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1.
柳晓霞 《针灸推拿医学(英文版)》2016,14(5):353-356
Objective
To investigate the clinical efficacy of combining auricular and routine acupuncture for peripheral facial paralysis in acute stage.Methods
A total of 60 eligible cases were randomly allocated into a treatment group (n=30) and a control group (n=30). Cases in treatment group received auricular and routine acupuncture, whereas cases in the control group received routine acupuncture alone. Both groups were treated for 10 d.Results
The recovery rate was 73.3% in the treatment group and 53.3% in the control group, showing a statistical difference (P<0.05).Conclusion
Combining auricular and routine acupuncture is effective for peripheral facial paralysis in acute stage and has a better effect than routine acupuncture.2.
Objective
To investigate the efficacy and mechanisms of moxibustion-based treatment of chronic gastritis (CG), and to provide an objective basis for treating CG using moxibustion.Methods
A total of 61 CG patients were divided into an herbal cake-partitioned moxibustion group and a mild-warm moxibustion group. In both treatment groups, bilateral Tianshu (ST 25), Zhongwan (CV 12) and Qihai (CV 6) were selected for moxibustion. Before and after treatment, all the enrolled patients’ gastrointestinal disease-related traditional Chinese medicine (TCM) syndrome scores and visual analog scale (VAS) scores were measured, and the changes in the serum levels of the brain-gut peptides ghrelin, somatostatin (SS) and motilin (MTL) were observed.Results
There was no statistically significant difference between the two groups in the clinical efficacy rate (P>0.05). After treatment, the gastrointestinal disease-related TCM syndrome scores and VAS scores were reduced to varying extents in both groups, the intra-group differences were statistically significant (all P<0.01). In both groups, the serum levels of ghrelin and MTL increased and the serum levels of SS decreased after treatment (all P<0.01). And there were no serious adverse events occurred.Conclusion
Both herbal cake-partitioned moxibustion and mild-warm moxibustion are effective for CG; these two therapies exhibited similar therapeutic efficacy of epigastric discomfort or pain. And both the two therapies act to anti-inflammation, promote the recovery of gastric mucosa and improve the gastric motility, which is possibly their crucial action mechanism in treating CD.3.
Objective
To explore the action mechanism of electroacupuncture (EA) in improving the gastric motility of rats with diabetic gastroparesis (DGP).Methods
Forty-eight healthy Sprague-Dawley (SD) rats were randomly assigned into four groups: a normal group (group A), a model group (group B), a group of EA at acupoints (group C), and a group of EA at non-acupoints (group D), 12 rats in each group. The animal model of DGP was established by intraperitoneal injection of streptozotocin (STZ) plus high glucose and fat diet. The blood glucose, urine glucose and gastric emptying rate (GER) were observed. The content of insulin (INS) in serum and ghrelin in gastric antrum tissue were detected by enzyme linked immunoassay (ELISA). The expression of growth hormone secretagogue receptor mRNA (GHSR mRNA) in gastric antrum tissue was detected by real-time fluorescent quantitative polymerase chain reaction (PCR).Results
Compared with group A, blood glucose and urine glucose increased significantly (P<0.01), GER, content of serum insulin, the content of ghrelin and expression of GHSR mRNA in gastric antrum tissue decreased significantly (P<0.05 or P<0.01) in group B. Compared with group B, blood glucose and urine glucose decreased significantly (P<0.05), GER, the content of insulin in serum, the content of ghrelin and expression of GHSR mRNA in gastric antrum tissue increased significantly (P<0.05 or P<0.01) in group C.Conclusion
EA at acupoints can down-regulate the content of blood and urine sugar, and promote gastric emptying, which is possibly related to the regulation of serum insulin, and the expressions of ghrelin and GHSR mRNA in gastric antrum.4.
Objective
To observe the clinical efficacy of acupuncture plus moxibustion at Ciliao (BL 32) for primary dysmenorrhea (PD) due to cold-dampness.Methods
A total of 58 cases with PD due to cold-dampness were randomly allocated into an observation group (n=29) and a control group (n=29). Patients in the observation group were treated with acupuncture and suspended moxibustion at Ciliao (BL 32), whereas patients in the control group were treated with routine acupuncture alone. After three courses of treatment, the clinical efficacy was evaluated and compared between the two groups.Results
After treatment, the symptom scores were significantly reduced in both groups (P<0.05), but there were no significant between-group differences in clinical efficacy and symptom scores (P>0.05).Conclusion
With fewer points and less pain, acupuncture-moxibustion at Ciliao (BL 32) can obtain similar effect as routine acupuncture therapy for PD due to cold-dampness.5.
Objective
To assess the clinical efficacy of abdominal acupuncture for subhealth insomnia.Methods
Eighty-two cases of subhealth insomnia were randomly divided into an observation group (41 cases) and a control group (41 cases). The control group was treated with conventional acupuncture. The observation group was treated with Bo’s abdominal acupuncture on the basis of conventional acupuncture. Six treatments constituted one treatment course. The measuring scale of traditional Chinese medicine syndrome for subhealth state (MSSSHS) and Pittsburgh sleep quality index (PSQI) scores were compared between the two groups after two courses, to estimate the efficacy of abdominal acupuncture for subhealth insomnia.Results
One case dropped out from the observation group, while 2 cases dropped out from the control group. The MSSSHS score and PSQI score both declined after the treatment in the two groups (all P<0.05). The MSSSHS and PSQI scores in the observation group were significantly lower than those in the control group (both P<0.05).Conclusion
The abdominal acupuncture is effective for subhealth insomnia, and it can enhance the effect of conventional acupuncture.6.
Objective
To observe the therapeutic effect of warm needling moxibustion for erectile dysfunction (ED).Methods
A total of 46 eligible ED patients were randomized into a treatment group (n=24) and a control group (n=22). The treatment group was intervened by warm needling moxibustion while the control group by conventional acupuncture treatment, for a total of 4 courses. The therapeutic effect was evaluated by the international index of erectile function 5 (IIEF-5).Results
After 4 courses of treatment, the overall effective rate was 91.3% in the treatment group (23 completed), versus 75.0% in the control group (20 completed), with a significant difference (P<0.05). After the treatment, the change of IIEF-5 score in the treatment group was significantly different from that in the control group (P<0.05).Conclusion
Warm needling moxibustion can produce a more significant efficacy than conventional acupuncture in the treatment of ED.7.
Objective
To seek the optimal acupuncture time for primary dysmenorrhea and provide clinical basis for optimal acupuncture treatment protocol.Methods
A total of 90 eligible cases were randomly allocated into three groups, 30 cases in each group. Points Guanyuan (CV 4), bilateral Zusanli (ST 36) and Sanyinjiao (SP 6) were selected for patients in all three groups, with a different treatment duration: 15 min in group A, 30 min in group B and 45 min in group C. Then the clinical efficacy in each group was evaluated by pain symptom scoring.Results
As for the pain symptom scores, there were statistically significant intra-group differences between before and after treatment in three groups (all P<0.05); coupled with statistically significant inter-group differences between group B and the other two groups (both P<0.05). As for clinical efficacy, there were statistical differences between group B and the other two groups (both P<0.05), indicating that 30 min of acupuncture is the optimal duration in the treatment of dysmenorrhea.Conclusion
With the same needling manipulation, 30 min of acupuncture treatment achieves a better efficacy for primary dysmenorrhea.8.
Objective
To observe the effect of needling Hegu (LI 4) on functions of the prefrontal cortex using the functional near infrared spectroscopy (fNIRS).Methods
A total of 12 healthy volunteers were randomly assigned to an acupuncture group (n=6) and a control group (n=6). The control group received no intervention. The acupuncture group received needling Hegu (LI 4) on the right side. The real-time concentration changes of oxygenated hemoglobin (HbO2), deoxygenated hemoglobin (d-Hb) and total hemoglobin (t-Hb) in the prefrontal cortex were recorded using the fNIRS, allowing for effect analysis of needling Hegu (LI 4) on the functions of the prefrontal cortex.Results
Compared with the control group, the HbO2 and t-Hb concentrations were increased in the acupuncture group and there were between-group statistical significances (both P<0.05). There was no between-group statistical significance in d-Hb concentration (P>0.05).Conclusion
Needling Hegu (LI 4) can extensively activate the prefrontal cortex and therefore has significant effect on the functions of the brain’s prefrontal cortex.9.
目的:观察调督安神针法对失眠症的疗效,传承燕赵高氏针灸学术思想。方法:将68例失眠症患者按随机数字表随机分为针刺组及药物组,每组34例。针刺组采用调督安神针法治疗,每日1次,每星期治疗5次,休息2d,共治疗4星期。药物组予艾司唑仑片治疗,每日1mg,睡前口服,共治疗4星期。治疗前后采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评价睡眠质量,根据P SQI减分率评定疗效。结果:治疗后,针刺组PSQI总分及各单项评分均明显下降,与本组治疗前有统计学差异(均P<0.01);药物组P SQI总分明显下降,与本组治疗前差异有统计学意义(均P<0.01),除睡眠障碍外,其余各单项积分均较治疗前下降(P<0.01或P<0.05)。针刺组治疗后P SQI总分明显低于药物组(P<0.01)。除入睡时间及睡眠时间外,针刺组睡眠质量、睡眠效率、睡眠障碍及日间功能障碍评分均低于药物组,组间差异有统计学意义(均P<0.05)。针刺组愈显率显著高于药物组(P<0.05)。结论:调督安神针法治疗失眠疗效确切,疗效优于口服艾司唑仑片。 相似文献
10.
Objective
To investigate the clinical efficacy and action mechanism of abdominal acupuncture plus plum-blossom needle tapping for primary insomnia.Methods
A total of 66 eligible cases were randomly allocated into an observation group (n=33) and a control group (n=33). Cases in the observation group received abdominal acupuncture plus plum-blossom needle tapping, whereas cases in the control group received abdominal acupuncture alone. After 2, 6 weeks of treatment and 4 weeks after end of treatment, the patients in both groups were evaluated using the Pittsburgh sleep quality index (PSQI) and measure your medical outcome profile (MYMOP) based on the patients’ self-report.Results
After 2 weeks of treatment, the total effective rate was 90.9% in the observation group, versus 63.6% in the control group, showing a statistical difference (P<0.05). After 6 weeks of treatment, there were no between-group statistical differences in total effective rate (P>0.05). After 6 weeks, the sleep quality and efficiency scores in the observation group were better than those in the control group. Four weeks after end of treatment, the scores of sleep quality and MYMOP in the observation group were better than those in the control group (P<0.05).Conclusion
Abdominal acupuncture plus plum-blossom needle tapping can obtain fast, accurate effect for primary insomnia and improve patients’ sleep quality and efficiency.11.
Objective
To observe the clinical effect of acupuncture for persistent allergic rhinitis (PAR).Methods
A total of 154 PAR patients were randomized into a treatment group and a control group, 78 cases in the treatment group received acupuncture at meridian points, while 76 cases in the control group received acupuncture at non-meridian points. The treatment was done every other day, 3 times a week for a total 4 weeks. The total nasal symptom score (TNSS), the total non-nasal symptom score (TNNSS) and the rhinoconjunctivitis quality of life questionnaire (RQLQ) were measured before the treatment and after 2 weeks and 4 weeks of treatment, as well as 1 month and 3 months after the treatment to compare the clinical effect between the two groups.Results
After 4 weeks of treatment, the total effective rate in the treatment group was 92.3%, versus 76.3% in the control group, showing a statistically significant difference (P<0.05). Intra-group comparisons of TNSS, TNNSS and RQLQ scores after 4 weeks of treatment showed statistically significant differences (all P<0.05). Between-group comparisons of TNSS, TNNSS and RQLQ score after 4 weeks of treatment and in follow-up visits showed statistically significant differences (all P<0.05).Conclusion
Acupuncture is effective for PAR, and acupuncture at meridian points can produce a better effect than acupuncture at non-meridian points.12.
Objective
To observe the instant analgesic effect of Governor Vessel-regulating and collateral-unblocking acupuncture method in treating primary headache and to inherit and carry forward the academic achievements of Gao’s acupuncture school in Yanzhao (Hebei Province) area.Methods
Eighty eligible primary headache patients were randomized into an observation group and a control group following their visiting sequence, 40 patients in each group. The observation group was intervened by Yanzhao Gao’s Governor Vessel-regulating and collateral-unblocking acupuncture, and the control group was intervened by ordinary acupuncture method. The visual analogue scale (VAS) was used to evaluate the headache intensity before and after the first treatment session in the two groups, to compare the instant analgesic effect of the two acupuncture methods.Results
After the first treatment session, the VAS scores dropped significantly in both groups (both P<0.05). The change of VAS score after the initial treatment in the observation group was significantly different from that in the control group (P<0.05). The percentage of patients with headache completely vanished instantly after the first treatment was markedly higher in the observation group than that in the control group (P<0.05).Conclusion
The two acupuncture methods both can produce a significant instant analgesic effect in treating primary headache, while Yanzhao Gao’s Governor Vessel-regulating and collateral-unblocking acupuncture method is superior to ordinary acupuncture method.13.
Objective
To observe and compare the therapeutic efficacies of heat-sensitive moxibustion plus Western medication, dry Western medication, and acupuncture plus TDP in treating peripheral facial palsy (FP).Methods
Ninety FP patients were randomized into a Western medication group, a heat-sensitive moxibustion group, and an acupuncture group by using sealed envelope, 30 cases in each group. The Western medication group was intervened by conventional Western medication; the heat-sensitive moxibustion group was by heat-sensitive moxibustion in addition to the same Western medication; the acupuncture group was by the Western medication plus acupuncture and TDP radiation. For the three groups, 6-day treatment was taken as a treatment course, with a 2-day interval between 2 courses, and totally 4 treatment courses were observed.Results
After intervention, the modified Portmann scores were changed significantly in the three groups (P<0.05), and the improvements in the heat-sensitive moxibustion group and the acupuncture group were both superior to that in the Western medication group. The recovery plus markedly effective rate of the acupuncture group was significantly different from that of the Western medication group (P<0.05), and there was a significant difference in comparing the recovery plus markedly effective rate between the heat-sensitive moxibustion group and acupuncture group (P<0.05).Conclusion
Heat-sensitive moxibustion is effective in treatment peripheral facial paralysis, and this method is free of pain, causing no adverse reactions, and worth promotion in clinic.14.
Objective
To evaluate the clinical efficacy of acupuncture plus tuina in treating cervical vertigo (CV).Methods
One hundred CV patients were randomized into an observation group and an acupuncture group by the random number table, with 50 cases in each group. The acupuncture group received acupuncture at Xiang Ba Zhen (eight acupoints on the nape); the observation group received tuina treatment in addition to the Xiang Ba Zhen acupuncture. The two groups were both treated once every other day for 10 sessions in total. The two groups were examined by transcranial cerebral Doppler (TCD) before and after the treatment, and their therapeutic efficacies were evaluated.Results
After the treatment, the mean velocity (Vm) of vertebral artery (VA) and basilar artery (BA) showed significant improvement in both groups (all P<0.001); there were significant differences in the Vm of VA and BA between the two groups (both P<0.05). The total effective rate was 100.0% in the observation group versus 82.0% in the acupuncture group, and the difference was statistically significant (P<0.01).Conclusion
Xiang Ba Zhen acupuncture as a monotherapy or used together with tuina can improve CV, but Xiang Ba Zhen plus tuina can produce a more significant efficacy.15.
Objective
To observe the clinical efficacy of acupuncture plus turtle-shell-partitioned moxibustion in treating diarrheapredominant irritable bowel syndrome (IBS-D).Methods
Seventy-six patients were randomized into two groups: 39 cases in the observation group were intervened by acupuncture plus turtle-shell-partitioned moxibustion, while 37 cases in the control group by the same acupuncture treatment, once a day, 10 d as a treatment course, for 2 courses in total. The improvements of symptoms were observed at the end of the intervention in both groups.Results
The total effective rate was 89.7% in the observation group versus 67.6% in the control group, and the difference was statistically significant (P<0.05).Conclusion
Acupuncture plus turtle-shell-partitioned moxibustion can significantly improve the symptoms of IBS-D, and can produce a more significant efficacy than acupuncture alone.16.
Clinical observation of scalp acupuncture plus speech rehabilitation for Broca’s aphasia after cerebral stroke 总被引：1，自引：0，他引：1
滕莹颖 《针灸推拿医学(英文版)》2017,15(2):104-108
Objective
To explore the clinical efficacy of scalp acupuncture plus speech rehabilitation in treating Broca’s aphasia after cerebral stroke, for providing novel evidences for the treatment.Methods
Ninety-one eligible patients with Broca’s aphasia after cerebral stroke were randomized into an observation group and a control group. Forty-six cases in the observation group were intervened by scalp acupuncture plus speech rehabilitation, while 45 cases in the control group were treated by speech rehabilitation alone. The aphasia battery of Chinese (ABC) and Boston diagnostic aphasia examination (BDAE) were adopted to evaluate the clinical efficacy.Results
After the treatment, the scores of oral expression, reading and writing and global score in the observation group were significantly higher than those in the control group (all P<0.05). There was a significant difference in comparing the BDAE grading between the two groups after the treatment (P<0.05). After intervention, the basically-recovered plus markedly-effective rate was 45.7% in the observation group versus 24.4% in the control group, and the between-group difference was statistically significant (P<0.05).Conclusion
Scalp acupuncture plus speech rehabilitation is effective in treating Broca’s aphasia after cerebral stroke, and worth promoting.17.
Objective
To observe the clinical effects of acupuncture plus external medicine application for cervical radiculopathy.Methods
A total of 98 patients with cervical radiculopathy were randomly divided into an observation group and a control group based on the random digital table. The observation group (50 cases) was treated by acupuncture plus external medicine application and the control group (48 cases) was treated by acupuncture alone. The patients received the treatment every day. Ten sessions made a course. Cervical spondylosis symptom scale was used to assess the cases before and after the treatment. The clinical efficacy was compared between the two groups after the treatment.Results
The total effective rate was 98.1% in the observation group versus 87.6% in the control group with a statistically significant difference between the two groups (P<0.05). The cure rate was 52.0% in the observation group versus 18.8% in the control group with a significant difference between the two groups (P<0.05). There was no significant difference in the score of cervical spondylosis symptom scale between the two groups before the treatment (P>0.05). It increased with a significant difference in both groups after the treatment (both P<0.05), while a significant difference was found in the results between the two groups after the treatment (P<0.05).Conclusion
Acupuncture plus external medicine application is more effective than acupuncture alone for treating cervical radiculopathy. The method also effectively improves the clinical symptoms.18.
Objective
To observe the clinical effects of acupuncture at Jiaji (EX-B 2) points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder.Methods
Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji (EX-B 2) points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments.Results
After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups (P<0.01); the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference (P<0.05). The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups (P<0.05).Conclusion
In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.19.
Clinical observation on oblique Ban-pulling tuina manipulation plus acupuncture for cervical vertigo
Objective
To explore the clinical efficacy of rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture in treating cervical vertigo (CV).Methods
Seventy-three CV patients were divided into two groups by block randomization, 50 cases in each group. The observation group was intervened by rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture, while the control group was by the same acupuncture treatment alone. The tuina treatment was given once every other day and the acupuncture treatment was given once every day. The symptom score was observed before and after 20-day treatment, and the therapeutic efficacies were compared between the two groups.Results
During the intervention, 14 subjects in the observation group and 13 subjects in the control group dropped out. Finally, 36 cases in the observation group and 37 cases in the control group were involved into the data analysis. After 20-day treatment, the symptom scores were significantly increased in both groups (P<0.05), and the symptom score in the observation group was significantly higher than that in the control group (P<0.05). The total effective rate was 91.7% in the observation group versus 83.8% in the control group, and the difference was statistically insignificant (P>0.05). The recovery and markedly effective rate was 69.4% in the observation group versus 32.4% in the control group, and the difference was statistically significant (P<0.05).Conclusion
Rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture can significantly improve the clinical symptoms of CV patients, and its clinical efficacy is superior to that of acupuncture alone.20.