Exploring the impact of auricular acupressure and nutritional assistance, enhanced with ferulic acid supplementation, on pediatric cough variant asthma: An observational study.
In a retrospective observational study, the combination of auricular acupressure with ferulic acid supplementation was associated with enhanced symptom relief, lung function, and quality of life in children with cough variant asthma compared to standard care only.
Key Findings
Results
The treatment group showed significantly greater reductions in Cough Severity Index (CSI) scores at all follow-up time points compared to controls.
CSI reductions were measured at 3, 6, and 12 months post-treatment initiation
Differences in CSI scores between treatment and control groups were statistically significant (P < .05) at all three time points
The treatment group received auricular acupressure combined with ferulic acid supplementation
The control group received standard care only
Results
Improvements in lung function indices FEV1 and FVC were more pronounced in the treatment group than in the control group.
Differences in FEV1 and FVC improvements between groups were statistically significant (P < .01)
The more stringent significance threshold (P < .01) suggests a stronger effect on pulmonary function than on symptom scores
Lung function was assessed as a secondary outcome alongside quality-of-life measures
Results
Quality-of-life scores as measured by the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) increased significantly among patients receiving the integrative therapy.
PAQLQ was used as a secondary outcome measure
Quality-of-life improvements were described as significant in the treatment group
The study included 236 children diagnosed with CVA treated between April 2022 and November 2024
Patients were treated at the Department of Traditional Chinese Medicine, Gongli Hospital of Shanghai Pudong
Methods
The study was a retrospective observational study of 236 pediatric patients with cough variant asthma categorized into treatment and control groups based on treatment received.
Medical records of 236 children diagnosed with CVA were reviewed
Patients were categorized into a treatment group (auricular acupressure plus ferulic acid supplementation) or a control group (standard care only) based on treatment received, not randomization
The study covered the period April 2022 to November 2024
Primary outcome was change in Cough Severity Index (CSI); secondary outcomes included PAQLQ scores and pulmonary function tests
Conclusions
The authors concluded that the integrative approach warrants further prospective and randomized investigations to validate its clinical value.
The findings are limited by the retrospective, non-randomized observational design
The authors explicitly acknowledged the need for prospective and randomized studies
Cough variant asthma is described as a common cause of chronic cough in children that significantly affects health and quality of life
The study was framed as exploring 'potential complementary treatment strategies'
Ye L, Guo Y, Zhou J, Mi Y, Zhao J, Cao X. (2025). Exploring the impact of auricular acupressure and nutritional assistance, enhanced with ferulic acid supplementation, on pediatric cough variant asthma: An observational study.. Medicine. https://doi.org/10.1097/MD.0000000000046106