A Clinical Study on Acupuncture Treatment of Facial Paralysis TOH Foh FooK

Peripheral facial paralysis is a common disease with manifestation of facial paralysis.The author‘s clinical observation on 50 cases of facial paralysis treated mainly with acupuncture showed an effective rate of 98%,and the remarkable effectiveness was reported as follows.50 cases of outpatients which consisted of 14 males and 36 females were observed.The oldest was 61 years and the youngest 24 years,with an average age of 36 years.33 cases had facial paralysis on the right side and other 17 cases on the left side.The shortest duration was one day and the longest 19 months.Treatment was done once every other day and a course comprised of ten treatments.Main acupoints:Chengqi(ST 1),Sibai(ST 2),Juliao(ST 3),Dicang(ST 4),Jiache(ST 6),Xiaguan (ST 7),Sizhukong (TE 23),and Hegu(LI 4),etc.were all adopted in every treatement.Complementary acupoints were Yingxiang (Li 20),Cuanzhou (BL 2),Yangbai(GB 14),and Chengjiang(CV 24).Methods:Gauge 28 filiform needles(1 cun at length) were used.In the needling process,manipulations of even reinforcing and reducing in combination with lifting-thrusting and twirling-rotating were abopted.The needling sensation was made to increase only within the patient‘s bearable threshold and the needles were withdrawn immediately following manipulating the needles for a while (about 3 min).Shallow insertion of acupuncture needles was carried out throughout the whole treatment process.Criteria of the therapeutic effect:Cure:The clinical synptoms disappeared ompletely after treatment (facial muscle was normal).Effective:Some symptoms were improved but facial expression was still slay.No effect:Symptoms remained the same after the therapy.Results:80% of the 50 cases,namely 27 cases with left facial paralysis and 13 cases with right side facial paralysis,were cured.7 cases(14%) showed significant improvement,2cases(4%) effectiveness,and 1 case(2%) no effect,thus the total effective rate was 98%.Conclusion:Patients with shorter duration of disease (within a month) had higher recovering rate than those of the longer duration.Partial nerve injured patient had higher curative rate than the fully injured.Hence early discovery and treatment are the key of curing.     

Long-term efficacy of point application therapy on different acupoints and durations in the treatment of asthma: a randomized controlled trial

OBJECTIVE: To optimise point application therapy for the treatment of asthma. METHODS: A total of 456 patients with asthma were randomly divided into treatment groups 1, 2, and 3, with 152 patients each. The Dazhui(GV14), Feishu(BL13), Xinshu(BL15), Geshu(BL17), Pishu(BL20), Shenshu(BL23), and Guanyuan(CV4) acupoints were selected for treatment groups 1 and 2, with 2 and 4 h of application, respectively. The Feishu(BL13), Xinshu(BL15), and Geshu(BL17) acupoints were selected in group 3, with 2 h...     

TREATMENT OF 18 CASES OF TRIGEMINAL NEURALGIA WITH ELONGATED NEEDLE

In this paper, a total of 18 cases of primary trigerninal neuralgia were treated with elongated needle.Of the 18 cases, 5 were male and 15 female, ranging in age from 27 to 58 years and in disease duration from 3 days to 8 years. Main acupoints used were Taiyang (EX-HN 5) to Xiaguan (ST 7, for penetration needling), Xiajiache, Fengchi (GB 20), Yanglingquan (GB 34) and Taichong (LR 3). The treatment was given once daily, with 12 sessions being a therapeutic course. After 2 courses of treatment, of the 18 cases, 10 cases were cured, 7 experienced improvemerit in pain and one failed in the treatment, with an effective rate of 94.4%. The key point for treating trigerninal neuralgia is applying penetrative needling from EX-HN 5 to ST 7 to achieve ideal needling sensations.     

COMBINED TREATMENT OF 198 CASES OF INSOMNIA WITH ACUPUNCTURE OF BODY ACUPOINTS PLUS PELLET PRESSING OF OTOPOINTS

Objective: To observe the therapeutic effect of acupuncture of body acupoints plus otopoint pelletpressing for treatment of insomnia. Methods: A total of 198 cases of insomnia patients were observed. Straight inserted the filiform needles into Shenmen (HT 7), Neiguan (PC 6), Zhaohai (KI 6) and Zusanli (ST 36) and manipulated the needles with uniform reinforcing-reducing method, then otopoints as Ershenmen (MA-TF 1 ), Shen (MA-SC), Gan (MA-SC 5), etc. were stimulated by pressing the stuck vaccaria seeds. Ten treatments were considered as a therapeutic course. Results: Of the 198 cases, 65 (32%) were cured, 76 (38%) had remarkable improvement, 53 (26%) had improvement and 4 (2%) had no effect, with the total effective rate being 97% Conclusion:Acupuncture of body acupoints plus otopoint pellet pressing works well in treatment of insomnia.     

COMBINED TREATMENT OF 200CASES OF PERIPHERY FACIAL PARALYSIS WITH ACUPUNCTURE AND CHINESE MEDICINAL HERBS

In the present study,200cases of periphery facial paralysis were treated with combined therapies of handle needle,electroacupuncture(EA),electronic moxibustion and oral administration of Supplemented Qianzheng San.After treatment,of the200cases,176were cured,15had marked im-provement and 9had improvement.Two groups of acupoints were chosen and used alternately for keeping the excitement of acupoints,preventing acupoint fatigue and raising the therapeutic effect.In the acute stage of periphery facial palsy,acupuncture treatment was performed using shallow needing,mild manipulation and no needing penetration.In the convalescence stage and sequela stage,penetra-tion needling was adopted and stronger stimulation given.During acute period and when facial muscu-lar spasm appeared,EA stimulation was not suitable for facial acupoints.Over use of vision should be avoided.     

CLINICAL RESEARCH ON THE EFFECT OF ACUPUNCTURE ON THE LEFT VENTRICULAR CONTRACTION FUNCTION IN SYMPTOMLESS CARDIAC FAILURE PATIENTS

Objective: To observe the effect of acupiJmtlxe therapy on the function of myocardial contraction in symptomless cardiac failure patients. Methods: A total of 60 cases of svmDtomless cardiac insufficiencv inoatients were randomly divided into medication and acupuncture groups, with 30 cases in each group. For patients of aoulomcbxe group, Neiguan (PC 6), Ximen (PC 4), Tanzhong(CV 17), Xinshu (BL 15), Jueyinshu (BL 14) and Geshu (BL 17) were punctured, twice daily, with 30 days being a therapeutic course. In medication group, patients were asked to take Capoten 25 mg (t. i. d. ). The left ventricular ejection fTaction (LVEF) and its fracticnal shortening (FS) of the minor axis were used as the indexes for assessing the therapeutic effect and detected by using a color ultras~ic Doppler apparatus. Results: After one course of treatment, of the each 30 cases of actCucture and medication groups, 13 (43.3%) and 16 (53.3%) had marked improvement, 16 (53.3%) and 14 (46.7%) had improvement, and 1 (3.3%) and 0 had no any effect respectively. No significant difference was found between two groups in the therapeutic effect. It shows acupuncture therapy can improve myocardial contraction function. Conclusion: Acuounclure has a similar effect in enhancing the systolic function of the myocardium.     

OBSERVATION ON TREATMENT OF SCIATICA WITH HOUDING ACUPOINT

In the present paper,the author reports the results of acupuncture of Houding (GV 19) and other acupoints selected along the meridian for teating sciatica.A total of 92 sciatica patients were randomly divided into Houding group (n=62) and control group (n=30).In Houding group,patients were treated mainly with puncturing Houding (GV 19),combined with Huantiao (GB 30) when necessary.In control group,patients were treated with Huantiao (GB 30),Yanglingquan (GB 34) or Zhibian (BL 54),Weizhong (BL 40),Chengshang (BL 57),Kunlun (BL 60),etc.which were selected along the route of meridian.Results indicated that following 10 sessions of treatment,in Houing and control groups,of the 62 and 30 cases,44 and 15 were basically cured,18 and 10 were improved,0 and 5 failed in the treatment,with the total effective rates being 100% and 83.3% respectively.The therapeutic effect of Houding (GV 19) is significantly superior to that of acupoints selected along the meridian.     

从心脑论治电针中风后焦虑障碍:随机对照试验（英文）

Objective:To evaluate the differences in the clinical effect and the safety in the treatment of post-stroke anxiety disorder(PSAD) between electroacupuncture(EA) and paroxetine on the base of the heart-brain theory.Methods:A total of 70 patients of PSAD were randomized into an EA group and a medication group,35 cases in each one.In the EA group,four acupoints were selected and divided into two pairs.In the Pair A,there were Baihui(百会 GV20) and Fengfu(风府 GV16).In the Pair B,there were Xinshu(心俞 BL15)and Shenmen(神门 HT7).After acupuncture,the electroacupuncture apparatus was applied.The duration of needle retention was 20 min.EA was given three times a week,totally for 4 weeks.In the medication group,paroxetine tablets were administered orally,10 mg daily in the first 4 days and 20 mg afterwards,totally for 4 weeks.Before and after treatment,as well as in the follow-up period,Hamilton anxiety scale(HAMA),Barthel index(BI) for daily life ability,and clinical global impression(CGI) were observed and the clinical therapeutic effect was evaluated separately.Results:A total of 3 cases were dropped-out in the medication group.Finally,35 cases in the EA group and 32 cases in the medication group were included in the analysis.Compared with the scores before treatment,the scores of HAMA and CGI-SI(severity of illness) were lower and the scores of BI were higher after treatment and during the follow-up in either the EA group or the medication group(all P0.05).Compared with the scores after treatment,the differences were not significant in HAMA and CGISI scores during the follow-up in either the EA group or the medication group(all P0.05).Compared with the medication group,BI score in the EA group was higher in the follow-up,indicating the statistical significance(P 0.05).After treatment,CGI-SI score was different statistically between the EA group and the medication group(P0.05).There were 5 cases with adverse reactions in the EA group and 9 cases in the medication group.Conclusions:The therapeutic effect of electroacupuncture on the base of heart-brain theory is similar to the oral administration of paroxetine in the treatment of post-stroke anxiety disorder.This therapy relieves anxious emotions,promotes the recovery of limb function and has less adverse reactions in the patients.     

ANALYSIS ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE TREATMENT OF 2656CASES OF PRIMARY TRIGEMINAL NEURALGIA

In the present paper,the clinical therapeutic effect of acupuncture therapy for treat-ment of primary prosopalgia was observed and its influencing factors were analyzed in 2656 patients.Yuyao(EX-HN4),Touwei(ST8),Sibai(ST2),Quanliao(SI18),Xiaguan(ST7)and Ji-achengjiang were punctured selectively according to the involvement of different branches of the trigeminal nerve.After treatment,of the 2656cases,the trigeminal neuralgia disappeared in 1469(55.31),727(27.37%)had marked improvement,430(16.19%)had improvement and 30(1.13%)had no any significant effect.The three years‘follow-up visit in 245cases showed a relapse in 187cases(76.3%).We think that the therapeutic effect is closely related to the needling manipula-tions.Only when an electric shock-like needing sensation appeared(i.e.“qi reaching th affected area”)after inserting the acupuncture needle into the chief acupoints,a better therapeutic effect would be achived.     

Thirty-eight cases of uterine bleeding of spleen deficiency treated with wheat-grain size cone moxibustion and herbal plaster on the umbilicus

Objective:To introduce an effective method in treatment of uterine bleeding of spleen deficiency.Methods:A total of 38 patients were treated with wheat-grain size cone moxibustion and herbal plaster on the umbilicus.The wheat-grain size cone moxibustion was used at Guānyuán(关元 CV 4)and Yǐn bái(隐白 SP 1),20 moxa cones at each acupoint were required in each treatment.The treatment was given once every two days and three treatments made 1 course.Additionally,the herbal plaster was dressed on the umbilicus.The dressing changed once every day.After 2 courses of treatment,the therapeutic effect was observed.Results:Regarding the effects of uterine bleeding,of 38 cases,12 cases were cured,accounting for 31.58%,17 cases effective remarkably,accounting for 44.74%,4 cases effective,accounting for 10.53% and 5 cases failed,accounting for 13.16%.The total effective rate was 86.84%.The symptoms of spleen deficiency were relieved in 38 patients,such as sallow complexion,lassitude,short breathing,dislike of speaking,no appetite and cold limbs.Conclusion:The combined treatment with wheat-grain size cone moxibustion and herbal plaster on the umbilicus achieves significant effects on uterine bleeding of spleen deficiency.     

针药结合治疗泌尿系结石

1996～ 1 999年收治泌尿系结石 1 2 2例 ,其中肾结石 36例 ,输尿管结石 86例 ;男性 80例 ,女性42例 ;年龄最大 6 5岁 ,最小 9岁 ;病程最长 2 0年 ,最短 3天 ;肾绞痛发作者 42例。所有病例均经过Ｂ超检查 ,部分病例做了肾造影和腹平片 ,结石最大者 1 0ｍｍ× 1 0ｍｍ ,最小者 3ｍｍ× 4ｍｍ。以中医理论为指导 ,采用针灸与药物相结合的治疗方法。 (1 )针灸取穴及治法 :主穴分为两组 :①肾俞、京门、阳陵泉、飞阳 ;②关元、水道、阴陵泉、三阴交等 ,两组穴位交替使用 ,每日 1次 ,每次留针30ｍｉｎ。对不同症状分别辅以配穴 :肾绞痛取耳穴神门…     

Treatment of 100 cases of children’s nocturnal enuresis with acupoint sticking therapy

Summary Daiwenjiu Gao plasters were stuck onto the following two groups of acupoints, group 1 including acupoints Guanyuan (CV 4), Shenshu (BL 23) and Zusanli (ST 36) and group2 including acupoints Zhongji (CV 3), Pangguangshu (BL 28) and Sanyinjiao (SP 6), to treat 100 cases of infantile enuresis, the results showed that 92 cases were cured, 6 cases got remarkable effect, 2 cases got effect, with total effective rate being 100%.      

隔药饼灸对不同性别健康人群红细胞数量及红细胞CD58表达的影响

目的:通过在神阙、关元等传统保健穴上施用药饼灸,观察在不同性别健康人群中红细胞数量及红细胞CD58表达的变化。方法:将以熟地黄、山药、山茱萸等为主方的药物制成药饼置于观察对象神阙、关元、足三里、脾俞、肾俞等穴,施灸3壮,隔日1次,共灸10次。在施灸前、后分别进行红细胞检查,流式细胞仪测定红细胞表面CD58分子的阳性百分率和平均荧光强度。结果:施灸前后男子组、女子组红细胞量出现相同变化,两组施灸前、后红细胞差值比较出现显著差异(P<0.05)。与施灸前相比,男子组、女子组红细胞CD58分子的阳性百分率和平均荧光强度均明显高于施灸前(P<0.01),其中,红细胞CD58荧光强度的变化尤为突出;男子组与女子组间比较施灸前后均无差异。结论:隔药饼灸可明显促进红细胞CD58分子表达,在表达数量上无性别差异。     

“调神针法”联合电针治疗腹泻型肠易激综合征:随机对照研究

目的:比较"调神针法"联合电针与单纯电针治疗腹泻型肠易激综合征(IBS-D)的临床疗效。方法:将76例IBS-D患者随机分为调神组(38例,脱落2例)和电针组(38例,脱落1例)。电针组穴取关元、中脘、天枢、大肠俞、足三里、上巨虚等,其中双侧天枢,同侧足三里、上巨虚连接电针(断续波,频率1 Hz,电流强度4~6 mA),留针30 min;调神组在电针组治疗的基础上加用"调神针法",穴取百会、神庭、本神,留针30 min。两组均每天治疗1次,6 d为一疗程,疗程间间隔1 d,共治疗4个疗程。分别于治疗前后观察两组患者IBS病情严重程度量表(IBS-SSS)评分、IBS生活质量量表(IBS-QOL)评分和汉密尔顿抑郁量表(HAMD)评分,并评定临床疗效。结果:调神组总有效率为94.4%(34/36),高于电针组的78.4%(29/37,P<0.05)。两组治疗后IBS-SSS评分、HAMD评分均较治疗前降低(P<0.05),IBS-QOL评分较治疗前升高(P<0.05),且调神组以上指标变化幅度均大于电针组(P<0.05)。结论:"调神针法"联合电针治疗IBS-D可明显减轻患者腹痛、腹胀和泄泻症状,提高患者生活质量,改善抑郁状态,疗效优于单纯电针治疗。     

不同穴位电针治疗大鼠慢性神经源性痛的疗效比较

目的 :比较不同经穴电针治疗大鼠慢性神经源性痛的疗效。方法 :选用大鼠L5/L6 脊神经结扎慢性神经源性痛模型 ,给予不同经穴的电针治疗 ,穴位选用“夹脊”(L5)、“环跳”、“委中”、“阳陵泉”和“足三里”。采用引起缩足的机械刺激阈值 ( 50 %缩足阈值 )来评价机械性痛觉超敏 ,用大鼠 5min内在 5± 1℃冷板上的抬脚次数来反映冷诱发的持续性疼痛。分别于电针后即刻、2 4hr、48hr和 72hr检测冷诱发的持续性疼痛 ;电针后即刻、电针后 1 2hr、2 4hr和 48hr检测机械性痛觉超敏 ( 50 %缩足阈值 ) ,以观察其疗效。结果 :以上五个穴位单次电针均有较好的镇痛作用。对冷诱发的持续性疼痛的抑制均可持续至电针后 2 4hr,其中“委中”对冷诱发的持续性疼痛的抑制作用可持续至电针后 48hr;对机械性痛觉超敏的镇痛作用即刻效果较好 ,电针后 1 2hr消失。五个穴位镇痛强度之间在统计学上无显著差异。结论 :临床经验提示穴位选择是影响针刺镇痛效果的重要因素之一。在本实验条件下 ,“委中”穴电针后的镇痛作用持续时间最长 ,可以认为效果最优     

Observation on therapeutic effect in treatment of prostate hyperplasia by needle-warming moxibustion

以肾俞、次髎、膀胱俞、会阴和秩边为主穴,三阴交、中极和关元为配穴,针刺治疗51例前列腺增生患者,并口服高特灵治疗47例为对照.两组总有效率分别为88.2%和70.2%,前者好于后者(P＜0.05).     

针刺与度冷丁对121例输尿管结石绞痛患者镇痛和排石作用的临床分析

目的 :探讨临床针刺与药物对输尿管结石绞痛患者的镇痛作用和排石效果。方法 :1 2 1例输尿管结石绞痛患者随机分为针刺组和药物组。针刺组主穴为双侧肾俞、膀胱俞、中极、委中、金门、三阴交、足三里、内关 ,并配以阿是穴。采用电针疗法 ,每次 3 0min ,每日 1次 ,观察两周。药物组选用度冷丁、654 Ⅱ或颠茄 ,观察两周。结果 :两组均有明显的镇痛作用 ,针刺组治疗后绞痛缓解时间和镇痛作用的持续时间分别为 1 6 3 3± 6 3 7min、4 60± 1 42hr,药物组为 1 5 44± 6 0 1min、4 54± 1 40hr。两组比较差异无显著性意义 (P均 >0 0 5)。针刺组两周内排石 60 3 2 % ,药物组43 1 0 % ,两组比较差异不显著 (P >0 0 5)。结论 :针刺 (电针 )疗法有明显的排石和镇痛作用 ,是治疗输尿管结石绞痛的理想方法。     

近十年艾灸治疗腹泻的临床应用规律分析＊

目的 探讨近十年临床研究文献中艾灸治疗腹泻的临床应用规律。方法 收集近十年国内外数据库中艾灸治疗腹泻的临床研究文献，运用Excel 2013、SPSS 25.0及Apriori算法对艾灸治疗腹泻的病种、治疗方法及穴位组方进行数据分析。结果 共纳入300篇文献进行统计分析，结果显示艾灸以治疗慢性腹泻为主；隔药灸和温和灸较为常用；艾灸与中药结合治疗较为多见。所采用的艾灸穴位处方共涉及65个穴位，频次超过10次的穴位有天枢、神阙、关元、足三里、中脘、大肠俞、气海、上巨虚、脾俞、肾俞、命门、胃俞、三阴交、下巨虚和阴陵泉，其中天枢、神阙、关元、足三里四穴频率超过100次。从分布来看，以任脉和腹部的穴位居多。聚类分析发现核心穴位有天枢、上巨虚-肾俞-大肠俞-三阴交、中脘-脾俞-神阙-关元、足三里-胃俞-命门、气海-下巨虚-阴陵泉。穴位关联性分析发现天枢-关元为最常用穴对。结论 艾灸治疗腹泻以慢性腹泻为主，治疗方法多采用温和灸、隔物灸，穴位以天枢、神阙、关元、足三里的使用频率最高，以天枢-关元合用较为多见。     

不同针刺方法对女性尿道综合征膀胱容量影响的临床观察

目的:对不同针刺方法对尿道综合征患者膀胱容量的影响进行客观评价。方法:将81例女性尿道综合征患者随机分为电针加手法针刺组、手法针刺组,采用膀胱容量以及最大尿流率等指标评价,并于1个疗程后进行疗效比较。结果:两组治疗后膀胱容量和最大尿流率与治疗前相比均有显著性差异(P<0.05),但电针加手法针刺组治疗后膀胱容量增量较手法针刺组显著(P<0.05),而最大尿流率变化两组之间无显著性差异(P>0.05)。结论:电针加手法针刺和手法针刺均可通过增加膀胱容量和尿流率而改善排尿状况。电针加手法针刺方法对膀胱功能的改善较手法针刺更显著。     

ONE HUNDRED CASES OF CHRONIC PELVIC INFLAMMATION TREATED WITH ACUPOINTS OF CHONG AND REN CHANNELS

Chronicpelvicinflammationisafrequentlyencountereddiseaseinfemalegenitalsystem.Ingeneral,thepatient'sconstitutionisweaker,thecourseofdiseaseisprotrated,mostcasesofchronicpelvicinflammationresultfromacutepelvicinflammationwhichhadnotbeencuredthoroughly,buttherearesomepatientswithoutanyacuteinflammatorymedicalhistory.Themainclinicalmanifestationsareoflowfeverandlassitude,abdominalpainandptosedsensation,sorensessofwaistandbackache,irregularmen-struationdysmenorrhesandsterilityetc..Ex-aminationofgy…