{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T23:34:59Z","timestamp":1778196899194,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Medical Acupuncture"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Post-COVID syndrome (PCS) is a complex, multisystem illness that may follow SARS-CoV-2\/COVID-19 infection. As there is limited evidence for individual therapies and no singular treatment for PCS, guidelines endorse a multidisciplinary approach. This is a case report of a patient with PCS benefiting from a comprehensive approach including acupuncture with symptom-titrated physical activity (STPA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      A 50-year-old woman presented from a Long-COVID Clinic referral to an outpatient hospital-affiliated acupuncturist. She had 8 months of fatigue, anosmia, chest pressure, palpitations, and other symptoms following mild assay-confirmed COVID-19. Prior\/concurrent medical testing revealed multisystem-inflammatory involvement (pericardial effusion, thyroid dysfunction, and elevated\n                      <jats:sc>d<\/jats:sc>\n                      -dimers). Cardiology\/pulmonology cleared the patient for exercise to tolerance considering that serious pathology was absent. The acupuncturist's Traditional Chinese Medicine impression was of Qi Deficiency of the Heart, Lung, Spleen, and Kidney. This patient received 7 sessions of scalp, auricular, and body acupuncture. Physical-therapist (PT)-led STPA began 1-week post-acupuncture, involving 6 30-minute exercise sessions while monitoring her heart rate, with as-needed rest.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The patient's chest pressure and palpitations resolved after 1 acupuncture treatment. With 6 additional treatments, spanning 9 weeks, overlapping with PT-led SPTA, she recovered completely and resumed her normal exercise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Acupuncture appeared to facilitate PCS recovery. However, the independent effects of acupuncture are less clear, given the concurrent STPA\/exercise therapy, and should be explored using large study designs. Acupuncture is an attractive potential PCS therapy, considering its holistic approach and that it may be added to a multidisciplinary, guideline-concordant regimen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/acu.2021.0086","type":"journal-article","created":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T11:46:52Z","timestamp":1654516012000},"page":"177-183","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Acupuncture in Multidisciplinary Treatment for Post-COVID-19 Syndrome"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4714-1076","authenticated-orcid":false,"given":"Robert J.","family":"Trager","sequence":"first","affiliation":[{"name":"Connor Whole Health, University Hospitals Cleveland Medical Center, Cleveland, OH, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elise C.","family":"Brewka","sequence":"additional","affiliation":[{"name":"Connor Whole Health, University Hospitals Cleveland Medical Center, Cleveland, OH, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine M.","family":"Kaiser","sequence":"additional","affiliation":[{"name":"Connor Whole Health, University Hospitals Cleveland Medical Center, Cleveland, OH, USA."},{"name":"Department of Reproductive Endocrinology, School of Medicine, Case Western Reserve University, Cleveland, OH, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Patterson","sequence":"additional","affiliation":[{"name":"University Hospitals Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9581-0564","authenticated-orcid":false,"given":"Jeffery A.","family":"Dusek","sequence":"additional","affiliation":[{"name":"Connor Whole Health, University Hospitals Cleveland Medical Center, Cleveland, OH, USA."},{"name":"Department of Family Medicine and Community Health, School of Medicine, Case Western Reserve University, Cleveland, OH, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,6,16]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2021.0265"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n136"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-020-01616-x"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003773"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/23744235.2021.1924397"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-95565-8"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-048391"},{"issue":"125","key":"e_1_3_4_9_2","first-page":"71","article-title":"Guidelines for patient\u2013practitioner contact and TCM management in post-COVID syndromes","author":"Jiang D","year":"2021","unstructured":"Jiang D. Guidelines for patient\u2013practitioner contact and TCM management in post-COVID syndromes. J Chin Med. 2021;(125):71\u201379.","journal-title":"J Chin Med"},{"issue":"127","key":"e_1_3_4_10_2","first-page":"17","article-title":"The treatment of long COVID with Chinese Medicine: A case report","author":"Jania C","year":"2021","unstructured":"Jania C. The treatment of long COVID with Chinese Medicine: A case report. J Chin Med. 2021;(127):17\u201322.","journal-title":"J Chin Med"},{"key":"e_1_3_4_11_2","unstructured":"Safe Rehabilitation Approaches for People Living With Long COVID: Physical Activity and Exercise. London UK: World Physiotherapy 2021. Online document at: https:\/\/world.physio\/covid-19-information-hub\/long-covidAccessed November 4 2021."},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-20-0335"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2021.102947"},{"key":"e_1_3_4_14_2","author":"Tsivgoulis G","unstructured":"Tsivgoulis G, , Fragkou PC, , Karofylakis E, et al. Hypothyroidism is associated with prolonged COVID-19\u2013induced anosmia: A case\u2013control study. J Neurol Neurosurg Psychiatry. 2021;April 20:online pub ahead of print.","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/v13101997"},{"key":"e_1_3_4_16_2","first-page":"279","volume-title":"Acupuncture and Chinese Medicine: Roots of Modern Practice, 1st ed","author":"Buck C.","year":"2014","unstructured":"Buck C. The Qing Dynasty and the early 20th century. In: Acupuncture and Chinese Medicine: Roots of Modern Practice, 1st ed. London: Singing Dragon; 2014:279\u2013324."},{"issue":"2","key":"e_1_3_4_17_2","first-page":"16","article-title":"Approaching COVID-19 as damp toxin","volume":"17","author":"Zhao J","year":"2020","unstructured":"Zhao J, , Flanagan C. Approaching COVID-19 as damp toxin. Lantern. 2020; 17(2):16\u201323.","journal-title":"Lantern"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2020.560448"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.imr.2021.100801"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/513638"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000230622.16367.fb"},{"issue":"5","key":"e_1_3_4_22_2","first-page":"622","article-title":"Understanding and prevention of d-dimer elevation in coronavirus disease 2019 in Traditional Chinese Medicine [in Chinese ]","volume":"32","author":"Wang Q","year":"2020","unstructured":"Wang Q, , Wang C, , Mei J, , He L, , Li J, , Liu S, , Chen F. Understanding and prevention of d-dimer elevation in coronavirus disease 2019 in Traditional Chinese Medicine [in Chinese ]. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2020; 32(5):622\u2013624.","journal-title":"Zhonghua Wei Zhong Bing Ji Jiu Yi Xue"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1142\/S0192415X0700476X"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/4016952"}],"container-title":["Medical Acupuncture"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/acu.2021.0086","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/acu.2021.0086","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/acu.2021.0086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:06:53Z","timestamp":1777392413000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/acu.2021.0086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1089\/acu.2021.0086"],"URL":"https:\/\/doi.org\/10.1089\/acu.2021.0086","relation":{},"ISSN":["1933-6586","1933-6594"],"issn-type":[{"value":"1933-6586","type":"print"},{"value":"1933-6594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}