ACUPUNCTURE TREATMENT OF SCIATICA AND A PRELIMINARY STUDY OF THE ANALGESIC MECHANISM

This article reports 145 cases of moderate andsevere sciatica treated with acupuncture.The totaleffective rate was 95.7%,the basically cured rate42.7%.The average number of acupuncture sessionsfor the basically cured was 15.The chief acupointsused were Shenshu (UB 23),Huatuojiaji L_4,L_5 (Extra21),Dachangshu (UB 25),Guanyuanshu (UB 26),and Weizhong (UB 40).Additional auxiliary pointsused for the Shaoyang type were Huantiao (GB 30),Yanglingquan (GB 34) and Huanzhong (GB 39).Forthe Taiyang type they were Zhibian (UB 54),Cheng-shu (UB 57) and Kunlun (UB 60).The points takenfor acute and severe pains were Sizhukong (SJ 23),Renzhong (Du 26) and Yanglao (SI 6).The casesof wind and cold type and kidney deficiency typewere given moxibustion and cupping in addition.The results of acupuncture treatment show theprocedure to be effective in relieving the pain of alltypes of sciatica,including cases of long duration.Follow-up of the cured patients indicates that thesecondary type is apt to relapse.Fifteen patients suffering from acute sciatica hadserum 5-HT increased after acupuncure.In ten ofthe 15 cases,plasma cAMP,cGMP and PGE_2 in-creased and PGF_(2α) decreased after acupuncture.These findings suggest that the physiological basis ofthe regulatory effect of acupuncture may be bioactivesubstances,a possibility meriting further research.     

EFFECTS OF ACUPUNCTURE ON SERUM HIGH DENSITY LIPOPROTEIN CHOLESTEROL IN CEREBRAL INFARCTION PATIENTS

The mean serum high density lipoprotein choles-terol(HDL-C)content was 41.71 mg/dl in 46 patientswith cerebral infarction,significantly lower than thatin healthy subjects(52.8 mg/dl).After 45 days ofacupuncture treatment,HDL-C level,HDL-C/TCratio and HDL-C/LDL-C ratio all increased markedly,while there was an obvious decrease in both B-lipo-protein and atherosclerosis index(AI).These resultsindicate that acupuncture is able to regulate serumlipid metabolism.It was also found that the serum HDL-C levelin patients with infarction located in the basalganglion was markedly lower than those with infarc-tion located in the cortex.     

针刺对脑梗塞患者血清高密度脂蛋白胆固醇的影响

本文测定46例脑梗塞患者的血清脂质,其中高密度脂蛋白胆固醇(HDL-C)的含量为41.71mg/dl,明显低于正常人值52.8mg/dl。经45天针刺后,进行治疗前、后自身对照,结果:HDL-C 与 HDL-C/TC、HDL-C/LDL-C 的比值均有明显上升,而β-脂蛋白以及动脉硬化指数均明显下降,说明针刺具有调节血清脂质代谢的作用。并初步观察基底节病变患者的血清 HDL-C 明显低于皮层病变。     

ACUPUNCTURE TREATMENT OF CEREBROVASCULAR OCCLUSION AND CHANGES IN HEMORRHEOLOGICAL INDICES DURING TREATMENT;A CLINICAL ANALYSIS OF 100 CASES

Cerebrovascular disease is a common life-threatening disorder.In the United States andWestern Europe,the mortality rate for this dis-ease is an annual 100 per 100,000 population,with an incidence of 200 per 100,000 and preva-lence of 500 per 100,000.Certain areas of China,Japan and South Korea are high-risk areas,where     

针刺治疗脑梗塞及其血液流变学指标的观察——100例临床病例分析

本文报告针刺治疗脑梗塞住院患者100例,根据神经系统六方面的体征按百分制制定判定病情轻重和评比疗效的标准。基本治愈率达51%,总有效率为97%。并测定血液流变学、纤维蛋白原、纤维蛋白原降解产物及血脂等指标,结果脑梗塞患者有五项高于同年龄组正常人(P<0.05)。观察紫舌组与非紫舌组以及针刺前后的指标均有不同程度的改变。说明针刺对全身功能的恢复具有一定的疗效。