针灸对海洛因依赖者睡眠障碍和焦虑情绪的影响

目的:观察针灸对海洛因依赖者睡眠障碍和焦虑情绪的影响.方法:将62例男性海洛因依赖者按随机数字表随机分为2组,针灸组35例,采用针刺百会、内关、神门,艾灸足三里治疗.对照组27例,不接受任何治疗措施.观察8星期后统计疗效.结果:治疗后,两组依赖者焦虑总分及标准分均较治疗前有所下降,但仅针灸组与治疗前有统计学差异(P＜0.05);两组焦虑总分及标准分虽无统计学差异,但针灸组标准分达到常模水平.治疗后,对照组仅入睡所需时间明显改善(P＜0.05),而针灸组睡眠障碍症状均明显改善(P＜0.05),且实际睡眠时间改善程度优于对照组(P＜0.05),PSQJ总分下降到常模水平以下.结论:针灸对海洛因依赖者睡眠障碍、焦虑情绪都具有改善作用.     

Observation on Clinical Effects of Electroacupuncture for Migraine Without Aura简

Objective： To observe the clinical effects of electroacupuncture（EA） for migraine without aura. Methods： The migraine patients in conformity with the conditions were randomly divided into two groups, 34 cases in each group. The treatment group was given EA and the control group was given the routine acupuncture treatment, to observe various pain indexes respectively before and one month after the treatment. Results： The general effect was remarkably better in the treatment group than that in the control group（P〈0.05）. Conclusion： EA is an effective therapy for migraine without aura.     

Effect of electroacupuncture combined with stretta radiofrequency treatment on MTL and GAS in patients with gastroesophageal reflux disease

Objective： To observe the effect of electroacupuncture （EA） combined with Stretta radiofrequency treatment on contents of motilin （MTL） and gastrin （GAS） in gastroesophageal reflux disease （GERD） patients. Methods： A total of 90 eligible GERD cases were randomly allocated into three groups, 30 in each group. Patients in the EA group were treated with EA, patients in the radiofrequency group were treated with Stretta radiofrequency, and patients in the observation group were treated with EA combined with Stretta radiofrequency. Assessment was made after a course of treatment. Results： The recovery, improvement and failure cases and total effective rate in the EAgroup were 2, 18, 10 and 67.7% respectively, versus 13, 13, 4 and 86.7% in the radiofrequency group and 20, 9, 1 and 96.7% in the observation group. The therapeutic efficacy in the observation group was significantly better than that in the other two groups （P〈0.01）. After treatment, symptom scores of regurgitation, heartburn and substernal burning pain in all three groups were significantly reduced （P〈0.05）; the reduction in the observation group was more significant than that inthe other two groups （P〈0.05）,and the reduction in the radiofrequency group was more significant than that in the EA group （P〈0.05）. After treatment, the contents of MTL and GAS in all three groups were increased; and the increase in the observation group was more significant than that in the other two groups （P〈0.05）. Conclusion： EA combined with Stretta radiofrequency treatment can significantly improve the clinical effect of GERD patients, improve regurgitation, heartburn and substernal burning pain and increase the contents of MTL and GAS.     

Diverse needling methods for dry eye syndrome: A randomized controlled study

Objective:To explore a proper acupuncture treatment protocol for dry eye syndrome(DES),by comparing the therapeutic effects between ordinary acupuncture and electroacupuncture(EA).Methods:Forty-seven eligible subjects with DES were randomized into an acupuncture group(n=23)and an EA group(n=24).With the same acupoint formula,the acupuncture group was treated with ordinary acupuncture,and the EA group was treated with ordinary acupuncture plus electrical stimulation.After a treatment course,eye symptom score,Schirmer I test(SIT),Break-up Time(BUT)of tear film,Corneal Fluorescein Staining(CFS),and Visual Analogue Scale(VAS)were adopted in evaluation and comparison of the two groups.Results:The total effective rate was 79.2%in the EA group versus 56.5%in the acupuncture group,and the difference was statistically significant(P<0.05).After treatment,both groups had marked improvements in eye symptom score,SIT,BUT,CFS,and VAS values(P<0.001);the EA group was better than acupuncture group in improving eye symptom score and SIT value(both P<0.05);the differences were insignificant in comparing VAS,BUT and CFS results between the two groups(P>0.05).Conclusion:Both EA and ordinary acupuncture are effective in treating DES,but EA is better than ordinary acupuncture in improving eye symptom and SIT score.     

Tuina is superior to electroacupuncture in treating thoracic facet joint disorder

Objective： To observe the clinical efficacy of tuina in treating thoracic facet joint disorder, and compare it to the efficacy of electroacupuncture （EA）. Methods： Eighty patients were randomized into a tuina group and an EA group, 40 in each. The tuina group was intervened by tuina manipulations, and the EA group was by EA treatment. Visual analogue scale （VAS）, symptoms and physical signs were evaluated before, and after 5 and 7 treatment sessions respectively, and the clinical efficacies were compared between the two groups. Results： After treatment, the recovery and markedly effective rate was 92.5% in the tuina group versus 47.5% in the EA group, and the difference was statistically significant （P〈0.01）. The total effective rate was 100.0% in the tuina group versus 85.0% in the EA group, and the difference was statistically significant （P〈0.05）. After 5 treatment sessions, the recovery and markedly effective rate was 91.9% in the tuina group versus 68.4% in the EA group, and the difference was statistically significant （P〈0.05）. The VAS scores, and total symptoms and physical signs scores were significantly reduced in both groups after treatment （P〈0.01）, and the scores in the tuina group were significantly lower than those in the EA group （P〈0.01）. Conclusion： Compared to EA, tuina is more efficient and effective in treating thoracic facet joint disorder and has obvious analgesic effect.     

Therapeutic Efficacy Observation on Mild Lifting and Superficial Pulling Point-towards-point Needling for Intractable Facial Palsy简

Objective： To observe and compare the clinical effects of combining mild lifting and superficial pulling point-towards-point needling and point injection and integrated standard electroacupuncture（EA） with intramuscular injection of Mecobalamin for intractable facial palsy. Methods： Eighty cases with intractable facial palsy were randomized into a treatment group and a control group, 40 in each group. Cases in the treatment group were treated with mild lifting and superficial pulling point-towards-point needling Xiaguan（ST 7） coupled with point injection of Mecobalamin. Cases in the control group were treated with standard EA coupled with intramuscular injection of Mecobalamin. After three courses of treatment, the between-group comparisons of Portmann scores and clinical effects were conducted. Results： After three courses of treatment, the Portmann scores in both groups were higher than the scores before treatment（P〈0.01）; the Portmann score in the treatment group was higher than that in the control group（P〈0.05） and the total effective rate in the treatment group was higher than that in the control group（P〈0.05）. Conclusion： Combining mild lifting and superficial pulling point-towardspoint needling and point injection of Mecobalamin could obtain better effect for intractable facial palsy than standard EA coupled with intramuscular injection of Mecobalamin.     

Clinical Study on Treatment of Cervical Spondylotic Radiculopathy by Electroacupuncture plus Tuina简

Objective： To observe the clinical effects of electroacupuncture（EA） plus tuina for cervical spondylotic radiculopathy. Methods： One hundred and twenty cases with cervical spondylotic radiculopathy were divided randomly by the digital table into the observation group and control group. The patients in an observation group were treated by EA plus tuina techniques. The patients in the control group were treated by simple tuina techniques. Results： The total effective rate was 91.7% in the observation group and 78.3% in the control group. The effective rates in the two groups were statistically different（P〈0.05）. Conclusion： EA plus tuina therapy is better than simple tuina therapy in the treatment of cervical spondylotic radiculopathy.     

电针夹脊穴配合中药治疗带状疱疹疗效观察(英文)

目的:观察电针夹脊穴配合中药治疗带状疱疹的临床疗效。方法:将62例患者随机分为治疗组和对照组,治疗组予电针夹脊穴配合中药辨证治疗,对照组采用口服阿昔洛韦片抗病毒和甲钴胺营养神经、皮疹外涂阿昔洛韦软膏治疗;治疗2星期后比较两组疗效。结果:治疗组治疗1星期后疗效显著优于对照组(P<0.01),治疗2星期后两组疗效亦有差异(P<0.05)。结论:电针夹脊穴配合中药治疗带状疱疹疗效优于西医抗病毒、营养神经的治疗。     

Therapeutic observation on electroacupuncture at Zusanli (ST 36) and Fenglong (ST 40) for senile dementia

Objective

To explore the clinical effects of electroacupuncture (EA) at Zusanli (ST 36) and Fenglong (ST 40) in treating senile dementia.

Methods

A total of 74 patients were randomly divided into an EA group and a medication group based upon the random digital table, 37 cases in each group. EA at Zusanli (ST 36) and Fenglong (ST 40) was given in the EA group, once every day, for six treatments per week. Donepezil Hydrochloride Tablets were given to the medication group, 5 mg per time and once a day in the former four weeks, 10 mg per time and once a day after 4 weeks, oral administration before sleep at night. The courses of the treatment were 12 weeks in both groups. The scores of mini-mental state examination (MMSE) and Barthel index (BI) were observed before and after the treatment, for processing the comparative analysis of the clinical effects after the course of the treatment.

Results

The total effective rate was 86.5% in the EA group and 70.3% in the medication group. The therapeutic effect was better in the EA group than that in the medication group, and the difference between the two groups was statistically significant (P<0.05). MMSE and BI scores after the treatment in the two groups were all elevated than those of the same groups before the treatment (P<0.05, P<0.01). The improving situation was obviously better in the EA group than that in the medication group, and the difference between the two groups was statistically significant (P<0.05).

Conclusion

EA at Zusanli (ST 36) and Fenglong (ST 40) is affirmative in the therapeutic effect for senile dementia and can also improve the cognitive function and enhance the patients’ quality of life.

     

Therapeutic Observation of Point-towards-point Electroacupuncture for Cervical Spondylotic Radiculopathy简

Objective： To compare the therapeutic efficacies of point-towards-point electroacupuncture（EA）, EA with Jiaji points（EX-B 2）, and Jing Fu Kang in treating cervical spondylotic radiculopathy（CSR）, and to explore the optimal treatment protocol. Methods： Totally 160 patients with CSR were randomized into three groups： a point-towards-point group（n=60） treated with EA with point-towards-point method; a Jiaji group（n=60） treated with EA at cervical Jiaji（EX-B 2） points; a medicine group（n=40） treated with oral administration of Jing Fu Kang alone. The clinical efficacies were compared afterwards. Results： After treatment, the recovery rate and total effective rate of the point-towards-point group were significantly better than that of the Jiaji group and medicine group（both P〈0.01）. After 1-week treatment, the symptom and function score of the point-towards-point group was significantly better than that of the Jiaji group and medicine group（both P〈0.01）; the point-towards-point group and Jiaji group both achieved significant improvements in the symptom and function score（P〈0.01, P〈0.05）. After 2-week treatment, the three groups all achieved marked improvements in the symptom and function score（P〈0.01）. At the end of treatment, in comparing the symptom and function score, the point-towards-point group was significantly different from the medicine group（P〈0.01） and Jiaji group（P〈0.05）; the difference between the Jiaji group and medicine group was also statistically significant（P〈0.05）. Conclusion： Point-towards-point EA can rapidly improve the symptoms and function of CSR patients, and it＇s superior to EA at Jiaji（EX-B 2） and oral administration of Jing Fu Kang in comparing the clinical efficacy.     

Observation on clinical effect of superficial needling for intractable humeral epicondylitis

Objective： To observe the clinical effect of superficial needling for ntractable humeral epicondylitis. Methods： Sixty cases in conformity with the inclusion criteria of intractable humeral epicondylitis were randomly divided into two groups, 30 cases in each. The cases in the superficial needling group were treated by superficial needling plus moxibustion, while those in the electro- acupuncture （EA） group were treated by EA plus moxibustion. After treatment, the improvement of the clinical symptoms and signs were compared between the two groups. Results： The curative rate was 80.0% and the total effective rate was 96.7% in the superficial needling group. The curative rate was 60.0% and the total effective rate was 83.3% in the EA group. The differences in the clinical effects between the two groups were statistically significant （P〈0.05）. Conclusion： The therapeutic effect of superficial needling plus moxibustion for intractable humeral epicondylitis is better than that of EA plus moxibustion.     

Therapeutic efficacy observation on electroacupuncture of different frequencies for the third lumbar transverse process syndrome

Objective:To observe the clinical effect of electroacupuncture(EA)of different frequencies for the third lumbar transverse process syndrome.Methods:A total of 80 cases with the 3rd lumbar transverse process syndrome were randomized into two groups,40 in each group.Ashi points were connected with K8832-T treatment device in the medium-frequency electroacupuncture(EA)group,whereas Ashi points were connected with G6805-2 electric stimulator in the traditional EA group.The curative effects were evaluated after 10 treatment sessions.Results:The therapeutic efficacy in the medium-frequency EA group was significantly better than that of the traditional EA group(P<0.05).In addition,the improvement of VAS scores in the medium-frequency EA group was more notable than that of the traditional EA group(P<0.05).Conclusion:The medium-frequency EA is an easy and effective therapy for the 3rd lumbar transverse process syndrome and therefore worth popularizing to benefit the patients.     

Clinical Study on Extracorporeal Shock Wave Therapy plus Electroacupuncture for Myofascial Pain Syndrome简

Objective： To observe the clinical effect of extracorporeal shock wave plus electroacupuncture（EA） on myofascial pain syndrome（MPS） and to investigate its treatment mechanism. Methods： Ninety cases who met the inclusion criteria were randomly allocated into an EA group, an extracorporeal shock wave therapy（ESWT） group and a combined therapy group, 30 in each group. EA was employed in the EA group, extracorporeal shock wave therapy in the ESWT group and EA plus extracorporeal shock wave therapy in the combined therapy group. The VAS, tenderness threshold and therapeutic efficacy were evaluated after three months of treatment. Results： After 2 weeks, 4 weeks and 3 months of treatment, the VAS scores in all three groups were significantly reduced and the tenderness threshold significantly elevated. The recovery rate and total effective rate were 23.3% and 83.3% respectively in the EA group, versus 40.0% and 90.0% in the ESWT group and 63.3% and 96.7% in the combined therapy group, showing statistical differences（P〈0.05）. Conclusion： EA combined with EWST works remarkably well for MPS.     

Treatment of herpes zoster with electroacupuncture plus collateral-pricking and cupping therapy

Objective： To observe the clinical effect of electroacupuncture （EA） plus collateral-pricking and cupping therapy for herpes zoster. Methods： Fifty-three cases with herpes zoster were randomly divided into two groups. Thirty-one cases in the treatment group were treated with EA at Jiaji （EX-B 2） points plus local collateral-pricking and cupping therapy. Twenty-two cases in the control group were treated with oral administration of VaLacido~;ir Hvdrochloride and Indomethaci~. Results： The curative and remarkable effective rate was 93.5% in the treatment group and 72.7% in the control group. The difference between the two groups was statistically significant （P〈0.01）, indicating that EA plus collateral-pricking and cupping therapy is better than Western medications in the clinical effects for herpes zoster. Conclusion： The EA plus collateral-pricking and cupping method is an effective therapy for herpes zoster.     

Effect of combined acupuncture and Shen Zao An Shen Tang on sleep quality of insomnia patients due to deficiency of the heart and spleen

Objective： To observe the clinical efficacy of acupuncture combined with Shen Zao An Shen Tang for insomnia due to deficiency of the heart and spleen, investigate the law of treating insomnia based on syndrome differentiation, and thus provide evidence for treatment based on differentiation of insomnia in traditional Chinese medicine. Methods： A total of 62 cases with insomnia due to deficiency of the heart and spleen were randomized into a combined acupuncture and Chinese herbal formula group and a Western medication group, 31 cases in each group. Acupuncture and self-made Shen Zao An Shen Tang were employed in the former, while Estazolam was used in the latter. After a 28-day treatment, the clinical efficacy, sleep efficiency, sleep dysfunction rating scale （SDRS） and adverse reactions in the two groups were observed and compared. Results： The total effective rate in the combined acupuncture and Chinese herb formula group was 96.8%, versus 74.2% in the Western medication group, showing a statistically significant difference （P〈0.05）. After treatment, the sleep efficiency ratios in both groups were significantly increased （P〈O.01, P〈0.05）, and there was a between-group statistically significant difference （P〈0.05）. Also, the SDRS scores in both groups were decreased （P〈0.01, P〈0.01） and there was a between-group statistically significant difference （P〈0.01）. In addition, the adverse reaction rate in the combined acupuncture and Chinese herb formula group was significantly lower than that in the Western medication group （P〈0.05）. Conclusion： Combining acupuncture and Chinese herb formula can obtain a substantial clinical efficacy for insomnia due to deficiency of the heart and spleen and improve the patients＇ sleep quality. Compared with Estazolam, it is better in effect and less in adverse reactions.     

Effect of electroacupuncture combined with tuina on lumbar muscle tone in patients with acute lumbar sprain

Objective： To observe the clinical effect of electroacupuncture（EA）combined with tuina on acute lumbar sprain and lumbar muscle tone before and after treatment. Methods： A total of 130 acute lumbar sprain cases were randomly allocated into an observation group and a control group, 65 in each group. Cases in the observation group were treated with EA combined with tuina, whereas cases in the control group were treated with Diclofenac Sodium Dual Release Enteric-coated capsules. The muscle tones in two groups were tested before and after treatment. Results： The recovery rate and overall response rate in the observation group were 66.2% and 93.8% respectively, versus 56.9% and 87.7% in the control group, showing no between-group statistical significances（P〉0.05）. After treatment, the force-displacement area under curve（AUC） in both groups showed a significance difference（P〈0.05）. Conclusion： Both EA combined with tuina and aforementioned oral medication have remarkable effects for acute lumbar sprain, and the former can better improve the lumbar muscle tone in patients with acute lumbar sprain.     

Effect of combining tuina with balance training on balance functions of stroke patients

Objective： To observe the effect of combining tuina with balance training on balance functions of stroke patients. Methods： A total of 120 cases who met the inclusion criteria were randomly allocated into an observation group and a control group. In addition to routine medical and rehabilitation treatment in both groups, balance training was used in the control group, versus combining tuina with balance training in the observation group. The therapeutic efficacies in two groups were evaluated using the Balance Subscale of the FugI-Meyer Test （FM-B） before and after treatment. Results： After 3 courses of treatment, the FM-B scores were significantly improved in both groups （P〈O.01）; and there was statistical difference in FM-B scores between the two groups （P〈0.05）. Conclusion： Tuina manipulation of regulating the Governor Vessel can improve the balance function of stroke patients and benefit the patients＇ self-care abilities.     

Efficacy observation on auricular point sticking combined with cupping in treating insomnia

Objective： To observe the clinical efficacy of auricular point sticking combined with cupping in treating insomnia. Methods： Sixty-four patients with chronic insomnia were randomly divided into two groups. Thirty-two patients in the treatment group were treated with auricular point sticking combined with cupping therapy; while thirty-two patients in the control group were treated by Diazepam. The Pittsburgh sleep quality index （PSQI） were observed before and after treatment, and the data were statistically analyzed to evaluate the clinical effect. Results： After treatment, PSQI scores in both groups after treatment significantly decreased （P〈0.05）, and there was a significant difference between the two groups （P〈0.05）. In the improvement of daytime function, the treatment group was more efficient than the control group （P〈0.05）. The total effective rate of the treatment group was higher than that of the control group （P〈0.05）. Conclusion： Auricular point sticking combined with cupping therapy for insomnia is more effective than oral Diazepam, and it has a better effect in improving the patient＇s daytime function.     

Regulatory Effect of Electroacupuncture on Ceramide Galactosyltransferase Expression in Sciatic Nerve of Experimental Diabetic Rats简

Objective： To observe the change of ceramide galactosyltransferase（CGT） expression in sciatic nerve of experimental diabetic rats after electroacupuncture（EA） treatment. Methods： The rat model of diabetic peripheral neuropathy（DPN） was established with Streptozotocin（STZ）. Twenty-eight rats were randomly divided into a normal group, a model group, an EA acupoint group, and an EA non-acupoint group, with 7 rats in each group. Acupuncture on points Shenshu（BL 23） and Zusanli（ST 36） was performed in the EA group using EA electronic device with continuous wave, 2 Hz, 20 min every time, once every other day for 12 times. Acupuncture（on the tip of rat tail） in EA non-acupoint group was performed with the same electronic parameters and time. The model group and the normal group were not given any treatment, except the same fixation as that in the EA acupoint group. After 12 treatments, the albumen and mRNA expressions of CGT of sciatic nerve in rats from each group were measured with real-time polymerase chain reaction（RT-PCR）, fluorescence quantitative PCR（FQ-PCR） and immunohistochemical methods. Results： After modeling, the CGT expression was significantly lower than that in the normal group（P〈0.01）; however, after 12 EA treatments, the CGT positive cells in the EA acupoint group were up-regulated and significantly higher than those in the EA non-acupoint group and the model group（P〈0.01）. The CGT mRNA expression of the rats after modeling was also higher than that of the normal rats（P〈0.01）, and the expression in the EA acupoint group was significantly lower than those in the model group and the EA non-acupoint group（P〈0.01, P〈0.05）. Conclusion： EA treatment with acupoints displays some therapeutic or preventive effect in the recovery of DPN via reversing the abnormal expression of CGT mRNA in sciatic nerves of experimental diabetic neuropathy rats, and it is worthy of further study.     

Clinical observation on treatment of insomnia with puncturing Back-Shu acupoints

Objective： To evaluate the clinical efficacy of puncturing Back-Shu acupoints for insomnia. Methods： Sixty patients were randomly divided into two groups, 30 cases in each. Back-Shu acupoints acupuncture was employed in the treatment group, whereas conventional acupoints acupuncture was administered in the control group. And the efficacy was assessed by the efficiency rate of relief of sleep disorders and the global Pittsburgh Sleep Quality Index （PSOJ） score. Results： The total effective rate was 93.3% in the treatment group, versus 80.0% in the control group, showing that the two groups were significantly different （P〈0.01）. After treatment, the global PSO, I scores in the two groups decreased compared with those before treatment （P〈0.01）, and the global PSO, I scores of the two groups after treatment were also statistically different （P〈0.05）. Conclusion： Puncturing Back-Shu acupoints can effectively reduce the global PSQI score, improve the patient＇s quality of life, has a good effect on insomnia.