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Table 1 Characteristics of included studies (manual acupuncture vs. artificial tears)

From: Optimizing acupuncture treatment for dry eye syndrome: a systematic review

First author

Year

Site

Sample sizea

Age

Gender (M/F)

Regime (acupoints)

Duration (min)

Frequency (per week)

Total sessions

Outcomes

Nepp [12]

1998

Austria

52 (30/22)

N/A

N/A

GB1, BL2, ST5, EX-HN2, LI4, SI3, LI3, KI6, TE5

30

1

10

ST, BUT, drop frequency

He [13]

2004

China

32 (16/16)

52

12/20

Pattern identification was done by practitioner (ST2, LI20, LI11, LI4, SP6 OR

ST2, SP10, SP9, SP6, ST36, KI6)

20–25

3–4 (every other day)

30

ST, BUT, CFS

Wang [14]

2005

China

45((A)15, (B)15/15)

51.7

17/28

(A) Pattern identification was done by practitioner (LI11, LI4 SP6, KI3, ST2, LI20 or ST2, SP10, SP9, ST36, SP6, ST40)

(B) BL2, TE23, GB14, ST1

20–25

3–4 (every other day)

20

ST, BUT, CFS, RR

Tseng [15]

2006

Taiwan

26 (17/9)

48.9

12/14

Ex-HN5, TE23, GB14, ST2, SP6

20

2

16

ST, BUT, Number of application of artificial tears

Zhang [16]

2009

China

60 (30/30)

44

23/37

ST1, LR3, KI3

20

N/A

N/A

ST, BUT, total symptoms

Gong [17]

2010

China

42 (20/22)

44.8

11/33

BL1, BL2, GB14, SJ23, Ex-HN5, ST2, LI4, LR3, GB37, SP6, GB20

20

3 (every other day)

10

ST, BUT, RBS recording, total score

Gao [18]

2010

China

56 (28/28)

48.9

3/53

BL1, BL2, TE23, GB1,Ex-HN5

30

6

24

ST, BUT, total score

Shi [19]

2012

China

68 (33/35)

49.5

30/38

Ex-HN1, BL1, ST1, Ex-HN5, TE23, LI4, ST36

25

3

9

ST, BUT, tear lactoferrin concentration

Kim [20]

2012

Korea

150 (75/75)

42

41/109

BL2, GB14, TE23, Ex-HN5, ST1, GB20, LI4 LI11, GV23

20

3

12

OSDI, VAS, BUT, ST, MYMOP-2

Nan [21]

2014

China

60 (30/30)

48.1

25/35

Eye acupuncture (liver/gallbladder area, kidney area, spleen stomach area, upper jiao area)

15–20

7

20

ST, BUT, total score

Zhang [22]

2015

China

80 (40/40)

53

28/52

Hair needle therapy (superior and inferior lacrimal puncta)

10

3–4 (every other day)

7

ST, BUT, CFS, total score

NI [23]

2016

China

93((A)30, (B)32/31)

33.3

36/57

(A) BL1, Ex-HN7, SP6, KI3, GV26

(B) BL1, Ex-HN7, SP6, KI3

20

3

9

ST BUT, subjective symptom score

Chao [24]

2016

China

53((A)18, (B)19/16)

48.9

15/38

(A), (B) GB20, Ex-HN5, BL2, ST2, LR3, KI3, SP6, SP6, ST36, ST37 (A) applied a qi-absorption needling technique to the GB20

30

7

28

ST, BUT, VAS, CFS total score

Liu [25]

2017

China

28 (14/14)

60.7

0/28

BL2, BL3, TE23, Ex-HN5, ST2, LI4, GB20, GV20, ST1

30

3

24

ST, BUT, OSDI, questionnaire, protein analysis

  1. M/F male/female, ST Schirmer’s test, BUT break-up time, CFS corneal fluorescein staining, RBS Rose-Bengal staining, RR response rate, OSDI ocular surface disease index, a questionnaire
  2. aTotal sample size (number who received manual acupuncture/number who received artificial tears)