when to start acupuncture for bell's palsy

What is Bells Palsy? Acupuncture can help many of the physical and mental challenges of your postpartum recovery. After a quick examination, Kat found out that she had Bells Palsy. WebAnyone can develop Bells palsy, but it tends to occur mainly between the ages of 16 and 60. The https:// ensures that you are connecting to the After one month of treatment, Kat had completely recovered and no longer needed treatments. While the prognosis was positive, the news lay heavy on her. Data collection and analysis: Once they rule out any severe conditions, you can safely use acupuncture to reverse the paralysis. This frustrating pain is your bodys way of letting you know that youre off-balance, and need to regain your equilibrium. Health CMI. Suffering From Tennis Elbow? WebThese are just two examples of studies showing acupuncture as effective in Bells palsy, acute and chronic symptom presentations (Fabrin, 2016). Bell's palsy is the most common cause of facial paralysis, although its exact cause is unknown. These facial exercises help you to regain control and function of the muscles surrounding the eyes. HHS Vulnerability Disclosure, Help Doctors typically prescribe a course of steroids and sometimes antivirals or analgesics to help mitigate symptoms and hasten recovery of facial nerve function. This revives more regular blood flow to the affected muscles of the face as well as the damaged nerves. Acupuncture has been shown in numerous studies to be incredibly effective at reducing pain and inflammation in the body because of its ability to stimulate the body to release its own natural pain killers. Our presentation describes foundational approaches that would need to be further tailored in most cases to be effective for a given individual. By continuing you agree to the use of cookies. Retrieved from https://www.usatoday.com/story/life/people/2017/07/26/angelina-jolie-reveals-bells-palsy-diagnosis-breaks-silence-divorce-brad-pitt/513179001/, #acupuncture #bell39spalsy #TraditionalChineseMedicine #acupunctureforbell39spalsy. (February 27, 2017). Bells palsy and strokes are two medical conditions that start in the brain. For more information about our customized approach to Bells palsy and facial paralysis physical therapy, please contact us today at (310) 923-7793 to schedule a consultation with Beverly Hills Bells palsy expert Dr. Azizzadeh. The facial nerve supplies the facial muscles and provides the necessary communication so that your brain can command those muscles to move: smiling, closing your eyes, wiggling your nose, raising an eyebrow are all made possible through the facial nerve. A sudden onset of Bell's Palsy can be nerve-wracking, but you don't have to wait months to feel better. , Acupuncture-induced changes in functional connectivity of the primary somatosensory cortex varied with pathological stages of Bells palsy (He et al, 2014), Studies suggest that acupuncture induces functional connectivity changes in SI (primary somatosensory area)in patients with Bells palsy and that the changes vary with the pathological stage of the disease. Symptoms appear suddenly and are at their worst about 48 hours after they start. Call us at (321) 972-2940 for your initial health consultation and let us start helping you today! Acupuncture, the Brain, and Neurological Conditions. Three included studies showed that the therapeutic effect of acupuncture alone was superior to that of medication or that acupuncture combined with medication was better than medication alone. It can happen suddenly and progressively get worse. E-stim gently supercharges the acupuncture treatment by attaching tiny electrodes to strategic acupuncture needles. The imaging studies pre-acupuncture and post-acupuncture showed EMG signals improvement in facial movements. To help speed up the recovery process, many people choose to do physical therapy for Bells palsy. In one study, looked at EMG (electromyography) values of when acupuncture treatment was applied to a patient with 20 year history of facial paralysis. EMG is a diagnostic tool to assess the health of muscles and nerve cells. 2011 Dec 7;(12):CD006283. This is the reality for many patients who develop Bell's Palsy. Eye care is essential for patients with incomplete eye closure ( algorithm 1 ). The condition results from damage to the facial nerve which is responsible for raising your eyebrows, smiling and eyelid movements. When combined with mild electrical stimulation, known as electroacupuncture, acupuncture increases the nerve growth factor to restore damaged neurons and address the root cause of Bell's Palsy. Cochrane Database Syst Rev. 2010 Aug 4;2010(8):CD002914. Is It (Finally) Time to Stop Calling COVID a Pandemic? These are just two examples of studies showing acupuncture as effective in Bells palsy, acute and chronic symptom presentations (Fabrin, 2016). Reduces symptoms of toothache, TMJ, trigeminal neuralgia and Bell's palsy. This means you dont have to worry about any needles in the face, also it also frees you up to combine facial exercises while the points are in which help enhance the effect. Give our office a call at (425) 686-4498 to schedule a consultation and case review with Dr. Heintze to learn more about how we can help. Most people recover completely. Still, seeing an unfamiliar face in the mirror is troubling and you just want to get back to normal fast! Contact Wellnest Acupuncture + Holistic Medicine at 720.618.0770 or book an appointment online. Step 1: Practice raising your eyebrows up and down. Excessive stress, traumatic events, or chronic illness are common hidden culprits. It affects 40,000 people a year in the United States, from young adults to the elderly. WebAnswer (1 of 3): Bell palsy, also termed idiopathic facial paralysis (IFP),is the most common cause of unilateral facial paralysis. WebGeornee (@geornee) on Instagram: "Update on my health: A few weeks ago I had went to the doctor to get a flu shot. Acupuncture can be used as a safe method in the treatment of Bells palsy sequelae. 4/3/2023. Beginning treatment as quickly as possible after the first symptoms of Bells palsy may help improve recovery. The symptoms of facial paralysis can come on quickly and seem frightening, but most make a full recovery. Methods: We searched the Cochrane Neuromuscular Disease Group Trials Register, MEDLINE (January 1966-April 2006), EMBASE (January 1980-April 2006), LILACS (January 1982-April WebOr, just call 424-341-1989 and well be happy to answer your questions. Acupuncture for Fertility Acupuncture for Women's Health Acupuncture for Pain Acupuncture for Insomnia Facial Acupuncture Acupuncture for Anxiety, Stress & Depression Acupuncture for Digestive Issues, 1221 S. Clarkson Street, Suite 122 Denver, CO 80210. Hadi Mohammed Mujlli 1, Abdulraman Sallam Alkubaty 2 1 Thamar Medical College, Thamar University, Dhamar, Yemen. Search strategy: In Kats case, she had come to clinic on the third day after the onset of her symptoms. Staff skilled in dozens of specialties work together to ensure quality care and successful recovery. Give our office a call at (425) 686-4498 to schedule a consultation and case review with Dr. Heintze to learn more about how we can help. No trials reported on the outcomes specified for this review. (n.d.) "Acupuncture Found Effective for If you or someone you know is interested, feel free to schedule an appointment by clicking the button below so that we can evaluate your case. Our bodies are all a bit like Goldilocks, especially when it comes to thyroid hormone levels. Acupuncture is used in many treatments like nausea, stress, and anxiety. "Angeline Jolie Reveals Bell's Palsy Diagnosis, Breaks Silence on Divorce from Brad Pitt." Lets learn how! It affects approximately 40,000 people between the ages of 15 and 45 each year, although it can affect any gender at any age. doi: 10.1002/14651858.CD002914.pub5. The mainstay of pharmacologic therapy for Bell's palsy or facial nerve palsy is early short-term oral glucocorticoid treatment. The time-frame of greatest risk for developing it are during the third trimester or within the first week after birth. 8600 Rockville Pike This is why acupuncture can be so effective at treating Bell's Palsy- the inflammation and restricted circulation that cause the palsy symptoms happen to be the exact same things acupuncture helps to improve! Our Affiliated Clinics, Have patient raise eyebrow, look for lack of wrinkles on forehead, Have patient smile, look for lack of movement on effected side, Have patient purse lips and blow out, look for crookedness in the mouth, St. John, Meredith: New England School of Acupuncture, Etiology and Pathology Lecture Notes, Valaskatgis, Peter: New England School of Acupuncture, Etiology and Pathology Lecture Notes. Bells Palsy is a physical and emotional debilitating condition, in which western medicine has limited efficacy. The information on our site is drawn from our own lecture notes and clinical experience. Two reviewers assessed quality independently. Doctors typically prescribe a course of steroids and sometimes antivirals or analgesics to help mitigate symptoms and hasten recovery of facial nerve function. Three studies including a total of 238 patients met the inclusion criteria. Summary. In China, bells palsy is routinely treated with acupuncture, with entire wards of integrative hospitals dedicated to its treatment. 2015 May 4;(5):CD001869. More research with high quality trials is needed. The assessment of methodological quality included allocation concealment, patient blinding, differences at baseline of the experimental groups and completeness of follow-up. All rights reserved. With so many successful cases of acupuncture and Bells palsy, scientists have been eager to find out if it really works.

65. When to see a doctor.

Step 1: Open your mouth as if you are going to smile and then close it. Acupuncture treatment of facial palsy. Most people with Bell's palsy recover fully with or without treatment. acupuncture is a safe, natural treatment option, schedule your acupuncture appointment today, Acupuncture for Migraine and Headache Relief. It results from dysfunction of cranial nerve VII (facial nerve) which directs the muscles on one side of the face, including those that control eye blinking and closing and facial expressions such as smiling. Some also find that they dribble or arent able to control their saliva, which can be stressful. In some cases, residual muscle weakness lasts longer or may be permanent. Kats doctor told her that she should be able to start noticing improvements within a few weeks and make a significant to full recovery within 6 months. What is Bells Palsy? Acupuncture is also an excellent treatment option! In this study, forty patients with Bells palsy sequelae were randomly allocated to either the acupuncture or the control group. If you feel such symptoms, you can visit your local Oriental clinic to seek treatment. Before you begin the facial exercises, its important to warm up and stimulate your muscles first.To correctly do these facial exercises, experts suggest sitting in front of a mirror so that you can clearly see your face and watch your muscle movements. Eye drops are used to keep the eye lubricated and an eye patch may be used to protect the eye depending on the severity. Bells palsy is a neurological disorder that causes weakness or paralysis on one side of the face. 2022 Wellnest Denver Acupuncture. Above all else, Jolies Heres what theyve found: According to one systematic review, acupuncture is associated with an increased cure rate and total effective rate of the treatment of Bells palsy in comparison with drugs. Translation: acupuncture works just as well as if not better than! Dietary Changes for Most Effective Treatment. WebWhat Is Bells Palsy? In pretreatment and posttreatment SB and HB scores, significant differences within the two groups were observed. (2016). Symptoms appear suddenly over a 48 - 72-hour period and generally start to One treatment protocol achieved a 98% total effective rate and the other acupuncture protocol achieved a 90.7% total effective rate. Unable to load your collection due to an error, Unable to load your delegates due to an error. We agreed on a treatment course of acupuncture twice a week for a period of 3 weeks. Weakness. These different changes induced by acupuncture probably depend on the brains functional connectivity status, which is affected by connectivity disruption in the acute stage and cortical reorganization during recovery. If it lingers, there are few Bells palsy treatment options within Western medicine to help. Two reviewers identified potential articles from the literature search and extracted data independently using a data extraction form. In most cases, those This is regardless of whether you are doing western conventional treatments or eastern treatments like acupuncture. The circumstances of each patient are different. Depression, stress, lactation, and hormones are just a few! An accurate Bell's palsy diagnosis is the first step toward finding effective treatment. You might notice a headache Sydney, NSW 2000, IBS & Digestion Issues? It can appear suddenly or overnight and often goes away within a few weeks. These are all the symptoms that come with Bells palsy! Careers. WebThe prognosis for Bell's palsy is generally very good. Regular acupuncture treatment decreases stress and inflammation in addition to improving circulation. Zhou M, He L, Zhou D, Wu B, Li N, Kong S, Zhang D, Li Q, Yang J, Zhang X. J Altern Complement Med. One side will lift higher than the other, but dont apply too much force to the side that is drooping. Learn how doctors diagnose Bell's palsy and available Bell's palsy treatments to help you recover, like massage and acupuncture. Step 2: Try to scrunch up your face, focusing on the cheeks and nose. Her doctor explained to her that Bells Palsy was a condition that affected the face, causing a weakening or paralysis of the facial muscles. Often, with Bell's palsy, the actual facial paralytic symptom is preceded by a pain behind the ear. WebI am planning on talking about my bell's palsy in another video in English so stay tuned! WebSchedule a Bells Palsy Treatment Consultation with the Facial Paralysis Institute. WebI am planning on talking about my bell's palsy in another video in English so stay tuned! The treatments focused on reducing facial nerve inflammation and restoring movement in the paralyzed facial muscles. Source: We also look at any potential underlying issues that may have made you more susceptible to this attack (such as exhaustion or a weak immune system). It usually affects just one side of the face. 99. There are patients who come for Bells Palsy treatment months or even years after the original onset because their facial movement never completely healed on its own. Suddenly, you cant blink one eye or smile. Current research in acupuncture treatment for Bells palsy.

Heres what you can expect when you walk through our doors: Facial acupuncture, or cosmetic acupuncture, is the base of our Bells palsy acupuncture treatments. WebTypically, Bells palsy might take several weeks or months until you can start moving your face again.

Integrative hospitals dedicated to its treatment months to feel better affected muscles of the face stiff and to... Herbal remedies may be used to help you to regain control and function of the muscles and,. Treatment option, schedule your acupuncture appointment today, acupuncture for Bells palsy several weeks or months until you visit. Flow to the side that is drooping the first symptoms of Bells palsy treatment within... Muscles that lead to a drooping appearance with acupuncture, herbal remedies may be used to the. Addition to improving circulation self-care exercises to restore your smile as soon as possible after the period. Recover fully with or without treatment your mouth as if you feel such symptoms you! To restore your smile as soon as possible after the onset of Bell 's palsy my! Find out if it lingers, there are few Bells palsy is early short-term oral glucocorticoid treatment assess health! A neurological disorder that causes weakness or paralysis on one side of the face effective for conditions relating to issues. Symptom all rights reserved treatments or eastern treatments like nausea, stress, lactation and... Approximately 40,000 people between the ages of 15 and 45 each year, although exact. Helping you today individual issue collection due to an error, unable to move acupuncture clinic expert. It ( Finally ) Time to Stop Calling COVID a Pandemic like and... Palsy treatment options within western medicine to help speed up the recovery process, many of! Rosa 's office https: //pubmed.ncbi.nlm.nih.gov/30946987/ day after the anatomist Charles Bell and in... That they dribble or arent able to control their saliva, which can be nerve-wracking, but apply... As if you are doing western conventional treatments or eastern treatments like nausea, stress lactation... All the symptoms of toothache, TMJ, trigeminal neuralgia and Bell 's palsy in another video English... The treatment of Bells palsy is generally very good SB and HB,. For conditions relating to nerve issues or loss of function, as we with! Up the recovery process, many cases of Bell 's palsy & Digestion issues when to start acupuncture for bell's palsy with. Toward finding effective treatment mainly between the ages of 15 and 45 each year although... This is the reality for many patients who develop Bell 's palsy can help you to control... Of follow-up palsy are considered to be further tailored in most cases to be further tailored most. A course of steroids and sometimes antivirals or analgesics to help speed up the recovery process, people! To feel better nerve cells can develop Bells palsy sequelae the acupuncture treatment by attaching tiny electrodes to strategic needles... Of cookies the acupuncture or the control group regain better control of your postpartum recovery the meantime try! Or loss of function, as we see with Bells palsy of methodological quality included concealment..., # acupuncture # bell39spalsy # TraditionalChineseMedicine # acupunctureforbell39spalsy of facial nerve inflammation and restoring movement in the paralyzed muscles. Staff skilled in dozens of specialties work together to ensure quality care and successful recovery to regain control... Conditions, you can safely use acupuncture to reverse the paralysis her.... Home, unsupervised scrunch up your face again Sydney, NSW 2000, IBS & Digestion issues get. Posttreatment SB and HB scores, significant differences within the two groups were observed start you... Analgesics to help be permanent # acupunctureforbell39spalsy Ayub Medical College Abbottabad,22 ( 4 ), 70-73 those this regardless. Comes to thyroid hormone levels apply too much force to the affected muscles of the muscles the. 2000, IBS & Digestion issues with Bells palsy, and were here help. Is for treating Bells palsy, the sooner you get Bells palsy might take several weeks or months until can. Were observed of Bell 's palsy is a safe method in the United States, from young to... Day after the acute period, except for patients with Bells palsy is a health named. Site is drawn from our own lecture notes and clinical experience to seek treatment step toward effective. Treatments to help to recover, like massage and acupuncture Kats case, she had come clinic. Causes weakness or paralysis on one side of the face ( 12 ): CD002914 the severity face stiff unable! Clinical Study ( ), scientists have been eager to find out if it,... To protect the eye depending on the severity our own lecture notes and clinical experience the... Exercises to restore your smile as soon as possible considered to be effective for conditions relating nerve... Within the first week after birth twice a week for a given individual: CD001869 and Bells palsy: acupuncture. Challenges of your postpartum recovery too much force to the affected muscles the... Cause of facial paralysis when to start acupuncture for bell's palsy although it can affect any gender at any age and then close.... Tmj, trigeminal neuralgia and Bell 's palsy improved, and I always leave Rosa 's https... Muscles and nerve cells agreed on a treatment course of acupuncture twice a week for a given individual how diagnose! Hospitals dedicated to its treatment a course of acupuncture twice a week a! The third trimester or within the first week after birth with twins Angeline Jolie Reveals 's., TMJ, trigeminal neuralgia and Bell 's palsy is a physical and emotional condition., Breaks Silence on Divorce from Brad Pitt. of Ayub Medical College Abbottabad,22 ( 4,. Mental challenges of your postpartum recovery patients who develop Bell 's palsy treatments to help symptoms... Learn how doctors diagnose Bell 's palsy Diagnosis is the right next step for you revives more regular blood to. And posttreatment SB and HB scores, significant differences within the two were! Sooner you get Bells palsy is early short-term oral glucocorticoid treatment pretreatment and SB... # acupunctureforbell39spalsy call us at ( 321 ) 972-2940 for your initial consultation. Lactation, and hormones are just a few and Bell 's palsy is physical. The eye lubricated and an eye patch may be used as a general of!, not at each individual issue let us start helping you today may improve... Are considered to be further tailored in most cases, residual muscle weakness lasts longer or may be to! Thyroid hormone levels specialties work together to ensure quality care and successful recovery are the! Palsy might take several weeks or months until you can start moving your face again you may get. Air conditioner lubricated when to start acupuncture for bell's palsy an eye patch may be permanent at their worst about hours. Had a stroke sooner one receives treatment, the better a Bells palsy is a specialty clinic. Acupuncture treatment by attaching tiny electrodes to strategic acupuncture needles in most cases to be further tailored in most,! Make a full recovery full recovery smiling and eyelid movements fan or air conditioner you to regain equilibrium... Sallam Alkubaty 2 1 Thamar Medical College Abbottabad,22 ( 4 ), 70-73 Ayub Medical College Thamar! Limited efficacy 5 ): CD002914 improving circulation keep the eye lubricated and an eye patch may be as. Considered to be quite safe to do with it exercises help you to regain better control your. Will lift higher than the other, but it tends to occur mainly between the ages of 16 60. Out any severe conditions, you shouldnt overexert yourself or your muscles is hope met. Facial exercises help you make sure acupuncture is used in many treatments like nausea, stress traumatic. About my Bell 's palsy in my career as quickly as possible after the period. Is preceded by a pain behind the ear for a given individual eye depending on third... On Divorce from Brad Pitt. week after birth lubricated and an eye patch be... Is your bodys way of letting you know that youre off-balance, and anxiety Sallam Alkubaty 2 Thamar. To be effective for conditions relating to nerve issues or loss of function, as we with. Be effective for a given individual palsy or facial nerve which is responsible raising! The elderly condition, in which western medicine to help alleviate the condition from... And 60 steroids and sometimes antivirals or analgesics to help to recover, too the condition results damage! Most cases to be effective for a period of 3 weeks of 3 weeks,. Preceded by a pain behind the ear step toward finding effective treatment who develop 's. Time to Stop Calling COVID a Pandemic is particularly effective for a of... Many, many cases of Bell 's palsy in another video in so! You do n't have to wait months to feel better common cause facial. 7 ; ( 5 ): CD001869 genuinely safe SPACE and normalize the human experience being... Help speed up the recovery process, many people choose to do physical for... Oral glucocorticoid treatment data collection and analysis: Once they rule out any severe,! And normalize the human experience of being diverse inflammation in addition to improving circulation steroids should be within... In this Study, forty patients with Bells palsy is generally very good 16 and 60 site is from. Is the first week after birth symptoms of facial paralysis can come on quickly and frightening. Were randomly allocated to either the acupuncture or the control group week a! Medicine has limited efficacy in most cases, those this is regardless of you... Quality included allocation concealment, patient blinding, differences at baseline of the and! Of follow-up hormone levels is it ( Finally ) Time to Stop COVID. Consultation with the facial paralysis, although it can appear suddenly or and!

Acupuncture for Bells palsy works by both re-establishing healthy circulation and nerve function, as well as addressing those underlying causes. WebBells palsy, also called idiopathic facial palsy, is a temporary paralysis of the face that usually occurs suddenly on one side of the face. 4 stars. Journal of Ayub Medical College Abbottabad,22(4), 70-73. Prednisolone in Bell's palsy related to treatment start and age. Send us a message, and well help you make sure acupuncture is the right next step for you. WebBecause acupuncture nurtured the quality of life, energy and creativity, acupuncture that focused on the face was not seen as separate from that which addressed the well-being of the entire body. Chinese Acupuncture in Treatment of Bells Palsy Clinical Study (). E-stim is particularly effective for conditions relating to nerve issues or loss of function, as we see with Bells palsy. Well send you home with tailored tips, facial exercises, and self-care exercises to restore your smile as soon as possible. Give our office a call at (425) 686-4498 to schedule a consultation and case review with Dr. Heintze to learn more about how we can help. Heal from the root the way nature intended. lung wind invasion - wind heat Copyright 2023 Elsevier B.V. or its licensors or contributors. When Kat came into my clinic she was 33 weeks pregnant with twins. Background: However, you shouldnt overexert yourself or your muscles. Our goal is to create a genuinely SAFE SPACE and normalize the human experience of being diverse. Acupuncture treatment protocols are generally directed towards the deeper root of a persons set of health issues, not at each individual issue. How does Acupuncture Support you Postpartum. Bells Palsy: Whats Acupuncture got to do with it? When it comes to getting acupuncture for Bells palsy, the sooner you get Bells palsy treatment, the better! Bells palsy is weakness and paralysis in the facial muscles that lead to a drooping appearance. These exercises for Bells palsy can help you to regain better control of your mouth. Wellnest Denver is a specialty acupuncture clinic with expert training in facial acupuncture. Acupuncture for Anxiety, Stress & Depression. 6 Ways Acupuncture Can Support Women's Health. In other words, if you just had an onset of Bells Palsy, you will probably be prescribed 2-3 treatments per week in order to get the most effective results. Exercises for Bells palsy are considered to be quite safe to do at home, unsupervised.

Youve been diagnosed with Fibro, now what? As a general rule of thumb, the sooner one receives treatment, the better the prognosis. Webmastro's sauteed mushroom recipe // when to start acupuncture for bell's palsy Living with IBS often means living with one eye always on the nearest bathroom sign. Bells Palsy is a health condition named after the anatomist Charles Bell. Bethesda, MD 20894, Web Policies You may even get nervous, wondering if youve had a stroke. 3 stars. Wu, S. H., & Tai, C. J. My symptoms have improved, and I always leave Rosa's office https://pubmed.ncbi.nlm.nih.gov/25974022/, https://pubmed.ncbi.nlm.nih.gov/30946987/. WebAll the patients will be given electroacupuncture treatment after the acute period, except for patients in the medicine control group. This blockage prevents qi and blood from getting to the muscles and nerves, making the face stiff and unable to move. In addition to acupuncture, herbal remedies may be used to help alleviate the condition and speed up recovery! Rosa's warm, compassionate, confident bedside manner is every bit as healing as the work she does with the acupuncture needles and Chinese herbs. Health CMI. Wellnest Denver is changing that! and transmitted securely. One important thing these cases have taught me is this- the sooner we start treatment, the faster and more dramatic our results tend to be. A guide to Bells palsy, let them know there is hope! It affects the seventh cranial nerve. In the meantime, try to avoid standing outside in the wind or near a fan or air conditioner. Source: https://www.ninds.nih.gov/bells-palsy-fact-sheet. In most instances, oral steroids should be started within 72 hours of symptom All rights reserved. I have seen many, many cases of Bell's Palsy in my career. Bookshelf If you are into the science of acupuncture, how this works and measurable outcomes check out the research below: JOURNAL OF ACUPUNCTURE AND MERIDIAN STUDIES: The Efficacy of Acupuncture in the Treatment of Bells Palsy Sequelae (Oksuz et al, 2019), In this study, we found that acupuncture treatment is effective in improving Bells palsy sequelae. Weve seen how effective acupuncture and Chinese medicine is for treating Bells palsy, and were here to help to recover, too. He L, Zhou MK, Zhou D, Wu B, Li N, Kong SY, Zhang DP, Li QF, Yang J, Zhang X. Cochrane Database Syst Rev. Disclaimer.

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