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Thunder-fire moxibustion may reduce fatigue in colorectal cancer patients undergoing chemotherapy.

Thunder-fire moxibustion may reduce fatigue in colorectal cancer patients undergoing chemotherapy.
Photo by Navy Medicine / Unsplash
Key Takeaway
Interpret results regarding thunder-fire moxibustion for colorectal cancer fatigue cautiously due to unreported statistical metrics.

This randomized controlled trial evaluated 77 patients with Qi stagnation and blood stasis type colorectal cancer undergoing chemotherapy. The study compared conventional care plus thunder-fire moxibustion against conventional care alone.

The primary outcome assessed change in Revised Piper Fatigue Scale scores. Main results indicated a reduction in fatigue and improvement in sleep and quality of life. Secondary outcomes included sleep quality assessed by the Pittsburgh Sleep Quality Index, quality of life measured using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30, Traditional Chinese Medicine syndrome scores, routine blood indicators, and inflammatory factor levels. Thunder-fire moxibustion (TFM) was the specific intervention tested. However, effect sizes, absolute numbers, and p-values were not reported.

Safety data regarding adverse events, serious adverse events, discontinuations, and tolerability were not reported. The follow-up duration was described only as during a follow-up period without specific timing. Limitations were not explicitly listed in the provided data.

The abstract uses the phrase 'may be an effective', indicating uncertainty about the efficacy. Clinicians should interpret these findings cautiously given the lack of statistical reporting, safety data, and follow-up details. Further research is needed to establish definitive clinical relevance. The evidence remains preliminary due to missing statistical metrics and safety data.

Study Details

Study typeRct
Sample sizen = 77
EvidenceLevel 2
PublishedApr 2026
View Original Abstract ↓
OBJECTIVE: This study aimed to evaluate the efficacy of thunder‑fire moxibustion (TFM) for cancer‑related fatigue (CRF) in patients with Qi stagnation and blood stasis syndrome undergoing chemotherapy for colorectal cancer. METHODS: In this randomized controlled trial, 77 patients with colorectal cancer undergoing chemotherapy were randomly assigned to either a control group (conventional care) or an experimental group (conventional care plus thunder-fire moxibustion, TFM). Both groups received two treatment courses, with five intervention sessions per course. The primary outcome was the change in Revised Piper Fatigue Scale (RPFS) scores. Secondary outcomes included sleep quality assessed by the Pittsburgh Sleep Quality Index (PSQI), quality of life measured using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30), Traditional Chinese Medicine (TCM) syndrome scores, routine blood indicators, and inflammatory factor levels.Assessments were conducted before and after two intervention cycles and during a follow-up period. RESULTS: CONCLUSION: Thunder‑fire moxibustion may be an effective supportive intervention for reducing fatigue and improving sleep and quality of life in patients with colorectal cancer undergoing chemotherapy. TRIAL REGISTRATION: This study was registered on February 11, 2025, at the International Traditional Medicine Clinical Trial Registry (Registration Number: ITMCTR2025000305).
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