EFFECT OF ACUPUNCTURE PLUS MOXIBUSTION OF YONGQUAN POINT ON DYSCINESIA AND BLOOD RHEOLOGY IN STROKE PATIENTS

Ｉｎａｐｏｐｌｅｘｙｐａｔｉｅｎｔｓ,ｄｙｓｋｉｎｅｓｉａｅｘｉｓｔｓｉｎｍａｊｏｒｉｔｙｏｆｔｈｅｍａｎｄｓｅｖｅｒｅｌｙａｆｆｅｃｔｓｐａｔｉｅｎｔｓ’ｌｉｆｅｑｕａｌｉｔｙ .Ｔｈｅａｕｔｈｏｒｏｆｔｈｅｐｒｅｓｅｎｔ ｐａｐｅｒａｄｏｐｔｅｄａｃｕｐｕｎｃｔｕｒｅａｎｄｌａｒｇｅｄｏｓｅｏｆｍｏｘｉｂｕｓ ｔｉｏｎｏｆＹｏｎｇｑｕａｎ (ＫＩ 1 )ａｎｄａｃｈｉｅｖｅｄｓａｔｉｓｆａｃ ｔｏｒｙｒｅｓｕｌｔｓ.Ｈｅｒｅｉｓｔｈｅｓｕｍｍａｒｙ .1　ＣＬＩＮＩＣＡＬＤＡＴＡＡｔｏｔａｌｏｆ 78ａｐｏｐ…     

CLINICAL OBSERVATION ABOUT THE EFFECT OF BLOOD-LETTING OF JING-POINTS ON CEREBRAL BLOOD FLOW IN STROKE PATIENTS AT THE EARLY STAGE AND EXPERIMENTAL STUDY ON ITS MECHANISMS IN THE RABBIT

Ｃｕｒｒｅｎｔｌｙ ,ｉｎｔｈｅｔｒｅａｔｍｅｎｔｏｆｓｔｒｏｋｅ(ｃｅｒｅｂｒａｌａｐｏｐｌｅｘｙ) ,ｍｏｓｔｐｅｏｐｌｅｐａｙｍｏｒｅａｔ ｔｅｎｔｉｏｎｔｏｔｒｅａｔｍｅｎｔｏｆｔｈｅｓｅｑｕｅｌａｅ ,ｂｕｔｌｅｓｓｉｓｐａｉｄｔｏｔｈｅｅｍｅｒｇｅｎｃｙｔｒｅａｔｍｅｎｔｒｅｍｅｄｉｅｓｆｏｒｓｔｒｏｋｅａｔｔｈｅｅａｒｌｙｓｔａｇｅ .Ｍｏｓｔｓｔｒｏｋｅｐａｔｉｅｎｔｓｄｉｅｏｒｇｅｔｓｅｑｕｅｌａｅｄｕｅｔｏｄｅｌａｙｅｄｏｒｅｒｒｏｎｅｏｕｓｅ ｍｅｒｇｅｎｃｙｔｒｅａｔｍｅｎｔａｎｄｔ…     

OBSERVATION ON CLINICAL THERAPEUTIC EFFECT OF MRI-AIDED ENCLOSURE NEEDLING IN THE TREATMENT OF STROKE AND ITS INFLUENCE ON BLOOD RHEOLOGY

Objective: To observe clinical therapeutic effect of magnetic resonance imaging (MRl)-aided enclosure needling in the treatment of stroke patients and changes of the related blood rheology. Methods: A total of 61stroke patients were randomized into MR I-aided enclosure needling group (MRI-aided acupuncture group) (n = 31 ) and conventional acupuncture group (n= 30). For patients of MRl-aided acupuncture group, acupuncture needles were inserted into the subcutaneous tissues around the focus-projection scalp area displayed by MRI, with the needle tips toward the center of the projection region and with two needles being about 2 crn apart, combined with other acupoints according to the concrete syndromes or symptoms. For patients of conventional acupuncture group, Motor Area (MS 6)and Sensory Area (MS 7) on the contralateral side of the focus were punctured. The treatment was conducted once daily, continuously for 30 days. Results: After treatment, of the 31 cases in MRl-aided acupuncture group, 20 werecured basically, 10 responded with significant improvement of symptoms and signs, one case had some improvement.While in conventional acupuncture group, of the 30 cases, 11 were cured basically, 15 responded with striking amelioration of symptoms and signs and 4 had some amelioration. Ridit analysis showed that the therapeutic effect of MRI-aided acupuncture group was significantly superior to that of conventional acupuncture group (P ＜ 0.05). After treatment,the whole blood viscosity, plasma viscosity, hematocrit, whole blood reduction viscosity, hemagglutination index, and the total score of the two groups all decreased significantly in comparison with those of pre-treatment of each group,while whole blood viscosity, hematocrit, vascular sclerosis index and the total score of MRl-aided acupuncture group were obviously lower than those of conventional acupuncture group ( P＜ 0.05- 0.01 ), suggesting that the effect of theformer group in bettering blood rheology was pronouncedly superior to that of conventional acupuncture group. Conclusion: MRl-aided acupuncture group is obviously superior to that of conventional acupuncture group in improving clinicalsymptoms and signs and blood rheology in stroke patients.     

针刺对胃血流的影响及其神经机制探讨

<正> 临床上针刺具有调整脾胃功能,治疗胃肠疾患的疗效。有关实验工作除了早期有针刺影响胃运动和胃液分泌的报道之外,近年来针刺影响胃电活动的报道较多。然而胃血流和胃液分泌紧密相关,并在胃疾病的发生机理方面起着重要作用。针刺对胃血流的影响如何,至今未见报道。本工作研究针刺对胃血流的影响及其神经机制,并就电针和手针对胃血流的影响,相应的胃液分泌及胃电变化进行了分析比较。     

EFFECT OF ACU-MOXIBUSTION ON BLOOD RHEOLOGY IN PATIENTS WITH AORTO-ARTERITIS

Aorto arteritisreferstothechronicnon spe cificinflammationoccurringintheaortaanditsmainbranches.Thebranchiocephalicarterytypemanifestedasclinicalsymptomsduetoischemiaofthebrainandtheupperlimbsisfrequentlyseeninclinicandisoneoftherefractorydis eases .Itpertainstothecategoryof“WumaiZheng”(无脉症 ) ( pulselesssyndrome)intradi tionalChinesemedicine (TCM ) .Inrecentyears,weappliedTCMtotreatitandhaveachievedsatisfactoryresults.Itisreportedasfollows.1　CLINICALDATA1 .1GeneraldataAllthe 80…     

针刺对糖尿病性视网膜病变并发高血压患者眼部血流影响的研究

目的:观察针刺对糖尿病性视网膜病变并发高血压患者眼部血流的影响,寻求改善眼血流的新途径.方法:检测针刺前后血管紧张素Ⅱ含量,视网膜中央动脉(CRA),鼻侧和颞侧睫状后动脉(PCAs)及眼动脉(OA)血流的收缩期峰速(PSV),舒张末期流速(EDV)和阻力指数(RI).结果:针刺组AngⅡ含量及血压较针刺前明显降低(P＜0.01),OA血流速度较治疗前略有提高(P＞0.05),CRA及PCAS血流速度针刺前后有明显差异(P＜0.05).结论:针刺可以改善糖尿病性视网膜病变并发高血压患者的眼部血液循环,为它们的治疗提供了新的辅助方法.     

STUDY ON THE BURDEN OF STROKE SCALE FOR ACUPUNCTURE TREATMENT IN STROKE PATIENTS

Objective: To evaluate the clinical effect of acupuncture on the patient-reported outcomes(PROs) of patients with acute ischemic stroke.Methods: A total of 112 patients with acute ischemic stroke were recruited and randomly divided into the acupuncture group and the control group from 2010 to 2013.The acupuncture group received acupunctural treatment plus routine Western medicine.The control group only received routine Western medicine.PROs, including the NIH Stroke Scale, the Fugl-Meyer Assessment of Motor Function(FMA), the Burden of Stroke Scale(BOSS) and the Stroke Specific Quality of Life Measure(SS-QOL), were assessed in the acupuncture group and the control group before and after treatment.Results: The baseline including the NIH Stroke Scale and the FMA was assessed in the acupuncture and the control groups.The difference between the two groups has no significance on statistics(P0.05).FMA in 14 and 28 days after acupuncture treatment was better than that in the control group, showing a significant difference on statistics(P0.05).SS-QOL and BOSS scale in 14, 28, 60 and 90 d after acupuncture treatment were also better than those in the control groups, showing a significant difference(P0.01).Conclusion: Acupuncture treatment could improve the limbs function in patients with acute ischemic stroke.PROs including SS-QOL and BOSS could be improved in patients with acute ischemic stroke after acupuncture treatment.     

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACU-MOXIBUSTION OF DIFFERENT ACUPOINT GROUPS IN STROKE PATIENTS IN CONVALESCENCE STAGE

Acupuncturetherapyworkswellinthetreat mentofstrokepatientsduringconvalescence,but whichacupointgroup,yinmeridianoryangmeridi anisbetterisstillcontroversial.Accordingtothe sayingofTCMthat“takingYangmingmeridianon lyisindicatedforthetreatmentofflaccidity syn drome”,mostclinicianspreferselectingacupointsof yangmeridians.Therefore,theauthorshavemadea seriesofclinicaltrialsinthetreatmentofstrokepa tientssoastoconfirmthissayingfrom2002on.Fol lowingisthereport.1CLINICALDATA1.1Generalinformat…     

MULTI-CENTER RANDOMIZED CONTROLLED TRIALS OF COMBINED TREATMENT OF VERTEBRAL ARTERY TYPE CERVICAL SPONDYLOSIS WITH ACUPUNCTURE AND MASSAGE

Vertebralarterytypecervicalspondylosis(VACS)isacommontypeofcervicalspondylosis(CS).Itisusuallymanifestedbyvertigoduetocer vicalretrogradedegenerationwhichimpairstheblood supplyfromvertebralarterytothebrainstemand labyrinthine.Amongtheremediesaimingtorelieve VACS,acupunctureandmassagearewell accepted worldwide.Duringthepasttwodecades,alarge numberofarticleswerepublishedinthisfield,and mostofthemshowedsatisfactorytherapeuticeffects.However,therearestillsomeflaws:1)poormethod ologicalqualityu…     

大蒜提取物防治缺血性脑血管疾病的进展

大蒜提取物防治缺血性脑血管疾病的进展张久亮，史载祥，张厚毅大蒜（Ａｌｌｉｕｍｓａｔｉｖｕｍ）为百合科多年生草本植物大蒜的鳞茎，近年来对其提取物（包括大蒜素）进行了大量的研究。除具有抗肿瘤、抗菌的作用外，还具有降低血脂、扩张血管、抗动脉粥样硬化、抗血小...     

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE IN TREATMENT OF 68 CASES OF INSUFFICIENT BLOOD SUPPLY OF CEREBRAL ARTERIES

Insufficient blood supply of cerebral arteries is a commonly seen and frequently occurred disease among the middle-aged and senile people. In recent years, the author of this paper treated 68 cases of insufficient blood supply of cerebral arteries by acupuncture with satisfactory results. It is reported as follows.     

EFFECT OF ACUPUNCTURE ON IMMUNE FUNCTION OF PATIENTS TREATED WITH RADIOTHERAPY AND CHEMOTHERAPY

In comparison with the normal people group, values of blood CD_2~+ and CD_4~+ in pa-tients with mallgnant tumors treated with radiotherapy and chemotherapy were significantly lower andthe ratio of CD_助~+ and CD_8~+ decreased obviously (all P<0.001); CD_8~+ had no apparent change (P>0.05). Following acupunctural treatment, values of CD_2~+,CD_4~+ and the ratio of CD_4~+ to CD_8~+ increasedobviously (all P<0.001); while those of the medicinal control group had no significant change aftertreatment(P>0. 05). Values of IgG, IgA and IgM in patients' serum presented an abnormal de-creasing or increasing tendency, and C_3 in minority of patients were raised. Results indicated thatthere was a biphasic regulatory effect of acupuncture on the disturbance of humoral immunity andcould correct the deviation of C_3 level; and its effect was better than or similar to that of the medicinecontrol group. It demonstrates that acupuncture can enhance and regulate. the immune function of pa-tients treated with radiotherapy a     

EFFECT OF ELECTROACUPUNCTURE ON CEREBRAL BLOOD FLOW, VIP AND ET IN RATS WITH VASCULAR DEMENTIA

Cerebralischemiainducedbydisturbanceofcerebralcirculationisoneofthemajorfactorsforvasculardementia (VD) .Mostresearcherscon sideredthattheonsetofVDisusuallycloselyre latedtothelesionofcerebralcortex ,especially ,totheischemiaintheleftcortex ,thalamusandhippocampus.Previousstudiesshowedthatacupuncturecouldrapidlyincreasecerebralbloodflowintheischemicregion ,reducetheinfarctvolumeofthebrainandsoastopreventthener vousfunctionfromimpairment[1 ] .However,therewerefewerstudiesontherelationshipbe t…     

高压氧及脉冲牵引对椎动脉型颈椎病患者椎动脉血流速度的影响

目的：探讨分析高压氧及脉冲牵引对椎动脉型颈椎病椎动脉血流速度的影响，更好的指导临床检查治疗。方法：将158例椎动脉型颈椎病患者随机分为治疗组和对照组各79例，治疗组采用德国吕内堡医疗公司的电脑控制脉冲牵引加多人空气加压高压氧舱治疗。时照组采用国产SY型数控颈椎牵引机，坐位牵引治疗。在治疗前后均行双侧椎动脉多普勒检查。采用SPSS10．0软件包进行统计学分析。结果：治疗组治疗后左右椎动脉收缩期血流速度、舒张期血流速度比治疗前均明显增快（P〈0．01）。两组疗效治愈率及总有效率有显著性差异（P〈0．05）。结论：高压氧及脉冲牵引治疗时椎动脉颈椎病椎动脉血流速度有明显提高作用，是治疗椎动脉型颈椎病较有效的方法。     

DEVELOPMENT OF CLINICAL STUDIES ON ACUPUNCTURE TREATMENT OF SHOULDER PAIN IN PATIENTS WITH WIND STROKE

In the present paper, the authors review some new results of acupuncture treatment of shoulder pain in stroke patients from ① application of filiform needle with different needling manipulations, ② selection and combination of acupoints, and ③ some special needling methods including point-injection. Generally, if acupuncture therapy is used in combination with other rehabilitation methods, the therapeutic effect of shoulder-pain-relief will be much better. Regarding the acupoint selection, both local acupoints and those of the yang meridians are primarily used in clinical practice. Further studies on treating shoulder pain of hemiplegia based upon the basic theory of TOM are necessary.     

EFFECT OF ACUPUNCTURE ON SERUM GLUCAGON AND IMMUNOCYTOKINE LEVELS IN TYPE II DIABETES PATIENTS

From 1980 on, under the guidance of Professor Wei Jia, a well-known acupuncturology specialist, we have been conducting clinical and experimental researches on acupuncture treat -ment of diabetes mellitus (DM) and explored its action mechanisms[1~2I, including observation on the clinical therapeutic effect of acupuncture in the treatment of complications of the heart, brain and peripheral nerve, etc. of diabetes typeii~~~' and a series of studies on acupoint tissue transplantation derived fro…     

EFFECT OF ACUPUNCTURE ON BLOOD OXYGEN FREE RADICAL AND NO LEVELS IN TREATMENT OF APOPLECTIC SEQUELAE

“ＪＩＮＳａｎＺｈｅｎ”ｔｈｅｒａｐｙｃｏｍｐｏｓｅｄｏｆ“ＮｉｅＳａｎＺｈｅｎ” ( 3ｐｏｉｎｔｓｉｎｔｈｅｔｅｍｐｏｒａｌｒｅｇｉｏｎ :2ｃｕｎｓｔｒａｉｇｈｔｓｕｐｅｒｉｏｒｔｏｔｈｅｅａｒ ｔｉｐ ;1ｃｕｎａｎｔｅ ｒｉｏｒａｎｄｐｏｓｔｅｒｉｏｒｔｏｔｈｅｆｉｒｓｔｐｏｉｎｔｏｎｔｈｅｓａｍｅｌｅｖｅｌｓｅｐａｒａｔｅｌｙ) ,“ＳｉＳｈｅｎＺｈｅｎ” [4ｐｏｉｎｔｓａｒｏｕｎｄＢａｉｈｕｉ (ＧＶ 2 0 ) :1.5ｃｕｎａｎｔｅｒｉｏｒ ,ｐｏｓ ｔｅｒｉｏｒ,ｌｅｆｔａｎｄｒｉｇｈｔｔｏＧＶ 2 0ｒｅｓｐ…     

针麻手术病人及大白鼠电针诱导前后外周血中胆硷酯酶活力的测定

<正> 国内针麻研究的大量工作表明,针刺诱导引起的机体神经体液调节与针刺镇痛原理具有密切关系,植物性神经系统可能是参与“调整气血、疏通经络”,从而达到“通则不痛”作用的因素之一。     

"两点进针"头穴透刺电针治疗缺血性中风的疗效观察

Objective To probe methods and therapeutic effects of Head Acupuncture on ischemic stroke. Methods One hundred and twelve cases were randomly divided into observation group (head acupuncture group) and control group (body acupuncture group). After treatment of 28 days, changes of linguistic function and paralysis level of limbs before and after treatment were investigated. Results The total effective rate was 96.6% in the observation group and 90.7%, in the control group, with a significant difference between the two groups (P<0.05). Conclusion The electroacupuncture head point-through-point by penetrating two point therapy is one of effective methods for ischemic stroke.     

EFFECTS OF INJECTION OF LIGUSTRAZINE INTO GESHU (BL 17) POINT ON BLOOD RHEOLOGY IN PATIENTS OF CORONARY HEART DISEASE

In the present paper, the therapeutic effects of point-injection and electro-acupuncture(EA) were compared in 100 patients of coronary heart disease with abnormal increases of indexes ofblood rheology. Results indicated that after one therapeutic course, the increases of indexes of bloodrheology were reduced in Geshu-ligustrazine group, Geshu-saline group, Geshu-EA group and Feishu-ligustrazine group (P<0. 05 - 0. 01 ) and there was no this action in Feishu-EA group. Among them,the Geshu-EA group had the best therapeutic effect.