فصلنامه طب مکمل
سال هفتم شماره 1 (پیاپی 22، بهار 1396)

Obesity is a serious life-threatening problem in the whole world. Obesity is considered to be related to many conditions such as cardiovascular diseases, diabetes, fatty liver and different kinds of cancer. This study was conducted to evaluate the effect of acupuncture on the weight loss as well as obesity-related biochemical factors in overweight and obese women.
Forty overweight and obese women were included in this clinical trial via convenient sampling method. All samples were asked to sign an informed consent before the study. Participants were treated with acupuncture for a period of 6 weeks, twice a week for 20 minutes per session. obesity-related biochemical factors which were evaluated in this study were as follow: Weight, body mass index, fasting blood sugar (FBS), triglyceride (TG), total cholesterol, low density lipoprotein (LDL), high density lipoprotein (HDL) and liver enzymes (SGOT, SGPT) measured before and after treatment. T paired and Wilcoxon tests in SPSS software version 22 were used to analyze data.
Acupuncture was related to the decrease of weight and body mass index (P=0.001), FBS (p=0.01) and SGOT (p=0.01), while HDL was increased with acupuncture (p=0.001).
The results show that acupuncture can be one of the limited methods of increasing high density lipoprotein, in addition to weight loss and decreasing BMI.

surgery of a stressor that causes physiological reactions in the body. In consequence of the physiological response of the body, breathing, heart rate and blood pressure increase. The aim of this study is to examine the effect of hand massage on anxiety and physiological indicators in cataract surgery.
This study is a clinical trial on 60 female patients undergoing cataract surgery in eyes Amir Kabir Hospital in 1393, which initially purposively and then randomly assigned into two groups: hands massage group (n=30) and control group (n=30)., after obtaining informed consent Done. Anxiety level by VAS and physiological indicators (pulse, systolic &diastolic blood pressure are measured in hands massage group in the morning of the surgery at first and ten minutes later of massages. Patients In the intervention groups Received massage of hand for five minutes before surgery by Friction and petrisage methods but in the control group instead of a real massage, pantomime was performed and then the anxiety was measured immediately after the intervention. The obtained data were analyzed using SPSS software, version 21.
The research findings indicated that there was no significant distinction between experimental and control groups in terms of underlying characteristics (p>0.05) There was statistically significant reduce in anxiety level and physiological indicators before and after intervention in on hand groups contrast control group (p Results showed that hand massage was effective on vital signs and anxiety level, therefore nurses can use hand massage for reducing anxiety and improvement of physiological indicesof the patients before operation.

Obesity is one of the most important risk factors for non-communicable diseases. One treatment in this context is the use of resistance exercise and green tea. The aim of this study was to investigate the effects of resistance training and green tea supplementation on lipid profile and insulin resistance in obese and overweight men.
In this clinical trial, 60 men with a body mass index (BMI) between 35-25 Kg / m2 randomly divided into four groups: resistance training along with green tea, resistance training, green tea and the control. Resistance training included 3 times a week for 8 weeks. Supplementation with green tea powder, was 3 green tea tablets of 500 mg a day. Lipid profile and insulin resistance were measured before and after the intervention. Descriptive and inferential statistical methods with SPSS version 21 were used for data analysis.
Results showed that resistance training along with green tea decreased triglyceride levels (197.63± 68.48 vs 139.12± 36.06), insulin (16.43± 4.79 vs 9.13± 3.13), insulin resistance (3.85± 1.29 vs 2.09 ±0.78), and increased in HDL(37.50± 4.14 vs 41.38 ± 3. 70) (p It Seems that green tea and resistance training reduce blood fat, improve insulin and diabetes prevention of overweight and obese men used resistance training and green tea. Therefore, it is recommended to use resistance training and green tea to reduce lipid profile blood and improve the effects of insulin which prevents diabetes.

Pain relief during routine procedures such as inserting IV or intravenous treatment is affected patient satisfaction of care. The aim of this study was to evaluate comparative effects of quinine plant and lidocaine on pain of venipuncture respectively.
This study was an interventional study in 1394. Samples were selected by convenience sampling from patients referred to the hospital emergency department. Informed consent was obtained from the samples. There were divided into three groups randomly, intervention by quinine, intervention of lidocaine and control. 10 puffs of lidocaine 10% for 15 minutes in lidocaine group were applied on the position of the vessel up to 3 cm diameter circular. 10 puffs alcoholic extract quinine 10% for 15 minutes in quinine group was used before taking on the position of the vessel. The data gathering tools includes Pain Visual Analogue Scale, and anxiety analogue scale. The data were analyzed via SPSS version 16 by chi-square, Fisher exact, Independent t-test, paired sample t-test and ANOVA.
There is no statistically significant difference in the three groups between pain and anxiety scale scores. Despite the pain was not significant statistically in all three groups, but the mean pain score in the lidocaine group (M=3.38) less than quinine (M=4.37) and control groups (m=4.60), respectively.
According to study Quinine and lidocaine are not effective on pain of venipuncture. The pain of venipuncture, especially in emergency situations should seek innovative approaches with strong analgesic and anti-anxiety effect that are easy to use and cause less side effects. Further study and research need in these fields.

Nowadays, heart failure (HF) is one of the most common and disabling diseases with high mortality and morbidity in every community. However, modern diagnostic and therapeutic methods use for cardiovascular disease management, but heart failure is still an important topic in researches to find effective, inexpensive, and available methods. Complementary and alternative interventions are one of the methods which used for increasing the quantity and quality of patient life by the new study designs. Persian medicine (PM) as one of the ancient medicine and evidence-based knowledge can be appropriate for this kind of research.
This study is a narrative review in cardiology texts of Persian traditional medicine (including al-havi. canon of medicine) and compares it with the conventional medicine classification.
According to PM viewpoints, “heart weakness” is the most similar disease to HF based on definition and semiology. General weakness with changes in pulse rate, breathe pattern, body weight, appetite, neurological or cognitive function and physical power are common signs and symptoms between heart weakness and HF. In patient management, cardiac function improves, according to initial and acquired temperament by cardiotonic or aromatic herbs and nutraceutical products. Psychiatric rehabilitation is one of the most important treatment strategies, especially with aromatherapy or music listening and a suitable massage with appropriate oil.
Recognition of PM views about semiology and management of heart failure (heart weakness) can help scientist to design future researches and clinical trials for accessing to more effective treatments, preventive methods and improving patient satisfaction.

Rhus coriaria. L (Rc.L) as an herbal remedy used in traditional medicine. The purpose of this study was to investigate the effects of 10-weeks aerobic training with Rhus coriaria. L supplementation on total antioxidant capacity (TAC), insulin resistance and anthropometric indices in women with type 2 diabetes.
This quasi-experimental study was performed in 2016 on 40 type II diabetic women )40 to 60 yr (of Ajabshir city that volunteered and randomly assigned into 1-Rc.L supplement, 2- exercise, 3- Rc.L supplement笗ꭲ⬞ and 4- control groups. Exercise protocol was aerobics and walking activity for 10 weeks (3d/wk, 40 to 60 min/d with 45-60% HRRmax intensity). Subjects in groups 1and 3 received 3 grams of Rc.L powder daily. Fasting blood samples were collected in pre and post-test following 48 hours of inactivity and not consumption of Rc.L and 12 hours of fasting. Data were analyzed by t-test, ANOVA and LSD Statistical tests at significance level of p TAC increased significantly after 10 weeks in Rc.L supplement group and insulin resistance index significantly decreased in 1, 2 and 3 groups. Also anthropometric measures (weight, body mass index & etc) were significantly decreased in 1, 2 and 3 groups (p Given that Rc.L supplementation along aerobics and walking activity, has favorable effects on total antioxidant capacity, insulin sensitivity, blood glucose and anthropometric indices in people with type 2 diabetes. So it can be used as a complementary therapy along with medications to control diabetes and prevent its complications.

Hypercom perfuratum has medicinal properties in traditional medicine with antidepressant and anti-microbial effects. In this study, a new form of aqueous extract of Hypercom was prepared as a micro emulsion form, and its antimicrobial properties was investigated in comparison with ordinary aqueous extract on clinical strains of gram-negative bacteria.
Ten types of clinical strains were investigated in this work. Hypericum extract was prepared by water in boiling temperature and micro emulsion with the help of two types of emulsifiers. Antibacterial properties of the two materials were performed by determining the inhibition zone in a disk diffusion method and the measurement of minimum inhibitory concentrations (MIC) by the microplate dilution and a ELISA reader device.
Salmonella typhi has the highest zone of inhibition around 42 mm at a concentration of 8 mg/ml for extract and 30 mm in 0.1mg/ml micro emulsion but Pseudomonas had no zone. The MIC with microplate for Salmonella had greatest effect on the amount of 0.01563 mg/ml for Shigella concentration of 0.00625 mg/ml respectively. MIC for E. coli and Proteus extract 0.5 mg/ml and the microemulsion 0.025 mg/ml for both bacteria.
Comparison of Hypercom extract and its microemulsion form on gram negative bacteria confirmed that microemulsion in lower concentrations had the antibacterial effect equal to aqueous extract. The use of microemulsion of the extract was recommended in clinical study of herbal medicines.

Considering the high prevalence of obesity in the world and Iran, its serious complications, failure of standard treatments in many patients, and recent trends towards complementary medicine, awareness of the effectiveness and side effects of such therapies seems necessary. This research aimed to review the effectiveness, safety and side effects of complementary medicine in obesity.
Databases including MEDLINE, SCOPUS and Scientific Iranian Database were searched in English and Persian languages using “obesity, overweight, herbal medicine, integrative medicine, complementary medicine , agar, psyllium, alpha lipoic acid, conjugated linoleic acid, diacylglycerol, aloe, caffeine, calcium, bean pod, vitamin D, acupuncture, and …” as key words. All randomized controlled trials, in vitro and in vivo studies, systematic reviews and meta analysis were included. Then, information regarding those herbs were searched in the herbal and Persian Medicine references, along with the related products in Iranian pharmacopoeia through English and Persian references.
In total eighty six articles were found related to the subject among which 79 fulfilled the inclusion criteria, entered the study and were reviewed. Among the herbs and supplements used for weight control Agar, psyllium, Alpha lipoic acid, conjugated linoleic acid, diacylglycerol, aloe, caffeine, calcium, bean pod, vitamin D have acceptable scientific evidence for efficacy and safety. Among non-herbal complementary therapies, yoga and meditation have shown promising scientific evidence.
Agar, psyllium, Alpha lipoic acid, conjugated linoleic acid, diacylglycerol, aloe, caffeine, calcium, bean pod, vitamin D, yoga and meditation could be suggested as complementary and integrative treatments besides the standard treatment of obesity, with acceptable effectiveness and safety.