department of Acupuncture
Massage and Traumatology
Shanghai Sixth People's Hospital
Shanghai JiaoTong University
600 Yishan Road
A clinical study of the effect of acupuncture on fMRI and IGT in postherpetic neuralgia patients: a prospective, double-blind, randomised controlled trial
1. That functional magnetic resonance imaging (fMRI) signal and Iowa Gambling Task (IGT) were different among postherpetic neuralgia (PHN) patients and control patients.
2. The acupuncture can affect the signal of fMRI, the outcome of the IGT, quality of life and reduce the dosage required of oral pain-related drugs in PHN patients
Shanghai Sixth Peoples Hospital, Shanghai JiaoTong University, 16 March 2011, ref: 2011-19
Prospective, double blind, randomised controlled trial
Primary study design
Secondary study design
Randomised controlled trial
Patient information sheet
Not available in web format, please use contact details below to request a patient information sheet
PHN patients were randomized to receive acupuncture (Ashi point), or sham acupuncture for 3 weeks
Rescue medication - Oxycodone 5-30mg/day orally (or more) was used as rescue medication for pain controlled at more than 3 on the VAS and the frequency of acute pain flare-ups more than 3 times per day.
Primary outcome measures
1. fMRI signal change, IGT results at baseline and 14 days after treatment
2. Visual Analogue Scale (VAS), measured at baseline and 1, 2, 3,7 and 14 days after treatment
3. Pain flare-ups per day during days 3, 7, 14 after treatment
Secondary outcome measures
1. SF-36 at baseline, 14 days after treatment
2. Dosage of rescue drug (Oxycodone) consumed per day at 3, 7, and 14 days after treatment
3. Presence, frequency and duration of adverse effects at 7 and 14 days after treatment
Overall trial start date
Overall trial end date
Participant inclusion criteria
1. Age greater than 60 years
2. Weighs over 40kg
3. History of pain is longer than 3 months
4. Pain on Visual Analogue Scale (VAS) >3 (0-10 VAS scale), with acute pain flares that occurred more than 3 times per day
5. Refractory to formal treatment such as antiepileptic medicine, antidepressants, opioids, physical treatments and epidural block
6. No history of severe liver and renal diseases
7. PHN patents whose pain area was at T1-12 level
8. Male and female participants
Target number of participants
Participant exclusion criteria
1. Withdraws from the study
2. Poor effect, intolerant to the study
3. Uncooperative and unable to finish the self evaluation (VAS, QOL and SF-36)
4. Coagulation disturbances
5. Allergies to drug
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Department of Acupuncture, Massage and Traumatology
Shanghai Sixth People's Hospital (China)
600 Yi-Shan Road
Chinese Traditional Medical and Drug Administration Bureau ref: 2009ZL23
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting