3.2.2. Moxibustion + Usual Conventional Therapy vs. Usual Conventional Therapy

The level of evidence and recommendations were derived based on five RCTs [47,57,69–71] that observed the combination effect of "moxibustion and acupuncture" or "moxibustion and Tuina manual therapy" for LHIVD in terms of pain, function, and overall symptom improvement.

As a result of the meta-analysis, the combination of moxibustion and conventional treatments, such as acupuncture and Tuina manual therapy, was more effective in improving the overall symptoms (RR: 1.22, 95% CI: 1.12–1.32, *p* < 0.001), pain (MD, −1.40, 95% CI: −1.85–−0.95, *p* < 0.001), and function (MD, 4.10, 95% CI: 3.42–4.77, *p* < 0.001) than usual conventional therapy, such as acupuncture or Tuina monotherapy.

In conclusion, moxibustion in combination with conventional treatment is recommended for improving the overall symptoms of LHIVD(A/High).
