Observation on therapeutic effect of oblique puncture plus plucking manual technique for fatigue periostitis of tibia

To observe the clinical effect of oblique puncture plus plucking manual technique for fatigue periositis of tibia.Methods60 cases of the patients with fatigue Deriostitisof tibia were randomly divided into the treatment group of 30 cases treated by oblique puncture plus plucking manual technique,and the control group of 30 cases treated by ultra short wave.ResuitsThe curative rate was 60.0% in the treatment group and 20.0% in the control group.and the total effective rate was 93.3% and 70.O% respectively.The therapeutic effect was better in the treatment group than in the control group (P＜0.05).ConclusionOblique puncture plus plucking manual technique has a better therapeutic effect for fatigue periostitis of tibia.     

Clinical Study on Puncturing Weizhong （BL 40） for Post-stroke Dysfunction of the Lower Limbs

Objective： To observe the clinical effects in the treatment of post-stroke dysfunction of lower limb by puncturing Weizhong （BL 40）. Methods： One hundred and twenty patients were randomly divided into two groups, 60 cases in each group. Both groups were treated by puncturing Weizhong （BL 40） plus functional rehabilitation training, once every day. Those in the observation group were treated by Shi Xue-min＇s needling technique, while others in the control group were treated with routine needling technique. The therapeutic effects were assessed by the scores of lower limb functions of Lovett scale of grading muscle strength （LSGMS） and short-form FugI-Meyer assessment （SFFMA）. Results： The instant and post-treatment effective rates in the observation group were 83.3% and 93.3%, versus 6.7% and 53.3% in the control group, indicating that the therapeutic effect was better in the observation group （P〈0.01）. The instant and post-treatment scores of Lovett muscle strength grading scale were better in the observation group than that in the control group （P〈0.05）. SFFMA score of lower limbs function was better in the observation group than that in the control group （P〈0.0s）. Conclusion： Different needling methods at Weizhong （BL 40） can produce different therapeutic effects in treating post-stroke dysfunction of lower limb, and Shi＇s needling technique has obvious instant effect and therapeutic function.     

Chondromalacia Patellae Treated by Warming Needle and Rehabilitation Training

Objective： To observe the effect of warming needle combined with rehabilitation training on chondromalacia patellae in a randomized controlled trial. Methods： The 92 cases were randomly divided into a treatment group treated by warming needle plus rehabilitation training （47 cases） and a control group treated by medication plus rehabilitation training （45 cases）, and the therapeutic effect was compared after 20 sessions. Results： The pain was relieved more obviously in the treatment group than in the control group （P〈0.05）, and the total effective rate was 91.8% and 71.1% respectively （P〈0.01）. Conclusion： Wanning needle plus rehabilitation training was superior in the therapeutic effect and duration of producing relief of pain to medication plus rehabilitation training in treating chondromalacia patellae.     

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.     

Combination of fire needle and filiform needle for frozen shoulder in different clinical stages

Objective:To observe the clinical efficacy of fire needle combined with filiform needle for different clinical stage frozen shoulders,and to choose the best treatment opportunity for clinical treatment of frozen shoulder.Methods:120 patients with frozen shoulders who met the inclusion criteria were numbered according to the visiting order.They were randomized into control group(60 cases)and treatment group(60 cases)according to the random number table.Both groups were treated with filiform needles once every other day and 3 times a week,and a course of treatment included 6 times and 2 courses were taken.The treatment group was treated by applying a fire needling point bloodletting on the local tender points once a week.Jiānyú(肩髃 LI 15),Jiānliáo(肩髎 TE 14),Jiānzhēn(肩贞 SI 9),Tiáokǒu(条口 ST 38),and local tender points were taken according to different meridian pains.The clinical efficacy of the frozen shoulder patients in the two groups in different clinical stages was compared.The evaluation indicators were scores of pain,joint activity range and activities of daily living,as well as clinical efficacy of traditional Chinese medicine.Results:After treatment,the total scores of hundred-mark five-grade in both groups were significantly higher than those before treatment,and the differences were statistically significant(Treatment group82.02 ± 14.23 vs 43.37 ± 22.10,Control group 66.80 ± 18.98 vs 42.67 ± 23.03,both P0.01),and the total score of the treatment group was significantly higher than the control group(P0.01).The hundred-mark five-grade assessment scores after treatment in the treatment group during the frozen stage were significantly higher than the control group(77.2± 14.40 vs 68.43 ± 16.94,P0.01);as to the clinical efficacy,the total effective rate of the treatment group was higher than the control group,and the difference was statistically significant(91.67% vs 76.67%,P0.01);The total effective rate of the control group in the acute stage and functional recovery stage was compared with the frozen stage,and the difference was statistically significant(100% vs 60%,P0.01),and there was no significant difference between each phase of the treatment group(P0.05).Conclusions:Single filiform therapy and the therapy of filiform needle combined with fire needle were effective in treating frozen shoulder patients,and the effect of the filiform needle combined with fire needle was significantly better than single filiform needle.The effect of fire needle combined with filiform needle on the frozen shoulder in frozen stage was significantly better than single filiform needle.     

Acupuncture plus cupping for treating insomnia in college students

Objective： To observe clinical therapeutic effect of acupuncture plus cupping for treating insomnia in college students. Methods： Ninety two college students suffering from insomnia were randomly divided into a treatment group （52 cases） and a control group （40 cases）. Acupuncture plus cupping was used for profiting the brain and tranquilizing the mind in the treatment group, and conventional differentiation of symptoms and signs was used in the control group. Therapeutic effect, number of treatment, self-rating sleeping scaling （SRSS）, and subtracted rate were evaluated after one month of treatment. Results： There was a significant difference in effective rate between the two groups （P〈0.05）. For the cases with moderate insomnia, the effective rate was obviously better in the treatment group than that in the control group （P〈0.05）, and for the cases with slight and moderate insomnia, the average treatment number was remarkably less in the former than that in the latter （P〈0.01）. SRSS was reduced in both gObjective： To observe clinical therapeutic effect of acupuncture plus cupping for treating insomnia in college students. Methods： Ninety two college students suffering from insomnia were randomly divided into a treatment group （52 cases） and a control group （40 cases）. Acupuncture plus cupping was used for profiting the brain and tranquilizing the mind in the treatment group, and conventional differentiation of symptoms and signs was used in the control group. Therapeutic effect, number of treatment, self-rating sleeping scaling （SRSS）, and subtracted rate were evaluated after one month of treatment. Results： There was a significant difference in effective rate between the two groups （P〈0.05）. For the cases with moderate insomnia, the effective rate was obviously better in the treatment group than that in the control group （P〈0.05）, and for the cases with slight and moderate insomnia, the average treatment number was remarkably less in the former than that in the latter （P〈0.01）. SRSS was reduced in both groups （P〈0.01, P〈0.05） with a significant difference between the two groups （P〈0.05）. The subtracted rate in the former was more than that in the latter （P〈0.05）. Conclusion： The therapeutic effect in the treatment group was better than that in the control group, showing superiority in the cases with moderate insomnia with less treatments and more improved and cured rates.     

Therapeutic observation on swift needling with fire needle plus medication for herpes zoster

Objective： To discuss the effectiveness and safety of swift needling with fire needle plus medication in treating herpes zoster and the change of substance P. Methods： Seventy-nine patients with herpes zoster were selected and randomized into a fire-acupuncture group （41 cases） and a Western- medication group （38 cases）. The fire-acupuncture group was intervened by swift needling with fire needle, and simultaneously prescribed with Valaciclovir Hydrochloride tablets and Vitamin B1; the Western-medication group was by the same oral medicines alone. The therapeutic efficacies were evaluated afterwards. Results： The total effective rate was 95.1% in the fire-acupuncture group versus 89.5% in the Western-medication group, and the difference was statistically significant （P〈0.05）. After treatment, the concentration of substance P and visual analogue scale （VAS） score dropped significantly in both groups （both P〈0.05）; the inter-group differences were statistically significant （both P〈0.05）. Conclusion： Swift needling with fire needle plus medication has better therapeutic efficacy than medication alone in treating herpes zoster.     

Effect of individualized needling on gross motor function in cerebral palsy infants

Objective: To observe the effect of individualized needling protocol (on the basis of functional brain mapping and standardized syndrome differentiation in Chinese medicine) on gross motor functions of infants with cerebral palsy (CP) and thus study the innovative means of combining acupuncture with rehabilitation management technique. Methods: A total of 74 CP infants were randomized into a treatment group and a control group, 37 in each group. Combined individualized needling and rehabilitation training were used in the treatment group, versus combined Jin’s needling (16 brain-benefiting points) and rehabilitation training in the control group. For both groups, acupuncture treatment was conducted once every other day and rehabilitation training every day. The dynamic changes of gross motor functions before treatment and after every 1-month treatment were measured and assessed using the Gross Motor Function Measure (GMFM)-66. Results: After treatment, the GMFM scores were significantly increased in both groups (P<0.01); there were no between-group statistical differences in increase range of the GMFM scores (P>0.05); the treatment protocol was not interacted with the treatment time; and the GMFM scores for spastic CP infants were better in the treatment group than that in the control group (P<0.05). Conclusion: Combined scalp acupuncture and rehabilitation training can produce positive effects on gross motor functions of CP infants. Individualized needling can obtain better effects than 16 brain-benefiting points in improving the gross motor functions of spastic CP infants.     

PERIPHERAL FACIAL PARALYSIS TREATED BY MULTI-DIRECTIONAL NEEDLING

Objective: To search for an effective therapy in treating peripheral facial paralysis. Methods: One hundred and eight patients were randomly divided into treatment group (n = 68) and control group (n = 40). The multi-directional needling technique was used by selecting Jiache (颊车 ST 6), Yangbai (阳白 GB 14) and Dicang (地仓 ST 4) in the treatment group, and the traditional acupuncture technique with conventional needle selection was used in the control group. The treatment was given once daily with 10 treatments constituting a therapeutic course, and 2 courses of treatment were given in both the groups. Results: After the treatment, of the 68 and 40 cases in treatment and control groups, 56 (82.3%) and 28 (70.0%) were cured, 11 (16.2%) and 8 (20.0%) improved in clinical symptoms and signs, 1 (1.5%) and 4 (10.0%) failed, with the total effective rate being 98.5% and 90.0% respectively, and the therapeutic effect of treatment group was significantly superior to that of control group (P<0.05). Conclusion: The multi-directional needling is an effective therapy for treating peripheral facial paralysis.     

Warm Needling Moxibustion for Knee Osteoarthritis:A Randomized Controlled Trial

Objective： To observe the clinical effect of warm needling moxibustion for knee osteoarthritis （KOA） by a randomized controlled trial. Methods： Sixty cases with KOA were randomly divided into an observation group and a control group, 30 cases in each group. The observation group was treated by warm needling moxibustion. The control group was treated by simple acupuncture. Ten sessions made one course and the two groups were treated for two courses. The scores of knee joint pain, stiffness and knee functions before and after the treatment were observed. Results： The scores of Western Ontario and McMaster Universities osteoarthritis index （WOMAC） on pain, stiffness and joint functions before and after treatment in both groups were statistically different （all P〈0.05）. The comparisons of the scores in pain, stiffness and joint function after treatment between the two groups were all statistically different （all P〈0.05）. The total effective rate was 93.3% in the observation group and 80.0% in the control group. The differences of the clinical effects between the two groups were statistically significant （P〈0.05）. Conclusion： Warm needling moxibustion can improve the clinical symptoms and functions of the patients with KOA, and is better than ordinary acupuncture in the therapeutic effect.     

Clinical study on Fu’s subcutaneous needling with laser for postherpetic neuralgia

Objective： To observe the therapeutic efficacy of Fu＇s subcutaneous needling （FSN） with laser for postherpetic neuralgia and analyze its action mechanism. Methods： A total of 102 cases with postherpetic neuralgia were randomly allocated into a treatment group and a control group, 51 in each group. FSN with laser was used for patients in the treatment group, whereas electroacupuncture was used for patients in the control group. After 6 months of treatment, the total effective rates, action time and cure courses in recovery cases were compared between the two groups. Three months after the treatment was completed, a follow-up was done to compare relapse rates between the two groups. Results： The recovery and total effective rates in the treatment group were 56.9% and 94.1% respectively, versus 35.3% and 68.6% in the control group, showing statistical differences （P〈0.05）; the action time and cure courses in the observation group were significantly shorter than those in the control group （P〈0.05）; the relapse rate in the treatment group was 6.9%, versus 44.4% in the control group, showing a statistical difference （P〈0.05）. Conclusion： FSN with laser can obtain better effect for postherpetic neuralgia than electroacupuncture and pose lower relapse risks.     

Clinical Observations on 46 Cases of Globus Hystericus Treated with Modified Banxia Houpu Decoction

Objective： To observe the therapeutic effect and mechanism of modified Banxia Houpu decoction on globus hystericus. Methods： The 95 patients with globus hystericus were randomly divided into a treatment group of 46 cases treated with modified Banxia Houpu decoction and a control group of 49 cases treated with Manyanshuning （Granula for Clearing the Throat）. In addition, a normal group of 24 healthy people was set up. SCL-90 scale was adopted to observe the therapeutic effect, evaluate the psychological state of patients and build a database on combination of four diagnoses. Results： The effect of the modified Banxia Houpo decoction was better than that of the control group in relieving depression, anxiety and improving the psychological state （P〈0.05 or P〈0.01）. Conclusion： Modified Banxia Houpu decoction has definite therapeutic effect on globus hystericus. Its mechanism may be related to its function in relieving depression and anxiety and regulating the osvchological state.     

Clinical observation on acupuncture treatment for post-stroke spastic hemiplegia

Objective： To observe the clinical effect of contralateral needling plus rehabilitation for post-stroke spastic hemiplegia. Methods： Thirty-six patients with post-stroke spastic hemiplegia were randomly divided into a treatment group and a control group, 18 cases in each group. The two groups were all given rehabilitation training. The contralateral needling was adopted in the treatment group on the acupoints group of brain-refreshing and orifice-opening needling method. The routine acupuncture was applied in the control group on the same acupoints. Respectively before and after the treatment, the modified Ashworth scale （MAS） and clinical spasticity index （CSi） were used to assess the therapeutic effects. Results： The total effective rate was 94.4% in the treatment group and 67.7% in the control group, with a statistical difference in comparison of the two groups （P〈0.05）. In comparison of MAS and CSI scores after the treatment between the treatment group and control group, the differences were statistically significant （P〈0.05）. Conclusion： The contralateral needling plus rehabilitation training is an effective method for the treatment of post-stroke spastic hemiplegia.     

Acupuncture for Promoting Intelligence of Children—An Observation on 37 Cases with Mental Retardation

Objective： To observe the effect of acupuncture on intelligence quotient （IQ） in children with mental retardation （MR）. Methods： One hundred children with MR were randomly divided into an acupuncture group and a control group, 50 in each. There were 37 and 36 cases with complete data in the former and latter group respectively. Four-week treatment constituted a course, the comprehensive therapeutic effect of two groups was compared after 3 courses of treatment, and the influence of acupuncture on IQ was estimated. Results： The total effective rate in the acupuncture group was 78.4%, better than 30.56% in the control group, the difference being significant （P〈0.01）. Both groups were improved in IQ but the effect of the former group was better than that of the latter group （P〈0.05）. Conclusion： Acupuncture can obviously improve IQ of children suffering from MR.     

Conducting qi and regulating the spirit needling method for insomnia: A randomized controlled trial

Objective:To evaluate the clinical effect differences between conducting qi and regulating the spirit needling method and regular needling method.Methods:Sixty-nine patients of insomnia were randomly divided into an observation group(35 cases)and a control group(34 cases).Bǎihuì(百会GV20),Sìshéncōng(四神聪EX-HN1),Hégǔ(合谷LI4),Tàichōng(太冲LR3),Zúsānlǐ(足三里ST36) and Sānyīnjiāo(三阴交SP6) were selected in the two groups.The patients in the observation group were treated with needling method for conducting qi and regulating the spirit.The patients in the control group were treated with the regular needling method.The treatment was given once every other day,both groups were treated for 12 times.Pittsburgh Sleep Quality Index(PSQI)and Epworth Sleepiness Scale(ESS) were observed before and after the treatment and the clinical effect was evaluated.Results:After treatment,the total score and the score of each item of PSQI as well as the result of ESS were all improved after the treatment in the two groups(all P 0.05).The improvements in the total score of PSQI and the result of ESS in the observation group were better than the control group(both P0.05).The total effective rate was 88.57%(31/35) in the observation group,significantly superior to 76.47%(26/34) in the control group(P 0.05).Conclusion:The conducting qi and regulating the spirit needling method achieves a better effect on insomnia as compared with the regular needling method.This method achieves a remarkable improvement in sleep latency,sleep quality and daytime sleepiness.     

中药保留灌肠治疗慢性肾功能衰竭23例疗效观察

Objective To observe the clinical effect of treating chronic renal failure with herbal retention-enema.Methods 23 cases with chronic renal failure were randomly recruited into a control group and a treatment group. The control group was treated with routine western medicine (low salt, low fat, and low protein diet, and correcting disturbance of water-electrolyte and acid-base balance), and the treatment group was treated with herbal retention-enema (Rhubarb, Concha ostreae, Dandelion, and Processing aconite). The clinical effect was observed in both groups. Results The clinical effect in the treatment group was significantly higher than that of the control group (χ2=3.456, P＜0.05). Conclusion The treatment of chronic renal failure with herb retention-enema is better than routine western medicine.     

Clinical observation on insomnia treated by Wei-defensive qi-regulating and brain-strengthening needling technique

In order to make a report on 90 cases of insomnia treated by the Wei-defensive qi-regulating and brain-strengthening needling technique,as a clinical subject of the multiple center,for assessing the preliminary standardized indications and operating methods and making an initial summary for writing the draft of the technique operation.MethodsBy ratio of 11,the patients in conformity with the criteria were randomly divided into the experimental group and control group.In the experimental group,45 cases were treated with the Wei-defensive qi-regulating and brain-strengthening needling technique on Baihui (GV 20),Dazhui(GV 14),Shenmai(BL 62),Zhaohai(KI 6),plus ear points.In the control group,45 cases were treated with routine acupuncture on Sishencong(Ex-HN 1),Shenmen (HT 7),Sanyinjiao(SP 6),etc.The therapeutic effects in the two groups were observed and assessed in comparison.ResultsThe results showed cure in 15 cases.remarkable effect in 27 cases,effect in 42 cases,failure in 6 cases,and the total eriective rate in 94.4% in 90 cases of insomnia.In the three centers,the statistic management was performed based upon PSQI integral and showed significant difference(P＜0.01),and no significant difference among various groups(P＞0.01).ConclusionThe therapeutic effect in the treatment of insomnia by Wei-defensive qi-regulating and brain-strengthening needling technique is better than the control group and the therapeutic effect and methods in various centers are stable.without any deviation.     

OBSERVATION ON THE THERAPEUTIC EFFECT OF NEEDLING IN COMBINATION WITH HERBAL MEDICINES FOR THE TREATMENT OF RHEUMATOID ARTHRITIS

Objective: To discover the effective therapy for the treatment of rheumatoid arthritis. Methods:A total of 62 patients were randomly divided into treatment group (30 cases) and control group (32 cases).The treatment group were punctured with filiform needle [Dazhui (大椎 GV 14), Zhiyang (至阳 GV 9), Ming-men (命门 GV 4), Shenting (神庭 GV 24), Hegu (合谷 LI 4) and Zusanli (足三里 ST 36) were used as main points] in combination with oral taking herbal medicines, and the control group only took herbal medicines,and the clinical effects of two groups were observed. Result: At the end of the first course of treatment, the total effective rate between treatment group (93.3%) and control group (87.5%) was obvious significant (P＜0.05). At the end of the second course of treatment, the total effective rate between treatment group (96.73%) and control group (90.6%) was obvious significant (P≤0.01). Conclusion: The effect of needling in combination with herbal medicine for the treatment of rheumatoid arthritis is definite, and it is better than using herbal medicines only. Besides, the longer the course is, the more remarkable the effect is.     

Effect of a comprehensive therapy plus Gushenyutai plaster admin- istered at Guanyuan （CV 4） on male infertility associated with se- men non-liquefaction

OBJECTIVE： To observe the clinical effect of Gushenyutai plaster administered at the Guanyuan（CV4） acupoint on male infertility associated with semen non-liquefaction.METHODS： Sixty-two male patients with infertility caused by semen non-liquefaction were random-ized into a treatment and control group. The control group received comprehensive therapy, which included oral administration of clarithromycin sustained release tablets, hip bath with Zhongyaoxiaoyan granules, prostate massage, and transurethral microwave treatment. The treatment group was administered Gushenyutai plaster in addition to the comprehensive therapy. Both groups were treated for 8 weeks. After treatment, the clinical effect and pregnancy rate were assessed and compared between the two groups.RESULTS： The effective rate of the treatment group was significantly higher than that of the control group（96.77% vs 70.97%, P〈0.05） and the pregnancy rates of the treatment group and control groups were 38.71% and 16.13%, respectively（P〈0.05）.CONCLUSION： The effect of Gushenyutai plaster plus comprehensive therapy was better than that of the comprehensive therapy alone on male infertility induced by semen non-liquefaction.     

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.