REDUKSI NYERI LAMBUNG DENGAN AKUPUNKTUR JIN’S THREE NEEDLE PADA PRAKTIK KLINIK: STUDI PRA-EKSPERIMENTAL
DOI:
https://doi.org/10.54040/jpk.v16i1.379Keywords:
akupunktur, nyeri lambung, praktik klinikAbstract
Abstract: Gastric pain is one of the most common gastrointestinal complaints, significantly affecting patients' quality of life, particularly in functional dyspepsia, which often does not respond optimally to pharmacological therapy. Acupuncture has emerged as a complementary therapy with potential benefits, yet evidence in real-world clinical practice remains limited. This study aims to analyze the changes in gastric pain intensity before and after Jin’s Three Needle acupuncture and measure its clinical effect size. A pre-experimental design with a one-group pretest-posttest approach was applied to 25 participants selected via consecutive sampling in a private clinic. The intervention consisted of six sessions, administered three times a week. Pain intensity was measured using the Numeric Rating Scale (NRS), and the data were analyzed using the Wilcoxon Signed Rank Test with a significance level of 0.05 and effect size calculation (r). The results revealed a statistically significant reduction in pain intensity (p < 0.001), with a median pain score decreasing from 6 (IQR 6–8) to 3 (IQR 2–4). The effect size of r = 0.86 indicates a large clinical impact. Most respondents showed improvement, with pain intensity shifting from moderate and severe pain to mild or no pain. This study concludes that Jin’s Three Needle acupuncture is clinically effective in reducing gastric pain in real-world clinical settings and holds potential as an integrative complementary therapy. Further research with a more robust design is required to strengthen the validity of these findings and expand clinical implementation.
Keywords: Acupuncture, Jin’s Three Needle, Complementary Therapy, Gastric Pain, Clinical Effect
Abstrak: Nyeri lambung merupakan salah satu keluhan gastrointestinal yang sering terjadi dan berdampak pada kualitas hidup pasien, terutama pada dispepsia fungsional yang tidak selalu responsif terhadap terapi farmakologis. Akupunktur menjadi salah satu terapi komplementer yang berkembang, namun bukti berbasis praktik klinik nyata masih terbatas. Penelitian ini bertujuan untuk menganalisis perubahan intensitas nyeri lambung sebelum dan sesudah terapi akupunktur Jin’s Three Needle serta mengukur besar pengaruh klinisnya. Penelitian ini menggunakan desain kuantitatif pra-eksperimental dengan pendekatan one-group pretest-posttest pada 25 responden yang dipilih secara consecutive sampling di klinik praktik mandiri. Intervensi diberikan sebanyak enam sesi dengan frekuensi tiga kali per minggu. Intensitas nyeri diukur menggunakan Numeric Rating Scale (NRS) dan dianalisis menggunakan Wilcoxon Signed Rank Test dengan tingkat signifikansi 0,05 serta perhitungan effect size (r). Hasil penelitian menunjukkan penurunan signifikan intensitas nyeri (p < 0,001), dengan median skor nyeri menurun dari 6 (IQR 6–8) menjadi 3 (IQR 2–4). Nilai effect size sebesar r = 0,86 menunjukkan pengaruh besar dan bermakna secara klinis. Sebagian besar responden mengalami perbaikan dari nyeri sedang dan berat menjadi nyeri ringan atau tidak nyeri. Penelitian ini menunjukkan bahwa terapi akupunktur Jin’s Three Needle memiliki efek klinis kuat dalam menurunkan nyeri lambung dalam setting praktik nyata dan berpotensi menjadi terapi komplementer berbasis praktik klinik. Penelitian lanjutan dengan desain yang lebih kuat diperlukan untuk memperkuat validitas temuan dan memperluas implementasi klinis.
Kata kunci: Akupunktur, Jin’s Three Needle, Terapi Komplementer, Nyeri Lambung, Efek Klinis
References
Akupunktur: Ketahui Persiapan dan Prosedurnya - EMC Healthcare - SAME (no date). Available at: https://www.emc.id/id/care-plus/akupunktur-solusi-sehat-tanpa-obat-yuk-kenali-lebih-dekat-persiapan-dan-prosedurnya (Accessed: 19 April 2026).
Alnasralla, M.B. and Nasralla, B.H. (2026) ‘Placebo Effects in Modern Medicine: Mechanisms, Clinical Evidence, Limitations, and Future Directions’, Cureus, 18(1), p. e100612. Available at: https://doi.org/10.7759/CUREUS.100612.
Aulia Ramadhani Noho, A. et al. (2025) ‘Hubungan Stres dan Pola Makan dalam Manifestasi Sindrom Dispepsia: Studi Literatur’, Jurnal Penelitian Inovatif, 5(1), pp. 625–632. Available at: https://doi.org/10.54082/JUPIN.1322.
Box, G.E.P. and Cox, D.R. (1964) ‘An Analysis of Transformations’, Journal of the Royal Statistical Society Series B: Statistical Methodology, 26(2), pp. 211–243. Available at: https://doi.org/10.1111/J.2517-6161.1964.TB00553.X.
Chen, H. et al. (2024) ‘Acupuncture and moxibustion intervention in functional dyspepsia: Gastric and duodenal regulation’, Heliyon, 10(17), p. e35696. Available at: https://doi.org/10.1016/J.HELIYON.2024.E35696.
Chen, H. et al. (2025) ‘Efficacy and safety of two-step acupuncture therapy for symptom relief in adults with mild to moderate ulcerative colitis: rationale and design of the TSA-UC randomised controlled trial’, BMJ Open, 15(2), p. e094301. Available at: https://doi.org/10.1136/BMJOPEN-2024-094301.
Chen, S. et al. (2014) ‘Acupuncture for Visceral Pain: Neural Substrates and Potential Mechanisms’, Evidence-based Complementary and Alternative Medicine?: eCAM, 2014, p. 609594. Available at: https://doi.org/10.1155/2014/609594.
Chen, Y.J. et al. (2019) ‘What Is the Appropriate Acupuncture Treatment Schedule for Chronic Pain? Review and Analysis of Randomized Controlled Trials’, Evidence-based Complementary and Alternative Medicine?: eCAM, 2019, p. 5281039. Available at: https://doi.org/10.1155/2019/5281039.
Choi, H. et al. (2024) ‘Expectancy Effect of Acupuncture on Cancer-Related Outcomes: A Systematic Review’, Oncology nursing forum, 51(6), p. 547. Available at: https://doi.org/10.1188/24.ONF.547-564.
Choi, S., Yoon, S.H. and Lee, H.J. (2024) ‘Beyond measurement: a deep dive into the commonly used pain scales for postoperative pain assessment’, The Korean Journal of Pain, 37(3), pp. 188–200. Available at: https://doi.org/10.3344/KJP.24069.
Costa, V. et al. (2025) ‘The relevance of the real-world evidence in research, clinical, and regulatory decision making’, Frontiers in Public Health, 13, p. 1512429. Available at: https://doi.org/10.3389/FPUBH.2025.1512429.
Dobrozsi, S. and Panepinto, J. (2015) ‘Patient-reported outcomes in clinical practice’, Hematology. American Society of Hematology. Education Program, 2015(1), pp. 501–506. Available at: https://doi.org/10.1182/ASHEDUCATION-2015.1.501.
Egboh, S.M. et al. (2025) ‘Functional dyspepsia and gastroparesis: are they distinct disorders, a spectrum of diseases or one disease?’, eGastroenterology, 3(1), p. e100119. Available at: https://doi.org/10.1136/EGASTRO-2024-100119.
Huang, Z. et al. (2020) ‘Quantifying Liver-Stomach Disharmony Pattern of Functional Dyspepsia Using Multidimensional Analysis Methods’, Evidence-based Complementary and Alternative Medicine?: eCAM, 2020, p. 2562080. Available at: https://doi.org/10.1155/2020/2562080.
Krebs, E.E., Carey, T.S. and Weinberger, M. (2007) ‘Accuracy of the Pain Numeric Rating Scale as a Screening Test in Primary Care’, Journal of General Internal Medicine, 22(10), p. 1453. Available at: https://doi.org/10.1007/S11606-007-0321-2.
Lakens, D. (2013) ‘Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs’, Frontiers in Psychology, 4(NOV), p. 863. Available at: https://doi.org/10.3389/FPSYG.2013.00863/ABSTRACT.
Li, G. et al. (2025) ‘The relationship between the treatment frequency and efficacy of acupuncture: A scoping review of clinical trials’, Complementary Therapies in Medicine, 95, p. 103304. Available at: https://doi.org/10.1016/J.CTIM.2025.103304.
Li, X.-X. et al. (2026) ‘Efficacy and safety of acupuncture for functional dyspepsia: an updated meta-analysis of randomized controlled trials’, Frontiers in Medicine, 13, p. 1718632. Available at: https://doi.org/10.3389/FMED.2026.1718632.
Liver Qi Stagnation and Spleen Deficiency_Baiduwiki (no date). Available at: https://baike.baidu.com/en/item/Liver Qi Stagnation and Spleen Deficiency/1518937#2 (Accessed: 19 April 2026).
Ma, X.X. et al. (2024) ‘The relationship between gastrointestinal symptoms in FGID patients and D-type personality and emotion regulation strategies’, iScience, 27(6), p. 109867. Available at: https://doi.org/10.1016/J.ISCI.2024.109867.
Ma, X.X. et al. (2025) ‘Deciphering the psychological tapestry of FGIDs: unveiling the impact of negative affect, rumination, and expression suppression’, BMC Public Health 2025 25:1, 25(1), pp. 114-. Available at: https://doi.org/10.1186/S12889-024-21205-1.
MacPherson, H. et al. (2014) ‘Influence of Control Group on Effect Size in Trials of Acupuncture for Chronic Pain: A Secondary Analysis of an Individual Patient Data Meta-Analysis’, PLoS ONE, 9(4), p. e93739. Available at: https://doi.org/10.1371/JOURNAL.PONE.0093739.
MacPherson, H. et al. (2018) ‘Lifestyle Advice and Self-Care Integral to Acupuncture Treatment for Patients with Chronic Neck Pain: Secondary Analysis of Outcomes Within a Randomized Controlled Trial’, Journal of Alternative and Complementary Medicine, 23(3), p. 180. Available at: https://doi.org/10.1089/ACM.2016.0303.
Mellaratna, W.P. (2019) ‘Pengaruh Intensitas Nyeri Terhadap Kualitas Hidup Pasien Post Herpetic Neuralgia’. Available at: https://repositori.usu.ac.id/handle/123456789/28541 (Accessed: 19 April 2026).
Ningsih, A.H. et al. (no date) ‘MENGATASI NYERI TRIGEMINAL NEURALGIA DENGAN AKUPUNKTUR DI KLINIK AKUPUNKTUR MANDIRI “E” MALANG’, Jurnal Kesehatan Hesti Wira Sakti, 8. Available at: https://doi.org/10.47794/jkhws.
Opeodu, O.I. and Adeyemi, B.F. (2015) ‘PREVALENCE OF COEXISTING DIABETES MELLITUS AND HYPERTENSION AMONG DENTAL PATIENTS IN A TERTIARY CARE HOSPITAL’, Journal of the West African College of Surgeons, 5(3), p. 16. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC5036267/ (Accessed: 18 April 2026).
Pabón-Carrasco, M. et al. (2024) ‘Assessing the Association of Pain Intensity Scales on Quality of Life in Elderly Patients with Chronic Pain: A Nursing Approach’, Healthcare 2024, Vol. 12, Page 2078, 12(20), p. 2078. Available at: https://doi.org/10.3390/HEALTHCARE12202078.
Pan, D. et al. (2025) ‘The application of acupuncture in the management of neuropathic orofacial pain: a narrative literature review’, Journal of Oral & Facial Pain and Headache, 39(3), p. 27. Available at: https://doi.org/10.22514/JOFPH.2025.044.
Przybylska-Felu?, M. et al. (2025) ‘Disturbances of autonomic nervous system and gastric activity in response to visceral stimulation in functional dyspepsia patients’, Przegla?d Gastroenterologiczny, 20(3), p. 284. Available at: https://doi.org/10.5114/PG.2025.154638.
Quasi-Experimental Design: Definition, Types, Examples | Appinio Blog (no date). Available at: https://www.appinio.com/en/blog/market-research/quasi-experimental-design (Accessed: 18 April 2026).
Sobin, W.H. and Sanvanson, P. (2024) ‘Functional Dyspepsia’, Managing Complex Cases in Gastroenterology: a Curbside Guide, pp. 267–270. Available at: https://doi.org/10.1007/978-3-031-48949-5_54.
Wang, L. et al. (2025a) ‘Pathophysiological mechanisms of functional dyspepsia: a narrative review’, Frontiers in Medicine, 12, p. 1624242. Available at: https://doi.org/10.3389/FMED.2025.1624242.
Wang, L. et al. (2025b) ‘Pathophysiological mechanisms of functional dyspepsia: a narrative review’, Frontiers in Medicine, 12, p. 1624242. Available at: https://doi.org/10.3389/FMED.2025.1624242/FULL.
Wardoyo, P. and Tandya, L. (no date) ‘MENGURANGI NYERI ISCHIALGIA DENGAN AKUPUNKTUR METODE JIN’S 3 NEEDLES’.
Yi, A.-N. et al. (2024) ‘Clinical research progress on acupuncture for the treatment of otogenic vertigo’, World Journal of Clinical Cases, 12(19), p. 3676. Available at: https://doi.org/10.12998/WJCC.V12.I19.3676.
Yoon, D.E., Lee, I.S. and Chae, Y. (2022) ‘Comparison of the acupuncture manipulation properties of traditional East Asian medicine and Western medical acupuncture’, Integrative Medicine Research, 11(4), p. 100893. Available at: https://doi.org/10.1016/J.IMR.2022.100893.
Zhao, Q.-K. and Chen, H.-S. (2026) ‘Acupuncture modulates the gut–brain axis in ischemic stroke: A narrative review of mechanisms and therapeutic potential’, Brain Circulation [Preprint]. Available at: https://doi.org/10.4103/BC.BC_209_25.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Puspo Wardoyo, Leny Candra Kurniawan, Tri Farisyati Robbika
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
